WorldWideScience

Sample records for diagnostic reporting format

  1. New diagnostic reporting format for endometrial cytology based on cytoarchitectural criteria

    Science.gov (United States)

    Yanoh, K; Norimatsu, Y; Hirai, Y; Takeshima, N; Kamimori, A; Nakamura, Y; Shimizu, K; Kobayashi, T K; Murata, T; Shiraishi, T

    2009-01-01

    Objective: The aim of this study was to develop a new reporting format for endometrial cytology that would standardize the diagnostic criteria and the terminology used for reporting. Methods: In previous studies, cytoarchitectural criteria were found to be useful for the cytological assessment of endometrial lesions. To apply these criteria, an appropriate cytological specimen is imperative. In this article, the requirements of an adequate endometrial cytological specimen for the new diagnostic criteria are first discussed. Then, the diagnostic criteria, standardized on a combination of conventional and cytoarchitectural criteria, are presented. Third, terminology that could be used, not only for reporting the histopathological diagnosis, but also for providing better guidance for the gynaecologist to determine further clinical action, is introduced. The proposed reporting format was investigated using endometrial cytology of 58 cases that were cytologically underestimated or overestimated compared to the histopathological diagnosis made on the subsequent endometrial biopsy or surgical specimens. Results: Of the 58 cases, 12 were reassessed as being unsatisfactory for evaluation. Among the remaining 46 cases, 25 of the 27 cases, which had been underestimated and subsequently diagnosed as having endometrial carcinoma or a precursor stage on histopathological examination,were reassessed as recommended for endometrial biopsy. On the other hand, 19 cases overestimated by cytology were all reassessed as not requiring biopsy. Conclusions: The reporting format for endometrial cytology proposed in this article may improve diagnostic accuracy and reduce the number of patients managed inappropriately. PMID:18657157

  2. Managing digitally formatted diagnostic image data

    International Nuclear Information System (INIS)

    Templeton, A.W.; Dwyer, S.J.

    1985-01-01

    Diagnostic radiologists are very comfortable using analog radiographic film and interpreting its recorded images. To improve patient care, the radiologist has sought the finest quality radiographic film for use with the best radiographic imaging systems. The proper choice and use of x-ray tubes, generators, film-screen combinations, and contrast media has occupied the professional attention of the radiologist since the inception of radiology. Image quality can be significantly improved with digitally formatted diagnostic imaging systems by providing dynamic ranges in excess of those possible with analog x-ray films. In a CT scanner, the digital acquisition and reconstruction system can obtain a dynamic range (contrast resolution) of 10,000 to 1. Digital subtraction angiography systems achieve 10-bit dynamic ranges for each of the acquired television frames. Increases in the dynamic ranges of the various imaging modalities have been coupled with improved spatial resolution. A digitally formatted image is a two-dimensional, numerical array of discrete image elements. Each picture element is called a pixel. Each pixel has a discrete size. Figure 15.1 illustrates a digitally formatted image depicting the spatial resolution, array size, and quantization or numerical range of the pixel values. Currently, 512 x 512 image arrays are standard. Development of 1024 x 1024 digital arrays are underway. Significant improvements have also been achieved in the rates at which digital diagnostic imaging data can be acquired, manipulated, and archived

  3. A report on the piloting of a novel computer-based medical case simulation for teaching and formative assessment of diagnostic laboratory testing

    Directory of Open Access Journals (Sweden)

    Clarence D. Kreiter

    2011-01-01

    Full Text Available Objectives: Insufficient attention has been given to how information from computer-based clinical case simulations is presented, collected, and scored. Research is needed on how best to design such simulations to acquire valid performance assessment data that can act as useful feedback for educational applications. This report describes a study of a new simulation format with design features aimed at improving both its formative assessment feedback and educational function. Methods: Case simulation software (LabCAPS was developed to target a highly focused and well-defined measurement goal with a response format that allowed objective scoring. Data from an eight-case computer-based performance assessment administered in a pilot study to 13 second-year medical students was analyzed using classical test theory and generalizability analysis. In addition, a similar analysis was conducted on an administration in a less controlled setting, but to a much large sample (n=143, within a clinical course that utilized two random case subsets from a library of 18 cases. Results: Classical test theory case-level item analysis of the pilot assessment yielded an average case discrimination of 0.37, and all eight cases were positively discriminating (range=0.11–0.56. Classical test theory coefficient alpha and the decision study showed the eight-case performance assessment to have an observed reliability of σ=G=0.70. The decision study further demonstrated that a G=0.80 could be attained with approximately 3 h and 15 min of testing. The less-controlled educational application within a large medical class produced a somewhat lower reliability for eight cases (G=0.53. Students gave high ratings to the logic of the simulation interface, its educational value, and to the fidelity of the tasks. Conclusions: LabCAPS software shows the potential to provide formative assessment of medical students’ skill at diagnostic test ordering and to provide valid feedback to

  4. Reporting of Diagnostic Cytogenetic Results.

    Science.gov (United States)

    Giersch, Anne B S; Bieber, Frederick R; Dubuc, Adrian M; Fletcher, Jonathan A; Ligon, Azra H; Mason-Suares, Heather; Morton, Cynthia C; Weremowicz, Stanislawa; Xiao, Sheng; Dal Cin, Paola

    2016-04-01

    This appendix, developed by the staff at the Center for Advanced Molecular Diagnostics in the Department of Pathology at the Brigham and Women's Hospital, includes a comprehensive list of current "macros" or standardized statements used to facilitate reporting of cytogenetic results. These are provided as a useful reference for other laboratories. The statements are organized under the general categories of constitutional or acquired abnormalities and subdivided into analysis type (GTG-banding, FISH, or chromosomal microarray). Multi-specimen usage macros are included that can be applied to two or more specimen types. Copyright © 2016 John Wiley & Sons, Inc.

  5. Standard exercise report format (SERF)

    International Nuclear Information System (INIS)

    Anon.

    1995-01-01

    This talk summarizes the reasons for the development of draft SERF the Standard Exercise Report Format used for reporting the results of emergency preparedness exercises, and gives a summary of the format and rational behind it

  6. Quality of reporting of diagnostic accuracy studies

    NARCIS (Netherlands)

    Smidt, N.; Rutjes, A.W.; Windt - Mens, van der D.A.W.M.; Ostelo, R.W.J.G.; Reitsma, J.B.; Bouter, L.M.; Vet, de H.C.W.

    2005-01-01

    PURPOSE: To evaluate quality of reporting in diagnostic accuracy articles published in 2000 in journals with impact factor of at least 4 by using items of Standards for Reporting of Diagnostic Accuracy (STARD) statement published later in 2003. MATERIALS AND METHODS: English-language articles on

  7. Novette diagnostic support. Final report

    International Nuclear Information System (INIS)

    Cirigliano, R.; Franco, E.; Koppel, L.; Rodrigues, B.; Smith, J.

    1985-02-01

    The primary research areas were the following: (1) contribute x-ray diagnostic, experimental, and data reduction and analysis support for the Novette DANTE x-ray spectrometer experiments. This effort was expanded to improve the overall quality of the Novette database; (2) experimental and calculational characterization of the x-ray imaging properties of an ellipsoidal x-ray collection optic serving as a sensitivity enhancing component of the Transmission Grating Streak Spectrometer; (3) performance simulation of the x-ray dispersion properties of candidate x-ray laser cavity, normal incidence end-mirror optics; (4) contribute x-ray diagnostic, experimental, and data reduction and analysis support for the Novette Henway crystal spectrometer and the MCPIGS microchannel plate intensified grazing incident spectrometer experiments; and (5) perform a technical performance vs cost evaluation of commercially available hardware required to perform the NOVA neutron time-of-flight experiments

  8. Molecular diagnostics of Galactic star-formation regions

    Science.gov (United States)

    Loenen, Edo; Baan, Willem; Spaans, Marco

    2007-10-01

    We propose a sensitive spectral survey of Galactic star-formation regions. Using the broadband correlator at two different frequencies, we expect to detect the (1-0) transition of CO, CN, HNC, HCN, HCO+, and HCO and various of their isotopes lines, as well as the (12-11) and (10-9) transitions of HC3N. The purpose of these observations is to create a consistent (public) database of molecular emission from galactic star-formation regions. The data will be interpreted using extensive physical and chemical modeling of the whole ensemble of lines, in order to get an accurate description of the molecular environment of these regions. In particular, this diagnostic approach will describe the optical depths, the densities, and the radiation fields in the medium and will allow the establishment of dominant temperature gradients. These observations are part of a program to study molecular emission on all scales, going from individual Galactic star-formation regions, through resolved nearby galaxies, to unresolved extra-galactic emission.

  9. The formation of atherosclerotic plaque, its destabilisation and diagnostics

    Directory of Open Access Journals (Sweden)

    Piotr Kaźmierski

    2014-04-01

    Full Text Available According to the established medical knowledge, the atheromatous lesions occur in the arteries of large and medium diameter. Their presence in the aorta, arteries of extremities as well as extracerebral and coronal arteries is clinically relevant. The evolution of atherosclerotic plaques probably starts in the prenatal development, what may be proved by the presence of the fatty streaks in endothelium of coronal arteries in some newborns. Then it evolves through lipid accumulation, media inflammatory response, vasa vasorum proliferation, fibrination and calcification of plaques. Researches proved that the matter of atherosclerosis is exaggerated inflammatory proliferative reaction to the arterial wall damage. The oxidative stress phenomenon and infections with common pathogens play an undoubtful role in this process. Ultimately the direct damage is an effect of immune response cells infiltration and secretion of cytokines and proinflammatory factors. Among the cells of immune system responsible for formation and development of atheromatous plaque are considered: macrophages, dendritic cells, T and B lymphocytes, monocytes. Attention was also paid to the inflammatory mediators and growth factors. Scientist are interested in unstable atherosclerotic plaque and accompanying inflammatory process within the artery wall for a long time. Meanwhile, there are conducted researches on inflammation markers underlying the destabilisation of plaques. Revealing the role of these cells in evolution of atherosclerosis would enable more complex understanding of the mechanism of lesions development. Then it would facilitate an introduction of the new and upgraded methods of treatment and prevention. Also the progress of imaging examinations is meaningful for diagnostics and treatment. It is contributory to the choice of therapeutic strategy and assessment of surgical intervention urgency. In the clinical practice there are recognized standards of imaging the

  10. Summary Report on Synchronization, Diagnostics and Instrumentation

    International Nuclear Information System (INIS)

    Arne Freyberger

    2005-01-01

    The proceedings of Working Group 4 of the 2005 Energy Recovery Linac (ERL) workshop are summarized. Working Group 4 dealt with the challenging topic of beam diagnostics for ERL machines. Energy Recovery Linacs represent a challenge for beam diagnostics from several perspectives; invasive versus non-invasive diagnostics, longitudinal and transverse beam diagnostics, overall machine timing/synchronization and machine protection. Beam diagnostics for an ERL can benefit strongly from the experience at third generation light sources, recirculating linacs and presently operating ERLs. During the workshop there were presentations from all these communities, representing a large range operation experience in beam diagnostics. A brief summary Working Group 4 discussion is presented in this paper

  11. SPECTRAL AND PHOTOMETRIC DIAGNOSTICS OF GIANT PLANET FORMATION SCENARIOS

    International Nuclear Information System (INIS)

    Spiegel, David S.; Burrows, Adam

    2012-01-01

    Gas-giant planets that form via core accretion might have very different characteristics from those that form via disk instability. Disk-instability objects are typically thought to have higher entropies, larger radii, and (generally) higher effective temperatures than core-accretion objects. In this paper, we provide a large set of models exploring the observational consequences of high-entropy (hot) and low-entropy (cold) initial conditions, in the hope that this will ultimately help to distinguish between different physical mechanisms of planet formation. However, the exact entropies and radii of newly formed planets due to these two modes of formation cannot, at present, be precisely predicted. It is possible that the distribution of properties of core-accretion-formed planets and the distribution of properties of disk-instability-formed planets overlap. We, therefore, introduce a broad range of 'warm-start' gas-giant planet models. Between the hottest and the coldest models that we consider, differences in radii, temperatures, luminosities, and spectra persist for only a few million to a few tens of millions of years for planets that are a few times Jupiter's mass or less. For planets that are ∼five times Jupiter's mass or more, significant differences between hottest-start and coldest-start models persist for on the order of 100 Myr. We find that out of the standard infrared bands (J, H, K, L', M, N) the K and H bands are the most diagnostic of the initial conditions. A hottest-start model can be from ∼4.5 mag brighter (at Jupiter's mass) to ∼9 mag brighter (at 10 times Jupiter's mass) than a coldest-start model in the first few million years. In more massive objects, these large differences in luminosity and spectrum persist for much longer than in less massive objects. Finally, we consider the influence of atmospheric conditions on spectra, and find that the presence or absence of clouds, and the metallicity of an atmosphere, can affect an object

  12. National NIF Diagnostic Program Fiscal Year 2002 Second Quarter Report

    International Nuclear Information System (INIS)

    MacGowan, B

    2002-01-01

    Since October 2001 the development of the facility diagnostics for NIF has been funded by the NIF Director through the National NIF Diagnostic Program (NNDP). The current emphasis of the NNDP is on diagnostics for the early NIF quad scheduled to be available for experiment commissioning in FY03. During the past six months the NNDP has set in place processes for funding diagnostics, developing requirements for diagnostics, design reviews and monthly status reporting. Those processes are described in an interim management plan for diagnostics (National NIF Diagnostic Program Interim Plan, NIF-008 13 15, April 2002) and a draft Program Execution Plan (Program Execution Plan for the National NlF Diagnostic Program, NIF-0072083, October 2001) and documents cited therein. Work has been funded at Lawrence Livermore National Laboratory (LLNL), Los Alamos National Laboratory (LANL), Naval Research Laboratory (NRL), Sandia National Laboratories (SNL), Bechtel Nevada at Los Alamos and Santa Barbara. There are no major technical risks with the early diagnostics. The main concerns relate to integration of the diagnostics into the facility, all such issues are being worked. This report is organized to show the schedule and budget status and a summary of Change Control Board actions for the past six months. The following sections then provide short descriptions of the status of each diagnostic. Where design reviews or requirements documents are cited, the documents are available on the Diagnostics file server or on request

  13. Diagnostics for FIRE: A Status Report

    International Nuclear Information System (INIS)

    Kenneth M. Young

    2002-01-01

    The mission for the proposed FIRE (Fusion Ignition Research Experiment) device is to ''attain, explore, understand and optimize fusion-dominated plasmas.'' Operation at Q * 5, for 20 sec with a fusion power output of *150 MW is the major goal. Attaining this mission sets demands for plasma measurement that are at least as comprehensive as on present tokamaks, with the additional capabilities needed for control of the plasma and for understanding the effects of the alpha-particles. Because of the planned operation in advanced tokamak scenarios, with steep transport barriers, the diagnostic instrumentation must be able to provide fine spatial and temporal resolution. It must also be able to withstand the impact of the intense neutron and gamma irradiation. There are practical engineering issues of minimizing radiation streaming while providing essential diagnostic access to the plasma. Many components will operate close to the first wall, e.g. ceramics and mineral insulated cable for magnetic diagnostics and mirrors for optical diagnostics; these components must be selected and mounted so that they will operate and survive in fluxes which require special material selection. The measurement requirements have been assessed so that the diagnostics for the FIRE device can be defined. Clearly a better set of diagnostics of alpha-particles than that available for TFTR is essential, since the alpha-particles provide the dominant sources of heating and of instability-drive in the plasma

  14. Diagnostic studies of ion beam formation in inductively coupled plasma

    Energy Technology Data Exchange (ETDEWEB)

    Jacobs, Jenee L. [Iowa State Univ., Ames, IA (United States)

    2015-01-01

    This dissertation describes a variety of studies focused on the plasma and the ion beam in inductively coupled plasma mass spectrometry (ICP-MS). The ability to use ICP-MS for measurements of trace elements in samples requires the analytes to be efficiently ionized. Updated ionization efficiency tables are discussed for ionization temperatures of 6500 K and 7000 K with an electron density of 1 x 1015 cm-3. These values are reflective of the current operating parameters of ICP-MS instruments. Calculations are also discussed for doubly charged (M2+) ion formation, neutral metal oxide (MO) ionization, and metal oxide (MO+) ion dissociation for similar plasma temperature values. Ionization efficiency results for neutral MO molecules in the ICP have not been reported previously.

  15. Automated diagnostics scoping study. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Quadrel, R.W.; Lash, T.A.

    1994-06-01

    The objective of the Automated Diagnostics Scoping Study was to investigate the needs for diagnostics in building operation and to examine some of the current technologies in automated diagnostics that can address these needs. The study was conducted in two parts. In the needs analysis, the authors interviewed facility managers and engineers at five building sites. In the technology survey, they collected published information on automated diagnostic technologies in commercial and military applications as well as on technologies currently under research. The following describe key areas that the authors identify for the research, development, and deployment of automated diagnostic technologies: tools and techniques to aid diagnosis during building commissioning, especially those that address issues arising from integrating building systems and diagnosing multiple simultaneous faults; technologies to aid diagnosis for systems and components that are unmonitored or unalarmed; automated capabilities to assist cause-and-effect exploration during diagnosis; inexpensive, reliable sensors, especially those that expand the current range of sensory input; technologies that aid predictive diagnosis through trend analysis; integration of simulation and optimization tools with building automation systems to optimize control strategies and energy performance; integration of diagnostic, control, and preventive maintenance technologies. By relating existing technologies to perceived and actual needs, the authors reached some conclusions about the opportunities for automated diagnostics in building operation. Some of a building operator`s needs can be satisfied by off-the-shelf hardware and software. Other needs are not so easily satisfied, suggesting directions for future research. Their conclusions and suggestions are offered in the final section of this study.

  16. Uranium price formation. Final report

    International Nuclear Information System (INIS)

    1977-10-01

    The modern uranium industry came into existence in 1946. Until 1966, its sole customer was the Atomic Energy Commission, whose needs for U 3 O 8 relative to industry capacity declined over the years. The development of the commercial market after 1965 coincided with a period of excess capacity and falling nominal and real prices. Gradually in 1973 and dramatically thereafter, market conditions changed and prices rose as utilities sought larger quantities of U 3 O 8 and longer term contracts. Questions about availability of long-run supplies were raised, given the known reserve base. The response of the supply of U 3 O 8 to incentives offered first by the AEC and later by the utilities in the context of new and developing market conventions is examined. The methodology used is microeconomic analysis, qualitatively applied to the history of price formation in the market. Because the study emphasizes the implications of the history of uranium price formation for forecasting supply response, the study presents many different kinds of data and evaluates their quality and appropriateness for forecasting. A simple, very-useful framework for analyzing the history of the market for U 3 O 8 was developed and used to describe supply responses in selected important periods of the industry's development. It is concluded that the response of supply of U 3 O 8 to rising prices or to expectations of demand growth has been impressively strong. The potential reserve inventory is large enough to meet the needs for nuclear power generation through the end of this century. The price necessary to induce producers to find and produce these reserves is uncertain, partly because of problems inherent in estimating long-run supply curves and partly because recent inflation has created major uncertainties about the cost of future supplies

  17. Evidence and diagnostic reporting in the IHE context.

    Science.gov (United States)

    Loef, Cor; Truyen, Roel

    2005-05-01

    Capturing clinical observations and findings during the diagnostic imaging process is increasingly becoming a critical step in diagnostic reporting. Standards developers-notably HL7 and DICOM-are making significant progress toward standards that enable exchanging clinical observations and findings among the various information systems of the healthcare enterprise. DICOM-like the HL7 Clinical Document Architecture (CDA) -uses templates and constrained, coded vocabulary (SNOMED, LOINC, etc.). Such a representation facilitates automated software recognition of findings and observations, intrapatient comparison, correlation to norms, and outcomes research. The scope of DICOM Structured Reporting (SR) includes many findings that products routinely create in digital form (measurements, computed estimates, etc.). In the Integrating the Healthcare Enterprise (IHE) framework, two Integration Profiles are defined for clinical data capture and diagnostic reporting: Evidence Document, and Simple Image and Numeric Report. This report describes these two DICOM SR-based integration profiles in the diagnostic reporting process.

