Lessons learned from early criticality accidents

International Nuclear Information System (INIS)

Malenfant, R.E.

1996-01-01

Four accidents involving the approach to criticality occurred during the period July, 1945, through May, 1996. These have been described in the format of the OPERATING EXPERIENCE WEEKLY SUMMARY which is distributed by the Office of Nuclear and Facility Safety. Although the lessons learned have been incorporated in standards, codes, and formal procedures during the last fifty years, this is their first presentation in this format. It is particularly appropriate that they be presented in the forum of the Nuclear Criticality Technology Safety Project Workshop closest to the fiftieth anniversary of the last of the four accidents, and that which was most instrumental in demonstrating the need to incorporate lessons learned

The detection of criticality accidents

International Nuclear Information System (INIS)

Prigent, R.; Renard, C.

It is necessary to shield the personnel from the radiological consequences of a criticality accident. In the past ten years the study programmes have highlighted fresh data which have led to new thinking on the detection philosophy and as a consequence the design of detection equipment. Concurrently, new recommendations have been drawn up by the Safety Criticality Committee. The new detection equipment was developed by the CEA on the basis of the CRAC and SILENE experiments. Its industrialization was entrusted to the Intertechnique Company and the first network installed dates back to 1976. An examination is made of the problem of accident detection, dealing in turn with detection, the characteristics of the equipment and the installation rules. To clarify the various points discussed, a parallel has been drawn between the equipment existing up to 1975 and the new generation developed since then [fr

Criticality accident studies and methodology implemented at the CEA

International Nuclear Information System (INIS)

Barbry, Francis; Fouillaud, Patrick; Reverdy, Ludovic; Mijuin, Dominique

2003-01-01

Based on the studies and results of experimental programs performed since 1967 in the CRAC, then SILENE facilities, the CEA has devised a methodology for criticality accident studies. This methodology integrates all the main focuses of its approach, from criticality accident phenomenology to emergency planning and response, and thus includes aspects such as criticality alarm detector triggering, airborne releases, and irradiation risk assessment. (author)

Four years after the JCO criticality accident

International Nuclear Information System (INIS)

Sumita, Kenji

2003-01-01

It has been about four years since the first criticality accident in Japan. The JCO accident site was not so far from this auditorium. I have been asked to give a short review of important results from the various technical investigations on the accident that have been performed during the past four years. I will also give a short introduction to the changes that have been made in the nuclear safety regulation systems of the Japanese Government. (author)

Process criticality accident likelihoods, consequences, and emergency planning

Energy Technology Data Exchange (ETDEWEB)

McLaughlin, T.P.

1991-01-01

Evaluation of criticality accident risks in the processing of significant quantities of fissile materials is both complex and subjective, largely due to the lack of accident statistics. Thus, complying with standards such as ISO 7753 which mandates that the need for an alarm system be evaluated, is also subjective. A review of guidance found in the literature on potential accident magnitudes is presented for different material forms and arrangements. Reasoned arguments are also presented concerning accident prevention and accident likelihoods for these material forms and arrangements. 13 refs., 1 fig., 1 tab.

Plant safety review from mass criticality accident

International Nuclear Information System (INIS)

Susanto, B.G.

2000-01-01

The review has been done to understand the resent status of the plant in facing postulated mass criticality accident. From the design concept of the plant all the components in the system including functional groups have been designed based on favorable mass/geometry safety principle. The criticality safety for each component is guaranteed because all the dimensions relevant to criticality of the components are smaller than dimensions of 'favorable mass/geometry'. The procedures covering all aspects affecting quality including the safety related are developed and adhered to at all times. Staff are indoctrinated periodically in short training session to warn the important of the safety in process of production. The plant is fully equipped with 6 (six) criticality detectors in strategic places to alert employees whenever the postulated mass criticality accident occur. In the event of Nuclear Emergency Preparedness, PT BATAN TEKNOLOGI has also proposed the organization structure how promptly to report the crisis to Nuclear Energy Control Board (BAPETEN) Indonesia. (author)

Cognitive systems engineering analysis of the JCO criticality accident

International Nuclear Information System (INIS)

Tanabe, Fumiya; Yamaguchi, Yukichi

2000-01-01

The JCO Criticality Accident is analyzed with a framework based on cognitive systems engineering. With the framework, analysis is conducted integrally both from the system viewpoint and actors viewpoint. The occupational chemical risk was important as safety constraint for the actors as well as the nuclear risk, which is due to criticality accident, to the public and to actors. The inappropriate actor's mental model of the work system played a critical role and several factors (e.g. poor training and education, lack of information on criticality safety control in the procedures and instructions, and lack of warning signs at workplace) contributed to form and shape the mental model. Based on the analysis, several countermeasures, such as warning signs, information system for supporting actors and improved training and education, are derived to prevent such an accident. (author)

Criticality accident in uranium fuel processing plant. Emergency medical care and dose estimation for the severely overexposed patients

Energy Technology Data Exchange (ETDEWEB)

Akashi, Makoto; Ishigure, Nobuhito [National Inst. of Radiological Sciences, Chiba (Japan)

2000-08-01

A criticality accident occurred in JCO, a plant for nuclear fuel production in 1999 and three workers were exposed to extremely high-level radiation (neutron and {gamma}-ray). This report describes outlines of the clinical courses and the medical cares for the patients of this accident and the emergent medical system for radiation accident in Japan. One (A) of the three workers of JCO had vomiting and diarrhea within several minutes after the accident and another one (B) had also vomiting within one hour after. Based on these evidences, the exposure dose of A and B were estimated to be more than 8 and 4 GyEq, respectively. Generally, acute radiation syndrome (ARS) is assigned into three phases; prodromal phase, critical or manifestation phase and recovery phase or death. In the prodromal phase, anorexia, nausea, vomiting and diarrhea often develop, whereas the second phase is asymptotic. In the third phase, various syndromes including infection, hemorrhage, dehydration shock and neurotic syndromes are apt to occur. It is known that radiation exposure at 1 Gy or more might induce such acute radiation syndromes. Based on the clinical findings of Chernobyl accident, it has been thought that exposure at 0.5 Gy or more causes a lowering of lymphocyte level and a decrease in immunological activities within 48 hours. Lymphocyte count is available as an indicator for the evaluation of exposure dose in early phase, but not in later phase The three workers of JCO underwent chemical analysis of blood components, chromosomal analysis and analysis of blood {sup 24}Na immediately after the arrival at National Institute of Radiological Sciences via National Mito Hospital specified as the third and the second facility for the emergency medical care system in Japan, respectively. (M.N.)

Comparison of the dose evaluation methods for criticality accident

International Nuclear Information System (INIS)

Shimizu, Yoshio; Oka, Tsutomu

2004-01-01

The improvement of the dose evaluation method for criticality accidents is important to rationalize design of the nuclear fuel cycle facilities. The source spectrums of neutron and gamma ray of a criticality accident depend on the condition of the source, its materials, moderation, density and so on. The comparison of the dose evaluation methods for a criticality accident is made. Some methods, which are combination of criticality calculation and shielding calculation, are proposed. Prompt neutron and gamma ray doses from nuclear criticality of some uranium systems have been evaluated as the Nuclear Criticality Slide Rule. The uranium metal source (unmoderated system) and the uranyl nitrate solution source (moderated system) in the rule are evaluated by some calculation methods, which are combinations of code and cross section library, as follows: (a) SAS1X (ENDF/B-IV), (b) MCNP4C (ENDF/B-VI)-ANISN (DLC23E or JSD120), (c) MCNP4C-MCNP4C (ENDF/B-VI). They have consisted of criticality calculation and shielding calculation. These calculation methods are compared about the tissue absorbed dose and the spectrums at 2 m from the source. (author)

Detection of criticality accidents. The Intertechnique EDAC II system

International Nuclear Information System (INIS)

Prigent, R.

1991-01-01

The chief aim of the new generation of EDAC II criticality accidents detection system is to reduce the risks associated to the handling of fissile material by providing a swift and safe warning of the development of any criticality accident. To this function already devolving on the EDAC system of the previous generation, the EDAC II adds the possibility of storing in memory the characteristics of the accident, providing a daily follow-up of the striking events in the system through the print-out of a log book and providing assistance to the operators during the periodical tests. (Author)

NIRS report of the criticality accident in a uranium conversion test plant in Tokai-mura

International Nuclear Information System (INIS)

2001-01-01

This report is a detailed account of the roles that National Institute of Radiological Sciences (NIRS) played at the criticality accident in the title, which occurred at around 10:35, on Sep. 30, 1999 and resulted in death of two workers after all, and is published to discharge NIRS responsibilities in regards to the accident. The accident caused many residents concern on their health and rumors had both social and economic consequences. The report involves chapters of detailed outline of the accident; demand for acceptance of the victims and communications until the identification of the criticality'' accident; the acceptance and initial treatment; the exposure dose estimation (based on acute symptoms, on physics, on chromosomal analyses and on neutron-activated dental metals, and detailed analyses for dose distribution); decision made for therapeutic strategies; cooperation with the Network Council for Radiation Emergency and with other medical facilities; the urgent import of medicine; treatment and processes (patients, nursing system and radiation injuries); radiation protection in medical facilities; response to nearby residents of the Plant; international response; press release; Uranium Processing Plant Criticality Accident Investigation Committee and the Health Management Committee organized by the Nuclear Safety Commission; handling of information; and radiation emergency medical preparedness at the NIRS (future issues and prospect). The report is hopefully useful in preventing the occurrence of future accidents. (N.I.)

Program for rapid dose assessment in criticality accident, RADAPAS

International Nuclear Information System (INIS)

Takahashi, Fumiaki

2006-09-01

In a criticality accident, a person near fissile material can receive extremely high dose which can cause acute health effect. For such a case, medical treatment should be carried out for the exposed person, according to severity of the exposure. Then, radiation dose should be rapidly assessed soon after an outbreak of an accident. Dose assessment based upon the quantity of induced 24 Na in human body through neutron exposure is expected as one of useful dosimetry techniques in a criticality accident. A dose assessment program, called RADAPAS (RApid Dose Assessment Program from Activated Sodium in Criticality Accidents), was therefore developed to assess rapidly radiation dose to exposed persons from activity of induced 24 Na. RADAPAS consists of two parts; one is a database part and the other is a part for execution of dose calculation. The database contains data compendiums of energy spectra and dose conversion coefficients from specific activity of 24 Na induced in human body, which had been derived in a previous analysis using Monte Carlo calculation code. Information for criticality configuration or characteristics of radiation in the accident field is to be interactively given with interface displays in the dose calculation. RADAPAS can rapidly derive radiation dose to the exposed person from the given information and measured 24 Na specific activity by using the conversion coefficient in database. This report describes data for dose conversions and dose calculation in RADAPAS and explains how to use the program. (author)

Bayesian methods for chromosome dosimetry following a criticality accident

International Nuclear Information System (INIS)

Brame, R.S.; Groer, P.G.

2003-01-01

Radiation doses received during a criticality accident will be from a combination of fission spectrum neutrons and gamma rays. It is desirable to estimate the total dose, as well as the neutron and gamma doses. Present methods for dose estimation with chromosome aberrations after a criticality accident use point estimates of the neutron to gamma dose ratio obtained from personnel dosemeters and/or accident reconstruction calculations. In this paper a Bayesian approach to dose estimation with chromosome aberrations is developed that allows the uncertainty of the dose ratio to be considered. Posterior probability densities for the total and the neutron and gamma doses were derived. (author)

Applicability of simplified methods to evaluate consequences of criticality accident using past accident data

International Nuclear Information System (INIS)

Nakajima, Ken

2003-01-01

Applicability of four simplified methods to evaluate the consequences of criticality accident was investigated. Fissions in the initial burst and total fissions were evaluated using the simplified methods and those results were compared with the past accident data. The simplified methods give the number of fissions in the initial burst as a function of solution volume; however the accident data did not show such tendency. This would be caused by the lack of accident data for the initial burst with high accuracy. For total fissions, simplified almost reproduced the upper envelope of the accidents. However several accidents, which were beyond the applicable conditions, resulted in the larger total fissions than the evaluations. In particular, the Tokai-mura accident in 1999 gave in the largest total specific fissions, because the activation of cooling system brought the relatively high power for a long time. (author)

A criticism of ANSI/ANS-8.3-1986: Criticality accident alarm system

International Nuclear Information System (INIS)

Malenfant, R.E.

1991-01-01

The American National Standard on criticality accident alarm systems has given rise to confusion in interpretation and implementation of the requirements. In addition, some of the standards have recently been incorporated into US Department of Energy (DOE) orders, and others have been paraphrased in the DOE orders. Some of the DOE orders referencing these standards are being incorporated into law by means of the Code of Federal Regulations. As such, the intent of the authors of the standards to recommend a code of good practice is now being codified into law with attendant civil and criminal penalties for failure to comply. It is suggested that ANSI/ANS-8.3-1986, Critically Accident Alarm System, be carefully reviewed to alleviate the confusion that has been experienced in practice, to clarify the minimum accident of concern, to further define the dose (or dose rate) criteria for activation, and to stress the fact that a prime consideration in any safety system is the overall reduction of risk

Review and compilation of criticality accidents in nuclear fuel processing facilities outside of Japan

International Nuclear Information System (INIS)

Watanabe, Norio; Tamaki, Hitoshi

2000-04-01

On September 30, 1999, a criticality accident occurred at the Tokai-mura uranium processing plant operated by JCO Co., Ltd., which resulted in the first nuclear accident involving a fatality, in Japan, and forced the residents in the vicinity of the site to be evacuated and be sheltered indoors. There have now been 21 criticality accidents reported in nuclear fuel processing facilities in foreign countries: seven in the United States, one in the United Kingdom and thirteen in Russia. Most of them occurred during the period from mid-1950's to mid-1960's, but one criticality accident tool place in Russian in 1997. This report reviews and compiles the published information on these accidents, including the latest information, focusing on the event sequence, the consequence of accident, and the cause of accident. The observations from the reviews are summarized as follows: Twenty of the 21 accidents occurred with the fissile material in a liquid. Twenty of the 21 accidents occurred in vessels/tanks with unfavorable geometry but one occurred in the vessel with favorable geometry. There were seven fatalities that were involved in five accidents. Three accidents involved a re-criticality condition caused by inadequate operator actions and two of them led to the death of the operators. One accident reached a re-criticality condition several hours after the first excursion was terminated by injecting borated water into the affected vessel. This accident implies the possibility that the borated water injection might not be effective to the criticality termination due to solubility of boric acid. Mechanisms of the criticality termination vary as follows: ejection or splashing of the solution at the time of power excursion, boiling or evaporation, addition of neutron poisons, or manual draining of solutions. (author)

Review and compilation of criticality accidents in nuclear fuel processing facilities outside of Japan

Energy Technology Data Exchange (ETDEWEB)

Watanabe, Norio [Planning and Analysis Division, Nuclear Safety Research Center, Tokai Research Establishment, Japan Atomic Energy Research Institute, Tokai, Ibaraki (Japan); Tamaki, Hitoshi [Department of Safety Research Technical Support, Tokai Research Establishment, Japan Atomic Energy Research Institute, Tokai, Ibaraki (Japan)

2000-04-01

On September 30, 1999, a criticality accident occurred at the Tokai-mura uranium processing plant operated by JCO Co., Ltd., which resulted in the first nuclear accident involving a fatality, in Japan, and forced the residents in the vicinity of the site to be evacuated and be sheltered indoors. There have now been 21 criticality accidents reported in nuclear fuel processing facilities in foreign countries: seven in the United States, one in the United Kingdom and thirteen in Russia. Most of them occurred during the period from mid-1950's to mid-1960's, but one criticality accident tool place in Russian in 1997. This report reviews and compiles the published information on these accidents, including the latest information, focusing on the event sequence, the consequence of accident, and the cause of accident. The observations from the reviews are summarized as follows: Twenty of the 21 accidents occurred with the fissile material in a liquid. Twenty of the 21 accidents occurred in vessels/tanks with unfavorable geometry but one occurred in the vessel with favorable geometry. There were seven fatalities that were involved in five accidents. Three accidents involved a re-criticality condition caused by inadequate operator actions and two of them led to the death of the operators. One accident reached a re-criticality condition several hours after the first excursion was terminated by injecting borated water into the affected vessel. This accident implies the possibility that the borated water injection might not be effective to the criticality termination due to solubility of boric acid. Mechanisms of the criticality termination vary as follows: ejection or splashing of the solution at the time of power excursion, boiling or evaporation, addition of neutron poisons, or manual draining of solutions. (author)

An analysis on human factor issues in criticality accident at a uranium processing plant. Investigation on human behavior contributing to the criticality accident. Interim report

International Nuclear Information System (INIS)

Sasou, Kuonihide; Goda, Hideki; Hirotsu, Yuko

1999-01-01

At 10:30 am, September 30th, 1999, a criticality accident occurred in a conversion building of a uranium processing plant in Tokai, Ibaraki prefecture. 69 people including 3 workers who then worked at the building, 3 fire fighters who dispatched to rescue them were exposed to the radiation. People with a 350 m-radius of the site were recommended to evacuate themselves from the region to a temporarily prepared evacuation center. And about one hundred thousand people within a 10 km-radius were also advised to stay inside of their home. Nuclear Safety Commission's Accident Investigation Committee is investigating causes of this accident and have been revealing that deviation from government-authorized processing method and negligence of its illegal procedure had contributed to the accident. The influence of this accident is expanding not only to the plant operating company, local people but also to Japanese nuclear power policy, the whole nuclear industry in Japan. Especially pervasion of 'Safety Culture' is strongly being required. This report analyses latent factors of some human behavior directly contributing to the criticality accident. It also mentions that 4 critical points on the poor climate for safety in the work place, the inadequate safety management, the unsuitable equipment and the production-biased company's policy are the latent factors of this accident. It also finds that the poor climate and the production-biased policy are the most important factors. It can be said that some people directly or indirectly having caused the accident are the victims of them. (author)

The criticality accident in Tokaimura and medical aspects of radiation emergency

International Nuclear Information System (INIS)

Chen Xiaohua; Mao Bingzhi

2003-01-01

A criticality accident occurred on September 30, 1999 at the uranium processing plant in Tokaimura Japan, which is the most severe accident since Chernobyl catastrophe. 213 people were exposed to radiation, among them 2 workers were exposed to 16-23 Gy and 6-10 Gy individually, one worker was 2 Gy, 2 people was 10 mSv and 208 person was 0-5 mSv. Author was invited to attend an international symposium on 'The Criticality Accident in Tokaimura Medical Aspects of Radiation Emergency' in Chiba Japan on December 2000. An overview of the accident, dose estimation and neutron relative biological effects are discussed in this article

Measurement of the Portsmouth Gaseous Diffusion Plant criticality accident alarm

International Nuclear Information System (INIS)

Tayloe, R.W. Jr.; D'Aquila, D.M.; McGinnis, R.B.

1991-01-01

The nuclear criticality accident radiation alarm system installed at the Portsmouth Gaseous Diffusion Plant was tested extensively at critical facilities located at the Los Alamos National Laboratory. The ability of the neutron scintillator radiation detection units to respond to a minimum accident of concern as defined in Standard ANSI/ANS-83.-1986 was demonstrated. Detector placement and the established trip point are based on shielding calculations performed by the Oak Ridge National Laboratory and criticality specialists at the Portsmouth plant. Based on these experiments and calculations, a detector trip point of 5 mrad/h in air is used. Any credible criticality accident is expected to produce neutron radiation fields >5 mrad/h in air at one or more radiation alarm locations. Each radiation alarm location has a cluster of three detectors that employs a two-out-of-three alarm logic. Earlier work focused on testing the alarm logic latching circuitry. This work was directed toward measurements involving the actual audible alarm signal delivered

Replacement of the criticality accident alarm system in the Tokai reprocessing plant

International Nuclear Information System (INIS)

Sanada, Yukihisa; Momose, Takumaro; Suzuki, Kei; Kawai, Keiichi

2008-01-01

A Criticality Accident Alarm System (CAAS) was installed as part of criticality safety management for use in reducing the radiation workers could be exposed to in the rare case of a criticality accident. The initial CAAS version was installed the Tokai Reprocessing Plant (TRP) in the 1980s. It includes units that can detect gamma-rays or neutron-rays released in criticality accidents (CADs), one of which consists of three plastic scintillation gamma detectors and three solid state neutron detectors with fissile material, and in being highly reliable utilizes the 2 out of 3 voting system. The purpose of this study is to give the design principles and procedures for determining the adequate relocation of the CADs within the TRP. The optimal places for the CADs to be relocated to were determined using a conservative evaluation method. Firstly, equipment needing to be monitored for criticality accidents was selected with consideration given to the risk of excessive exposure to workers. Secondly, the detection threshold of a minimum accident was set to be an increase in power of 10 15 fissions/s occurring within a rise-time of between 0.5 ms and 1 s. The sum of neutron and gamma doses of a minimum accident (10 15 fissions) was 0.3 Gy at an unshielded distance of 1 m. Finally, doses at where the CADs were installed were evaluated using parameters calculated with MCNP and ANISN. As a result, the alarm trip level of both the gamma detector and the neutron detector being set at 2.0 mGy/h enabled minimum criticality accidents to be conservatively detected. These results were then applied to the new CAD positions. (author)

A Review of Criticality Accidents 2000 Revision

Energy Technology Data Exchange (ETDEWEB)

Thomas P. McLaughlin; Shean P. Monahan; Norman L. Pruvost; Vladimir V. Frolov; Boris G. Ryazanov; Victor I. Sviridov

2000-05-01

Criticality accidents and the characteristics of prompt power excursions are discussed. Sixty accidental power excursions are reviewed. Sufficient detail is provided to enable the reader to understand the physical situation, the chemistry and material flow, and when available the administrative setting leading up to the time of the accident. Information on the power history, energy release, consequences, and causes are also included when available. For those accidents that occurred in process plants, two new sections have been included in this revision. The first is an analysis and summary of the physical and neutronic features of the chain reacting systems. The second is a compilation of observations and lessons learned. Excursions associated with large power reactors are not included in this report.

A Review of Criticality Accidents 2000 Revision

International Nuclear Information System (INIS)

McLaughlin, Thomas P.; Monahan, Shean P.; Pruvost, Norman L.; Frolov, Vladimir V.; Ryazanov, Boris G.; Sviridov, Victor I.

2000-01-01

Criticality accidents and the characteristics of prompt power excursions are discussed. Sixty accidental power excursions are reviewed. Sufficient detail is provided to enable the reader to understand the physical situation, the chemistry and material flow, and when available the administrative setting leading up to the time of the accident. Information on the power history, energy release, consequences, and causes are also included when available. For those accidents that occurred in process plants, two new sections have been included in this revision. The first is an analysis and summary of the physical and neutronic features of the chain reacting systems. The second is a compilation of observations and lessons learned. Excursions associated with large power reactors are not included in this report

Installation places of criticality accident detectors in the plutonium conversion development facility

International Nuclear Information System (INIS)

Sanada, Yukihisa; Tsujimura, Norio; Shimizu, Yoshio; Izaki, Kenji; Furuta, Sadaaki

2008-01-01

At the Plutonium Conversion Development Facility (PCDF) in the Nuclear Fuel Cycle Engineering Laboratories, the co-conversion technologies to purify the mixed plutonium and uranium nitrate solution discharged from a reprocessing plant have been developed. The probability of a criticality accident in PCDF is extremely low. However, the criticality accident alarm system (CAAS) has been in place since 1982 to reduce the radiation dose to workers in case of such a rare criticality accident. The CAAS contains criticality accident detector units (CADs), one unit consisting of three plastic scintillation detectors, and using the 2 out of 3 voting system for the purpose of high reliability. Currently, eight CADs are installed in PCDF evaluating the dose using a simple equation allowing for a safety margin. The purpose of this study is to show the determination procedures for the adequate relocation of the CADs which adequately ensures safety in PCDF. (author)

Airway accidents in critical care unit: A 3-year retrospective study in a Public Teaching Hospital of Eastern India

Science.gov (United States)

Dasgupta, Sugata; Singh, Shipti Shradha; Chaudhuri, Arunima; Bhattacharya, Dipasri; Choudhury, Sourav Das

2016-01-01

Background: Although tracheal tubes are essential devices to control and protect airway in a critical care unit (CCU), they are not free from complications. Aims: To document the incidence and nature of airway accidents in the CCU of a government teaching hospital in Eastern India. Methods: Retrospective analysis of all airway accidents in a 5-bedded (medical and surgical) CCU. The number, types, timing, and severity of airway accidents were analyzed. Results: The total accident rate was 19 in 233 intubated and/or tracheostomized patients over 1657 tube days (TDs) during 3 years. Fourteen occurred in 232 endotracheally intubated patients over 1075 endotracheal tube (ETT) days, and five occurred in 44 tracheostomized patients over 580 tracheostomy TDs. Fifteen accidents were due to blocked tubes. Rest four were unplanned extubations (UEs), all being accidental extubations. All blockages occurred during night shifts and all UEs during day shifts. Five accidents were mild, the rest moderate. No major accident led to cardiorespiratory arrest or death. All blockages occurred after 7th day of intubation. The outcome of accidents were more favorable in tracheostomy group compared to ETT group (P = 0.001). Conclusions: The prevalence of airway accidents was 8.2 accidents per 100 patients. Blockages were the most common accidents followed by UEs. Ten out of the 15 blockages and all 4 UEs were in endotracheally intubated patients. Tracheostomized patients had 5 blockages and no UEs. PMID:27076709

Criticality accident dosimetry with ESR spectroscopy.

Science.gov (United States)

d'Errico, F; Fattibene, P; Onori, S; Pantaloni, M

1996-01-01

The suitability of the ESR alanine and sugar detectors for criticality accident dosimetry was experimentally investigated during an intercomparison of dosimetry techniques. Tests were performed irradiating detectors both free-in-air and on-phantom during controlled critcality excursions at the SILENE reactor in Valduc, France. Several grays of absorbed dose were imparted in neutron gamma-ray fields of various relative intensities and spectral distributions. Analysed results confirmed the potential of these systems which can immediately provide an acute dose assessment with an average underestimate of 30%in the various fields. This performance allows for the screening of severely exposed individuals and meets the IAEA recommendations on the early estimate of accident absorbed doses.

PNNL Results from 2010 CALIBAN Criticality Accident Dosimeter Intercomparison Exercise

International Nuclear Information System (INIS)

Hill, Robin L.; Conrady, Matthew M.

2011-01-01

This document reports the results of the Hanford personnel nuclear accident dosimeter (PNAD) and fixed nuclear accident dosimeter (FNAD) during a criticality accident dosimeter intercomparison exercise at the CEA Valduc Center on September 20-23, 2010. Pacific Northwest National Laboratory (PNNL) participated in a criticality accident dosimeter intercomparison exercise at the Commissariat a Energie Atomique (CEA) Valduc Center near Dijon, France on September 20-23, 2010. The intercomparison exercise was funded by the U.S. Department of Energy, Nuclear Criticality Safety Program, with Lawrence Livermore National Laboratory as the lead Laboratory. PNNL was one of six invited DOE Laboratory participants. The other participating Laboratories were: Lawrence Livermore National Laboratory (LLNL), Los Alamos National Laboratory (LANL), Savannah River Site (SRS), the Y-12 National Security Complex at Oak Ridge, and Sandia National Laboratory (SNL). The goals of PNNL's participation in the intercomparison exercise were to test and validate the procedures and algorithm currently used for the Hanford personnel nuclear accident dosimeters (PNADs) on the metallic reactor, CALIBAN, to test exposures to PNADs from the side and from behind a phantom, and to test PNADs that were taken from a historical batch of Hanford PNADs that had varying degrees of degradation of the bare indium foil. Similar testing of the PNADs was done on the Valduc SILENE test reactor in 2009 (Hill and Conrady, 2010). The CALIBAN results are reported here.

Development of INCTAC code for analyzing criticality accident phenomena

International Nuclear Information System (INIS)

Mitake, Susumu; Hayashi, Yamato; Sakurai, Shungo

2003-01-01

Aiming at understanding nuclear transients and thermal- and hydraulic-phenomena of the criticality accident, a code named INCTAC has been newly developed at the Institute of Nuclear Safety. The code is applicable to the analysis of criticality accident transients of aqueous homogenous fuel solution system. Neutronic transient model is composed of equations for the kinetics and for the spatial distributions, which are deduced from the time dependent multi-group transport equations with the quasi steady state assumption. Thermal-hydraulic transient model is composed of a complete set of the mass, momentum and energy equations together with the two-phase flow assumptions. Validation tests of INCTAC were made using the data obtained at TRACY, a transient experiment criticality facility of JAERI. The calculated results with INCTAC showed a very good agreement with the experiment data, except a slight discrepancy of the time when the peak of reactor power was attained. But, the discrepancy was resolved with the use of an adequate model for movement and transfer of the void in the fuel solution mostly generated by radiolysis. With a simulation model for the transport of radioactive materials through ventilation systems to the environment, INCTAC will be used as an overall safety evaluation code of the criticality accident. (author)

Prevention of criticality accidents in a fuel cycle plant

International Nuclear Information System (INIS)

Gatti, A.M.; Canavese, S.I.; Capadona, N.M.

1990-01-01

This work reports the basic considerations on criticality accidents applied to an uranium dioxide fuel cycle production plant. The different fabrication stages are briefly described, with the identification of the neutronically isolated areas. Once the areas have been defined, an evaluation is made, setting up the control parameters to be used in each of them and their variation ranges; normal operation limitations based on experimental data or validating calculations, applied specifically to 5% enriched uranium, are established. Afterwards, defined parameters deviations are analyzed due to incidental conditions in order to prevent criticality accidents under normal conditions and maintenance operations. (Author) [es

A Review of Accident Modelling Approaches for Complex Critical Sociotechnical Systems

National Research Council Canada - National Science Library

Qureshi, Zahid H

2008-01-01

.... This report provides a review of key traditional accident modelling approaches and their limitations, and describes new system-theoretic approaches to the modelling and analysis of accidents in safety-critical systems...

Modeling of criticality accidents and their environmental consequences

International Nuclear Information System (INIS)

Thomas, W.; Gmal, B.

1987-01-01

In the Federal Republic of Germany, potential radiological consequences of accidental nuclear criticality have to be evaluated in the licensing procedure for fuel cycle facilities. A prerequisite to this evaluation is to establish conceivable accident scenarios. First, possibilities for a criticality exceeding the generally applied double contingency principle of safety are identified by screening the equipment and operation of the facility. Identification of undetected accumulations of fissile material or incorrect transfer of fissile solution to unfavorable geometry normally are most important. Second, relevant and credible scenarios causing the most severe consequences are derived from these possibilities. For the identified relevant scenarios, time-dependent fission rates and reasonable numbers for peak power and total fissions must be determined. Experience from real accidents and experiments (KEWB, SPERT, CRAC, SILENE) has been evaluated using empirical formulas. To model the time-dependent behavior of criticality excursions in fissile solutions, a computer program FELIX has been developed

ANS-8.23: Criticality accident emergency planning and response

International Nuclear Information System (INIS)

Pruvost, N.L.

1991-01-01

A study group has been formed under the auspices of ANS-8 to examine the need for a standard on nuclear criticality accident emergency planning and response. This standard would be ANS-8.23. ANSI/ANS-8.19-1984, Administrative Practices for Nuclear Criticality Safety, provides some guidance on the subject in Section 10 titled -- Planned Response to Nuclear Criticality Accidents. However, the study group has formed a consensus that Section 10 is inadequate in that technical guidance in addition to administrative guidance is needed. The group believes that a new standard which specifically addresses emergency planning and response to a perceived criticality accident is needed. Plans for underway to request the study group be designated a writing group to create a draft of such a new standard. The proposed standard will divide responsibility between management and technical staff. Generally, management will be charged with providing the necessary elements of emergency planning such as a criticality detection and alarm system, training, safe evacuation routes and assembly areas, a system for timely accountability of personnel, and an effective emergency response organization. The technical staff, on the other hand, will be made responsible for establishing specific items such as safe and clearly posted evacuation evacuation routes and dose criteria for personnel assembly areas. The key to the question of responsibilities is that management must provide the resources for the technical staff to establish the elements of an emergency response effort

Prevention of the causes and consequences of a criticality accident - measures adopted in France

International Nuclear Information System (INIS)

Fruchard, Y.; Lavie, J.M.

1966-01-01

The question of safety in regard to criticality accident risks has two aspects: prevention of the cause and limitation of the consequences. These two aspects are closely connected. The effort devoted to prevention of the causes depends on the seriousness of the possible human psychologic and economic consequences of the accident. The criticality accidents which have occurred in the nuclear industry, though few in number, do reveal the imperfect nature of the techniques adopted to prevent the causes, and also constitute the only available realistic basis for evaluating the consequences and developing measures to limit them. The authors give a analysis of the known causes and consequences of past criticality accidents and on this basis make a number of comments concerning: the validity of traditional safety criteria, the probability of accidents for different types of operations, characteristic accidents which can serve as models, and the extent of possible radiological consequences. The measures adopted in France to limit the consequences of a possible criticality accident under the headings: location, design and lay-out of the installations, accident detection, and dosimetry for the exposed personnel, are briefly described after a short account of the criteria used in deciding on them. (author) [fr

Development of likelihood estimation method for criticality accidents of mixed oxide fuel fabrication facilities

International Nuclear Information System (INIS)

Tamaki, Hitoshi; Yoshida, Kazuo; Kimoto, Tatsuya; Hamaguchi, Yoshikane

2010-01-01

A criticality accident in a MOX fuel fabrication facility may occur depending on several parameters, such as mass inventory and plutonium enrichment. MOX handling units in the facility are designed and operated based on the double contingency principle to prevent criticality accidents. Control failures of at least two parameters are needed for the occurrence of criticality accident. To evaluate the probability of such control failures, the criticality conditions of each parameter for a specific handling unit are necessary for accident scenario analysis to be clarified quantitatively with a criticality analysis computer code. In addition to this issue, a computer-based control system for mass inventory is planned to be installed into MOX handling equipment in a commercial MOX fuel fabrication plant. The reliability analysis is another important issue in evaluating the likelihood of control failure caused by software malfunction. A likelihood estimation method for criticality accident has been developed with these issues been taken into consideration. In this paper, an example of analysis with the proposed method and the applicability of the method are also shown through a trial application to a model MOX fabrication facility. (author)

State of reaction on news media for JCO criticality accident on abroad

International Nuclear Information System (INIS)

Itoh, Takeshi

1999-01-01

The criticality accident, which occurred in JCO Tokai on September 30th 1999, was the first accident accompanied with serious radiation exposure to persons at Japanese nuclear facilities. As an evacuation order for local residents was issued, it caused uneasiness to the public. It also gave great impact to the foreign countries. In this report we have investigated the reactions in such countries, as U.S., France, Germany and U.K. by means of news media like TV, newspapers and magazines. Finding are as follows: They were all surprised to know the cause of the accident, which was by improper procedure of JCO workers. Because they couldn't imagine that such an accident might happen in such a high-tech country as Japan. The Japanese regulator was criticized for their insufficient criticality facility surveillance. There arose some questions for Japanese nuclear reliabilities. Because of the delayed announcement of the accident by Japanese public sector, anti-nuclear groups, like Greenpeace, NCI, etc., have a chance to carry on their campaign. The information from Japanese public sector was not enough to satisfy the foreign news media. We concluded that it is also necessary to develop effective information dissemination to overseas in case of a nuclear accident. (author)

Multiple parameter biodosimetry of exposed workers from the JCO criticality accident in Tokai-mura

Energy Technology Data Exchange (ETDEWEB)

Blakely, William F. [Armed Forces Radiobiology Research Institute, Bethesda, MD (United States)

2002-03-01

molecular biomarkers for neutron exposures in order to overcome this limitation. Lymphocyte counts were used to estimate radiation doses for the same three severely exposed patients. Haematological responses are an early response biomarker for radiation dose assessment. Goans and colleagues earlier reported lymphocyte depletion kinetic models for dose estimates based on human radiation accident registry data for whole-body acute gamma exposures and more recently for criticality accidents. Their data indicate a neutron RBE for lymphocyte depletion kinetics close to unity. Measurement of lymphocyte depletion kinetics is useful for initial dose estimation for radiation accidents. This biodosimetric approach alone, however, does not gauge the greater effectiveness of neutron radiation in criticality accidents involving mixed neutron and gamma radiation. Sodium-24 counts, with both blood and whole-body (Worker C) counts based on neutron activation of stable {sup 23}Na, were also used to obtain early estimates of absorbed doses for the Tokai-mura victims. The measurement of {sup 32}P in blood and urine samples is a potentially useful alternative for estimation of severe neutron radiation exposures because, during interaction with biological materials, fast neutrons convert {sup 32}S to {sup 32}P and thermal neutrons convert {sup 31}P to {sup 32}P. Nishimura and colleagues report, in the accompanying article in this issue, blood and urine {sup 32}P values obtained from the three severely exposed patients in the JCO criticality accident. These data, combined with dose estimates derived from other approaches, can contribute to the establishment of an in vivo human calibration curve for neutron dose assessment based on urine {sup 32}P kinetics measurements. The current state of the art for dose assessment following radiation accidents involves use of multiple parameter biological dosimetry. Several of the radiation bioassays (i.e., chromosome aberrations, lymphocyte counts, prodromal

Application of Whole Body Counter to Neutron Dose Assessment in Criticality Accidents

Energy Technology Data Exchange (ETDEWEB)

Kurihara, O.; Tsujimura, N.; Takasaki, K.; Momose, T.; Maruo, Y. [Japan Nuclear Cycle Development Institute, Tokai (Japan)

2001-09-15

Neutron dose assessment in criticality accidents using Whole Body Counter (WBC) was proved to be an effective method as rapid neutron dose estimation at the JCO criticality accident in Tokai-mura. The 1.36MeV gamma-ray of {sup 24}Na in a body can be detected easily by a germanium detector. The Minimum Detectable Activity (MDA) of {sup 24}Na is approximately 50Bq for 10minute measurement by the germanium-type whole body counter at JNC Tokai Works. Neutron energy spectra at the typical shielding conditions in criticality accidents were calculated and the conversion factor, whole body activity-to-organ mass weighted neutron absorbed dose, corresponding to each condition were determined. The conversion factor for uncollied fission spectrum is 7.7 [(Bq{sup 24}Na/g{sup 23}Na)/mGy].

Analysis and evaluation of the nuclear criticality accident in JCO CO. LTD in Japan

International Nuclear Information System (INIS)

Liu Hua; Liu Xinhua; Li Bing

2001-01-01

The author describes JCO criticality accident situation including the background, process chronology and emergency countermeasures taken of the accident and its radiation consequence. The analysis about the direct and root causes of the accident and some conclusions are also showed. The direct cause of the accident is the use of geometrically unsafe process equipment and personnel violation. However, the root cause is lack of efficient technical management. Therefore, it is necessary to emphasize the criticality safety in nuclear fuel cycle installations and enhance safety culture of regulatory and operational personnel

ANSI/ANS-8.23-1997: nuclear criticality accident emergency planning and response

International Nuclear Information System (INIS)

Baker, J.S.

2004-01-01

American National Standard ANSUANS-8.23 was developed to expand upon the basic emergency response guidance given in American National Standard, 'Administrative Practices for Nuclear Criticality Safety' ANSI/ANS-8.19-1996 (Ref. 1). This standard provides guidance for minimizing risks to personnel during emergency response to a nuclear criticality accident outside reactors. This standard is intended to apply to those facilities for which a criticality accident alarm system, as specified in American National Standard, 'Criticality Accident Alarm System', ANSI/ANS-8.3-1997 (Ref. 2) is in use. The Working Group was established in 1990, with Norman L. Pruvost as chairman. The Working Group had up to twenty-three members representing a broad range of the nuclear industry, and has included members from Canada, Japan and the United Kingdom. The initial edition of ANSI/ANS-8.23 was approved by the American National Standards Institute on December 30, 1997. It provides guidance for the following topics: (1) Management and technical staff responsibilities; (2) Evaluation of a potential criticality accident; (3) Emergency plan provisions; (4) Evacuation; (5) Re-entry, rescue and stabilization; and (6) Classroom training, exercises and evacuation drills. This guidance is not for generic emergency planning issues, but is specific to nuclear criticality accidents. For example, it assumes that an Emergency Plan is already established at facilities that implement the standard. During the development of the initial edition of ANSI/ANS-8.23, each Working Group member evaluated potential use of the standard at a facility with which the member was familiar. This revealed areas where a facility could have difficulty complying with the standard. These reviews helped identify and eliminate many potential problems and ambiguities with the guidance. The Working Group has received very limited feedback from the user community since the first edition of the standard was published. Suggestions

JCO criticality accident as POST-LOCA: Poor structure induced loss of organizational control accident

International Nuclear Information System (INIS)

Furuhama, Yutaka

2000-01-01

Some problems in operation and business management of JCO (Japan Nuclear Fuel Conversion Co.) have been studied as background factors of the criticality accident. Open information about business conditions of JCO suggests that the cause of the accident is not so simple as to be attributed only to economic pressure, but includes immanent problems in JCO. We investigate the problems from five viewpoints, organization of safety management, system of operation management, activities for business improvement, risk awareness, and restructuring of business, and discuss the effects and causality of background factors as well as remedies for them. (author)

A neutron dosemeter for nuclear criticality accidents.

Science.gov (United States)

d'Errico, F; Curzio, G; Ciolini, R; Del Gratta, A; Nath, R

2004-01-01

A neutron dosemeter which offers instant read-out has been developed for nuclear criticality accidents. The system is based on gels containing emulsions of superheated dichlorodifluoromethane droplets, which vaporise into bubbles upon neutron irradiation. The expansion of these bubbles displaces an equivalent volume of gel into a graduated pipette, providing an immediate measure of the dose. Instant read-out is achieved using an array of transmissive optical sensors which consist of coupled LED emitters and phototransistor receivers. When the gel displaced in the pipette crosses the sensing region of the photomicrosensors, it generates a signal collected on a computer through a dedicated acquisition board. The performance of the device was tested during the 2002 International Accident Dosimetry Intercomparison in Valduc, France. The dosemeter was able to follow the initial dose gradient of a simulated accident, providing accurate values of neutron kerma; however, the emulsion was rapidly depleted of all its drops. A model of the depletion effects was developed and it indicates that an adequate dynamic range of the dose response can be achieved by using emulsions of smaller droplets.

A neutron dosemeter for nuclear criticality accidents

International Nuclear Information System (INIS)

D'Errico, F.; Curzio, G.; Ciolini, R.; Del Gratta, A.; Nath, R.

2004-01-01

A neutron dosemeter which offers instant read-out has been developed for nuclear criticality accidents. The system is based on gels containing emulsions of superheated dichlorodifluoromethane droplets, which vaporise into bubbles upon neutron irradiation. The expansion of these bubbles displaces an equivalent volume of gel into a graduated pipette, providing an immediate measure of the dose. Instant read-out is achieved using an array of transmissive optical sensors which consist of coupled LED emitters and phototransistor receivers. When the gel displaced in the pipette crosses the sensing region of the photo microsensors, it generates a signal collected on a computer through a dedicated acquisition board. The performance of the device was tested during the 2002 International Accident Dosimetry Intercomparison in Valduc (France)). The dosemeter was able to follow the initial dose gradient of a simulated accident, providing accurate values of neutron kerma; however, the emulsion was rapidly depleted of all its drops. A model of the depletion effects was developed and it indicates that an adequate dynamic range of the dose response can be achieved by using emulsions of smaller droplets. (authors)

Simple estimate of fission rate during JCO criticality accident

Energy Technology Data Exchange (ETDEWEB)

Oyamatsu, Kazuhiro [Faculty of Studies on Contemporary Society, Aichi Shukutoku Univ., Nagakute, Aichi (Japan)

2000-03-01

The fission rate during JCO criticality accident is estimated from fission-product (FP) radioactivities in a uranium solution sample taken from the preparation basin 20 days after the accident. The FP radioactivity data are taken from a report by JAERI released in the Accident Investigation Committee. The total fission number is found quite dependent on the FP radioactivities and estimated to be about 4x10{sup 16} per liter, or 2x10{sup 18} per 16 kgU (assuming uranium concentration 278.9 g/liter). On the contrary, the time dependence of the fission rate is rather insensitive to the FP radioactivities. Hence, it is difficult to determine the fission number in the initial burst from the radioactivity data. (author)

Simple estimate of fission rate during JCO criticality accident

International Nuclear Information System (INIS)

Oyamatsu, Kazuhiro

2000-01-01

The fission rate during JCO criticality accident is estimated from fission-product (FP) radioactivities in a uranium solution sample taken from the preparation basin 20 days after the accident. The FP radioactivity data are taken from a report by JAERI released in the Accident Investigation Committee. The total fission number is found quite dependent on the FP radioactivities and estimated to be about 4x10 16 per liter, or 2x10 18 per 16 kgU (assuming uranium concentration 278.9 g/liter). On the contrary, the time dependence of the fission rate is rather insensitive to the FP radioactivities. Hence, it is difficult to determine the fission number in the initial burst from the radioactivity data. (author)

Criticality accidents in solution (CRAC and SILENE programmes) and complementary studies of accidents; radiation dosimetry in human organism during the CRAC programme

International Nuclear Information System (INIS)

Barbry, M.; Dousset, M.

C.R.A.C. (CRiticality occurring ACcidentally) programme is intended to study experimentally the development of a criticality accident as it could occur when handling solutions of fissile material as well as the radiological consequences of such an accident. The fissile matter solutions have been chosen (a) for practical considerations of use and (b) because the probability of an accident occurring seems greater with this type of environment, as the known accidents have shown. The programme is twofold: study of accident physics: form of the evolution (peak, plateau, oscillations, boil up of solutions) the most probable maximum power, minimal power, flux and radiation spectra emitted, freed energy, associated effects, radiolysis, constraints, etc., study of radiological consequences: area dosimetry, individual dosimetry, radiobiological studies, etc. Additional criticality Accident experiments have been and continue to be made on the SILENE reactor in the following principal domains: determination of the emission rate of gaseous fission products and aerosols, area dosimetry and health dosimetry in the presence of shields around the core to vary the neutron and gamma components of the radiation field. Improvement in the knowledge of certain particular aspects of the power excursion, radiolysis gas and pressure wave, experiments of the ''boiling'' type [fr

Fuel solution criticality accident studies with the SILENE reactor: phenomenology, consequences and simulated intervention

International Nuclear Information System (INIS)

Barbry, F.

1984-01-01

After defining the content and the objectives of criticality accident studies, the SILENE reactor, a means of studying fuel solution criticality accidents, is presented. Information obtained from the CRAC and SILENE experimental programs are then presented; they concern power excursion phenomenology, radiological consequences, and finally guide-lines for current and future programs

Cytogenetical dose estimation for 3 severely exposed patients in the JCO criticality accident in Tokai-mura

International Nuclear Information System (INIS)

Hayata, Isamu; Kanda, Reiko; Minamihisamatsu, Masako; Furukawa, Akira; Sasaki, Masao S.

2001-01-01

A dose estimation by chromosome analysis was performed on the 3 severely exposed patients in the Tokai-mura criticality accident. Drastically reduced lymphocyte counts suggested that the whole-body dose of radiation which they had been exposed to was unprecedentedly high. Because the number of lymphocytes in the white blood cells in two patients was very low, we could not culture and harvest cells by the conventional method. To collect the number of lymphocytes necessary for chromosome preparation, we processed blood samples by a modified method, called the high-yield chromosome preparation method. With this technique, we could culture and harvest cells, and then make air-dried chromosome slides. We applied a new dose-estimation method involving an artificially induced prematurely condensed ring chromosome, the PCC-ring method, to estimate an unusually high dose with a short time. The estimated doses by the PCC-ring method were in fairly good accordance with those by the conventional dicentric and ring chromosome (Dic + R) method. The biologically estimated dose was comparable with that estimated by a physical method. As far as we know, the estimated dose of the most severely exposed patient in the present study is the highest recorded among that chromosome analyses have been able to estimate in humans. (author)

Evaluation of the 17 June 1997 Criticality Accident at Arzamas-16

International Nuclear Information System (INIS)

Morris Klein

1999-01-01

On June 17, 1997, a critically accident occurred at Arzamas-16, which resulted in the death (within three days) of A. N. Zakharov, a Russian scientist with 20 years' experience conducting multiassembly experiments. In this case, the multiplying assembly was a fast metal system consisting of a 235 U (90% enriched) core and a copper reflector. According to the Russian press, ''Zakharov misjudged the degree of criticality of the breeding system and committed several gross violations of regulations.'' As we see it, there were three major causes of this accident. First, the experiment was flawed by Zakharov's misreading of the appropriate size of the assembly, which he took from a notebook that described the old experiment he was attempting to repeat. Second, he disregarded the appropriate procedures and safety regulations. Third, these two mistakes were compounded by an improperly set audible alarm system and Zakharov's unsafe use of the table. We also discuss our reconstruction of the accident based on information given by the Russians to US scientists and information culled from Russian newspaper and magazine articles. We also describe our thoughts on the behavior of the assembly following the accident and the radiation dose level Zakharov may have received. These levels match values we have lately obtained from translations of Russian news articles. This accident clearly points out the penalty for weak administrative control of work with multiplying systems. Criticality experimentation requires formality of operation. The experimenter, his peers, and a trained safety person need to document that they understand the experiment and how it will be conducted. Knowing that the experiment was successfully run several decades ago does not justify bypassing a safety evaluation

Crisis, criticism, change: Regulatory reform in the wake of nuclear accidents

International Nuclear Information System (INIS)

Sexton, Kimberly A.; )

2015-01-01

Accidents are a forcing function for change in the nuclear industry. While these events can shed light on needed technical safety reforms, they can also shine a light on needed regulatory system reforms. The TEPCO Fukushima Daiichi nuclear power plant (NPP) accident in Japan is the most recent example of this phenomenon, but it is not the only one. In the wake of the three major accidents that have occurred in the nuclear power industry - Three Mile Island (TMI) in the United States; Chernobyl in Ukraine, in the former Soviet Union; and the Fukushima Daiichi NPP accident in Japan - a commission or committee of experts issued a report (or reports) with harsh criticism of the countries' regulatory system. And each of these accidents prompted changes in the respective regulatory systems. In looking at these responses, however, one must ask if this crisis, criticism, change approach is working and whether regulatory bodies around the world should instead undertake their own systematic reviews, un-prompted by crisis, to better ensure safety. This article will attempt to analyse the issue of regulatory reform in the wake of nuclear accidents by first providing a background in nuclear regulatory systems, looking to international and national legal frameworks. Next, the article will detail a cross-section of current regulatory systems around the world. Following that, the article will analyse the before and after of the regulatory systems in the United States, the Soviet Union and Japan in relation to the TMI, Chernobyl and Fukushima accidents. Finally, taking all this together, the article will address some of the international and national efforts to define exactly what makes a good regulator and provide conclusions on regulatory reform in the wake of nuclear accidents. (author)

Calculation code used in criticality analyses for the accident of JCO precipitation tank

International Nuclear Information System (INIS)

Miyoshi, Yoshinori

2000-01-01

In order to evaluate nuclear features on criticality accident formed at the nuclear fuel processing facility in Tokai Works of the JCO, Ltd. (JCO), in Tokai-mura, Ibaraki prefecture, dynamic analyses to calculate output change after occurring the accident as well as criticality analyses to calculate reactivity added to precipitation tank, were carried out according to scenario on accident formation. For the criticality analyses, a continuous energy Monte Carlo code MCNP was used to carry out calculation of reactivity fed into the precipitation tank as correctly as possible. And, SRAC code system was used for calculation on temperature and void reactivity coefficients, effective delayed neutron ratio beta eff , and instantaneous neutron generation time required for parameters controlling transition features at criticality accident. In addition, for the dynamic analyses, because of necessity of considering on volume expansion of solution fuels used as exothermic body and radiation decomposition gas forming into solution, output behavior, numbers of nuclear fission, and so forth at initial burst portion were calculated by using TRACE and quasi-regular code, at a center of AGNES-2 promoting on its development in JAERI. Here were reported on outlines and an analysis example on calculation code using for the nuclear features evaluation. (G.K.)

Recalibration of indium foil for personnel screening in criticality accidents.

Science.gov (United States)

Takada, C; Tsujimura, N; Mikami, S

2011-03-01

At the Nuclear Fuel Cycle Engineering Laboratories of the Japan Atomic Energy Agency (JAEA), small pieces of indium foil incorporated into personal dosemeters have been used for personnel screening in criticality accidents. Irradiation tests of the badges were performed using the SILENE reactor to verify the calibration of the indium activation that had been made in the 1980s and to recalibrate them for simulated criticalities that would be the most likely to occur in the solution process line. In addition, Monte Carlo calculations of the indium activation using the badge model were also made to complement the spectral dependence. The results lead to a screening level of 15 kcpm being determined that corresponds to a total dose of 0.25 Gy, which is also applicable in posterior-anterior exposure. The recalibration based on the latest study will provide a sounder basis for the screening procedure in the event of a criticality accident.

Initial medical management of criticality accident victim; Conduite a tenir aux victimes d'un accident de criticite

Energy Technology Data Exchange (ETDEWEB)

Miele, A; Bebaron-Jacobs, L

2005-07-01

The extremely severe criticality accidents known to this day, and the subsequent deaths recorded (Sarov 1997 and Tokai Mura 1999), demonstrate the need for sustained surveillance and constant adapted training for the teams in charge of irradiated and/or contaminated victims. The aim of this work group, composed of occupational health services and associated medical biology laboratories, is to present, in leaflet format, the essential data on the documentation and the conduct to be held when facing the victims of a criticality accident. The studies of this work group confirm the difficulties involved in managing this type of accident, both from the dosimetric evaluation point of view and from the therapeutic management point of view. That is why several research themes and perspectives are developed. During the different phases of victim triage, the recommendations given on these leaflets describe the operational conducts to be held. This work will have to be updated according to the evolution in knowledge and means: short and long term effects of exposure to neutrons, multi-competence hospital cooperation, expertise networks related to dosimetric reconstitution. (authors)

Instructions on the nuclear critical accident and how to correspond to future

International Nuclear Information System (INIS)

Kimura, Itsuro

2000-01-01

The nuclear accident occurred at Tokai Works of the JCO Co., Ltd. is a simple but disallowable one formed by neglecting possibility of nuclear fission chain reaction, one of three dangers specific to nuclear power facilities and by feeding middle concentrated uranium solution with more than critical mass into a precipitation tank. As a man consumed most of his life to nuclear power, it is to occur a critical accident forming about 50 previous examples in the world and about 10 victims at Tokai-mura the most earnestly promoting its experiment and analysis and to generate new victims, what was thought to be the most regrettable in this accident. How the previous experiences and results in Tokai-mura could be transmitted to the JCO Co., Ltd. ? This was a large alarm-bell for persons engaging to R and D on nuclear power. As this accident was much deplorable and apological for the common public, it must be carried out to thoroughly analyze its causes, to establish its future responses, and to promote its essential countermeasures. As it is important to open informations on its contents, it is hopeful not to over-exaggerate and over-differentiate the accident, to calmly and scientifically analyze the risk as well as in the other accidents, and to construct actually effective countermeasures. (G.K.)

Cerebrovascular accidents in patients with a ventricular assist device.

Science.gov (United States)

Tsukui, Hiroyuki; Abla, Adib; Teuteberg, Jeffrey J; McNamara, Dennis M; Mathier, Michael A; Cadaret, Linda M; Kormos, Robert L

2007-07-01

A cerebrovascular accident is a devastating adverse event in a patient with a ventricular assist device. The goal was to clarify the risk factors for cerebrovascular accident. Prospectively collected data, including medical history, ventricular assist device type, white blood cell count, thrombelastogram, and infection, were reviewed retrospectively in 124 patients. Thirty-one patients (25%) had 48 cerebrovascular accidents. The mean ventricular assist device support period was 228 and 89 days in patients with and without cerebrovascular accidents, respectively (P cerebrovascular accidents occurred within 4 months after implantation. Actuarial freedom from cerebrovascular accident at 6 months was 75%, 64%, 63%, and 33% with the HeartMate device (Thoratec Corp, Pleasanton, Calif), Thoratec biventricular ventricular assist device (Thoratec Corp), Thoratec left ventricular assist device (Thoratec), and Novacor device (WorldHeart, Oakland, Calif), respectively. Twenty cerebrovascular accidents (42%) occurred in patients with infections. The mean white blood cell count at the cerebrovascular accident was greater than the normal range in patients with infection (12,900/mm3) and without infection (9500/mm3). The mean maximum amplitude of the thrombelastogram in the presence of infection (63.6 mm) was higher than that in the absence of infection (60.7 mm) (P = .0309). The risk of cerebrovascular accident increases with a longer ventricular assist device support period. Infection may activate platelet function and predispose the patient to a cerebrovascular accident. An elevation of the white blood cell count may also exacerbate the risk of cerebrovascular accident even in patients without infection. Selection of device type, prevention of infection, and meticulous control of anticoagulation are key to preventing cerebrovascular accident.

Triage and medical management of criticality accident victims

International Nuclear Information System (INIS)

Lebaron-Jacobs, L.; Flury-Herard, A.; Cavadore, D.

2002-01-01

The criticality accident is the result of an uncontrolled chain fission reaction initiated when the quantities of nuclear materials (uranium or plutonium)present accidentally exceed a given limit called the c ritical mass . As soon as the critical state is exceeded, the chain reaction increases exponentially. The result is a fast increase in the number of fission events which occur within the fissile medium. This phenomenon results in a release of energy mainly in the form of heat, accompanied by the intense emission of neutron and gamma radiation and the release of fission gases (Barby, 1983)

Safety demonstration analyses on criticality for severe accident during overland transport of fresh nuclear fuel

International Nuclear Information System (INIS)

Takahashi, Satoshi; Okuno, Hiroshi; Yamada, Kenji; Watanabe, Kouji; Nomura, Yasushi; Miyoshi, Yoshinori

2005-01-01

Criticality safety analysis was performed for transport packages of uranium dioxide powder or of fresh PWR fuel involved in a severe accident during overland transportation, and as a result, sub-criticality was confirmed against impact accident conditions such as loaded by a drop from high position to a concrete or asphalt surface, and fire accident conditions such as caused by collisions with an oil tank trailer carrying lots of inflammable material in open air, or with a commonly used two-ton-truck inside an unventilated tunnel. (author)

The Tokai-mura JCO criticality accident and the activities of the accident countermeasure support team of Electric Power Companies, Japan

International Nuclear Information System (INIS)

Ogawa, Junko

2000-01-01

A criticality accident occurred at the JCO Tokai-mura nuclear fuel processing plant on September 30, 1999. This accident brought the damages which were unrivaled in the history of atomic energy development in Japan, seriously influencing the citizen life to such an extent as requesting for 320,000 inhabitants within 10 kilometers radius to stay indoors for as long as 18 hours. However, it could be said that though three workers suffered fatal injuries, no substantial hazards were made upon the regional inhabitants due to little release of radioactive substances. This video recorded the activities of the Accident Countermeasure Support Team of the Electric Power Companies immediately after the accident occurred, showing the chronological overview of the particulars of the accident. (author)

Initial medical management of criticality accident victim; Conduite a tenir aux victimes d'un accident de criticite

Energy Technology Data Exchange (ETDEWEB)

Miele, A.; Bebaron-Jacobs, L

2005-07-01

The extremely severe criticality accidents known to this day, and the subsequent deaths recorded (Sarov 1997 and Tokai Mura 1999), demonstrate the need for sustained surveillance and constant adapted training for the teams in charge of irradiated and/or contaminated victims. The aim of this work group, composed of occupational health services and associated medical biology laboratories, is to present, in leaflet format, the essential data on the documentation and the conduct to be held when facing the victims of a criticality accident. The studies of this work group confirm the difficulties involved in managing this type of accident, both from the dosimetric evaluation point of view and from the therapeutic management point of view. That is why several research themes and perspectives are developed. During the different phases of victim triage, the recommendations given on these leaflets describe the operational conducts to be held. This work will have to be updated according to the evolution in knowledge and means: short and long term effects of exposure to neutrons, multi-competence hospital cooperation, expertise networks related to dosimetric reconstitution. (authors)

CARNAC, Neutron Flux and Neutron Spectra in Criticality Accident

International Nuclear Information System (INIS)

Bessis, J.

1976-01-01

Nature of physical problem solved: Calculation of flux and neutron spectra in the case of a criticality accident. The method is unsophisticated but fast. The program is divided into two parts: (1) The code CRITIC is based on the Fermi age equation and evaluates the neutron number per fission emitted from a moderate critical system and its energy spectrum. (2) The code NARCISSE uses concrete current albedo, evaluates the product of neutron reflection on walls of the source containment and calculates the resulting flux at any point, and its energy distribution into 21 groups. The results obtained seem satisfactory, if compared with a Monte Carlo program

Nuclear criticality safety: general. 3. Tokaimura Criticality Accident: Point Model Stochastic Neutronic Interpretation

International Nuclear Information System (INIS)

Mechitoua, Boukhmes

2001-01-01

This paper shows what can be the stochastic neutronic contribution for the interpretation of criticality accidents. Stochastic neutronic comprehensive texts may be found in refs.1 through 4. We limit our study to the use of initiation probability, which is an important stochastic neutronic tally. Initiation probability P may be defined as the probability for one neutron to initiate an infinite neutron fission chain. The complement probability of P is the extinction probability Q. The probability that the neutron fission chain produced by one neutron will quench is equal to the multiplication of the probability of production of i neutrons g i by the probability of extinction of these i neutrons. We can estimate P by a Newton or by a dichotomic method. We suppose that P S (t) is the probability that an infinite neutron fission chain has been initiated before time t by a neutron produced by the source S(t). P S (t + dt) is the sum of two probabilities: 1. the probability that an infinite neutron fission chain has been initiated before time t by a neutron produced by the source S(t): P S (t); 2. The second probability is a multiplication of two probabilities: the probability that there was no initiation before t that is 1-P S (t), and the probability that a neutron emitted by the source with the probability S dt initiates an infinite neutron fission chain with the probability P(t). This last relation gives the link between P and the source density. The aim of this paper is to show how one can apply the foregoing derivations. We have simplified the Tokaimura criticality accident for this application. We have mono-energetic neutrons with infinite and homogeneous media; we have two reactions: capture and fission. In this section, we show how one can estimate the initiation probability with a source density as a function of time. This estimation makes use of three steps: 1. Reactivity insertion: Estimation of the multiplication coefficient as a function of time K(t). This

Energy and angular responses of the criticality accident detector using a plastic scintillator

International Nuclear Information System (INIS)

Tsujimura, Norio; Yoshida, Tadayoshi

2006-01-01

The Japan Atomic Energy Agency (JAEA), Nuclear Fuel Cycle Engineering Laboratories, operates a spent fuel reprocessing plant and MOX (Plutonium-Uranium Mixed Oxide) fuel fabrication plants. Criticality accident detectors have been installed in these facilities. The detector, the Toshiba RD120, is composed of a plastic scintillator coupled to a photomultiplier tube, and an operational amplifier. The alarm triggering point is set to 1.0-3.6 mGy·h -1 in photon dose rate to detect the minimum accident of concern. However, a plastic scintillator is principally sensitive not only to primary photons but also to neutrons by secondary photons and heavy charged particles produced in the detector itself. The authors calculated energy and angular responses of the RD120 criticality accident detector to photons and neutrons using Monte Carlo computer codes. The response to primary photons was evaluated with the MCNP-4B and EGS4 calculations, and photon and X-ray irradiation experiments. The response to neutrons that produce secondary photons and heavy charged particles from neutron interactions was computed using the MCNP-4B and SCINFUL, respectively. As a result, reliable response functions were obtained. These results will be a great help in reassessing the coverage area and in determining the appropriate triggering dose rate level in criticality accidents. (author)

The report of the criticality accident in a uranium conversion test plant in Tokai-mura

International Nuclear Information System (INIS)

Murata, Hajime; Akashi, Makoto

2002-03-01

The criticality accident in the title occurred at around 10:35, on Sep. 30, 1999, cost the lives of two workers and caused many residents concern on their health. Moreover, rumors had both social and economic consequences. This report is a detailed account of the roles that many individuals and groups in the National Institute of Radiological Sciences (NIRS) performed in a range of the areas, and is published to discharge NIRS responsibilities in regards to the accident. The report involves chapters of detailed outline of the accident; acceptance of the victims and communications until the identification of the ''criticality'' accident; initial treatment; dose estimation (medical, hematological, physical and biological ones and that by dental metals activated by the neutron); decision making for therapeutic strategies; cooperation with the Network Council for Radiation Emergency Medicine and other medical facilities; emergency importation of medical supplies; treatment and progress (nursing system and radiation injuries); protection from radiation in medical facilities; response to nearby residents of the Plant; international response; press release; Uranium Processing Plant Criticality Accident Investigation Committee and the Health Management Committee organized by the Nuclear Safety Commission; handling of information; and radiation emergency medical preparedness at the NIRS (future issues and prospect). The report is hoped to be useful in preventing the occurrence of future accidents. (K.H.)

Activities of JAERI's health physics department for the criticality accident of JCO

International Nuclear Information System (INIS)

Yamamoto, Katsumune; Kitano, Kyoshiro; Murakami, Hiroyuki; Yamaguchi, Takenori; Tsunoda, Masahiko

2000-01-01

This report describes early health physics activities from September 30 to October 1 taken by the authors' department after the JCO accident. They firstly knew the accident at around 12:20 (about 2 hr after the criticality). The activities involved the planning of schedule for ending the criticality; calculation of scheduled dose for the work to end it; dose measurement around JCO site; loaning out of devices for measuring neutron and of personal dose-meter; collection and radioactivity measurement of dust and soil, and of drinking water; and examination for contamination of people around the site, of their houses inside and of school gardens and equipments. The dose was scheduled to be firstly 20 mSv and then changed to 50 mSv due to the actual measurement at the accident site. The working time was to be 3 min at the site. The work was on either the dose or time. Radiation monitoring outside the JCO site revealed the presence of Na-24 and Cs-138: neutron dose was 10 times as high as γ-ray dose. The time course of dose rate change was found to be in parallel with the progress of works to end the criticality. (K.H.)

Radiological dose assessment for bounding accident scenarios at the Critical Experiment Facility, TA-18, Los Alamos National Laboratory

International Nuclear Information System (INIS)

1991-09-01

A computer modeling code, CRIT8, was written to allow prediction of the radiological doses to workers and members of the public resulting from these postulated maximum-effect accidents. The code accounts for the relationships of the initial parent radionuclide inventory at the time of the accident to the growth of radioactive daughter products, and considers the atmospheric conditions at time of release. The code then calculates a dose at chosen receptor locations for the sum of radionuclides produced as a result of the accident. Both criticality and non-criticality accidents are examined

Chemical dosimetry system for criticality accidents.

Science.gov (United States)

Miljanić, Saveta; Ilijas, Boris

2004-01-01

Ruder Bosković Institute (RBI) criticality dosimetry system consists of a chemical dosimetry system for measuring the total (neutron + gamma) dose, and a thermoluminescent (TL) dosimetry system for a separate determination of the gamma ray component. The use of the chemical dosemeter solution chlorobenzene-ethanol-trimethylpentane (CET) is based on the radiolytic formation of hydrochloric acid, which protonates a pH indicator, thymolsulphonphthalein. The high molar absorptivity of its red form at 552 nm is responsible for a high sensitivity of the system: doses in the range 0.2-15 Gy can be measured. The dosemeter has been designed as a glass ampoule filled with the CET solution and inserted into a pen-shaped plastic holder. For dose determinations, a newly constructed optoelectronic reader has been used. The RBI team took part in the International Intercomparison of Criticality Accident Dosimetry Systems at the SILENE Reactor, Valduc, June 2002, with the CET dosimetry system. For gamma ray dose determination TLD-700 TL detectors were used. The results obtained with CET dosemeter show very good agreement with the reference values.

An analysis on human factor issues in criticality accident at a uranium processing plant

International Nuclear Information System (INIS)

Sasou, Kunihide; Goda, Hidenori; Hirotsu, Yuko

2000-01-01

This report analyses latent factors of a human behavior directly contributing to the criticality accident. It is pouring some 16 kg-U with an enrichment of 18.8% into the precipitation tank. It is the fact that the direct cause of this accident is the workers' unsafe act. However, the authors find lots of latent factors relating to the production-biased company's policy, the poor climate for safety in the work place, the inadequate safety management and the unsuitable equipment. This accident was caused by many organizational factors. This paper also discusses lessons learned from this accident. (author)

The relationship of JNC and JCO in the uranium processing plant criticality accident

International Nuclear Information System (INIS)

Kanamori, Masashi; Yanagibashi, Katsumi; Okamoto, Naritoshi

2002-12-01

On September 30th 1999, the criticality accident occurred at JCO's uranium conversion building in Tokai. The accident occurred during reconversion from U 3 O 8 to uranium nitrate solution (UNH) with uranium enriched 18.8% and about 60 kgU. JCO contacted with JNC to supply UNH that is fuel material for the experimental fast breeder reactor 'JOYO'. JNC has contracted with JCO that had started nuclear fuel material processing business following a definite policy of Japanese government and developed SUMITOMO ADU PROCESS'. JNC made the first contract with JCO in 1985 and has made a contact every year. There had never been a problem in their products. JNC inspected products based on contract. JNC discharge our duty as customer inspecting products based on contract. As for safety control, JCO had taken licensing safety review and had been permitted to be 'a processing facility'. Therefore JNC understood that JCO produced following this license. 'The Uranium Processing Plant Criticality Accident Investigation' showed that JCO had been taking a different method from the permit and violating the license. However JNC had never been explained about that and JCO's operation procedures had never described about that. Therefore the Criticality Accident couldn't be avoided. This report describes the relationship of JNC and JCO in the uranium reconversion contract for JOYO, atomic development policy of Japanese government, process to the order and the contents of contract. (author)

Review of design criteria for Criticality Accident Alarm System (CAAS) used in Fuel Reprocessing Facility

International Nuclear Information System (INIS)

Chandrasekaran, S.; Basu, Pew; Sivasubramaniyan, K.; Venkatraman, B.

2016-01-01

Though fuel cycle facilities handling fissile materials are designed with careful criticality safety analysis, the criticality accident cannot be ruled out completely. Criticality Accident Alarm System (CAAS) is being installed as part of criticality safety management in fuel cycle facilities. CAAS system being used in India, is ECIL make, ionization chamber based gamma detector, which houses three identical detectors and works on 2/3 logic. As per ISO 7753 and ANSI/ANS-8.3, the CAAS must be designed to be capable of detecting any minimum accident occurs which could be of concern. Based on this, alarm limit used in CAAS is: 4 R/h (fast transient excursion) and 3 mR in 0.5 sec (slow excursion). In case of reprocessing facilities wherein process tanks located in heavy shielding, identification of CAAS installation locations require detailed radiation transport calculations. A study has been taken to estimate the gamma dose rate from thick concrete hot cells in order to determine the locations of CAAS to meet the present design criteria of alarm limit

Organizational factors and reoccurrence protection on the JCO nuclear critical accident

International Nuclear Information System (INIS)

Takano, Kenichi

2000-01-01

A nuclear critical accident formed at a nuclear fuel conversion factory in Tokai-mura on September, 1999 became gradually clear not to be a simple human error formed at a level of workmen but to be an organizational error or accident relating to various organizational factors. As a nuclear power facility adopts a depth protection system fundamentally, a large accident with serious danger would not form only by a single trouble and a human error and unless some factors overlaps. By reviewing recent serious accidents and troubles, all of them seem to have a keyword of 'organizational factor'. In the JCO accident, there are some organizational factors such as a climate deviating from a manual, insufficient and loose check against change of procedure, reduction of operators from a reason of profit priority, attitude on priority of working efficiency, and so forth, which are partially common to the Chernobyl accident. Recently, accidents and troubles impossible to make them a cause of simple human error by a person but to have to say an organizational error, have increased. This trend seems to depend upon not only complication and scale-up of technology system but also graduate change of social and management systems operating them. Therefore, it seems to be necessary to introduce a concept of depth protection (multiple protection) in order to keep its reliability and safety when complicating and scaling-up of system. (G.K.)

Evaluation of coverage of enriched UF6 cylinder storage lots by existing criticality accident alarms

International Nuclear Information System (INIS)

Lee, B.L. Jr.; Dobelbower, M.C.; Woollard, J.E.; Sutherland, P.J.; Tayloe, R.W. Jr.

1995-03-01

The Portsmouth Gaseous Diffusion Plant (PORTS) is leased from the US Department of Energy (DOE) by the United States Enrichment Corporation (USEC), a government corporation formed in 1993. PORTS is in transition from regulation by DOE to regulation by the Nuclear Regulatory Commission (NRC). One regulation is 10 CFR Part 76.89, which requires that criticality alarm systems be provided for the site. PORTS originally installed criticality accident alarm systems in all building for which nuclear criticality accidents were credible. Currently, however, alarm systems are not installed in the enriched uranium hexafluoride (UF 6 ) cylinder storage lots. This report analyzes and documents the extent to which enriched UF 6 cylinder storage lots at PORTS are covered by criticality detectors and alarms currently installed in adjacent buildings. Monte Carlo calculations are performed on simplified models of the cylinder storage lots and adjacent buildings. The storage lots modelled are X-745B, X-745C, X745D, X-745E, and X-745F. The criticality detectors modelled are located in building X-343, the building X-344A/X-342A complex, and portions of building X-330 (see Figures 1 and 2). These criticality detectors are those located closest to the cylinder storage lots. Results of this analysis indicate that the existing criticality detectors currently installed at PORTS are largely ineffective in detecting neutron radiation from criticality accidents in most of the cylinder storage lots at PORTS, except sometimes along portions of their peripheries

A microcomputer-based model for identifying urban and suburban roadways with critical large truck accident rates

International Nuclear Information System (INIS)

Brogan, J.D.; Cashwell, J.W.

1992-01-01

This paper presents an overview of techniques for merging highway accident record and roadway inventory files and employing the combined data set to identify spots or sections on highway facilities in urban and suburban areas with unusually high large truck accident rates. A statistical technique, the rate/quality control method, is used to calculate a critical rate for each location of interest. This critical rate may then be compared to the location's actual accident rate to identify locations for further study. Model enhancements and modifications are described to enable the technique to be employed in the evaluation of routing alternatives for the transport of radioactive material

Prevention of the causes and consequences of a criticality accident - measures adopted in France; Prevention des causes et des consequences d'un accident de criticite - solutions adoptees en France

Energy Technology Data Exchange (ETDEWEB)

Fruchard, Y; Lavie, J M

1966-07-01

The question of safety in regard to criticality accident risks has two aspects: prevention of the cause and limitation of the consequences. These two aspects are closely connected. The effort devoted to prevention of the causes depends on the seriousness of the possible human psychologic and economic consequences of the accident. The criticality accidents which have occurred in the nuclear industry, though few in number, do reveal the imperfect nature of the techniques adopted to prevent the causes, and also constitute the only available realistic basis for evaluating the consequences and developing measures to limit them. The authors give a analysis of the known causes and consequences of past criticality accidents and on this basis make a number of comments concerning: the validity of traditional safety criteria, the probability of accidents for different types of operations, characteristic accidents which can serve as models, and the extent of possible radiological consequences. The measures adopted in France to limit the consequences of a possible criticality accident under the headings: location, design and lay-out of the installations, accident detection, and dosimetry for the exposed personnel, are briefly described after a short account of the criteria used in deciding on them. (author) [French] La surete relative aux risques d'accidents de criticite presente deux aspects: la prevention des causes et les parades aux consequences. Ces deux aspects sont tres lies. L'effort consenti a la prevention des causes decoule de l'importance des consequences humaines economiques et psychologiques possibles d'un eventuel accident. Les accidents de criticite survenus dans l'industrie nucleaire, malgre leur rarete, d'une part devoilent les imperfections des techniques de prevention des causes, d'autre part constituent la seule base realiste disponible d'evaluation des consequences et de mise au point des parades a ces consequences. Les auteurs presentent une analyse des

Critical analysis of accident scenario and consequences modelling applied to light-water reactor power plants for accident categories beyond the design basis accident (DBA)

International Nuclear Information System (INIS)

Brofferio, C.; Cagnetti, P.; Ferrara, V.; Manilia, E.; Pietrangeli, G.; Sennis, C.

1985-01-01

A critical analysis and sensitivity study of the modelling of accident scenarios and environmental consequences are presented, for light-water reactor accident categories beyond the standard design-basis-accident category. The first chapter, on ''source term'' deals with the release of fission products from a damaged core inventory and their migration within the primary circuit and the reactor containment. Particular attention is given to the influence of engineering safeguards intervention and of the chemical forms of the released fission products. The second chapter deals with their release to the atmosphere, transport and wet or dry deposition, outlining relevant partial effects and confronting short-duration or prolonged releases. The third chapter presents a variability analysis, for environmental contamination levels, for two extreme hypothetical scenarios, evidencing the importance of plume rise. A numerical plume rise model is outlined

Patient treatment in radiation accidents

International Nuclear Information System (INIS)

Tanum, G.; Bruland, Oe.S.; Hjelle, D.; Reitan, J.B.

1999-01-01

Accidental human injury due to ionizing radiation is rare. Industrial accidents are comparatively the most common. Life saving procedures should always have priority to any concern about radiation injury or contamination. The personal risks for emergency medial personnel is negligible when simple measures are taken. Repeated clinical examinations and blood lymphocyte counts should be performed on all patients with suspected radiation injury to allow a diagnosis. The radiation syndrome develops within days or weeks depending on total radiation dose, dose rate and dose distribution. Damage to the bone marrow and gut are the most important. Local radiation injuries to the hands are common in industrial accidents. The Norwegian Radiation Protection Authority should always be called when a potential ionizing radiation accident takes place within Norway

The classification of cases related to Tokai-mura criticality accident. Mental care after radiation exposure

International Nuclear Information System (INIS)

Minoshita, Seiko; Satoh, Shinji

2012-01-01

Cases classified into each pattern, which the authors have met so far after the criticality accident JCO was introduced. Case is introduced, based on multiple cases actually met in medical institutions, has been created as a model case. When the cases that were considered related to the criticality accident in Tokai-mura was summarized, the cases could be classified by the time consultation. Therefore the cases were discussed along the time, also discussed about the time. From the first year to the second year, the most cases seen were the cases with high anxiety. Then, there were many cases which symptoms were worsened by the impact received through the residents meeting. Among the patients who received counseling from half a year to three years after the incident, the onset of mental illness, and the aggravation of the mental disease increased, too. After two or three years of the incident, there were a lot of consultation with women who were pregnant or had infants then. Four years later, men gradually came to have consultation at hospitals. In addition, the consultation of alcohol from problems of a family member has increased. In the first year, there were many patients that a symptom turned worse since they were shocked by the booing of the residents meeting. On the other hand, the patients that a symptom turned worse because of the prolonged issue increased four years later. Four or five years, after the incident the cases of because of bankruptcy or dismissal, life been deteriorated economically were increased, and some cases were led to the discrete of family in a chain reaction. Approximately 10 years later, due to the increase of the aging population, the amount of patient who were frightened because they got cancer increased since they lost the people around them as a result of cancer. (author)

Prevention of the Causes and Consequences of Criticality Accidents: Measures Adopted in France; Prevention des Causes et des Consequences d'un Accident de Criticite: Solutions Adoptees en France

Energy Technology Data Exchange (ETDEWEB)

Fruchard, Y.; Lavie, J. -M. [Commissariat a l' Energie Atomique, Paris (France)

1966-05-15

It is important to guard against the risk of criticality accidents by seeking to prevent their occurrence through the elimination of their causes and also by taking steps to provide against their consequences. These two aspects are closely linked since the efforts made to elaborate preventive procedures are dictated by the importance of the repercussions which such accidents are liable to have in the human, economic and psychological spheres. The criticality accidents which have occurred in the nuclear industry, though small in number, do reveal the imperfect nature of the techniques adopted to prevent them, and they constitute the only available realistic basis for evaluating their consequences and developing suitable precautionary techniques. The authors give a detailed analysis of the known causes and consequences of past criticality accidents and on this basis make a number of comments in connection with the validity of traditional safety criteria, the probability of accidents for different types of operation, the characteristic accidents capable of serving as models, and the extent of possible radiological consequences. The measures adopted in France to limit the consequences of a possible criticality accident (location, design and lay-out of installations, accident detection dosimetry for exposed personnel) are briefly described after a short account of the criteria used in deciding on them. Finally, the authors discuss the economic implications of adopting particular precautionary measures and of applying them uniformly, taking due account of the question of reliability. (author) [French] II est important de se proteger contre les risques d'accidents de criticite en tentant, d'une part, de prevenir les accidents eux-memes par l'elimination de leurs causes, d'autre part, de parer a leurs consequences. Ces deux aspects sont tres lies: l'effort portant sur la prevention des accidents decoule de l'importance de leurs consequences sur les plans humain, economique

Medical follow up of ten patients victims of the radiological accident occurred in Goiania, Goias State, Brazil 1988/1992

International Nuclear Information System (INIS)

Curado, M.P.; Morais, M.S.A.; Silva, J.F.; Assis, P.R.; Oliveira, A.R.; Santos, E.A.

1992-01-01

The author makes an update of the medical aspects of ten victims of the radiological accident occurred in Goiania in September 1987. These patients received specialized treatment during the critical phase at Marcilio Dias Naval Hospital in Rio de Janeiro. Actually these patients are under medical follow-up at Leide das Neves Ferreira Foundation since march 1988. The clinical, haematological and laboratorial results are presented and discussed. The importance of a close medical follow-up direct victims of a radiological accident is stressed. (author)

Prevention of the causes and consequences of a criticality accident - measures adopted in France; Prevention des causes et des consequences d'un accident de criticite - solutions adoptees en France

Energy Technology Data Exchange (ETDEWEB)

Fruchard, Y.; Lavie, J.M

1966-07-01

The question of safety in regard to criticality accident risks has two aspects: prevention of the cause and limitation of the consequences. These two aspects are closely connected. The effort devoted to prevention of the causes depends on the seriousness of the possible human psychologic and economic consequences of the accident. The criticality accidents which have occurred in the nuclear industry, though few in number, do reveal the imperfect nature of the techniques adopted to prevent the causes, and also constitute the only available realistic basis for evaluating the consequences and developing measures to limit them. The authors give a analysis of the known causes and consequences of past criticality accidents and on this basis make a number of comments concerning: the validity of traditional safety criteria, the probability of accidents for different types of operations, characteristic accidents which can serve as models, and the extent of possible radiological consequences. The measures adopted in France to limit the consequences of a possible criticality accident under the headings: location, design and lay-out of the installations, accident detection, and dosimetry for the exposed personnel, are briefly described after a short account of the criteria used in deciding on them. (author) [French] La surete relative aux risques d'accidents de criticite presente deux aspects: la prevention des causes et les parades aux consequences. Ces deux aspects sont tres lies. L'effort consenti a la prevention des causes decoule de l'importance des consequences humaines economiques et psychologiques possibles d'un eventuel accident. Les accidents de criticite survenus dans l'industrie nucleaire, malgre leur rarete, d'une part devoilent les imperfections des techniques de prevention des causes, d'autre part constituent la seule base realiste disponible d'evaluation des consequences et de mise au point des parades a ces consequences

Participation of IRD/CNEN-Br in International Intercomparison of Criticality Accident Dosimetry Systems at Silene reactor, France

International Nuclear Information System (INIS)

Mauricio, Claudia Lucia P.; Fonseca, Evaldo S. da

1996-01-01

IRD has participated in an International Intercomparison of Criticality Accident Dosimetry Systems at the SILENE reactor, France on June 1993. The dosemeters were irradiated on phantoms and free in air, in bare and lead shield reactor pulses, simulating different irradiation fields that can be found in criticality accidents. Comparing with the reference measurements, the calculated mean neutron kerma found by IRD was only 2% greater for lead shield and 14% greater for bare reactor. For gamma absorbed dose, the differences were, respectively + 22% and -9% for the dosemeters free in air and -19% and -9% for dosemeters on phantoms. IRD results are closer to the real values than the mean values measured by the participants. IRD results show a good performance if its simple criticality accident system. (author)

A critical assessment of energy accident studies

International Nuclear Information System (INIS)

Felder, Frank A.

2009-01-01

A comparison of two studies conducted ten years apart on energy accidents provides important insights into methodological issues and policy implications. Recommendations for further improvements in energy accident studies are developed including accounting for differences between average and incremental accident damages, testing for appropriate levels of aggregation of accidents, making references and databases publicly available, more precisely defining and reporting different types of economic damages, accounting for involuntary and voluntary risks, reporting normalized damages, raising broader public policy and planning implications and updating existing accident databases.

A critical assessment of energy accident studies

Energy Technology Data Exchange (ETDEWEB)

Felder, Frank A. [Edward J. Bloustein School of Planning and Public Policy, Rutgers, The State University of New Jersey, 33 Livingston Avenue, New Brunswick, NJ 08901 (United States)

2009-12-15

A comparison of two studies conducted ten years apart on energy accidents provides important insights into methodological issues and policy implications. Recommendations for further improvements in energy accident studies are developed including accounting for differences between average and incremental accident damages, testing for appropriate levels of aggregation of accidents, making references and databases publicly available, more precisely defining and reporting different types of economic damages, accounting for involuntary and voluntary risks, reporting normalized damages, raising broader public policy and planning implications and updating existing accident databases. (author)

Update of the Nuclear Criticality Slide Rule for the Emergency Response to a Nuclear Criticality Accident

Science.gov (United States)

Duluc, Matthieu; Bardelay, Aurélie; Celik, Cihangir; Heinrichs, Dave; Hopper, Calvin; Jones, Richard; Kim, Soon; Miller, Thomas; Troisne, Marc; Wilson, Chris

2017-09-01

AWE (UK), IRSN (France), LLNL (USA) and ORNL (USA) began a long term collaboration effort in 2015 to update the nuclear criticality Slide Rule for the emergency response to a nuclear criticality accident. This document, published almost 20 years ago, gives order of magnitude estimates of key parameters, such as number of fissions and doses (neutron and gamma), useful for emergency response teams and public authorities. This paper will present, firstly the motivation and the long term objectives for this update, then the overview of the initial configurations for updated calculations and preliminary results obtained with modern 3D codes.

Update of the Nuclear Criticality Slide Rule for the Emergency Response to a Nuclear Criticality Accident

Directory of Open Access Journals (Sweden)

Duluc Matthieu

2017-01-01

Full Text Available AWE (UK, IRSN (France, LLNL (USA and ORNL (USA began a long term collaboration effort in 2015 to update the nuclear criticality Slide Rule for the emergency response to a nuclear criticality accident. This document, published almost 20 years ago, gives order of magnitude estimates of key parameters, such as number of fissions and doses (neutron and gamma, useful for emergency response teams and public authorities. This paper will present, firstly the motivation and the long term objectives for this update, then the overview of the initial configurations for updated calculations and preliminary results obtained with modern 3D codes.

Mortality Rates of Traumatic Traffic Accident Patients at the University Hospital

Directory of Open Access Journals (Sweden)

Atilla Senih MAYDA

2014-05-01

Full Text Available The aim of the study is to estimate hospitalization and mortality rates in patients admitted to the University Hospital due to traffic accidents, and to determine the mean cost of the applicants in the hospital due to traffic accident. In this retrospective study data were obtained from the records of a university research and practice hospital. There were 802 patients admitted to emergency and other outpatient clinics of the University Hospital because of traffic accidents throughout the year 2012. Out of these patients, 166 (20.7% were hospitalized, and the annual mortality rate was 0.87%. The total cost was 322,545.2 euro and 402.2 euro per patient. Road traffic accident detection reports covered only the numbers of fatal injuries and injuries that happened at the scene of accidents. Determination of the number of the dead and wounded with overall mortality rate would be supposed to reveal the magnitude of public health problem caused by traffic accidents.

Nuclear accident dosimetry

International Nuclear Information System (INIS)

1982-01-01

The film presents statistical data on criticality accidents. It outlines past IAEA activities on criticality accident dosimetry and the technical documents that resulted from this work. The film furthermore illustrates an international comparison study on nuclear accident dosimetry conducted at the Atomic Energy Research Establishment, Harwell, United Kingdom

Nuclear accident dosimetry

Energy Technology Data Exchange (ETDEWEB)

NONE

1983-12-31

The film presents statistical data on criticality accidents. It outlines past IAEA activities on criticality accident dosimetry and the technical documents that resulted from this work. The film furthermore illustrates an international comparison study on nuclear accident dosimetry conducted at the Atomic Energy Research Establishment, Harwell, United Kingdom

Questionnaire survey report about the criticality accident at a nuclear fuel processing facility

International Nuclear Information System (INIS)

2000-01-01

The Radiation Protection Section of the Japanese Society of Radiological Technology conducted a questionnaire survey on the criticality accident at the nuclear fuel processing facility in Tokai village on September 30, 1999 in order to identify factors related to the accident and consider countermeasures to deal with such accidents. The questionnaire was distributed to 347 members (122 facilities) of the Japanese Society of Radiological Technology who were working or living in Ibaraki Prefecture, and replies were obtained from 104 members (75 facilities). Questions to elicit the opinions of individuals were as following: method of obtaining information about the accident, knowledge about radiation, opinions about the accident, and requests directed to the Society. Questions regarding facilities concerned the following: communication after the accident, requests for dispatch to the accident site, and possession of radiometry devices. In regard to acquisition of information, 91 of the 104 members (87.5%) answered 'television or radios' followed by newspapers. Forty-five of 101 members were questioned about radiation exposure and radiation effects by the public. There were many opinions that accurate news should be provided rapidly, by the mass media. Many members (75%) felt that they lacked knowledge about radiation, reconfirming the importance of education and instruction concerning radiation. Dispatch was requested of 36 of the 75 facilities (48%), and 44 of 83 facilities (53%) owned radiometry instruments. (K.H.)

Criticality accident in uranium fuel processing plant. Questionnaires from Research Committee of Nuclear Safety

International Nuclear Information System (INIS)

Kataoka, Isao; Sekimoto, Hiroshi

2000-01-01

The Research Committee of Nuclear Safety carried out a research on criticality accident at the JCO plant according to statement of president of the Japan Atomic Energy Society on October 8, 1999, of which results are planned to be summarized by the constitutions shown as follows, for a report on the 'Questionnaires of criticality accident in the Uranium Fuel Processing Plant of the JCO, Inc.': general criticality safety, fuel cycle and the JCO, Inc.; elucidation on progress and fact of accident; cause analysis and problem picking-up; proposals on improvement; and duty of the Society. Among them, on last two items, because of a conclusion to be required for members of the Society at discussions of the Committee, some questionnaires were send to more than 1800 of them on April 5, 2000 with name of chairman of the Committee. As results of the questionnaires contained proposals and opinions on a great numbers of fields, some key-words like words were found on a shape of repeating in most questionnaires. As they were thought to be very important nuclei in these two items, they were further largely classified to use for summarizing proposals and opinions on the questionnaires. This questionnaire had a big characteristic on the duty of the Society in comparison with those in the other organizations. (G.K.)

Development of criticality accident detector measuring neutrons and gamma-rays

International Nuclear Information System (INIS)

Tsujimura, Norio; Yoshida, Tadayoshi; Ishii, Masato

2005-01-01

The authors developed a new criticality accident detector measuring neutrons and gamma-rays. The detector is a cylindrical plastic scintillator coupled to a current-mode operated photomultiplier, and is covered by an inner cadmium shell, acting as a neutron to gamma-ray converter, and a 5cm thick outer polyethylene moderator in order to respond to the same threshold triggering dose regardless of whether it was exposed to neutrons, gamma-rays or a mixture of the two radiations. (author)

Theoretical Derivation of Simplified Evaluation Models for the First Peak of a Criticality Accident in Nuclear Fuel Solution

International Nuclear Information System (INIS)

Nomura, Yasushi

2000-01-01

In a reprocessing facility where nuclear fuel solutions are processed, one could observe a series of power peaks, with the highest peak right after a criticality accident. The criticality alarm system (CAS) is designed to detect the first power peak and warn workers near the reacting material by sounding alarms immediately. Consequently, exposure of the workers would be minimized by an immediate and effective evacuation. Therefore, in the design and installation of a CAS, it is necessary to estimate the magnitude of the first power peak and to set up the threshold point where the CAS initiates the alarm. Furthermore, it is necessary to estimate the level of potential exposure of workers in the case of accidents so as to decide the appropriateness of installing a CAS for a given compartment.A simplified evaluation model to estimate the minimum scale of the first power peak during a criticality accident is derived by theoretical considerations only for use in the design of a CAS to set up the threshold point triggering the alarm signal. Another simplified evaluation model is derived in the same way to estimate the maximum scale of the first power peak for use in judging the appropriateness for installing a CAS. Both models are shown to have adequate margin in predicting the minimum and maximum scale of criticality accidents by comparing their results with French CRiticality occurring ACcidentally (CRAC) experimental data

PNNL Measurement Results for the 2016 Criticality Accident Dosimetry Exercise at the Nevada National Security Stite (IER-148)

Energy Technology Data Exchange (ETDEWEB)

Rathbone, Bruce A.; Morley, Shannon M.; Stephens, John A.

2017-05-01

The Pacific Northwest National Laboratory (PNNL) participated in a criticality accident dosimetry intercomparison exercise held at the Nevada National Security Site (NNSS) May 24-27, 2016. The exercise was administered by Lawrence Livermore National Laboratory (LLNL) and consisted of three exposures performed using the Godiva-IV critical assembly housed in the Device Assembly Facility (DAF) located on the NNSS site. The exercise allowed participants to test the ability of their nuclear accident dosimeters to meet the performance criteria in ANSI/HPS N13.3-2013, Dosimetry for Criticality Accidents and to obtain new measurement data for use in revising dose calculation methods and quick sort screening methods where appropriate. PNNL participated with new prototype Personal Nuclear Accident Dosimeter (PNAD) and Fixed Nuclear Accident Dosimeter (FNAD) designs as well as the existing historical PNAD design. The new prototype designs incorporate optically stimulated luminescence (OSL) dosimeters in place of thermoluminescence dosimeters (TLDs), among other design changes, while retaining the same set of activation foils historically used. The default dose calculation methodology established decades ago for use with activation foils in PNNL PNADs and FNADs was used to calculate neutron dose results for both the existing and prototype dosimeters tested in the exercise. The results indicate that the effective cross sections and/or dose conversion factors used historically need to be updated to accurately measure the operational quantities recommended for nuclear accident dosimetry in ANSI/HPS N13.3-2013 and to ensure PNAD and FNAD performance meets the ANSI/HPS N13.3-2013 performance criteria. The operational quantities recommended for nuclear accident dosimetry are personal absorbed dose, Dp(10), and ambient absorbed dose, D*(10).

Updated tool for nuclear criticality accident emergency response

International Nuclear Information System (INIS)

Broadhead, B.L.; Hopper, C.M.

1995-01-01

Some 20 yr ago a hand-held slide rule was developed at the Oak Ridge Y-12 Plant to aid in the response to several postulated nuclear criticality accidents. These assumed accidents involved highly enriched uranium in either a bare metal or a uranyl nitrate system. The slide rule consisted of a sliding scale based on the total fission yield and four corresponding dose indicators: (1) a prompt radiation dose relationship as a function of distance; (2) a delayed fission product gamma dose rate relationship as a function of time and distance; (3) the total dose relationship with time and distance; and (4) the I-min integrated dose relationship with time and distance. The original slide rule was generated assuming very simplistic numerical procedures such as the inverse-square relationship of dose with distance and the Way-Wigner relationship to express the time dependence of the dose. The simple prescriptions were tied to actual dose measurements from similar systems to yield a meaningful, yet simple approach to emergency planning and response needs. This paper describes the application of an advanced procedure to the updating of the original slide rule for five critical systems. These five systems include (a) an unreflected sphere of 93.2 wt% enriched uranium metal, (b) an unreflected sphere of 93.2 wt% enriched uranyl nitrate solution with a H/ 235 U ratio of 500, (c) an unreflected sphere of damp 93.2 wt% enriched uranium oxide with a H/ 235 U ratio of 10, (d) an unreflected sphere of 4.95 wt% enriched uranyl fluoride solution having a H/ 235 U ratio of 410, and (e) an unreflected sphere of damp 5 wt% enriched uranium dioxide having a H/ 235 U ratio of 200

Family presence preference when patients are receiving resuscitation in an accident and emergency department.

Science.gov (United States)

Hung, Maria S Y; Pang, Samantha M C

2011-01-01

This paper is a report of a study to illuminate the experience of family members whose relatives survived the resuscitation in an accident and emergency department, and their preferences with regard to being present. Family presence during resuscitation can offer benefits to both patient and family members, and large healthcare organizations support and recommend offering the option for their presence. However, many staff believe that this is too distressing or traumatic for families and that they would interfere with the resuscitation process. An interpretive phenomenological approach was used to collect data in 2007-2008 with 18 family members of patients who survived life-sustaining interventions in an accident and emergency department in Hong Kong. Audio-recorded interviews were transcribed verbatim for thematic analysis and verified with the participants in second interviews. None of the family members was present in resuscitation room during the life-sustaining interventions, and five entered the room after the patients' condition was stable. The majority indicated a strong preference to be present if given the option. Three interrelated themes emerged: (i) emotional connectedness, (ii) knowing the patient, and (iii) perceived (in)appropriateness, with 10 subthemes representing affective, rational and contextual determinants of family presence preferences. The interplay of these determinants and how they contributed to strong or weak preference for family presence was analysed. Variations among the contributing determinants to each family member's preference to be present were revealed. Appropriate nursing interventions, policy and guidelines should be developed to meet individualized needs during such critical and life-threatening moments in accident and emergency departments. © 2010 Blackwell Publishing Ltd.

Helicopter emergency medical services response to equestrian accidents.

Science.gov (United States)

Lyon, Richard M; Macauley, Ben; Richardson, Sarah; de Coverly, Richard; Russell, Malcolm

2015-04-01

Horse riding is a common leisure activity associated with a significant rate of injury. Helicopter emergency medical services (HEMS) may be called to equestrian accidents. Accurate HEMS tasking is important to ensure appropriate use of this valuable medical resource. We sought to review HEMS response to equestrian accidents and identify factors associated with the need for HEMS intervention or transport of the patient to a major trauma centre. Retrospective case review of all missions flown by Kent, Surrey & Sussex Air Ambulance Trust over a 1-year period (1 July 2011 to 1 July 2012). All missions were screened for accidents involving a horse. Call details, patient demographics, suspected injuries, clinical interventions and patient disposition were all analysed. In the 12-month data collection period there were 47 equestrian accidents, representing ∼3% of the total annual missions. Of the 42 cases HEMS attended, one patient was pronounced life extinct at the scene. In 15 (36%) cases the patient was airlifted to hospital. In four (10%) cases, the patient underwent prehospital anaesthesia. There were no specific predictors of HEMS intervention. Admission to a major trauma centre was associated with the rider not wearing a helmet, a fall onto their head or the horse falling onto the rider. Equestrian accidents represent a significant proportion of HEMS missions. The majority of patients injured in equestrian accidents do not require HEMS intervention, however, a small proportion have life-threatening injuries, requiring immediate critical intervention. Further research is warranted, particularly regarding HEMS dispatch, to further improve accuracy of tasking to equestrian accidents.

The ENEA criticality accident dosimetry system: a contribution to the 2002 international intercomparison at the SILENE reactor.

Science.gov (United States)

Gualdrini, G; Bedogni, R; Fantuzzi, E; Mariotti, F

2004-01-01

The present paper summarises the activity carried out at the ENEA Radiation Protection Institute for updating the methodologies employed for the evaluation of the neutron and photon dose to the exposed workers in case of a criticality accident, in the framework of the 'International Intercomparison of Criticality Accident Dosimetry Systems' (Silène reactor, IRSN-CEA-Valduc June 2002). The evaluation of the neutron spectra and the neutron dosimetric quantities relies on activation detectors and on unfolding algorithms. Thermoluminescent detectors are employed for the gamma dose measurement. The work is aimed at accurately characterising the measurement system and, at the same time, testing the algorithms. Useful spectral information were included, based on Monte Carlo simulations, to take into account the potential accident scenarios of practical interest. All along this exercise intercomparison a particular attention was devoted to the 'traceability' of all the experimental and computational parameters and therefore, aimed at an easy treatment by the user.

Criticality accident in uranium fuel processing plant. The estimation of the total number of fissions with related reactor physics parameters

International Nuclear Information System (INIS)

Nishina, Kojiro; Oyamatsu, Kazuhiro; Kondo, Shunsuke; Sekimoto, Hiroshi; Ishitani, Kazuki; Yamane, Yoshihiro; Miyoshi, Yoshinori

2000-01-01

This accident occurred when workers were pouring a uranium solution into a precipitation tank with handy operation against the established procedure and both the cylindrical diameter and the total mass exceeded the limited values. As a result, nuclear fission chain reactor in the solution reached not only a 'criticality' state continuing it independently but also an instantly forming criticality state exceed the criticality and increasing further nuclear fission number. The place occurring the accident at this time was not reactor but a place having not to form 'criticality' called by a processing process of uranium fuel. In such place, as because of relating to mechanism of chain reaction, it is required naturally for knowledge on the reactor physics, it is also necessary to understand chemical reaction in chemical process, and functions of tanks, valves and pumps mounted at the processes. For this purpose, some information on uranium concentration ratio, atomic density of nuclides largely affecting to chain reaction such as uranium, hydrogen, and so forth in the solution, shape, inner structure and size of container for the solution, and its temperature and total volume, were necessary for determining criticality volume of the accident uranium solution by using nuclear physics procedures. Here were described on estimation of energy emission in the JCO accident, estimation from analytical results on neutron and solution, calculation of various nuclear physics property estimation on the JCO precipitation tank at JAERI. (G.K.)

Improved dose estimates for nuclear criticality accidents

International Nuclear Information System (INIS)

Wilkinson, A.D.; Basoglu, B.; Bentley, C.L.; Dunn, M.E.; Plaster, M.J.; Dodds, H.L.; Yamamoto, T.

1995-01-01

Slide rules are improved for estimating doses and dose rates resulting from nuclear criticality accidents. The original slide rules were created for highly enriched uranium solutions and metals using hand calculations along with the decades old Way-Wigner radioactive decay relationship and the inverse square law. This work uses state-of-the-art methods and better data to improve the original slide rules and also to extend the slide rule concept to three additional systems; i.e., highly enriched (93.2 wt%) uranium damp (H/ 235 U = 10) powder (U 3 O 8 ) and low-enriched (5 wt%) uranium mixtures (UO 2 F 2 ) with a H/ 235 U ratio of 200 and 500. Although the improved slide rules differ only slightly from the original slide rules, the improved slide rules and also the new slide rules can be used with greater confidence since they are based on more rigorous methods and better nuclear data

Framatome-ANP France UO2 fuel fabrication. Criticality safety analysis in the light of the JCO accident

International Nuclear Information System (INIS)

Doucet, M.; Zheng, S.; Mouton, J.; Porte, R.