  18. Rapporteurs' report: Workshop on ethical issues in diagnostic radiology

    International Nuclear Information System (INIS)

    O'Reilly, G.; Gruppetta, E.; Christofides, S.; Schreiner-Karoussou, A.; Dowling, A.

    2009-01-01

    This paper presents the summary reports of the session rapporteurs at the Workshop on Ethical Issues in Diagnostic Radiology. The summaries reflect the extent to which the topics discussed are well reflected in the papers presented in this proceedings. (authors)

  19. Image formation in diagnostic X-ray equipment

    International Nuclear Information System (INIS)

    Boer, J.A. den.

    1983-01-01

    This thesis deals with a physical description of the image formation in static radiographic shadow image X-ray equipment and an analysis of the optimization of such systems. For the latter criteria have been developed that take into account all relevant physical phenomena that relate to properties of the image and the radiation exposure of the patient. The discussion of image formation results in a number of relations between the X-ray system parameters on the one hand and properties of the X-ray image on the other. The three principal aspects considered are energy transfer, modulation transfer and noise. (Auth./C.F.)

  20. Problems of Formation of Diagnostic Features in the Diagnosis of Aircraft Engines

    Directory of Open Access Journals (Sweden)

    Pronyakin V.I.

    2017-01-01

    Full Text Available The article is devoted to the evaluation of current technical condition of aircraft engines. Deals with the choice of the detection method of diagnostic features required for degradation assessment, emergency protection and detection of incipient defects on the example of cyclic machines and mechanisms. For the formation of diagnostic features in the diagnosis of aircraft engines use different physical effects (vibration, shock, heat radiation, electrodynamic and thermal processes, wear debris in oil, etc.. Classification of defects and requirements for the development of diagnostics systems is formed based on them. The article describes the requirements for diagnostic signs. The article provides a promising phase method that allows obtaining stable diagnostic characters in exploitation. The result of applying the method is shown. Diagnostic signs are formed. In mathematical modeling it was used the traditional theory of the description of rotary mechanisms. The data obtained are compared with experimental data.

  1. A diagnostic for electron dynamics in tokamaks. Final report

    International Nuclear Information System (INIS)

    Skiff, F.; Boyd, D.

    1996-12-01

    The diagnostic was installed on TdeV and brought into operation. It was optimized to the extent that time and money permitted. A considerable quantity of data was accumulated and analyzed. Experiments ended in August 1995. The apparatus has been removed from TdeV and returned to the University of Maryland. Each of these activities is detailed in this report

  2. Diagnostic criteria and reporting procedures for pre-eclampsia

    DEFF Research Database (Denmark)

    Klemmensen, Ase K; Olsen, Sjurdur F.; Wengel, Christina M

    2005-01-01

    OBJECTIVE: A precondition for the rational use of obstetric databases in biomedical research is detailed knowledge on how data are being generated. We identified the diagnostic procedures and criteria for pre-eclampsia (PE) and assessed the level of obstetric training of the personnel responsible...... of pregnancy diagnoses to the National Patient Registry differed widely in training. For complicated pregnancies, departments ranged from having only specialists reporting all cases to secretaries reporting up to 50%. Cut off limits of blood pressure (BP) and protein loss used to diagnose pre-eclampsia showed...... large differences across departments. The diagnoses given to three case stories showed little correlation to the criteria the departments reported using. CONCLUSION: Even in a small country like Denmark with 34 obstetrical departments, there was little consensus on the diagnostic criteria for pre-eclampsia...

  3. Evidence Report: Risk of Renal Stone Formation

    Science.gov (United States)

    Sibonga, Jean D.; Pietrzyk, Robert

    2017-01-01

    The formation of renal stones poses an in-flight health risk of high severity, not only because of the impact of renal colic on human performance but also because of complications that could potentially lead to crew evacuation, such as hematuria, infection, hydronephrosis, and sepsis. Evidence for risk factors comes from urine analyses of crewmembers, documenting changes to the urinary environment that are conducive to increased saturation of stone-forming salts, which are the driving force for nucleation and growth of a stone nidus. Further, renal stones have been documented in astronauts after return to Earth and in one cosmonaut during flight. Biochemical analysis of urine specimens has provided indication of hypercalciuria and hyperuricemia, reduced urine volumes, and increased urine saturation of calcium oxalate and calcium phosphate. A major contributor to the risk for renal stone formation is bone atrophy with increased turnover of the bone minerals. Dietary and fluid intakes also play major roles in the risk because of the influence on urine pH (more acidic) and on volume (decreased). Historically, specific assessments on urine samples from some Skylab crewmembers indicated that calcium excretion increased early in flight, notable by day 10 of flight, and almost exceeded the upper threshold for normal excretion (300mg/day in males). Other crewmember data documented reduced intake of fluid and reduced intake of potassium, phosphorus, magnesium, and citrate (an inhibitor of calcium stone formation) in the diet. Hence, data from both short-duration and long-duration missions indicate that space travel induces risk factors for renal stone formation that continue to persist after flight; this risk has been documented by reported kidney stones in crewmembers.

  4. An XML-based loose-schema approach to managing diagnostic data in heterogeneous formats

    Energy Technology Data Exchange (ETDEWEB)

    Naito, O., E-mail: naito.osamu@jaea.go.j [Japan Atomic Energy Agency, 801-1 Mukouyama, Naka, Ibaraki 311-0193 (Japan)

    2010-07-15

    An approach to managing diagnostic data in heterogenous formats by using XML-based (eXtensible Markup Language) tag files is discussed. The tag file functions like header information in ordinary data formats but it is separate from the main body of data, human readable, and self-descriptive. Thus all the necessary information for reading the contents of data can be obtained without prior information or reading the data body itself. In this paper, modeling of diagnostic data and its representation in XML are studied and a very primitive implementation of this approach in C++ is presented. The overhead of manipulating XML in a proof-of-principle code was found to be small. The merits, demerits, and possible extensions of this approach are also discussed.

  5. An XML-based loose-schema approach to managing diagnostic data in heterogeneous formats

    International Nuclear Information System (INIS)

    Naito, O.

    2010-01-01

    An approach to managing diagnostic data in heterogenous formats by using XML-based (eXtensible Markup Language) tag files is discussed. The tag file functions like header information in ordinary data formats but it is separate from the main body of data, human readable, and self-descriptive. Thus all the necessary information for reading the contents of data can be obtained without prior information or reading the data body itself. In this paper, modeling of diagnostic data and its representation in XML are studied and a very primitive implementation of this approach in C++ is presented. The overhead of manipulating XML in a proof-of-principle code was found to be small. The merits, demerits, and possible extensions of this approach are also discussed.

  6. DIAGNOSTICS OF LEVELS OF FORMATION OF FUTURE MUSIC TEACHERS’ ART REFLECTION

    Directory of Open Access Journals (Sweden)

    Zhang Jingjing

    2016-11-01

    Full Text Available Features of diagnostics of levels of formation of art reflection are justified in the article. Four levels of future music teachers’ art reflection are defined. These levels are based on the research measures of desire to master art reflection; the degree of understanding the nature and characteristics of art reflection; measures of the emotional involvement into art reflection; degree of possession of the necessary skills for art reflection; formation of professionalism in music and performing activities. They are initial, satisfactory, sufficient and optimal. The importance of formation of future music teachers’ art reflection is considered as the basis for professional development, self-regulation on the acquisition of implementing art knowledge. The formation of art reflection requires the creation and implementation of specific methods of diagnostics of future music teachers’ art reflection. The article is dedicated to the problem of developing and testing diagnostic methods of formation of future music teachers’ art reflection. While writing the article there methods of analysis, synthesis, method of systematization of the material, the principles of objectivity and scientific character are being used. Diagnostics and analysis of the levels of future music teachers’ art reflection shows that the vast majority of students have art reflection at a satisfactory level (67.24%. 22.41% of students are found to have the initial level of formation of art reflection. Only 10.34% of students are found to have the sufficient level of art reflection. There are no students having the optimal level of art reflection. The author concluded that educational and behavior tasks, which the future music teachers have, are identified while testing the features of formation of future music teachers’ art reflection. They cause picking out the most appropriate areas and focus on the most prospective and effective methods of formation in the course of

  7. The utility of administrative diagnostic x rays. Final report

    International Nuclear Information System (INIS)

    Potchen, E.J.; Gard, J.W.; Gift, D.A.; Harris, G.I.; Alexander, G.P.

    1982-08-01

    A significant proportion of diagnostic medical procedures is used in response to public or private policy rather than individual patient/physician interaction. Such administrative use of diagnostic procedures illustrates the lack of accepted 'referral criteria.' This document reports results of a descriptive study of policy formulation and implementation regarding use of employment-related chest and lumbar-spine radiographs by employers in the State of Michigan. Major observations of the study are that: factors influencing policy formulation are diverse and largely nonmedical; organizational policies developed in similar environments are often very dissimilar and are highly subject to external influence; and perceptions of policy success and examination utility typically are subjective and uncertain. It is concluded that considerable opportunity exists to enhance the utility of policy-motivated x rays by modifying the processes of policy formulation and evaluation

  8. THE FORMATION OF IRIS DIAGNOSTICS. II. THE FORMATION OF THE Mg II h and k LINES IN THE SOLAR ATMOSPHERE

    Energy Technology Data Exchange (ETDEWEB)

    Leenaarts, J.; Pereira, T. M. D.; Carlsson, M.; De Pontieu, B. [Institute of Theoretical Astrophysics, University of Oslo, P.O. Box 1029 Blindern, NO-0315 Oslo (Norway); Uitenbroek, H., E-mail: jorritl@astro.uio.no, E-mail: tiago.pereira@astro.uio.no, E-mail: mats.carlsson@astro.uio.no, E-mail: bdp@lmsal.com, E-mail: huitenbroek@nso.edu [NSO/Sacramento Peak P.O. Box 62 Sunspot, NM 88349-0062 (United States)

    2013-08-01

    NASA's Interface Region Imaging Spectrograph (IRIS) small explorer mission will study how the solar atmosphere is energized. IRIS contains an imaging spectrograph that covers the Mg II h and k lines as well as a slit-jaw imager centered at Mg II k. Understanding the observations requires forward modeling of Mg II h and k line formation from three-dimensional (3D) radiation-magnetohydrodynamic (RMHD) models. This paper is the second in a series where we undertake this modeling. We compute the vertically emergent h and k intensity from a snapshot of a dynamic 3D RMHD model of the solar atmosphere, and investigate which diagnostic information about the atmosphere is contained in the synthetic line profiles. We find that the Doppler shift of the central line depression correlates strongly with the vertical velocity at optical depth unity, which is typically located less than 200 km below the transition region (TR). By combining the Doppler shifts of the h and k lines we can retrieve the sign of the velocity gradient just below the TR. The intensity in the central line depression is anti-correlated with the formation height, especially in subfields of a few square Mm. This intensity could thus be used to measure the spatial variation of the height of the TR. The intensity in the line-core emission peaks correlates with the temperature at its formation height, especially for strong emission peaks. The peaks can thus be exploited as a temperature diagnostic. The wavelength difference between the blue and red peaks provides a diagnostic of the velocity gradients in the upper chromosphere. The intensity ratio of the blue and red peaks correlates strongly with the average velocity in the upper chromosphere. We conclude that the Mg II h and k lines are excellent probes of the very upper chromosphere just below the TR, a height regime that is impossible to probe with other spectral lines. They also provide decent temperature and velocity diagnostics of the middle

  9. Diagnostics

    DEFF Research Database (Denmark)

    Donné, A.J.H.; Costley, A.E.; Barnsley, R.

    2007-01-01

    of the measurements—time and spatial resolutions, etc—will in some cases be more stringent. Many of the measurements will be used in the real time control of the plasma driving a requirement for very high reliability in the systems (diagnostics) that provide the measurements. The implementation of diagnostic systems...... on ITER is a substantial challenge. Because of the harsh environment (high levels of neutron and gamma fluxes, neutron heating, particle bombardment) diagnostic system selection and design has to cope with a range of phenomena not previously encountered in diagnostic design. Extensive design and R......&D is needed to prepare the systems. In some cases the environmental difficulties are so severe that new diagnostic techniques are required. The starting point in the development of diagnostics for ITER is to define the measurement requirements and develop their justification. It is necessary to include all...

  10. Gold-wire artifacts on diagnostic radiographs: A case report

    International Nuclear Information System (INIS)

    Keestra, Johan Anton Jochum; Jacobs, Reinhilde; Quirynen, Marc

    2014-01-01

    This report described a case in which diagnostic radiographs showed irregular dense radiopaque strings and curved lines in the head and neck area. These artifacts could lead to misinterpretation since they may obscure anatomical structures and/or mask critical structures/pathologies. A more detailed history of the patient indicated that these strings originated from a facelift procedure in which a gold-wire technique was used. Considering that such intervention may cause a radiodiagnostic burden, it should be included in the anamnesis prior to radiography.

  11. Gold-wire artifacts on diagnostic radiographs: A case report

    Energy Technology Data Exchange (ETDEWEB)

    Keestra, Johan Anton Jochum; Jacobs, Reinhilde; Quirynen, Marc [Dept. of Oral Health Sciences, KU Leuven and Dentistry, University Hospitals, KU Leuven, Leuven (Belgium)

    2014-03-15

    This report described a case in which diagnostic radiographs showed irregular dense radiopaque strings and curved lines in the head and neck area. These artifacts could lead to misinterpretation since they may obscure anatomical structures and/or mask critical structures/pathologies. A more detailed history of the patient indicated that these strings originated from a facelift procedure in which a gold-wire technique was used. Considering that such intervention may cause a radiodiagnostic burden, it should be included in the anamnesis prior to radiography.

  12. A novel bedside diagnostic test for methanol poisoning using dry chemistry for formate.

    Science.gov (United States)

    Hovda, Knut Erik; Gadeholt, Gaut; Evtodienko, Vladimir; Jacobsen, Dag

    2015-11-01

    The standard diagnostic approach to methanol poisoning is chromatographic measurement of methanol on centrally placed stationary equipment. Methanol poisoning in places where such equipment is unavailable is thus often not diagnosed. Methanol is metabolized to a toxic metabolite, formate; the presence of this compound indicates methanol poisoning. We have developed an enzymatic test for formate and modified it into a portable dry chemistry system that could be used anywhere. The method consists of two enzymatic steps: Formation of NADH from NAD by formate dehydrogenase, and subsequent use of NADH as a reductant of a tetrazolium into a formazan dye that can be quantified photometrically or visually. The photometer gave a good correlation of R(2) = 0.9893 in serum and R(2) = 0.9949 in whole blood, showing an instrumental detection limit of less than 1 mM (4.5 mg/dL). The visual readings showed a correlation of R(2) = 0.8966. Users experienced some difficulty in separating the negative control from the low positives. We have documented the feasibility of an affordable formate strip test for bedside diagnosis of methanol poisoning and for screening of metabolic acidosis of unknown origin. Visual reading is possible, but a reader will improve reliability at lower levels of formate. Future studies are necessary to study the sensitivity and specificity towards other causes of metabolic acidosis and other acids present in human blood.

  13. An XML-based Schema-less Approach to Managing Diagnostic Data in Heterogeneous Formats

    Energy Technology Data Exchange (ETDEWEB)

    Naito, O. [Japan Atomic Energy Agency, Ibaraki (Japan)

    2009-07-01

    Managing diagnostic data in heterogeneous formats is always a nuisance, especially when a new diagnostic technique requires a new data structure that does not fit in the existing data format. Ideally, it is best to have an all-purpose schema that can specify any data structures. But devising such a schema is a difficult task and the resultant data management system tends to be large and complicated. As a complementary approach, we can think of a system that has no specific schema but requires each of the data to describe itself without assuming any prior information. In this paper, a very primitive implementation of such a system based on extensible Markup Language (XML) is examined. The actual implementation is no more than an addition of a tiny XML meta-data file that describes the detailed format of the associated diagnostic data file. There are many ways to write and read such meta-data files. For example, if the data are in a standard format that is foreign to the existing system, just specify the name of the format and what interface to use for reading the data. If the data are in a non-standard arbitrary format, write what is written and how into the meta-data file at every occurrence of data output. And as a last resort, if the format of the data is too complicated, a code to read the data can be stored in the meta-data file. Of course, this schema-less approach has some drawbacks, two of which are the doubling of the number of files to be managed and the low performance of data handling, though the former can be a merit, when it is necessary to update the meta-data leaving the body data intact. The important point is that the necessary information to read the data is decoupled from data itself. The merits and demerits of this approach are discussed. This document is composed of an abstract followed by the presentation slides. (author)

  14. New Particle Formation Study Final Campaign Report

    Energy Technology Data Exchange (ETDEWEB)

    Smith, JN; McMurry, PH [University of Minnesota

    2015-01-01

    The scientific foci of the New Particle Formation Study were the formation and evolution of atmospheric aerosols and the impacts of newly formed particles on cloud processes. Specifically, we planned to: (1) to identify the species and mechanisms responsible for the initial steps of new particle formation, i.e., the formation of thermodynamically stable clusters; (2) investigate the role of acid-base chemistry in new particle growth through measurements of ammonia and amines as well as organic and inorganic acids in both atmospheric nanoparticles and the gas phase; (3) investigate the contribution of other surface area or volume-controlled processes to nanoparticle formation and growth; (4) create a comprehensive dataset related to new particle formation and growth that can be used as input for our own thermodynamic models as well as the modeling efforts by our Department of Energy (DOE) Aerosol Life Cycle working group collaborators; (5) characterize the increase of the number and activity of cloud condensation nuclei (CCN) due to particle formation and growth; (6) determine the regional extent of new particle formation to address the role that atmospheric transport plays in determining the impacts, if any, of new particle formation on cloud number and properties.