2003-01-01

In France the 1999' Tokai Mura criticality accident in Japan had a big impact on the nuclear fuel manufacturing facility community. Moreover this accident led to a large public discussion about all the nuclear facilities. The French Safety Authorities made strong requirements to the industrials to revisit completely their safety analysis files mainly those concerning nuclear fuels treatments. The FRAMATOME-ANP production of its French low enriched (5 w/o) UO2 fuel fabrication plant (FBFC/Romans) exceeds 1000 metric tons a year. Special attention was given to the emergency evacuation plan that should be followed in case of a criticality accident. If a criticality accident happens, site internal and external radioprotection requirements need to have an emergency evacuation plan showing the different routes where the absorbed doses will be as low as possible for people. The French Safety Authorities require also an update of the old based neutron source term accounting for state of the art methodology. UO2 blenders units contain a large amount of dry powder strictly controlled by moderation; a hypothetical water leakage inside one of these apparatus is simulated by increasing the water content of the powder. The resulted reactivity insertion is performed by several static calculations. The French IRSN/CEA CRISTAL codes are used to perform these static calculations. The kinetic criticality code POWDER simulates the power excursion versus time and determines the consequent total energy source term. MNCP4B performs the source term propagation (including neutrons and gamma) used to determine the isodose curves needed to define the emergency evacuation plant. This paper deals with the approach FRAMATOME-ANP has taken to assess Safety Authorities demands using the more up to date calculation tools and methodology. (author)

JAERI's activities in JCO accident

International Nuclear Information System (INIS)

2000-09-01

The Japan Atomic Energy Research Institute (JAERI) was actively involved in a variety of technical supports and cooperative activities, such as advice on terminating the criticality condition, contamination checks of the residents and consultation services for the residents, as emergency response actions to the criticality accident at the uranium processing facility operated by the JCO Co. Ltd., which occurred on September 30, 1999. These activities were carried out in collaborative ways by the JAERI staff from the Tokai Research Establishment, Naka Fusion Research Establishment, Oarai Research Establishment, and Headquarter Office in Tokyo. As well, the JAERI was engaged in the post-accident activities such as identification of accident causes, analyses of the criticality accident, and dose assessment of exposed residents, to support the Headquarter for Accident Countermeasures of the Science and Technology Agency (STA), the Accident Investigation Committee and the Health Control Committee of the Nuclear Safety Commission of Japan (NSC). This report compiles the activities, that the JAERI has conducted to date, including the discussions on measures for terminating the criticality condition, evaluation of the fission number, radiation monitoring in the environment, dose assessment, analyses of criticality dynamics. (author)

Locations of criticality alarms and nuclear accident dosimeters at Hanford

International Nuclear Information System (INIS)

1992-08-01

Hanford facilities that contain fissionable materials capable of achieving critical mass are monitored with nuclear accident dosimeters (NADS) in compliance with the requirements of DOE Order 5480.11, Chapter XI, Section 4.c. (DOE 1988). The US Department of Energy (DOE) Richland Field Office (RL) has assigned the responsibility for maintaining and evaluating the Hanford NAD system to the Instrumentation and External Dosimetry (I ampersand ED) Section of Pacific Northwest Laboratory's (PNL's) Health Physics Department. This manual provides a description of the Hanford NAD, criteria and instructions for proper NAD placement, and the locations of these dosimeters onsite

Source term analysis for a criticality accident in metal production line glove boxes

International Nuclear Information System (INIS)

Nguyen, D.H.

1991-06-01

A recent development in criticality accident analysis is the deterministic calculations of the transport of fission products and actinides through the barriers of the physical facility. The knowledge of the redistribution of the materials inside the facility will help determine the reentry and clean-up procedures. The amount of radioactive materials released to the environment is the source term for dispersion calculations. We have used an integrated computer model to determine the release of fission products to the environment from a hypothetical criticality event in a glove box of the metal production line (MPL) at the Lawrence Livermore National Laboratory (LLNL)

SARTEMP2 - A computer program to calculate power and temperatures in a transport flask during a criticality accident

International Nuclear Information System (INIS)

Shaw, P.M.

1983-04-01

The computer code SARTEMP2, an extended version of the original SARTEMP program, which calculates the power and temperatures in a transport flask during a hypothetical criticality accident is described. The accident arises, it is assumed, during the refilling of the flask with water, bringing the system to delayed critical. As the water level continues to rise, reactivity is added causing the power to rise, and thus temperatures in the fuel, clad and water to increase. The point kinetics equations are coupled to the one-dimensional heat conduction equation. The model used, the method of solution of the equations and the input data required are given. (author)

Estimation of dose distribution and neutron spectra in JCO critical accident by shielding calculations

International Nuclear Information System (INIS)

Sakamoto, Yukio

2001-01-01

The information about neutrons at the surrounding of JCO site in the critical accident is limited to survey results by neutron Rem counter in the period of accident and activation data very near the test facility measured after the shut down of accident. This caused the big uncertainty in the dose estimation by detailed shielding calculation codes. On the other hand, environmental activity data measured by radiochemical researchers included the information about fast neutrons inside of JCO site and thermal neutrons up to 1 km from test facility. It is important to grasp the actual circumstance and examine the executed evaluation of the critical accident as scientifically as possible. Therefore, it is meaningful for different field researchers to corporate and exchange the information. In the Technical Divisions of Radiation Science and Technology in Atomic Energy Society of Japan, the information about neutron spectra are released from their home page and three groups of JAERI/CRC, Sumitomo Atomic Energy Industry and Nuclear Power Engineering Corp. (NUPEC)/Mitsubishi Research Institute Inc. (MRI), tried the shielding calculation by Monte Carlo Code MCNP-4B. The procedures and main results of shielding calculations were reviewed in this report. The main difference of shielding calculation by three groups was density and water content of autoclaved light-weight concrete (ALC) as the wall and ceiling. From the result by NUPEC/MRI, it was estimated that the water content in ALC was from 0.05 g/cm 3 to 0.10 g/cm 3 . The behavior of dose equivalent attenuation obtained by shielding calculation was very similar with the measured data from 250 m to 1,700 m obtained by survey meter, TLD and monitoring post. For more exact dose estimation, more detail examination of density and water content of ALC will be needed. (author)

Environment radiological monitoring by JNC related to the JCO criticality accident

International Nuclear Information System (INIS)

Watanabe, Hitoshi

2001-01-01

Concerning the criticality accident at JCO Co., Ltd. (JCO) which occurred at 10:35 on 30th Sep. 1999, Japan Nuclear Cycle Development Institute (JNC) established ''JNC's task force'' at 12:35 on the same data in conjunction with Head Office and Tokai Works. JNC's task force had collaborated on environmental radiological monitoring with the government of Japan and the local governments. This report compiles the results of the environmental monitoring performed by JNC's task force based on the request from the government of Japan and the local governments. (author)

Workplace accidents, absenteeism and productivity in patients with sleep apnea.

Science.gov (United States)

Jurado-Gámez, Bernabé; Guglielmi, Ottavia; Gude, Francisco; Buela-Casal, Gualberto

2015-05-01

Obstructive sleep apnea-hypopnea syndrome (OSAHS) has health-related outcomes, but the impact of OSAHS on occupational health has been scarcely studied. The aim of this study was to evaluate the effect of OSAHS on workplace accidents, absenteeism and productivity. One hundred eighty-two OSAHS patients and 71 healthy subjects completed the Epworth Sleepiness Scale, the Pittsburgh Sleep Quality Index and the Spanish IMPALA (Impact of Disease on Work Productivity) index and answered various questions on workplace accidents and sick leave. Participants were classified to an OSAHS group or a non-OSAHS group according to polysomnography results. Patients with OSAHS had more sick leave lasting longer than 30days (16.6% vs. 7%, P=.049) and lower productivity (63.80% vs. 83.20%, P=.000) than subjects without OSAHS, although the rate of workplace accidents was similar in both groups (27.4% vs 25.4%; P>.050). None of the OSAHS-related variables was associated with workplace accidents. A diagnosis of OSAHS was related with absenteeism. Psychological distress and OSAHS were related with productivity. OSAHS causes limitations in the working lives of patients and leads to a higher incidence of sick leave and lower productivity. A diagnosis of OSAHS was the variable with most influence on the working lives of patients. Copyright © 2014 SEPAR. Published by Elsevier Espana. All rights reserved.

Nuclear accident: dosimetric and medical aspects

International Nuclear Information System (INIS)

Oliveira, A.R. de.

The conservation aspect of the treatment of patients who received whole-body exposure is presented. Such treatment to be started during the first hours after the accident (prodomal phase), as well as the nonconventional measures to be adopted when the critical phase of acute irradiation syndrome is reached. (E.G.) [pt

Air Transportation of Critically Ill Patients

Directory of Open Access Journals (Sweden)

E. P. Rodionov

2008-01-01

Full Text Available During the Napoleonic wars, balloon evacuation of the wounded was the first to be made in the history when Paris was being defended. In the USA, casualty helicopters are being used in 20% of cases on evacuating the victims from the accident scene and in 80% during interhospital transportation. Russia also shows an ambiguous approach to employing air medical service — from the wide use of air transportation in the country’s regions that are difficult of access to its almost complete refusal in the regions with the well-developed transportation system. Long-distance transportation of critically ill patients by chartered or commercial planes is the reality of our time. In each region, continuing specialized teams of qualified medical workers who have a good knowledge of altitude pathophysiology and handle the obligatorily certified equipment should be created on the basis of large-scale medical centers.

A cohort study of accidents occurring in mentally handicapped patients living in institutions

Directory of Open Access Journals (Sweden)

Muriel Alfonso

2010-05-01

Full Text Available Abstract Background Mentally handicapped patients who require extensive and generalised care and are resident in mental health institutions have certain characteristics that could mean that they suffer certain types of accidents. The aim of this study was to determine the number and type of accident-related injuries in this population in order to design appropriate preventative strategies. Methods Accident-related injuries in patients resident in six institutions in the north of Spain were recorded prospectively over a period of 21 months. The characteristics of these injuries were recorded in a database linked to another in which patient data were recorded. A logistic regression model employing the generalized estimating equation (GEE methodology was employed due to the repetition of patient accidents. Results There was one death due to foreign body aspiration into the airways. A total of 1,671 injuries were recorded, 0.5% of which were classified as serious, 10% moderate and 89.5% minor. The serious injuries involved fractures (6 and cuts (2, the moderate injuries mainly cuts (57%, bruising (18% and sprains (13%, and the minor injuries bruising (40%, cuts (35% and scratches (20%. Falls were the main cause of these injuries (25.2%. The variables associated with serious accidents were self-harm (OR = 1.18, non-collaborative behaviour (OR = 1.21 and inpatient (OR = 1.37. Conclusions Accidents in mentally handicapped patients occur in different ways compared to those in the general population. The majority of injuries found were minor (an average of 0.8 to 3.4 accidents per year, with falls being the most common cause. Patients with behavioural disorders undergoing treatment with neuroleptic agents were found to be a risk group, therefore this finding should be taken into consideration when establishing care groups.

Criticality accident in uranium fuel processing plant. Cause analysis and teachings from a viewpoint of a human factor

International Nuclear Information System (INIS)

Furuta, Kazuo

2000-01-01

On the JCO criticality accident occurred on September 30, 1999, from relatively earlier time since its occurrence it was elucidated that it was formed not by accident and error operation of apparatus and instruments but by unsafe actions of operators beyond regular manual as its direct cause, and that an organizational factor on business managers and safety administration unable to control such unsafe actions of operators at its background. Then, it was judged to be essential to carry out an accident research from a viewpoint of the human factor (HF) for elucidation on essence of the accident, to establish a 'special workshop on the JCO accident research' to investigate elucidation of the accident cause and countermeasure of reoccurrence at a standpoint of HF. As a result, the essential cause of this accident was summarized that safety information such as ideals, information, teachings and so forth necessary for safety management were failed to share among different organizations. As a teaching of this accident, nuclear energy participants must recognize that safety culture is not finished only in specific organization and range but produced by protecting weathering of danger consciousness and effort of mutually exciting and learning by sharing a safety information beyond different organization, range and time. (G.K.)

Research on consequence analysis method for probabilistic safety assessment of nuclear fuel facilities (5). Evaluation method and trial evaluation of criticality accident

International Nuclear Information System (INIS)

Yamane, Yuichi; Abe, Hitoshi; Nakajima, Ken; Hayashi, Yoshiaki; Arisawa, Jun; Hayami, Satoru

2010-01-01

A special committee of 'Research on the analysis methods for accident consequence of nuclear fuel facilities (NFFs)' was organized by the Atomic Energy Society of Japan (AESJ) under the entrustment of Japan Atomic Energy Agency (JAEA). The committee aims to research on the state-of-the-art consequence analysis method for the Probabilistic Safety Assessment (PSA) of NFFs, such as fuel reprocessing and fuel fabrication facilities. The objectives of this research are to obtain information useful for establishing quantitative performance objectives and to demonstrate risk-informed regulation through qualifying issues needed to be resolved for applying PSA to NFFs. The research activities of the committee were mainly focused on the consequence analysis method for postulated accidents with potentially large consequences in NFFs, e.g., events of criticality, spill of molten glass, hydrogen explosion, boiling of radioactive solution and fire (including the rapid decomposition of TBP complexes), resulting in the release of radioactive materials to the environment. The results of the research were summarized in a series of six reports, which consist of a review report and five technical ones. In this report, the evaluation methods of criticality accident, such as simplified methods, one-point reactor kinetics codes and quasi-static method, were investigated and their features were summarized to provide information useful for the safety evaluation of NFFs. In addition, several trial evaluations were performed for a hypothetical scenario of criticality accident using the investigated methods, and their results were compared. The release fraction of volatile fission products in a criticality accident was also investigated. (author)

Determination of gamma-ray exposure rate from short-lived fission products under criticality accident conditions

International Nuclear Information System (INIS)

Yanagisawa, Hiroshi; Ohno, Akio; Aizawa, Eijyu

2002-01-01

For the assessment of γ-ray doses from short-lived fission products (FPs) under criticality accident conditions, γ-ray exposure rates varying with time were experimentally determined in the Transient Experiment Critical Facility (TRACY). The data were obtained by reactivity insertion in the range of 1.50 to 2.93$. It was clarified from the experiments that the contribution of γ-ray from short-lived FPs to total exposure during the experiments was evaluated to be 15 to 17%. Hence, the contribution cannot be neglected for the assessment of γ-ray doses under criticality accident conditions. Computational analyses also indicated that γ-ray exposure rates from short-lived FPs calculated with the Monte Carlo code, MCNP4B, and photon sources based on the latest FP decay data, the JENDL FP Decay Data File 2000, well agreed with the experimental results. The exposure rates were, however, extremely underestimated when the photon sources were obtained by the ORIGEN2 code. The underestimation is due to lack of energy-dependent photon emission data for major short-lived FP nuclides in the photon database attached to the ORIGEN2 code. It was also confirmed that the underestimation arose in 1,000 or less of time lapse after an initial power burst. (author)

Design parameters and testing techniques for criticality accident detection systems used in various nuclear establishments - a review

International Nuclear Information System (INIS)

Janardhanan, S.; Krishnamony, S.; Krishnamurthi, T.N.; Gopalan, C.S.

1981-01-01

Accidental criticality excursion is a potential hazard in operations involving fissile material. In this review paper, design criteria for criticality detection systems, associated requirements for reliable functioning of the instrument and recent advances in the field are discussed. Systems based on integrated dose and rate of change of dose rate concepts are explained. A criticality accident simulator using a pneumatically driven 60 Co source for testing the detector is described. The paper also discusses the relative advantages of gamma and neutron sensing devices. (author)

Design parameters and testing techniques for criticality accident detection systems used in various nuclear establishments - a review

Energy Technology Data Exchange (ETDEWEB)

Janardhanan, S.; Krishnamony, S.; Krishnamurthi, T.N.; Gopalan, C.S. (Bhabha Atomic Research Centre, Bombay (India). Health Physics Div.)

Accidental criticality excursion is a potential hazard in operations involving fissile material. In this review paper, design criteria for criticality detection systems, associated requirements for reliable functioning of the instrument and recent advances in the field are discussed. Systems based on integrated dose and rate of change of dose rate concepts are explained. A criticality accident simulator using a pneumatically driven /sup 60/Co source for testing the detector is described. The paper also discusses the relative advantages of gamma and neutron sensing devices.

MDCT findings in sports and recreational accidents.

Science.gov (United States)

Bensch, Frank V; Koivikko, Mika P; Koskinen, Seppo K

2011-12-01

Sports and recreational accidents involving critical areas of the body occur commonly in the general population. Reports on their demographics and recommendations for screening procedures are, however, few. To assess injuries of the craniofacial area, spine, and torso resulting from sports and recreational accidents with multidetector computed tomography (MDCT) as primary imaging method in a Level I trauma center. All emergency room CT requests over a time span of 105 months were reviewed retrospectively for trauma mechanism and injury. Patients were identified using an electronic picture archiving and communications system (PACS), and MDCT studies interpreted by two radiologists independently. Of a total of 5898 patients, 492 patients (301 boys/men, 191 girls/women, age range 2-76 years, mean 33.5 years, median 29.5 years) with sports or recreational accidents emerged. A total of 102 traumatic findings were diagnosed, thereof 72 (71%) serious. The three most commonly encountered serious injuries were intracranial injury, fractures of facial bones, and vertebral injuries. The three most common injury mechanisms were bicycling, horseback riding, and team ball sports. Patients from recreational activities were on average significantly younger (29.2 years) than those from sports accidents (36.9 years; P accidents presented with an overall incidence of 21%, of which 71% are serious. The most common mechanisms of injury were bicycling, horseback riding, and team ball sports. The largest incidence of serious injury involved bicycling. Because of the high probability of a serious injury and the high energies that are often involved in these accidents, we recommend ruling out of internal injury by MDCT as the primary imaging modality.

Prevention of criticality accidents

International Nuclear Information System (INIS)

Canavese, S.I.

1982-01-01

These notes used in the postgraduate course on Radiological Protection and Nuclear Safety discuss macro-and microscopic nuclear constants for fissile materials systems. Critical systems: their definition; criteria to analyze the critical state; determination of the critical size; analysis of practical problems about prevention of criticality. Safety of isolated units and of sets of units. Application of standards. Conception of facilities from the criticality control view point. (author) [es

JAERI's activities in JCO accident

Energy Technology Data Exchange (ETDEWEB)

NONE

2000-09-01

The Japan Atomic Energy Research Institute (JAERI) was actively involved in a variety of technical supports and cooperative activities, such as advice on terminating the criticality condition, contamination checks of the residents and consultation services for the residents, as emergency response actions to the criticality accident at the uranium processing facility operated by the JCO Co. Ltd., which occurred on September 30, 1999. These activities were carried out in collaborative ways by the JAERI staff from the Tokai Research Establishment, Naka Fusion Research Establishment, Oarai Research Establishment, and Headquarter Office in Tokyo. As well, the JAERI was engaged in the post-accident activities such as identification of accident causes, analyses of the criticality accident, and dose assessment of exposed residents, to support the Headquarter for Accident Countermeasures of the Science and Technology Agency (STA), the Accident Investigation Committee and the Health Control Committee of the Nuclear Safety Commission of Japan (NSC). This report compiles the activities, that the JAERI has conducted to date, including the discussions on measures for terminating the criticality condition, evaluation of the fission number, radiation monitoring in the environment, dose assessment, analyses of criticality dynamics. (author)

The epidemiology and cost analysis of patients presented to Emergency Department following traffic accidents.

Science.gov (United States)

Akgül Karadana, Gökçe; Metin Aksu, Nalan; Akkaş, Meltem; Akman, Canan; Üzümcügil, Akın; Özmen, M Mahir

2013-12-09

Traffic accidents are ranked first as the cause of personal injury throughout the world. The high number of traffic accidents yielding injuries and fatalities makes them of great importance to Emergency Departments. Patients admitted to Hacettepe University Faculty of Medicine Adult Emergency Department due to traffic accidents were investigated epidemiologically. Differences between groups were evaluated by Kruskall-Wallis, Mann-Whitney, and Wilcoxon tests. A value of paccidents were the most common. In 2004 the rate of traffic accidents (15.3%) was higher than the other years, the most common month was May (10.8%), and the most common time period was 6 pm to 12 am (midnight). About half of the patients (51.5%) were admitted in the first 30 minutes. Life-threatening condition was present in 9.6% of the patients. Head trauma was the most common type of trauma, with the rate of 18.3%. Mortality rate was 81.8%. The average length of hospital stay was 403 minutes (6.7 hours) and the average cost per patient was 983 ± 4364 TL. Further studies are needed to compare the cost found in this study with the mean cost for Turkey. However, the most important step to reduce the direct and indirect costs due to traffic accidents is the prevention of these accidents.

Clinical validation of nursing outcome mobility in patients with cerebrovascular accidents.

Science.gov (United States)

Moreira, Rafaella Pessoa; Araujo, Thelma Leite de; Lopes, Marcos Venicios de Oliveira; Cavalcante, Tahissa Frota; Guedes, Nirla Gomes; Chaves, Emília Soares; Portela, Regiane Campos; Holanda, Rose-Eloise

2016-12-15

To clinically validate the nursing outcome Mobility in patients with cerebrovascular accidents. Descriptive study, conducted in July 2011, with 38 outpatients, in northeastern Brazil. Data collection took place by evaluating two pairs of specialist nurses, where one pair used the instrument containing the constitutive and operational definitions of the indicators and magnitudes of the Mobility Outcome and the other pair without such definitions. When analyzing the evaluations among nurses, all indicators showed significant differences by the Friedman test (p cerebrovascular accident patient's mobility state.

A cost effective approach for criticality accident analysis of a DOE SNF storage facility

International Nuclear Information System (INIS)

Garrett, R.L.; Couture, G.F.; Gough, S.T.

1997-01-01

This paper presents the methodologies used to derive criticality accident analyses for a spent nuclear fuel receipt, storage, handling, and shipping facility. Two criticality events are considered: process-induced and Natural Phenomena Hazards (NPH)-induced. The criticality analyses required the development of: (1) the frequency at which each sceanario occurred, (2) the estimated number of fissions for each scenario, and (3) the consequences associated with each criticality scenario. A fault tree analysis was performed to quantify the frequency of criticality due to process-induced events. For the frequency analysis of NPH-induced criticality, a probabilistic approach was employed. To estimate the consequences of a criticality event, the resulting fission yield was determined using a probabilistic approach. For estimating the source term, a 95% amount of overall conservatism was targeted. This methodology applied to the facility criticality scenarios indicated that: (1) the 95th percentile yield levels from the historical yield distributions are approximately 5 x 10 17 fissions and 5 x 10 18 fissions for internal event and NPH-induced criticality event, respectively; and (2) using probabilistic Latin Hypercube Sampling, the downwind 95th percentile dose to a receptor at the US DOE reservation boundary is 2.2 mrem. This estimate is compared to the bounding dose of 1.4 rem. 4 refs., 1 fig

Neutron personal dosimetry in criticality accidents

International Nuclear Information System (INIS)

Fonseca, E.S. da; Mauricio, C.L.P.

1996-01-01

In the present work an innovating method is proposed to estimate the absorbed dose received by individuals irradiated with neutrons in an accident, even in the case that the victim is not using any kind of neutron dosemeter. The method combines direct measurements of 24 Na and 32 P activated in the human body. The calculation method was developed using data taken from previously published papers and experimental measurements. Other irradiations results in different neutron spectra prove the validity of the method here proposed. Using a whole body counter to measure 24 Na activity, it is possible to evaluate neutron absorbed doses in the order of 140 μ Gy of very soft (thermal) spectra. For fast neutron fields, the lower limit for neutron dose detection increases, but the present method continues to be very useful in accidents, with higher neutron doses. (author)

Radiological accidents: methodologies of radio nuclides dis incorporation

International Nuclear Information System (INIS)

Jimenez F, E. A.; Paredes G, L.; Cortes, A.

2014-08-01

Derived of the radioactive or nuclear material management, exists the risk that accidents can happen where people cases are presented with internal radioactive contamination, who will receive specialized medical care to accelerate the radioactive dis incorporation with the purpose of diminishing the absorbed dose and the associate biological effects. In this work treatments of radioactive dis incorporation were identified, in function of the radionuclide, radiation type, radioactive half life, biological half life, critical organ, ingestion duct and patient type. The factor time is decisive for the effectiveness of the selected treatment in the blockade stage (before the accident) or dis incorporation (after the accident); this factor is related with the radioactive and biological half lives. So to achieve dis incorporation efficiencies of more to 70%, the patient clinical treatment will begin before the first third of the biological half life of the radionuclide that generated the internal contamination. (Author)

An association between dietary habits and traffic accidents in patients with chronic liver disease: A data-mining analysis.

Science.gov (United States)

Kawaguchi, Takumi; Suetsugu, Takuro; Ogata, Shyou; Imanaga, Minami; Ishii, Kumiko; Esaki, Nao; Sugimoto, Masako; Otsuyama, Jyuri; Nagamatsu, Ayu; Taniguchi, Eitaro; Itou, Minoru; Oriishi, Tetsuharu; Iwasaki, Shoko; Miura, Hiroko; Torimura, Takuji

2016-05-01

The incidence of traffic accidents in patients with chronic liver disease (CLD) is high in the USA. However, the characteristics of patients, including dietary habits, differ between Japan and the USA. The present study investigated the incidence of traffic accidents in CLD patients and the clinical profiles associated with traffic accidents in Japan using a data-mining analysis. A cross-sectional study was performed and 256 subjects [148 CLD patients (CLD group) and 106 patients with other digestive diseases (disease control group)] were enrolled; 2 patients were excluded. The incidence of traffic accidents was compared between the two groups. Independent factors for traffic accidents were analyzed using logistic regression and decision-tree analyses. The incidence of traffic accidents did not differ between the CLD and disease control groups (8.8 vs. 11.3%). The results of the logistic regression analysis showed that yoghurt consumption was the only independent risk factor for traffic accidents (odds ratio, 0.37; 95% confidence interval, 0.16-0.85; P=0.0197). Similarly, the results of the decision-tree analysis showed that yoghurt consumption was the initial divergence variable. In patients who consumed yoghurt habitually, the incidence of traffic accidents was 6.6%, while that in patients who did not consume yoghurt was 16.0%. CLD was not identified as an independent factor in the logistic regression and decision-tree analyses. In conclusion, the difference in the incidence of traffic accidents in Japan between the CLD and disease control groups was insignificant. Furthermore, yoghurt consumption was an independent negative risk factor for traffic accidents in patients with digestive diseases, including CLD.

An association between dietary habits and traffic accidents in patients with chronic liver disease: A data-mining analysis

Science.gov (United States)

KAWAGUCHI, TAKUMI; SUETSUGU, TAKURO; OGATA, SHYOU; IMANAGA, MINAMI; ISHII, KUMIKO; ESAKI, NAO; SUGIMOTO, MASAKO; OTSUYAMA, JYURI; NAGAMATSU, AYU; TANIGUCHI, EITARO; ITOU, MINORU; ORIISHI, TETSUHARU; IWASAKI, SHOKO; MIURA, HIROKO; TORIMURA, TAKUJI

2016-01-01

The incidence of traffic accidents in patients with chronic liver disease (CLD) is high in the USA. However, the characteristics of patients, including dietary habits, differ between Japan and the USA. The present study investigated the incidence of traffic accidents in CLD patients and the clinical profiles associated with traffic accidents in Japan using a data-mining analysis. A cross-sectional study was performed and 256 subjects [148 CLD patients (CLD group) and 106 patients with other digestive diseases (disease control group)] were enrolled; 2 patients were excluded. The incidence of traffic accidents was compared between the two groups. Independent factors for traffic accidents were analyzed using logistic regression and decision-tree analyses. The incidence of traffic accidents did not differ between the CLD and disease control groups (8.8 vs. 11.3%). The results of the logistic regression analysis showed that yoghurt consumption was the only independent risk factor for traffic accidents (odds ratio, 0.37; 95% confidence interval, 0.16–0.85; P=0.0197). Similarly, the results of the decision-tree analysis showed that yoghurt consumption was the initial divergence variable. In patients who consumed yoghurt habitually, the incidence of traffic accidents was 6.6%, while that in patients who did not consume yoghurt was 16.0%. CLD was not identified as an independent factor in the logistic regression and decision-tree analyses. In conclusion, the difference in the incidence of traffic accidents in Japan between the CLD and disease control groups was insignificant. Furthermore, yoghurt consumption was an independent negative risk factor for traffic accidents in patients with digestive diseases, including CLD. PMID:27123257

The JCO criticality accident at Tokai-mura, Japan: an overview of the sampling campaign and preliminary results

International Nuclear Information System (INIS)

Komura, K.; Yamamoto, M.; Muroyama, T.; Murata, Y.; Nakanishi, T.; Hoshi, M.; Takada, J.; Ishikawa, M.; Takeoka, S.; Kitagawa, K.; Suga, S.; Endo, S.; Tosaki, N.; Mitsugashira, T.; Hara, M.; Hashimoto, T.; Takano, M.; Yanagawa, Y.; Tsuboi, T.; Ichimasa, M.; Ichimasa, Y.; Imura, H.; Sasajima, E.; Seki, R.; Saito, Y.; Kondo, M.; Kojima, S.; Muramatsu, Y.; Yoshida, S.; Shibata, S.; Yonehara, H.; Watanabe, Y.; Kimura, S.; Shiraishi, K.; Ban-nai, T.; Sahoo, S.K.; Igarashi, Y.; Aoyama, M.; Hirose, K.; Uehiro, T.; Doi, T.; Tanaka, A.; Matsuzawa, T.

2000-01-01

A criticality accident occurred on September 30, 1999 at the uranium conversion facility of the JCO Company Ltd. in Tokai-mura, Japan. A collaborating scientific investigation team was organized in two groups, the first to carry out research on the environmental impact (the environmental research group) and the second to assess the radiation effects on residents (the biological research group). This report concerns only the activities of the environmental research group. Four investigative teams were sent on different dates to the accident site and its vicinity to collect samples. About 400 samples were collected and subjected to analysis. An outline of the sampling campaign is presented here along with a brief chronology of the accident and the preliminary key results obtained by the independent research group are summarised in this Special Issue of the Journal of Environmental Radioactivity

A micro-gap, air-filled ionisation chamber as a detector for criticality accident dosimetry

International Nuclear Information System (INIS)

Murawski, I.; Zielczynski, M.; Gryzinski, M.A.; Golnik, N.

2014-01-01

A micro-gap air-filled ionisation chamber was designed for criticality dosimetry. The special feature of the chamber is its very small gap between electrodes of only 0.3 mm. This prevents ion recombination at high dose rates and minimises the influence of gas on secondary particles spectrum. The electrodes are made of polypropylene because of higher content of hydrogen in this material, when compared with soft tissue. The difference between neutron and gamma sensitivity in such chamber becomes practically negligible. The chamber's envelope contains two specially connected capacitors, one for polarising the electrodes and the other for collecting the ionisation charge. Air-filled ionisation chamber with very small gap is a simple dosemeter, which fulfills the most desired properties of criticality accident dosemeters. Short ion collection time is achieved by combination of small gap and relatively high polarising voltage. For the same reason, parasitic recombination of ions in the chamber is negligibly small even at high dose rates. The difference between neutron and gamma sensitivity is small for tissue-equivalent chamber and is expected to become practically negligible when the chamber electrodes are made of polypropylene. Additional capacitor provides a broad measuring range from ∼0.1 Gy up to ∼25 Gy; however, leakage of electrical charge from polarising capacitor has to be observed and taken into account. Periodical re-charging of the device is necessary. Obviously, final test of the device in conditions simulating criticality accident is needed and will be performed as soon as available. (authors)

Long-term follow-up of radiation accident patients in Peru: Review of two cases

International Nuclear Information System (INIS)

Barriga, L. E.; Zaharia, M.; Pinillos, L.; Moscol, A.; Heredia, A.; Sarria, G.; Marquina, J.; Barriga, O.; Picon, C.

2012-01-01

Overexposure to radioactive sources used in radiotherapy or industrial radiography may result in severe health consequences. This report assesses the initial clinical status and the medical and psychological long-term follow-up of two radiation accident patients from Peru during the mid-to-late 1990's: one patient exposed to a radiotherapy 60 Co source in Arequipa, the other patient to a 192 Ir source in Yanango. Commonalities and differences are described. The main causes in both accidents were human error and the failure to apply appropriate safety guidelines and standard operating procedures. Education and training of the personnel working with radiation sources are essential to prevent accidents. The experience gained from the medical management of the two patients is valuable for future treatment of such patients. (authors)

Psychological evaluation of the patients contaminated in the Goiania radiological accident in Brazil

International Nuclear Information System (INIS)

1989-08-01

The psychological evaluation of 68 patients contaminated in the Goiania accident as well as of the personnel (about 27) working at the organizations responsible for the assistance given to the victims of the accident is presented

Major Accidents (Gray Swans) Likelihood Modeling Using Accident Precursors and Approximate Reasoning.

Science.gov (United States)

Khakzad, Nima; Khan, Faisal; Amyotte, Paul

2015-07-01

Compared to the remarkable progress in risk analysis of normal accidents, the risk analysis of major accidents has not been so well-established, partly due to the complexity of such accidents and partly due to low probabilities involved. The issue of low probabilities normally arises from the scarcity of major accidents' relevant data since such accidents are few and far between. In this work, knowing that major accidents are frequently preceded by accident precursors, a novel precursor-based methodology has been developed for likelihood modeling of major accidents in critical infrastructures based on a unique combination of accident precursor data, information theory, and approximate reasoning. For this purpose, we have introduced an innovative application of information analysis to identify the most informative near accident of a major accident. The observed data of the near accident were then used to establish predictive scenarios to foresee the occurrence of the major accident. We verified the methodology using offshore blowouts in the Gulf of Mexico, and then demonstrated its application to dam breaches in the United Sates. © 2015 Society for Risk Analysis.

Effects of the criticality accident at Tokai-mura on the public's attitude to nuclear power generation

International Nuclear Information System (INIS)

Kitada, Atsuko; Hayashi, Chikio

2000-01-01

The objective of our study was to clarify the effects on the public's attitude of nuclear power and the criticality accident that occurred at the JCO plant in Tokai-mura, Ibaraki Prefecture. For this purpose, we conducted an awareness survey in the Kansai and Kanto areas two months after the accident. Analysis was made on the basis of the comparison of the survey results with the data that the Institute of Nuclear Safety System had accumulated through continuous awareness surveys on nuclear power generation (regular surveys) since 1993. The public's reactions were twofold. On one hand, there were emotional reactions about accidents in nuclear facilities and a reduction in the sense of security. On the other hand, there were reactions concerning the image of nuclear power plant workers and demand on electricity utilities for enhanced employee education and training. The latter reactions correspond to the problems pointed out after the JCO accident. Regarding the utilization of nuclear power generation, the opinion that 'the utilization of nuclear power generation is unavoidable' accounts for 60% of those surveyed. With the opinion that 'nuclear power generation should be utilized' added, 70% of those surveyed take an affirmative attitude to nuclear power utilization. This situation has remained about the same since 1998, the year before the JCO accident. Using the quantification method III to analyze a number of questionnaires about nuclear power generation such as the anxiety about it, we determined overall attitude indexes regarding nuclear power to perform a time sequence comparison. The comparison shows that the attitude after the JCO accident tended to be more negative than in 1998. However, no significant difference in the overall indexes is seen between 1993 and 1998. Judging the comparison results on the basis of the time span starting in 1993 allows us to conclude that the JCO accident has not greatly contributed to worsening the attitude towards nuclear

An emergent proposal on the Committee of Uranium Processing Factory Criticality Accident Survey of the Nuclear Safety Commission. A meantime report dated on November 5, 1999

International Nuclear Information System (INIS)

2000-01-01

The Nuclear Safety Commission was received a decision on thorough investigations of accident reason on criticality accident at the Tokai-mura uranium processing factory of the JCO Incorporation occurred on September 30, 1999, to establish the Committee of Uranium Processing Factory Criticality Accident Survey to elucidate its reason thoroughly and contribute to set up a sufficient reforming prevention countermeasure. This Committee judged that it was important to propose a countermeasure directly obtainable by grasping some fact relations clarified before now as soon as possible and intended to conduct this meantime report of 'emergent proposal' by arrangement of such fact relations. Here were described on accidental conditions and their effects, response to the accident (on prevention of the accident), its reasons and their relating conditions, and some emergent proposals. In the last items, safety security at accidental site, health countermeasures to residents and others, establishment of safety security for nuclear business workers and others, and reconstruction on safety regulation in national government. (G.K.)

Accident precursors, near misses, and warning signs: Critical review and formal definitions within the framework of Discrete Event Systems

International Nuclear Information System (INIS)

Saleh, Joseph H.; Saltmarsh, Elizabeth A.; Favarò, Francesca M.; Brevault, Loïc

2013-01-01

An important consideration in safety analysis and accident prevention is the identification of and response to accident precursors. These off-nominal events are opportunities to recognize potential accident pathogens, identify overlooked accident sequences, and make technical and organizational decisions to address them before further escalation can occur. When handled properly, the identification of precursors provides an opportunity to interrupt an accident sequence from unfolding; when ignored or missed, precursors may only provide tragic proof after the fact that an accident was preventable. In this work, we first provide a critical review of the concept of precursor, and we highlight important features that ought to be distinguished whenever accident precursors are discussed. We address for example the notion of ex-ante and ex-post precursors, identified for postulated and instantiated (occurred) accident sequences respectively, and we discuss the feature of transferability of precursors. We then develop a formal (mathematical) definition of accident precursors as truncated accident sequences within the modeling framework of Discrete Event Systems. Additionally, we examine the related notions of “accident pathogens” as static or lurking adverse conditions that can contribute to or aggravate an accident, as well as “near misses”, “warning signs” and the novel concept of “accident pathway”. While these terms are within the same linguistic neighborhood as “accident precursors”, we argue that there are subtle but important differences between them and recommend that they not be used interchangeably for the sake of accuracy and clarity of communication within the risk and safety community. We also propose venues for developing quantitative importance measures for accident precursors, similar to component importance measures in reliability engineering. Our objective is to establish a common understanding and clear delineation of these terms, and

Treatment of Chryseobacterium indologenes ventilator-associated pneumonia in a critically ill trauma patient.

Science.gov (United States)

Monteen, Megan R; Ponnapula, Supriya; Wood, G Christopher; Croce, Martin A; Swanson, Joseph M; Boucher, Bradley A; Fabian, Timothy C

2013-12-01

To report a case of Chryseobacterium indologenes ventilator-associated pneumonia (VAP) in a critically ill trauma patient. This report describes a 66-year-old critically ill trauma patient who developed VAP, which was caused by C indologenes. The patient was injured in a riding lawn mower accident that trapped him underwater in a pond. The patient required surgery for intra-abdominal injuries and was mechanically ventilated in the trauma intensive care unit. On hospital day 5, the patient developed signs and symptoms of VAP. A diagnosis of C indologenes VAP was confirmed based on a quantitative culture from a bronchoscopic bronchoalveolar lavage. The patient's infection was successfully treated with moxifloxacin for 2 days followed by cefepime for 7 days. Formally known as Flavobacterium indologenes, C indologenes is a Gram-negative bacillus normally found in plants, soil, foodstuffs, and fresh and marine water sources. Recently, worldwide reports of C indologenes infections in humans have been increasing, though reports from the United States are still rare. Bacteremia and pneumonia are the most commonly reported infections, and most patients are immunocompromised. The current case differs from most previous reports because this patient was in the United States and did not have any traditional immunocompromised states (eg, transplant, cancer, HIV/AIDS, or corticosteroid use). This case report demonstrates that C indologenes can cause VAP in a trauma ICU patient.

Early clinical consequences of victims in JCO criticality accident in Tokaimura

International Nuclear Information System (INIS)

Suzuki, Gen

2000-01-01

The JCO criticality accident occurred at 10:35 on September 30, 1999 when two workers (O and S) poured the solution of uranyl nitrate into the precipitation tank and one (Y) worked at desk in the neighboring room. O's symptoms were unconsciousness, rigidity and emesis, and S's, numbness. The three were moved to Mito National Hospital by an ambulance car at 12:07 and then to the Hospital of National Institute of Radiological Sciences by the helicopter and car at 15:25, where contamination of their cloths by Na-24, suggesting the exposure to neutron, was found. O exhibited emesis within 10 min after the accident and diarrhea, unconsciousness and severe pyrexia within 1 hr, suggesting he had undergone the lethal exposure of >8 Gy. S showed emesis, light unconsciousness and numbness within 1 hr, suggesting >6 Gy and Y did not show even emesis, less dose exposure than the two. They underwent firstly the drip of sodium hydrogen carbonate (due to possible internal exposure of uranium), oxygen inhalation and then corticoid injection as well as the drip of antibiotics. At that day, they had the special therapy with pentoxyphylline and L-glutamine+elementary diet. Later, in the Hospital of Tokyo University, O and S had the heamopoietic stem cell transplantation. At present, O passed away, S is still in hospital and Y is discharged. (K.H.)

Cerebrovascular accidents in adult patients with congenital heart disease

NARCIS (Netherlands)

Hoffmann, A.; Chockalingam, P.; Balint, O.H.; Dadashev, A.; Dimopoulos, K.; Engel, R.; Schmid, M.; Schwerzmann, M.; Gatzoulis, M.A.; Mulder, B.J.M.; Oechslin, E.

2010-01-01

Objective To investigate the prevalence and characteristics of cerebrovascular accidents (CVA) in a large population of adults with congenital heart disease (CHD). Methods and results In a retrospective analysis of aggregated European and Canadian databases a total population of 23 153 patients with

Radiation accidents

International Nuclear Information System (INIS)

Poplavskij, K.K.; Smorodintseva, G.I.

1978-01-01

On the basis of a critical analysis of the available data on causes and consequences of radiation accidents (RA), a classification of RA by severity (five groups of accidents) according to biomedical consequences and categories of exposed personnel is proposed. A RA is defined and its main characteristics are described. Methods of RA prevention are proposed, as is a plan of specific measures to deal with RA in accordance with the proposed classification

Reactivity accident analysis in MTR cores

International Nuclear Information System (INIS)

Waldman, R.M.; Vertullo, A.C.

1987-01-01

The purpose of the present work is the analysis of reactivity transients in MTR cores with LEU and HEU fuels. The analysis includes the following aspects: the phenomenology of the principal events of the accident that takes place, when a reactivity of more than 1$ is inserted in a critical core in less than 1 second. The description of the accident that happened in the RA-2 critical facility in September 1983. The evaluation of the accident from different points of view: a) Theoretical and qualitative analysis; b) Paret Code calculations; c) Comparison with Spert I and Cabri experiments and with post-accident inspections. Differences between LEU and HEU RA-2 cores. (Author)

Dependency in Critically Ill Patients

Directory of Open Access Journals (Sweden)

Rumei Yang

2016-03-01

Full Text Available By necessity, critically ill patients admitted to intensive care units (ICUs have a high level of dependency, which is linked to a variety of negative feelings, such as powerlessness. However, the term dependency is not well defined in the critically ill patients. The concept of “dependency” in critically ill patients was analyzed using a meta-synthesis approach. An inductive process described by Deborah Finfgeld-Connett was used to analyze the data. Overarching themes emerged that reflected critically ill patients’ experience and meaning of being in dependency were (a antecedents: dependency in critically ill patients was a powerless and vulnerable state, triggered by a life-threatening crisis; (b attributes: the characteristic of losing “self” was featured by dehumanization and disembodiment, which can be alleviated by a “self”-restoring process; and (c outcomes: living with dependency and coping with dependency. The conceptual model explicated here may provide a framework for understanding dependency in critically ill patients.

Medical follow up of ten patients victims of the radiological accident occurred in Goiania, Goias State, Brazil 1988/1992; Acompanhamento clinico de dez pacientes vitimas do acidente radiologico de Goiania - 1988/1992

Energy Technology Data Exchange (ETDEWEB)

Curado, M.P.; Morais, M.S.A.; Silva, J.F.; Assis, P.R.; Oliveira, A.R.; Santos, E.A

1992-12-31

The author makes an update of the medical aspects of ten victims of the radiological accident occurred in Goiania in September 1987. These patients received specialized treatment during the critical phase at Marcilio Dias Naval Hospital in Rio de Janeiro. Actually these patients are under medical follow-up at Leide das Neves Ferreira Foundation since march 1988. The clinical, haematological and laboratorial results are presented and discussed. The importance of a close medical follow-up direct victims of a radiological accident is stressed. (author) 13 refs., 5 tabs., 2 graphs.

Cerebrovascular accidents in adult patients with congenital heart disease

NARCIS (Netherlands)

Hoffmann, A.; Chockalingam, P.; Balint, O. H.; Dadashev, A.; Dimopoulos, K.; Engel, R.; Schmid, M.; Schwerzmann, M.; Gatzoulis, M. A.; Mulder, B.; Oechslin, E.

2010-01-01

To investigate the prevalence and characteristics of cerebrovascular accidents (CVA) in a large population of adults with congenital heart disease (CHD). In a retrospective analysis of aggregated European and Canadian databases a total population of 23 153 patients with CHD was followed up to the

A study on posttraumatic experience of road traffic accident afflicted maxillofacial trauma patient at tertiary hospital.

Science.gov (United States)

Yadav, Santosh Kumar; Shrestha, Suraksha

2017-01-01

Patients are usually left in a vulnerable state after an accident. Because of this, they long for a good encounter when they are brought to the hospital. Physical impairment and psychological morbidities are some of the complications that can occur to them. Traditionally, surgeons tend to pay little attention to a patient's emotional and psychological perspective. The aim of this study was to understand the experience of oral and maxillofacial trauma patients due to road traffic accident right from immediate after the accident till the end of definitive treatment. Phenomenological approach of qualitative study was used to explore these patients' experience. Twenty subjects involved in road traffic accidents without any cognitive impairment aged 18 and above were recruited. Purposive sampling was used to include maximal variation sample regarding age, gender, types of injury, and types of treatment received. Semi-structured and open-ended interview approach was used to obtain in-depth information. Seven themes were identified to describe the patients' response to and experience after meeting with a road traffic accident; they are unreal experiences, emotional responses, need to inform and need for information, need for assistance, their perception toward the maxillofacial injury, their experience on treatment and staff-patient interaction. This qualitative study has provided an in-depth understanding of patients experience during maxillofacial trauma and treatment, which otherwise cannot be obtained by the use of surveys and test questions.

The effect of kineziotape on ankle joint in patients with cerebrovascular accident - objectivisation by a footscan

OpenAIRE

Veličková, Barbora

2013-01-01

BACHELOR THESIS ABSTRACT Name and surname: Barbora Veličková Supervisor: Bc. Tereza Chalupská Opponent: Title: The effect of kineziotape on ankle joint in patients with cerebrovascular accident - objectivisation by a footscan Key words: kineziotaping, ankle joint, cerebrovascular accident, Footscan® Abstract: This bachelor thesis is focused on on the effect of kineziotape on ankle joint in patients with cerebrovascular accident. The bachelor thesis consists of theoretical and practical part. ...

MDCT findings in sports and recreational accidents

Energy Technology Data Exchange (ETDEWEB)

Bensch, Frank V; Koivikko, Mika P; Koskinen, Seppo K (Dept. of Radiology, Toeoeloe Hospital, Helsinki (Finland)), email: frank.bensch@hus.fi

2011-12-15

Background. Sports and recreational accidents involving critical areas of the body occur commonly in the general population. Reports on their demographics and recommendations for screening procedures are, however, few. Purpose. To assess injuries of the craniofacial area, spine, and torso resulting from sports and recreational accidents with multidetector computed tomography (MDCT) as primary imaging method in a Level I trauma center. Material and Methods. All emergency room CT requests over a time span of 105 months were reviewed retrospectively for trauma mechanism and injury. Patients were identified using an electronic picture archiving and communications system (PACS), and MDCT studies interpreted by two radiologists independently. Results. Of a total of 5898 patients, 492 patients (301 boys/men, 191 girls/women, age range 2-76 years, mean 33.5 years, median 29.5 years) with sports or recreational accidents emerged. A total of 102 traumatic findings were diagnosed, thereof 72 (71%) serious. The three most commonly encountered serious injuries were intracranial injury, fractures of facial bones, and vertebral injuries. The three most common injury mechanisms were bicycling, horseback riding, and team ball sports. Patients from recreational activities were on average significantly younger (29.2 years) than those from sports accidents (36.9 years; P < 0.001). Only age groups <21 years and 41-50 years differed in injury severity from the other age groups (P = 0.004 and P = 0.063, respectively). Of all trauma mechanisms, only bicycling had a significantly increased risk of injury (P < 0.001). Conclusion. Injuries in sports and recreational accidents presented with an overall incidence of 21%, of which 71% are serious. The most common mechanisms of injury were bicycling, horseback riding, and team ball sports. The largest incidence of serious injury involved bicycling. Because of the high probability of a serious injury and the high energies that are often involved

MDCT findings in sports and recreational accidents

International Nuclear Information System (INIS)

Bensch, Frank V; Koivikko, Mika P; Koskinen, Seppo K

2011-01-01

Background. Sports and recreational accidents involving critical areas of the body occur commonly in the general population. Reports on their demographics and recommendations for screening procedures are, however, few. Purpose. To assess injuries of the craniofacial area, spine, and torso resulting from sports and recreational accidents with multidetector computed tomography (MDCT) as primary imaging method in a Level I trauma center. Material and Methods. All emergency room CT requests over a time span of 105 months were reviewed retrospectively for trauma mechanism and injury. Patients were identified using an electronic picture archiving and communications system (PACS), and MDCT studies interpreted by two radiologists independently. Results. Of a total of 5898 patients, 492 patients (301 boys/men, 191 girls/women, age range 2-76 years, mean 33.5 years, median 29.5 years) with sports or recreational accidents emerged. A total of 102 traumatic findings were diagnosed, thereof 72 (71%) serious. The three most commonly encountered serious injuries were intracranial injury, fractures of facial bones, and vertebral injuries. The three most common injury mechanisms were bicycling, horseback riding, and team ball sports. Patients from recreational activities were on average significantly younger (29.2 years) than those from sports accidents (36.9 years; P < 0.001). Only age groups <21 years and 41-50 years differed in injury severity from the other age groups (P = 0.004 and P = 0.063, respectively). Of all trauma mechanisms, only bicycling had a significantly increased risk of injury (P < 0.001). Conclusion. Injuries in sports and recreational accidents presented with an overall incidence of 21%, of which 71% are serious. The most common mechanisms of injury were bicycling, horseback riding, and team ball sports. The largest incidence of serious injury involved bicycling. Because of the high probability of a serious injury and the high energies that are often involved

Measurement of the Portsmouth Gaseous Diffusion Plant criticality accident alarm

International Nuclear Information System (INIS)

Tayloe, R.W. Jr.; McGinnis, B.

1990-01-01

Measurements of the Portsmouth Gaseous Diffusion Plant's nuclear criticality accident radiation alarm signal response time, sound wave frequency, and sound volume levels were made to demonstrate compliance with ANSI/ANS-8.3-1986. A steady-state alarm signal is produced within one-half second of obtaining a two-out-of-three detector trip. The fundamental alarm sound wave frequency is 440 hertz. The sound volume levels are greater than 10 decibels above background and ranged from 100 to 125 A-weighted decibels. The requirements of the standard were met; however the recommended maximum sound volume level of 115 dBA was exceeded. Emergency procedures require immediate evacuation upon initiation of a facility's radiation alarm. Comparison with standards for allowable time of exposure at different noise levels indicate that the elevated noise level at this location does not represent an occupational injury hazard. 8 refs., 5 figs

Comparison of the transient behavior of lead-based advanced critical and sub-critical reactors

International Nuclear Information System (INIS)

Wang Gang; Gu Zhixing; Wang Zhen; Jin Ming; Bai Yunqing

2014-01-01

A lead-based reactor developed by FDS Team is proposed in 2011 and designed to be 10 MW. It is a pool type reactor and the primary coolant is driven by natural circulation. The reactor has two operation modes, which are a lead-based critical fast reactor mode and a lead-based sub-critical reactor mode. The conceptual designs of the two modes are both completed by 2013. In this paper, four transient accidents were simulated for both the critical and sub-critical reactors above by NTC-2D code, which is developed by FDS Team for advanced reactor safety analysis. The four accidents were protected and unprotected loss of heat sink accidents (PLOHS and ULOHS), protected and unprotected transient overpower accidents (PTOP and UTOP). The simulation results of the two reactors were compared and analyzed. The results showed that during PLOHS and PTOP accidents for both the two modes, all the key parameters (core power, fuel, cladding and coolant temperatures in the hottest channel) decreased to very small values after the reactor scrammed, which meant the reactors under the two modes were both safe. For ULOHS, the fuel, cladding and coolant temperatures of the sub-critical reactor increased bigger than those of the critical one. For UTOP, the parameters above of the critical fast reactor were much bigger than those of the sub-critical one. The analysis results showed different safety advantages of the lead-based critical fast and sub-critical reactors during different transient accidents. (author)

Characteristics of cerebrovascular accidents at time of diagnosis in a series of 98 patients with giant cell arteritis.