  15. Report formatting in laboratory medicine - a call for harmony.

    Science.gov (United States)

    Jones, Graham R D; Legg, Michael

    2018-04-19

    The results of medical laboratory testing are only useful if they lead to appropriate actions by medical practitioners and/or patients. An underappreciated component of the medical testing process is the transfer of the information from the laboratory report into the reader's brain. The format of laboratory reports can be determined by the testing laboratory, which may issue a formatted report, or by electronic systems receiving information from laboratories and controlling the report format. As doctors can receive information from many laboratories, interpreting information from reports in a safe and rapid manner is facilitated by having similar report layouts and formats. Using Australia as an example, there is a wide variation in report formats in spite of a body of work to define standards for reporting. In addition to standardising of report formats, consideration needs to be given to optimisation of report formatting to facilitate rapid and unambiguous reading of the report and also interpretation of the data. Innovative report formats have been developed by some laboratories; however, wide adoption has not followed. The need to balance uniformity of reporting with appropriate innovation is a challenge for safe reporting of laboratory results. This paper discusses the current status and opportunity for improvement in safety and efficiency of the reading of laboratory reports, using current practise and developments in Australia as examples.

  16. Improving Communication of Diagnostic Radiology Findings through Structured Reporting

    Science.gov (United States)

    Panicek, David M.; Berk, Alexandra R.; Li, Yuelin; Hricak, Hedvig

    2011-01-01

    Purpose: To compare the content, clarity, and clinical usefulness of conventional (ie, free-form) and structured radiology reports of body computed tomographic (CT) scans, as evaluated by referring physicians, attending radiologists, and radiology fellows at a tertiary care cancer center. Materials and Methods: The institutional review board approved the study as a quality improvement initiative; no written consent was required. Three radiologists, three radiology fellows, three surgeons, and two medical oncologists evaluated 330 randomly selected conventional and structured radiology reports of body CT scans. For nonradiologists, reports were randomly selected from patients with diagnoses relevant to the physician’s area of specialization. Each physician read 15 reports in each format and rated both the content and clarity of each report from 1 (very dissatisfied or very confusing) to 10 (very satisfied or very clear). By using a previously published radiology report grading scale, physicians graded each report’s effectiveness in advancing the patient’s position on the clinical spectrum. Mixed-effects models were used to test differences between report types. Results: Mean content satisfaction ratings were 7.61 (95% confidence interval [CI]: 7.12, 8.16) for conventional reports and 8.33 (95% CI: 7.82, 8.86) for structured reports, and the difference was significant (P radiology.rsna.org/lookup/suppl/doi:10.1148/radiol.11101913/-/DC1 PMID:21518775

  17. Diagnostic Distortions: A Case Report of Progressive Apraxia of Speech.

    Science.gov (United States)

    Brodtmann, Amy; Pemberton, Hugh; Darby, David; Vogel, Adam P

    2016-04-19

    Apraxia of speech (AOS) can be the presenting symptom of neurodegenerative disease. The position of primary progressive AOS in the nosology of the dementias is still controversial. Despite seeing many specialists, patients are often misdiagnosed, in part due to a lack of quantitative measures of speech dysfunction. We present a single case report of a patient presenting with AOS, including acoustic analysis, language assessment, and brain imaging. A 52-year-old woman presenting with AOS had remained undiagnosed for 6 years despite seeing 8 specialists. Results of her MRI scans, genetic testing, and computerized speech analysis are provided. AOS is an underdiagnosed clinical syndrome causing great distress to patients and families. Using acoustic analysis of speech may lead to improved diagnostic accuracy. AOS is a complex entity with an expanding phenotype, and quantitative clinical measures will be critical for detection and to assess progression.

  18. Final Report - DOE Center for Laser Imaging and Cancer Diagnostics

    Energy Technology Data Exchange (ETDEWEB)

    Alfano, Robert R.; Koutcher, Jason A.

    2002-10-31

    This Final Report summarizes the significant progress made by the researchers, students and staff of the Center for Laser Imaging and Cancer Diagnostics (CLICD) from January 1998 through May 2002. During this period, the Center supported several projects. Most projects were proposed initially, some were added subsequently as their relevance and importance to the DOE mission became evident. DOE support has been leveraged to obtain continuing funding for some projects. Leveraged funds come from various sources, including NIH, Army, NSF and the Air Force. The goal of the Center was to develop laser-based instruments for use in the detection and diagnosis of major diseases, with an emphasis on detection and diagnosis of various cancers. Each of the supported projects is a collaborative effort between physicists and laser scientists and the City College of New York and noted physicians, surgeons, pathologists, and biologists located at medical centers in the Metropolitan area. The participating institutions were: City College of New York Institute for Ultrafast Lasers and Spectroscopy, Hackensack University Medical Center, Lawrence Livermore National Laboratory, Memorial Sloan Kettering Cancer Center, and New York Eye and Ear Institute. Each of the projects funded by the Center is grouped into one of four research categories: a) Disease Detection, b) Non-Disease Applications, c) New Diagnostic Tools, and, d) Education, Training, Outreach and Dissemination. The progress achieved by the multidisciplinary teams was reported in 51 publications and 32 presentations at major national conferences. Also, one U.S. patent was obtained and six U.S. patent applications have been filed for innovations resulting from the projects sponsored by the Center.

  19. Workplace exposure and reported health in New Zealand diagnostic radiographers

    International Nuclear Information System (INIS)

    Spicer, J.; Hay, D.M.; Gordon, M.

    1986-01-01

    A postal survey of diagnostic radiographers in New Zealand was conducted to explore associations between exposure to the workplace and the reported frequency of a variety of health problems. Exposure was measured in terms of average hours per week spent : in the vicinity of a processor; operating a processor; and working in the darkroom. The frequency of each of 19 symptoms was reported on a 5 point scale. Correlational analyses were performed on data from 349 practising radiographers. Fifteen of the 19 symptoms were significantly and positively correlated with at least one exposure variable, although the correlations were weak. Those most consistently related to exposure were: bad taste in the mouth, sinus problems, nasal discharge, catarrh, unexpected fatigue, painful joints and numb extremities. The frequency with which symptoms apparently related to exposure were reported to some degree ranged from 15% to 61%. It is argued that the results, in conjunction with anecdotal evidence, indicate a need for further investigation of health problems, especially upper respiratory tract disorders, amongst health professionals involved in X-ray processing

  20. The Effect of Question Format and Task Difficulty on Reasoning Strategies and Diagnostic Performance in Internal Medicine Residents

    Science.gov (United States)

    Heemskerk, Laura; Norman, Geoff; Chou, Sophia; Mintz, Marcy; Mandin, Henry; McLaughlin, Kevin

    2008-01-01

    Background: Previous studies have suggested an association between reasoning strategies and diagnostic success, but the influence on this relationship of variables such as question format and task difficulty, has not been studied. Our objective was to study the association between question format, task difficulty, reasoning strategies and…

  1. Reporting Diagnostic Scores in Educational Testing: Temptations, Pitfalls, and Some Solutions

    Science.gov (United States)

    Sinharay, Sandip; Puhan, Gautam; Haberman, Shelby J.

    2010-01-01

    Diagnostic scores are of increasing interest in educational testing due to their potential remedial and instructional benefit. Naturally, the number of educational tests that report diagnostic scores is on the rise, as are the number of research publications on such scores. This article provides a critical evaluation of diagnostic score reporting…

  2. ALCBEAM - Neutral beam formation and propagation code for beam-based plasma diagnostics

    Science.gov (United States)

    Bespamyatnov, I. O.; Rowan, W. L.; Liao, K. T.

    2012-03-01

    ALCBEAM is a new three-dimensional neutral beam formation and propagation code. It was developed to support the beam-based diagnostics installed on the Alcator C-Mod tokamak. The purpose of the code is to provide reliable estimates of the local beam equilibrium parameters: such as beam energy fractions, density profiles and excitation populations. The code effectively unifies the ion beam formation, extraction and neutralization processes with beam attenuation and excitation in plasma and neutral gas and beam stopping by the beam apertures. This paper describes the physical processes interpreted and utilized by the code, along with exploited computational methods. The description is concluded by an example simulation of beam penetration into plasma of Alcator C-Mod. The code is successfully being used in Alcator C-Mod tokamak and expected to be valuable in the support of beam-based diagnostics in most other tokamak environments. Program summaryProgram title: ALCBEAM Catalogue identifier: AEKU_v1_0 Program summary URL:http://cpc.cs.qub.ac.uk/summaries/AEKU_v1_0.html Program obtainable from: CPC Program Library, Queen's University, Belfast, N. Ireland Licensing provisions: Standard CPC licence, http://cpc.cs.qub.ac.uk/licence/licence.html No. of lines in distributed program, including test data, etc.: 66 459 No. of bytes in distributed program, including test data, etc.: 7 841 051 Distribution format: tar.gz Programming language: IDL Computer: Workstation, PC Operating system: Linux RAM: 1 GB Classification: 19.2 Nature of problem: Neutral beams are commonly used to heat and/or diagnose high-temperature magnetically-confined laboratory plasmas. An accurate neutral beam characterization is required for beam-based measurements of plasma properties. Beam parameters such as density distribution, energy composition, and atomic excited populations of the beam atoms need to be known. Solution method: A neutral beam is initially formed as an ion beam which is extracted from

  3. Diesel combustion and emissions formation using multiple 2-D imaging diagnostics

    Energy Technology Data Exchange (ETDEWEB)

    Dec, J.E. [Sandia National Labs., Livermore, CA (United States)

    1997-12-31

    Understanding how emissions are formed during diesel combustion is central to developing new engines that can comply with increasingly stringent emission standards while maintaining or improving performance levels. Laser-based planar imaging diagnostics are uniquely capable of providing the temporally and spatially resolved information required for this understanding. Using an optically accessible research engine, a variety of two-dimensional (2-D) imaging diagnostics have been applied to investigators of direct-injection (DI) diesel combustion and emissions formation. These optical measurements have included the following laser-sheet imaging data: Mie scattering to determine liquid-phase fuel distributions, Rayleigh scattering for quantitative vapor-phase-fuel/air mixture images, laser induced incandescence (LII) for relative soot concentrations, simultaneous LII and Rayleigh scattering for relative soot particle-size distributions, planar laser-induced fluorescence (PLIF) to obtain early PAH (polyaromatic hydrocarbon) distributions, PLIF images of the OH radical that show the diffusion flame structure, and PLIF images of the NO radical showing the onset of NO{sub x} production. In addition, natural-emission chemiluminescence images were obtained to investigate autoignition. The experimental setup is described, and the image data showing the most relevant results are presented. Then the conceptual model of diesel combustion is summarized in a series of idealized schematics depicting the temporal and spatial evolution of a reacting diesel fuel jet during the time period investigated. Finally, recent PLIF images of the NO distribution are presented and shown to support the timing and location of NO formation hypothesized from the conceptual model.

  4. XII All-Russian conference Diagnostics of high-temperature plasma. Abstracts of reports and conference program

    International Nuclear Information System (INIS)

    2007-01-01

    Abstracts of reports made on the XII All-Russian conference on high-temperature plasma diagnostics are presented. The different methods of hot plasma diagnostics are considered, namely microwave diagnostic methods, laser diagnostic techniques, X-ray plasma diagnostics and corpuscular diagnostic methods. The particular attention is given to wall plasma diagnostics and diagnostics of inertial synthesis systems. Current diagnostic tools and metrological provision for plasma diagnostics are considered. The diagnostic complexes of thermonuclear devices are described. The problems of experimental data processing are discussed [ru

  5. Indian Childhood Cirrhosis: Case Report and Pediatric Diagnostic Challenges

    Directory of Open Access Journals (Sweden)

    Jaivinder Yadav

    2015-08-01

    Full Text Available Introduction: Indian childhood cirrhosis is a chronic liver disease usually seen in paediatric age group and is unique to the Indian subcontinent. The definitive causative factor for the disease is not found till now but excess copper ingestion has been associated with it.Case presentation: An Indian origin one and half year old premorbidly normal male child presented with history of gradual distension of abdomen for 6 months and jaundice, generalized body swelling, high colour urine for 20 days. There was no history of any bleeding or feature suggestive of hepatic encephalopathy. On physical examination child was icteric, pale and had anasarca, massive hepatosplenomegaly and ascites. The child was evaluated for various causes of hepatic failure in pediatric age group including infective, metabolic and autoimmune etiologies. Unfortunately the child succumbed to the illness. The post-mortem liver biopsy and copper estimation cleared the air, revealing Indian childhood cirrhosis as the underlying etiology.Conclusion: Though Indian childhood cirrhosis is a rare entity and reported less frequently in literature, the treating pediatrician should keep this as a differential in case of pediatric hepatic failure. The liver biopsy and hepatic copper estimation are the gold standard diagnostic tests for diagnosing Indian Childhood cirrhosis.

  6. The effect of question format and task difficulty on reasoning strategies and diagnostic performance in Internal Medicine residents.

    Science.gov (United States)

    Heemskerk, Laura; Norman, Geoff; Chou, Sophia; Mintz, Marcy; Mandin, Henry; McLaughlin, Kevin

    2008-11-01

    Previous studies have suggested an association between reasoning strategies and diagnostic success, but the influence on this relationship of variables such as question format and task difficulty, has not been studied. Our objective was to study the association between question format, task difficulty, reasoning strategies and diagnostic success. Study participants were 13 Internal Medicine residents at the University of Calgary. Each was given eight problem-solving questions in four clinical presentations and were randomized to groups that differed only in the question format, such that a question presented as short answer (SA) to the first group was presented as extended matching (EM) to the second group. There were equal numbers of SA/EM questions and straightforward/difficult tasks. Participants performed think-aloud during diagnostic reasoning. Data were analyzed using multiple logistic regression. Question format was associated with reasoning strategies; hypothetico-deductive reasoning being used more frequently on EM questions and scheme-inductive reasoning on SA questions. For SA question, non-analytic reasoning alone was used more frequently to answer straightforward cases than difficult cases, whereas for EM questions no such association was observed. EM format and straightforward task increased the odds of diagnostic success, whereas hypothetico-deductive reasoning was associated with reduced odds of success. Question format and task difficulty both influence diagnostic reasoning strategies and studies that examine the effect of reasoning strategies on diagnostic success should control for these effects. Further studies are needed to investigate the effect of reasoning strategies on performance of different groups of learners.

  7. Dynamic Visualization of SNS Diagnostics Summary Report and System Status

    CERN Document Server

    Blokland, Willem; Long, Cary D; Murphy, Darryl J; Purcell, John D; Sundaram, Madhan

    2005-01-01

    The Spallation Neutron Source (SNS) accelerator systems will deliver a 1.0 GeV, 1.4 MW proton beam to a liquid mercury target for neutron scattering research. The accelerator complex consists of a 1 GeV linear accelerator, an accumulator ring and associated transport lines. The SNS diagnostics platform is PC-based running Embedded Windows XP and LabVIEW. The diagnostics instruments communicate with the control system using the Channel Access (CA) protocol of the Experimental Physics and Industrial Control System (EPICS). This paper describes the Diagnostics Group's approach to collecting data from the instruments, processing it, and presenting live in a summarized way over the web. Effectively, adding a supervisory level to the diagnostics instruments. One application of this data mining is the "Diagnostics Status Page" that summarizes the insert-able devices, transport efficiencies, and the mode of the accelerator in a compact webpage. The displays on the webpage change automatically to show the latest and/o...

  8. Hyperplastic callus formation in osteogenesis imperfecta. A case report

    International Nuclear Information System (INIS)

    Burchardt, A.J.; Wagner, A.A.; Basse, P.

    1994-01-01

    We report a case of bilateral hyperplastic callus formation as a complication of fracture in a patient with osteogenesis imperfecta. The clinical and radiographic findings and the differential diagnosis are discussed. (orig.)

  9. Hyperplastic callus formation in osteogenesis imperfecta. A case report

    Energy Technology Data Exchange (ETDEWEB)

    Burchardt, A.J. (Depts. of Radiology and Pediatric Orthopedic Surgery, Rigshospitalet, Copenhagen Univ. (Denmark)); Wagner, A.A. (Depts. of Radiology and Pediatric Orthopedic Surgery, Rigshospitalet, Copenhagen Univ. (Denmark)); Basse, P. (Depts. of Radiology and Pediatric Orthopedic Surgery, Rigshospitalet, Copenhagen Univ. (Denmark))

    1994-09-01

    We report a case of bilateral hyperplastic callus formation as a complication of fracture in a patient with osteogenesis imperfecta. The clinical and radiographic findings and the differential diagnosis are discussed. (orig.).

  10. Report format preferences of technical managers and nonmanagers

    Science.gov (United States)

    Pinelli, T. E.; Cordle, V. M.; Glassman, M.; Vondran, R. F., Jr.

    1984-01-01

    A survey of engineers and scientists concerning the format of NASA technical reports indicates that a summary as well as an abstract should be included, that the definitions of symbols and glossary of terms should be located in the front of the report, and that the illustrative material should be integrated with the text rather than grouped at the end of the report. Citation of references by number, one-column, ragged-right-margin layout, and third-person writing style are also preferred by a majority of the respondents. The preferences of managers and nonmanagers are very similar for all aspects of technical report format covered by the survey.

  11. Development of a smoking prevention mass media program using diagnostic and formative research.

    Science.gov (United States)

    Worden, J K; Flynn, B S; Geller, B M; Chen, M; Shelton, L G; Secker-Walker, R H; Solomon, D S; Solomon, L J; Couchey, S; Costanza, M C

    1988-09-01

    The process of developing a mass media campaign to prevent smoking among adolescents is described in detail. This campaign supplements a school smoking prevention program and shares educational objectives with the school program but is otherwise independent. It comprises various television and radio 30- and 60-sec "spot" messages. The campaign development process includes identifying educational objectives and strategies for appealing to young people; conducting diagnostic surveys and focus groups to determine target audience interests and perceptions about smoking and media content; suggesting approaches to producers to create preliminary television and radio messages for testing; conducting formative pretests with target groups to select optimal messages and suggest improvements to those messages; producing final messages for media presentation; and developing a media exposure plan to place messages in local media at optimal times for reception by target audiences. The media campaign is being evaluated in a 5-year project with 5,500 adolescents in four communities to determine the additional effect of mass media over a school program alone in preventing smoking.

  12. Formation of Imploding Plasma Liners for HEDP and MIF Applications - Diagnostics

    Energy Technology Data Exchange (ETDEWEB)

    Gilmore, Mark [Univ. of New Mexico, Albuquerque, NM (United States). Dept. of Electrical and Computer Engineering. Dept. of Physics and Astronomy; Hsu, Scott [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Witherspoon, F. Douglas [HyperV Technologies Corp., Chantilly, VA (United States); Cassibry, Jason [Univ. of Alabama, Huntsville, AL (United States); Bauer, Bruno S. [Univ. of Nevada, Reno, NV (United States)

    2015-04-27

    The goal of the plasma liner experiment (PLX) was to explore and demonstrate the feasibility of forming imploding spherical plasma liners that can reach High Energy Density (HED)-relevant (~ 0.1 Mbar) pressures upon stagnation. The plasma liners were to be formed by a spherical array of 30 – 36 railgun-driven hypervelocity plasma jets (Mach 10 – 50). Due to funding and project scope reductions in year two of the project, this initial goal was revised to focus on studies of individual jet propagation, and on two jet merging physics. PLX was a collaboration between a number of partners including Los Alamos National Laboratory, HyperV Technologies, University of New Mexico (UNM), University of Alabama, Huntsville, and University of Nevada, Reno. UNM’s part in the collaboration was primary responsibility for plasma diagnostics. Though full plasma liner experiments could not be performed, the results of single and two jet experiments nevertheless laid important groundwork for future plasma liner investigations. Though challenges were encountered, the results obtained with one and two jets were overwhelmingly positive from a liner formation point of view, and were largely in agreement with predictions of hydrodynamic models.

  13. Report of a consultants meeting on dosimetry in diagnostic radiology

    International Nuclear Information System (INIS)

    Pernicka, F.

    1999-01-01

    During its biennial meeting in 1996, the Standing Advisory Committee 'SSDL Scientific Committee', recommended extending the long experience of the Agency in the field of standardization and monitoring dosimetry calibrations at radiotherapy and radiation protection level for the Secondary Standard Dosimetry Laboratory (SSDL) Network, to the field of diagnostic x-ray dosimetry. It was emphasized that 'Measurements on diagnostic x-ray machines have become increasingly important and some SSDLs are involved in such measurements. The Agency's dosimetry laboratory should, therefore, have proper radiation sources available to provide traceable calibrations to the SSDLs'. The purpose of the consultants' meeting was to advise the Agency on dosimetry in diagnostic radiology. They were specifically requested to overview scientific achievements in the field and to give advice to the Agency on the need for further developments. The purpose of the consultants' meeting was to advise the Agency on dosimetry in diagnostic radiology. They were specifically requested to overview scientific achievements in the field and to give advice to the Agency on the need for further developments

  14. A diagnostic for electron dynamics in tokamaks. Final report

    International Nuclear Information System (INIS)

    Skiff, F.; Boyd, D.

    1997-12-01

    The diagnostic was installed on TdeV and brought into operation. It was optimized to the extent that time and money permitted. A considerable quantity of data was accumulated and analyzed. Experiments ended in August 1995. The apparatus has been removed from TdeV and returned to the University of Maryland. Each of these activities is detailed here. The diagnostic worked very well. Although the distribution functions behaved in ways that were not anticipated and the refractive losses were sometimes higher than projected, the authors were able to adapt to the unexpected. In the authors' estimation, all of the effects listed above are significant, and warrant further study. The diagnostic is ready for use as a tool to study the physics of current drive and current profile modification. A mechanism for steering the launched beams is desirable to cope with the strong variations in refraction which are seen. Phased array launchers seem attractive for this purpose. Tuning of the length of the waveguide run is important to avoid troublesome reflections (return losses). It may be best to build in this capability in a future system. The perpendicular dynamics of the current driven electrons are invisible to us with the present form of the diagnostic. Simultaneous measurements at fundamental and harmonic frequencies would make perpendicular distribution function measurements possible

  15. [Diagnostic difficulties in Grave's orbitopathy--case report].

    Science.gov (United States)

    Jedrzejowski, Maciej; Grzesiuk, Wiesław; Szwejda, Elzbieta; Bar-Andziak, Ewa

    2004-03-01

    Graves' orbitopathy is caused by intraorbital inflammatory reaction due to autoimmune thyroid disease. In most cases the diagnosis is based on the coexistence of typical eye signs and hyperthyroidism symptoms. In presented case, the absence of thyroid dysfunction implicated performance of differential diagnosis. Among many available diagnostic tools nuclear magnetic resonance seems to be the most accurate in confirmation of diagnosis of Graves' orbitopathy.

  16. Next Generation Diagnostic System (NGDS) Increment 1 Early Fielding Report

    Science.gov (United States)

    2017-06-07

    the NGDS production representative configuration, which includes a different laptop computer. System Overview The Services intend for the NGDS to...Powder/Surface Water collected on swabs Soil/Sand Animal Blood Vectors (such as insects) Test Adequacy The data from the OA, supplemented by data...results. The medical provider used NGDS diagnostic results to tailor antibiotic treatment to the specific biological agent identified or to cease

  17. Model format for a vaccine stability report and software solutions.

    Science.gov (United States)

    Shin, Jinho; Southern, James; Schofield, Timothy

    2009-11-01

    A session of the International Association for Biologicals Workshop on Stability Evaluation of Vaccine, a Life Cycle Approach was devoted to a model format for a vaccine stability report, and software solutions. Presentations highlighted the utility of a model format that will conform to regulatory requirements and the ICH common technical document. However, there need be flexibility to accommodate individual company practices. Adoption of a model format is premised upon agreement regarding content between industry and regulators, and ease of use. Software requirements will include ease of use and protections against inadvertent misspecification of stability design or misinterpretation of program output.

  18. Far-infrared fusion plasma diagnostics. Task IIIA. Final report

    International Nuclear Information System (INIS)

    Luhmann, N.C. Jr.

    1986-01-01

    The Task IIIA program at UCLA has been concerned with the development of innovative yet practical plasma diagnostic systems capable of providing detailed information essential to the success of the fusion program but not presently available within the fusion community. Historically, this has involved an initial development in the laboratory, followed by a test of feasibility on the Microtor tokamak prior to transfer of the technique/instrument to main line fusion devices. Strong emphasis has been placed upon the far-infrared (FIR) spectral region where novel diagnostic systems and technology have been developed and then distributed throughout the fusion program. The major diagnostics under development have been the measurement of plasma microturbulence and coherent modes via multichannel cw collective Thomson scattering, and the application of phase/polarization imaging techniques to provide accurate and detailed (>20 channel) electron density and current profiles not presently available using conventional methods. The eventual transfer of the above techniques to main line fusion devices is, of course, a major goal of the UCLA development program. The multichannel scattering development at UCLA was efficiently transferred to TEXT a few years ago. The apparatus has been employed to investigate the strong spectral and spatial asymmetries in the microturbulence uncovered through the unique multichannel and spatial scanning capabilities of the system. The scattering apparatus has also produced evidence for the ion pressure gradient driven eta/sub i/ modes thought responsible for anomalous transport in the edge regions of tokamak plasmas, as well as providing insight into the wave-wave coupling processes between various plasma modes

  19. Center of excellence in research reporting in neurosurgery--diagnostic ontology.

    Directory of Open Access Journals (Sweden)

    Amrapali Zaveri

    Full Text Available MOTIVATION: Evidence-based medicine (EBM, in the field of neurosurgery, relies on diagnostic studies since Randomized Controlled Trials (RCTs are uncommon. However, diagnostic study reporting is less standardized which increases the difficulty in reliably aggregating results. Although there have been several initiatives to standardize reporting, they have shown to be sub-optimal. Additionally, there is no central repository for storing and retrieving related articles. RESULTS: In our approach we formulate a computational diagnostic ontology containing 91 elements, including classes and sub-classes, which are required to conduct Systematic Reviews-Meta Analysis (SR-MA for diagnostic studies, which will assist in standardized reporting of diagnostic articles. SR-MA are studies that aggregate several studies to come to one conclusion for a particular research question. We also report high percentage of agreement among five observers as a result of the interobserver agreement test that we conducted among them to annotate 13 articles using the diagnostic ontology. Moreover, we extend our existing repository CERR-N to include diagnostic studies. AVAILABILITY: The ontology is available for download as an.owl file at: http://bioportal.bioontology.org/ontologies/3013.

  20. Systematic reviews of diagnostic tests in endocrinology: an audit of methods, reporting, and performance.

    Science.gov (United States)

    Spencer-Bonilla, Gabriela; Singh Ospina, Naykky; Rodriguez-Gutierrez, Rene; Brito, Juan P; Iñiguez-Ariza, Nicole; Tamhane, Shrikant; Erwin, Patricia J; Murad, M Hassan; Montori, Victor M

    2017-07-01

    Systematic reviews provide clinicians and policymakers estimates of diagnostic test accuracy and their usefulness in clinical practice. We identified all available systematic reviews of diagnosis in endocrinology, summarized the diagnostic accuracy of the tests included, and assessed the credibility and clinical usefulness of the methods and reporting. We searched Ovid MEDLINE, EMBASE, and Cochrane CENTRAL from inception to December 2015 for systematic reviews and meta-analyses reporting accuracy measures of diagnostic tests in endocrinology. Experienced reviewers independently screened for eligible studies and collected data. We summarized the results, methods, and reporting of the reviews. We performed subgroup analyses to categorize diagnostic tests as most useful based on their accuracy. We identified 84 systematic reviews; half of the tests included were classified as helpful when positive, one-fourth as helpful when negative. Most authors adequately reported how studies were identified and selected and how their trustworthiness (risk of bias) was judged. Only one in three reviews, however, reported an overall judgment about trustworthiness and one in five reported using adequate meta-analytic methods. One in four reported contacting authors for further information and about half included only patients with diagnostic uncertainty. Up to half of the diagnostic endocrine tests in which the likelihood ratio was calculated or provided are likely to be helpful in practice when positive as are one-quarter when negative. Most diagnostic systematic reviews in endocrine lack methodological rigor, protection against bias, and offer limited credibility. Substantial efforts, therefore, seem necessary to improve the quality of diagnostic systematic reviews in endocrinology.

  1. STARD 2015: An Updated List of Essential Items for Reporting Diagnostic Accuracy Studies

    NARCIS (Netherlands)

    Bossuyt, P.M.; Reitsma, J.B.; Bruns, D.E.; Gatsonis, C.A.; Glasziou, P.P.; Irwig, L.; Lijmer, J.G.; Moher, D.; Rennie, D.; de Vet, H.C.W.; Kressel, H.Y.; Rifai, N.; Golub, R.M.; Altman, D.G.; Hooft, L.; Korevaar, D.A.; Cohen, J.F.

    2015-01-01

    Incomplete reporting has been identified as a major source of avoidable waste in biomedical research. Essential information is often not provided in study reports, impeding the identification, critical appraisal, and replication of studies. To improve the quality of reporting of diagnostic accuracy

  2. Integrating data-based decision making, Assessment for Learning and diagnostic testing in formative assessment

    NARCIS (Netherlands)

    van der Kleij, Fabienne; Vermeulen, Jorine; Schildkamp, Kim; Eggen, Theodorus Johannes Hendrikus Maria

    2015-01-01

    Recent research has highlighted the lack of a uniform definition of formative assessment, although its effectiveness is widely acknowledged. This paper addresses the theoretical differences and similarities amongst three approaches to formative assessment that are currently most frequently discussed

  3. Towards complete and accurate reporting of studies of diagnostic accuracy: The STARD initiative

    International Nuclear Information System (INIS)

    Bossuyt, P.M.; Reitsma, J.B.; Bruns, D.E.; Gatsonis, C.A.; Glasziou, P.P.; Irwig, L.M.; Lijmer, J.G.; Moher, D.; Rennie, D.; Vet, H.C.W. de

    2003-01-01

    AIM: To improve the accuracy and completeness of reporting of studies of diagnostic accuracy in order to allow readers to assess the potential for bias in a study and to evaluate the general isability of its results. METHODS: The standards for reporting of diagnostic accuracy (STARD) steering committee searched the literature to identify publications on the appropriate conduct and reporting of diagnostic studies and extracted potential items into an extensive list. Researchers, editors, and members of professional organisations shortened this list during a 2 day consensus meeting with the goal of developing a checklist and a generic flow diagram for studies of diagnostic accuracy. RESULTS: The search for published guidelines about diagnostic research yielded 33 previously published checklists, from which we extracted a list of 75 potential items. At the consensus meeting, participants shortened the list to a 25-item checklist, by using evidence whenever available. A prototype of a flow diagram provides information about the method of recruitment of patients, the order of test execution and the numbers of patients undergoing the test under evaluation, the reference standard, or both. CONCLUSIONS: Evaluation of research depends on complete and accurate reporting. If medical journals adopt the checklist and the flow diagram, the quality of reporting of studies of diagnostic accuracy should improve to the advantage of clinicians, researchers, reviewers, journals, and the public

  4. Report on the diagnostics for control of the fusion DEMO reactors

    International Nuclear Information System (INIS)

    2014-05-01

    The range of diagnostics that can be used in DEMO will be severely restricted compared to that used in the current experiments or to be used in ITER. Therefore, a study is planned on the technical feasibility of sensors and diagnostics on the basis of specific tokamak and helical DEMO designs, with the involvement of a wide range of specialists covering reactor design, diagnostics, neutronics, reactor structure, remote maintenance, plasma physics, plasma and machine control, and computer simulation. Topics included typical characteristic times of target plasma behavior, diagnostics tools with their resolution and lifetime, response time of actuators, and plasmas. Through these studies, possible candidates for DEMO diagnostics were identified. The outcome of two years of activities is summarized in this report with a recommendation to the government of Japan. (J.P.N.)

  5. Diagnostic modeling of the ARM experimental configuration. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Somerville, R.C.J.

    1998-04-01

    A major accomplishment of this work was to demonstrate the viability of using in-situ data in both mid-continent North America (SGP CART site) and Tropical Western Pacific (TOGA-COARE) locations to provide the horizontal advective flux convergences which force and constrain the Single-Column Model (SCM) which was the main theoretical tool of this work. The author has used TOGA-COARE as a prototype for the ARM TWP site. Results show that SCMs can produce realistic budgets over the ARM sites without relying on parameterization-dependent operational numerical weather prediction objective analyses. The single-column model is diagnostic rather than prognostic. It is numerically integrated in time as an initial value problem which is forced and constrained by observational data. The input is an observed initial state, plus observationally derived estimates of the time-dependent advection terms in the conservation equations, provided at all model layers. Its output is a complete heat and water budget, including temperature and moisture profiles, clouds and their radiative properties, diabatic heating terms, surface energy balance components, and hydrologic cycle elements, all specified as functions of time. These SCM results should be interpreted in light of the original motivation and purpose of ARM and its goal to improve the treatment of cloud-radiation interactions in climate models.

  6. Intrarenal neuroblastoma - a diagnostic dilemma: A report of three cases

    Directory of Open Access Journals (Sweden)

    Anupam Lall

    2001-01-01

    Full Text Available Differentiation between the Wilms′ tumor (WT and the intrarenal neuroblastoma (IRNB is imperative, as the prognosis and the treatment are different for these condi-tions. It may pose a diagnostic challenge to distinguish them pre-operatively. Over the period of last 10 years (1990-1999, 3 children aged 2 months to 4 years were diagnosed to have IRNB. 2 cases were operated with a provisional diagnosis of WT, but on histology were found to have neuroblastoma. Taking benefit from our previous experience, the third case we encountered with a renal lump and bony metastasis with clinical features not con-sistent with the diagnosis of Wilms′ tumor was further investigated. Urinary catecholamines were significantly elevated and there was bone marrow involvement and positive bone scan for multiple bony metastasis. 2 pa-tients are on chemotherapy and follow-up for last 6 months, while 1 died 6 years back after a follow-up of 2 years. Patients who have a renal mass on imaging, with clinical features of rapid deterioration in general condi-tion and evidence of bony secondaries, should undergo work-up for neuroblastoma pre-operatively to confirm the diagnosis.

  7. Diagnostic difficulties with intraorbital foreign bogies: A case report

    International Nuclear Information System (INIS)

    Czarnowska, M.; Studniarek, D.; Socha-Korybalska, D.; Raczynska, K.

    2005-01-01

    As a result of trauma, a foreign body can enter the orbit and, via the orbital fissures, the cranial cavity. The most common are metallic, which are easily seen in X-rays, while low-density foreign bodies cause diagnostics problems. A 27-year old patient underwent trauma of the left orbit when walking in a forest. Twenty-four hours after the trauma the patient came to the ophthalmology outpatient clinic with complaints of inability to move the upper eyelid. The cause of the complaint was a 6-cm-long piece of wood within the orbit which was penetrating the middle cranial fossa via the upper orbital fissure. X-rays are the bases of diagnosing orbito-cranial injures and are a sufficient radiological method when the foreign body is metallic. CT is indispensable for the precise localization of low-density foreign bodies, the estimation of injury, and for diagnosis. CT scans are not typical for each foreign body. In this case, the hypo density of the wood was initially misinterpreted as an intra orbital air edema. (author)

  8. THE FORMATION OF IRIS DIAGNOSTICS. VII. THE FORMATION OF THE O i 135.56 NM LINE IN THE SOLAR ATMOSPHERE

    Energy Technology Data Exchange (ETDEWEB)

    Lin, Hsiao-Hsuan; Carlsson, Mats, E-mail: h.h.lin@astro.uio.no, E-mail: mats.carlsson@astro.uio.no [Institute of Theoretical Astrophysics, University of Oslo, P.O. Box 1029 Blindern, NO-0315 Oslo (Norway)

    2015-11-01

    The O i 135.56 nm line is covered by NASA's Interface Region Imaging Spectrograph (IRIS) small explorer mission which studies how the solar atmosphere is energized. We study here the formation and diagnostic potential of this line by means of non-local thermodynamic equilibrium modeling employing both 1D semi-empirical and 3D radiation magnetohydrodynamic models. We study the basic formation mechanisms and derive a quintessential model atom that incorporates essential atomic physics for the formation of the O i 135.56 nm line. This atomic model has 16 levels and describes recombination cascades through highly excited levels by effective recombination rates. The ionization balance O i/O ii is set by the hydrogen ionization balance through charge exchange reactions. The emission in the O i 135.56 nm line is dominated by a recombination cascade and the line is optically thin. The Doppler shift of the maximum emission correlates strongly with the vertical velocity in its line forming region, which is typically located at 1.0–1.5 Mm height. The total intensity of the line emission is correlated with the square of the electron density. Since the O i 135.56 nm line is optically thin, the width of the emission line is a very good diagnostic of non-thermal velocities. We conclude that the O i 135.56 nm line is an excellent probe of the middle chromosphere, and compliments other powerful chromospheric diagnostics of IRIS such as the Mg ii h and k lines and the C ii lines around 133.5 nm.

  9. Efficacy of diagnostic irradiation in paediatry. 1. report (December 1984)

    International Nuclear Information System (INIS)

    Fendel, H.; Schneider, K.; Bakowski, C.; Kohn, M.M.

    1985-01-01

    This first report starts with a definition of the term and concept of 'efficacy', given by the project leader Mr. H. Fendel. The following six individual papers deal with various aspects of the subject matter, followed by an outlook on future tasks. In the appendix the letter sent to physicians asking for support of the project, and the forms are added. (MG) [de

  10. Advanced Diagnostic and Prognostic Testbed (ADAPT) Testability Analysis Report

    Science.gov (United States)

    Ossenfort, John

    2008-01-01

    As system designs become more complex, determining the best locations to add sensors and test points for the purpose of testing and monitoring these designs becomes more difficult. Not only must the designer take into consideration all real and potential faults of the system, he or she must also find efficient ways of detecting and isolating those faults. Because sensors and cabling take up valuable space and weight on a system, and given constraints on bandwidth and power, it is even more difficult to add sensors into these complex designs after the design has been completed. As a result, a number of software tools have been developed to assist the system designer in proper placement of these sensors during the system design phase of a project. One of the key functions provided by many of these software programs is a testability analysis of the system essentially an evaluation of how observable the system behavior is using available tests. During the design phase, testability metrics can help guide the designer in improving the inherent testability of the design. This may include adding, removing, or modifying tests; breaking up feedback loops, or changing the system to reduce fault propagation. Given a set of test requirements, the analysis can also help to verify that the system will meet those requirements. Of course, a testability analysis requires that a software model of the physical system is available. For the analysis to be most effective in guiding system design, this model should ideally be constructed in parallel with these efforts. The purpose of this paper is to present the final testability results of the Advanced Diagnostic and Prognostic Testbed (ADAPT) after the system model was completed. The tool chosen to build the model and to perform the testability analysis with is the Testability Engineering and Maintenance System Designer (TEAMS-Designer). The TEAMS toolset is intended to be a solution to span all phases of the system, from design and

  11. Quality assurance in X-ray diagnostic radiology - Report II

    International Nuclear Information System (INIS)

    Fosmark, H.; Rozycki, Z.