Science.gov (United States)

Zenone, Thierry; Puget, Marie

2013-12-01

The objective of this study was to determine the characteristics of cerebrovascular accidents at time of diagnosis in patients with giant cell arteritis. Retrospective data were collected from 98 patients at a single hospital with giant cell arteritis (according to the American College of Rheumatology classification criteria) diagnosed between October 1999 and January 2012. Cerebrovascular accident was found at initial presentation in 6 patients (6.1 %, 95 % CIs 2.3-12.9). Most of them had other symptoms of giant cell arteritis when the disease began. Signs reflecting the involvement of vertebro-basilar territory were present in 3 cases. No other case of cerebrovascular accident was described during the follow-up of patient; particularly no case of cerebrovascular accident occurred once corticosteroid therapy for the treatment of giant cell arteritis had been initiated. No differences in the epidemiologic, clinical and laboratory features at the time of diagnosis between patients who had cerebrovascular accidents and the rest of the giant cell arteritis patients were observed. Prognosis was good in our survey. However, there was no case of bilateral vertebral artery occlusion, a condition associated with poor prognosis. The present study confirms that cerebrovascular accidents may be the initial manifestation of giant cell arteritis, an argument in favor of a direct effect of the vasculitis in the development of cerebrovascular accidents rather than a complication of the corticosteroid therapy. The diagnosis of giant cell arteritis should always be considered in an elderly patient with stroke and an unexplained elevation of inflammatory biomarkers.

Local governments' roles of the compensation for damage by the Tokai JCO criticality accident

International Nuclear Information System (INIS)

Tanabe, Tomoyuki

2003-01-01

The Tokai JCO criticality accident on September 30, 1999 was the first case to which The Law on Compensation for Nuclear Damage was applied. Although the Law on Compensation for Nuclear Damage formulates the outline of the institutional framework for nuclear third party liability together with operator's insurance scheme, details of actual compensation procedure are not specified. By this reason, the compensation procedure in the Tokai accident had been executed without a concrete legal specification and a precedent. In spite of this situation, the compensation procedure with the accident led to an unexpectedly successful result. We observe the several reasons why the compensation procedure was implemented successfully despite the lack of concrete legal specification and a precedent. One of the reasons is that the local governments, Tokai Village and Ibaraki Prefecture, immediately took the leadership in implementing a temporary regime of compensation procedure without wasting time for waiting national government's directives. Upon practicing this compensation procedure, the local governments implemented the following steps. (1) Initial estimation of the amount and scope of damage. (2) Providing the criteria and heads of damage subject to compensation. (3) Unitary compensation procedure at the local levels. (4) Distribution of emergency payments for the victims. (5) Facilitating compensatory negotiation between the victims and JCO as arbitrator. However, some concerns are also pointed out about the fact that the local government directed the whole procedure without sufficient adjustment with the national government for compensation policy. Among all, in the compensation led by the local governments, it was difficult to guarantee fairness of compensation because victims who are influential on the local government such as industrial associations would have unfairly strong negotiation power in the compensatory negotiation, while the operator being responsible for the

2010 Criticality Accident Alarm System Benchmark Experiments At The CEA Valduc SILENE Facility

International Nuclear Information System (INIS)

Miller, Thomas Martin; Dunn, Michael E.; Wagner, John C.; McMahan, Kimberly L.; Authier, Nicolas; Jacquet, Xavier; Rousseau, Guillaume; Wolff, Herve; Piot, Jerome; Savanier, Laurence; Baclet, Nathalie; Lee, Yi-kang; Masse, Veronique; Trama, Jean-Christophe; Gagnier, Emmanuel; Naury, Sylvie; Lenain, Richard; Hunter, Richard; Kim, Soon; Dulik, George Michael; Reynolds, Kevin H.

2011-01-01

Several experiments were performed at the CEA Valduc SILENE reactor facility, which are intended to be published as evaluated benchmark experiments in the ICSBEP Handbook. These evaluated benchmarks will be useful for the verification and validation of radiation transport codes and evaluated nuclear data, particularly those that are used in the analysis of CAASs. During these experiments SILENE was operated in pulsed mode in order to be representative of a criticality accident, which is rare among shielding benchmarks. Measurements of the neutron flux were made with neutron activation foils and measurements of photon doses were made with TLDs. Also unique to these experiments was the presence of several detectors used in actual CAASs, which allowed for the observation of their behavior during an actual critical pulse. This paper presents the preliminary measurement data currently available from these experiments. Also presented are comparisons of preliminary computational results with Scale and TRIPOLI-4 to the preliminary measurement data.

SICK SINUS SYNDROME IN PATIENTS WITH ACUTE CEREBROVASCULAR ACCIDENTS

Directory of Open Access Journals (Sweden)

E. K. Kazakova

2015-01-01

Full Text Available The article presents a clinical case of 2 patients with heart arrhythmias of the sick sinus syndrome type, who were implanted electriccardiac pacemakers in the acute period of cerebrovascular accidents. There were no cardiac complaints in the clinical manifestation, however, a comprehensive assessment confirmed the diagnosis of sick sinus syndrome.

Clinical significance of the dynamic changes of serum IGF-1 levels in patients with acute cerebro-vascular accident

International Nuclear Information System (INIS)

Chen Yujuan; Liu Xueyuan; Bian Weihong; Du Xinlu; Yang Hongyan

2006-01-01

Objective: To investigate the dynamic changes of serum insulin-like growth factor-1 (IGF-1) levels in patients with acute cerebrovascular accident. Methods: Serum IGF-1 levels were determined with RIA in 40 patients with cerebral infarction, 20 patients with lacunar infarcts and 40 patients with cerebral haemorrhage within 3days after onset and on d14 as well as in 30 controls. Results: The serum IGF-1 levels in patients with cerebral vascular accidents were significantly lower than those in controls (P 0.05). Conclusion: Serum levels of IGF-1 dropped markedly during the acute stage after cerebrovascular accident and the magnitude might reflect the severity of the event, IGF-1 might be capable of crossing the blood-brain barrier after cerebrovascular accident and providing some protection against nerve injury, this fact might be of potential clinical applicability. (authors)

NARCISS critical stand experiments for studying the nuclear safety in accident water immersion of highly enriched uranium dioxide fuel elements

International Nuclear Information System (INIS)

Ponomarev-Stepnoj, N.N.; Glushkov, E.S.; Bubelev, V.G.

2005-01-01

A brief description of the Topaz-2 SNPS designed under scientific supervision of RRC KI in Russia, and of the NARCISS critical facility, is given. At the NARCISS critical facility, neutronic peculiarities and nuclear safety issues of the Topaz-2 system reactor were studied experimentally. This work is devoted to a detailed description of experiments on investigation of criticality safety in accident water immersion og highly enriched uranium dioxide fuel elements, performed at the NARCISS facility. The experiments were carried out at water-moderated critical assemblies with varying height, number, and spacing of fuel elements. The results obtained in the critical experiments, computational models of the investigated critical configurations, and comparison of the computational and experimental results are given [ru

Lessons learned from radiological accidents at medical exposures in radiotherapy

International Nuclear Information System (INIS)

Fagundes, J.S.; Ferreira, A.F.; Lima, C.M.A.; Silva, F.C.A. da

2017-01-01

An exposure is considered accidental in radiotherapy when there is a substantial deviation in the prescription of treatment. In this work, an analysis of published radiological accidents, both in Brazil and internationally, was performed during medical exposures in radiotherapy treatments, removing the main lessons learned. Of the research carried out, we highlight Brazil with four radiological accidents and one death in the period between 2011 and 2014; the United States of America with 169 accidents with two deaths from 2000 to 2010 and France from 2001 to 2014 had 569 deaths without patients. Lessons learned have been described, for example, that maintenance personnel training should specify limitations or restrictions on the handling or adjustment of critical parts on the accelerator. It is recommended to apply the 10 main lessons learned due to radiological accidents during medical exposures in radiotherapy treatments to avoid future events

Jerky driving--An indicator of accident proneness?

Science.gov (United States)

Bagdadi, Omar; Várhelyi, András

2011-07-01

This study uses continuously logged driving data from 166 private cars to derive the level of jerks caused by the drivers during everyday driving. The number of critical jerks found in the data is analysed and compared with the self-reported accident involvement of the drivers. The results show that the expected number of accidents for a driver increases with the number of critical jerks caused by the driver. Jerk analyses make it possible to identify safety critical driving behaviour or "accident prone" drivers. They also facilitate the development of safety measures such as active safety systems or advanced driver assistance systems, ADAS, which could be adapted for specific groups of drivers or specific risky driving behaviour. Copyright © 2011 Elsevier Ltd. All rights reserved.

Incidence of cerebrovascular accidents in patients undergoing minimally invasive valve surgery.

Science.gov (United States)

LaPietra, Angelo; Santana, Orlando; Mihos, Christos G; DeBeer, Steven; Rosen, Gerald P; Lamas, Gervasio A; Lamelas, Joseph

2014-07-01

Minimally invasive valve surgery has been associated with increased cerebrovascular complications. Our objective was to evaluate the incidence of cerebrovascular accidents in patients undergoing minimally invasive valve surgery. We retrospectively reviewed all the minimally invasive valve surgery performed at our institution from January 2009 to June 2012. The operative times, lengths of stay, postoperative complications, and mortality were analyzed. A total of 1501 consecutive patients were identified. The mean age was 73 ± 13 years, and 808 patients (54%) were male. Of the 1501 patients, 206 (13.7%) had a history of a cerebrovascular accident, and 225 (15%) had undergone previous heart surgery. The procedures performed were 617 isolated aortic valve replacements (41.1%), 658 isolated mitral valve operations (43.8%), 6 tricuspid valve repairs (0.4%), 216 double valve surgery (14.4%), and 4 triple valve surgery (0.3%). Femoral cannulation was used in 1359 patients (90.5%) and central cannulation in 142 (9.5%). In 1392 patients (92.7%), the aorta was clamped, and in 109 (7.3%), the surgery was performed with the heart fibrillating. The median aortic crossclamp and cardiopulmonary bypass times were 86 minutes (interquartile range [IQR], 70-107) minutes and 116 minutes (IQR, 96-143), respectively. The median intensive care unit length of stay was 47 hours (IQR, 29-74), and the median postoperative hospital length of stay was 7 days (IQR, 5-10). A total of 23 cerebrovascular accidents (1.53%) and 38 deaths (2.53%) had occurred at 30 days postoperatively. Minimally invasive valve surgery was associated with an acceptable stroke rate, regardless of the cannulation technique. Copyright © 2014 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved.

Biological dosimetry following exposure to neutrons in a criticality accident

Energy Technology Data Exchange (ETDEWEB)

Lindholm, C. (Radiation and Nuclear Safety Authority, STUK (Finland)); Wojcik, A. (Stockholm Univ. (SU), Stockholm (Sweden)); Jaworska, A. (Norwegian Radiation Protection Authority (NRPA) (Norway))

2011-01-15

The aim of the BIONCA project was to implement cytogenetic techniques for biodosimetry purposes in the Nordic countries. The previous NKS-funded biodosimetry activities (BIODOS and BIOPEX) concentrated on experiments using gamma-irradiation and on developing the PCC ring assay for biodosimetry. Experiments conducted during the present BIONCA project has broadened the biodosimetry capacity of the Nordic countries to include dose estimation of exposure to neutrons for both PCC ring and dicentric chromosome techniques. In 2009, experiments were conducted for establishing both PCC ring and dicentric dose calibration curves. Neutron irradiation of human whole blood obtained from two volunteers was conducted in the Netherlands at the Petten reactor. Cell cultures and analysis of whole blood exposed to eight doses between 0 and 10 Gy were performed for both techniques. For the dicentric assay, excellent uniformity in dose calibration for data from both SU and STUK was observed. For PCC rings, the SU and STUK curves were not equally congruent, probably due to the less uniform scoring criteria. However, both curves displayed strong linearity throughout the dose range. In 2010, an exercise was conducted to simulate a criticality accident and to test the validity of the established dose calibration curves. For accident simulation, 16 blood samples were irradiated in Norway at the Kjeller reactor and analysed for dose estimation with both assays. The results showed that, despite a different com-position of the radiation beams in Petten and Kjeller, good dose estimates were obtained. The activity has provided good experience on collaboration required in radiation emergency situations where the biodosimetry capacity and resources of one laboratory may be inadequate. In this respect, the project has strengthened the informal network between the Nordic countries: STUK, the Finnish Radiation and Nuclear Safety Authority, NRPA, the Norwegian Radiation Protection Authority and SU

Effects of the criticality accident at Tokai-mura on the public's attitude to nuclear power generation

Energy Technology Data Exchange (ETDEWEB)

Kitada, Atsuko [Institute of Social Research, Institute of Nuclear Safety System Inc., Mihama, Fukui (Japan); Hayashi, Chikio [The Institute of Statistical Mathematics, Tokyo (Japan)

2000-09-01

The objective of our study was to clarify the effects on the public's attitude of nuclear power and the criticality accident that occurred at the JCO plant in Tokai-mura, Ibaraki Prefecture. For this purpose, we conducted an awareness survey in the Kansai and Kanto areas two months after the accident. Analysis was made on the basis of the comparison of the survey results with the data that the Institute of Nuclear Safety System had accumulated through continuous awareness surveys on nuclear power generation (regular surveys) since 1993. The public's reactions were twofold. On one hand, there were emotional reactions about accidents in nuclear facilities and a reduction in the sense of security. On the other hand, there were reactions concerning the image of nuclear power plant workers and demand on electricity utilities for enhanced employee education and training. The latter reactions correspond to the problems pointed out after the JCO accident. Regarding the utilization of nuclear power generation, the opinion that 'the utilization of nuclear power generation is unavoidable' accounts for 60% of those surveyed. With the opinion that 'nuclear power generation should be utilized' added, 70% of those surveyed take an affirmative attitude to nuclear power utilization. This situation has remained about the same since 1998, the year before the JCO accident. Using the quantification method III to analyze a number of questionnaires about nuclear power generation such as the anxiety about it, we determined overall attitude indexes regarding nuclear power to perform a time sequence comparison. The comparison shows that the attitude after the JCO accident tended to be more negative than in 1998. However, no significant difference in the overall indexes is seen between 1993 and 1998. Judging the comparison results on the basis of the time span starting in 1993 allows us to conclude that the JCO accident has not greatly contributed to worsening

Improved set of criticality accident detectors used in the intercomparison experiment in Valduc

International Nuclear Information System (INIS)

Jozefowicz, K.; Golnik, N.

1996-01-01

An improved set of critically accident detectors has been elaborated for the needs of the Inst. of Atomic Energy in Swierk. The sets, which consist of fission track detectors, wide-base silicon diodes and RPL glasses, were tested in the international intercomparison experiment in Valduc, France. Comparison of our results with the reference measurements showed a good agreement (within 25%) for both the neutron and gamma measurements. Additionally, the diode response to neutron kerma was investigated more extensively in the dose range between 2 and 10 Gy, where the dependence of the diode signal versus neutron kerma was not well known. A possibility of the multiple use of the diodes has been proved. (author)

Dose-dependent analysis of acute medical effects of mixed neutron-gamma radiation from selected severe 235U or 239Pu criticality accidents in USSR, United States, and Argentina.

Science.gov (United States)

Barabanova, Tatyana; Wiley, Albert L; Bushmanov, Andrey

2012-04-01

Eight of the most severe cases of acute radiation disease (ARS) known to have occurred in humans (as the result of criticality accidents) had survival times less than 120 h (herein defined as "early death"). These accidents were analyzed and are discussed with respect to the specific accident scenarios and the resulting accident-specific, mixed neutron-gamma radiation clinical dose distributions. This analysis concludes that the cardiovascular system appears to be the most critical organ system failure for causing "early death" following approximate total body, mixed gamma-neutron radiation doses greater than 40-50 Gy. The clinical data also suggest that there was definite chest dose dependence in the resulting survival times for these eight workers, who unfortunately suffered profound radiation injury and unusual clinical effects from such high dose radiation exposures. In addition, "toxemic syndrome" is correlated with the irradiation of large volumes of soft tissues. Doses to the hands or legs greater than 80-100 Gy or radiation lung injury also play significant but secondary roles in causing "early death" in accidents delivering chest doses greater than 50 Gy.

Study of a criticality accident involving fuel rods and water outside a power reactor

International Nuclear Information System (INIS)

Beloeil, L.

2000-01-01

It is possible to imagine highly unlikely but numerous accidental situations where fuel rods come into contact with water under conditions close to atmospheric values. This work is devoted to modelling and simulation of first instants of the power excursion that may result from such configurations. We show that void effect is a preponderant feedback for most severe accidents. The formation of a vapour film around the rods is put forward and confirmed with the help of experimental transients using electrical heating. We propose then a vapour/liquid flow model able to reproduce void fraction evolution. The vapour film is treated as a compressible medium. Conservation balance equations are solved on a moving mesh with a two-dimensional scheme and boundary conditions taking notice of interfacial phenomena and axial escape possibility. Movements of the liquid phase are modelled through a non-stationary integral equation and a dissipative term suited to the particular geometry of this flow. The penetration of energy into the liquid is also calculated. Thus, the coupling of aerodynamic and hydrodynamic modules gives results in excellent agreement with experiments. Next, neutronic phenomena into the fuel pellet, their feedback effects and the distribution of power through the rod are numerically translated. For each developed module, validation tests are provided. Then, it is possible to simulate the first seconds of the whole criticality accident. Even if this calculation tool is only a way of study as a first approach, performed simulations are proving coherent with reported data on recorded accidents. (author)

A methodology for the transfer of probabilities between accident severity categories

International Nuclear Information System (INIS)

Whitlow, J.D.; Neuhauser, K.S.

1993-01-01

This paper will describe a methodology which has been developed to allow accident probabilities associated with one severity category scheme to be transferred to another severity category scheme, permitting some comparisons of different studies at the category level. In this methodology, the severity category schemes to be compared are mapped onto a common set of axes. The axes represent critical accident environments (e.g., impact, thermal, crush, puncture) and indicate the range of accident parameters from zero (no accident) to the most sever credible forces. The choice of critical accident environments for the axes depends on the package being transported and the mode of transportation. The accident probabilities associated with one scheme are then transferred to the other scheme. This transfer of category probabilities is based on the relationships of the critical accident parameters to probability of occurrence. The methodology can be employed to transfer any quantity between category schemes if the appropriate supporting information is available. (J.P.N.)

Nuclear fuel cycle facility accident analysis handbook

International Nuclear Information System (INIS)

Ayer, J.E.; Clark, A.T.; Loysen, P.; Ballinger, M.Y.; Mishima, J.; Owczarski, P.C.; Gregory, W.S.; Nichols, B.D.

1988-05-01

The Accident Analysis Handbook (AAH) covers four generic facilities: fuel manufacturing, fuel reprocessing, waste storage/solidification, and spent fuel storage; and six accident types: fire, explosion, tornado, criticality, spill, and equipment failure. These are the accident types considered to make major contributions to the radiological risk from accidents in nuclear fuel cycle facility operations. The AAH will enable the user to calculate source term releases from accident scenarios manually or by computer. A major feature of the AAH is development of accident sample problems to provide input to source term analysis methods and transport computer codes. Sample problems and illustrative examples for different accident types are included in the AAH

Management of older patients presenting after a fall - an accident ...

African Journals Online (AJOL)

Background. It is common for older patients to present to accident and emergency (AE) departments after a fall. Management should include assessment and treatment of the injuries and assessment and correction of underlying risk factors in order to prevent recurrent falls. Objectives. To determine management of older ...

Local governments' roles of the compensation for damage by the Tokai JCO criticality accident

Energy Technology Data Exchange (ETDEWEB)

Tanabe, Tomoyuki [Central Research Inst. of Electric Power Industry, Tokyo (Japan). Socio-Economic Research Center

2003-03-01

The Tokai JCO criticality accident on September 30, 1999 was the first case to which The Law on Compensation for Nuclear Damage was applied. Although the Law on Compensation for Nuclear Damage formulates the outline of the institutional framework for nuclear third party liability together with operator's insurance scheme, details of actual compensation procedure are not specified. By this reason, the compensation procedure in the Tokai accident had been executed without a concrete legal specification and a precedent. In spite of this situation, the compensation procedure with the accident led to an unexpectedly successful result. We observe the several reasons why the compensation procedure was implemented successfully despite the lack of concrete legal specification and a precedent. One of the reasons is that the local governments, Tokai Village and Ibaraki Prefecture, immediately took the leadership in implementing a temporary regime of compensation procedure without wasting time for waiting national government's directives. Upon practicing this compensation procedure, the local governments implemented the following steps. (1) Initial estimation of the amount and scope of damage. (2) Providing the criteria and heads of damage subject to compensation. (3) Unitary compensation procedure at the local levels. (4) Distribution of emergency payments for the victims. (5) Facilitating compensatory negotiation between the victims and JCO as arbitrator. However, some concerns are also pointed out about the fact that the local government directed the whole procedure without sufficient adjustment with the national government for compensation policy. Among all, in the compensation led by the local governments, it was difficult to guarantee fairness of compensation because victims who are influential on the local government such as industrial associations would have unfairly strong negotiation power in the compensatory negotiation, while the operator being

Oxygen supplementation for critically ill patients

DEFF Research Database (Denmark)

Barbateskovic, M; Schjørring, O L; Jakobsen, J C

2018-01-01

. The objective of this systematic review is to critically assess the evidence of randomised clinical trials on the effects of higher versus lower inspiratory oxygen fractions or targets of arterial oxygenation in critically ill adult patients. METHODS: We will search for randomised clinical trials in major......BACKGROUND: In critically ill patients, hypoxaemia is a common clinical manifestation of inadequate gas exchange in the lungs. Supplemental oxygen is therefore given to all critically ill patients. This can result in hyperoxaemia, and some observational studies have identified harms with hyperoxia...... in international guidelines despite lack of robust evidence of its effectiveness. To our knowledge, no systematic review of randomised clinical trials has investigated the effects of oxygen supplementation in critically ill patients. This systematic review will provide reliable evidence to better inform future...

Factors associated with prehospital death among traffic accident patients in Osaka City, Japan: A population-based study.

Science.gov (United States)

Katayama, Yusuke; Kitamura, Tetsuhisa; Kiyohara, Kosuke; Iwami, Taku; Kawamura, Takashi; Hayashida, Sumito; Ogura, Hiroshi; Shimazu, Takeshi

2018-01-02

Although it is important to assess the factors associated with traffic accident fatalities to decrease them as a matter of public health, such factors have not been fully identified. Using a large-scale data set of ambulance records in Osaka City, Japan, we retrospectively analyzed all traffic accident patients transported to hospitals by emergency medical service personnel from 2013 to 2014. In this study, prehospital death was defined as that occurring at the scene or in the emergency department immediately after hospital arrival. We assessed prehospital factors associated with prehospital death due to traffic accidents by logistic regression models. This study enrolled 28,903 emergency patients involved in traffic accidents, of whom 68 died prehospital. In a multivariate model, elderly patients aged ≥75 years (adjusted odds ratio [AOR] = 4.34; 95% confidence interval [CI], 2.29-8.23), nighttime (AOR = 2.75; 95% CI, 1.65-4.70), and type of injured person compared to bicyclists such as pedestrians (AOR = 9.58; 95% CI, 5.07-17.99), motorcyclists (AOR = 2.75; 95% CI, 1.21-6.24), and car occupants (AOR = 2.98; 95% CI, 1.39-6.40) were significantly associated with prehospital death due to traffic accidents. In addition, the AOR for automobile versus nonautomobile as the collision opponent was 4.76 (95% CI, 2.30-9.88). In this population, the factors associated with prehospital death due to traffic accidents were elderly people, nighttime, and pedestrian as the type of patient. The proportion of prehospital deaths due to traffic accidents was also high when the collision component was an automobile.

The sensitivity of calculated doses to critical assumptions for the offsite consequences of nuclear power reactor accidents

International Nuclear Information System (INIS)

Moeller, M.P.; Scherpelz, R.I.; Desrosiers, A.E.

1982-01-01

This work analyzes the sensitivity of calculated doses to critical assumptions for offsite consequences following a PWR-2 accident at a nuclear power reactor. The calculations include three radiation dose pathways: internal dose resulting from inhalation, external doses from exposure to the plume, and external doses from exposure to contaminated ground. The critical parameters are the time period of integration for internal dose commitment and the duration of residence on contaminated ground. The data indicate the calculated offsite whole body dose will vary by as much as 600% depending upon the parameters assumed. When offsite radiation doses determine the size of emergency planning zones, this uncertainty has significant effect upon the resources allocated to emergency preparedness

The increase of the life quality for patients who had a cerebrovascular accident by using the MBT physiotherapy device

Directory of Open Access Journals (Sweden)

Danelciuc Francisc Tadeus

2017-05-01

Full Text Available The cerebrovascular accident is a major health issue, with medical and economic consequences upon the society. The cerebrovascular accident determines the sensorial and motor impairment, the speech and postural control impairment. Some patients who had a cerebrovascular accident may have difficulties in the response to the postural perturbations. Some patients who had a cerebrovascular accident may have difficulties in the response to the postural perturbations. The recovery of the postural control and of the balance depends on the quality of the motor action in order to use the ADL and to ensure the social and professional reintegration of the patients. That is why the postural control is essential in the recovery of the patients who had a cerebrovascular accident. The current study aims at the possibilities to regain the postural control for the patients with motor deficit by an individual program of recovery sessions. The current trial aimed at finding the way in which it is possible to influence the quality of life for the patients who had a cerebrovascular accident by using the MBT physiotherapy device. The use of the MBT physiotherapy devices in the recovery programme of the postural control after the cerebrovascular accident involves the need to set up an individualized programme of kinetic therapy. According to the established deficiency, namely the average one and the slight one, the recovery programme would need the introduction of techniques and methods whose effect is to reeducate the postural function. This can be done more easily if the recovery is initiated by using the MBT physiotherapy device that can intervene in the functional recovery which corresponds to each recovery stage.

Socioeconomic consequences of nuclear reactor accidents

International Nuclear Information System (INIS)

Tawil, J.J.; Callaway, J.W.; Coles, B.L.; Cronin, F.J.; Currie, J.W.; Imhoff, K.L.; Lewis, P.M.; Nesse, R.J.; Strenge, D.L.

1984-06-01

This report identifies and characterizes the off-site socioeconomic consequences that would likely result from a severe radiological accident at a nuclear power plant. The types of impacts that are addressed include economic impacts, health impacts, social/psychological impacts and institutional impacts. These impacts are identified for each of several phases of a reactor accident - from the warning phase through the post-resettlement phase. The relative importance of the impact during each accident phase and the degree to which the impact can be predicted are indicated. The report also examines the methods that are currently used for assessing nuclear reactor accidents, including development of accident scenarios and the estimating of socioeconomic accident consequences with various models. Finally, a critical evaluation is made regarding the use of impact analyses in estimating the contribution of socioeconomic consequences to nuclear accident reactor accident risk. 116 references, 7 figures, 15 tables

Residents call for greater openness, accountability and involvement: Lessons learned from the JCO criticality accident

International Nuclear Information System (INIS)

Taniguchi, Taketoshi; Tsuchiya, Tomoko; Kosugi, Motoko

2000-01-01

This paper discusses the JCO (Japan Nuclear Fuel Conversion Co.) criticality accident from social viewpoints based on the detailed examination of the survey data and experience of participation into Tokai village office's surveys. We focus the mechanisms of amplifying anxieties of the local residents and clarify the key factors affected in the social amplification process. And we discuss the importance of communicating and deliberating among the lay people, public officials and professionals about health, safety and environmental risks associated with nuclear energy, referring to the public opinions about what kinds of information and actions are needed. (J.P.N.)

Study of source term evaluation from fuel solution under simulated nuclear criticality accident in TRACY

International Nuclear Information System (INIS)

Abe, Hitoshi; Tashiro, Shinsuke; Nagai, Hitoshi; Koike, Tadao; Okagawa, Seigo; Murata, Mikio

1999-01-01

In a accident at the dissolver in a reprocessing plant, various fission products and radiolysis gases will be produced in the fuel solution and volatile radioactive nuclides and radiolysis gases and nitrogen oxide will be released into vent-gas spontaneously. Moreover other on-volatile nuclide will be releases as radioactive aerosol (mist) with bursting bubbles at surface of the solution. Therefore quantitative estimation of release and transport behavior of the radioactive material from solution as source term is very important. TRACY is a transient criticality experimental facility for studying the transient criticality characteristics of low enriched uranium. In this paper, experiment methods and results about the release behavior of the hydrogen, radioactive aerosol and iodine species from the fuel solutions are reported. As the results of the experiments, release patterns of H 2 , 140 Ba and 131 I could be grasped. Concentrations of H 2 in the vent-gas and 140 Ba in the gas phase in the core tank attained to the peak just after the transient criticality and decreased exponentially with time. On the other hand, concentrations of 131 I in the gas phase of the tank began to increase with a time lag of several minutes from the transient criticality and attained approximately constant values. (J.P.N.)

Plan for IER-443 Testing of the Y-12 and AWE Criticality Accident Alarm System Detectors at the Godiva IV Burst Reactor

Energy Technology Data Exchange (ETDEWEB)

Scorby, J. C. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Hickman, D. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Hudson, B. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Garbett, S. [Atomic Weapons Establishment (AWE), Berkshire (United Kingdom); Auld, G. [Atomic Weapons Establishment (AWE), Berkshire (United Kingdom); Horrne, A. [Atomic Weapons Establishment (AWE), Berkshire (United Kingdom); Beller, T. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Goda, J. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Haught, C. [Y-12 National Security Complex, Oak Ridge, TN (United States); Woodrow, C. [Y-12 National Security Complex, Oak Ridge, TN (United States); Ward, D. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

2017-07-24

This document provides the scope and details of the “Plan for Testing the Y-12 and AWE Criticality Accident Alarm System Detectors at the Godiva IV Burst Reactor”. Due to the relative simplicity of the testing goals, scope, and methodology, the NCSP Manager approved execution of the test when ready. No preliminary CED-1 or final design CED-2 reports were required or issued. The test will subject Criticality Accident Alarm System (CAAS) detectors supplied by Y- 12 and AWE to very intense and short duration mixed neutron and gamma radiation fields. The goals of the test will be to (1) substantiate functionality, for both existing and newly acquired Y- 12 CAAS detectors, and (2) the ability of the AWE detectors to provide quality temporal dose information after a hypothetical criticality accident. ANSI/ANS-8.3.1997 states that the “system shall be sufficiently robust as to actuate an alarm signal when exposed to the maximum radiation expected”, which has been defined at Y-12, in Documented Safety Analyses (DSAs), to be a dose rate of 10 Rad/s. ANSI/ANS-8.3.1997 further states that “alarm actuation shall occur as a result of a minimum duration transient” which may be assumed to be 1 msec. The pulse widths and dose rates which will be achieved in this test will exceed these requirements. Pulsed radiation fields will be produced by the Godiva IV fast metal burst reactor at the National Criticality Experimental Research Center (NCERC) at the Nevada National Security Site (NNSS). The magnitude of the pulses and the relative distances to the detectors will be varied to afford a wide range of radiation fluence and pulse widths. The magnitude of the neutron and gamma fields will be determined by reactor temperature rise to fluence and dose conversions which have been previously established through extensive measurements performed under IER-147. The requirements for CAAS systems to detect and alarm under a “minimum accident of concern” as well as other

Determination of the response function for the Portsmouth Gaseous Diffusion Plant criticality accident alarm system neutron detectors

International Nuclear Information System (INIS)

Tayloe, R.W. Jr.; Brown, A.S.; Dobelbower, M.C.; Woollard, J.E.

1997-03-01

Neutron-sensitive radiation detectors are used in the Portsmouth Gaseous Diffusion Plant's (PORTS) criticality accident alarm system (CAAS). The CAAS is composed of numerous detectors, electronics, and logic units. It uses a telemetry system to sound building evacuation horns and to provide remote alarm status in a central control facility. The ANSI Standard for a CAAS uses a free-in-air dose rate to define the detection criteria for a minimum accident-of-concern. Previously, the free-in-air absorbed dose rate from neutrons was used for determining the areal coverge of criticality detection within PORTS buildings handling fissile materials. However, the free-in-air dose rate does not accurately reflect the response of the neutron detectors in use at PORTS. Because the cost of placing additional CAAS detectors in areas of questionable coverage (based on a free-in-air absorbed dose rate) is high, the actual response function for the CAAS neutron detectors was determined. This report, which is organized into three major sections, discusses how the actual response function for the PORTS CAAS neutron detectors was determined. The CAAS neutron detectors are described in Section 2. The model of the detector system developed to facilitate calculation of the response function is discussed in Section 3. The results of the calculations, including confirmatory measurements with neutron sources, are given in Section 4

Results of Questionnaire for the member of JHPS concerning the criticality accident at Tokai

International Nuclear Information System (INIS)

2000-01-01

During the investigation of the criticality accident at Tokai occurring on Sep. 30, 1999, the project team in Japan Health Physics Society (JHPS) carried out a questionnaire for the member on the accident and this paper summarized its results. The effective answer was obtained in 36% of members. Major questions (and frequent answers) were: media of information obtained (internet 33%, TV and radio 22%, and newspaper 19%); concerning actions done by Japanese and local governments, the recommendation on Sep. 30 at 15:00 of evacuation for people living in the area within the radius of 350 m (necessary 92%), timing of its release on Oct. 2 at 18:30 (appropriate 41% and too late 36%) and its information to the people (more information needed 60%) and the recommendation on Sep. 30 at 22:30 of in-door refuge within 10 km radius (unnecessary 43% and necessary 41%), timing of its release on Oct. 1 at 16:40 (too late 49%) and its information to the people (more information needed 63%); and safety declaration for food etc. on Oct. 2 at 18:30 (necessary 92%). Based on above results and free description on the questionnaire, JHPS considered the necessity of described systems of JHPS for emergency.(K.H.)

Effective Factors in Severity of Traffic Accident-Related Traumas; an Epidemiologic Study Based on the Haddon Matrix

Directory of Open Access Journals (Sweden)

Kambiz Masoumi

2016-04-01

Full Text Available Introduction: Traffic accidents are the 8th cause of mortality in different countries and are expected to rise to the 3rd rank by 2020. Based on the Haddon matrix numerous factors such as environment, host, and agent can affect the severity of traffic-related traumas. Therefore, the present study aimed to evaluate the effective factors in severity of these traumas based on Haddon matrix. Methods: In the present 1-month cross-sectional study, all the patients injured in traffic accidents, who were referred to the ED of Imam Khomeini and Golestan Hospitals, Ahvaz, Iran, during March 2013 were evaluated. Based on the Haddon matrix, effective factors in accident occurrence were defined in 3 groups of host, agent, and environment. Demographic data of the patients and data regarding Haddon risk factors were extracted and analyzed using SPSS version 20. Results: 700 injured people with the mean age of 29.66 ± 12.64 years (3-82 were evaluated (92.4% male. Trauma mechanism was car-pedestrian in 308 (44% of the cases and car-motorcycle in 175 (25%. 610 (87.1% cases were traffic accidents and 371 (53% occurred in the time between 2 pm and 8 pm. Violation of speed limit was the most common violation with 570 (81.4% cases, followed by violation of right-of-way in 57 (8.1% patients. 59.9% of the severe and critical injuries had occurred on road accidents, while 61.3% of the injuries caused by traffic accidents were mild to moderate (p < 0.001. The most common mechanisms of trauma for critical injuries were rollover (72.5%, motorcycle-pedestrian (23.8%, and car-motorcycle (13.14% accidents (p < 0.001. Conclusion: Based on the results of the present study, the most important effective factors in severity of traffic accident-related traumas were age over 50, not using safety tools, and undertaking among host-related factors; insufficient environment safety, road accidents and time between 2 pm and 8 pm among environmental factors; and finally, rollover, car

Visualization of Traffic Accidents

Science.gov (United States)

Wang, Jie; Shen, Yuzhong; Khattak, Asad

2010-01-01

Traffic accidents have tremendous impact on society. Annually approximately 6.4 million vehicle accidents are reported by police in the US and nearly half of them result in catastrophic injuries. Visualizations of traffic accidents using geographic information systems (GIS) greatly facilitate handling and analysis of traffic accidents in many aspects. Environmental Systems Research Institute (ESRI), Inc. is the world leader in GIS research and development. ArcGIS, a software package developed by ESRI, has the capabilities to display events associated with a road network, such as accident locations, and pavement quality. But when event locations related to a road network are processed, the existing algorithm used by ArcGIS does not utilize all the information related to the routes of the road network and produces erroneous visualization results of event locations. This software bug causes serious problems for applications in which accurate location information is critical for emergency responses, such as traffic accidents. This paper aims to address this problem and proposes an improved method that utilizes all relevant information of traffic accidents, namely, route number, direction, and mile post, and extracts correct event locations for accurate traffic accident visualization and analysis. The proposed method generates a new shape file for traffic accidents and displays them on top of the existing road network in ArcGIS. Visualization of traffic accidents along Hampton Roads Bridge Tunnel is included to demonstrate the effectiveness of the proposed method.

Analysis of accidents at the LPR (Radiochemical Processes Laboratory)

International Nuclear Information System (INIS)

Kaufmann, F.; Boutet, L.I.

1987-01-01

Accidents are defined as not planned events that may result in the emission of significative quantities of radioactive materials to the environment. The pilot plant has been specifically designed to prevent this type of accidents but there still exists the possibility that one or more accidents can be produced during the plant life. In a first phase, the emission of radionuclides to the environment were evaluated for 13 credible accidents. In a second phase, by means of the calculation program SEDA, specially adapted to this purpose, the critical doses of critical group were calculated for each accident. Due to the small capacity of the pilot plant and the long cooling period of treated fuel, it is concluded that the radiological consequences for the external environment are of very small magnitude. In this way, without need of developing complex fault- or event-trees, it is shown that any of the accidents falls into the non acceptable zone of Farmer diagram. (Author)

Tchernobyl: a severe accident and its image

International Nuclear Information System (INIS)

Strazzulla, J.

1996-01-01

This paper gives a strong criticism about the false informations that were disseminated by the mass media immediately after the Tchernobyl accident. This accident is taken as an example to illustrate a common attitude in journalistic comments of geopolitical events. (J.S.). 1 photo

Patients' Risk of Causing Traffic Violations and Traffic Accidents while Driving.

Science.gov (United States)

Šestan, Nevenka; Dodič Fikfak, Metoda; Balantič, Zvone

2017-09-01

This study examines whether drivers suffering from epilepsy, chronic alcoholism and/or hazardous drinking, psychoactive substance abuse, other diseases of the nervous system, mental and behavioural disorders, cardiovascular diseases, severe diabetes, and severe eye diseases are at a greater risk of causing traffic accidents and traffic violations than drivers that cause accidents and violations without these diagnoses. A case control study was carried out. The cases were drivers checked by a special medical committee in the period observed suffering from the diseases listed above. Matched controls were taken from the cohort of those that caused accidents and violations during the same period observed. The descriptive statistics were followed by calculation of correlations, t-tests and χ 2 , and the odds ratio. Drivers with referrals for diseases of the nervous system are five times more likely to cause a traffic accident compared to controls (OR=5.18; 95% CI=2.59-10.34); in addition, a high risk is associated with drivers with mental and behavioural disorders (OR=3.64; 95% CI=1.91-6.94), drivers with epilepsy (OR=1.99; 95% CI=1.01-3.92), and drivers addicted to alcohol (OR=1.71; 95% CI=1.01-2.89). Drivers suffering from addiction, a disease of the nervous system, or epilepsy are more likely to cause a traffic accident, which is a contribution to the inconclusive findings of previous studies. The multiple reasons for risks of patients suffering from mental and behavioural disorders need to be further investigated. Copyright© by the National Institute of Public Health, Prague 2017

Development of posture-specific computational phantoms using motion capture technology and application to radiation dose-reconstruction for the 1999 Tokai-Mura nuclear criticality accident

International Nuclear Information System (INIS)

Vazquez, Justin A; Caracappa, Peter F; Xu, X George

2014-01-01

The majority of existing computational phantoms are designed to represent workers in typical standing anatomical postures with fixed arm and leg positions. However, workers found in accident-related scenarios often assume varied postures. This paper describes the development and application of two phantoms with adjusted postures specified by data acquired from a motion capture system to simulate unique human postures found in a 1999 criticality accident that took place at a JCO facility in Tokai-Mura, Japan. In the course of this accident, two workers were fatally exposed to extremely high levels of radiation. Implementation of the emergent techniques discussed produced more accurate and more detailed dose estimates for the two workers than were reported in previous studies. A total-body dose of 6.43 and 26.38 Gy was estimated for the two workers, who assumed a crouching and a standing posture, respectively. Additionally, organ-specific dose estimates were determined, including a 7.93 Gy dose to the thyroid and 6.11 Gy dose to the stomach for the crouching worker and a 41.71 Gy dose to the liver and a 37.26 Gy dose to the stomach for the standing worker. Implications for the medical prognosis of the workers are discussed, and the results of this study were found to correlate better with the patient outcome than previous estimates, suggesting potential future applications of such methods for improved epidemiological studies involving next-generation computational phantom tools. (paper)

[Medicines reconciliation in critically ill patients].

Science.gov (United States)

Lopez-Martin, C; Aquerreta, I; Faus, V; Idoate, A

2014-01-01

Medicines reconciliation plays a key role in patient safety. However, there is limited data available on how this process affects critically ill patients. In this study, we evaluate a program of reconciliation in critically ill patients conducted by the Intensive Care Unit's (ICU) pharmacist. Prospective study about reconciliation medication errors observed in 50 patients. All ICU patients, excluding patients without regular treatment. Reconciliation process was carried out in the first 24h after ICU admission. Discrepancies were clarified with the doctor in charge of the patient. We analyzed the incidence of reconciliation errors, their characteristics and gravity, the interventions made by the pharmacist and their acceptance by physicians. A total of 48% of patients showed at least one reconciliation error. Omission of drugs accounted for 74% of the reconciliation errors, mainly involving antihypertensive drugs (33%). An amount of 58% of reconciliation errors detected corresponded to severity category D. Pharmacist made interventions in the 98% of patients with discrepancies. A total of 81% of interventions were accepted. The incidence and characteristics of reconciliation errors in ICU are similar to those published in non-critically ill patients, and they affect drugs with high clinical significance. Our data support the importance of the stablishment of medication reconciliation proceedings in critically ill patients. The ICU's pharmacist could carry out this procedure adequately. Copyright © 2013 Elsevier España, S.L. and SEMICYUC. All rights reserved.

Safety and Health Standard 110: Incident/accident reporting and investigation

Energy Technology Data Exchange (ETDEWEB)

Sones, K. [West Kootenay Power, BC (Canada)

1999-10-01

Incident/accident reporting requirements in effect at West Kootenay Power are discussed. Details provided include definitions of low risk, high risk, and critical events, the incidents to be reported, the nature of the reports, the timelines, the investigation to be undertaken for each type of incident/accident, counselling services available to employees involved in serious incidents, and the procedures to be followed in accidents involving serious injury to non-employees. The emphasis is on the `critical five` high risk events and the procedures relating to them.

10-year evaluation of train accidents.

Science.gov (United States)

Akkaş, Meltem; Ay, Didem; Metin Aksu, Nalan; Günalp, Müge

2011-09-01

Although less frequent than automobile accidents, train accidents have a major impact on victims' lives. Records of patients older than 16 years of age admitted to the Adult Emergency Department of Hacettepe University Medical Center due to train accidents were retrospectively evaluated. 44 patients (30 males, 14 females) with a mean age of 31.8±11.4 years were included in the study. The majority of the accidents occurred during commuting hours. 37 patients were discharged, 22 of them from the emergency department. The mortality rate was 7/44 (16%). Overall mean Revised Trauma Score (RTS) was 10.5 (3 in deaths and 11.9 in survivors). In 5 patients, the cause of death was pelvic trauma leading to major vascular injury and lower limb amputation. In 1 patient, thorax and abdomen trauma and in 1 patient head injury were the causes of mortality. Primary risk factors for mortality were alcohol intoxication (100%), cardiopulmonary resuscitation on admittance (100%), recurrent suicide attempt (75%), presence of psychiatric illness (60%), and low RTS. In this study, most train accidents causing minor injuries were due to falling from the train prior to acceleration. Nevertheless, train accidents led to a mortality rate of 16% and morbidity rate of 37%. These findings draw attention to the importance of developing preventive strategies.

The efficacy of Bobath neurodevelopmental interventions at home for patients after postcerebrovascular accidents.

Science.gov (United States)

Garrett, C G; Bechtel, G A

1996-06-01

The traditional approach to rehabilitating patients after cerebrovascular accidents encourages the patient to use only the unaffected side for all activities. This article presents the Bobath approach, which focuses on patients using both sides to regain former capabilities. The rationale and implementation of this method are outlined so that the home care nurse can learn how to use this method, used so commonly by rehabilitative therapists.

The work of the South Manchester Accident Rescue Team (SMART).

Science.gov (United States)

Redmond, A D

1990-01-01

Skills acquired in the hospital do not necessarily translate to the scene of an accident. However, training in certain hospital specialties, particularly accident and emergency medicine, will expose doctors to dealing with very ill patients in a less rigidly structured environment. The operating theatre is a disciplined and controlled environment. Skill in anaesthesia, monitoring and operating, if tested only in these circumstances may be found to be gravely inadequate when exposed to the fluctuant and hostile environment at the site. Doctors who wish to do this sort of work or are designated to do it, must undergo regular and frequent training, especially if they are not trained in accident and emergency departments. This has long been recognised by the British Association for Immediate Care. In combination with the Royal College of Surgeons of Edinburgh they have now established a diploma in Immediate Medical Care. In urban areas the need for a doctor to attend at the scene of an accident is usually limited to entrapment. These occasions are likely to be infrequent and this can result in a lack of preparedness for such events. Interhospital transfer, primarily from peripheral hospitals to the specialist services of a teaching hospital, often involves critically ill and injured patients. The management of these cases by the mobile team provides regular, frequent exposure to working in a 'hostile' environment. Relationships with the rescue services are developed and staff become familiar with equipment and call-out procedures. The care of transported patients is improved. None of our patients have died in transit or within 6 h of arrival at base.(ABSTRACT TRUNCATED AT 250 WORDS)

Criticality Calculations for a Typical Nuclear Fuel Fabrication Plant with Low Enriched Uranium

International Nuclear Information System (INIS)

Elsayed, Hade; Nagy, Mohamed; Agamy, Said; Shaat, Mohmaed

2013-01-01

The operations with the fissile materials such as U 235 introduce the risk of a criticality accident that may be lethal to nearby personnel and can lead the facility to shutdown. Therefore, the prevention of a nuclear criticality accident should play a major role in the design of a nuclear facility. The objectives of criticality safety are to prevent a self-sustained nuclear chain reaction and to minimize the consequences. Sixty criticality accidents were occurred in the world. These are accidents divided into two categories, 22 accidents occurred in process facilities and 38 accidents occurred during critical experiments or operations with research reactor. About 21 criticality accidents including Japan Nuclear Fuel Conversion Co. (JCO) accident took place with fuel solution or slurry and only one accident occurred with metal fuel. In this study the nuclear criticality calculations have been performed for a typical nuclear fuel fabrication plant producing nuclear fuel elements for nuclear research reactors with low enriched uranium up to 20%. The calculations were performed for both normal and abnormal operation conditions. The effective multiplication factor (k eff ) during the nuclear fuel fabrication process (Uranium hexafluoride - Ammonium Diuranate conversion process) was determined. Several accident scenarios were postulated and the criticalities of these accidents were evaluated. The computer code MCNP-4B which based on Monte Carlo method was used to calculate neutron multiplication factor. The criticality calculations Monte Carlo method was used to calculate neutron multiplication factor. The criticality calculations were performed for the cases of, change of moderator to fuel ratio, solution density and concentration of the solute in order to prevent or mitigate criticality accidents during the nuclear fuel fabrication process. The calculation results are analyzed and discussed

Driving in Parkinson's disease: mobility, accidents, and sudden onset of sleep at the wheel.

Science.gov (United States)

Meindorfner, Charlotte; Körner, Yvonne; Möller, Jens Carsten; Stiasny-Kolster, Karin; Oertel, Wolfgang Hermann; Krüger, Hans-Peter

2005-07-01

Only few studies have addressed driving ability in Parkinson's disease (PD) to date. However, studies investigating accident proneness of PD patients are urgently needed in the light of motor disability in PD and--particularly--the report of "sleep attacks" at the wheel. We sent a questionnaire about sudden onset of sleep (SOS) and driving behavior to 12,000 PD patients. Subsequently, of 6,620 complete data sets, 361 patients were interviewed by phone. A total of 82% of those 6,620 patients held a driving license, and 60% of them still participated in traffic. Of the patients holding a driving license, 15% had been involved in and 11% had caused at least one accident during the past 5 years. The risk of causing accidents was significantly increased for patients who felt moderately impaired by PD, had an increased Epworth Sleepiness Scale (ESS) score, and had experienced SOS while driving. Sleep attacks at the wheel usually occurred in easy driving situations and resulted in typical fatigue-related accidents. Those having retired from driving had a more advanced (subjective) disease severity, higher age, more frequently female gender, an increased ESS score, and a longer disease duration. The study revealed SOS and daytime sleepiness as critical factors for traffic safety in addition to motor disabilities of PD patients. The results suggest that real sleep attacks without any prior sleepiness are rare. However, our data underline the importance of mobility for patients and the need for further studies addressing the ability to drive in PD. Copyright 2005 Movement Disorder Society.

Critical thinking in patient centered care.

Science.gov (United States)

Mitchell, Shannon H; Overman, Pamela; Forrest, Jane L

2014-06-01

Health care providers can enhance their critical thinking skills, essential to providing patient centered care, by use of motivational interviewing and evidence-based decision making techniques. The need for critical thinking skills to foster optimal patient centered care is being emphasized in educational curricula for health care professions. The theme of this paper is that evidence-based decision making (EBDM) and motivational interviewing (MI) are tools that when taught in health professions educational programs can aid in the development of critical thinking skills. This paper reviews the MI and EBDM literature for evidence regarding these patient-centered care techniques as they relate to improved oral health outcomes. Comparisons between critical thinking and EBDM skills are presented and the EBDM model and the MI technique are briefly described followed by a discussion of the research to date. The evidence suggests that EBDM and MI are valuable tools; however, further studies are needed regarding the effectiveness of EBDM and MI and the ways that health care providers can best develop critical thinking skills to facilitate improved patient care outcomes. Copyright © 2014 Elsevier Inc. All rights reserved.