    1987-01-01

    In the context of an analysis of technical quality assurance in Norwegian X-ray departments, a survey has been carried out in 21 laboratories in 4 hospitals. The tests were restricted to equipment used in general radiography, and the parameters analysed were of kV (using an electronic penetrameter), exposure time, waveform, output and automatic exposure control systems. In addition, a trial to compare overall performance in radiography and fluoroscopy was performed with a PMMP test phantom (SPRI). The survey is presented in two reports. The first one covers details of procedures and equipment. In this second report results are given and discussed. The results show that most of the equipment does function satifactorily, but also demonstrate the need to introduce quality assurance in X-ray departments

  12. A Theory of Diagnostic Inference: Contract Final Report,

    Science.gov (United States)

    1983-11-01

    and I-bLications ftlated to this Contract ........ 19 1caml.igmnts and Scientific I&VOuMM1.......................... 21 M&i 2 This report esunarizes our... Comunications Sciences Division Naval Training Equipment Center Code 7500 Orlando, FL 32813 Naval Research Laboratory Washington, D. C. 20375 Dr. Gary...Dr. A. L. Slafkosky Scientific Advisor Commander Commandant of the Marine Corps Naval Electronics Systems Co-and C6de RD-1 Human Factors Engineering

  13. Consensus based reporting standards for diagnostic test accuracy studies for paratuberculosis in ruminants.

    NARCIS (Netherlands)

    Gardner, I.A.; Nielsen, S.S.; Whittington, R.J.; Collins, M.T.; Bakker, D.; Harris, B.; Sreevatsan, S.; Lombard, J.E.; Sweeney, R.; Smith, D.R.; Gavalchin, J.; Eda, S.

    2011-01-01

    The Standards for Reporting of Diagnostic Accuracy (STARD) statement (www.stard-statement.org) was developed to encourage complete and transparent reporting of key elements of test accuracy studies in human medicine. The statement was motivated by widespread evidence of bias in test accuracy studies

  14. Integrating Data-Based Decision Making, Assessment for Learning and Diagnostic Testing in Formative Assessment

    Science.gov (United States)

    Van der Kleij, Fabienne M.; Vermeulen, Jorine A.; Schildkamp, Kim; Eggen, Theo J. H .M.

    2015-01-01

    Recent research has highlighted the lack of a uniform definition of formative assessment, although its effectiveness is widely acknowledged. This paper addresses the theoretical differences and similarities amongst three approaches to formative assessment that are currently most frequently discussed in educational research literature: data-based…

  15. A case report of burning mouth syndrome: A diagnostic dilemma

    Directory of Open Access Journals (Sweden)

    Ghassan M Al-Iryani

    2016-01-01

    Full Text Available Oral dysaesthesia syndrome called burning mouth syndrome (BMS causes chronic pain in the orofacial region without presence of any of the detectable organic causes. Common features of BMS are burning sensation in the mouth, xerostomia, dysgeusia, etc. These symptoms ideally show a diurnal pattern, were they are less in the morning and worsen as the day progresses and classically subside at the night time. BMS have multifactorial etiology. This report describes a case of burning mouth syndrome in a 60 year old female patient.

  16. Consultation system for image diagnosis: Report formation support system

    International Nuclear Information System (INIS)

    Ikeda, M.; Sakuma, S.; Ishigaki, T.; Suzuki, K.; Oikawa, K.

    1987-01-01

    The authors developed a consultation system for image diagnosis, involving artificial intelligence ideas. In this system, the authors proposed a new report formation support system and implemented it in lymphangiography. This support system starts with the input of image interpretation. The input process is made mainly by selecting items. This system encodes the input findings into the semantic network, which is represented as a directed graph, and it reserves them into the knowledge database in the above structure. Finally, the output (report) is made in the near natural language, which corresponds to the input findings

  17. Radio stimulation and diagnostics of space plasmas. Progress report

    International Nuclear Information System (INIS)

    Lee, Minchang.

    1993-02-01

    This report describes the investigation of the small-scale topside ionospheric plasma structures first observed at Millstone Hill, Massachusetts with the 440 MHz incoherent scatter radar. These small-scale obliquely propagating plasma modes occurring in the vicinity of the midlatitude ionospheric trough, have large radar cross-sections and narrow spectral widths. They have, until recently, been dismissed solely as hard target contamination of the incoherent scatter radar. The geophysical conditions associated with the ionospheric trough, such as the field-aligned current activity and steep plasma density gradients, suggest that these recently discovered small-scale topside ionospheric plasmas may also appear in the auroral and polar ionosphere. In fact, this speculation has been corroborated by the preliminary experiments and data analyses at Tromso, Norway and Sondrestromfjord, Greenland. The primary research results are highlighted. Described in Section 3 are the experiments conducted at Arecibo, Puerto Rico in the past summer for simulating the geophysical conditions of generating these topside ionospheric plasma structures. Recommendation for the future research is finally given. Attached as the appendix of this report are several chapters which present the detailed results of research in the concerned topside ionospheric clutter. Highlights of the research results include: (1) causes of the enhanced radar backscatter (ERB) phenomenon; (2) occurrence of the ERB phenomenon; (3) altitudes of the ERB phenomenon; (4) strength of the ERB returns; (5) range of altitudes of the ERB returns; (6) occurrence frequency of the ERB phenomenon; (7) Doppler effect of the ERB phenomenon; (8) persistency of the ERB; and (9) distinction between ERB phenomenon and space object signatures

  18. Preferences on technical report format - Results of a survey

    Science.gov (United States)

    Pinelli, T. E.; Cordle, V. M.; Glassman, M.; Vondran, R. F.

    1984-01-01

    A survey of 513 engineers and scientists employed at the National Aeronautics and Space Administration Langley Research Center and 600 engineers and scientists from three professional/technical societies solicited the opinions of report users concerning the format of NASA technical reports. The results indicate that a summary as well as an abstract should be included, that the definitions of symbols and glossary of terms should be located in the front of the report, and that the illustrative material should be integrated with the text rather than grouped at the end of the report. Citation of references by number, one-column, ragged-right-margin layout, and third-person writing style are also preferred by a majority of the respondents.

  19. STARD-BLCM: Standards for the Reporting of Diagnostic accuracy studies that use Bayesian Latent Class Models

    DEFF Research Database (Denmark)

    Kostoulas, Polychronis; Nielsen, Søren S.; Branscum, Adam J.

    2017-01-01

    The Standards for the Reporting of Diagnostic Accuracy (STARD) statement, which was recently updated to the STARD2015 statement, was developed to encourage complete and transparent reporting of test accuracy studies. Although STARD principles apply broadly, the checklist is limited to studies......-BLCM (Standards for Reporting of Diagnostic accuracy studies that use Bayesian Latent Class Models), will facilitate improved quality of reporting on the design, conduct and results of diagnostic accuracy studies that use Bayesian latent class models....

  20. Diagnostic accuracy research in glaucoma is still incompletely reported: An application of Standards for Reporting of Diagnostic Accuracy Studies (STARD 2015.

    Directory of Open Access Journals (Sweden)

    Manuele Michelessi

    Full Text Available Research has shown a modest adherence of diagnostic test accuracy (DTA studies in glaucoma to the Standards for Reporting of Diagnostic Accuracy Studies (STARD. We have applied the updated 30-item STARD 2015 checklist to a set of studies included in a Cochrane DTA systematic review of imaging tools for diagnosing manifest glaucoma.Three pairs of reviewers, including one senior reviewer who assessed all studies, independently checked the adherence of each study to STARD 2015. Adherence was analyzed on an individual-item basis. Logistic regression was used to evaluate the effect of publication year and impact factor on adherence.We included 106 DTA studies, published between 2003-2014 in journals with a median impact factor of 2.6. Overall adherence was 54.1% for 3,286 individual rating across 31 items, with a mean of 16.8 (SD: 3.1; range 8-23 items per study. Large variability in adherence to reporting standards was detected across individual STARD 2015 items, ranging from 0 to 100%. Nine items (1: identification as diagnostic accuracy study in title/abstract; 6: eligibility criteria; 10: index test (a and reference standard (b definition; 12: cut-off definitions for index test (a and reference standard (b; 14: estimation of diagnostic accuracy measures; 21a: severity spectrum of diseased; 23: cross-tabulation of the index and reference standard results were adequately reported in more than 90% of the studies. Conversely, 10 items (3: scientific and clinical background of the index test; 11: rationale for the reference standard; 13b: blinding of index test results; 17: analyses of variability; 18; sample size calculation; 19: study flow diagram; 20: baseline characteristics of participants; 28: registration number and registry; 29: availability of study protocol; 30: sources of funding were adequately reported in less than 30% of the studies. Only four items showed a statistically significant improvement over time: missing data (16, baseline

  1. Communicating diagnostic uncertainty in surgical pathology reports: disparities between sender and receiver.

    Science.gov (United States)

    Lindley, Sarah W; Gillies, Elizabeth M; Hassell, Lewis A

    2014-10-01

    Surgical pathologists use a variety of phrases to communicate varying degrees of diagnostic certainty which have the potential to be interpreted differently than intended. This study sought to: (1) assess the setting, varieties and frequency of use of phrases of diagnostic uncertainty in the diagnostic line of surgical pathology reports, (2) evaluate use of uncertainty expressions by experience and gender, (3) determine how these phrases are interpreted by clinicians and pathologists, and (4) assess solutions to this communication problem. We evaluated 1500 surgical pathology reports to determine frequency of use of uncertainty terms, identified those most commonly used, and looked for variations in usage rates on the basis of case type, experience and gender. We surveyed 76 physicians at tumor boards who were asked to assign a percentage of certainty to diagnoses containing expressions of uncertainty. We found expressions of uncertainty in 35% of diagnostic reports, with no statistically significant difference in usage based on age or gender. We found wide variation in the percentage of certainty clinicians assigned to the phrases studied. We conclude that non-standardized language used in the communication of diagnostic uncertainty is a significant source of miscommunication, both amongst pathologists and between pathologists and clinicians. Copyright © 2014 The Authors. Published by Elsevier GmbH.. All rights reserved.

  2. Measured time-correlated neutron-induced radiations in a sandstone formation. Final report

    International Nuclear Information System (INIS)

    Peters, C.; Karaoglan, E.; Ertel, J.; Brotzman, J.; Kennedy, C. Jr.

    1981-07-01

    The Grand Junction Operations Office, Department of Energy, via its contractor, The Bendix Field Engineering Corporation, is developing technologies to explore for uranium as a part of the National Uranium Resource Evaluation Program. This report is addressed to measurements of the inelastic- and capture-gamma rays induced by 14 MeV neutrons in uranium ore in a simulated sandstone formation. The associated-particle technique and timing correlation was used to measure the production of inelastic-gamma rays versus time and to separate the inelastic-gamma-ray energy spectrum from the capture-gamma-ray energy spectrum. The measurements of the fission-coincidence signal demonstrate that this technique appears to be very sensitive to the presence of uranium. These measurements indicate that the fission-coincidence signal would be improved for uranium assay by using a low-energy neutron source rather than 14-MeV neutrons. The results of these measurements demonstrate that the concept of the Borehole Neutron Diagnostic Probe is a promising new logging tool. Measurements for a wide variety of controlled borehole and formation parameters are needed to determine the optimum design and to calibrate the responses. These measurements should be performed with a prototype logging tool in formations that have densities closer to those found in the field than the simulated formation used in these measurements

  3. Consensus-based reporting standards for diagnostic test accuracy studies for paratuberculosis in ruminants

    DEFF Research Database (Denmark)

    Gardner, Ian A.; Nielsen, Søren Saxmose; Whittington, Richard

    2011-01-01

    The Standards for Reporting of Diagnostic Accuracy (STARD) statement (www.stard-statement.org) was developed to encourage complete and transparent reporting of key elements of test accuracy studies in human medicine. The statement was motivated by widespread evidence of bias in test accuracy...... studies and the finding that incomplete or absent reporting of items in the STARD checklist was associated with overly optimistic estimates of test performance characteristics. Although STARD principles apply broadly, specific guidelines do not exist to account for unique considerations in livestock...... for Reporting of Animal Diagnostic Accuracy Studies for paratuberculosis), should facilitate improved quality of reporting of the design, conduct and results of paratuberculosis test accuracy studies which were identified as “poor” in a review published in 2008 in Veterinary Microbiology...

  4. INDICATORS AND DIAGNOSTICS OF INDEPENDENT WORK CULTURE FORMATION IN FUTURE MATHEMATICS TEACHERS

    Directory of Open Access Journals (Sweden)

    Олена Соя

    2015-09-01

    Full Text Available The article highlights the results of research of formation the culture of independent work of future mathematics teachers, indicating the effectiveness of selected theoretically grounded and practically implemented pedagogical conditions of its formation. Its semantic components that are interconnected and interdependent unity of cognitive, procedural, technological and motivational components were singled out on the basis of definition of independent work culture of future mathematics teachers. The system of indicators, which assessed the degree of mastering by students the culture of independent work by value-orientation, content-effective, reflective, constructive and operationally-activity criteria is reviewed.

  5. Diagnostic pitfalls associated with a large true posterior communicating artery aneurysm: a case report.

    Science.gov (United States)

    Nagatani, Kimihiro; Otani, Naoki; Seno, Soichiro; Takeuchi, Satoru; Wada, Kojiro; Mori, Kentaro

    2013-10-01

    True posterior communicating artery (PCoA) aneurysm is an aneurysm that originates from the PCoA, and large or giant true PCoA aneurysms are rare. We report a case of a large true PCoA aneurysm successfully clipped after anterior clinoidectomy and discuss the diagnostic pitfalls associated with this rare clinical entity.

  6. Towards complete and accurate reporting of studies of diagnostic accuracy: The STARD initiative

    NARCIS (Netherlands)

    Bossuyt, Patrick M.; Reitsma, Johannes B.; Bruns, David E.; Gatsonis, Constantine A.; Glasziou, Paul P.; Irwig, Les M.; Lijmer, Jeroen G.; Moher, David; Rennie, Drummond; de Vet, Henrica C. W.

    2003-01-01

    Background: To comprehend the results of diagnostic accuracy studies, readers must understand the design, conduct, analysis, and results of such studies. That goal can be achieved only through complete transparency from authors. Objective: To improve the accuracy and completeness of reporting of

  7. P-MaNGA: GRADIENTS IN RECENT STAR FORMATION HISTORIES AS DIAGNOSTICS FOR GALAXY GROWTH AND DEATH

    Energy Technology Data Exchange (ETDEWEB)

    Li, Cheng; Wang, Enci; Lin, Lin; Xiao, Ting [Partner Group of Max-Planck Institute for Astrophysics, Shanghai Astronomical Observatory, Nandan Road 80, Shanghai 200030 (China); Bershady, Matthew A.; Tremonti, Christy A. [Department of Astronomy, University of Wisconsin–Madison, Madison, WI 53706 (United States); Bundy, Kevin; Cheung, Edmond [Kavli Institute for the Physics and Mathematics of the universe (Kavli IPMU, WPI), Todai Institutes for Advanced Study, the University of Tokyo, Kashiwa 277-8583 (Japan); Yan, Renbin [Department of Physics and Astronomy, University of Kentucky, Lexington, KY 40506 (United States); Bizyaev, Dmitry [Apache Point Observatory and New Mexico State University, P.O. Box 59, Sunspot, NM, 88349-0059 (United States); Blanton, Michael; Gelfand, Joseph [Center for Cosmology and Particle Physics, Department of Physics, New York University, 4 Washington Place, New York, NY 10003 (United States); Cales, Sabrina [Yale Center for Astronomy and Astrophysics, Physics Department, Yale University, P.O. Box 208120, New Haven, CT 06520-8120 (United States); Cherinka, Brian; Law, David R. [Dunlap Institute for Astronomy and Astrophysics, University of Toronto, 50 St. George Street, Toronto, ON M5S 3H4 (Canada); Drory, Niv [Department of Astronomy and Astrophysics, University of California, Santa Cruz, CA 95064 (United States); Emsellem, Eric [European Southern Observatory, Karl-Schwarzschild-Strasse 2, D-85748 Garching (Germany); Fu, Hai [Department of Physics and Astronomy, University of Iowa, Iowa City, IA 52242 (United States); Lin, Lihwai [Institute of Astronomy and Astrophysics, Academia Sinica, Taipei 106, Taiwan (China); MacDonald, Nick, E-mail: leech@shao.ac.cn [Department of Astronomy, Box 351580, University of Washington, Seattle, WA 98195 (United States); and others

    2015-05-10

    We present an analysis of the data produced by the MaNGA prototype run (P-MaNGA), aiming to test how the radial gradients in recent star formation histories, as indicated by the 4000 Å break (D{sub n}(4000)), Hδ absorption (EW(Hδ{sub A})), and Hα emission (EW(Hα)) indices, can be useful for understanding disk growth and star formation cessation in local galaxies. We classify 12 galaxies observed on two P-MaNGA plates as either centrally quiescent (CQ) or centrally star-forming (CSF), according to whether D{sub n}(4000) measured in the central spaxel of each datacube exceeds 1.6. For each spaxel we generate both 2D maps and radial profiles of D{sub n}(4000), EW(Hδ{sub A}), and EW(Hα). We find that CSF galaxies generally show very weak or no radial variation in these diagnostics. In contrast, CQ galaxies present significant radial gradients, in the sense that D{sub n}(4000) decreases, while both EW(Hδ{sub A}) and EW(Hα) increase from the galactic center outward. The outer regions of the galaxies show greater scatter on diagrams relating the three parameters than their central parts. In particular, the clear separation between centrally measured quiescent and star-forming galaxies in these diagnostic planes is largely filled in by the outer parts of galaxies whose global colors place them in the green valley, supporting the idea that the green valley represents a transition between blue-cloud and red-sequence phases, at least in our small sample. These results are consistent with a picture in which the cessation of star formation propagates from the center of a galaxy outward as it moves to the red sequence.

  8. P-MaNGA: GRADIENTS IN RECENT STAR FORMATION HISTORIES AS DIAGNOSTICS FOR GALAXY GROWTH AND DEATH

    International Nuclear Information System (INIS)

    Li, Cheng; Wang, Enci; Lin, Lin; Xiao, Ting; Bershady, Matthew A.; Tremonti, Christy A.; Bundy, Kevin; Cheung, Edmond; Yan, Renbin; Bizyaev, Dmitry; Blanton, Michael; Gelfand, Joseph; Cales, Sabrina; Cherinka, Brian; Law, David R.; Drory, Niv; Emsellem, Eric; Fu, Hai; Lin, Lihwai; MacDonald, Nick

    2015-01-01

    We present an analysis of the data produced by the MaNGA prototype run (P-MaNGA), aiming to test how the radial gradients in recent star formation histories, as indicated by the 4000 Å break (D n (4000)), Hδ absorption (EW(Hδ A )), and Hα emission (EW(Hα)) indices, can be useful for understanding disk growth and star formation cessation in local galaxies. We classify 12 galaxies observed on two P-MaNGA plates as either centrally quiescent (CQ) or centrally star-forming (CSF), according to whether D n (4000) measured in the central spaxel of each datacube exceeds 1.6. For each spaxel we generate both 2D maps and radial profiles of D n (4000), EW(Hδ A ), and EW(Hα). We find that CSF galaxies generally show very weak or no radial variation in these diagnostics. In contrast, CQ galaxies present significant radial gradients, in the sense that D n (4000) decreases, while both EW(Hδ A ) and EW(Hα) increase from the galactic center outward. The outer regions of the galaxies show greater scatter on diagrams relating the three parameters than their central parts. In particular, the clear separation between centrally measured quiescent and star-forming galaxies in these diagnostic planes is largely filled in by the outer parts of galaxies whose global colors place them in the green valley, supporting the idea that the green valley represents a transition between blue-cloud and red-sequence phases, at least in our small sample. These results are consistent with a picture in which the cessation of star formation propagates from the center of a galaxy outward as it moves to the red sequence

  9. Reliability of self-reported diagnostic radiation history in BRCA1/2 mutation carriers

    International Nuclear Information System (INIS)

    Pijpe, Anouk; Manders, Peggy; Mulder, Renee L.; Leeuwen, Flora E. van; Rookus, Matti A.

    2010-01-01

    We assessed reliability of self-reported diagnostic radiation history in BRCA1/2 mutation carriers with and without breast cancer. Within the frame-work of the HEBON study, 401 BRCA1/2 mutation carriers completed a baseline (1999-2004) and a follow-up questionnaire (2006-2007). Test-retest reliability of self-reported exposure to chest X-rays, fluoroscopies and mammograms was assessed for the entire study population and by case status. Overall proportion agreement on reporting ever/never exposure was good (> 75%), while the corresponding kappa coefficients were between 0.40 and 0.75, indicating at least moderate reliability beyond chance. Reliability of number of exposures was also good (> 75%). Proportion agreement on reporting age at first mammogram was low (40%) for exact consistency and moderate (60%) for consistency ± 1 year. Reliability of age at first mammogram was higher for cases than for unaffected carriers (P < 0.001) but this difference disappeared when excluding diagnostic mammograms (P = 0.60). In unaffected carriers proportion agreement on age at last mammogram was 50%. In general, the direction of disagreement on all items was equally distributed. More consistent reporting was mainly determined by a younger age at questionnaire completion. In conclusion, inconsistent self-report of diagnostic radiation by BRCA1/2 mutation carriers was mainly non-differential by disease status.

  10. Diagnostic and therapeutic value of laparoscopy for small bowel blunt injuries: A case report.

    Science.gov (United States)

    Addeo, Pietro; Calabrese, Daniela Paola

    2011-01-01

    Small bowel injuries after blunt abdominal trauma represent both a diagnostic and a therapeutic challenge. Early diagnosis and prompt treatment are necessary in order to avoid a dangerous diagnostic delay. Laparoscopy can represent a diagnostic and therapeutic tool in patients with uncertain clinical symptoms. We report the case of a 25-year-old man, haemodynamically stable, admitted for acute abdominal pain a few hours after a physical assault. Giving the persistence of the abdominal pain and the presence of free fluids at the computed tomography examination, an exploratory laparoscopy was performed. At the laparoscopic exploration, an isolated small bowel perforation was found, 60 cm distal from the ligament of Treitz. The injury was repaired by laparoscopic suturing and the patient was discharged home at postoperative day 3 after an uneventful postoperative course. Laparoscopy represents a valuable tool for patients with small bowel blunt injuries allowing a timely diagnosis and a prompt treatment.

  11. Using Magnetic Helicity Diagnostics to Determine the Nature of Solar Active-Region Formation

    Science.gov (United States)

    Georgoulis, Manolis K.

    Employing a novel nonlinear force-free (NLFF) method that self-consistently infers instantaneous free magnetic-energy and relative magnetic-helicity budgets from single photospheric vector magnetograms, we recently constructed the magnetic energy-helicity (EH) diagram of solar active regions. The EH diagram implies dominant relative helicities of left-handed or right-handed chiralities for the great majority of active regions. The amplitude (budget) of these helicities scales monotonically with the free magnetic energy. This constructive, strongly preferential accumulation of a certain sense of magnetic helicity seems to disqualify recently proposed mechanisms relying on a largely random near-surface convection for the formation of the great majority of active regions. The existing qualitative formation mechanism for these regions remains the conventional Omega-loop emergence following a buoyant ascension from the bottom of the convection zone. However, exceptions to this rule include even eruptive active regions: NOAA AR 11283 is an obvious outlier to the EH diagram, involving significant free magnetic energy with a small relative magnetic helicity. Relying on a timeseries of vector magnetograms of this region, our methodology shows nearly canceling amounts of both senses of helicity and an overall course from a weakly left-handed to a weakly right-handed structure, in the course of which a major eruption occurs. For this and similarly behaving active regions the latest near-surface formation scenario might conceivably be employed successfully. Research partially supported by the EU Seventh Framework Programme under grant agreement No. PIRG07-GA-2010-268245 and by the European Union Social Fund (ESF) and Greek national funds through the Operational Program "Education and Lifelong Learning" of the National Strategic Reference Framework (NSRF) - Research Funding Program: Thales. Investing in knowledge society through the European Social Fund.

  12. Mismatch between diagnostic reports and special educational needs classification in a public educational system

    Directory of Open Access Journals (Sweden)

    Maria Cristina Triguero Veloz Teixeira

    Full Text Available ABSTRACT Objective To assess the diagnostic status, the sociodemographic and health profiles for students with special educational needs (SEN in a public educational system, and to map their use of educational/social services. Methods The sample comprised 1,202 SEN students from a total of 59,344 students. Results Only 792 students of the 1,202 had an established diagnosis. The most prevalent SEN condition was intellectual disability. There was a low percentage (29.4% of use of specialized educational services or support. It was found that, for some neurodevelopmental disorders, prevalence data suggest an under-reporting in the school system. Conclusion Results suggest that there is a mismatch between the diagnostic reports and the SEN condition legally recognized according to Brazilian law, in addition to the under-reporting and under specialized service use of students with disabilities.

  13. Mismatch between diagnostic reports and special educational needs classification in a public educational system.

    Science.gov (United States)

    Teixeira, Maria Cristina Triguero Veloz; Brunoni, Décio; Carreiro, Luiz Renato Rodrigues; Braga, Ana Claudia; Silva, Naiara Adorna da; Paula, Cristiane Silvestre

    2017-04-01

    To assess the diagnostic status, the sociodemographic and health profiles for students with special educational needs (SEN) in a public educational system, and to map their use of educational/social services. The sample comprised 1,202 SEN students from a total of 59,344 students. Only 792 students of the 1,202 had an established diagnosis. The most prevalent SEN condition was intellectual disability. There was a low percentage (29.4%) of use of specialized educational services or support. It was found that, for some neurodevelopmental disorders, prevalence data suggest an under-reporting in the school system. Results suggest that there is a mismatch between the diagnostic reports and the SEN condition legally recognized according to Brazilian law, in addition to the under-reporting and under specialized service use of students with disabilities.

  14. Diagnostic study of multiple double layer formation in expanding RF plasma

    Science.gov (United States)

    Chakraborty, Shamik; Paul, Manash Kumar; Roy, Jitendra Nath; Nath, Aparna

    2018-03-01

    Intensely luminous double layers develop and then expand in size in a visibly glowing RF discharge produced using a plasma source consisting of a semi-transparent cylindrical mesh with a central electrode, in a linear plasma chamber. Although RF discharge is known to be independent of device geometry in the absence of magnetic field, the initiation of RF discharge using such a plasma source results in electron drift and further expansion of the plasma in the vessel. The dynamics of complex plasma structures are studied through electric probe diagnostics in the expanding RF plasma. The measurements made to study the parametric dependence of evolution of double layer structures are analyzed and presented here. The plasma parameter measurements suggest that the complex potential structures initially form with low potential difference between the layers and then gradually expand producing burst oscillations. The present study provides interesting information about the stability of plasma sheath and charge particle dynamics in it that are important to understand the underlying basic sheath physics along with applications in plasma acceleration and propulsion.

  15. Does standardised structured reporting contribute to quality in diagnostic pathology? The importance of evidence-based datasets.

    Science.gov (United States)

    Ellis, D W; Srigley, J

    2016-01-01

    Key quality parameters in diagnostic pathology include timeliness, accuracy, completeness, conformance with current agreed standards, consistency and clarity in communication. In this review, we argue that with worldwide developments in eHealth and big data, generally, there are two further, often overlooked, parameters if our reports are to be fit for purpose. Firstly, population-level studies have clearly demonstrated the value of providing timely structured reporting data in standardised electronic format as part of system-wide quality improvement programmes. Moreover, when combined with multiple health data sources through eHealth and data linkage, structured pathology reports become central to population-level quality monitoring, benchmarking, interventions and benefit analyses in public health management. Secondly, population-level studies, particularly for benchmarking, require a single agreed international and evidence-based standard to ensure interoperability and comparability. This has been taken for granted in tumour classification and staging for many years, yet international standardisation of cancer datasets is only now underway through the International Collaboration on Cancer Reporting (ICCR). In this review, we present evidence supporting the role of structured pathology reporting in quality improvement for both clinical care and population-level health management. Although this review of available evidence largely relates to structured reporting of cancer, it is clear that the same principles can be applied throughout anatomical pathology generally, as they are elsewhere in the health system.

  16. Acute diagnostic biomarkers for spinal cord injury: review of the literature and preliminary research report.

    Science.gov (United States)

    Yokobori, Shoji; Zhang, Zhiqun; Moghieb, Ahmed; Mondello, Stefania; Gajavelli, Shyam; Dietrich, W Dalton; Bramlett, Helen; Hayes, Ronald L; Wang, Michael; Wang, Kevin K W; Bullock, M Ross

    2015-05-01

    Many efforts have been made to create new diagnostic technologies for use in the diagnosis of central nervous system injury. However, there is still no consensus for the use of biomarkers in clinical acute spinal cord injury (SCI). The aims of this review are (1) to evaluate the current status of neurochemical biomarkers and (2) to discuss their potential acute diagnostic role in SCI by reviewing the literature. PubMed (http://www.ncbi.nlm.nih.gov/pubmed) was searched up to 2012 to identify publications concerning diagnostic biomarkers in SCI. To support more knowledge, we also checked secondary references in the primarily retrieved literature. Neurofilaments, cleaved-Tau, microtubule-associated protein 2, myelin basic protein, neuron-specific enolase, S100β, and glial fibrillary acidic protein were identified as structural protein biomarkers in SCI by this review process. We could not find reports relating ubiquitin C-terminal hydrolase-L1 and α-II spectrin breakdown products, which are widely researched in other central nervous system injuries. Therefore, we present our preliminary data relating to these two biomarkers. Some of biomarkers showed promising results for SCI diagnosis and outcome prediction; however, there were unresolved issues relating to accuracy and their accessibility. Currently, there still are not many reports focused on diagnostic biomarkers in SCI. This fact warranted the need for greater efforts to innovate sensitive and reliable biomarkers for SCI. Copyright © 2015 Elsevier Inc. All rights reserved.

  17. CONTINUOUS MID-INFRARED STAR FORMATION RATE INDICATORS: DIAGNOSTICS FOR 0 < z < 3 STAR-FORMING GALAXIES

    Energy Technology Data Exchange (ETDEWEB)

    Battisti, A. J.; Calzetti, D. [Department of Astronomy, University of Massachusetts, Amherst, MA 01003 (United States); Johnson, B. D. [Harvard-Smithsonian Center for Astrophysics, 60 Garden Street, Cambridge, MA 02138 (United States); Elbaz, D., E-mail: abattist@astro.umass.edu [Laboratoire AIM-Paris-Saclay, CEA/DSM/Irfu, CNRS, Université Paris Diderot, Saclay, pt courrier 131, F-91191 Gif-sur-Yvette (France)

    2015-02-20

    We present continuous, monochromatic star formation rate (SFR) indicators over the mid-infrared wavelength range of 6–70 μm. We use a sample of 58 star-forming galaxies (SFGs) in the Spitzer–SDSS–GALEX Spectroscopic Survey at z < 0.2, for which there is a rich suite of multi-wavelength photometry and spectroscopy from the ultraviolet through to the infrared. The data from the Spitzer Infrared Spectrograph (IRS) of these galaxies, which spans 5–40 μm, is anchored to their photometric counterparts. The spectral region between 40–70 μm is interpolated using dust model fits to the IRS spectrum and Spitzer 70 and 160 μm photometry. Since there are no sharp spectral features in this region, we expect these interpolations to be robust. This spectral range is calibrated as a SFR diagnostic using several reference SFR indicators to mitigate potential bias. Our band-specific continuous SFR indicators are found to be consistent with monochromatic calibrations in the local universe, as derived from Spitzer, WISE, and Herschel photometry. Our local composite template and continuous SFR diagnostics are made available for public use through the NASA/IPAC Infrared Science Archive (IRSA) and have typical dispersions of 30% or less. We discuss the validity and range of applicability for our SFR indicators in the context of unveiling the formation and evolution of galaxies. Additionally, in the era of the James Webb Space Telescope this will become a flexible tool, applicable to any SFG up to z ∼ 3.

  18. The Reliability and Validity of the Panic Disorder Self-Report: A New Diagnostic Screening Measure of Panic Disorder

    Science.gov (United States)

    Newman, Michelle G.; Holmes, Marilyn; Zuellig, Andrea R.; Kachin, Kevin E.; Behar, Evelyn

    2006-01-01

    This study examined the Panic Disorder Self-Report (PDSR), a new self-report diagnostic measure of panic disorder based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association, 1994). PDSR diagnoses were compared with structured interview diagnoses of individuals with generalized anxiety…

  19. Structured assessment format for evaluating operative reports in general surgery.

    Science.gov (United States)

    Vergis, Ashley; Gillman, Lawrence; Minor, Samuel; Taylor, Mark; Park, Jason

    2008-01-01

    Despite its multifaceted importance, no validated or reliable tools assess the quality of the dictated operative note. This study determined the construct validity, interrater reliability, and internal consistency of a Structured Assessment Format for Evaluating Operative Reports (SAFE-OR) in general surgery. SAFE-OR was developed by using consensus criteria set forth by the Canadian Association of General Surgeons. This instrument includes a structured assessment and a global quality rating scale. Residents divided into novice and experienced groups viewed and dictated a videotaped laparoscopic sigmoid colectomy. Blinded, independent faculty evaluators graded the transcribed reports using SAFE-OR. Twenty-one residents participated in the study. Mean structured assessment scores (out of 44) were significantly lower for novice versus experienced residents (23.3 +/- 5.2 vs 34.1 +/- 6.0, t = .001). Mean global quality scores (out of 45) were similarly lower for novice residents (25.6 +/- 4.7 vs 35.9 +/- 7.6, t = .006). Interclass correlation coefficients were .98 (95% confidence interval, .96-.99) for structured assessment and .93 (95% confidence interval, .83-.97) for global quality scales. Cronbach alpha coefficients for internal consistency were .85 for structured assessment and .96 for global quality assessment scales. SAFE-OR shows significant construct validity, excellent interrater reliability, and high internal consistency. This tool will allow educators to objectively evaluate the quality of trainee operative reports and provide a mechanism for implementing, monitoring, and refining curriculum for dictation skills.

  20. Diagnostic radiography students' perceptions of formative peer assessment within a radiographic technique module

    International Nuclear Information System (INIS)

    Elshami, W.; Abdalla, M.E.

    2017-01-01

    Introduction: Assessment is a central part of student learning. Student involvement in peer assessment leads to significant improvement in students' performance, supports students' learning, promotes the development of evaluation skills and encourages reflection. Aim: The aim of this study is to assess perceptions of the Formative Peer Assessment (FPA) initiative within a higher education setting for undergraduate radiography students. Methods: Qualitative action research was conducted. Students were allowed to anonymously assess each other's assignments using a standardized evaluation sheet that they had been trained to use. Participants' perceptions were assessed through focus group discussion. Results: The findings showed that students' experiences with peer assessment were positive. Students acknowledged that they received valuable feedback and learned from assessing their peers. Students recommended the need for training and suggested using more than one evaluator. Conclusion: The FPA initiative in the study institution believed to be succeed as the students had a positive experience with the FPA. Students learnt from PA and from self-assessment. Implementation of PA will promote reflection and critical thinking and problem solving skills, that are important traits in radiography graduate profile as in radiography clinical practice the professional require to modify imaging techniques and critique images to ensure the quality of care. - Highlights: • Participants had a positive experience with the Formative Peer Assessment (FPA). • Students believed that the FPA had a positive impact on their learning. • FPA was time-consuming but benefits outweigh the extra time commitment. • Comprehensive training and detailed grading rubric are recommended to improve FPA.

  1. The frequency of diagnostic errors in radiologic reports depends on the patient's age

    International Nuclear Information System (INIS)

    Diaz, Sandra; Ekberg, Olle

    2010-01-01

    Background: Patients who undergo treatment may suffer preventable medical errors. Some of these errors are due to diagnostic imaging procedures. Purpose: To compare the frequency of diagnostic errors in different age groups in an urban European population. Material and Methods: A total of 19 129 reported radiologic examinations were included. During a 6-month period, the analyzed age groups were: children (aged 0-9 years), adults (40-49 years), and elderly (86-95 years). Results: The frequency of radiologic examinations per year was 0.3 in children, 0.6 in adults, and 1.1 in elderly. Significant errors were significantly more frequent in the elderly (1.7%) and children (1.4%) compared with adults (0.8%). There were 60 false-positive reports and 232 false-negative reports. Most errors were made by staff radiologists after hours when they reported on examinations outside their area of expertise. Conclusion: Diagnostic errors are more frequent in children and the elderly compared with middle-aged adults

  2. The Formation of IRIS Diagnostics. IX. The Formation of the C i 135.58 NM Line in the Solar Atmosphere

    Energy Technology Data Exchange (ETDEWEB)

    Lin, Hsiao-Hsuan; Carlsson, Mats; Leenaarts, Jorrit, E-mail: mats.carlsson@astro.uio.no, E-mail: jorrit.leenaarts@astro.su.se [Institute of Theoretical Astrophysics, University of Oslo, P.O. Box 1029 Blindern, NO-0315 Oslo (Norway)

    2017-09-01

    The C i 135.58 nm line is located in the wavelength range of NASA’s Interface Region Imaging Spectrograph ( IRIS ) small explorer mission. We study the formation and diagnostic potential of this line by means of non local-thermodynamic-equilibrium modeling, employing both 1D and 3D radiation-magnetohydrodynamic models. The C i/C ii ionization balance is strongly influenced by photoionization by Ly α emission. The emission in the C i 135.58 nm line is dominated by a recombination cascade and the line forming region is optically thick. The Doppler shift of the line correlates strongly with the vertical velocity in its line forming region, which is typically located at 1.5 Mm height. With IRIS , the C i 135.58 nm line is usually observed together with the O i 135.56 nm line, and from the Doppler shift of both lines, we obtain the velocity difference between the line forming regions of the two lines. From the ratio of the C i/O i line core intensity, we can determine the distance between the C i and the O i forming layers. Combined with the velocity difference, the velocity gradient at mid-chromospheric heights can be derived. The C i/O i total intensity line ratio is correlated with the inverse of the electron density in the mid-chromosphere. We conclude that the C i 135.58 nm line is an excellent probe of the middle chromosphere by itself, and together with the O i 135.56 nm line the two lines provide even more information, which complements other powerful chromospheric diagnostics of IRIS such as the Mg ii h and k lines and the C ii lines around 133.5 nm.