HANARO thermal hydraulic accident analysis

Energy Technology Data Exchange (ETDEWEB)

Park, Chul; Kim, Heon Il; Lee, Bo Yook; Lee, Sang Yong [Korea Atomic Energy Research Institute, Taejon (Korea, Republic of)

1996-06-01

For the safety assessment of HANARO, accident analyses for the anticipated operational transients, accident scenarios and limiting accident scenarios were conducted. To do this, the commercial nuclear reactor system code. RELAP5/MOD2 was modified to RELAP5/KMRR; the thermal hydraulic correlations and the heat exchanger model was changed to incorporate HANARO characteristics. This report summarizes the RELAP/KMRR calculation results and the subchannel analyses results based on the RELAP/KMRR results. During the calculation, major concern was placed on the integrity of the fuel. For all the scenarios, the important accident analysis parameters, i.e., fuel centerline temperatures and the minimum critical heat flux ratio(MCHFR), satisfied safe design limits. It was verified, therefore, that the HANARO was safely designed. 21 tabs., 89 figs., 39 refs. (Author) .new.

Evaluation of Neutron Response of Criticality Accident Alarm System Detector to Quasi-Monoenergetic 24 keV Neutrons

Science.gov (United States)

Tsujimura, Norio; Yoshida, Tadayoshi; Yashima, Hiroshi

The criticality accident alarm system (CAAS), which was recently developed and installed at the Japan Atomic Energy Agency's Tokai Reprocessing Plant, consists of a plastic scintillator combined with a cadmium-lined polyethylene moderator and thereby responds to both neutrons and gamma rays. To evaluate the neutron absorbed dose rate response of the CAAS detector, a 24 keV quasi-monoenergetic neutron irradiation experiment was performed at the B-1 facility of the Kyoto University Research Reactor. The detector's evaluated neutron response was confirmed to agree reasonably well with prior computer-predicted responses.

Evaluation of neutron response of criticality accident alarm system detector to quasi-monoenergetic 24 keV neutrons

International Nuclear Information System (INIS)

Tsujimura, Norio; Yoshida, Tadayoshi; Yashima, Hiroshi

2016-01-01

The criticality accident alarm system (CAAS), which was recently developed and installed at the Japan Atomic Energy Agency's Tokai Reprocessing Plant, consists of a plastic scintillator combined with a cadmium-lined polyethylene moderator and thereby responds to both neutrons and gamma rays. To evaluate the neutron absorbed dose rate response of the CAAS detector, a 24 keV quasi-monoenergetic neutron irradiation experiment was performed at the B-1 facility of the Kyoto University Research Reactor. The detector's evaluated neutron response was confirmed to agree reasonably well with prior computer-predicted responses. (author)

Radiological accidents: methodologies of radio nuclides dis incorporation; Accidentes radiologicos: metodologias de desincorporacion de radionuclidos

Energy Technology Data Exchange (ETDEWEB)

Jimenez F, E. A. [Universidad Autonoma del Estado de Mexico, Facultad de Medicina, Paseo Tollocan s/n, 50180 Toluca, Estado de Mexico (Mexico); Paredes G, L. [ININ, Carretera Mexico-Toluca s/n, 52750 Ocoyoacac, Estado de Mexico (Mexico); Cortes, A., E-mail: lydia.paredes@inin.gob.mx [Comision Nacional de Seguridad Nuclear y Salvaguardias, Dr. Jose Ma. Barragan No. 779, Col. Narvarte, 03020 Mexico D. F. (Mexico)

2014-08-15

Derived of the radioactive or nuclear material management, exists the risk that accidents can happen where people cases are presented with internal radioactive contamination, who will receive specialized medical care to accelerate the radioactive dis incorporation with the purpose of diminishing the absorbed dose and the associate biological effects. In this work treatments of radioactive dis incorporation were identified, in function of the radionuclide, radiation type, radioactive half life, biological half life, critical organ, ingestion duct and patient type. The factor time is decisive for the effectiveness of the selected treatment in the blockade stage (before the accident) or dis incorporation (after the accident); this factor is related with the radioactive and biological half lives. So to achieve dis incorporation efficiencies of more to 70%, the patient clinical treatment will begin before the first third of the biological half life of the radionuclide that generated the internal contamination. (Author)

High seroprevalence of Toxoplasma gondii infection in a subset of Mexican patients with work accidents and low socioeconomic status.

Science.gov (United States)

Alvarado-Esquivel, Cosme; Torres-Castorena, Alejandro; Liesenfeld, Oliver; Estrada-Martínez, Sergio; Urbina-Álvarez, Jesús D

2012-01-11

Toxoplasma gondii has been associated with reflex impairment and traffic accidents. It is unknown whether Toxoplasma infection might be associated with work accidents. Therefore, using a case-control seroprevalence study design, 133 patients with a recent work accident and 266 control subjects of the general population from the same region were examined with enzyme-linked immunoassays for the presence and levels of anti-Toxoplasma IgG antibodies and anti-Toxoplasma IgM antibodies. Socio-demographic, work, clinical and behavioral characteristics from each worker were obtained. Eleven (8.3%) of 133 patients, and 14 (5.3%) of 266 controls had anti-T. gondii IgG antibodies. Anti-T. gondii IgG levels were higher than 150 IU/ml in 8 (6%) patients and 10 (3.8%) controls. Anti-T. gondii IgM antibodies were found in one (0.8%) of the workers, and in 6 (2.3%) of the controls. No statistically significant differences in the IgG seroprevalences, frequencies of high IgG levels, and IgM seroprevalences among patients and controls were found. In contrast, a low socio-economic level in patients with work accidents was associated with Toxoplasma seropositivity (P = 0.01). Patients with work accidents and low socioeconomic status showed a significantly (OR = 3.38; 95% CI: 0.84-16.06; P = 0.04) higher seroprevalence of T. gondii infection than controls of the same socioeconomic status (15.1% vs. 5%, respectively). Multivariate analysis showed a positive association of T. gondii infection with boar meat consumption (OR = 3.04; 95% CI: 1.03-8.94; P = 0.04). In contrast, a negative association between T. gondii infection and national trips (OR = 0.40; 95% CI: 0.17-0.96; P = 0.04), sausage consumption (OR = 0.20; 95% CI: 0.05-0.68; P = 0.01), and ham consumption (OR = 0.16; 95% CI: 0.05-0.51; P = 0.002) was found. In the study described here seropositivity to T. gondii was associated to work accidents in a subset of patients with low socioeconomic status. This is the first report of an

Control of criticality; Kawalan kegentingan

Energy Technology Data Exchange (ETDEWEB)

NONE

1988-12-31

The chapter briefly discussed the following subjects: basic and the principle of criticality, natural uranium, neutron utilization, criticality data for systems, criticality accidents, criticality control i.e. mass, volume and geometry control .

Nutritional requirements of the critically ill patient.

Science.gov (United States)

Chan, Daniel L

2004-02-01

The presence or development of malnutrition during critical illness has been unequivocally associated with increased morbidity and mortality in people. Recognition that malnutrition may similarly affect veterinary patients emphasizes the need to properly address the nutritional requirements of hospitalized dogs and cats. Because of a lack in veterinary studies evaluating the nutritional requirements of critically ill small animals, current recommendations for nutritional support of veterinary patients are based largely on sound clinical judgment and the best information available, including data from experimental animal models and human studies. This, however, should not discourage the veterinary practitioner from implementing nutritional support in critically ill patients. Similar to many supportive measures of critically ill patients, nutritional interventions can have a significant impact on patient morbidity and may even improve survival. The first step of nutritional support is to identify patients most likely to benefit from nutritional intervention. Careful assessment of the patient and appraisal of its nutritional needs provide the basis for a nutritional plan, which includes choosing the optimal route of nutritional support, determining the number of calories to provide, and determining the composition of the diet. Ultimately, the success of the nutritional management of critically ill dogs and cats will depend on close monitoring and frequent reassessment.

The TMI-2 accident

International Nuclear Information System (INIS)

Loureiro, L.A.

1986-01-01

A critical study about the technical and man-related facts in order to establish what is considered the worst commercial nuclear power accident until 1986. Radiological consequences and stress to the public are considered in contrast to antinuclear groups. This descriptive and technical study has the purpose to document written and oral opinions obtained abroad and then explain to the public in an easy language terminology. Preliminary study describing safety related systems fails and the accident itself with minute to minute description, conduct to the consequences and then, to learned lessons

Accidents - Chernobyl accident; Accidents - accident de Tchernobyl

Energy Technology Data Exchange (ETDEWEB)

NONE

2004-07-01

This file is devoted to the Chernobyl accident. It is divided in four parts. The first part concerns the accident itself and its technical management. The second part is relative to the radiation doses and the different contaminations. The third part reports the sanitary effects, the determinists ones and the stochastic ones. The fourth and last part relates the consequences for the other European countries with the case of France. Through the different parts a point is tackled with the measures taken after the accident by the other countries to manage an accident, the cooperation between the different countries and the groups of research and studies about the reactors safety, and also with the international medical cooperation, specially for the children, everything in relation with the Chernobyl accident. (N.C.)

Energy Requirements in Critically Ill Patients

Science.gov (United States)

2018-01-01

During the management of critical illness, optimal nutritional support is an important key for achieving positive clinical outcomes. Compared to healthy people, critically ill patients have higher energy expenditure, thereby their energy requirements and risk of malnutrition being increased. Assessing individual nutritional requirement is essential for a successful nutritional support, including the adequate energy supply. Methods to assess energy requirements include indirect calorimetry (IC) which is considered as a reference method, and the predictive equations which are commonly used due to the difficulty of using IC in certain conditions. In this study, a literature review was conducted on the energy metabolic changes in critically ill patients, and the implications for the estimation of energy requirements in this population. In addition, the issue of optimal caloric goal during nutrition support is discussed, as well as the accuracy of selected resting energy expenditure predictive equations, commonly used in critically ill patients.

Energy Requirements in Critically Ill Patients.

Science.gov (United States)

Ndahimana, Didace; Kim, Eun-Kyung

2018-04-01

During the management of critical illness, optimal nutritional support is an important key for achieving positive clinical outcomes. Compared to healthy people, critically ill patients have higher energy expenditure, thereby their energy requirements and risk of malnutrition being increased. Assessing individual nutritional requirement is essential for a successful nutritional support, including the adequate energy supply. Methods to assess energy requirements include indirect calorimetry (IC) which is considered as a reference method, and the predictive equations which are commonly used due to the difficulty of using IC in certain conditions. In this study, a literature review was conducted on the energy metabolic changes in critically ill patients, and the implications for the estimation of energy requirements in this population. In addition, the issue of optimal caloric goal during nutrition support is discussed, as well as the accuracy of selected resting energy expenditure predictive equations, commonly used in critically ill patients.

Terrorism-related injuries versus road traffic accident-related trauma: 5 years of experience in Israel.

Science.gov (United States)

Peleg, Kobi; Savitsky, Bella

2009-12-01

Terrorism victims comprise the minority among trauma injured people, but this small population imposes a burden on the health care system. Thirty percent of the population injured in terrorist activities experienced severe trauma (injury severity score > or =16), more than half of them need a surgical procedure, and 25% of the population affected by terrorism had been admitted to intensive care. Furthermore, compared with patients with non-terrorism-related trauma, victims of terrorism often arrive in bulk, as part of a mass casualty event. This poses a sudden load on hospital resources and requires special organization and preparedness. The present study compared terrorism-related and road accident-related injuries and examined clinical characteristics of both groups of patients. This study is a retrospective study of all patients injured through terrorist acts and road traffic accidents from September 29, 2000 to December 31, 2005, and recorded in the Israel Trauma Registry. Data on the nature of injuries, treatment, and outcome were obtained from the registry. Medical diagnoses were extracted from the registry and classified based on International Classification of Diseases coding. Diagnoses were grouped to body regions, based on the Barell Injury Diagnosis Matrix. The study includes 2197 patients with terrorism-related injuries and 30,176 patients injured in road traffic accidents. All in all, 27% of terrorism-related casualties suffered severe to critical injuries, comparing to 17% among road traffic accident-related victims. Glasgow Coma Scale scores terrorism victims, in contrast with 7.4% among people injured on the roads. The terrorism victims had a significantly higher rate of use of intensive care facilities (24.2% vs 12.4%). The overall inpatient death rate was 6.0% among terrorism victims and 2.4% among those injured in road traffic accidents. Casualties from terrorist events are more severely injured and require more resources relative to casualties

Effective Factors in Severity of Traffic Accident-Related Traumas; an Epidemiologic Study Based on the Haddon Matrix.

Science.gov (United States)

Masoumi, Kambiz; Forouzan, Arash; Barzegari, Hassan; Asgari Darian, Ali; Rahim, Fakher; Zohrevandi, Behzad; Nabi, Somayeh

2016-01-01

Traffic accidents are the 8(th) cause of mortality in different countries and are expected to rise to the 3(rd) rank by 2020. Based on the Haddon matrix numerous factors such as environment, host, and agent can affect the severity of traffic-related traumas. Therefore, the present study aimed to evaluate the effective factors in severity of these traumas based on Haddon matrix. In the present 1-month cross-sectional study, all the patients injured in traffic accidents, who were referred to the ED of Imam Khomeini and Golestan Hospitals, Ahvaz, Iran, during March 2013 were evaluated. Based on the Haddon matrix, effective factors in accident occurrence were defined in 3 groups of host, agent, and environment. Demographic data of the patients and data regarding Haddon risk factors were extracted and analyzed using SPSS version 20. 700 injured people with the mean age of 29.66 ± 12.64 years (3-82) were evaluated (92.4% male). Trauma mechanism was car-pedestrian in 308 (44%) of the cases and car-motorcycle in 175 (25%). 610 (87.1%) cases were traffic accidents and 371 (53%) occurred in the time between 2 pm and 8 pm. Violation of speed limit was the most common violation with 570 (81.4%) cases, followed by violation of right-of-way in 57 (8.1%) patients. 59.9% of the severe and critical injuries had occurred on road accidents, while 61.3% of the injuries caused by traffic accidents were mild to moderate (p accidents (p severity of traffic accident-related traumas were age over 50, not using safety tools, and undertaking among host-related factors; insufficient environment safety, road accidents and time between 2 pm and 8 pm among environmental factors; and finally, rollover, car-pedestrian, and motorcycle-pedestrian accidents among the agent factors.

Sleep Apnea Related Risk of Motor Vehicle Accidents is Reduced by Continuous Positive Airway Pressure: Swedish Traffic Accident Registry Data

Science.gov (United States)

Karimi, Mahssa; Hedner, Jan; Häbel, Henrike; Nerman, Olle; Grote, Ludger

2015-01-01

Study Objectives: Obstructive sleep apnea (OSA) is associated with an increased risk of motor vehicle accidents (MVAs). The rate of MVAs in patients suspected of having OSA was determined and the effect of continuous positive airway pressure (CPAP) was investigated. Design: MVA rate in patients referred for OSA was compared to the rate in the general population using data from the Swedish Traffic Accident Registry (STRADA), stratified for age and calendar year. The risk factors for MVAs, using demographic and polygraphy data, and MVA rate before and after CPAP were evaluated in the patient group. Setting: Clinical sleep laboratory and population based control (n = 635,786). Patients: There were 1,478 patients, male sex 70.4%, mean age 53.6 (12.8) y. Interventions: CPAP. Measurements and Results: The number of accidents (n = 74) among patients was compared with the expected number (n = 30) from a control population (STRADA). An increased MVA risk ratio of 2.45 was found among patients compared with controls (P accident risk was most prominent in the elderly patients (65–80 y, seven versus two MVAs). In patients, driving distance (km/y), EDS (Epworth Sleepiness score ≥ 16), short habitual sleep time (≤ 5 h/night), and use of hypnotics were associated with increased MVA risk (odds ratios 1.2, 2.1, 2.7 and 2.1, all P ≤ 0.03). CPAP use ≥ 4 h/night was associated with a reduction of MVA incidence (7.6 to 2.5 accidents/1,000 drivers/y). Conclusions: The motor vehicle accident risk in this large cohort of unselected patients with obstructive sleep apnea suggests a need for accurate tools to identify individuals at risk. Sleep apnea severity (e.g., apnea-hypopnea index) failed to identify patients at risk. Citation: Karimi M, Hedner J, Häbel H, Nerman O, Grote L. Sleep apnea related risk of motor vehicle accidents is reduced by continuous positive airway pressure: Swedish traffic accident registry data. SLEEP 2015;38(3):341–349. PMID:25325460

Criticality safety and facility design considerations

International Nuclear Information System (INIS)

Waltz, W.R.

1991-06-01

Operations with fissile material introduce the risk of a criticality accident that may be lethal to nearby personnel. In addition, concerns over criticality safety can result in substantial delays and shutdown of facility operations. For these reasons, it is clear that the prevention of a nuclear criticality accident should play a major role in the design of a nuclear facility. The emphasis of this report will be placed on engineering design considerations in the prevention of criticality. The discussion will not include other important aspects, such as the physics of calculating limits nor criticality alarm systems

Radiological accidents balance in medicine

International Nuclear Information System (INIS)

Nenot, J.C.

1995-01-01

This work deals with the radiological accidents in medicine. In medicine, the radiation accidents on medical personnel and patients can be the result of over dosage and bad focusing of radiotherapy sealed sources. Sometimes, the accidents, if they are unknown during a time enough for the source to be spread and to expose a lot of persons (in the case of source dismantling for instance) can take considerable dimensions. Others accidents can come from bad handling of linear accelerators and from radionuclide kinetics in some therapies. Some examples of accidents are given. (O.L.). 11 refs

A NPO project for measurement of environmental neutrons in the peninsula Shimokita after the JCO criticality accident

International Nuclear Information System (INIS)

Aratani, Michi

2001-01-01

The Penin. Shimokita as a Nuclear Peninsula: Past and Present: Since 1967, the Penin. Shimokita is characterized as a Nuclear Peninsula. Then the Shimokita Wharf of Ohminato Port in Mutsu-city was appointed as a home port of the Nuclear Power Ship Mutsu. In 1984 Mutsu Ogawara Region, a southern part of the Penin. around Rokkasho, was paid attention as a target region for reprocessing facilities of burnt nuclear fuels from all the nuclear power stations in this country. At the present stage, uranium enrichment facilities, low-level radioactive waste laying center and high-level vitrified waste storage center are in operation, and the reprocessing facilities are under construction. Burnt fuels are also carried into the site before completion of the facilities mainly for the purpose of cooling in the water pool, because cooling pools of some nuclear power stations are already full of the burnt nuclear fuels. Recently, Mayor of Mutsu has announced that Mutsu City are ready to accept a 'temporary' storage facilities for burnt nuclear fuels. Constructions of two nuclear power stations are in procession. Practice and Results: After the JCO critical accident, members of the Penin. Shimokita Activation Society (SAS) have made voluntarily some chances for learning neutron, which has played a definite role in the accident. Before the time of the accident, they have ever heard nothing about a neutron. So, neutron is entirely a new face radiation for them. Members of NPO EGG (Environmental Guardian of GALA) then obtained information from Urgent Session of the 44th Annual Meeting of Radiochemistry held in Tsukuba by the Japan Society of Nuclear and Radiochemical Sciences, and attended the seminar on the JCO accident held at Institute for Environmental Sciences (IES) in Rokkasho. A title of the seminar was 'Extremely Low Background Gamma Ray Spectroscopy applied to the JCO Accident'. The lecturer was Prof. Komura of LLRL (Low Level Radioactivity Laboratory), Kanazawa University

A Study on the Operation Strategy for Combined Accident including TLOFW accident

International Nuclear Information System (INIS)

Kim, Bo Gyung; Kang, Gook Young; Yoon, Ho Joon

2014-01-01

It is difficult for operators to recognize the necessity of a feed-and-bleed (F-B) operation when the loss of coolant accident and failure of secondary side occur. An F-B operation directly cools down the reactor coolant system (RCS) using the primary cooling system when residual heat removal by the secondary cooling system is not available. The plant is not always necessary the F-B operation when the secondary side is failed. It is not necessary to initiate an F-B operation in the case of a medium or large break because these cases correspond to low RCS pressure sequences when the secondary side is failed. If the break size is too small to sufficiently decrease the RCS pressure, the F-B operation is necessary. Therefore, in the case of a combined accident including a secondary cooling system failure, the provision of clear information will play a critical role in the operators' decision to initiate an F-B operation. This study focuses on the how we establish the operation strategy for combined accident including the failure of secondary side in consideration of plant and operating conditions. Previous studies have usually focused on accidents involving a TLOFW accident. The plant conditions to make the operators confused seriously are usually the combined accident because the ORP only focuses on a single accident and FRP is less familiar with operators. The relationship between CET and PCT under various plant conditions is important to decide the limitation of initiating the F-B operation to prevent core damage

Trial evaluation on criticality safety of the fuel assemblies at falling accident as spent fuel transport and storage cask

International Nuclear Information System (INIS)

Tadano, Tomoaki

2016-01-01

The authors conducted critical safety assessment on the supposed event at the time of a fall accident of cask, and examined the influence on criticality safety. If the spacer of fuel assembly is sound, it is assumed that the pitch of fuel rod interval changes, and if the spacer is broken, it is assumed that the fuel rod is unevenly distributed in the basket. For the critical calculation of fuel assembly basket system, they performed it using a calculation code. For both of the single cell and assembly, calculation results showed an increase in the effective multiplication factor of reactivity of 2-3%. When this reactivity is applied to the criticality analysis result of PWR fuel assembly, the value approaches to the limit 0.95 of the neutron effective multiplication factor keff. However, the keff when new fuel is loaded is sufficiently lower than 0.93. Therefore, it is unlikely that the criticality analysis result approaches to 0.95 at all burnups, and the possibility to become criticality is very low in actual spent fuel transport. When considering the reactivity of this research, it is possible that the design condition for the assumption of novel fuel loading becomes severer. Furthermore, criticality analysis under non-uniform pitch will become necessary, and criticality safety analysis for BWR fuel with heterogeneous enrichment degree and burnup degree will become also necessary. (A.O.)

Pharmacokinetics of trimethoprim-sulfamethoxazole in critically ill and non-critically ill AIDS patients.

OpenAIRE

Chin, T W; Vandenbroucke, A; Fong, I W

1995-01-01

Current dosage regimens of trimethoprim-sulfamethoxazole used to treat Pneumocystis carinii pneumonia in AIDS patients have been based on data from healthy subjects or patients without AIDS. The clearance and absorption characteristics of the drugs may potentially be different between patients with and without AIDS. This study was conducted to assess the pharmacokinetics of trimethoprim-sulfamethoxazole in critically ill and non-critically ill AIDS patients treated for P. carinii pneumonia. P...

Criticality accident in uranium fuel processing plant. Efficacy of insurance and third party inspection system. Capability margins of insurance, in view of bitter experience at JCO

Energy Technology Data Exchange (ETDEWEB)

Izumi, Taiichiro [Songaihokenryoritsusanteikai (Japan)

2000-08-01

Among persons relating to safety engineering, most of them point out merit and demerit of safety theory in Japan since a long term before. Under national policy aiming at growth and expansion due to a policy under leading of government after war, running for about 50 years remained some strains containing a number of contradictions and absurdities in various fields. Here was described mainly on how to be done safety accident protection and inspection on a base of happenings incidentally seen at a chance of the criticality accident. Therefore, here were also established some viewpoints such as transferable risk, limit from insurance feature, genealogy of insurance, under-writing, and risk management, to mention effectiveness of the third party inspection with closed relationship with accident insurance. (G.K.)

Criticality accident in uranium fuel processing plant. Efficacy of insurance and third party inspection system. Capability margins of insurance, in view of bitter experience at JCO

International Nuclear Information System (INIS)

Izumi, Taiichiro

2000-01-01

Among persons relating to safety engineering, most of them point out merit and demerit of safety theory in Japan since a long term before. Under national policy aiming at growth and expansion due to a policy under leading of government after war, running for about 50 years remained some strains containing a number of contradictions and absurdities in various fields. Here was described mainly on how to be done safety accident protection and inspection on a base of happenings incidentally seen at a chance of the criticality accident. Therefore, here were also established some viewpoints such as transferable risk, limit from insurance feature, genealogy of insurance, under-writing, and risk management, to mention effectiveness of the third party inspection with closed relationship with accident insurance. (G.K.)

Increased pain sensitivity in accident-related chronic pain patients with comorbid posttraumatic stress

DEFF Research Database (Denmark)

Vaegter, Henrik Bjarke; Andersen, Tonny Elmose; Harvold, Mathea

2018-01-01

, anxiety, pain catastrophizing, and fear of movement) in patients with accident-related chronic spinal pain with (N=44) and without (N=64) comorbid PTSD characteristics. METHODS: Cuff algometry was performed on lower legs to assess pressure pain threshold (cPPT), tolerance (cPTT), temporal summation...

Utilisation of a Helicopter Emergency Medical Service (HEMS) for equestrian accidents in a regional major trauma network in the United Kingdom.

Science.gov (United States)

McQueen, Carl; Crombie, Nick; Cormack, Stef; George, Arun; Wheaton, Steve

2015-05-01

The utilisation of Helicopter Emergency Medical Services (HEMS) in response to equestrian accidents has been an integral part of operations for many years throughout the UK. The recent establishment of major trauma networks in the UK has placed great emphasis on the appropriate tasking of HEMS units to cases where added benefit can be provided and the incidence of time critical injury in cases of equestrian accidents has been shown to be low. This study assesses the impact made on the utilisation of the different HEMS resources for cases of equestrian accidents within the West Midlands following the launch of the regional trauma network. We present a retrospective analysis of all equestrian accidents attended by Midlands Air Ambulance (MAA) between 1 April 2012 and 1 April 2013. Data were abstracted from the MAA operational database relating to mission activations/scene attendances; team configuration (physician led and Critical Care Paramedic (CCP) led); on-scene interventions; mission timings and patient conveyance by helicopter. A total of 114 activations involved equestrian accidents (6% of overall workload). The contribution of equestrian accidents to overall workload was similar for physician led and CCP-led (69/1069) platforms (5% vs. 6%, p=0.50). Only three patients (3%) required pre-hospital RSI during the period analysed and there were no recorded cases of ketamine administration for analgesia/conscious sedation. In approximately half of all scene attendances patients did not require any medication to be administered by the HEMS team. The vast majority of incidents occurred in rural locations with over 80% of patients conveyed to hospital by helicopter. The average mission time for scene attendances resulting in conveyance by helicopter was in excess of 90 min on both types of platform. There is a clear requirement for the design and implementation of informed and intelligent tasking models to respond to the need for assistance in equestrian accidents

A methodology for the transfer of probabilities between accident severity categories

International Nuclear Information System (INIS)

Whitlow, J.D.; Neuhauser, K.S.

1992-01-01

Evaluation of the radiological risks of accidents involving vehicles transporting radioactive materials requires consideration of both accident probability and consequences. The probability that an accident will occur may be estimated from historical accident data for the given mode of transport. In addition to an overall accident rate, information regarding accident severity and the resulting package environments across the range of all credible accidents is needed to determine the potential for a release of radioactive material from the package or for an increase in direct radiation from the package caused by damage to packaging shielding. This information is usually obtained from a variety of sources such as historical data, experimental data, analyses of accident and package environments, and expert opinion. The consequences of an accident depend on a number of factors including the type, quantity, and physical form of radioactive material being transported; the response of the package to accident environments; the fraction of material released from the package; and the dispersion of any released material. One approach for the classification and treatment of transportation accidents in risk analysis divides the complete range of critical accident environments resulting from all credible accidents into some number of accident-severity categories. The types of accident environments that a package may be subjected to in transportation are often classified into the following five groups: impact, fire, crush, puncture, and immersion. A open-quotes criticalclose quotes accident environment is one of a type that could present a plausible threat to a package. Each severity category represents a portion of all credible accidents, and the total of all severity categories covers the complete range of critical accident environments. This approach is used in the risk assessment codes RADTRAN (Neuhauser and Kanipe 1992) and INTERTRAN (Ericsson and Elert 1983)

Pharmacokinetics of linezolid in critically ill patients.

Science.gov (United States)

Sazdanovic, Predrag; Jankovic, Slobodan M; Kostic, Marina; Dimitrijevic, Aleksandra; Stefanovic, Srdjan

2016-06-01

Linezolid is an oxazolidinone antibiotic active against Gram-positive bacteria, and is most commonly used to treat life-threatening infections in critically ill patients. The pharmacokinetics of linezolid are profoundly altered in critically ill patients, partly due to decreased function of vital organs, and partly because life-sustaining drugs and devices may change the extent of its excretion. This article is summarizes key changes in the pharmacokinetics of linezolid in critically ill patients. The changes summarized are clinically relevant and may serve as rationale for dosing recommendations in this particular population. While absorption and penetration of linezolid to tissues are not significantly changed in critically ill patients, protein binding of linezolid is decreased, volume of distribution increased, and metabolism may be inhibited leading to non-linear kinetics of elimination; these changes are responsible for high inter-individual variability of linezolid plasma concentrations, which requires therapeutic plasma monitoring and choice of continuous venous infusion as the administration method. Acute renal or liver failure decrease clearance of linezolid, but renal replacement therapy is capable of restoring clearance back to normal, obviating the need for dosage adjustment. More population pharmacokinetic studies are necessary which will identify and quantify the influence of various factors on clearance and plasma concentrations of linezolid in critically ill patients.

Bilateral cerebrovascular accidents in incontinentia pigmenti.

Science.gov (United States)

Fiorillo, Loretta; Sinclair, D Barry; O'Byrne, Mary L; Krol, Alfons L

2003-07-01

Incontinentia Pigmenti is an X-linked dominant neurocutaneous disorder with central nervous system manifestations in 30% of cases, including seizures and mental retardation. Ischemic or hemorrhagic cerebrovascular accidents have been reported rarely in incontinentia pigmenti. Chart review and literature search was performed following identification of the index case. We describe a patient with incontinentia pigmenti who developed bilateral cerebrovascular accidents in the neonatal period, with resultant severe neurologic sequelae. This is the second reported case of bilateral cerebrovascular accidents in a patient with incontinentia pigmenti. This finding may be secondary to cerebrovascular anomalies, similar to those observed in the retina. Recognition of cerebrovascular accidents as a complication of incontinentia pigmenti will hopefully lead to earlier recognition and treatment.

[Accident cause masculinity?--Gender-related issues of accident victims between prevention and coping in Kaiserreich and Weimarer Republik].

Science.gov (United States)

Knoll-Jung, Sebastian

2015-01-01

Occupational accidents in industrial workplaces are a specific health problem for man. Therefore it seems adequate to use masculinities as a category of research in this field. For the Kaiserreich and the Weimarer Republik it shows that male workers relating to their danger awareness and behavior, prevention, accident causes and coping strategies are settled in an area of conflict between a hard workplace environment and the family. On the basis of health practices of the accident victims it appears that there are different forms of labor masculinities. They have an important influence on all levels of an occupational accident from the endangerment to the success of the treatment. Through a critical use of the category academic void can be shown and alternative explanatory models can be offered.

Evaluation of the influences of nuclear accident by hedonic approach

International Nuclear Information System (INIS)

Takai, Toru

2005-01-01

The purpose of this sturdy is to examine the influences on residential land prices of criticality accident in Tokai-mura. To clarify the influences, three types of hedonic model are used to estimate land prices around JCO before and after the accident. The result of estimation indicates that land prices decreased according to proximity to JCO after the accident. (author)

Influencing factors for early acute cerebrovascular accidents in patients with stroke history following off-pump coronary artery bypass grafting.

Science.gov (United States)

Wang, Bin; Jia, Ming; Jia, Shijie; Wan, Jiuhe; Zhou, Xiao; Luo, Zhimin; Zhou, Ye; Zhang, Jianqun

2014-06-01

To analyse risk factors for early acute cerebrovascular accidents following off-pump coronary artery bypass grafting (OPCAB) in patients with stroke history, and to propose preventive measures to reduce the incidence of these events. A total of 468 patients with a history of stroke underwent OPCAB surgery in Beijing Anzhen Hospital of China from January 2010 to September 2012. They were retrospectively divided into two groups according to the occurrence of early acute cerebrovascular accidents within 48 hours following OPCAB. Multivariate logistic regression analysis was used to find risk or protective factors for early acute cerebrovascular accidents following the OPCAB. Fifty-two patients (11.1%) suffered from early acute cerebrovascular accidents in 468 patients, including 39 cases of cerebral infarction, two cases of cerebral haemorrhage, 11 cases of transient ischaemic attack (TIA). There were significant differences between the two groups in preoperative left ventricular ejection fraction ≤ 35%, severe bilateral carotid artery stenosis, poorly controlled hypertension, intraoperative application of Enclose® II proximal anastomotic device, postoperative acute myocardial infarction, atrial fibrillation, hypotension, ventilation time > 48h, ICU duration >48h and mortality. Multivariate logistic regression analysis showed that preoperative severe bilateral carotid stenosis (OR=6.378, 95%CI: 2.278-20.987) and preoperative left ventricular ejection fraction ≤ 35% (OR=2.737, 95%CI: 1.267-6.389), postoperative acute myocardial infarction (OR=3.644, 95%CI: 1.928-6.876), postoperative atrial fibrillation (OR=3.104, 95%CI:1.135∼8.016) and postoperative hypotension (OR=4.173, 95%CI: 1.836∼9.701) were independent risk factors for early acute cerebrovascular accidents in patients with a history of stroke following OPCAB procedures, while intraoperative application of Enclose® II proximal anastomotic device was protective factor (OR=0.556, 95%CI: 0.337-0.925). This

Chernobylsk NPP accident and its medical effects

International Nuclear Information System (INIS)

Gus'kova, A.K.

2000-01-01

Medical effects of the Chernobyl accident for various groups of people engaged in liquidation of the accident aftereffects and residents of the regions affected are assessed. Specific medical and social recommendations for each of the five groups of patients are made. Special attention is paid to the health of children who were exposed to external radiation in combination with intake of iodine isotopes. Extremely unfavourable influence of the mass media on the health of people involved in the Chernobyl accident is painted out. The necessity of adequate rehabilitation measures for various categories of patients involved in a large-scale accident is emphasized [ru

Strategy generation in accident management support

International Nuclear Information System (INIS)

Sirola, M.

1995-01-01

An increased interest for research in the field of Accident Management can be noted. Several international programmes have been started in order to be able to understand the basic physical and chemical phenomena in accident conditions. A feasibility study has shown that it would be possible to design and develop a computerized support system for plant staff in accident situations. To achieve this goal the Halden Project has initiated a research programme on Computerized Accident Management Support (CAMS project). The aim is to utilize the capabilities of computerized tools to support the plant staff during the various accident stages. The system will include identification of the accident state, assessment of the future development of the accident and planning of accident mitigation strategies. A prototype is developed to support operators and the Technical Support Centre in decision making during serious accident in nuclear power plants. A rule based system has been built to take care of the strategy generation. This system assists plant personnel in planning control proposals and mitigation strategies from normal operation to severe accident conditions. The ideal of a safety objective tree and knowledge from the emergency procedures have been used. Future prediction requires good state identification of the plant status and some knowledge about the history of some critical variables. The information needs to be validated as well. Accurate calculations in simulators and a large database including all important information form the plant will help the strategy planning. (author). 12 refs, 2 figs

[Mortality in traffic accidents in Bayamo, Cuba 2011].

Science.gov (United States)

Piña-Tornés, Arlines; González-Longoria, Lourdes; González-Pardo, Secundino; Acosta-González, Ariel; Vintimilla-Burgos, Patricio; Paspuel-Yar, Silvana

2014-01-01

With the objective of describing mortality from traffic accidents in Bayamo, Cuba, in 2011 a review was performed of injured and deceased patients due to traffic accidents, recorded in the Hospital Carlos M. de Céspedes. Of the 1,365 injured patients treated in the emergency room, the predominant groups were individuals aged 25 to 44 years comprising 372 patients (27.3%) and men comprising 1,071 (78.5%). 46 people died, most from the same age group and male. Multiple traumatisms (52.6%) and craniofacial trauma (34.2%) were the predominant injuries. Motor vehicle-pedestrian accidents stood out with a mortality of 26.3%. In conclusion, mortality from traffic accidents predominately occurs in young male adults, whose fatal consequences are due to multiple traumatisms from road accidents.

Glucose metabolism in critically ill patients

DEFF Research Database (Denmark)

Nielsen, Signe Tellerup; Krogh-Madsen, Rikke; Møller, Kirsten

2015-01-01

glucose (BG). This is taken advantage of in the treatment of patients with T2DM, for whom GLP-1 analogs have been introduced during the recent years. Infusion of GLP-1 also lowers the BG level in critically ill patients without causing severe hypoglycemia. The T2DM and critical illness share similar......, stimulates insulin secretion and inhibits glucagon release both in healthy individuals and in patients with type 2 diabetes (T2DM). Compared to insulin, GLP-1 appears to be associated with a lower risk of severe hypoglycemia, probably because the magnitude of its insulinotropic action is dependent on blood...

A critical review of Jan Beyea's report: A study of some of the consequences of hypothetical reactor accidents at Barsebaeck

International Nuclear Information System (INIS)

Gjoerup, H.L.; Hedemann Jensen, P.; Jensen, N.O.; Pejtersen, V.; Lundtang Petersen, E.; Petersen, T.; Thykier-Nielsen, S.; Heikel Vinther, F.

1978-04-01

This report contains a critical review of Jan Beyea's report: A study of some of the consequences of hypothetical reactor accidents at Barsebaeck (Princeton University, January 1978). Unreasonable assumptions concerning dry deposition, plume rise, meteorological considerations, dose-response relationship and probability distributions were found in the report. It is found that the conclusions of the Beyea report are the result of a mathematical exercise rather than the results of a realistic risk evaluation for Barsebaeck. (author)

Prevalence of oral health-related conditions that could trigger accidents for patients with moderate-to-severe dementia.

Science.gov (United States)

Kobayashi, Naoki; Soga, Yoshihiko; Maekawa, Kyoko; Kanda, Yuko; Kobayashi, Eiko; Inoue, Hisako; Kanao, Ayana; Himuro, Yumiko; Fujiwara, Yumi

2017-03-01

This study was performed to determine the prevalence of oral health conditions unnoticed by doctors and ward staff that may increase risk of incidents and/or accidents in hospitalised patients with moderate-severe dementia. Dementia patients may not recognise risks in the mouth, such as tooth mobility or ill-fitting dental prostheses and/or dentures. In addition to the risk of choking, injury by sharp edges of collapsed teeth or prosthodontics could pose risks. However, many previous publications were limited to case reports or series. Ninety-two consecutive hospitalised dementia patients (M: 52, F: 40, median age: 82.5 years, range: 62-99 years, from 2011 to 2014), referred for dentistry for dysphagia rehabilitation, were enrolled in this study. Participants referred for dental treatment with dental problems detected by ward staff were excluded. All participants had a Global Clinical Dementia Rating Score >2. Their dental records were evaluated retrospectively for issues that may cause incidents and/or accidents. Problems in the mouth, for example tooth stumps, dental caries, and ill-fitting dentures, were detected in 51.1% of participants (47/92). Furthermore, 23.9% (22/92) showed risk factors that could lead to incidents and/or accidents, for example falling out of teeth and/or prosthodontics or injury by sharp edges of teeth and/or prosthodontics. Hospitalised moderate-severe dementia patients had a high prevalence of oral health conditions unnoticed by doctors and ward staff that may increase risk of incidents and/or accidents. © 2016 John Wiley & Sons A/S and The Gerodontology Association. Published by John Wiley & Sons Ltd.

Personal nuclear accident dosimetry at Sandia National Laboratories

International Nuclear Information System (INIS)

Ward, D.C.; Mohagheghi, A.H.; Burrows, R.

1996-09-01

DOE installations possessing sufficient quantities of fissile material to potentially constitute a critical mass, such that the excessive exposure of personnel to radiation from a nuclear accident is possible, are required to provide nuclear accident dosimetry services. This document describes the personal nuclear accident dosimeter (PNAD) used by SNL and prescribes methodologies to initially screen, and to process PNAD results. In addition, this report describes PNAD dosimetry results obtained during the Nuclear Accident Dosimeter Intercomparison Study (NAD23), held during 12-16 June 1995, at Los Alamos National Laboratories. Biases for reported neutron doses ranged from -6% to +36% with an average bias of +12%

Criticality safety (prospect of study in NUCEF)

International Nuclear Information System (INIS)

Itagaki, Masafumi

1996-01-01

Experimental studies of criticality safety are under way using STACY and TRACY in NUCEF. Collection of fundamental data on criticality in a solution system is undergoing with STACY to confirm that the likelihood of criticality safety in the system constructed on the assumption of apparatuses in a reprocessing plant is enough large. Whereas some experiments simulating criticality accidents in a reprocessing plant using TRACY were designed to investigate the behaviors of fuel solution and radioactive matters in order to clarify whether it is possible to safely shut them in the facility even if a critical accident occurs. Both STACY and TRACY reached the criticality in 1995. Up to now a series of criticality experiments have been done using STACY with a core tank φ60 cm and the first periodical examination is now under way. On the other hand, we have a plan using TRACY to investigate the behaviors of nuclear heat solution at a criticality accident, and the releasing, transfer and deposition of radioactive materials. After reaching the criticality for the first, the performance verification test has been conducted. The full-scale study using TRACY is planned to begin in the second half of 1996. (M.N.)

Development of Human Factor Management Requirements and Human Error Classification for the Prevention of Railway Accident

International Nuclear Information System (INIS)

Kwak, Sang Log; Park, Chan Woo; Shin, Seung Ryoung

2008-08-01

Railway accident analysis results show that accidents cased by human factors are not decreasing, whereas H/W related accidents are steadily decreasing. For the efficient management of human factors, many expertise on design, conditions, safety culture and staffing are required. But current safety management activities on safety critical works are focused on training, due to the limited resource and information. In order to improve railway safety, human factors management requirements for safety critical worker and human error classification is proposed in this report. For this accident analysis, status of safety measure on human factor, safety management system on safety critical worker, current safety planning is analysis

Evaluation of dose equivalent rate distribution in JCO critical accident by radiation transport calculation

CERN Document Server

Sakamoto, Y

2002-01-01

In the prevention of nuclear disaster, there needs the information on the dose equivalent rate distribution inside and outside the site, and energy spectra. The three dimensional radiation transport calculation code is a useful tool for the site specific detailed analysis with the consideration of facility structures. It is important in the prediction of individual doses in the future countermeasure that the reliability of the evaluation methods of dose equivalent rate distribution and energy spectra by using of Monte Carlo radiation transport calculation code, and the factors which influence the dose equivalent rate distribution outside the site are confirmed. The reliability of radiation transport calculation code and the influence factors of dose equivalent rate distribution were examined through the analyses of critical accident at JCO's uranium processing plant occurred on September 30, 1999. The radiation transport calculations including the burn-up calculations were done by using of the structural info...

Strategy-oriented display concept to assist severe accident management

International Nuclear Information System (INIS)

Jeong, Kwangsub; Ha, Jaejoo

2000-01-01

The Critical Function Monitoring System (CFMS) is a typical Safety Parameter Display System (SPDS) to assist the operation of Korean Standard Nuclear Power Plants during normal and emergency operation, and SPDS for severe accident is being developed in Korea. When the existing CFMS is used under a severe accident situation, some problems are expected from: (1) different design basis, i.e. prevention of core melt vs. protection of radiation release to environment, (2) different parameters for decision-making, and (3) different domain and depth of information to restore the plant. To resolve the above problems, a concept, 'Strategy-Oriented Information Display' concept, for displaying information for severe accident management is developed in this paper. Whereas the existing SPDS structure is based on the critical safety function, the developed concept is based on the severe accident management strategy. The display for each strategy includes the plant parameters to check the status of plant and component with the logical or graphical views necessary for executing the strategy. As the application of the proposed concept, KAERI is developing a display system, the prototype severe accident SPDS, Severe Accident Management Display System (SAMDIS), to assist plant personnel for executing Korean Severe Accident Management Guidelines. CFMS is developed for a general display suitable to all situations with various displays. On the contrary, SAMDIS provides all the relevant information on one screen based on the proposed concept. The SAMDIS screen shows more extensive area than CFMS and thus plant personnel can recognize the overall plant status at a glance. This concept is quite effective when used with severe accident management guidelines because of the relatively macroscopic characteristics of a severe accident management strategy. (author)

An updated nuclear criticality slide rule

International Nuclear Information System (INIS)

Hopper, C.M.; Broadhead, B.L.

1998-04-01

This Volume 2 contains the functional version of the updated nuclear criticality slide rule (more accurately, sliding graphs) that is referenced in An Updated Nuclear Criticality Slide Rule: Technical Basis, NUREG/CR-6504, Vol. 1 (ORNL/TM-13322/V1). This functional slide rule provides a readily usable open-quotes in-handclose quotes method for estimating pertinent nuclear criticality accident information from sliding graphs, thereby permitting (1) the rapid estimation of pertinent criticality accident information without laborious or sophisticated calculations in a nuclear criticality emergency situation, (2) the appraisal of potential fission yields and external personnel radiation exposures for facility safety analyses, and (3) a technical basis for emergency preparedness and training programs at nonreactor nuclear facilities. The slide rule permits the estimation of neutron and gamma dose rates and integrated doses based upon estimated fission yields, distance from the fission source, and time-after criticality accidents for five different critical systems. Another sliding graph permits the estimation of critical solution fission yields based upon fissile material concentration, critical vessel geometry, and solution addition rate. Another graph provides neutron and gamma dose-reduction factors for water, steel, and concrete. Graphs from historic documents are provided as references for estimating critical parameters of various fissile material systems. Conversion factors for various English and metric units are provided for quick reference

STUDY OF ROAD TRAFFIC ACCIDENTS WITH SPECIAL REFERENCE TO THE ACCIDENT VICTIMS ADMITTED IN GAUHATI MEDICAL COLLEGE AND HOSPITAL, ASSAM

Directory of Open Access Journals (Sweden)

Rocket Chandra

2016-05-01

Full Text Available BACKGROUND In the present scenario, road traffic accidents have become a major cause of human mortality and morbidity. Accidents are increasing at alarming rates in India. The objective of our study was to assess the socio-demographic profile of road traffic accident victims admitted in a tertiary care setting, and to assess the pattern of injuries. METHODOLOGY The present study is prospective and analytical hospital based study. RESULTS The present studies show that more than 70% of the victims are in the age group of below 45 years (n=3196 and with male preponderance. Out of 14364 accident patients visiting the emergency department of Gauhati Medical College and Hospital, 4953 patients were admitted. The majorities of the patients (n=2995 were admitted in surgery department and 1586 in orthopaedic department. CONCLUSIONS Several factors are responsible for causing road accidents such as drunk driving, lack of awareness of traffic rules, nonadherence to safety measures. To reduce morbidity and mortality following road accidents, comprehensive policy has to be adopted by the government

Realistic minimum accident source terms - Evaluation, application, and risk acceptance

International Nuclear Information System (INIS)

Angelo, P. L.

2009-01-01

The evaluation, application, and risk acceptance for realistic minimum accident source terms can represent a complex and arduous undertaking. This effort poses a very high impact to design, construction cost, operations and maintenance, and integrated safety over the expected facility lifetime. At the 2005 Nuclear Criticality Safety Division (NCSD) Meeting in Knoxville Tenn., two papers were presented mat summarized the Y-12 effort that reduced the number of criticality accident alarm system (CAAS) detectors originally designed for the new Highly Enriched Uranium Materials Facility (HEUMF) from 258 to an eventual as-built number of 60. Part of that effort relied on determining a realistic minimum accident source term specific to the facility. Since that time, the rationale for an alternate minimum accident has been strengthened by an evaluation process that incorporates realism. A recent update to the HEUMF CAAS technical basis highlights the concepts presented here. (authors)

Counterregulatory hormones in insulin-treated diabetic patients admitted to an accident and emergency department with hypoglycaemia

DEFF Research Database (Denmark)

Hvidberg, A; Christensen, N J; Hilsted, Jannik

1998-01-01

The aim of the study was (1) to describe hormone responses in insulin-induced hypoglycaemia and (2) to investigate if a combined treatment with intravenous glucose and intramuscular glucagon (group A) would improve glucose recovery as compared to treatment with intravenous glucose alone (group B)...... significantly elevated concentrations of adrenaline and glucagon were found in diabetic patients admitted with severe hypoglycaemia to an Accident and Emergency Department.......). Eighteen adult patients with insulin-treated diabetes mellitus admitted to the Accident and Emergency Department with hypoglycaemia (plasma glucose 1.23 +/- 0.15 mmol l(-1) on admission) were randomized to one of the above treatments and plasma glucose and counterregulatory hormones were measured before...

Nitrogen Balance and Protein Requirements for Critically Ill Older Patients

Directory of Open Access Journals (Sweden)

Roland N. Dickerson

2016-04-01

Full Text Available Critically ill older patients with sarcopenia experience greater morbidity and mortality than younger patients. It is anticipated that unabated protein catabolism would be detrimental for the critically ill older patient. Healthy older subjects experience a diminished response to protein supplementation when compared to their younger counterparts, but this anabolic resistance can be overcome by increasing protein intake. Preliminary evidence suggests that older patients may respond differently to protein intake than younger patients during critical illness as well. If sufficient protein intake is given, older patients can achieve a similar nitrogen accretion response as younger patients even during critical illness. However, there is concern among some clinicians that increasing protein intake in older patients during critical illness may lead to azotemia due to decreased renal functional reserve which may augment the propensity towards worsened renal function and worsened clinical outcomes. Current evidence regarding protein requirements, nitrogen balance, ureagenesis, and clinical outcomes during nutritional therapy for critically ill older patients is reviewed.

Paralysis from sport and diving accidents.

Science.gov (United States)

Schmitt, H; Gerner, H J

2001-01-01

To examine the causes of sport-related spinal cord injuries that developed into paraplegia or tetraplegia, and to compare data from different sports with previous studies in the same geographical region. A retrospective epidemiological study and comparison with previous studies. The Orthopedic Department, specializing in the treatment and rehabilitation of paralyzed patients, at the University of Heidelberg, Germany. Between 1985 and 1997, 1,016 cases of traumatic spinal cord injury presented at the Orthopedic Department at the University of Heidelberg: 6.8% were caused by sport and 7.7% by diving accidents. Sport-related spinal cord injuries with paralysis. A total of 1.016 cases of traumatic spinal cord injury were reviewed. Of these, 14.5% were caused by sport accidents (n = 69) or diving accidents (n = 78). Age of patients ranged from 9 to 52 years. 83% were male. 77% of the patients developed tetraplegia, and 23%, paraplegia. 16 of the sport accidents resulted from downhill skiing, 9 resulted from horseback riding, 7 from modern air sports, 6 from gymnastics, 5 from trampolining, and 26 from other sports. Previous analyses had revealed that paraplegia had mainly occurred from gymnastics, trampolining, or high diving accidents. More recently, however, the number of serious spinal injuries caused by risk-filled sports such as hang gliding and paragliding has significantly increased (p = 0.095), as it has for horseback riding and skiing. Examinations have shown that all patients who were involved in diving accidents developed tetraplegia. An analysis of injury from specific sports is still under way. Analysis of accidents resulting in damage to the spinal cord in respect to different sports shows that sports that have become popular during the last 10 years show an increasing risk of injury. Modern air sports hold the most injuries. Injury-preventing strategies also are presented.

WWER-440/V-230 Confinement modernization to upgrade the critical safety function 'Containment integrity' in case of severe accident

International Nuclear Information System (INIS)

Sartmadjiev, A.

1999-01-01

In this lecture the WWER-440/V-230 confinement modernization to upgrade the critical safety function 'Containment integrity' in case of severe accident is presented. There are discussed: design limitations of the location system; consequence from these design limitations; a few confinement reconstruction concepts of this type of units worldwide; and purpose of the confinement reconstruction - to improve significantly the original design, ensuring (1) localization for all possible primary breaks and (2) limitation of the radiological consequences for the personnel, the population and the environment below the regulatory requirements

TL detectors for gamma ray dose measurements in criticality accidents

International Nuclear Information System (INIS)

Miljanic, S.; Zorko, B.; Gregori, B.; Knezevic, Z.