  3. USXR Based MHD, Transport, Equilibria and Current Profile Diagnostics for NSTX. Final Report

    International Nuclear Information System (INIS)

    Finkenthal, Michael

    2009-01-01

    The present report resumes the research activities of the Plasma Spectroscopy/Diagnostics Group at Johns Hopkins University performed on the NSTX tokamak at PPPL during the period 1999-2009. During this period we have designed and implemented XUV based diagnostics for a large number of tasks: study of impurity content and particle transport, MHD activity, time-resolved electron temperature measeurements, ELM research, etc. Both line emission and continuum were used in the XUV range. New technics and novel methods have been devised within the framework of the present research. Graduate and post-graduate students have been involved at all times in addition to the senior research personnel. Several tens of papers have been published and lectures have been given based on the obtained results at conferences and various research institutions (lists of these activities were attached both in each proposal and in the annual reports submitted to our supervisors at OFES)

  4. Hypohidrotic ectodermal dysplasia - Diagnostic aids and a report of 5 cases

    Directory of Open Access Journals (Sweden)

    Ramesh K

    2010-03-01

    Full Text Available Hypohidrotic ectodermal dysplasia (HED is a rare group of disorders affecting the hair, teeth, nails and sweat glands to a variable degree. There is a wide range of clinical presentation of HED. Missing teeth or abnormal tooth form may be the first indicator of the disorder. We present a case report of 5 cases of HED with their intraoral findings and their treatment plan. We also consider the various etiological factors and their clinical diagnostic aids.

  5. Surgical abdomen in patients with nephrotic syndrome: complexities of differential diagnostics. 2 case reports

    OpenAIRE

    Nogaibayeva, A.; Moldakhmetova, S.; Tuganbekova, S.; Krivoruchko, N.

    2014-01-01

    INTROduCTIONANdAIMS: Differential-diagnostic search is very important at the stage of abdominal nephrotic crisis for determination of therapy tactics; as the probability of development of acute surgical pathology is very high, due to connection of infectious complications on a background of the basic pathology and immunosupression. We report 2 patients with acute onset of abdominal pain on a background of severe nephrotic syndrome (NS). METHOdS: Case 1: 20-years old man with bioptic diagnosis...

  6. American Pancreatic Association Practice Guidelines in Chronic Pancreatitis: Evidence-Based Report on Diagnostic Guidelines

    Science.gov (United States)

    Conwell, Darwin L.; Lee, Linda S.; Yadav, Dhiraj; Longnecker, Daniel S.; Miller, Frank H.; Mortele, Koenraad J.; Levy, Michael J.; Kwon, Richard; Lieb, John G.; Stevens, Tyler; Toskes, Philip P.; Gardner, Timothy B.; Gelrud, Andres; Wu, Bechien U.; Forsmark, Christopher E.; Vege, Santhi S.

    2016-01-01

    The diagnosis of chronic pancreatitis remains challenging in early stages of the disease. This report defines the diagnostic criteria useful in the assessment of patients with suspected and established chronic pancreatitis. All current diagnostic procedures are reviewed and evidence based statements are provided about their utility and limitations. Diagnostic criteria for chronic pancreatitis are classified as definitive, probable or insufficient evidence. A diagnostic (STEP-wise; S-survey, T-tomography, E-endoscopy and P-pancreas function testing) algorithm is proposed that proceeds from a non-invasive to a more invasive approach. This algorithm maximizes specificity (low false positive rate) in subjects with chronic abdominal pain and equivocal imaging changes. Futhermore, a nomenclature is suggested to further characterize patients with established chronic pancreatitis based on TIGAR-O (T-toxic, I-idiopathic, G-genetic, A- autoimmune, R-recurrent and O-obstructive) etiology, gland morphology (Cambridge criteria) and physiologic state (exocrine, endocrine function) for uniformity across future multi-center research collaborations. This guideline will serve as a baseline manuscript that will be modified as new evidence becomes available and our knowledge of chronic pancreatitis improves. PMID:25333398

  7. American Pancreatic Association Practice Guidelines in Chronic Pancreatitis: evidence-based report on diagnostic guidelines.

    Science.gov (United States)

    Conwell, Darwin L; Lee, Linda S; Yadav, Dhiraj; Longnecker, Daniel S; Miller, Frank H; Mortele, Koenraad J; Levy, Michael J; Kwon, Richard; Lieb, John G; Stevens, Tyler; Toskes, Phillip P; Gardner, Timothy B; Gelrud, Andres; Wu, Bechien U; Forsmark, Christopher E; Vege, Santhi S

    2014-11-01

    The diagnosis of chronic pancreatitis remains challenging in early stages of the disease. This report defines the diagnostic criteria useful in the assessment of patients with suspected and established chronic pancreatitis. All current diagnostic procedures are reviewed, and evidence-based statements are provided about their utility and limitations. Diagnostic criteria for chronic pancreatitis are classified as definitive, probable, or insufficient evidence. A diagnostic (STEP-wise; survey, tomography, endoscopy, and pancreas function testing) algorithm is proposed that proceeds from a noninvasive to a more invasive approach. This algorithm maximizes specificity (low false-positive rate) in subjects with chronic abdominal pain and equivocal imaging changes. Furthermore, a nomenclature is suggested to further characterize patients with established chronic pancreatitis based on TIGAR-O (toxic, idiopathic, genetic, autoimmune, recurrent, and obstructive) etiology, gland morphology (Cambridge criteria), and physiologic state (exocrine, endocrine function) for uniformity across future multicenter research collaborations. This guideline will serve as a baseline manuscript that will be modified as new evidence becomes available and our knowledge of chronic pancreatitis improves.

  8. Study of calcification formation and disease diagnostics utilising advanced vibrational spectroscopy

    Science.gov (United States)

    Kerssens, Marleen Maartje

    The accurate and safe diagnosis of breast cancer is a significant societal issue, with annual disease incidence of 48,000 women and around 370 men in the UK. Early diagnosis of the disease allows more conservative treatments and better patient outcomes. Microcalcifications in breast tissue are an important indicator for breast cancers, and often the only sign of their presence. Several studies have suggested that the type of calcification formed may act as a marker for malignancy and its presence may be of biological significance. In this work, breast calcifications are studied with FTIR, synchrotron FTIR, ATR FTIR, and Raman mapping to explore their disease specific composition. From a comparison between vibrational spectroscopy and routine staining procedures it becomes clear that calcium builds up prior to calcification formation. Raman and FTIR indicate the same size for calcifications and are in agreement with routine staining techniques. From the synchrotron FTIR measurements it can be proven that amide is present in the centre of the calcifications and the intensity of the bands depends on the pathology. Special attention is paid to the type of carbonate substitution in the calcifications relating to different pathology grades. In contrast to mammography, Raman spectroscopy has the capability to distinguish calcifications based on their chemical composition. The ultimate goal is to turn the acquired knowledge from the mapping studies into a clinical tool based on deep Raman spectroscopy. Deep Raman techniques have a considerable potential to reduce large numbers of normal biopsies, reduce the time delay between screening and diagnosis and therefore diminish patient anxiety. In order to achieve this, a deep Raman system is designed and after evaluation of its performance tested on buried calcification standards in porcine soft tissue and human mammary tissue. It is shown that, when the calcification is probed through tissue, the strong 960 cm-1 phosphate band

  9. 2012 HIV Diagnostics Conference: the molecular diagnostics perspective.

    Science.gov (United States)

    Branson, Bernard M; Pandori, Mark

    2013-04-01

    2012 HIV Diagnostic Conference Atlanta, GA, USA, 12-14 December 2012. This report highlights the presentations and discussions from the 2012 National HIV Diagnostic Conference held in Atlanta (GA, USA), on 12-14 December 2012. Reflecting changes in the evolving field of HIV diagnostics, the conference provided a forum for evaluating developments in molecular diagnostics and their role in HIV diagnosis. In 2010, the HIV Diagnostics Conference concluded with the proposal of a new diagnostic algorithm which included nucleic acid testing to resolve discordant screening and supplemental antibody test results. The 2012 meeting, picking up where the 2010 meeting left off, focused on scientific presentations that assessed this new algorithm and the role played by RNA testing and new developments in molecular diagnostics, including detection of total and integrated HIV-1 DNA, detection and quantification of HIV-2 RNA, and rapid formats for detection of HIV-1 RNA.

  10. Case Report: SPECT/CT as the New Diagnostic Tool for Specific Wrist Pathology.

    Science.gov (United States)

    Linde, Musters; Ten Broek, M; Kraan, G A

    2017-01-01

    Single photon emission computed tomography has been introduced as a promising new diagnostic tool in orthopaedic pathology since the early 90'. Computed tomography, the combined with SPECT, gives insight in the specific sight of wrist pathology. Literature already supports introduction of SPECT/CT in wrist pathology, but clinical application is lagging. A 40yr old patient reported first in 2004 with persisting pain after a right distal radius fracture. Several diagnostics and operative interventions were performed, all unsuccessful. Because of the persisting pain a SPECT-CT was performed which showed a cyst in the hamate bone, which was successfully enucleated. The patient was finally pain free at recent follow-up. With a QDash-score of 43 and a PRW (H) E-DLV-score of 58/150. In this case report, SPECT/CT proved a very sensitive diagnostic tool for specific pathology of the wrist. It offered precise localisation and thereby the clinically suspected diagnosis was confirmed and the patient successfully treated.

  11. Systematic overview finds variation in approaches to investigating and reporting on sources of heterogeneity in systematic reviews of diagnostic studies

    NARCIS (Netherlands)

    Naaktgeboren, Christiana A.; van Enst, Wynanda A.; Ochodo, Eleanor A.; de Groot, Joris A. H.; Hooft, Lotty; Leeflang, Mariska M.; Bossuyt, Patrick M.; Moons, Karel G. M.; Reitsma, Johannes B.

    2014-01-01

    To examine how authors explore and report on sources of heterogeneity in systematic reviews of diagnostic accuracy studies. A cohort of systematic reviews of diagnostic tests was systematically identified. Data were extracted on whether an exploration of the sources of heterogeneity was undertaken,

  12. Edge density fluctuation diagnostic for DIII-D using lithium beams: 1992 annual report

    International Nuclear Information System (INIS)

    Thomas, D.M.

    1994-01-01

    During the past several months the Lithium beam diagnostic was commissioned of DIII-D and began yielding useful information. The author developed the remote control and monitoring of the ion source operation and beam formation and focussing, and integrated the control system and data acquisition into the DIII-D operating system. Several detector types were fabricated, and fluorescence data were collected using several differing detector arrangements. Beam-gas measurements were conducted to analyze the intrinsic beam fluctuations and stability. Fluorescence data was then obtained on a number of Tokamak discharges under varying discharge conditions. Analysis of this initial data is proceeding but has already yielded some interesting features. These include changes in the edge plasma density behavior during the l- to h-transition, disruptions, and edge localized modes (ELMs). Based on the quality of data obtained the author proceeded with the design and construction of the full 16-channel detection system which will be completed and tested shortly

  13. Diagnostic Accuracy of a Self-Report Measure of Patellar Tendinopathy in Youth Basketball.

    Science.gov (United States)

    Owoeye, Oluwatoyosi B A; Wiley, J Preston; Walker, Richard E A; Palacios-Derflingher, Luz; Emery, Carolyn A

    2018-04-27

    Study Design Prospective diagnostic accuracy validation study. Background Engaging clinicians for diagnosis of patellar tendinopathy in large surveillance studies is often impracticable. A self-report measure, the Oslo Sports Research Trauma Centre patellar tendinopathy (OSTRC-P) Questionnaire, an adaptation of the OSTRC Questionnaire may provide a viable alternative. Objectives To evaluate the diagnostic accuracy of the OSTRC-P Questionnaire in detecting patellar tendinopathy in youth basketball players when compared to clinical evaluation. Methods Following the Standards for Reporting of Diagnostic Accuracy Studies guidelines, 208 youth basketball players (aged 13-18 years) were recruited. Participants completed the OSTRC-P Questionnaire (index test) prior to a clinical evaluation (reference standard) by a physiotherapist blinded to OSTRC-P Questionnaire results. Sensitivity, specificity, predictive values (PVs), likelihood ratios (LRs) and posttest probabilities were calculated. Linear regression was used to examine the association between OSTRC-P Questionnaire severity score and patellar tendinopathy severity rating during single leg decline squat (SLDS). Results The final analysis included 169 players. The OSTRC-P Questionnaire had a sensitivity of 79% (95%CI: 65%, 90%), specificity of 98% (95%CI: 94%, 100%), positive PV of 95%, negative PV of 92%, positive LR of 48 and negative LR of 0.21. The posttest probabilities were 95% and 8% given positive and negative results, respectively. A positive association was found between OSTRC-P Questionnaire and SLDS rating [(β = .08 (95%CI: .03, .12) (p = .001)]. Conclusions The OSTRC-P Questionnaire is an acceptable alternative to clinical evaluation for self-reporting patellar tendinopathy and grading its severity in settings involving youth basketball players. Level of Evidence Diagnosis, level 1b. J Orthop Sports Phys Ther, Epub 27 Apr 2018. doi:10.2519/jospt.2018.8088.

  14. Does the Reporting Quality of Diagnostic Test Accuracy Studies, as Defined by STARD 2015, Affect Citation?

    Science.gov (United States)

    Choi, Young Jun; Chung, Mi Sun; Koo, Hyun Jung; Park, Ji Eun; Yoon, Hee Mang; Park, Seong Ho

    2016-01-01

    To determine the rate with which diagnostic test accuracy studies that are published in a general radiology journal adhere to the Standards for Reporting of Diagnostic Accuracy Studies (STARD) 2015, and to explore the relationship between adherence rate and citation rate while avoiding confounding by journal factors. All eligible diagnostic test accuracy studies that were published in the Korean Journal of Radiology in 2011-2015 were identified. Five reviewers assessed each article for yes/no compliance with 27 of the 30 STARD 2015 checklist items (items 28, 29, and 30 were excluded). The total STARD score (number of fulfilled STARD items) was calculated. The score of the 15 STARD items that related directly to the Quality Assessment of Diagnostic Accuracy Studies (QUADAS)-2 was also calculated. The number of times each article was cited (as indicated by the Web of Science) after publication until March 2016 and the article exposure time (time in months between publication and March 2016) were extracted. Sixty-three articles were analyzed. The mean (range) total and QUADAS-2-related STARD scores were 20.0 (14.5-25) and 11.4 (7-15), respectively. The mean citation number was 4 (0-21). Citation number did not associate significantly with either STARD score after accounting for exposure time (total score: correlation coefficient = 0.154, p = 0.232; QUADAS-2-related score: correlation coefficient = 0.143, p = 0.266). The degree of adherence to STARD 2015 was moderate for this journal, indicating that there is room for improvement. When adjusted for exposure time, the degree of adherence did not affect the citation rate.

  15. Dose the reporting quality of diagnostic test accuracy studies, as defined by STARD 2015, affect citation?

    International Nuclear Information System (INIS)

    Choi, Young Jun; Chung, Mi Sun; Koo, Hyun Jung; Park, Ji Eun; Yoon, Hee Mang; Park, Seong Ho

    2016-01-01

    To determine the rate with which diagnostic test accuracy studies that are published in a general radiology journal adhere to the Standards for Reporting of Diagnostic Accuracy Studies (STARD) 2015, and to explore the relationship between adherence rate and citation rate while avoiding confounding by journal factors. All eligible diagnostic test accuracy studies that were published in the Korean Journal of Radiology in 2011–2015 were identified. Five reviewers assessed each article for yes/no compliance with 27 of the 30 STARD 2015 checklist items (items 28, 29, and 30 were excluded). The total STARD score (number of fulfilled STARD items) was calculated. The score of the 15 STARD items that related directly to the Quality Assessment of Diagnostic Accuracy Studies (QUADAS)-2 was also calculated. The number of times each article was cited (as indicated by the Web of Science) after publication until March 2016 and the article exposure time (time in months between publication and March 2016) were extracted. Sixty-three articles were analyzed. The mean (range) total and QUADAS-2-related STARD scores were 20.0 (14.5–25) and 11.4 (7–15), respectively. The mean citation number was 4 (0–21). Citation number did not associate significantly with either STARD score after accounting for exposure time (total score: correlation coefficient = 0.154, p = 0.232; QUADAS-2-related score: correlation coefficient = 0.143, p = 0.266). The degree of adherence to STARD 2015 was moderate for this journal, indicating that there is room for improvement. When adjusted for exposure time, the degree of adherence did not affect the citation rate

  16. Dose the reporting quality of diagnostic test accuracy studies, as defined by STARD 2015, affect citation?

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Young Jun; Chung, Mi Sun; Koo, Hyun Jung; Park, Ji Eun; Yoon, Hee Mang; Park, Seong Ho [Dept. of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul (Korea, Republic of)

    2016-09-15

    To determine the rate with which diagnostic test accuracy studies that are published in a general radiology journal adhere to the Standards for Reporting of Diagnostic Accuracy Studies (STARD) 2015, and to explore the relationship between adherence rate and citation rate while avoiding confounding by journal factors. All eligible diagnostic test accuracy studies that were published in the Korean Journal of Radiology in 2011–2015 were identified. Five reviewers assessed each article for yes/no compliance with 27 of the 30 STARD 2015 checklist items (items 28, 29, and 30 were excluded). The total STARD score (number of fulfilled STARD items) was calculated. The score of the 15 STARD items that related directly to the Quality Assessment of Diagnostic Accuracy Studies (QUADAS)-2 was also calculated. The number of times each article was cited (as indicated by the Web of Science) after publication until March 2016 and the article exposure time (time in months between publication and March 2016) were extracted. Sixty-three articles were analyzed. The mean (range) total and QUADAS-2-related STARD scores were 20.0 (14.5–25) and 11.4 (7–15), respectively. The mean citation number was 4 (0–21). Citation number did not associate significantly with either STARD score after accounting for exposure time (total score: correlation coefficient = 0.154, p = 0.232; QUADAS-2-related score: correlation coefficient = 0.143, p = 0.266). The degree of adherence to STARD 2015 was moderate for this journal, indicating that there is room for improvement. When adjusted for exposure time, the degree of adherence did not affect the citation rate.

  17. Acoustic noise diagnostics of leaks. Report of the E O Paton Electric Welding Institute, Kiev, 1997

    International Nuclear Information System (INIS)

    Volkov, L.P.; Zverev, A.F.; Kozeletskii, V.F.; Leonov, A.N.