2007-01-01

Determination of gamma ray dose in mixed neutron + gamma ray fields is still a demanding task. Dosemeters used for gamma ray dosimetry are usually in some extent sensitive to neutrons and their response variations depend on neutron energy i.e., on neutron spectra. Besides, it is necessary to take into account the energy dependence of dosemeter responses to gamma rays. In this work, several types of thermoluminescent detectors (TLD) placed in different holders used for gamma ray dose determination in the mixed fields were examined. Dosemeters were from three different institutions: Ruder Boskovic Inst. (RBI), Croatia, Jozef Stefan Inst. (JSI), Slovenia and Autoridad Regulatoria Nuclear (ARN), Argentina. All dosemeters were irradiated during the International Intercomparison of Criticality Accident Dosimetry Systems at the SILENE Reactor, Valduc, June 2002. Three accidental scenarios were reproduced and in each irradiation the dosemeters were exposed placed on the front of phantom and 'free in air'. Following types of TLDs were used: 7 LiF (TLD-700), CaF 2 :Mn and Al2 O3 :Mg,Y - all from RBI; CaF 2 :Mn from JSI and 7 LiF (TLD-700) from ARN. Reported doses were compared with the reference values as well as with the values obtained from the results of all participants. The results show satisfactory agreement with other dosimetry systems used in the Intercomparison. The influence of different types of holders and applied corrections of dosemeters' readings are discussed. (authors)

TL detectors for gamma ray dose measurements in criticality accidents.

Science.gov (United States)

Miljanić, Saveta; Zorko, Benjamin; Gregori, Beatriz; Knezević, Zeljka

2007-01-01

Determination of gamma ray dose in mixed neutron+gamma ray fields is still a demanding task. Dosemeters used for gamma ray dosimetry are usually in some extent sensitive to neutrons and their response variations depend on neutron energy i.e., on neutron spectra. Besides, it is necessary to take into account the energy dependence of dosemeter responses to gamma rays. In this work, several types of thermoluminescent detectors (TLD) placed in different holders used for gamma ray dose determination in the mixed fields were examined. Dosemeters were from three different institutions: Ruder Bosković Institute (RBI), Croatia, JoZef Stefan Institute (JSI), Slovenia and Autoridad Regulatoria Nuclear (ARN), Argentina. All dosemeters were irradiated during the International Intercomparison of Criticality Accident Dosimetry Systems at the SILENE Reactor, Valduc, June 2002. Three accidental scenarios were reproduced and in each irradiation the dosemeters were exposed placed on the front of phantom and 'free in air'. Following types of TLDs were used: 7LiF (TLD-700), CaF2:Mn and Al2O3:Mg,Y-all from RBI; CaF2:Mn from JSI and 7LiF (TLD-700) from ARN. Reported doses were compared with the reference values as well as with the values obtained from the results of all participants. The results show satisfactory agreement with other dosimetry systems used in the Intercomparison. The influence of different types of holders and applied corrections of dosemeters' readings are discussed.

The Physics of Traffic Accidents

Science.gov (United States)

Knight, Peter

1975-01-01

Shows how physics can be used to analyze and prevent traffic accidents by determining critical speeds on curves, the behavior of motor cycles and stability of articulated vehicles, and the visibility that is needed to make a minor road junction safe. (MLH)

Design features of ACR in severe accident mitigation

International Nuclear Information System (INIS)

Shapiro, H.; Krishnan, V.S.; Santamaura, P.; Lekakh, B.; Blahnik, C.

2007-01-01

failed structure would retain some capability to reduce radioactivity release into the environment. SAMDAs that enhance the capabilities for minimizing the offsite releases (venting) are being actively examined further. State-of-the art hydrogen control of igniters and passive, auto-catalytic recombiners are provided. The ACR design is not prone to core-concrete interactions by virtue of multiple, externally cooled barriers between the fuel and the containment floor as well as due to characteristics of the compartment into which the core materials would eventually penetrate (i.e., a large area for debris spread and multiple means of keeping the debris submerged in water). The instrumentation that provides reliable data to the severe accident management team is critical to successful accident mitigation. The ACR instruments provide the necessary coverage of all critical plant parameters in two locations (main control room and secondary control area). As far as practical, these instruments will be hardened to withstand the severe accident conditions. All critical instruments will be assessed for survivability under severe accident conditions. (authors)

The social background of the JCO accident and the real location of its responsibility

International Nuclear Information System (INIS)

Mitsugashira, Toshiaki

2001-01-01

The background of the occurrence of the JCO criticality accident seems to be in the defect of the safeguard inspection. According to the guideline of the safeguard inspection for uranium processing plants, the countermeasures to the criticality accident are not necessary as far as the plant is designed not to reach the critical condition. The guideline is ruled to be applied to the facility for the processing of uranium whose enrichment is below 5%. This means that the safeguard inspection for the Uranium Conversion Building (UCB) of JCO is the matter to be made according to the basic safeguard guideline that demands the countermeasures to the criticality accident because the 18% enriched uranium was processed in UCB. As for the reprocessing of the nuclear fuel that underwent the criticality, it was done without examining a legal basis fully. (author)

The importance of critical incident reporting – and how to do it

Directory of Open Access Journals (Sweden)

Tim Fetherston

2015-09-01

Full Text Available If you asked a group of people whether you were more likely to die from an accident when you were in hospital or when you were travelling, either by air or by car, most people would probably say that it was safer to be in hospital. In fact, this couldn’t be further from the truth. If you are a patient, you are a hundred times more likely to die from a critical incident or error in hospital than you are in a transport accident.

Development of integrated accident management assessment technology

International Nuclear Information System (INIS)

Jung, Won Dea; Ha, Jae Joo; Jin, Young Ho

2002-04-01

This project aims to develop critical technologies for accident management through securing evaluation frameworks and supporting tools, in order to enhance capabilities coping with severe accidents. For the research goal, firstly under the viewpoint of accident prevention, on-line risk monitoring system and the analysis framework for human error have been developed. Secondly, the training/supporting systems including the training simulator and the off-site risk evaluation system have been developed to enhance capabilities coping with severe accidents. Four kinds of research results have been obtained from this project. Firstly, the framework and taxonomy for human error analysis has been developed for accident management. As the second, the supporting system for accident managements has been developed. Using data that are obtained through the evaluation of off-site risk for Younggwang site, the risk database as well as the methodology for optimizing emergency responses has been constructed. As the third, a training support system, SAMAT, has been developed, which can be used as a training simulator for severe accident management. Finally, on-line risk monitoring system, DynaRM, has been developed for Ulchin 3 and 4 unit

Is refeeding syndrome relevant for critically ill patients?

Science.gov (United States)

Koekkoek, Wilhelmina A C; Van Zanten, Arthur R H

2018-03-01

To summarize recent relevant studies regarding refeeding syndrome (RFS) in critically ill patients and provide recommendations for clinical practice. Recent knowledge regarding epidemiology of refeeding syndrome among critically ill patients, how to identify ICU patients at risk, and strategies to reduce the potential negative impact on outcome are discussed. RFS is a potentially fatal acute metabolic derangement that ultimately can result in marked morbidity and even mortality. These metabolic derangements in ICU patients differ from otherwise healthy patients with RFS, as there is lack of anabolism. This is because of external stressors inducing a hypercatabolic response among other reasons also reflected by persistent high glucagon despite initiation of feeding. Lack of a proper uniform definition complicates diagnosis and research of RFS. However, refeeding hypophosphatemia is commonly encountered during critical illness. The correlations between risk factors proposed by international guidelines and the occurrence of RFS in ICU patients remains unclear. Therefore, regular phosphate monitoring is recommended. Based on recent trials among critically ill patients, only treatment with supplementation of electrolytes and vitamins seems not sufficient. In addition, caloric restriction for several days and gradual increase of caloric intake over days is recommendable.

Does gender influence outcomes in critically ill patients?

OpenAIRE

Angele, Martin K; Pratschke, Sebastian; Chaudry, Irshad H

2012-01-01

Investigators continue to debate whether gender plays any role in patient outcome following injury/critical illness. We submit that age and hormonal milieu at the time of injury, rather than gender, are the critical factors influencing patient outcome under those conditions.

The program of international intercomparison of accident dosimetry

International Nuclear Information System (INIS)

2002-06-01

The French institute of radioprotection and nuclear safety (IRSN) has carried out in June 2002 an international intercomparison program for the testing of the physical and biological accident dosimetry techniques. The intercomparison is jointly organized by the IRSN and the OECD-NEA with the sustain of the European commission and the collaboration of the CEA centre of Valduc (France). About 30 countries have participated to this program. Each country has supplied its own dosimeters and biological samples which have been irradiated using the Silene reactor of CEA-Valduc or a 60 Co source. These experiments allow to test the new dosimetric techniques that have been developed since the previous intercomparison program (1993) and to confirm or improve the performances of older techniques. Aside from the intercomparison exercise, this report makes a status of the known radiological accidents and of the effects of high doses of ionizing radiations on human health (symptoms, therapeutics). It explains the phenomenology of criticality accidents, the prevention means, and the history of such accidents up to the Tokai-Mura one in 1999. Finally, the dosimetry of criticality is presented with its physical and biological techniques. (J.S.)

Trismus: An unusual presentation following road accident

Directory of Open Access Journals (Sweden)

Thakur Jagdeep

2007-01-01

Full Text Available Trismus due to trauma usually follows road accidents leading to massive faciomaxillary injury. In the literature there is no report of a foreign body causing trismus following a road accident, this rare case is an exception. We present a case of isolated presentation of trismus following a road accident. This case report stresses on the thorough evaluation of patients presenting with trismus following a road accident.

Accident and emergency management

International Nuclear Information System (INIS)

Andersen, V.; Moellenbach, K.; Heinonen, R.; Jakobsson, S.; Kukko, T.; Berg, Oe.; Larsen, J.S.; Westgaard, T.; Magnusson, B.; Andersson, H.; Holmstroem, C.; Brehmer, B.; Allard, R.

1988-06-01

There is an increasing potential for severe accidents as the industrial development tends towards large, centralised production units. In several industries this has led to the formation of large organisations which are prepared for accidents fighting and for emergency management. The functioning of these organisations critically depends upon efficient decision making and exchange of information. This project is aimed at securing and possibly improving the functionality and efficiency of the accident and emergency management by verifying, demonstrating, and validating the possible use of advanced information technology in the organisations mentioned above. With the nuclear industry in focus the project consists of five main activities: 1) The study and detailed analysis of accident and emergency scenarios based on records from incidents and rills in nuclear installations. 2) Development of a conceptual understanding of accident and emergency management with emphasis on distributed decision making, information flow, and control structure sthat are involved. 3) Development of a general experimental methodology for evaluating the effects of different kinds of decision aids and forms of organisation for emergency management systems with distributed decision making. 4) Development and test of a prototype system for a limited part of an accident and emergency organisation to demonstrate the potential use of computer and communication systems, data-base and knowledge base technology, and applications of expert systems and methods used in artificial intelligence. 5) Production of guidelines for the introduction of advanced information technology in the organisations based on evaluation and validation of the prototype system. (author)

The nature of reactor accidents

International Nuclear Information System (INIS)

Domaratzki, Z.; Campbell, F.R.; Atchison, R.J.

1981-01-01

Reactor accidents are events which result in the release of radioactive material from a nuclear power plant due to the failure of one or more critical components of that plant. The failures, depending on their number and type, can result in releases whose consequences range from negligible to catastrophic. By way of examples, this paper describes four specific accidents which cover this range of consequence: failure of a reactor control system, loss of coolant, loss of coolant with impaired containment, and reactor core meltdown. For each a possible sequence of events and an estimate of the expected frequency are presented

Radiation monitoring using imaging plate technology: A case study of leaves affected by the Chernobyl nuclear power plant and JCO criticality accidents

Directory of Open Access Journals (Sweden)

Kimura Shinzo

2006-01-01

Full Text Available This paper describes the use of a photostimulable phosphor screen imaging technique to detect radioactive contamination in the leaves of wormwood (Artemisia vulgaris L and fern (Dryopteris filix-max CL. Schoff plants affected by the Chernobyl nuclear power plant accident. The imaging plate technology is well known for many striking performances in two-dimensional radiation detection. Since imaging plate comprises an integrated detection system, it has been extensively applied to surface contamination distribution studies. In this study, plant samples were collected from high- and low-contaminated areas of Ukraine and Belarus, which were affected due to the Chernobyl accident and exposed to imaging technique. Samples from the highly contaminated areas revealed the highest photo-stimulated luminescence on the imaging plate. Moreover, the radio nuclides detected in the leaves by gamma and beta ray spectroscopy were 137Cs and 90Sr, respectively. Additionally, in order to assess contamination, a comparison was also made with leaves of plants affected during the JCO criticality accident in Japan. Based on the results obtained, the importance of imaging plate technology in environmental radiation monitoring has been suggested.

Calibration of the indium foil used for criticality accident dosimetry in the UCC-ND employee identification badge

International Nuclear Information System (INIS)

Ryan, M.T.; Butler, H.M.; Gupton, E.D.; Sims, C.S.

1982-05-01

The UCC-ND Employee Identification Badge contains an indium foil disc that is intended for use as a dosimetry screening device in the event of a criticality accident. While it is recognized that indium is not a precise mixed neutron-gamma dosimeter, its activation by neutrons provides adequate means for separating potentially exposed persons into three groups. These groups are: (1) personnel exposed below annual dose limits, (2) personnel exposed above annual dose limits but below 25 rem, and (3) personnel exposed above 25 rem. This screening procedure is designed to facilitate dosimeter processing in order to meet regulatory reporting requirements. A quick method of interpreting induced activity measurements is presented and discussed

Accidents - Chernobyl accident

International Nuclear Information System (INIS)

2004-01-01

This file is devoted to the Chernobyl accident. It is divided in four parts. The first part concerns the accident itself and its technical management. The second part is relative to the radiation doses and the different contaminations. The third part reports the sanitary effects, the determinists ones and the stochastic ones. The fourth and last part relates the consequences for the other European countries with the case of France. Through the different parts a point is tackled with the measures taken after the accident by the other countries to manage an accident, the cooperation between the different countries and the groups of research and studies about the reactors safety, and also with the international medical cooperation, specially for the children, everything in relation with the Chernobyl accident. (N.C.)

Effect of mitral regurgitation on cerebrovascular accidents in patients with atrial fibrillation and left atrial thrombus.

Science.gov (United States)

Nair, Chandra K; Aronow, Wilbert S; Shen, Xuedong; Anand, Kishlay; Holmberg, Mark J; Esterbrooks, Dennis J

2009-11-01

The effect of mitral regurgitation (MR) on the incidence of new cerebrovascular accidents (CVA) and mortality in patients with atrial fibrillation (AF) and left atrial thrombus (LAT) is unknown. To investigate the effect of MR in patients with AF and LAT on new CVA and mortality. Eighty nine consecutive patients, mean age 71 years, with AF and LAT documented by transesophageal echocardiography were investigated to determine the prevalence and severity of MR and the association of the severity of MR with new cerebrovascular accidents (CVA) and mortality at 34-mo follow-up. Of 89 patients, 1 + MR was present in 23 patients (26%), 2 + MR in 44 patients (50%), 3 + MR in 17 patients (19%), and 4 + MR in 3 patients (4%). Mean follow-up was 34 +/- 28 mo. The Cox proportional hazards model showed that the severity of increased MR did not significantly increase new CVA or mortality at 34-mo follow-up. The only variable predictive of mortality was left ventricular ejection fraction (LVEF), and with every unit increase in LVEF, the risk decreased by 3%. MR occurred in 87 of 89 patients (98%) with AF and LAT. There was no association between the severity of MR and the incidence of CVA or mortality.

Severe Accident Management System On-line Network SAMSON

International Nuclear Information System (INIS)

Silverman, Eugene B.

2004-01-01

SAMSON is a computational tool used by accident managers in the Technical Support Centers (TSC) and Emergency Operations Facilities (EOF) in the event of a nuclear power plant accident. SAMSON examines over 150 status points monitored by nuclear power plant process computers during a severe accident and makes predictions about when core damage, support plate failure, and reactor vessel failure will occur. These predictions are based on the current state of the plant assuming that all safety equipment not already operating will fail. SAMSON uses expert systems, as well as neural networks trained with the back propagation learning algorithms to make predictions. Training on data from an accident analysis code (MAAP - Modular Accident Analysis Program) allows SAMSON to associate different states in the plant with different times to critical failures. The accidents currently recognized by SAMSON include steam generator tube ruptures (SGTRs), with breaks ranging from one tube to eight tubes, and loss of coolant accidents (LOCAs), with breaks ranging from 0.0014 square feet (1.30 cm 2 ) in size to breaks 3.0 square feet in size (2800 cm 2 ). (author)

Aspects of severe accidents in transmutation systems

International Nuclear Information System (INIS)

Wider, H.U.; Karlson, J.; Jones, A.V.

2001-01-01

The different types of transmutation systems under investigation include accelerator driven (ADS) and critical systems. To switch off an accelerator in case of an accident initiation is quite important for all accidents. For a fast ADS the grace times available for doing so depend strongly on the total heat capacity and the natural circulation capability of the primary coolant. Cooling with heavy metal Pb-Bi has considerable advantages in this regard compared to gas cooling. Moreover it allows passive ex-vessel cooling with natural air or water circulation. In the remote likelihood of fuel melting, oxide fuel appears to mix with the Pb-Bi coolant. Fast critical systems that are cooled by Pb-Bi will automatically shut off if the flow or heat sink is lost. Reactivity accidents can be limited by a low total control rod worth. High temperature reactors can achieve only incomplete burning of actinides. If an accelerator is added to increase burn-up, a fast spectrum region is needed, which has a low heat capacity. (author)

Effect of hyperbaric oxygen therapy on whole blood cyanide concentrations in carbon monoxide intoxicated patients from fire accidents

DEFF Research Database (Denmark)

Lawson-Smith, Pia; Jansen, Erik C; Hilsted, Linda

2010-01-01

Hydrogen cyanide (HCN) and carbon monoxide (CO) may be important components of smoke from fire accidents. Accordingly, patients admitted to hospital from fire accidents may have been exposed to both HCN and CO. Cyanide (CN) intoxication results in cytotoxic hypoxia leading to organ dysfunction...... and animal experiments have shown that in rats exposed to CN intoxication, HBO can increase the concentration of CN in whole blood....

Nosocomial pneumonia in critically ill patients

Directory of Open Access Journals (Sweden)

Dandagi Girish

2010-01-01

Full Text Available The care of critically ill patients in the intensive care unit (ICU is a primary component of modern medicine. ICUs create potential for recovery in patients who otherwise may not have survived. However, they may suffer from problems associated with of nosocomial infections. Nosocomial infections are those which manifest in patients 48 hours after admission to hospital. Nosocomial infections are directly related to diagnostic, interventional or therapeutic procedures a patient undergoes in hospital, and are also influenced by the bacteriological flora prevailing within a particular unit or hospital. Urinary tract infections are the most frequent nosocomial infection, accounting for more than 40% of all nosocomial infections. Critical care units increasingly use high technology medicine for patient care, hemodynamic monitoring, ventilator support, hemodialysis, parenteral nutrition, and a large battery of powerful drugs, particularly antibiotics to counter infection. It is indeed a paradox that the use of high-tech medicine has brought in its wake the dangerous and all too frequent complication of nosocomial infections

Accidents in radiotherapy: Lack of quality assurance?

International Nuclear Information System (INIS)

Novotny, J.

1997-01-01

About 150 radiological accidents, involving more than 3000 patients with adverse effects, 15 patient's fatalities and about 5000 staff and public exposures have been collected and analysed. Out of 67 analysed accidents in external beam therapy 22% has been caused by wrong calculation of the exposure time or monitor units, 13% by inadequate review of patient's chart, 12% by mistakes in the anatomical area to be treated. The remaining 35% can be attributed to 17 different causes. The most common mistakes in brachytherapy were wrong activities of sources used for treatment (20%), inadequate procedures for placement of sources applicators (14%), mistakes in calculating the treatment time (12%), etc. The direct and contributing causes of radiological accidents have been deduced from each event, when it was possible and categorized into 9 categories: mistakes in procedures (30%), professional mistakes (17%), communication mistakes (15%), lack of training (8.5%), interpretation mistakes (7%), lack of supervision (6%), mistakes in judgement (6%), hardware failures (5%), software and other mistakes (5.5%). Three types of direct and contributing causes responsible for almost 62% of all accidents are directly connected to the quality assurance of treatment. The lessons learnt from the accidents are related to frequencies of direct and contributing factors and show that most of the accident are caused by lack, non-application of quality assurance (QA) procedures or by underestimating of QA procedures. The international system for collection of accidents and dissemination of lessons learnt from the different accidents, proposed by IAEA, can contribute to better practice in many radiotherapy departments. Most of the accidents could have been avoided, had a comprehensive QA programme been established and properly applied in all radiotherapy departments, whatever the size. (author)

Emergency Response to Radioactive Material Transport Accidents

International Nuclear Information System (INIS)

EL-shinawy, R.M.K.

2009-01-01

Although transport regulations issued by IAEA is providing a high degree of safety during transport opertions,transport accidents involving packages containing radioactive material have occurred and will occur at any time. Whenever a transport accident involving radioactive material accurs, and many will pose no radiation safety problems, emergency respnose actioms are meeded to ensure that radiation safety is maintained. In case of transport accident that result in a significant relesae of radioactive material , loss of shielding or loss of criticality control , that consequences should be controlled or mitigated by proper emergency response actions safety guide, Emergency Response Plamming and Prepardness for transport accidents involving radioactive material, was published by IAEA. This guide reflected all requirememts of IAEA, regulations for safe transport of radioactive material this guide provide guidance to the publicauthorites and other interested organziation who are responsible for establishing such emergency arrangements

Development of an accident management expert system for containment assessment

International Nuclear Information System (INIS)

Nelson, W.R.; Sebo, D.E.; Haney, L.N.

1987-01-01

The United States Nuclear Regulatory Commission (USNRSC) is sponsoring a program at the Idaho National Engineering Laboratory (INEL) to develop an accident management expert system. The intended users of the system are the personnel of the NRC Operations Center in Washington, D.C. The expert system will be used to help NRC personnel monitor and evaluate the status and management of the containment during a severe reactor accident. The knowledge base will include severe accident knowledge regarding the maintenance of the critical safety functions, especially containment integrity, during an accident. This paper summarizes the concepts that have been developed for the accident management expert system, and the plans that have been developed for its implementation

Some Examples of Accident Analyses for RB Reactor

International Nuclear Information System (INIS)

Pesic, M.

2002-01-01

The RB reactor is heavy water critical assembly operated in the Vinca Institute of Nuclear Sciences, Belgrade, Yugoslavia, since April 1959. The first Safety Analysis Report of the RB critical assembly was prepared in 1961/62. But, the first accidental analysis was done in late 1958 in aim the examine power transient and total equivalent doses received by the staff during the reactivity accident occurred on October 15, 1958. Since 1960, the RB reactor is modified few times. Beside initial natural uranium metal fuel rods, new fuel (TVR-S types) from 2% enriched metal uranium and 80% enriched UO 2 were available since 1962 and 1976, respectively. Also, modifications in control and safety systems of the reactor were done occasionally. Special reactor cores were created using all three types of fuel elements, among them, the coupled fast-thermal ones. Nuclear Safety Committee of the Vinca Institute, an independent regulatory body approved for usage all these modifications of the RB reactor. For those decisions of the Committee, the Preliminary Safety Analysis Reports were prepared that, beside proposed technical modifications and new regulation rules had included analyses of various possible accidents. Special attention is given and new methodology was proposed for thoroughly analyses of design based accidents related to coupled fast-thermal cores, that include reactor central zones filled by fuel elements without moderator. In these accidents, during assumed flooding of the fast zone by moderator, a very high reactivity could be inserted in the system with very high reactivity rate. It was necessary to provide that the safety system of the reactor had fast response to that accident and had enough high (negative) reactivity to shut down the reactor timely. In this paper, a brief overview of some accidents, methodology and computation tools used for the accident analyses at RB reactor are given. (author)

Measurements of 60Co in spoons activated by neutrons during the JCO criticality accident at Tokai-mura in 1999

International Nuclear Information System (INIS)

Gasparro, J.; Hult, M.; Komura, K.; Arnold, D.; Holmes, L.; Johnston, P.N.; Laubenstein, M.; Neumaier, S.; Reyss, J.-L.; Schillebeeckx, P.; Tagziria, H.; Van Britsom, G.; Vasselli, R.

2004-01-01

Neutron activated items from the vicinity of the place where the JCO criticality accident occurred have been used to determine the fluence of neutrons around the facility and in nearby residential areas. By using underground laboratories for measuring the activation products, it is possible to extend the study to also cover radionuclides with very low activities from long-lived radionuclides. The present study describes γ-ray spectrometry measurements undertaken in a range of underground laboratories for the purpose of measuring 60 Co more than 2 years after the criticality event. The measurements show that neutron fluence determined from 60 Co activity is in agreement with previous measurements using the short-lived radionuclides 51 Cr and 59 Fe. Limits on contamination of the samples with 60 Co are evaluated and shown to not greatly affect the utility of neutron fluence determinations using 60 Co activation

Measurements of 60Co in spoons activated by neutrons during the JCO criticality accident at Tokai-mura in 1999.

Science.gov (United States)

Gasparro, J; Hult, M; Komura, K; Arnold, D; Holmes, L; Johnston, P N; Laubenstein, M; Neumaier, S; Reyss, J-L; Schillebeeckx, P; Tagziria, H; Van Britsom, G; Vasselli, R

2004-01-01

Neutron activated items from the vicinity of the place where the JCO criticality accident occurred have been used to determine the fluence of neutrons around the facility and in nearby residential areas. By using underground laboratories for measuring the activation products, it is possible to extend the study to also cover radionuclides with very low activities from long-lived radionuclides. The present study describes gamma-ray spectrometry measurements undertaken in a range of underground laboratories for the purpose of measuring (60)Co more than 2 years after the criticality event. The measurements show that neutron fluence determined from (60)Co activity is in agreement with previous measurements using the short-lived radionuclides (51)Cr and (59)Fe. Limits on contamination of the samples with (60)Co are evaluated and shown to not greatly affect the utility of neutron fluence determinations using (60)Co activation.

Report on a radiotherapy underdose accident

Energy Technology Data Exchange (ETDEWEB)

Christodoulides, G; Christofides, S [Medical Physics Department, Nicosia General Hospital, 1450 Nicosia (Cyprus)

1999-12-31

Reporting information on accidents and incidents involving radiation sources provides a body of knowledge which can help to prevent accidents of a similar nature. Accident information has to be made available to users, manufacturers and regulators; An international effort to pool and analyse incident and accident information will provide more complete and reliable indicators of root causes and trends and recommendations for future accident avoidance. An accident due to human error involving a superficial x-ray therapy machine and patients treated for postoperative breast cancer is reported here. 43 women receiving radiotherapy treatment have received significantly less radiation dose than the prescribed dose. The worst dose percentage within the radiation field was 20% of the prescribed dose. The worst dose percentage on the operation scar of the breast was 52% of the prescribed radiation dose. The response to accidents/incidents in radiotherapy is discussed. (authors) 4 refs., 5 figs., 1 tabs.

Stress, coping and presenteeism in nurses assisting critical and potentially critical patients

Directory of Open Access Journals (Sweden)

Juliane Umann

2014-10-01

Full Text Available Objective to verify the associations between stress, Coping and Presenteeism in nurses operating on direct assistance to critical and potentially critical patients. Method this is a descriptive, cross-sectional and quantitative study, conducted between March and April 2010 with 129 hospital nurses. The Inventory of stress in nurses, Occupational and Coping Questionnaire Range of Limitations at Work were used. For the analysis, the Kolmogorov-Smirnov test, correlation coefficient of Pearson and Spearman, Chi-square and T-test were applied. Results it was observed that 66.7% of the nurses showed low stress, 87.6% use control strategies for coping stress and 4.84% had decrease in productivity. Direct and meaningful relationships between stress and lost productivity were found. Conclusion stress interferes with the daily life of nurses and impacts on productivity. Although the inability to test associations, the control strategy can minimize the stress, which consequently contributes to better productivity of nurses in the care of critical patients and potentially critical.

A cascading failure model for analyzing railway accident causation

Science.gov (United States)

Liu, Jin-Tao; Li, Ke-Ping

2018-01-01

In this paper, a new cascading failure model is proposed for quantitatively analyzing the railway accident causation. In the model, the loads of nodes are redistributed according to the strength of the causal relationships between the nodes. By analyzing the actual situation of the existing prevention measures, a critical threshold of the load parameter in the model is obtained. To verify the effectiveness of the proposed cascading model, simulation experiments of a train collision accident are performed. The results show that the cascading failure model can describe the cascading process of the railway accident more accurately than the previous models, and can quantitatively analyze the sensitivities and the influence of the causes. In conclusion, this model can assist us to reveal the latent rules of accident causation to reduce the occurrence of railway accidents.

Re criticality assessment following reactor core damage in Fukushima unit 2

International Nuclear Information System (INIS)

Jeong, Hae Sun; Song, Jin Ho; Park, Chang Je; Ha, Kwang Soon; Song, Yong Mann; Ryu, Eun Hyun

2012-01-01

Following the severe core damage accident at the Fukushima nuclear power plants (NPPs), many researchers have studied a possible Re criticality caused by core melting or corium. However, no one can accurately examine the internal conditions of the reactor vessel, and thus there have been different opinions from some organizations depending on their assumption and analysis methods. If there is a potential Re criticality in the reactor vessel, some counter plans for the accident management should be established to prevent and mitigate re criticality, and to return the plant to a safe and stable state. In this study, the criticality level following a severe core damage accident was first analyzed using the MCNPX 2.6.0 code. Based on this result, practical strategies in terms of accident management were obtained by charging soluble boron (H 3B O 3) into re flooded water

Management of foodstuffs after nuclear accidents

International Nuclear Information System (INIS)

1991-01-01

A model for the management of foodstuffs after nuclear accidents is presented. The model is a synthesis of traditions and principles taken from both radioactive protection and management of food. It is based on cooperation between the Nordic countries and on practical experience gained from the Chernobyl accident. The aim of the model is to produce a basis for common plans for critical situations based on criteria for decision making. In the case of radioactive accidents it is important that the protection of the public and of the society is handled in a positive way. The model concerns production, marketing and consumption of food and beverage. The overall aim is that the radiation doses should be as low and harmless to health for individual members of the public. (CLS) 35 refs

Program of nuclear criticality safety experiment at JAERI

International Nuclear Information System (INIS)

Kobayashi, Iwao; Tachimori, Shoichi; Takeshita, Isao; Suzaki, Takenori; Ohnishi, Nobuaki

1983-11-01

JAERI is promoting the nuclear criticality safety research program, in which a new facility for criticality safety experiments (Criticality Safety Experimental Facility : CSEF) is to be built for the experiments with solution fuel. One of the experimental researches is to measure, collect and evaluate the experimental data needed for evaluation of criticality safety of the nuclear fuel cycle facilities. Another research area is a study of the phenomena themselves which are incidental to postulated critical accidents. Investigation of the scale and characteristics of the influences caused by the accident is also included in this research. The result of the conceptual design of CSEF is summarized in this report. (author)

Cerebrovascular accidents in adult patients with congenital heart disease.

Science.gov (United States)

Hoffmann, A; Chockalingam, P; Balint, O H; Dadashev, A; Dimopoulos, K; Engel, R; Schmid, M; Schwerzmann, M; Gatzoulis, M A; Mulder, B; Oechslin, E

2010-08-01

To investigate the prevalence and characteristics of cerebrovascular accidents (CVA) in a large population of adults with congenital heart disease (CHD). In a retrospective analysis of aggregated European and Canadian databases a total population of 23 153 patients with CHD was followed up to the age of 16-91 years (mean 36.4 years). Among them, 458 patients (2.0%) had one or more CVA, with an estimated event rate of 0.05% per patient-year. Permanent neurological sequelae were noted in 116 patients (25.3%). The prevalence of CVA in selected diagnostic categories was as follows: open atrial septal defect 93/2351 (4.0%); closed atrial or ventricular septal defect 57/4035 (1.4%); corrected tetralogy of Fallot 52/2196 (2.4%); Eisenmenger physiology 24/467 (5.1%); other cyanotic 50/215 (23.3%); mechanical prostheses (29/882 (3.3%). Associated conditions in patients with CVA were absence of sinus rhythm (25%), transvenous pacemakers (7%), endocarditis (2%), cardiac surgery (11%) and catheter intervention (2%), but with the exception of absent sinus rhythm these were not significantly more prevalent in patients with CVA. CVA are a major contributor to morbidity in this young population despite absence of classical cardiovascular risk factors. Although the prevalence of CVA in patients with CHD appears low, it is 10-100 times higher than expected in control populations of comparable age. Residua occur in a strong minority of patients. The subjects at highest risk are those patients with CHD with cyanotic lesions, in whom the prevalence is over 10-fold above the average.

First days of the Chernobyl accident. Private experience

International Nuclear Information System (INIS)

Karpan, Nikolay

2013-01-01

Ex-deputy chief engineer of Chernobyl NPP described the time-series personal experience of the fourth unit accident on 26 April, 1986. He was informed the accident at home at 4 o'clock. He came to the plant at 7 o'clock. He and other newcomers were no informed about what happened at the plant and about details of the accident from top manager of the plant. He gathered important information about the accident from people that were eyewitness of the accident and recorded their evidences. He reported to head engineer and his deputy that solution of boron acid could be brought into reactor for suppression of the chain reaction. Director of NPP asked authorities to bring boron acid to the plant, but the boron acid was not received before the chain reaction. The critical state began approximately 20 in the evening. After 4 hours of the critical state exposition dose rate of gamma radiation was ten times from 20 R/h in the morning and middle of day to 200 R/h. He consider as the first fault of the Governmental Commission was the absence of efforts for bringing boron to gorges of fuel and to shaft of reactor. The second fault was that protective countermeasures for city population protection were not undertaken. The authorities of Chernobyl began to wait for decisions of higher authorities. This means that responsibility was moved to them. (N.T)

Identification of NPP accidents using support vector classification

Energy Technology Data Exchange (ETDEWEB)

Back, Ju Hyun; Yoo, Kwae Hwan; Na, Man Gyun [Chosun University, Gwangju (Korea, Republic of)

2016-10-15

In case of the accidents that happens in a nuclear power plants (NPPs), it is very important to identify its accidents for the operator. Therefore, in order to effectively manage the accidents, the initial short time trends of major parameters have to be observed and NPP accidents have to accurately be identified to provide its information to operators and technicians. In this regard, the objective of this study is to identify the accidents when the accidents happen in NPPs. In this study, we applied the support vector classification (SVC) model to classify the initiating events of critical accidents such as loss of coolant accidents (LOCA), total loss of feedwater (TLOFW), station blackout (SBO), and steam generator tube rupture (SGTR). Input variables were used as the initial integral value of the signal measured in the reactor coolant system (RCS), steam generator, and containment vessel after reactor trip. The proposed SVC model is verified by using the simulation data of the modular accident analysis program (MAAP4) code. In this study, the proposed SVC model is verified by using the simulation data of the modular accident analysis program (MAAP4) code. We used an initial integral value of the simulated sensor signals to identify the NPP accidents. The training data was used to train the SVC model. And, the trained model was confirmed using the test data. As a result, it was known that it can accurately classify five events.

Some issues on the Law for the Regulations of Nuclear Source Material, Nuclear Fuel Material and Reactors Amendment after JCO criticality accident

International Nuclear Information System (INIS)

Tanabe, Tomoyuki

2001-01-01

As the Amendment of the Law for the Regulation of Nuclear Material, Nuclear Fuel Material and Reactors on an opportunity of the JCO criticality accident can be almost evaluated at a viewpoint of upgrading on effectiveness of safety regulation, it is thought to remain a large problem to rely on only enforcement of regulation due to amendment of the Law at future accident. In future, it can be also said to be important subjects to further expand a philosophy on the regulation (material regulation) focussed to hazards of nuclear material itself, not only to secure effectiveness on the multi-complementary safety regulation due to the administrative agency and the Nuclear Safety Commission but also to prepare a mechanism reflexible of a new information to the safety regulation, and to prepare a mechanism to assist adequate business execution and so forth of enterprises. (G.K.)

Brief note and evaluation of acute-radiation syndrome and treatment of a Tokai-mura criticality accident patient

Energy Technology Data Exchange (ETDEWEB)

Ishii, Takeshi; Futami, Satoru; Nishida, Masamichi; Suzuki, Toru; Sakamoto, Tetsuya; Suzuki, Norio; Maekawa, Kazuhiko [Tokyo Univ. (Japan). Graduate School of Medicine

2001-09-01

Patient A who was exposed to a critical dose of radiation developed skin lesions throughout the body surface, gastrointestinal disorder with massive diarrhea and prominent bleeding, which caused severe loss in body fluids. Gastrointestinal bleeding due to the deteriorated intestinal mucosa was considered to be one of the major causes of death, although infection did not develop, possibly because of SDD and aseptic intensive care, until terminal stages. Patient A ultimately developed respiratory and renal failure in addition to skin exudate and gastrointestinal bleeding, and died of multiple organ failure on the 83rd day after exposure. The extreme unevenness of the dose distribution and the neutron versus {gamma}-ray component made the clinical manifestation very complicated. Initially, the mean absorbed dose was calculated as 16-20 GyEq for Patient A, mainly based on neutron-activated {sup 24}Na in the blood. However, a very recent calculation showed that the absorbed skin dose was highest at the upper-right abdomen reaching 61.8 Gy (27.0 as neutron plus 34.8 Gy as {gamma}-ray). The dorsal side was calculated to have received one eighth of the value of the abdominal side, and much smaller neutron component. His absorbed-dose distribution throughout the body was very inhomogeneous because of the closeness of the standing point to the mixing tank. Despite prolonged survival because of intensive care with massive fluids and blood transfusion, peripheral blood stem-cell transplantation, cultured skin-cell grafts, and the administration of cytokines for marrow, the patient was not saved. Restoration of the bone marrow function, prevention of skin fibrosis, radiation lung damage, and repair of gastrointestinal mucosa, and final recovery of the patient were elusive. Abundant personnel and resources were also a prerequisite to allow for the comprehensive and collective intensive care. A further understanding of the effects of high-dose radiation as well as the basic and

Instrumentation for the follow-up of severe accidents

International Nuclear Information System (INIS)

Munoz Sanchez, A.; Nino Perote, R.

2000-01-01

During severe accidents, it is foreseeable that the instrumentation installed in a plant is subjected to conditions which are more hostile than those for which the instrumentation was designed and qualified. Moreover, new, specific instrumentation is required to monitor variables which have not been considered until now, and to control systems which lessen the consequences of severe accidents. Both existing instrumentation used to monitor critical functions in design basis accident conditions and additional instrumentation which provides the information necessary to control and mitigate the consequences of severe accidents, have to be designed to withstand such conditions, especially in terms of measurements range, functional characteristics and qualification to withstand pressure and temperature loads resulting from steam explosion, hydrogen combustion/explosion and high levels of radiation over long periods of time. (Author)

Sleep apnea-related risk of motor vehicle accidents is reduced by continuous positive airway pressure: Swedish Traffic Accident Registry data.

Science.gov (United States)

Karimi, Mahssa; Hedner, Jan; Häbel, Henrike; Nerman, Olle; Grote, Ludger

2015-03-01

Obstructive sleep apnea (OSA) is associated with an increased risk of motor vehicle accidents (MVAs). The rate of MVAs in patients suspected of having OSA was determined and the effect of continuous positive airway pressure (CPAP) was investigated. MVA rate in patients referred for OSA was compared to the rate in the general population using data from the Swedish Traffic Accident Registry (STRADA), stratified for age and calendar year. The risk factors for MVAs, using demographic and polygraphy data, and MVA rate before and after CPAP were evaluated in the patient group. Clinical sleep laboratory and population based control (n = 635,786). There were 1,478 patients, male sex 70.4%, mean age 53.6 (12.8) y. CPAP. The number of accidents (n = 74) among patients was compared with the expected number (n = 30) from a control population (STRADA). An increased MVA risk ratio of 2.45 was found among patients compared with controls (P accident risk was most prominent in the elderly patients (65-80 y, seven versus two MVAs). In patients, driving distance (km/y), EDS (Epworth Sleepiness score ≥ 16), short habitual sleep time (≤5 h/night), and use of hypnotics were associated with increased MVA risk (odds ratios 1.2, 2.1, 2.7 and 2.1, all P ≤ 0.03). CPAP use ≥ 4 h/night was associated with a reduction of MVA incidence (7.6 to 2.5 accidents/1,000 drivers/y). The MVA risk in this large cohort of unselected patients with OSA suggests a need for accurate tools to identify individuals at risk. Sleep apnea severity (e.g., apnea-hypopnea index) failed to identify patients at risk. © 2015 Associated Professional Sleep Societies, LLC.

Nineteenth nuclear accident dosimetry intercomparison study, August 9-13, 1982

International Nuclear Information System (INIS)

Greene, R.T.; Sims, C.C.; Swaja, R.E.

1983-11-01

The Nineteenth Nuclear Accident Dosimetry Intercomparison Study was held August 9 to 13, 1982, at the Oak Ridge National Laboratory using the Health Physics Research Reactor operated in the pulse mode to simulate nuclear criticality accidents. Participants from eight organizations measured neutron and gamma doses at air stations and on phantoms for three different shielding conditions. Measured results were compared to nuclear industry guidelines for criticality accident dosimeters which suggest accuracies of +-25% for neutron dose and +-20% for gamma dose. Seventy-two percent of the neutron dose measurements using foil activation, sodium activation, hair sulfur activation, and thermoluminescent methods met the guidelines while less than 40% of the gamma dose measurements were within +-20% of reference values. The softest neutron energy spectrum (also lowest neutron/gamma dose ratio) provided the most difficulty in measuring neutron and gamma doses. Results of this study indicate the need for continued intercomparison and testing of nuclear accident dosimetry systems and for training of evaluating personnel. 14 references, 7 figures, 16 tables

Invasive and noninvasive hemodynamic monitoring of patients with cerebrovascular accidents.

Science.gov (United States)

Velmahos, G C; Wo, C C; Demetriades, D; Bishop, M H; Shoemaker, W C

1998-01-01

Seventeen patients with hemodynamic instability from acute cerebrovascular accidents were evaluated shortly after arrival at the emergency department of a university-run county hospital with both invasive Swan-Ganz pulmonary artery catheter placement and a new, noninvasive, thoracic electrical bioimpedance device. Values were recorded and temporal patterns of survivors and nonsurvivors were described. Cardiac indices obtained simultaneously by the 2 techniques were compared. Of the 17 patients, 11 (65%) died. Survivors had higher values than nonsurvivors for mean arterial pressure, cardiac index, and oxygen saturation, delivery, and consumption at comparable times. Cardiac index values, as measured by invasive and noninvasive methods, were correlated. We concluded that hemodynamic monitoring in an acute care setting may recognize temporal circulatory patterns associated with outcome. Noninvasive electrical bioimpedance technology offers a new method for early hemodynamic evaluation. Further research in this area is warranted. PMID:9682626

The program of international intercomparison of accident dosimetry; Le programme d'intercomparaison internationale de dosimetrie d'accident 10-12 juin 2002

Energy Technology Data Exchange (ETDEWEB)

NONE

2002-06-01

The French institute of radioprotection and nuclear safety (IRSN) has carried out in June 2002 an international intercomparison program for the testing of the physical and biological accident dosimetry techniques. The intercomparison is jointly organized by the IRSN and the OECD-NEA with the sustain of the European commission and the collaboration of the CEA centre of Valduc (France). About 30 countries have participated to this program. Each country has supplied its own dosimeters and biological samples which have been irradiated using the Silene reactor of CEA-Valduc or a {sup 60}Co source. These experiments allow to test the new dosimetric techniques that have been developed since the previous intercomparison program (1993) and to confirm or improve the performances of older techniques. Aside from the intercomparison exercise, this report makes a status of the known radiological accidents and of the effects of high doses of ionizing radiations on human health (symptoms, therapeutics). It explains the phenomenology of criticality accidents, the prevention means, and the history of such accidents up to the Tokai-Mura one in 1999. Finally, the dosimetry of criticality is presented with its physical and biological techniques. (J.S.)

Chromosome aberration analysis in persons exposed to low-level radiation from the JCO criticality accident in Tokai-mura

International Nuclear Information System (INIS)

Sasaki, Masao S.; Hayata, Isamu; Kamada, Nanao; Kodama, Yoshiaki; Kodama, Seiji

2001-01-01

Chromosome aberrations were studied in peripheral blood lymphocytes of 43 persons who were exposed to low-level radiation of mixed neutrons and γ-rays resulting from the JCO criticality accident. When the age-adjusted frequencies of dicentric and ring chromosomes were compared with the dose calibration curve established in vitro for 60 Co γ-rays as a reference radiation, a significant correlation was observed between the chromosomally estimated doses and the documented doses evaluated by physical means. The regression coefficient of the chromosomal doses against the documented doses, 1.47±0.33, indicates that the relative biological effectiveness of fission neutrons at low doses is considerably higher than that currently adopted in the radiation protection standard. (author)

Clinical use of lactate monitoring in critically ill patients

NARCIS (Netherlands)

J. Bakker (Jan); M.W.N. Nijsten (Maarten); T.C. Jansen (Tim)

2013-01-01

textabstractIncreased blood lactate levels (hyperlactataemia) are common in critically ill patients. Although frequently used to diagnose inadequate tissue oxygenation, other processes not related to tissue oxygenation may increase lactate levels. Especially in critically ill patients, increased

The critically ill injured patient.

Science.gov (United States)

Cereda, Maurizio; Weiss, Yoram G; Deutschman, Clifford S

2007-03-01

Patients admitted to the ICU after severe trauma require frequent procedures in the operating room, particularly in cases where a damage control strategy is used. The ventilatory management of these patients in the operating room can be particularly challenging. These patients often have severely impaired respiratory mechanics because of acute lung injury and abdominal compartment syndrome. Consequently, the pressure and flow generation capabilities of standard anesthesia ventilators may be inadequate to support ventilation and gas exchange. This article presents the problems that may be encountered in patients who have severe abdominal and lung injuries, and the current management concepts used in caring for these patients in the critical care setting, to provide guidelines for the anesthetist faced with these patients in the operating room.

Root cause analysis of JCO accident based on decision-making model

International Nuclear Information System (INIS)

Kohda, Takehisa; Inoue, Koichi; Nojiri, Yoshihiko

2000-01-01

This paper discusses root causes of the JCO accident by considering the reasons why the workers made their decision to choose the illegal actions leading to a criticality accident. Analyzing their decision process compared with the normal decision process, the direct cause of their incorrect decision is estimated to be the lack of knowledge about the danger of nuclear materials and the criticality. Further, the lack of knowledge is considered to be due to organizational or environmental factors such as (a) the ignorance of safety by the overall JCO company which pursued low costs and high profit, (b) the JCO's custom and practice of modifying operational rules without permission, and (c) the JCO's inappropriate training or education where the criticality or its danger was not taught. All these background factors are related to the overconfidence of plant safety, a false trust that such a criticality accident will never occur at the plant. Since the recognition of the danger or risk of a system is considered to be the starting point for its safety management and operation, all information about the danger and safety should be correctly communicated to everyone related to the system. (author)

Melatonin Secretion Pattern in Critically Ill Patients

DEFF Research Database (Denmark)

Boyko, Yuliya; Holst, René; Jennum, Poul

2017-01-01

effect of remifentanil on melatonin secretion. We found that the risk of atypical sleep compared to normal sleep was significantly lower (p REM) sleep was only observed during the nonsedation period. We found preserved diurnal pattern of melatonin...... secretion in these patients. Remifentanil did not affect melatonin secretion but was associated with lower risk of atypical sleep pattern. REM sleep was only registered during the period of nonsedation.......Critically ill patients have abnormal circadian and sleep homeostasis. This may be associated with higher morbidity and mortality. The aims of this pilot study were (1) to describe melatonin secretion in conscious critically ill mechanically ventilated patients and (2) to describe whether melatonin...

The optimal blood glucose level for critically ill adult patients.

Science.gov (United States)

Lv, Shaoning; Ross, Paul; Tori, Kathleen

2017-09-01

Glycaemic control is recognized as one of the important aspects in managing critically ill patients. Both hyperglycaemia and hypoglycaemia independently increase the risk of patient mortality. Hence, the identification of optimal glycaemic control is of paramount importance in the management of critically ill patients. The aim of this literature review is to examine the current status of glycaemic control in critically ill adult patients. This literature review will focus on randomized controlled trials comparing intensive insulin therapy to conventional insulin therapy, with an objective to identify optimal blood glucose level targets for critically ill adult patients. A literature review was conducted to identify large randomized controlled trials for the optimal targeted blood glucose level for critically ill adult patients published since 2000. A total of eight studies fulfilled the selection criteria of this review. With current human and technology resources, the results of the studies support commencing glycaemic control once the blood glucose level of critically ill patients reaches 10 mmol/L and maintaining this level between 8 mmol/L and 10 mmol/L. This literature review provides a recommendation for targeting the optimal blood glucose level for critically ill patients within moderate blood glucose level target range (8-10 mmol/L). The need for uniformed glucometrics for unbiased reporting and further research for optimal blood glucose target is required, especially in light of new technological advancements in closed-loop insulin delivery and monitoring devices. This literature review has revealed a need to call for consensus in the measurement and reporting of glycaemic control using standardized glucometrics. © 2017 British Association of Critical Care Nurses.

Radioimmunoassay of serummyelin basic protein and its application to patients with cerebrovascular accident

International Nuclear Information System (INIS)

Palfreyman, J.W.; Johnston, R.V.; Ratcliffe, J.G.; Forbes, G.D.; Thomas, D.G.T.

1979-01-01

Myelin basic protein-like immunoactivity was measured in the serum of patients after cerebrovascular accident (CVA) using a double antibody radioimmunoassay for myelin basic protein with a detection limit of 3 ng/ml serum. For up to 6 days after ictus, serum myelin basic protein levels in patients with severe CVA and patients who died as a result of CVA were significantly greater than those in control patients, patients with moderate CVA and patients surviving CVA. All patients with serum myelin basic protein levels greater than the range found in control subjects subsequently died. Serial dilutions of positive sera suggested that the immunoactivity differs from authentic myelin basic protein and may represent breakdown products of the protein. Serum from some patients with a previous history of moderate CVA had myelin basic protein binding activity consistent with the presence of antibodies to the protein. (Auth.)

Precautions for preventing criticality at plutonium fuel treatment facilities

International Nuclear Information System (INIS)

Deworm, J.P.; Fieuw, G.; Cank, H. de

1976-01-01

Four criticality accidents took place between 1958 and 1964 at fuel processing plants using wet methods. So far accident of this type has taken place at production units where fissionable material is used. The prevention of criticality is one of the major concerns of the officials in charge of the plutonium fuel research laboratories operated at the Mol Nuclear Energy Study Centre by the SCK/CEN-Belgonucleaire Association. The means of preventing such an accident are of three types: introducing different types of treatment in well-defined work units; thorough analysis of planned experiments or fabrication programmes to determine the sub-criticality factors; application of technical and administrative procedures which ensure that the facilities are always sub-critical during the treatment and storage of fissionable materials. The installation includes a detection and warning system and provision is made for the immediate evacuation of staff should a crticality incident occur. The effects of a critical excursion on the building have been assessed. (author)

Simulation of hypothetical criticality accidents involving homogeneous damp low-enriched UO2 powder systems

International Nuclear Information System (INIS)

Basoglu, B.; Brewer, R.W.; Haught, C.F.; Hollenbach, D.F.; Wilkinson, A.D.; Dodds, H.L.; Pasqua, P.F.

1994-01-01

This paper describes the development of a computer model for predicting the excursion characteristics of a postulated, hypothetical, critically accident involving a homogeneous mixture of low-enriched UO 2 powder and water contained in a cylindrical blender. The model uses point neutronics coupled with simple lumped-parameter thermal-hydraulic feedback. The temperature of the system is calculated using a simple time-dependent energy balance where two extreme conditions for the thermal behavior of the system are considered, which bound the real life situation. Using these extremes, three different models are developed. To evaluate the models, the authors compared the results with the results of the POWDER code, which was developed by the Commissariat a l'Energie Atomique/United Kingdom Atomic Energy Authority (CEA/UKAEA) for damp powder systems. The agreement in these comparisons is satisfactory. Results of the excursion studies in this work show that approximately 10 19 fissions occur as a result of accidental water ingress into powder blenders containing 5,000 kg of low-enriched (5%) UO 2 powder

TL detectors for gamma-ray dose measurements in critically accidents

International Nuclear Information System (INIS)

Miljanic, S.; Knezevic, Z.; Zorko, B.; Gregori, B.

2005-01-01

Full text: Determination of gamma-ray dose in mixed neutron + gamma-ray fields is still a challenging task. Dosemeters used for gamma-ray dosimetry are usually in some extent sensitive to neutrons and their response variations depend on neutron energy i.e. on neutron spectra. Besides, it is necessary to take into account the energy dependence of dosimeter responses to gamma-rays. To reduce all these influences, design of dosemeter holders is of special importance. In this work, several types of thermoluminescent detectors (TLD) placed in different holders used for gamma-ray dose determination in mixed fields were examined. Dosemeters were from three different institutions: Ruder Boscovic Institute (RBI), Croatia, Jozef Stefan Institute (JSI), Slovenia and Autoridad Regulatoria Nuclear (ARN), Argentina. All dosemeters were irradiated during the International Intercomparison of Criticality Accident Dosimetry Systems at the SILENE Reactor, Valduc, June 2002. At that exercise three accidental scenarios were reproduced: bare reactor, free evolution; lead shielded reactor, steady state; and lead shielded reactor, free evolution. In each irradiation dosemeters were exposed placed on the front of phantom and 'free-in-air'. Also, dosemeters were irradiated in a pure gamma ray field of 60 Co source. Following types of TLDs were used: 7 LiF (TLD-700), CaF 2 :Mn and AI 2 O 3 :Mg,Y - all from RBI; CaF 2 :Mn from JSI and 7 LiF (TLD-700) from ARN. Reported doses were compared with the reference values as well as with the mean participants' values. The results show satisfactory agreement with other dosimetry systems used in the Intercomparison. The influence of different types of holders and applied corrections of dosemeters' readings are discussed. (author)

Applications of PRA in nuclear criticality safety

International Nuclear Information System (INIS)

McLaughlin, T.P.

1992-01-01

Traditionally, criticality accident prevention at Los Alamos has been based on a thorough review and understanding of proposed operations of changes to operations, involving both process supervision and criticality safety staff. The outcome of this communication was usually an agreement, based on professional judgement, that certain accident sequences were credible and had to be reduced in likelihood either by administrative controls or by equipment design and others were not credible, and thus did not warrant expenditures to further reduce their likelihood. The extent of analysis and documentation was generally in proportion to the complexity of the operation but did not include quantified risk assessments. During the last three years nuclear criticality safety related Probabilistic Risk Assessments (PRAs) have been preformed on operations in two Los Alamos facilities. Both of these were conducted in order to better understand the cost/benefit aspects of PRA's as they apply to largely ''hands-on'' operations with fissile material for which human errors or equipment failures significant to criticality safety are both rare and unique. Based on these two applications and an appreciation of the historical criticality accident record (frequency and consequences) it is apparent that quantified risk assessments should be performed very selectively

[Severe parachuting accident. Analysis of 122 cases].

Science.gov (United States)

Krauss, U; Mischkowsky, T

1993-06-01

Based on a population of 122 severely injured patients the causes of paragliding accidents and the patterns of injury are analyzed. A questionnaire is used to establish a sport-specific profile for the paragliding pilot. The lower limbs (55.7%) and the lower parts of the spine (45.9%) are the most frequently injured parts of the body. There is a high risk of multiple injuries after a single accident because of the tremendous axial power. The standard of equipment is good in over 90% of the cases. Insufficient training and failure to take account of geographical and meteorological conditions are the main determinants of accidents sustained by paragliders, most of whom are young. Nevertheless, 80% of our patients want to continue paragliding. Finally some advice is given on how to prevent paragliding accidents and injuries.

Management and Operational Control of Criticality

Energy Technology Data Exchange (ETDEWEB)

Daniels, J. T. [Authority Health and Safety Branch, United Kingdom Atomic Energy Authority, Risley, Lancs. (United Kingdom)

1966-05-15

The evidence of the six process criticality accidents that have been reported to date shows that, without exception, they have been due to the failure of operational controls. In no instance has a criticality accident in processing been due to the use of wrong data 01 inaccurate calculation. Criticality accidents are least likely to occur in the production stream and are more likely to be associated with ancillary equipment and operations. Important as correct criticality calculations are, there are many other considerations which require the exercise of judgement in establishing the operational environment. No operation involving fissile material should be permitted without a formal review resulting in a documented statement of (a) the environmental assessment, (b) the nuclear safety arguments which demonstrate safety under that environment, and (c) the operational requirements which will ensure the validity of (b) under the conditions of (a). To ensure the continued viability of the environmental assessment and the continued reliability of clearance conditions there should be close supervision by operating management, and periodic checks made by site nuclear safety staff. Additionally, there should be periodic and systematic examinations by competent persons who are not responsible to the overall management of the site. (author)

Predictive factors for cerebrovascular accidents after thoracic endovascular aortic repair.

Science.gov (United States)

Mariscalco, Giovanni; Piffaretti, Gabriele; Tozzi, Matteo; Bacuzzi, Alessandro; Carrafiello, Giampaolo; Sala, Andrea; Castelli, Patrizio

2009-12-01

Cerebrovascular accidents are devastating and worrisome complications after thoracic endovascular aortic repair. The aim of this study was to determine cerebrovascular accident predictors after thoracic endovascular aortic repair. Between January 2001 and June 2008, 76 patients treated with thoracic endovascular aortic repair were prospectively enrolled. The study cohort included 61 men; mean age was 65.4 +/- 16.8 years. All patients underwent a specific neurologic assessment on an hourly basis postoperatively to detect neurologic deficits. Cerebrovascular accidents were diagnosed on the basis of physical examination, tomography scan or magnetic resonance imaging, or autopsy. Cerebrovascular accidents occurred in 8 (10.5%) patients, including 4 transient ischemic attack and 4 major strokes. Four cases were observed within the first 24-hours. Multivariable analysis revealed that anatomic incompleteness of the Willis circle (odds ratio [OR] 17.19, 95% confidence interval [CI] 2.10 to 140.66), as well as the presence of coronary artery disease (OR 6.86, 95 CI% 1.18 to 40.05), were independently associated with postoperative cerebrovascular accident development. Overall hospital mortality was 9.2%, with no significant difference for patients hit by cerebrovascular accidents (25.0% vs 7.3%, p = 0.102). Preexisting coronary artery disease, reflecting a severe diseased aorta and anomalies of Willis circle are independent cerebrovascular accident predictors after thoracic endovascular aortic repair procedures. A careful evaluation of the arch vessels and cerebral vascularization should be mandatory for patients suitable for thoracic endovascular aortic repair.

Cerebrovascular Accidents Associated with Sorafenib in Hepatocellular Carcinoma

OpenAIRE

Saif, Muhammad W.; Isufi, Iris; Peccerillo, Jennifer; Syrigos, Kostas N.

2011-01-01

Sorafenib is an oral angiogenetic multikinase inhibitor approved in the treatment of renal and hepatocellular carcinoma. Bleeding and venous thrombotic events have been described with angiogenetic agents but cerebrovascular accidents are rarely reported. We report two cases of patients with hepatocellular carcinoma who developed a cerebrovascular accident while on sorafenib. Neither patient had any risk factors for the cerebrovascular events apart from gender and age in the second patient. La...

Accident management for severe accidents

International Nuclear Information System (INIS)

Bari, R.A.; Pratt, W.T.; Lehner, J.; Leonard, M.; Disalvo, R.; Sheron, B.

1988-01-01

The management of severe accidents in light water reactors is receiving much attention in several countries. The reduction of risk by measures and/or actions that would affect the behavior of a severe accident is discussed. The research program that is being conducted by the US Nuclear Regulatory Commission focuses on both in-vessel accident management and containment and release accident management. The key issues and approaches taken in this program are summarized. 6 refs

Radiation accidents

International Nuclear Information System (INIS)

Saenger, E.L.

1986-01-01

It is essential that emergency physicians understand ways to manage patients contaminated by radioactive materials and/or exposed to external radiation sources. Contamination accidents require careful surveys to identify the metabolic pathway of the radionuclides to guide prognosis and treatment. The level of treatment required will depend on careful surveys and meticulous decontamination. There is no specific therapy for the acute radiation syndrome. Prophylactic antibodies are desirable. For severely exposed patients treatment is similar to the supportive care given to patients undergoing organ transplantation. For high-dose extremity injury, no methods have been developed to reverse the fibrosing endarteritis that eventually leads to tissue death so frequently found with this type of injury. Although the Three Mile Island episode of March 1979 created tremendous public concern, there were no radiation injuries. The contamination outside the reactor building and the release of radioiodine were negligible. The accidental fuel element meltdown at Chernobyl, USSR, resulted in many cases of acute radiation syndrome. More than 100,000 people were exposed to high levels of radioactive fallout. The general principles outlined here are applicable to accidents of that degree of severity

[From fishing trip to the critical care unit : Successful resuscitation after a near drowning accident].

Science.gov (United States)

Kippnich, M; Keller, D; Jokinen, J; Kilgenstein, C; Muellenbach, R M; Markus, C; Roewer, N; Kranke, P

2014-11-01

In the context of the European Resuscitation Council (ERC) guidelines, modifications of the proposed treatment algorithm need to be performed in order to respond to different parameters. In this respect several factors interacting with cardiac arrest are essential and need to be included in the therapy. This case report demonstrates an example of resuscitation in the situation of hypothermia. After a near drowning accident and approximately 30 min underwater, a patient suffering from severe hypothermia initially required resuscitation after the rescue. A return of spontaneous circulation (ROSC) was successfully achieved within a short length of time and after 15 days on the intensive care unit the patient was discharged to a rehabilitation facility without any signs of focal neurological deficits. Section 8 of the ERC guidelines provides additional information for resuscitation under specific conditions. In this case report, hypothermia was one of the main criteria leading to an adjusted pharmacological therapy. Furthermore, selection of the appropriate hospital for an optimal advanced treatment including controlled warming of the patient and management of hypothermia-induced complications had to be evaluated.

A systems approach to the management of radiation accidents

International Nuclear Information System (INIS)

Richter, L.L.; Berk, H.W.; Teates, C.D.; Larkham, N.E.; Friesen, E.J.; Edlich, R.F.

1980-01-01

Management of radiation accident patients should have a multidisciplinary approach that includes all health professionals as well as members of public safety agencies. Emergency plans for radiation accidents include detection of the ionizing radiation, patient evacuation, resuscitation, and decontamination. The resuscitated patient should be transported to a radiation control area located outside but adjacent to the emergency department. Ideally this area is accessed through an entrance separate from that used for the main flow of daily emergency department patients. The hospital staff, provided with protective clothing, dosimeters, and preprinted guidelines, continues the resuscitation and definitive care of the patient. This system approach to the management of radiation accidents may be tailored to meet the specific needs of other emergency medical systems

Measurements of {sup 60}Co in spoons activated by neutrons during the JCO criticality accident at Tokai-mura in 1999

Energy Technology Data Exchange (ETDEWEB)

Gasparro, J.; Hult, M. E-mail: mikael.hult@irmm.jrc.be; Komura, K.; Arnold, D.; Holmes, L.; Johnston, P.N.; Laubenstein, M.; Neumaier, S.; Reyss, J.-L.; Schillebeeckx, P.; Tagziria, H.; Van Britsom, G.; Vasselli, R

2004-07-01

Neutron activated items from the vicinity of the place where the JCO criticality accident occurred have been used to determine the fluence of neutrons around the facility and in nearby residential areas. By using underground laboratories for measuring the activation products, it is possible to extend the study to also cover radionuclides with very low activities from long-lived radionuclides. The present study describes {gamma}-ray spectrometry measurements undertaken in a range of underground laboratories for the purpose of measuring {sup 60}Co more than 2 years after the criticality event. The measurements show that neutron fluence determined from {sup 60}Co activity is in agreement with previous measurements using the short-lived radionuclides {sup 51}Cr and {sup 59}Fe. Limits on contamination of the samples with {sup 60}Co are evaluated and shown to not greatly affect the utility of neutron fluence determinations using {sup 60}Co activation.

Should we mobilise critically ill patients? A review.

LENUS (Irish Health Repository)

O'Connor, Enda D

2009-12-01

Neuromuscular weakness, a frequent complication of prolonged bed rest and critical illness, is associated with morbidity and mortality. Mobilisation physiotherapy has widespread application in patients hospitalised with non-critical illness.

Serum Sodium and Potassium Levels in Cerebro-vascular Accident Patients.

Science.gov (United States)

Farahmand, Farahmand; Choobi Anzali, Babak; Heshmat, Ramin; Ghafouri, Hamed-Basir; Hamedanchi, Sepehr

2013-05-01

We aim to assess serum sodium and potassium levels in patients with different types of cerebro-vascular accidents (CVA) in comparison to control group. A comparative cross-sectional study conducted on patients admitted to the emergency department from January to August 2012. Control group consisted of patients admitted to emergency department due to common cold, urinary tract infection, low back pain, cluster, and tension headache or migraine. Serum sodium and potassium levels were measured via standard laboratory methods. There were 77 patients in control group and 78 in CVA group. Forty nine patients from the CVA group had ischemic CVA, 11 had hemorrhagic CVA and 18 suffered a transient ischemic attack (TIA). Serum sodium level in control group was significantly lower than in patients with TIA, ischemic CVA, and hemorrhagic CVA (P < 0.001). Serum potassium level in control group was higher than patients with TIA, ischemic CVA, and hemorrhagic CVA (P < 0.001). Patients with hemorrhagic CVA showed significantly lower serum potassium level than patients with TIA and ischemic CVA (P < 0.001). Correspondingly, it was observed that serum sodium to potassium ratio was higher in patients with TIA, ischemic CVA, and hemorrhagic CVA (P < 0.001). In patients with hemorrhagic CVA serum sodium to potassium ratio was higher when compared to patients with TIA and ischemic CVA (P < 0.001). This study shows that higher serum sodium and lower serum potassium level may be associated with higher incidence of CVA. Further studies are paramount to elucidate the role of serum electrolyte levels in vascular events.

Infections in critically ill burn patients.

Science.gov (United States)

Hidalgo, F; Mas, D; Rubio, M; Garcia-Hierro, P

2016-04-01

Severe burn patients are one subset of critically patients in which the burn injury increases the risk of infection, systemic inflammatory response and sepsis. The infections are usually related to devices and to the burn wound. Most infections, as in other critically ill patients, are preceded by colonization of the digestive tract and the preventative measures include selective digestive decontamination and hygienic measures. Early excision of deep burn wound and appropriate use of topical antimicrobials and dressings are considered of paramount importance in the treatment of burns. Severe burn patients usually have some level of systemic inflammation. The difficulty to differentiate inflammation from sepsis is relevant since therapy differs between patients with and those without sepsis. The delay in prescribing antimicrobials increases morbidity and mortality. Moreover, the widespread use of antibiotics for all such patients is likely to increase antibiotic resistance, and costs. Unfortunately the clinical usefulness of biomarkers for differential diagnosis between inflammation and sepsis has not been yet properly evaluated. Severe burn injury induces physiological response that significantly alters drug pharmacokinetics and pharmacodynamics. These alterations impact antimicrobials distribution and excretion. Nevertheless the current available literature shows that there is a paucity of information to support routine dose recommendations. Copyright © 2016. Publicado por Elsevier España, S.L.U.

Advances in Biomarkers in Critical Ill Polytrauma Patients.

Science.gov (United States)

Papurica, Marius; Rogobete, Alexandru F; Sandesc, Dorel; Dumache, Raluca; Cradigati, Carmen A; Sarandan, Mirela; Nartita, Radu; Popovici, Sonia E; Bedreag, Ovidiu H

2016-01-01

The complexity of the cases of critically ill polytrauma patients is given by both the primary, as well as the secondary, post-traumatic injuries. The severe injuries of organ systems, the major biochemical and physiological disequilibrium, and the molecular chaos lead to a high rate of morbidity and mortality in this type of patient. The 'gold goal' in the intensive therapy of such patients resides in the continuous evaluation and monitoring of their clinical status. Moreover, optimizing the therapy based on the expression of certain biomarkers with high specificity and sensitivity is extremely important because of the clinical course of the critically ill polytrauma patient. In this paper we wish to summarize the recent studies of biomarkers useful for the intensive care unit (ICU) physician. For this study the available literature on specific databases such as PubMed and Scopus was thoroughly analyzed. Each article was carefully reviewed and useful information for this study extracted. The keywords used to select the relevant articles were "sepsis biomarker", "traumatic brain injury biomarker" "spinal cord injury biomarker", "inflammation biomarker", "microRNAs biomarker", "trauma biomarker", and "critically ill patients". For this study to be carried out 556 original type articles were analyzed, as well as case reports and reviews. For this review, 89 articles with relevant topics for the present paper were selected. The critically ill polytrauma patient, because of the clinical complexity the case presents with, needs a series of evaluations and specific monitoring. Recent studies show a series of either tissue-specific or circulating biomarkers that are useful in the clinical status evaluation of these patients. The biomarkers existing today, with regard to the critically ill polytrauma patient, can bring a significant contribution to increasing the survival rate, by adapting the therapy according to their expressions. Nevertheless, the necessity remains to

Assessment of criticality safety

International Nuclear Information System (INIS)

Lloyd, R.C.; Heaberlin, S.W.; Clayton, E.D.; Carter, R.D.

1979-01-01

A study was made of 100 violations of criticality safety specifications reported over a 10-y period in the operations of fuel reprocessing plants. The seriousness of each rule violation was evaluated by assigning it a severity index value. The underlying causes or reasons, for the violations were identified. A criticality event tree was constructed using the parameters, causes, and reasons found in the analysis of the infractions. The event tree provides a means for visualizing the paths to an accidental criticality. Some 65% of the violations were caused by misinterpretation on the part of the operator, being attributed to a lack of clarity in the specification and insufficient training; 33% were attributed to lack of care, whereas only 2% were caused by mechanical failure. A fault tree was constructed by assembling the events that could contribute to an accident. With suitable data on the probabilities of contributing events, the probability of the accident's occurrence can be forecast. Estimated probabilities for criticality were made, based on the limited data available, that in this case indicate a minimum time span of 244 y of plant operation per accident ranging up to approx. 3000 y subject to the various underlying assumptions made. Some general suggestions for improvement are formulated based on the cases studied. Although conclusions for other plants may differ in detail, the general method of analysis and the fault tree logic should prove applicable. 4 figures, 8 tables

Immune state of patients of vegeto-vascular dystonia, clean-up workers of the Chernobyl accident

International Nuclear Information System (INIS)

Sakhno, T.A.; Davydova, T.I.; Bazika, D.A.; Chumak, A.A.

1995-01-01

Immune state of 272 clean-up workers, participants of the Chernobyl Power Plant accident, suffering from vegeto-vascular dystonia is studied. Comparison groups were formed by 20 healthy clean-up workers, 25 vegeto-vascular dystonia patients non-participating in the clean-up works, and 60 healthy donors. Immune state disturbances in the vegeto-vascular dystonia patients have unidirectional changing but among the clear-up workers their expression was much significant coinciding with the more severe clinical courses of disease comparing to the patients non-participating in the clean-up works

Comparison study of hybrid VS critical systems in point kinetics

International Nuclear Information System (INIS)

Ritter, G.; Tommasi, J.; Slessarev, L.; Salvatores, M.; Mouney, H.; Vergnes, J.

1999-01-01

An essential motivation for hybrid systems is a potentially high level of intrinsic safety against reactivity accidents. In this respect, it is necessary to assess the behaviour of an Accelerator Driven System during a TOP, LOF or TOC accident. A comparison between a critical and sub-critical reactor shows a larger sensitivity for the critical system. The ADS has an unquestionable advantage in case of TOP but a less favourable behaviour as for LOFWS type of accidents. However in the ADS cases, the beam could be easily shut off during the transient. Therefore, a part of the R and D effort should be focused on the monitoring and control of power. (author)

Ergonomic study of biorhythm effect on the 62 occurrence of human errors and accidents in automobile manufacturing industry

Directory of Open Access Journals (Sweden)

2012-03-01

Conclusion: This study showed that the frequency of accidents in critical days and negative section of physical cycle was more than expected. Also the frequency of accidents in critical days and negative section of emotional and intellectual cycle was less than expected. Due to the physical nature of the work activities in the automobile manufacturing industry can be stated that the study showed that in physical work activities, frequency of accidents in critical days and negative section of physical cycle in which the person is not physically ready to do the job was more than expected.

HIV surveillance in needlestick accidents with health workers

Directory of Open Access Journals (Sweden)

Janete Lane Amadei

2010-12-01

Full Text Available Objective: To characterize the occurrence of needlestick accidents with health professionals submitted to rapid HIV tests. Methods: A descriptive, epidemiological study, carried out by notification of the occurrence of needlestick accidents in the Epidemiology Sector of the State Health Secretariat, in 2008. The following variables were assessed: gender, age, exposed biological material, type of exposure, source patient, and injured patient, progression of the case, accident situation, and use of personal protective equipment (PPE, 180 days serology and occupational area. Results: There have been reports of 143 accidents, prevailing in nursing, female, 20 to 30 years, involving the blood and biological material by percutaneous puncture. We found no standardization in the use of PPE. The HIV test revealed no positive cases. Conclusion: This study helped to characterize the occurrence of accidents reported in health care professionals and evaluate the protocol of care given. It also revealed non-contamination by HIV.

Strategy generator in computerized accident management support system

International Nuclear Information System (INIS)

Sirola, M.

1994-02-01

An increased interest for research in the field of accident management of nuclear power plants can be noted. Several international programmes have been started in order to be able to understand the basic physical and chemical phenomena in accident conditions. A feasibility study has shown that it would be possible to design and develop a computerized support system for plant staff in accident situations. To achieve this goal the Halden Project has initiated a research programme on Computerized Accident Management Support (CAMS project). The aim is to utilize the capabilities of computerized tools to support the plant staff during the various accident stages. The system will include identification of the accident state, assessment of the future development of the accident and planning of accident mitigation strategies. A prototype is developed to support operators and the Technical Support Centre in decision making during serious accidents in nuclear power plants. A rule based system has been built to take care of the strategy generation. This system assists plant personnel in planning control proposals and mitigation strategies from normal operation to severe accident conditions. The idea of a safety objective tree and knowledge from the emergency procedures have been used. Future prediction requires good state identification of the plant status and some knowledge about the history of some critical variables. The information needs to be validated as well. Accurate calculations in simulators and a large database including all important information from the plant will help the strategy planning. (orig.). (40 refs., 20 figs.)

Oral hygiene care in critically ill patients

African Journals Online (AJOL)

2007-11-19

Nov 19, 2007 ... conditions, treatment interventions, equipment, and the patient's inability to attend to his or her ... practices for a critically ill patient include assessment of the oral cavity, brushing the teeth, moisturising the lips and mouth and ...

Ethics research in critically ill patients.

Science.gov (United States)

Estella, A

2018-05-01

Research in critical care patients is an ethical obligation. The ethical conflicts of intensive care research arise from patient vulnerability, since during ICU admission these individuals sometimes lose all or part of their decision making capacity and autonomy. We therefore must dedicate effort to ensure that neither treatment (sedation or mechanical ventilation) nor the disease itself can affect the right to individual freedom of the participants in research, improving the conditions under which informed consent must be obtained. Fragility, understood as a decrease in the capacity to tolerate adverse effects derived from research must be taken into account in selecting the participants. Research should be relevant, not possible to carry out in non-critical patients, and a priori should offer potential benefits that outweigh the risks that must be known and assumable, based on principles of responsibility. Copyright © 2018 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

Radioactive release during nuclear accidents in Chernobyl and Fukushima

Science.gov (United States)

Nur Ain Sulaiman, Siti; Mohamed, Faizal; Rahim, Ahmad Nabil Ab

2018-01-01

Nuclear accidents that occurred in Chernobyl and Fukushima have initiated many research interests to understand the cause and mechanism of radioactive release within reactor compound and to the environment. Common types of radionuclide release are the fission products from the irradiated fuel rod itself. In case of nuclear accident, the focus of monitoring will be mostly on the release of noble gases, I-131 and Cs-137. As these are the only accidents have been rated within International Nuclear Events Scale (INES) Level 7, the radioactive release to the environment was one of the critical insights to be monitored. It was estimated that the release of radioactive material to the atmosphere due to Fukushima accident was approximately 10% of the Chernobyl accident. By referring to the previous reports using computational code systems to model the release rate, the release activity of I-131 and Cs-137 in Chernobyl was significantly higher compare to Fukushima. The simulation code also showed that Chernobyl had higher release rate of both radionuclides on the day of accident. Other factors affecting the radioactive release for Fukushima and Chernobyl accidents such as the current reactor technology and safety measures are also compared for discussion.

Ambulance traffic accidents in Taiwan.

Science.gov (United States)

Chiu, Po-Wei; Lin, Chih-Hao; Wu, Chen-Long; Fang, Pin-Hui; Lu, Chien-Hsin; Hsu, Hsiang-Chin; Chi, Chih-Hsien

2018-04-01

Ambulance traffic accidents (ATAs) are the leading cause of occupation-related fatalities among emergency medical service (EMS) personnel. We aim to use the Taiwan national surveillance system to analyze the characteristics of ATAs and to assist EMS directors in developing policies governing ambulance operations. A retrospective, cross-sectional and largely descriptive study was conducted using Taiwan national traffic accidents surveillance data from January 1, 2011 to October 31, 2016. Among the 1,627,217 traffic accidents during the study period, 715 ATAs caused 8 deaths within 24 h and 1844 injured patients. On average, there was one ATA for every 8598 ambulance runs. Compared to overall traffic accidents, ATAs were 1.7 times more likely to result in death and 1.9 times more likely to have injured patients. Among the 715 ATAs, 8 (1.1%) ATAs were fatal and 707 (98.9%) were nonfatal. All 8 fatalities were associated with motorcycles. The urban areas were significantly higher than the rural areas in the annual number of ATAs (14.2 ± 7.3 [7.0-26.7] versus 3.1 ± 1.9 [0.5-8.4], p = 0.013), the number of ATA-associated fatalities per year (0.2 ± 0.2 [0.0-0.7] versus 0.1 ± 0.1 [0.0-0.2], p = 0.022), and the annual number of injured patients (who needed urgent hospital visits) in ATAs (19.4 ± 7.3 [10.5-30.9] versus 5.2 ± 3.8 [0.9-15.3], p traffic accident reporting system should be built to provide EMS policy guidance for ATA reduction and outcome improvements. Copyright © 2018. Published by Elsevier B.V.

On Hobbes’s distinction of accidents

Directory of Open Access Journals (Sweden)

Lupoli Agostino

2012-06-01

Full Text Available An interpolation introduced by K. Schuhmann in his critical edition of "De corpore" (chap. VI, § 13 diametrically overturns the meaning of Hobbes’s doctrine of distinction of accidents in comparison with all previous editions. The article focuses on the complexity of this crucial juncture in "De corpore" argument on which depends the interpretation of Hobbes’s whole conception of science. It discusses the reasons pro and contra Schuhmann’s interpolation and concludes against it, because it is not compatible with the rationale underlying the complex architecture of "De corpore", which involves a symmetry between the ‘logical’ distinction of accidents and the ‘metaphysical’ distinction of phantasms.

Criticality safety assessment of a TRIGA reactor spent-fuel pool under accident conditions

International Nuclear Information System (INIS)

Glumac, B.; Ravnik, M.; Logar, M.

1997-01-01

Additional criticality safety analysis of a pool-type storage for TRIGA spent fuel at the Jozef Stefan Institute in Ljubljana, Slovenia, is presented. Previous results have shown that subcriticality is not guaranteed for some postulated accidents (earthquake with subsequent fuel rack disintegration resulting in contact fuel pitch) under the assumption that the fuel rack is loaded with fresh 12 wt% standard fuel. To mitigate this deficiency, a study was done on replacing a certain number of fuel elements in the rack with cadmium-loaded absorber rods. The Monte Carlo computer code MCNP4A with an ENDF/B-V library and detailed three-dimensional geometrical model of the spent-fuel rack was used for this purpose. First, a minimum critical number of fuel elements was determined for contact pitch, and two possible geometries of rack disintegration were considered. Next, it was shown that subcriticality can be ensured when pitch is decreased from a rack design pitch of 8 cm to contact, if a certain number of fuel elements (8 to 20 out of 70) are replaced by absorber rods, which are uniformly mixed into the lattice. To account for the possibility that random mixing of fuel elements and absorber rods can occur during rack disintegration and result in a supercritical configuration, a probabilistic study was made to sample the probability density functions for random absorber rod lattice loadings. Results of the calculations show that reasonably low probabilities for supercriticality can be achieved (down to 10 -6 per severe earthquake, which would result in rack disintegration and subsequent maximum possible pitch decrease) even in the case where fresh 12 wt% standard TRIGA fuel would be stored in the spent-fuel pool

Simulation of severe accident using March-3 computer code

International Nuclear Information System (INIS)

Fernandes, A.; Nakata, H.

1991-01-01

The severe accident sensitivity analysis utilizing the March-3 approximate modelization options has been performed. The reference results against which the present results have been compared were obtained from the best published results for the most representative accident sequences: TMLU, S sub(2)DC sub(r) and S sub(2)DCF sub(r) for the Zion-1 reactor. The results of the present sensitivity analysis revealed the presence of very crude modelizations, in the March-3 program, to represent the critical phenomenologies involved in the severe accident sequences considered, even though large uncertainties must still be taken into account due primarily to the scarcity of the integral benchmark data. (author)

Factors Affecting Road Traffic Accident in Batu Pahat, Johor, Malaysia

Science.gov (United States)

Che-Him, Norziha; Roslan, Rozaini; Saifullah Rusiman, Mohd; Khalid, Kamil; Ghazali Kamardan, M.; Azbi Arobi, Farquis; Mohamad, Nazeera

2018-04-01

A road traffic accident resulted from the combination of factors related to the few components of the system involving environment, roads, road users, vehicles and the interaction between those systems. Road traffic accident (RTA) in Malaysia recorded as the highest fatality rate (per 100,000 population) among the ASEAN countries. In 2016, more than half of million cases accident recorded with more than 7,000 people were killed. Therefore, the RTA is one of the most critical issue in Malaysia even become the worldwide burden to authority. Generally, driving is a complex process which involves movement of a vehicle by either a computer or human controller. However, failure to control and coordinate will contribute to an accident. The objective of this study is to identify the pattern of accident in Johor Malaysia and to examine the relationship between the number of accident and the types of vehicles and roads. The results could help the government to recognise the different patterns, types of vehicles and roads that show major factors in the increasing of road traffic accident in Malaysia.

[A spatially explicit analysis of traffic accidents involving pedestrians and cyclists in Berlin].

Science.gov (United States)

Lakes, Tobia

2017-12-01

In many German cities and counties, sustainable mobility concepts that strengthen pedestrian and cyclist traffic are promoted. From the perspectives of urban development, traffic planning and public healthcare, a spatially differentiated analysis of traffic accident data is decisive. 1) The identification of spatial and temporal patterns of the distribution of accidents involving cyclists and pedestrians, 2) the identification of hotspots and exploration of possible underlying causes and 3) the critical discussion of benefits and challenges of the results and the derivation of conclusions. Spatio-temporal distributions of data from accident statistics in Berlin involving pedestrians and cyclists from 2011 to 2015 were analysed with geographic information systems (GIS). While the total number of accidents remains relatively stable for pedestrian and cyclist accidents, the spatial distribution analysis shows, however, that there are significant spatial clusters (hotspots) of traffic accidents with a strong concentration in the inner city area. In a critical discussion, the benefits of geographic concepts are identified, such as spatially explicit health data (in this case traffic accident data), the importance of the integration of other data sources for the evaluation of the health impact of areas (traffic accident statistics of the police), and the possibilities and limitations of spatial-temporal data analysis (spatial point-density analyses) for the derivation of decision-supported recommendations and for the evaluation of policy measures of health prevention and of health-relevant urban development.

Criticality accident dosimetry systems: an international intercomparison at the SILENE reactor in 2002.

Science.gov (United States)

Médioni, R; Asselineau, B; Verrey, B; Trompier, F; Itié, C; Texier, C; Muller, H; Pelcot, G; Clairand, I; Jacquet, X; Pochat, J L

2004-01-01

In criticality accident dosimetry and more generally for high dose measurements, special techniques are used to measure separately the gamma ray and neutron components of the dose. To improve these techniques and to check their dosimetry systems (physical and/or biological), a total of 60 laboratories from 29 countries (America, Europe, Asia) participated in an international intercomparaison, which took place in France from 9 to 21 June 2002, at the SILENE reactor in Valduc and at a pure gamma source in Fontenay-aux-Roses. This intercomparison was jointly organised by the IRSN and the CEA with the help of the NEA/OCDE and was partly supported by the European Communities. This paper describes the aim of this intercomparison, the techniques used by the participants and the two radiation sources and their characteristics. The experimental arrangements of the dosemeters for the irradiations in free air or on phantoms are given. Then the dosimetric quantities measured and reported by the participants are summarised, analysed and compared with the reference values. The present paper concerns only the physical dosimetry and essentially experiments performed on the SILENE facility. The results obtained with the biological dosimetry are published in two other papers of this issue.

The incretin effect in critically ill patients

DEFF Research Database (Denmark)

Nielsen, Signe Tellerup; Janum, Susanne; Krogh-Madsen, Rikke

2015-01-01

INTRODUCTION: Patients admitted to the intensive care unit often develop hyperglycaemia, but the underlying mechanisms have not been fully described. The incretin effect is reduced in patients with type 2 diabetes. Type 2 diabetes and critical illness have phenotypical similarities, such as hyper...

Enteral nutrition therapy for critically ill adult patients; critical review and algorithm creation.

Science.gov (United States)

Araújo-Junqueira, L; De-Souza, Daurea A

2012-01-01

Undernutrition directly affects critically ill patient's clinical outcome and mortality rates. Interdisciplinar algorithm creation aiming to optimize the enteral nutrition therapy for critically ill adult patients. Pubmed, SciELO, Scholar Google, Web of Science, Scopus, with research of these key words: protocols, enteral nutrition, nutritional support, critical care, undernutrition, fasting. Intensive Care Unit, Hospital de Clínicas, Federal University of Uberlándia, MG, Brazil. Were established in the algorithm a following sequential steps: After a clinical-surgical diagnosis, including the assessment of hemodynamic stability, were requested passage of a feeding tube in post-pyloric position and a drainage tube in gastric position. After hemodynamic stability it should be done the nutritional status diagnosis, calculated nutritional requirements, as well as chosen formulation of enteral feeding. Unless contraindicated, aiming to increase tolerance was started infusion with small volumes (15 ml/h) of a semi-elemental diet, normocaloric, hypolipidic (also hyperproteic, with addition of glutamine). To ensure infusion of the diet, as well as the progressive increase of infusion rates, the patient was monitored for moderate or severe intestinal intolerance. The schedule and infusion rates were respected and diet was not routinely suspended for procedures and diagnostic tests, unless indicated by the medical team. For nutrition therapy success it is essential routine monitoring and extensive interaction between the professionals involved. Nutritional conducts should be reevaluated and improved, seeking complete and specialized care to the critically ill patients. Adherence to new practices is challenging, though instruments such as protocols and algorithms help making information more accessible and comprehensible.

Solutions to criticality problems in a plutonium extraction plant

International Nuclear Information System (INIS)

Jouannaud, C.; Rodier, J.; Fruchard, Y.; Peyresblanques, H.; Papault, C.; Tabardel-Brian, R.

1968-08-01

There are two aspects to nuclear criticality safety: prevention of criticality and protection against the consequences of a possible accident: this report considers these two aspects in the case of the Marcoule Plutonium Extraction Plant. After briefly recalling the various techniques used for avoiding criticality (mass, geometry, concentration, poisoning), the authors describe their application in the plant and show in particular that, a rational use of a favorable geometry is a factor both for security and from an economic point of view. The authors then describe the inside organisation which makes it possible to obtain the necessary intrinsic safety standard right from the advance project stage, and to control the workshop safety during the operation of the plant. The second part of the report deals with the system of protection against the consequences of a possible accident: definition of a typical accident, fixing of the boundaries of a critical zone, safety alarm device, individual and collective dosimetry, evacuation plan and safety instructions. (authors) [fr

[Identification of emotions in patients with low-grade gliomas versus cerebrovascular accidents].

Science.gov (United States)

du Boullay, V; Plaza, M; Capelle, L; Chaby, L

2013-03-01

Facial and vocal emotions contribute to sustain efficient social relationships. Brain disease may impair their identification. In the case of slow-growth tumors (Low Grade Gliomas [LGG]) or sudden stroke (cerebrovascular accidents [CVA]), the lesions induce contrasted plasticity and reorganisation processes. We compared the facial, vocal and intermodal identification of six emotions (happiness, fear, angriness, sadness, disgust and neutral) of three groups: patients with LGG before and after tumor resection, patients with CVA and control subjects. In LGG patients, the results revealed less efficient performances after tumor resection and in CVA patients weak performances regarding negative emotions. The intermodal condition (simultaneous visual and vocal association) improved performances in all groups and enabled equivalent performance in CVA subjects compared with control subjects. The intergroup differences may be related to variable brain plasticity as a function of type and rapidity of brain injury. Intermodal processing appears to be a compensatory condition. Copyright © 2012. Published by Elsevier Masson SAS.

Obstructive sleep apnoea syndrome as a cause of road traffic accidents.

Science.gov (United States)

Aguiar, M; Valença, J; Felizardo, M; Caeiro, F; Moreira, S; Staats, R; Bugalho de Almeida, A A

2009-01-01

Several studies have demonstrated that obstructive sleep apnoea syndrome (OSAS) patients have a higher rate of road traffic accidents. Our study aimed to analyse any differences in OSAS patients between those who reported having had road traffic accidents and/or near misses and those who did not. We studied 163 patients with OSAS (apnoea- hypopnoea index (AHI)>10/h) diagnosed using nocturnal polysomnography (NPSG), all drivers, 18.4% of whom drove for a living. Patients were asked at their first clinical interview to self-report road traffic accidents and/or near misses over the past 3 years which had been caused by abnormal daytime drowsiness. This allowed patients to be divided into two groups, those who had had road traffic accidents and/or near misses and those who had not. Both were compared as to age, body mass index (BMI), Epworth Sleepiness Scale (ESS), daytime PaO2 and PaCO2, Functional Outcomes of Sleep Questionnaire (FOSQ) test and NPSG data. This latter was total sleep time (TTS), sleep efficiency, sleep stages, arousal index (ARI), AHI, minimal and average SaO2, % of time with SaO2 TDAH) (T test). Group I (no road traffic accidents) No=89 patients; group II (road traffic accidents) No=74 patients. Age (years) was 57.6+/-11.8 vs. 54.7+/-10.9 (ns); male gender, 75% vs. 78.4%; ESS, 12.3+/-5.4 vs. 17.6+/-4.3 (pTDAH (minutes), 98.5+/-63.7 vs. 133.3+/-83.2 (p=0,005). In our experience patients who had road traffic accidents and/or near misses had a more severe OSAS, with higher AHI, excessive daytime sleepiness and lower quality of life.

Being a fellow patient to a critically ill patient leads to feelings of anxiety - An interview study

DEFF Research Database (Denmark)

Laursen, Jannie; Bonnevie Lundby, Trine; Danielsen, Anne Kjaergaard

2016-01-01

Objectives To explore in-patients’ experiences being a fellow patient to patients who become critically ill. Design The study was designed as a qualitative phenomenological study. Setting The study was conducted in a surgical ward of a hospital in Denmark. Subjects Fifteen fellow patients...... to patients, who became critically ill. Results Three key themes emerged from the analysis of the data: patients’ interaction, anxiety, and professional support. These findings demonstrated the importance of understanding how patients experienced being a fellow patient to patients, who become critically ill......, their views on interacting with such a patient, how the patients who become critically ill influenced them, and what kind of support they needed from the health professionals. Conclusion The findings highlighted the different emotions and feelings experienced by fellow patients. It showed how the impact...

Safety analysis of the Los Alamos critical experiments facility

International Nuclear Information System (INIS)

Paxton, H.C.

1975-10-01

The safety of Pajarito Site critical assembly operations depends upon protection built into the facility, upon knowledgeable personnel, and upon good practice as defined by operating procedures and experimental plans. Distance, supplemented by shielding in some cases, would protect personnel against an extreme accident generating 10 19 fissions. During the facility's 28-year history, the direct cost of criticality accidents has translated to a risk of less than $200 per year

[Fatal hyperpyrexia in an adolescent patient with severe burns after a traffic accident].

Science.gov (United States)

Jaehn, T; Sievers, R; Junger, A; Graunke, F; Blings, A; Reichert, B

2016-07-01

After a motorcycle accident a 16-year-old patient suffered severe burns to 40.5 % of the total body surface area (TBSA) of which 37 % were deep subdermal burns. After tangential and partly epifascial necrosectomy, Integra® was used as a temporary dermis replacement material for the lower extremities, combined with extensive negative pressure wound therapy (NPWT). In the further course of the treatment the patient developed uncontrollable hyperpyrexia with a fatal outcome. Possible influencing factors, such as the dermis replacement material combined with NPWT over large areas as well as the differential diagnoses propofol infusion syndrome, heatstroke and malignant hyperthermia are discussed.

Accident analysis and DOE criteria

International Nuclear Information System (INIS)

Graf, J.M.; Elder, J.C.

1982-01-01

In analyzing the radiological consequences of major accidents at DOE facilities one finds that many facilities fall so far below the limits of DOE Order 6430 that compliance is easily demonstrated by simple analysis. For those cases where the amount of radioactive material and the dispersive energy available are enough for accident consequences to approach the limits, the models and assumptions used become critical. In some cases the models themselves are the difference between meeting the criteria or not meeting them. Further, in one case, we found that not only did the selection of models determine compliance but the selection of applicable criteria from different chapters of Order 6430 also made the difference. DOE has recognized the problem of different criteria in different chapters applying to one facility, and has proceeded to make changes for the sake of consistency. We have proposed to outline the specific steps needed in an accident analysis and suggest appropriate models, parameters, and assumptions. As a result we feed DOE siting and design criteria will be more fairly and consistently applied

Serum homocysteine levels in cerebrovascular accidents.

Science.gov (United States)

Zongte, Zolianthanga; Shaini, L; Debbarma, Asis; Singh, Th Bhimo; Devi, S Bilasini; Singh, W Gyaneshwar

2008-04-01

Hyperhomocysteinemia has been considered an independent risk factor in the development of stroke. The present study was undertaken to evaluate serum homocysteine levels in patients with cerebrovascular accidents among the Manipuri population and to compare with the normal cases. Ninety-three cerebrovascular accident cases admitted in the hospital were enrolled for the study and twenty-seven age and sex matched individuals free from cerebrovascular diseases were taken as control group. Serum homocysteine levels were estimated by ELISA method using Axis homocysteine EIA kit manufactured by Ranbaxy Diagnostic Ltd. India. The finding suggests that hyperhomocysteinemia is associated with cerebrovascular accident with male preponderance, which increases with advancing age. However, whether hyperhomocysteinemia is the cause or the result of cerebrovascular accidents needs further investigations.

Preload assessment and optimization in critically ill patients.

Science.gov (United States)

Voga, Gorazd

2010-01-01

Preload assessment and optimization is the basic hemodynamic intervention in critically ill. Beside clinical assessment, non-invasive or invasive assessment by measurement of various pressure or volume hemodynamic variables, are helpful for estimation of preload and fluid responsiveness. The use of dynamic variables is useful in particular subgroup of critically ill patients. In patients with inadequate preload, fluid responsiveness and inadequate flow, treatment with crystalloids or colloids is mandatory. When rapid hemodynamic response is necessary colloids are preferred.

Effect of hyperbaric oxygen therapy on whole blood cyanide concentrations in carbon monoxide intoxicated patients from fire accidents

DEFF Research Database (Denmark)

Lawson-Smith, Pia; Jansen, Erik C; Hilsted, Linda

2010-01-01

Hydrogen cyanide (HCN) and carbon monoxide (CO) may be important components of smoke from fire accidents. Accordingly, patients admitted to hospital from fire accidents may have been exposed to both HCN and CO. Cyanide (CN) intoxication results in cytotoxic hypoxia leading to organ dysfunction...... and possibly death. While several reports support the use of hyperbaric oxygen therapy (HBO) for the treatment of severe CO poisoning, limited data exist on the effect of HBO during CN poisoning. HBO increases the elimination rate of CO haemoglobin in proportion to the increased oxygen partial pressure...

Critical analysis of radiologist-patient interaction.

Science.gov (United States)

Morris, K J; Tarico, V S; Smith, W L; Altmaier, E M; Franken, E A

1987-05-01

A critical incident interview technique was used to identify features of radiologist-patient interactions considered effective and ineffective by patients. During structured interviews with 35 radiology patients and five patients' parents, three general categories of physician behavior were described: attention to patient comfort, explanation of procedure and results, and interpersonal sensitivity. The findings indicated that patients are sensitive to physicians' interpersonal styles and that they want physicians to explain procedures and results in an understandable manner and to monitor their well-being during procedures. The sample size of the study is small; thus further confirmation is needed. However, the implications for training residents and practicing radiologists in these behaviors are important in the current competitive medical milieu.

Review of current status for designing severe accident management support system

Energy Technology Data Exchange (ETDEWEB)

Jeong, Kwang Sub

2000-05-01

The development of operator support system (OSS) is ongoing in many other countries due to the complexity both in design and in operation for nuclear power plant. The computerized operator support system includes monitoring of some critical parameters, early detection of plant transient, monitoring of component status, plant maintenance, and safety parameter display, and the operator support system for these areas are developed and are being used in some plants. Up to now, the most operator support system covers the normal operation, abnormal operation, and emergency operation. Recently, however, the operator support system for severe accident is to be developed in some countries. The study for the phenomena of severe accident is not performed sufficiently, but, based on the result up to now, the operator support system even for severe accident will be developed in this study. To do this, at first, the current status of the operator support system for normal/abnormal/emergency operation is reviewed, and the positive aspects and negative aspects of systems are analyzed by their characteristics. And also, the major items that should be considered in designing the severe accident operator support system are derived from the review. With the survey of domestic and foreign operator support systems, they are reviewed in terms of the safety parameter display system, decision-making support system, and procedure-tracking system. For the severe accident, the severe accident management guideline (SAMG) which is developed by Westinghouse is reviewed; the characteristics, structure, and logical flow of SAMG are studied. In addition, the critical parameters for severe accident, which are the basis for operators decision-making in severe accident management and are supplied to the operators and the technical support center, are reviewed, too.

Review of current status for designing severe accident management support system

International Nuclear Information System (INIS)

Jeong, Kwang Sub

2000-05-01

The development of operator support system (OSS) is ongoing in many other countries due to the complexity both in design and in operation for nuclear power plant. The computerized operator support system includes monitoring of some critical parameters, early detection of plant transient, monitoring of component status, plant maintenance, and safety parameter display, and the operator support system for these areas are developed and are being used in some plants. Up to now, the most operator support system covers the normal operation, abnormal operation, and emergency operation. Recently, however, the operator support system for severe accident is to be developed in some countries. The study for the phenomena of severe accident is not performed sufficiently, but, based on the result up to now, the operator support system even for severe accident will be developed in this study. To do this, at first, the current status of the operator support system for normal/abnormal/emergency operation is reviewed, and the positive aspects and negative aspects of systems are analyzed by their characteristics. And also, the major items that should be considered in designing the severe accident operator support system are derived from the review. With the survey of domestic and foreign operator support systems, they are reviewed in terms of the safety parameter display system, decision-making support system, and procedure-tracking system. For the severe accident, the severe accident management guideline (SAMG) which is developed by Westinghouse is reviewed; the characteristics, structure, and logical flow of SAMG are studied. In addition, the critical parameters for severe accident, which are the basis for operators decision-making in severe accident management and are supplied to the operators and the technical support center, are reviewed, too

Analysis of severe core damage accident progression for the heavy water reactor

International Nuclear Information System (INIS)

Tong Lili; Yuan Kai; Yuan Jingtian; Cao Xuewu

2010-01-01

In this study, the severe accident progression analysis of generic Canadian deuterium uranium reactor 6 was preliminarily provided using an integrated severe accident analysis code. The selected accident sequences were multiple steam generator tube rupture and large break loss-of-coolant accidents because these led to severe core damage with an assumed unavailability for several critical safety systems. The progressions of severe accident included a set of failed safety systems normally operated at full power, and initiative events led to primary heat transport system inventory blow-down or boil off. The core heat-up and melting, steam generator response,fuel channel and calandria vessel failure were analyzed. The results showed that the progression of a severe core damage accident induced by steam generator tube rupture or large break loss-of-coolant accidents in a CANDU reactor was slow due to heat sinks in the calandria vessel and vault. (authors)

Woodworking injuries: a comparative study of work-related and hobby-related accidents.

Science.gov (United States)

Loisel, F; Bonin, S; Jeunet, L; Pauchot, J; Tropet, Y; Obert, L

2014-10-01

The primary objective of this study was to describe the injury characteristics and demographics of patients injured during woodworking activities, upon their arrival to the emergency department in a regional of France where this industry is prevalent. The secondary objective was to compare patient and injury characteristics for work-related and hobby-related accidents. A cohort of 87 patients who had suffered a woodworking accident over a two-year period was evaluated; 79 were available for follow-up. The context and circumstances of the accident, nature and location of the injuries and patient demographics were recorded. Hobby-related accidents accounted for two-thirds of the accidents (51/79). Most of the injured workers were either loggers (35%) or carpenters (46%). The hand was injured in 53 cases (67%). Work-related accidents resulted in significantly more serious consequences in terms of hospital stay, work stoppage, resumption of work or retraining than hobby-related accidents. For the workplace accidents, 86% occurred on new machines; more than 25% of the machines involved in accidents at home were over 15 years. Sixty-eight per cent of workers were wearing their safety gear, while only 31% of those injured during recreational woodworking wore the appropriate gear. Several elements of prevention should be improved: information about the need to maintain the equipment, protect the worker with suitable clothing, and learn which maneuvers are considered hazardous. Safety gear should be regularly inspected in the workplace. Copyright © 2014. Published by Elsevier SAS.

Quick evaluation of the neutron dose following a criticality accident by measurement of sodium 24 activity

International Nuclear Information System (INIS)

Tabardel, R.; Ricourt, A.; Parmentier, N.

1984-07-01

In order to quickly sort out the irradiated individuals following a criticality accident, the neutron dose can be evaluated quickly by measuring the sodium-24 activity induced in the human body. The report supplies the information necessary for this evaluation from the response of various detectors of current use in radiation protection. The first part describes the method of evaluation of sodium-24 activity (A) given by the reading (M) of each instrument. The second part describes the method of kerma evaluation from the measured sodium-24 activity. The third part is an experimental application of the method of kerma evaluation from the sodium-24 activity measured in a phantom irradiated in the SILENE reactor flux. The results given by radiation protection instruments are in good agreement with the calculated values for a front exposure and demonstrate the usefulness of measuring the induced sodium-24 activity by radiation protection instruments of current use [fr

Investigating of the effect of Biorhythm on work-related Accidents

Directory of Open Access Journals (Sweden)

F. Arab

2014-07-01

Conclusion: Findings of this research showed that bad and critical days of individuals’ biorhythms cycle influence the occurrence of accidents. Therefore, by training and increasing the knowledge of workers regarding biological cycle and its effects on mental, emotional and physical status, each person effects can make some changes to theire work plans during days that they do not feel well, physically or mentally, in order to prevent the likely accidents.

The meaning of social support for the critically ill patient.

Science.gov (United States)

Hupcey, J E

2001-08-01

Social support has been shown to be important for the critically ill patient. However, what constitutes adequate support for these patients has not been investigated. Thus, the purpose of this qualitative study was to investigate patients' perceptions of their need for and adequacy of the social support received while they were critically ill. Thirty adult patients who were critical during some point of their stay in the intensive care unit (ICU) stay were interviewed, once stable. Interviews were tape-recorded and began with an open-ended question regarding the ICU experience. This was followed by open-ended focused questions regarding social support, such as 'Who were your greatest sources of social support while you were critically ill?' 'What did they do that was supportive or unsupportive?' Data were analyzed according to Miles and Huberman (1994). The categories that emerged were need for social support based on patient perceptions (not number of visitors), quality of support (based on perceptions of positive and negative behaviors of supporters) and lack of support. This study found that quality of support was more important than the actual number of visitors. Patients with few visitors may have felt supported, while those with numerous visitors felt unsupported. Patients who felt unsupported also were more critical of the staff and the care they received. Nurses need to individually assess patients regarding their need for support, and assist family/friends to meet these needs.

Rhabdomyolysis in Critically Ill Surgical Patients.

Science.gov (United States)

Kuzmanovska, Biljana; Cvetkovska, Emilija; Kuzmanovski, Igor; Jankulovski, Nikola; Shosholcheva, Mirjana; Kartalov, Andrijan; Spirovska, Tatjana

2016-07-27

Rhabdomyolysis is a syndrome of injury of skeletal muscles associated with myoglobinuria, muscle weakness, electrolyte imbalance and often, acute kidney injury as severe complication. of this study is to detect the incidence of rhabdomyolysis in critically ill patients in the surgical intensive care unit (ICU), and to raise awareness of this medical condition and its treatment among the clinicians. A retrospective review of all surgical and trauma patients admitted to surgical ICU of the University Surgical Clinic "Mother Teresa" in Skopje, Macedonia, from January 1 st till December 31 st 2015 was performed. Patients medical records were screened for available serum creatine kinase (CK) with levels > 200 U/l, presence of myoglobin in the serum in levels > 80 ng/ml, or if they had a clinical diagnosis of rhabdomyolysis by an attending doctor. Descriptive statistical methods were used to analyze the collected data. Out of totally 1084 patients hospitalized in the ICU, 93 were diagnosed with rhabdomyolysis during the course of one year. 82(88%) patients were trauma patients, while 11(12%) were surgical non trauma patients. 7(7.5%) patients diagnosed with rhabdomyolysis developed acute kidney injury (AKI) that required dialysis. Average values of serum myoglobin levels were 230 ng/ml, with highest values of > 5000 ng/ml. Patients who developed AKI had serum myoglobin levels above 2000 ng/ml. Average values of serum CK levels were 400 U/l, with highest value of 21600 U/l. Patients who developed AKI had serum CK levels above 3000 U/l. Regular monitoring and early detection of elevated serum CK and myoglobin levels in critically ill surgical and trauma patients is recommended in order to recognize and treat rhabdomyolysis in timely manner and thus prevent development of AKI.

Overview of the radiological accidents in the world, updated December 1989

Energy Technology Data Exchange (ETDEWEB)

Nenot, J.C. (CEA Centre d' Etudes Nucleaires de Fontenay-aux-Roses, 92 (France). Dept. de Protection Sanitaire)

1990-06-01

This outline historical review discusses radiological accidents of two categories: those involving large groups of the population with relatively low doses, or a few individuals with high doses resulting in acute health effects. Comments on the following accidents are made: (a) the Marshallese population and the Japanese Fisherman, Pacific Ocean 1954 (b) South East Urals USSR 1957 (c) Juarez, Mexico 1983/84 (d) Chernobyl 1986 (e) Goiania, Brazil 1987. Registration of accidents resulting in high doses to few individuals is also discussed:-criticality accidents, those resulting in high whole-body doses from sealed sources, nuclear power reactor incidents leading to acute doses among workers, those resulting in localized radiation injury and those resulting in severe internal exposure. (UK).

Patient autonomy and informed consent in critically lll

Directory of Open Access Journals (Sweden)

Todorović Zoran M.

2017-01-01

Full Text Available Patient autonomy has been a cornerstone of contemporary clinical ethics since the Nuremberg trial, especially in American school of bioethics. Topic: Patient autonomy has been defined in the Nuremberg Code, and re-defined in the Declaration of Helsinki, Belmont Report and Barcelona Declaration. Founders and followers of the rights-oriented bioethics (for example, Hellegers, Beauchamp and Childers have established and promoted the patient autonomy as the main principle of bio(medical ethics since 1970s. However, there is a lot of controversy surrounding such a principle, especially in vulnerable patients. We aimed at evaluating the real meaning and value of patient autonomy in critical care settings regarding the communication between health workers and their patients and families. Conclusion: Protection of patients autonomy in critically ill is a complex issue. Careful benefit-risk assessment is needed in order to find the most appropriate way of obtaining the informed consent, proxy consent or to omit or delay it.

Monte Carlo dose reconstruction in case of a radiological accident: application to the accident in Chile in December 2005; Reconstitution de dose par calcul Monte Carlo en cas d'accident radiologique: application a l'accident du Chili de decembre 2005

Energy Technology Data Exchange (ETDEWEB)

Huet, C.; Clairand, I.; Trompier, F.; Bottollier-Depois, J.F. [Institut de Radioprotection et de Surete Nucleaire (IRSN), Dir. de la Radioprotection de l' Homme, 92 - Fontenay aux Roses (France); Bey, E. [Hopital d' Instruction des Armees Percy, 92 - Clamart (France)

2007-10-15

Following a radiological accident caused by a gamma-graphy source in Chile in December 2005 involving one victim, I.R.S.N. was contacted to perform the dosimetric reconstruction of the accident using numerical simulation. Tools developed in the laboratory, associating anthropomorphic mathematic or voxel phantoms with the Monte Carlo calculation code m.c.n.p.x., were used in order to determine the dose distribution on the left buttock and absorbed doses to critical organs. The dosimetric mapping show that the absorbed at the skin surface is very high (1900 Gy) but drops rapidly at deep. At a depth of 5 cm, it is 20 Gy. Calculations performed with a mathematical phantom indicate that average doses to the critical organs are relatively low. Moreover, possible bone marrow sites for puncture are identified. Based on the dosimetric mapping, an excision measuring 5 cm in depth by 10 cm in diameter was performed on the left buttock of the victim. (authors)

Postulated accidents

International Nuclear Information System (INIS)

Ullrich, W.

1980-01-01

This lecture on 'Postulated Accidents' is the first of a series of lectures on the dynamic and transient behaviour of nuclear power plants, especially pressurized water reactors. The main points covered will be: Reactivity Accidents, Transients (Intact Loop) and Loss of Cooland Accidents (LOCA) including small leak. This lecture will discuss the accident analysis in general, the definition of the various operational phases, the accident classification, and, as an example, an accident sequence analysis on the basis of 'Postulated Accidents'. (orig./RW)

Accident sequence analysis of human-computer interface design

International Nuclear Information System (INIS)

Fan, C.-F.; Chen, W.-H.

2000-01-01

It is important to predict potential accident sequences of human-computer interaction in a safety-critical computing system so that vulnerable points can be disclosed and removed. We address this issue by proposing a Multi-Context human-computer interaction Model along with its analysis techniques, an Augmented Fault Tree Analysis, and a Concurrent Event Tree Analysis. The proposed augmented fault tree can identify the potential weak points in software design that may induce unintended software functions or erroneous human procedures. The concurrent event tree can enumerate possible accident sequences due to these weak points

[Evaluation and treatment of the critically ill cirrhotic patient].

Science.gov (United States)

Fernández, Javier; Aracil, Carles; Solà, Elsa; Soriano, Germán; Cinta Cardona, Maria; Coll, Susanna; Genescà, Joan; Hombrados, Manoli; Morillas, Rosa; Martín-Llahí, Marta; Pardo, Albert; Sánchez, Jordi; Vargas, Victor; Xiol, Xavier; Ginès, Pere

2016-11-01

Cirrhotic patients often develop severe complications requiring ICU admission. Grade III-IV hepatic encephalopathy, septic shock, acute-on-chronic liver failure and variceal bleeding are clinical decompensations that need a specific therapeutic approach in cirrhosis. The increased effectiveness of the treatments currently used in this setting and the spread of liver transplantation programs have substantially improved the prognosis of critically ill cirrhotic patients, which has facilitated their admission to critical care units. However, gastroenterologists and intensivists have limited knowledge of the pathogenesis, diagnosis and treatment of these complications and of the prognostic evaluation of critically ill cirrhotic patients. Cirrhotic patients present alterations in systemic and splanchnic hemodynamics, coagulation and immune dysfunction what further increase the complexity of the treatment, the risk of developing new complications and mortality in comparison with the general population. These differential characteristics have important diagnostic and therapeutic implications that must be known by general intensivists. In this context, the Catalan Society of Gastroenterology and Hepatology requested a group of experts to draft a position paper on the assessment and treatment of critically ill cirrhotic patients. This article describes the recommendations agreed upon at the consensus meetings and their main conclusions. Copyright © 2015 Elsevier España, S.L.U. y AEEH y AEG. All rights reserved.

Chernobyl accident: Assessing the data

Energy Technology Data Exchange (ETDEWEB)

Soerensen, B

1986-01-01

Data presented in the official Soviet report to the IAEA on the Chernobyl reactor accident are critically assessed. Special attention is given to the derivation of release fractions from fallout measurements, a procedure which is demonstrated to involve large elements of uncertainty. Further comments relate to estimates of plume rise and deposition velocity. A comparison is made with the predictions of previously published theoretical reactor safety studies.

Major workplace related accidents in Singapore: A major trauma centre's experience.

Science.gov (United States)

Ng, Zhi Xu; Teo, Li Tserng; Go, Karen T S; Yeo, Yen Teng; Chiu, Ming Terk

2010-12-01

Major workplace related accidents pose a significant healthcare resource challenge in Singapore. Our study looks at the epidemiology of patients who were admitted for workplace related accidents, in a single institution, with an Injury Severity Score of >9. There were 196 cases of major workplace related accidents admitted between January 2006 and December 2007. The median age of patients admitted was 37 years with a large percentage being males (95.4%) and non-residents (57.1%). The most common ethnic group was Chinese (53.1%) followed by Indians (23.5%). The most common mechanism of injury was fall from height (66.3%) followed by injuries as a result of falling objects at work (21.9%). The percentage of patients who required surgical intervention was 69.9%. Patients admitted for major workplace related accidents had a median length of stay of 5 days in the hospital, a median length of 24 days of medical leave (ML), certifying them unfit for duty and the average cost of stay for each patient was S$11,000. We have a better understanding of the epidemiology and socio-economic impact of workplace related accidents through this study. Workplace related accidents result in significant number of man-days lost from work and monetary cost to employers, medical insurance and the hospital. With an improved understanding, we propose methods to prevent and reduce such accidents in future. A direct consequence of which will be the possible reduction of hospitalisation costs and better allocation of healthcare resources in the future.

Emergency handling of radiation accident cases: firemen

International Nuclear Information System (INIS)

Procedures for the emergency handling of persons exposed to radiation or radioactive contamination are presented, with emphasis on information needed by firemen. The types of radiation accident patients that may be encountered are described and procedures for first aid, for preventing the spread of radioactive contamination, and for reporting the accident are outlined

New approach to managing nuclear criticality risk at Nuclear Fuel Services, Inc

International Nuclear Information System (INIS)

Green, R.; Droke, R.; Paine, D.

1992-01-01

The negative aspects of having a nuclear criticality accident at a fuel fabrication facility have substantially increased in recent years. Although ensuring that the facility is designed and operating in a critically safe manner is a high management priority, practices of managing the risk of a criticality accident have not significantly changed. The method of evaluating risk based on quantitative analysis can enable management to adapt to the increased consequences of a nuclear criticality accident. Additional controls may be placed on high-risk areas within a facility to ensure safe operation of the plant. Areas where controls are in place that impede the productivity of the facility and have negligible impact on criticality safety may be removed or replaced. Management can also streamline the safety analysis efforts applied to facility upgrades by demonstrating that proposed design changes do not compromise criticality safety. Future expansion of quantitative analysis techniques will also allow risk-based management decisions on industrial, radiological, and environmental safety

Investigation report on causes of radiation underexposure accident at Yamagata University Hospital and Prevention of Similar accident

International Nuclear Information System (INIS)

2005-01-01

The accident in the title was announced on February 18, 2004 by the hospital, which asked its investigation immediately. The group based on 4 academic societies concerned, thereby started investigations of the in-house reports on the accident and of subsequent hospital visit in March, which involved hearing from personnel concerned, physical/technological examinations and clinical evaluation, with respect to the hospital system for radiation treatment, flow of the treatment, accident details, estimation of the actual expose dose and classification of patients. The investigational group found for the actual number of patients underexposed to be 36 (63, in the in-house report) in 1,377. The cause of the accident was thought essentially the input error for the correct power coefficient 1.032 to be a wrong one 1.320 for 15 x 15 cm 4 MV X-ray. The error had been overlooked by the contract operator from the introduction of the treatment planning equipment in 1999. For prevention, setting up of quality assurance (QA) program by the hospital, the user itself, was pointed out necessary. Making the guideline for introducing the new equipment was conceivably an important work of the trader. (N.I.)

Safety-critical human factors issues derived from analysis of the TEPCO Fukushima Daiichi accident investigation reports

International Nuclear Information System (INIS)

Sakuda, Hiroshi; Takeuchi, Michiru

2013-01-01

The Fukushima Daiichi nuclear power plant accident on March 11, 2011 had a large impact both in and outside Japan, and is not yet concluded. After Tokyo Electric Power Co.'s (TEPCO's) Fukushima accident, electric power suppliers have taken measures to respond in the event that the same state of emergency occurs - deploying mobile generators, temporary pumps and hoses, and training employees in the use of this equipment. However, it is not only the “hard” problems including the design of equipment, but the “soft” problems such as organization and safety culture that have been highlighted as key contributors in this accident. Although a number of organizations have undertaken factor analysis of the accident and proposed issues to be reviewed and measures to be taken, a systematic overview about electric power suppliers' organization and safety culture has not yet been undertaken. This study is based on three major reports: the report by the national Diet of Japan Fukushima Nuclear Accident Independent Investigation Commission (the Diet report), the report by the Investigation Committee on the Accident at Fukushima Nuclear Power Stations of Tokyo Electric Power Company (Government report), and the report by the non-government committee supported by the Rebuild Japan Initiative Foundation (Non-government report). From these reports, the sections relevant to electric power suppliers' organization and safety culture were extracted. These sections were arranged to correspond with the prerequisites for the ideal organization, and 30 issues to be reviewed by electric power suppliers were extracted using brainstorming methods. It is expected that the identified issues will become a reference for every organization concerned to work on preventive measures hereafter. (author)

EPIDEMIOLOGY OF SPINE FRACTURES IN MOTORCYCLE ACCIDENT VICTIMS

Directory of Open Access Journals (Sweden)

Tiago Argolo Bittencourt de Oliveira

2016-03-01

Full Text Available ABSTRACT Objective: To analyze the incidence of spinal injuries between 2000-2010 due to motorcycle accidents and the relation to the increase in motorcycle sales in the same period, as well as the anatomical distribution of these spinal injuries. Methods: Data were collected from 1,295 records of patients who have suffered spinal injury resulting from motorcycle accidents admitted to the ward TRM (Spinal Cord Trauma of the Hospital Geral do Estado da Bahia from 2000 to 2010 in this retrospective study. We selected 110 medical records and collected information on sex, age, neurological deficit on admission (according to Frankel scale, diagnosis, and level of injury. Results: Between 2000 and 2010 there was an increase of almost five times in the incidence of patients who have suffered spinal injury due to motorcycle accidents. More than half (51.4% had cervical spine injury, 37.2% thoracic spine injury and 11.34% had lumbar spine injury. Only 34.3% of patients had no neurological deficit on admission and patients with thoracic spine fracture had a higher incidence and severity of lesion. The average age of patients was 30 years. Conclusions: The increased incidence of spinal injuries due motorcycle accidents occurred in the same period in which there was an increase in motorcycle sales in the country. Patients who have suffered those injuries were young, with higher incidence in the cervical and thoracic spinal levels and high rates of neurological deficit.

Accident management

International Nuclear Information System (INIS)

Lutz, R.J.; Monty, B.S.; Liparulo, N.J.; Desaedeleer, G.

1989-01-01

The foundation of the framework for a Severe Accident Management Program is the contained in the Probabilistic Safety Study (PSS) or the Individual Plant Evaluations (IPE) for a specific plant. The development of a Severe Accident Management Program at a plant is based on the use of the information, in conjunction with other applicable information. A Severe Accident Management Program must address both accident prevention and accident mitigation. The overall Severe Accident Management framework must address these two facets, as a living program in terms of gathering the evaluating information, the readiness to respond to an event. Significant international experience in the development of severe accident management programs exist which should provide some direction for the development of Severe Accident Management in the U.S. This paper reports that the two most important elements of a Severe Accident Management Program are the Emergency Consultation process and the standards for measuring the effectiveness of individual Severe Accident Management Programs at utilities

Analysis of traffic accidents in Romania, 2009.

Science.gov (United States)

Călinoiu, Geovana; Minca, Dana Galieta; Furtunescu, Florentina Ligia

2012-01-01

This paper aimed to underline the main consequences of traffic accidents in Romania 2009 and their associated causes or circumstances. We identified some problematic geographic areas, some critical months or moments of the day and also the most frequent causes; all these should become targets for the future planning. The current analysis provides some priority criteria for public health interventions. So, the future national road safety strategy should be in line with the EU objectives, but also with the national priorities. Romania is far away from the average EU target for 2010 of halving the death by traffic accidents registered in 2001. To describe the circumstances and the consequences related to traffic accidents registered in Romania, for the year 2009. An ecological study was conducted. The traffic accidents circumstances were analyzed in terms of magnitude, geographic space, time and cause. The consequences were analyzed as affected people and damaged cars. A total of 28,627 traffic accidents were registered in Romania during the year 2009. 2,796 people were killed and 27,968 were hospitalized and 42,443 cars were damaged. 3 of 4 accidents were caused by violations on behalf of the car drivers. Most common violations in car drivers were excess of speed and priority violations (52.4%). Among the pedestrians, 7 of 10 accidents were caused by illegal crossing. A higher number of accidents occurred during the summer months and during the evening hours (from 5.00 pm till 8.00 pm). The traffic accidents represent a real public health problem in Romania and a serious burden for the health system. The gap between Romania and the other EU member states needs to be diminished in the next decade. In this purpose, the future national road safety strategy should be in line with the EU objectives, but also with the national priorities. Research is needed to understand the causes and the socio-economical impact of traffic accidents and to define appropriate national

Accidents in nuclear facilities: classification, incidence and impact

International Nuclear Information System (INIS)

Galicia A, J.; Paredes G, L. C.

2012-10-01

A general analysis of the 146 accidents reported officially in nuclear facilities from 1945 to 2012 is presented, among them some took place in: power or research nuclear reactors, critical and subcritical nuclear assemblies, handling of nuclear materials inside laboratories belonging to institutes or universities, in radiochemistry industrial plants and nuclear fuel factories. In form graph the incidence of these accidents is illustrated classified for; category, decades, geographical localization, country classification before the OECD, failure type, and the immediate or later victims. On the other hand, the main learned lessons of the nuclear accidents of Three Mile Island, Chernobyl and Fukushima are stood out, among those that highlight; the human factors, the necessity of designs more innovative and major technology for the operation, control and surveillance of the nuclear facilities, to increase the criterions of nuclear, radiological and physics safety applied to these facilities, the necessity to carry out probabilistic analysis of safety more detailed for cases of not very probable accidents and their impact, to revalue the selection criterions of the sites for nuclear locations, the methodology of post-accident sites recovery and major instrumentation for parameters evaluation and the radiological monitoring among others. (Author)

Data mining and visualization of the Alabama accident database

Science.gov (United States)

2000-08-01

The Alabama Department of Public Safety has developed and maintains a centralized database that contain traffic accident data collected from crash report completed by local police officers and state troopers. The Critical Analysis Reporting Environme...

PWR pressure vessel integrity during overcooling accidents

International Nuclear Information System (INIS)

Cheverton, R.D.

1981-01-01

Pressurized water reactors are susceptible to certain types of hypothetical accidents that under some circumstances, including operation of the reactor beyond a critical time in its life, could result in failure of the pressure vessel as a result of propagation of crack-like defects in the vessel wall. The accidents of concern are those that result in thermal shock to the vessel while the vessel is subjected to internal pressure. Such accidents, referred to as pressurized thermal shock or overcooling accidents (OCA), include a steamline break, small-break LOCA, turbine trip followed by stuck-open bypass valves, the 1978 Rancho Seco and the TMI accidents and many other postulated and actual accidents. The source of cold water for the thermal shock is either emergency core coolant or the normal primary-system coolant. ORNL performed fracture-mechanics calculations for a steamline break in 1978 and for a turbine-trip case in 1980 and concluded on the basis of the results that many more such calculations would be required. To meet the expected demand in a realistic way a computer code, OCA-I, was developed that accepts primary-system temperature and pressure transients as input and then performs one-dimensional thermal and stress analyses for the wall and a corresponding fracture-mechanics analysis for a long axial flaw. The code is briefly described, and its use in both generic and specific plant analyses is discussed

French safety and criticality testing programmes

International Nuclear Information System (INIS)

Barbry, F.; Leclerc, J.; Manaranche, J.C.; Maubert, L.

1982-01-01

This article underlines the need to include experimental safety-criticality programmes in the French nuclear effort. The means and methods used at the Section of Experimental Nuclear Safety and Criticality Research, attached to the CEA Valduc Centre, are described. Three experimental programmes are presented: safety-criticality of the PWR fuel cycle, neutron poisoning of plutonium solutions by gadolinium and safety-criticality of slightly enriched and slightly moderated uranium oxide. Criticality accidents studies in solution are then described [fr

Predicting recovery from acute kidney injury in critically ill patients

DEFF Research Database (Denmark)

Itenov, Theis S; Berthelsen, Rasmus Ehrenfried; Jensen, Jens-Ulrik

2018-01-01

these patients. DESIGN: Observational study with development and validation of a risk prediction model. SETTING: Nine academic ICUs in Denmark. PARTICIPANTS: Development cohort of critically ill patients with AKI at ICU admission from the Procalcitonin and Survival Study cohort (n = 568), validation cohort.......1%. CONCLUSION: We constructed and validated a simple model that can predict the chance of recovery from AKI in critically ill patients....

Incidence of posttraumatic stress disorder after traffic accidents in Germany.

Science.gov (United States)

Brand, Stephan; Otte, Dietmar; Petri, Maximilian; Decker, Sebastian; Stübig, Timo; Krettek, Christian; Müller, Christian W

2014-01-01

Posttraumatic stress disorder (PTSD) is possibly an overlooked diagnosis of victims suffering from traffic accidents sustaining serious to severe injuries. This paper investigates the incidence of PTSD after traffic accidents in Germany. Data from an accident research unit were analyzed in regard to collision details, and preclinical and clinical data. Preclinical data included details on crash circumstances and estimated injury severity as well as data on victims' conditions (e.g. heart rate, blood pressure, consciousness, breath rate). Clinical data included initial assessment in the emergency department, radiographic diagnoses, and basic life parameters comparable to the preclinical data as well as follow-up data on the daily ward. Data were collected in the German-In-Depth Accident Research study, and included gender, type of accident (e.g. type of vehicle, road conditions, rural or urban area), mental disorder, and AIS (Abbreviated Injury Scale) head score. AIS represent a scoring system to measure the injury severity of traffic accident victims. A total 258 out of 32807 data sets were included in this analysis. Data on accident and victims was collected on scene by specialized teams following established algorithms. Besides higher AIS Head scores for male motorcyclists compared to all other subgroups, no significant correlation was found between the mean maximum AIS score and the occurrence of PTSD. Furthermore, there was no correlation between higher AIS head scores, gender, or involvement in road traffic accidents and PTSD. In our study the overall incidence of PTSD after road traffic accidents was very low (0.78% in a total of 32.807 collected data sets) when compared to other published studies. The reason for this very low incidence of PTSD in our patient sample could be seen in an underestimation of the psychophysiological impact of traffic accidents on patients. Patients suffering from direct experiences of traumatic events such as a traffic accident

Economic burden of motorcycle accidents in Northern Ghana ...

African Journals Online (AJOL)

Background: Motorcycles are the most popular means of transportation in northern Ghana, and their accidents are major causes of out-patient attendance and admis-sions in the Bolgatanga Municipality. Objective: This paper estimates the economic burden of motorcycle accidents in the Bolgatanga Municipality in Northern ...

Study on plasma homocysteine (HCY) levels in patients with cerebral infarction and cerebral hemorrhage

International Nuclear Information System (INIS)

Zhou Guozhong

2005-01-01

Objective: To investigate the relationship between the plasma levels of HCY, folate and vitamin B 12 and the development of cerebrovascular accidents (infarction and hemorrhage). Methods: Plasma HCY concentrations (with fluorescence polarization immunoassay FPIA) and folate, VitB 12 contents (with immunofluorescence technique) were measured in 150 patients with cerebral infarction, 171 patients with cerebral hemorrhage (all patients confirmed with CT/MRI) and 96 controls. Results: Plasma HCY concentrations were significantly higher (P 12 contents were significantly lower (P 12 concentrations were critically involved in the development and pathogenesis of cerebrovascular accidents. (authors)

Altered molecular profile in thyroid cancers from patients affected by the Three Mile Island nuclear accident.

Science.gov (United States)

Goldenberg, David; Russo, Mariano; Houser, Kenneth; Crist, Henry; Derr, Jonathan B; Walter, Vonn; Warrick, Joshua I; Sheldon, Kathryn E; Broach, James; Bann, Darrin V

2017-07-01

In 1979, Three Mile Island (TMI) nuclear power plant experienced a partial meltdown with release of radioactive material. The effects of the accident on thyroid cancer (TC) in the surrounding population remain unclear. Radiation-induced TCs have a lower incidence of single nucleotide oncogenic driver mutations and higher incidence of gene fusions. We used next generation sequencing (NGS) to identify molecular signatures of radiation-induced TC in a cohort of TC patients residing near TMI during the time of the accident. Case series. We identified 44 patients who developed papillary thyroid carcinoma between 1974 and 2014. Patients who developed TC between 1984 and 1996 were at risk for radiation-induced TC, patients who developed TC before 1984 or after 1996 were the control group. We used targeted NGS of paired tumor and normal tissue from each patient to identify single nucleotide oncogenic driver mutations. Oncogenic gene fusions were identified using quantitative reverse transcription polymerase chain reaction. We identified 15 patients in the at-risk group and 29 patients in the control group. BRAF V600E mutations were identified in 53% patients in the at-risk group and 83% patients in the control group. The proportion of patients with BRAF mutations in the at-risk group was significantly lower than predicted by the The Cancer Genome Atlas cohort. Gene fusion or somatic copy number alteration drivers were identified in 33% tumors in the at-risk group and 14% of tumors in the control group. Findings were consistent with observations from other radiation-exposed populations. These data raise the possibility that radiation released from TMI may have altered the molecular profile of TC in the population surrounding TMI. 4 Laryngoscope, 127:S1-S9, 2017. © 2017 The American Laryngological, Rhinological and Otological Society, Inc.

Radiological accident in Panama - IAEA to send assistance team

International Nuclear Information System (INIS)

2001-01-01

Full text: The International Atomic Energy Agency (IAEA) is sending a team of six international experts to assist the authorities of Panama to deal with the aftermath of a radiological accident that occurred at Panama's National Oncology Institute. The Government of Panama informed the IAEA on 22 May about the accident, reported that 28 patients have been affected, and requested IAEA's assistance under the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency, to which Panama is a party. The assistance to be provided by the expert mission will include: ensuring that the radiation source(s) involved in the accident is (are) in a safe and secure condition; evaluating the doses incurred by the affected patients, inter alia, by analysing the treatment records and physical measurements; undertaking a medical evaluation of the affected patients' prognosis and treatment, taking into account, inter alia, the autopsy findings for those who died; and identifying issues on which the IAEA could offer to provide and/or co-ordinate assistance to minimize the consequences of the accident. The team, which includes senior experts in radiology, radiotherapy, radiopathology, radiation dosimetry and radiation protection from France, USA and Japan, and the IAEA itself, will leave for Panama tomorrow, 26 May

Ultrasound and supine chest radiograph in road traffic accident patients: a reliable and convenient way to diagnose pleural effusion

International Nuclear Information System (INIS)

Mumtaz, U.; Zahur, Z.; Raza, M.A.

2017-01-01

Background: Portable bed side ultrasound and supine chest radiograph of 80 traumatic patients excluding very clinically unstable patients who subsequently underwent CT scan chest was done for traumatic effusion showing that ultrasound had a higher sensitivity than CXR, 88.23% and 77.94%, respectively, and a similar specificity of 100% and 100%, respectively. Objective of the study is to compare the diagnostic accuracy of high resolution ultrasound and supine chest x-ray in detection of pleural effusion in road traffic accident patients keeping plain CT chest as gold standard. Methods: This study was conducted in PIMS and PAEC General Hospital, Islamabad from 1st January to 15th December 2015. The current study examined total of 80 trauma (blunt and penetrating) patients coming to emergency departments of both hospitals specifically those who had road traffic accident history. Their portable bed side ultrasound and supine chest radiograph were performed for assessing pleural effusion and subsequently CT scan chest was done for confirmation as it's a gold standard. Results: Using CT findings as gold standard the sensitivity, specificity, positive predictive value and negative predictive value was assessed for both ultrasonography and chest radiography and found to be 88.23%,100%, 100%, 40% and 77.94%, 100%, 100%, 55.55% respectively with diagnostic accuracy of ultrasound 90% as compared to 81.25% for supine chest x-rays when compared with gold standard. Conclusion: Ultrasound and chest x-ray can be used as a useful and suitable adjunct to CT in road traffic accident patients as these are easily available, non-invasive, no contrast required, can be performed on bed side and carries no or little radiation risk. (author)

Rapid evaluation of the neutron dose following a criticality accident by measurement of {sup 24}Na activity; Evaluation rapide de la dose de neutrons a la suite d'un accident de criticite par mesure de l'activite de {sup 24}Na

Energy Technology Data Exchange (ETDEWEB)

Estournel, R [Centre de Production de Plutonium de Marcoule, Service de Protection contre les Rayonnements, 30 (France); Henry, Ph [Centre de Production de Plutonium de Marcoule, Section Medicale et Sociale, 30 (France); Beau, P; Ergas, A [Commissariat a l' Energie Atomique, Service d' Hygiene Atomique, Dept. de la Protection Sanitaire, Chusclan, (France)

1966-07-01

By external measurement of the gamma activity of {sup 24}Na induced in the human organs by a neutron flux during a criticality accident, it is possible to evaluate the personal dose received. Detectors designed for everyday use in health physics can be applied to these measurements, and this is described in the first part of the work. The response of a certain number of induced-activity detectors is presented. The induced activity-dose relationship is studied theoretically in the second part taking into account the neutron spectrum to which the individual has been subjected. The characteristic spectra of three possible types of accident have been used for deducing this relationship. The results obtained show that the method is sufficiently sensitive for present purposes. The accuracy of this method for calculating the dose received during an experiment is discussed. (authors) [French] La mesure par detection externe de l'activite gamma du sodium 24 induit dans l'organisme humain par un flux de neutrons lors d'un accident de criticite rend possible l'evaluation de la dose recue par un individu irradie. L'utilisation de detecteurs d'un emploi courant en radioprotection fait l'objet d'une experimentation qui constitue la premiere partie de cette etude. La reponse d'un certain nombre de detecteurs a une activite induite connue est presentee. La relation dose-activite induite, est etudiee, de maniere theorique, dans la seconde partie, correlativement au spectre des neutrons qui ont atteint l'individu irradie. Les spectres caracteristiques de trois types d'accidents possibles ont ete retenus pour l'etablissement de ces relations. Les resultats obtenus montrent que la methode satisfait avec une sensibilite suffisante au but recherche. La precision avec laquelle on peut ainsi calculer la dose recue au cours d'un accident de criticite est discutee. (auteurs)

Workflow interruptions, cognitive failure and near-accidents in health care.

Science.gov (United States)

Elfering, Achim; Grebner, Simone; Ebener, Corinne

2015-01-01

Errors are frequent in health care. A specific model was tested that affirms failure in cognitive action regulation to mediate the influence of nurses' workflow interruptions and safety conscientiousness on near-accidents in health care. One hundred and sixty-five nurses from seven Swiss hospitals participated in a questionnaire survey. Structural equation modelling confirmed the hypothesised mediation model. Cognitive failure in action regulation significantly mediated the influence of workflow interruptions on near-accidents (p accidents via cognitive failure in action regulation was also significant (p accidents; moreover, cognitive failure mediated the association between compliance and near-accidents (p < .05). Contrary to expectations, compliance with safety regulations was not related to workflow interruptions. Workflow interruptions caused by colleagues, patients and organisational constraints are likely to trigger errors in nursing. Work redesign is recommended to reduce cognitive failure and improve safety of nurses and patients.

A virtual environment for simulation of radiological accidents

International Nuclear Information System (INIS)

Silva, Tadeu Augusto de Almeida; Farias, Oscar Luiz Monteiro de

2013-01-01

A virtual environment is a computer environment, representative of a subset of the real world, and where models of the real world entities, process and events are included in a virtual (three-dimensional) space. Virtual environments are ideal tools for simulation of certain critical processes, such as radiological accidents, where human beings or properties can suffer irreversible or long term damages. Radiological accidents are characterized by the significant exposure to radiation of specialized workers and general public. The early detection of a radiological accident and the determination of its possible extension are essential factors for the planning of prompt answers and emergency actions. This paper proposes the integration of georeferenced representation of the three-dimensional space and agent-based models, with the objective to construct virtual environments that have the capacity to simulate radiological accidents. The three-dimensional georeferenced representations of space candidates are: 1) the spatial representation of traditional geographical information systems (GIS); 2) the representation adopted by Google Maps®. Adding agents to these spatial representations allow us to simulate radiological accidents, quantify the doses received by members of the public, obtain a possible spatial distribution of people contaminated, estimate the number of contaminated individuals, estimate the impact on the health-network, estimate environmental impacts, generate exclusion zones, build alternative scenarios and train staff to deal with radiological accidents. (author)

A virtual environment for simulation of radiological accidents

Energy Technology Data Exchange (ETDEWEB)

Silva, Tadeu Augusto de Almeida, E-mail: tedsilva@ird.gov.br [Instituto de Radioprotecao e Dosimetria (IRD/CNEN-RJ), Rio de Janeiro, RJ (Brazil); Farias, Oscar Luiz Monteiro de, E-mail: fariasol@eng.uerj.br [Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro, RJ (Brazil)

2013-07-01

A virtual environment is a computer environment, representative of a subset of the real world, and where models of the real world entities, process and events are included in a virtual (three-dimensional) space. Virtual environments are ideal tools for simulation of certain critical processes, such as radiological accidents, where human beings or properties can suffer irreversible or long term damages. Radiological accidents are characterized by the significant exposure to radiation of specialized workers and general public. The early detection of a radiological accident and the determination of its possible extension are essential factors for the planning of prompt answers and emergency actions. This paper proposes the integration of georeferenced representation of the three-dimensional space and agent-based models, with the objective to construct virtual environments that have the capacity to simulate radiological accidents. The three-dimensional georeferenced representations of space candidates are: 1) the spatial representation of traditional geographical information systems (GIS); 2) the representation adopted by Google Maps®. Adding agents to these spatial representations allow us to simulate radiological accidents, quantify the doses received by members of the public, obtain a possible spatial distribution of people contaminated, estimate the number of contaminated individuals, estimate the impact on the health-network, estimate environmental impacts, generate exclusion zones, build alternative scenarios and train staff to deal with radiological accidents. (author)

Case examples of chemical plant accidents. What we learn from them?

International Nuclear Information System (INIS)

Nakamura, Masayoshi

2009-01-01

Lessons learned from the JCO Nuclear Criticality Accident of 30 September 1999 in a uranium conversion test plant in Tokai-mura, Japan, are reviewed by referring some pertinent matters from the official report of this accident to remind of the universal characteristics among possible accidents of chemical plants. The paper discusses the responsibility of the establishment or institution to the demand alternation or request change from the client, how to respond to the proposal arising from the factory floor, and the safety control system of every-day maintenance of the factory which are important to prevent accidents in chemical plants. After explaining a background leading to the JCO accident, the author summarizes the lessons as follows: (1) changeable control system, (2) perfect provision of the manual considering the actual condition, and (3) clarification of the roles each played by the managers and the workers are most necessary and important. (S. Ohno)

Types and severity of operated supraclavicular brachial plexus injuries caused by traffic accidents.

Science.gov (United States)

Kaiser, Radek; Waldauf, Petr; Haninec, Pavel

2012-07-01

Brachial plexus injuries occur in up to 5% of polytrauma cases involving motorcycle accidents and in approximately 4% of severe winter sports injuries. One of the criteria for a successful operative therapy is the type of lesion. Upper plexus palsy has the best prognosis, whereas lower plexus palsy is surgically untreatable. The aim of this study was to evaluate a group of patients with brachial plexus injury caused by traffic accidents, categorize the injuries according to type of accident, and look for correlations between type of palsy (injury) and specific accidents. A total of 441 brachial plexus reconstruction patients from our department were evaluated retrospectively(1993 to 2011). Sex, age, neurological status, and the type and cause of injury were recorded for each case. Patients with BPI caused by a traffic accident were assessed in detail. Traffic accidents were the cause of brachial plexus injury in most cases (80.7%). The most common type of injury was avulsion of upper root(s) (45.7%) followed by rupture (28.2%), complete avulsion (16.9%) and avulsion of lower root(s) (9.2%). Of the patients, 73.9% had an upper,22.7% had a complete and only 3.4% had a lower brachial plexus palsy. The main cause was motorcycle accidents(63.2%) followed by car accidents (23.5%), bicycle accidents(10.7%) and pedestrian collisions (3.1%) (paccidents had a higher percentage of lower avulsion (22.7%) and a lower percentage of upper avulsion (29.3%), whereas cyclists had a higher percentage of upper avulsion (68.6%) based on the data from the entire group of patients (paccidents (9.3%,paccidents),significantly more upper and fewer lower palsies were present. In the bicycle accident group, upper palsy was the most common (89%). Study results indicate that the most common injury was an upper plexus palsy. It was characteristic of bicycle accidents, and significantly more common in car and motorcycle accidents. The results also indicate that it is important to consider the

Compendium on neutron spectra in criticality accident dosimetry

International Nuclear Information System (INIS)

Ing, H.

1978-01-01

Graphical and tabulated neutron spectra are presented: from selected critical assemblies; from critical solutions; of fission neutrons through shielding; of H 2 O-moderated fission neutrons through shielding; of D 2 O-moderated fission neutrons through shielding; of fission neutrons reflected from various materials; from the D(T, 4 He)n reaction (''14 MeV'' neutrons) through shielding and of ''14 MeV'' neutrons reflected from various materials

Patient-important outcomes in randomized controlled trials in critically ill patients: a systematic review.

Science.gov (United States)

Gaudry, Stéphane; Messika, Jonathan; Ricard, Jean-Damien; Guillo, Sylvie; Pasquet, Blandine; Dubief, Emeline; Boukertouta, Tanissia; Dreyfuss, Didier; Tubach, Florence

2017-12-01

Intensivists' clinical decision making pursues two main goals for patients: to decrease mortality and to improve quality of life and functional status in survivors. Patient-important outcomes are gaining wide acceptance in most fields of clinical research. We sought to systematically review how well patient-important outcomes are reported in published randomized controlled trials (RCTs) in critically ill patients. Literature search was conducted to identify eligible trials indexed from January to December 2013. Articles were eligible if they reported an RCT involving critically ill adult patients. We excluded phase II, pilot and physiological crossover studies. We assessed study characteristics. All primary and secondary outcomes were collected, described and classified using six categories of outcomes including patient-important outcomes (involving mortality at any time on the one hand and quality of life, functional/cognitive/neurological outcomes assessed after ICU discharge on the other). Of the 716 articles retrieved in 2013, 112 RCTs met the inclusion criteria. Most common topics were mechanical ventilation (27%), sepsis (19%) and nutrition (17%). Among the 112 primary outcomes, 27 (24%) were patient-important outcomes (mainly mortality, 21/27) but only six (5%) were patient-important outcomes besides mortality assessed after ICU discharge (functional disability = 4; quality of life = 2). Among the 598 secondary outcomes, 133 (22%) were patient-important outcomes (mainly mortality, 92/133) but only 41 (7%) were patient-important outcomes besides mortality assessed after ICU discharge (quality of life = 20, functional disability = 14; neurological/cognitive performance = 5; handicap = 1; post-traumatic stress = 1). Seventy-three RCTs (65%) reported at least one patient-important outcome but only 11 (10%) reported at least one patient-important outcome besides mortality assessed after ICU discharge. Patient-important outcomes are rarely primary

Study of 185 diabetic patients with cerebrovascular accident as confirmed on CT

International Nuclear Information System (INIS)

Ito, Yasuo; Yanaga, Tatsurou; Nunoi, Kiyohide.

1988-01-01

In 185 diabetic patients with cerebrovascular accident (CVA) from 15 institutions, responsible lesions were confirmed on CT. The ratio of men to women was 2:1. Multiple cerebral infarction was seen in 22%. According to the type and lesions of CVA, CVA was classified as cerebral infarction confined to the perforating branch (Group 1), that confined to the cortical branch (Group II), and cerebral hemorrhage (Group III). The common background factors for initial CVA were a history of hypertension, abnormal ECG findings, abnormality in the fundus of the eyes, and 121-199 mmHg/dl of fasting blood sugar in all groups. Groups I and II were characterized by comprising many patients with diabetic retinopathy, proteinuria, and hyperlipemia. In Group I, the patients tended to be young and managed unfavorably, and to have hypertriglyceremia, while patients in Group II were old and managed favorably and had frequently atrial fibrillation. Many patients in Group III had a history of diabetes mellitus over less than 5 years and were not managed for diabetes mellitus and hypertension. Prognosis was the most favorable in Group I. There was no background factor for prognosis in Group III. (Namekawa, K)

Investigation Effect of Biorhythm on Work-Related Accidents in The Metal Industry (A Short Report

Directory of Open Access Journals (Sweden)

Ehsanollah Habibi

2016-07-01

Full Text Available Biorhythm is one of the newest subjects in the field of cognition of mental ergonomics which can be very effective in reduction of work-related accidents or mistakes with no apparent reason. With evaluating Biorhythm individuals can intervention action to reduce job accidents carried out. Thus, the aim of this study was to determine the relationship Biorhythm and work-related accidents in the metal industry. This research is a cross-sectional and analytical-descriptive in the metal industrial Isfahan city of 120 work-related accidents during 2015. The required information was collected from available documents in HSE unit of the company biorhythm charts were drawn based on a date of accidents and participants birthdays, using natural Biorhythm Software V3.02 Conduct. Finally، the data were analyzed using spss version 20 and descriptive statistics.This study showed that the frequency of accidents in critical days and negative section of physical cycle was more than expected. Also the frequency of accidents in critical days and negative section of emotional and intellectual cycles was less than expected. Most type of injury, including cuts to 35.8 percent and the lowest type of injury was torsion with 5 percent. Most limb injury, hands and fingers with 51.7 percent and the lowest limb injury were back at 2.5 percent. Accidents outbreak in physical cycles was 38.3 percent. These 120 accidents in additionally were causing 120 loss of working days in effect accident. Most percent of loss of working days were for 20 to 30 days with of 39.2 percent. Most percent of loss of working days were for 20 to 30 days with of 39.2 percent. Due to the physical nature of the work activities in the metal industry can be stated that the study showed that in physical work activities, frequency of accidents in critical days and negative section of physical cycle in which the person is not physically ready to do the job was more than expected. Therefore, by training

An international co-ordinated research programme on nuclear accident dosimetry

International Nuclear Information System (INIS)

Flakus, F.N.

1977-01-01

Where fissile materials are being processed in quantities exceeding the minimum critical amounts, a radiation risk to workers arises from the possibility of criticality excursions. Despite the fact that techniques for preventing the occurende of such accidental excursions have reached very high standards it is generally agreed that the availability of suitable nuclear accident dosimetry (NAD) systems is very important. Following the recommendations of an Advisory Group meeting on NAD, the IAEA had established in 1969 an international coordinated research programme on NAD systems and elaborating standarized systems. A large number of research groups from 14 Member States throughout the world participated in this co-ordinated work. Since 1970 four international multilaboratory intercomparison experiments on NAD have been organized and the response of a variety of dosimeters examined in different neutron spectra under simulated accident conditions at Valduc (France), Oak Ridge (USA), Vinca (Yugoslavia) and Harwell (UK). The results achieved in these intercomparison studies show that NAD systems have been substantially improved and that several systems are available now in a number of laboratories throughout the world that perform within the criteria laid down by the initiating advisory group in 1969. A compendium of neutron leakage spectra has also been elaborated for facilitating the determination of dose from readings of detectors exposed to various neutron fields in criticality accidents

Serum homocysteine levels in cerebrovascular accidents

OpenAIRE

Zongte, Zolianthanga; Shaini, L.; Debbarma, Asis; Singh, Th Bhimo; Devi, S. Bilasini; Singh, W. Gyaneshwar

2008-01-01

Hyperhomocysteinemia has been considered an independent risk factor in the development of stroke. The present study was undertaken to evaluate serum homocysteine levels in patients with cerebrovascular accidents among the Manipuri population and to compare with the normal cases. Ninety-three cerebrovascular accident cases admitted in the hospital were enrolled for the study and twenty-seven age and sex matched individuals free from cerebrovascular diseases were taken as control group. Serum h...

Daptomycin experience in critical care patients: results from a registry.

Science.gov (United States)

Brown, Jack E; Fominaya, Cory; Christensen, Keith J; McConnell, Scott A; Lamp, Kenneth C

2012-04-01

Vancomycin is often the drug of choice in critically ill patients with gram-positive infections, although circumstances often prevent its use. In these situations, clinicians are frequently left with limited data regarding alternative agents. To describe patients with reported sepsis receiving daptomycin in a critical care unit. This multicenter, noncomparative, noninterventional study identified patients in critical care units, using the Cubicin Outcomes Registry and Experience (CORE) 2005-2009 registry. A descriptive account of patient characteristics, infectious etiology, outcomes at the end of daptomycin therapy, and 30-day mortality is reported. Nonevaluable patients were excluded from the efficacy analysis but included in the safety analysis. We identified 128 patients, 98 (77%) of whom were evaluable for efficacy. Patient characteristics for the efficacy population were 55 (56%) males, 30 (31%) aged 66 years or older, 38 (39%) had creatinine clearance less than 30 mL/min, and 27 (28%) were on dialysis. Common underlying diseases included acute or chronic renal failure 44 (45%), hypertension 40 (41%), and diabetes 27 (28%). Seventy-two (73%) patients were bacteremic. The most common pathogens found were methicillin-resistant Staphylococcus aureus (32%), vancomycin-resistant Enterococcus faecium (21%), and coagulase-negative staphylococci (20%). Prior to daptomycin, antibiotics were used in 84 (86%) patients, most commonly vancomycin (65/84; 77%). The median (range) initial daptomycin dose was 6 mg/kg (3-10) and duration of 10 days (1-58). Overall success rate was 70% (31% cured; 39% improved). Twelve adverse events possibly related to daptomycin were reported in 9 of 128 (7%) patients in the safety population; 4 of these in 4 (3%) patients were serious. The mortality rate within 30 days of completing daptomycin was 42 of 128 (33%) patients. These data provide preliminary results on the use of daptomycin in critically ill patients with complicated conditions

Accident management insights after the Fukushima Daiichi NPP accident

International Nuclear Information System (INIS)

Degueldre, Didier; Viktorov, Alexandre; Tuomainen, Minna; Ducamp, Francois; Chevalier, Sophie; Guigueno, Yves; Tasset, Daniel; Heinrich, Marcus; Schneider, Matthias; Funahashi, Toshihiro; Hotta, Akitoshi; Kajimoto, Mitsuhiro; Chung, Dae-Wook; Kuriene, Laima; Kozlova, Nadezhda; Zivko, Tomi; Aleza, Santiago; Jones, John; McHale, Jack; Nieh, Ho; Pascal, Ghislain; ); Nakoski, John; Neretin, Victor; Nezuka, Takayoshi; )

2014-01-01

The Fukushima Daiichi nuclear power plant (NPP) accident, that took place on 11 March 2011, initiated a significant number of activities at the national and international levels to reassess the safety of existing NPPs, evaluate the sufficiency of technical means and administrative measures available for emergency response, and develop recommendations for increasing the robustness of NPPs to withstand extreme external events and beyond design basis accidents. The OECD Nuclear Energy Agency (NEA) is working closely with its member and partner countries to examine the causes of the accident and to identify lessons learnt with a view to the appropriate follow-up actions to be taken by the nuclear safety community. Accident management is a priority area of work for the NEA to address lessons being learnt from the accident at the Fukushima Daiichi NPP following the recommendations of Committee on Nuclear Regulatory Activities (CNRA), Committee on the Safety of Nuclear Installations (CSNI), and Committee on Radiation Protection and Public Health (CRPPH). Considering the importance of these issues, the CNRA authorised the formation of a task group on accident management (TGAM) in June 2012 to review the regulatory framework for accident management following the Fukushima Daiichi NPP accident. The task group was requested to assess the NEA member countries needs and challenges in light of the accident from a regulatory point of view. The general objectives of the TGAM review were to consider: - enhancements of on-site accident management procedures and guidelines based on lessons learnt from the Fukushima Daiichi NPP accident; - decision-making and guiding principles in emergency situations; - guidance for instrumentation, equipment and supplies for addressing long-term aspects of accident management; - guidance and implementation when taking extreme measures for accident management. The report is built on the existing bases for capabilities to respond to design basis

Antithrombin III for critically ill patients

DEFF Research Database (Denmark)

Allingstrup, Mikkel; Wetterslev, Jørn; Ravn, Frederikke B

2016-01-01

Background: Critical illness is associated with uncontrolled inflammation and vascular damage which can result in multiple organ failure and death. Antithrombin III (AT III) is an anticoagulant with anti-inflammatory properties but the efficacy and any harmful effects of AT III supplementation...... in critically ill patients are unknown. This review was published in 2008 and updated in 2015.  Objectives: To examine: 1. The effect of AT III on mortality in critically ill participants. 2. The benefits and harms of AT III. We investigated complications specific and not specific to the trial intervention......, bleeding events, the effect on sepsis and disseminated intravascular coagulation (DIC) and the length of stay in the intensive care unit (ICU) and in hospital in general.  Search methods: We searched the following databases from inception to 27 August 2015: Cochrane Central Register of Controlled Trials...

Fulminant Invasive Pulmonary Aspergillosis After a Near-Drowning Accident in an Immunocompetent Patient.

Science.gov (United States)