    1999-01-01

    Special attention has been paid in recent years to safe service of nuclear energy plant (NEP): various safety programmes are being developed and applied, measures are taken in reactors of the WWER-RBMK type, the Gospromatomnadzor is introducing a package of new standard requirements and documents, etc. Formation of leaks in equipment and pipelines, actual leakage and the discharge of the heat carrier outside the limits of contour I of the NEP leads to undesirable and sometimes serious consequences. In most cases, elimination of these consequences is associated with the need to use a large amount of material, personnel, shutdown of nuclear equipment, disruption of the ecological situation, and partial or complete loss of electric or thermal power. The 'leak prior to fracture' concept, accepted several years ago in the EEC countries and the USA has been used as a strong impetus for the rapid development of diagnostic means of inspection of pipelines and equipment, including acoustic equipment. The development of means of acoustic leak detection as a variety of noise diagnostics is still important because the utilisation of the possibilities of the methods of noise diagnostics makes it possible to solve a complex problem: recording the actual leakage event, determination of its position and the degree of risk. The majority of modern leak inspection methods, having a low sensitivity threshold, require development of special testing conditions, the use of indicator or test substances and, most importantly, they should not be remote controlled. For example, the mass spectrometric, halide, luminescent, bubble and capillary methods have a sensitivity threshold of 6.7·10 -11 -6.7·10 -4 m 3 Pa/s, but require the presence of an operator in the inspection area. The use of these methods for determining leakage in pipelines and equipment of nuclear power plant is out of the question and it is not possible to develop a system for remote control of NEP equipment using these

  18. Research and development of an aimed magnetic lead current density-magnetic field diagnostic. Final report

    International Nuclear Information System (INIS)

    1985-01-01

    A diagnostics survey was made to provide a clear definition of advanced diagnostic needs and the limitations of current approaches in addressing those needs. Special attention was given to the adequacy with which current diagnostics are interfaced to signal processing/data acquisition devices and systems. Critical evaluations of selected alternative diagnostic techniques for future R and D activities are presented. The conceptual basis of the Aimed Magnetic Lead Gradiometric system as a current density/magnetic field diagnostic is established

  19. Recommendations for reporting of systematic reviews and meta-analyses of diagnostic test accuracy: a systematic review

    NARCIS (Netherlands)

    McGrath, Trevor A.; Alabousi, Mostafa; Skidmore, Becky; Korevaar, Daniël A.; Bossuyt, Patrick M. M.; Moher, David; Thombs, Brett; McInnes, Matthew D. F.

    2017-01-01

    This study is to perform a systematic review of existing guidance on quality of reporting and methodology for systematic reviews of diagnostic test accuracy (DTA) in order to compile a list of potential items that might be included in a reporting guideline for such reviews: Preferred Reporting Items

  20. In defense of causal-formative indicators: A minority report.

    Science.gov (United States)

    Bollen, Kenneth A; Diamantopoulos, Adamantios

    2017-09-01

    Causal-formative indicators directly affect their corresponding latent variable. They run counter to the predominant view that indicators depend on latent variables and are thus often controversial. If present, such indicators have serious implications for factor analysis, reliability theory, item response theory, structural equation models, and most measurement approaches that are based on reflective or effect indicators. Psychological Methods has published a number of influential articles on causal and formative indicators as well as launching the first major backlash against them. This article examines 7 common criticisms of these indicators distilled from the literature: (a) A construct measured with "formative" indicators does not exist independently of its indicators; (b) Such indicators are causes rather than measures; (c) They imply multiple dimensions to a construct and this is a liability; (d) They are assumed to be error-free, which is unrealistic; (e) They are inherently subject to interpretational confounding; (f) They fail proportionality constraints; and (g) Their coefficients should be set in advance and not estimated. We summarize each of these criticisms and point out the flaws in the logic and evidence marshaled in their support. The most common problems are not distinguishing between what we call causal-formative and composite-formative indicators, tautological fallacies, and highlighting issues that are common to all indicators, but presenting them as special problems of causal-formative indicators. We conclude that measurement theory needs (a) to incorporate these types of indicators, and (b) to better understand their similarities to and differences from traditional indicators. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  1. Generic Community System Specification: A Proposed Format for Reporting the Results of Microgrid Optimization Analysis

    Energy Technology Data Exchange (ETDEWEB)

    Jimenez, Antonio [National Renewable Energy Laboratory (NREL), Golden, CO (United States)

    2018-03-14

    This document provides a proposed format for reporting the results of microgrid optimization analysis. While the proposed format assumes that the modeling is conducted as part of a renewable energy retrofit of an existing diesel micro-grid, the format can certainly be adopted for other situations.

  2. 75 FR 16140 - Common Formats for Patient Safety Data Collection and Event Reporting

    Science.gov (United States)

    2010-03-31

    ... FR 45457-45458. Definition of Common Formats The term ``Common Formats'' is used to describe clinical... DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Common Formats for Patient Safety Data Collection and Event Reporting AGENCY: Agency for Healthcare Research and...

  3. Multimodality Molecular Imaging (FDG-PET/CT, US Elastography, and DWI-MRI) as Complimentary Adjunct for Enhancing Diagnostic Confidence in Reported Intermediate Risk Category Thyroid Nodules on Bethesda Thyroid Cytopathology Reporting System

    International Nuclear Information System (INIS)

    Basu, Sandip; Mahajan, Abhishek; Arya, Supreeta

    2016-01-01

    The potential complimentary role of various molecular imaging modalities [fluorodeoxyglucose-positron emission tomography/computed tomography (FDG-PET/CT), ultrasound (US)-elastography, and diffusion weighted imaging-magnetic resonance imaging (DWI-MRI)] in characterizing thyroid nodules, which have been designated as “intermediate risk category” on the Bethesda thyroid cytopathology reporting system (BTCRS), is illustrated in this communication. The clinical cases described (category III thyroid nodules on BTCRS) show the imaging features and the final diagnostic impressions rendered by the interpreting physicians with the modalities that have been independently compared in a tabular format at the end; of particular note is the high negative predictive value of these (specifically FDG-PET/CT), which could aid in enhancing the diagnostic confidence in the reported “intermediate risk category” thyroid nodules, a “gray zone” from the patient management viewpoint

  4. 78 FR 38739 - Standard Format and Content for Post-Shutdown Decommissioning Activities Report

    Science.gov (United States)

    2013-06-27

    ... NUCLEAR REGULATORY COMMISSION [NRC-2012-0299] Standard Format and Content for Post-Shutdown Decommissioning Activities Report AGENCY: Nuclear Regulatory Commission. ACTION: Regulatory guide; issuance..., ``Standard Format and Content for Post-shutdown Decommissioning Activities Report.'' This guide describes a...

  5. Recurrent white thrombi formation in hemodialysis tubing: a case report.

    Science.gov (United States)

    Sathe, Kiran P; Yeo, Wee-Song; Liu, Isaac Desheng; Ekambaram, Sudha; Azar, Mohammed; Yap, Hui-Kim; Ng, Kar-Hui

    2015-01-15

    While the appearance of red clots in the dialyzer is a common phenomenon in every hemodialysis unit, the occurrence of white thrombi in the tubing is relatively rare. We describe an adolescent male with recurrent white thrombi formation in the hemodialysis tubing. This patient had chronic renal failure from focal segmental glomerulosclerosis, but was no longer nephrotic at the time of the thrombi formation. He had a history of recurrent thrombosis of his vascular access. However, no pro-thrombotic risk factors could be identified. White particulate matter, measuring 1 to 3mm in size, and adherent to the arterial and venous blood tubing lines was found during the rinse back of a hemodialysis session. This was associated with a 60% decrease in his platelet count. Light microscopic examination of the deposits revealed the presence of platelet aggregates. He subsequently developed thrombosis of his arteriovenous graft six hours later. The white thrombi recurred at the next dialysis session, as well as six months later. These episodes occurred regardless of the type of dialysis machine or tubing, and appeared to resolve with an increase in heparin dose. Recurrent white thrombi formation can occur in the hemodialysis tubing of a patient with no identifiable pro-thrombotic factors. The white thrombi may be a harbinger of arteriovenous graft thrombosis and may be prevented by an increase in heparin dose.

  6. Latex glove sensitivity amongst diagnostic imaging healthcare personnel: a self-reporting investigation

    International Nuclear Information System (INIS)

    Healy, Jan; Brennan, Patrick C.; Bowden, Julie Anne

    2003-01-01

    The use of latex gloves has risen dramatically among healthcare workers resulting in an increase in the number of workers experiencing reactions to gloves. Little evidence of reactions among Irish healthcare workers is available. The current, self-reporting study investigated the prevalence to latex gloves amongst four professional groups within three Diagnostic Imaging Departments. Prevalence is similar to that demonstrated elsewhere with 18.3% of individuals expressing latex associated symptoms. Symptoms included itching and redness of hands, dry cracked skin, soreness of eyes and upper respiratory tract complaints. These results indicate that latex hypersensitivity is a real problem amongst Irish healthcare workers. This preliminary work provides the basis of a much larger controlled study currently being planned

  7. Final Report on the Research Project Ringhals Diagnostics and Monitoring. Stage 4

    International Nuclear Information System (INIS)

    Demaziere, C.; Arzhanov, V.; Karlsson, Joakim K.H.; Pazsit, I.

    1999-01-01

    This report gives an account of the work performed by the Department of Reactor Physics in the frame of a research contract with Ringhals, Vattenfall AB. The contract constitutes Stage 4 of a long-term co-operative research work concerning diagnostics and monitoring of the BWR and PWR units. The work in Stage 4 has been performed between 1 October 1998 and 1 September 1999. In Stage 4 we have worked with four items as follows: 1. Regional modes in R1 stability measurements; 2. Analysis of data from the measurement 980604; 3. Study of the possibility of measuring the moderator temperature coefficient using noise methods. Literature survey and measurement evaluation; 4. Transfer of the method for determining axial control rod elevation. Current situation and progress

  8. Plasma diagnostics package. Volume 2: Spacelab 2 section. Part B: Thesis projects. Final science report

    International Nuclear Information System (INIS)

    Pickett, J.S.; Frank, L.A.; Kurth, W.S.

    1988-06-01

    This volume (2), which consists of two parts (A and B), of the Plasma Diagnostics Package (PDP) Final Science Report contains a summary of all of the data reduction and scientific analyses which were performed using PDP data obtained on STS-51F as a part of the Spacelab 2 (SL-2) payload. This work was performed during the period of launch, July 29, 1985, through June 30, 1988. During this period the primary data reduction effort consisted of processing summary plots of the data received by 12 of the 14 instruments located on the PDP and submitting these data to the National Space Science Data Center (NSSDC). Three Master's and three Ph.D. theses were written using PDP instrumentation data. These theses are listed in Volume 2, Part B

  9. Development of a reactor coolant pump monitoring and diagnostic system. Progress report, June 1982-July 1983

    International Nuclear Information System (INIS)

    Morris, D.J.; Sommerfield, G.A.

    1983-12-01

    The quality of operating data has been insufficient to allow proper evaluation of theoretical reactor coolant (RC) pump seal failure mechanisms. The RC pump monitoring and diagnostic system being developed and installed at Toledo Edison's Davis-Besse Nuclear Power Station will examine the relationship between seal failures and three other variables: The rotordynamic behavior of the pump shaft and related components, the internal conditions and performance of the seals, and the plant or pump operating environment (controlled by the plant operator). Interrelationships between these areas will be developed during the data collection task, scheduled to begin in October 1983 (for a full fuel cycle at Davis-Besse). This report describes system software and hardware development, testing, and installation work performed during this period. Also described is a parallel effort being conducted by a B and W/Byron Jackson/Utility group to improve pump seal performance

  10. Eosinophilic Gastroenteritis: Case Report and Review in Search for Diagnostic Key Points

    Directory of Open Access Journals (Sweden)

    Guillermo López-Medina

    2015-01-01

    Full Text Available Eosinophilic gastroenteritis is considered an uncommon disease with a low incidence rate that remains as a diagnostic challenge for the clinician, in spite of the fact that seventy years have passed since its original description. Hereby we present the case of a 29-year-old male without history of allergies who was evaluated for unspecific gastrointestinal symptoms, without relevant findings on physical examination and presenting an initial complete blood count (CBC with severe eosinophilia. The patient was evaluated and the diagnosis of eosinophilic gastroenteritis was confirmed by histopathological findings. The relevance of the case resides in highlighting the lack of guidelines or consensus for histological diagnosis being virtually the only one available. To a similar extent, treatment evidence is based on case series with a reasonable number of patients and case reports.

  11. Eosinophilic Gastroenteritis: Case Report and Review in Search for Diagnostic Key Points

    Science.gov (United States)

    López-Medina, Guillermo; Gallo, Manuel; Prado, Alejandro; Vicuña-Honorato, Iliana; Castillo Díaz de León, Roxana

    2015-01-01

    Eosinophilic gastroenteritis is considered an uncommon disease with a low incidence rate that remains as a diagnostic challenge for the clinician, in spite of the fact that seventy years have passed since its original description. Hereby we present the case of a 29-year-old male without history of allergies who was evaluated for unspecific gastrointestinal symptoms, without relevant findings on physical examination and presenting an initial complete blood count (CBC) with severe eosinophilia. The patient was evaluated and the diagnosis of eosinophilic gastroenteritis was confirmed by histopathological findings. The relevance of the case resides in highlighting the lack of guidelines or consensus for histological diagnosis being virtually the only one available. To a similar extent, treatment evidence is based on case series with a reasonable number of patients and case reports. PMID:26075112

  12. Preliminary clinical report of flexible videoarthroscopy in diagnostic knee and hip arthroscopy.

    Science.gov (United States)

    Bouaicha, Samy; Dora, Claudio; Puskas, Gabor J; Koch, Peter P; Wirth, Stephan H; Meyer, Dominik C

    2012-01-01

    Compared to rigid arthroscopic optics, a flexible camera system offers theoretically significant advantages: It has the potential to adapt to the naturally curved surface of joints, to move within the joint without stress to the cartilage or capsule and thereby to reduce the number of portals needed. Former studies evaluated flexible fiberoptic systems which were insufficient regarding image resolution. This is the first report on a new flexible videoendoscope with the so called "chip-on-the-tip" technology used in human joints. With a plasma sterilized 3.9 diameter flexible video endoscopy system (Visera ENF V, OLYMPUS) commonly used in diagnostic rhino-laryngoscopy, we performed preliminary testing in cadaveric knee joints. After successful feasibility testing we utilized the tool in two qualitative diagnostic knee and five hip arthroscopies in combination with conventional rigid 30° and 70° arthroscopes (STORZ). Qualitative evaluation showed superior visualisation of the posterior aspects of the knee joint as insertion of the posterior medial and lateral meniscal horn, tibial insertion of the posterior cruciate ligament and the posterolateral capsulo-ligamentous corner with acceptable image resolution and clarity compared to the rigid arthroscope. In the hip, it was possible to pass around the femoral neck, avoiding additional portals. There seemed to be virtually no risk for cartilage damage at all. Difficulties of the system were scope handling, navigation and orientation within the joint as well as potential damage to the tool itself. This is to our knowledge the first report on flexible videoarthroscopy. Some of the expectations were met, such as to reach virtually every corner the joint with minimal risk for the cartilage or other joint structures and with acceptable image quality. However, there are many significant disadvantages which question the routine use of such a videoendoscopic system with its present technical features. © 2012 – IOS Press and

  13. A portable and independent edge fluctuation diagnostic. Final performance report, March 1992--March 1993

    International Nuclear Information System (INIS)

    Tsui, H.; Wootton, A.

    1994-01-01

    A compact self contained portable probe system has been designed and developed to diagnose the edge plasma of devices of different sizes and configurations. The system measures both the mean and the fluctuation quantities of density, temperature and potential from a standardized Langmuir probe array using a fast reciprocating probe drive. It can also be used for other fluctuation diagnostics, such as magnetic probes. The data acquisition and analysis is performed on a Macintosh IIfx which provides a user-friendly environment. The results obtained by the signal processing routines are stored in a tabloid format to allow comparative studies. The resulting database is a core part of the protable signal analysis system. To date measurements have been performed on the stellarator ATF, the reversed field pinch ZT40(m), and the tokamaks TEXT, Versator, Phaedrus-T and TFTR. The data are presently being analyzed and the results collected into the database for the purpose of edge turbulence and transport studies. Existing published data are also being included. The edge database, an output of this project, will provide readily available information for other experimental groups to compare their results with, and for theoretical groups to validate (or otherwise) the predictions of their models

  14. 36 CFR 1206.82 - What is the format and content of the financial report?

    Science.gov (United States)

    2010-07-01

    ... content of the financial report? 1206.82 Section 1206.82 Parks, Forests, and Public Property NATIONAL... Grant Administration § 1206.82 What is the format and content of the financial report? Grant recipients must submit financial reports on Standard Form 269, if there is program income to report, or Standard...

  15. Advanced diagnostic graphics

    International Nuclear Information System (INIS)

    Bray, M.A.; Petersen, R.J.; Clark, M.T.; Gertman, D.I.

    1981-01-01

    This paper reports US NRC-sponsored research at the Idaho National Engineering Laboratory (INEL) involving evaluation of computer-based diagnostic graphics. The specific targets of current evaluations are multivariate data display formats which may be used in Safety Parameter Display Systems (SPDS) being developed for nuclear power plant control rooms. The purpose of the work is to provide a basis for NRC action in regulating licensee SPDSs or later computer/cathode ray tube (CRT) applications in nuclear control rooms

  16. Nuclear Reactor RA Safety Report, Format and Contents

    International Nuclear Information System (INIS)

    1986-11-01

    This is a new complete version of the safety report of nuclear reactor RA is made according to the recommendations of the IAEA. Report includes all the relevant data needed for evaluation of safe operation of this nuclear facility. Each of seven volumes of this report cover separate topics as follows: (1) introduction; (2) Site characteristics; (3) description of the reactor building and installations; (4) description of the reactor; (5) description of the coolant system; (6) description of the regulation and safety instrumentation; (7) description of the power supply system; (8) description of the auxiliary systems; (9) radiation protection issues; (10) radioactive waste management (11) reactor operation; (12) accident analysis during previous operation; (13) analysis of possible accident causes; (14) safety analysis and preventive actions: (15) analysis of significant accidents; (16) analysis of maximum possible accident; (17) environmental impact analysis in case of accident [sr

  17. Formation and retention of methane in coal. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Hucka, V.J.; Bodily, D.M.; Huang, H.

    1992-05-15

    The formation and retention of methane in coalbeds was studied for ten Utah coal samples, one Colorado coal sample and eight coal samples from the Argonne Premium Coal Sample Bank.Methane gas content of the Utah and Colorado coals varied from zero to 9 cm{sup 3}/g. The Utah coals were all high volatile bituminous coals. The Colorado coal was a gassy medium volatile bituminous coal. The Argonne coals cover a range or rank from lignite to low volatile bituminous coal and were used to determine the effect of rank in laboratory studies. The methane content of six selected Utah coal seams and the Colorado coal seam was measured in situ using a special sample collection device and a bubble desorbometer. Coal samples were collected at each measurement site for laboratory analysis. The cleat and joint system was evaluated for the coal and surrounding rocks and geological conditions were noted. Permeability measurements were performed on selected samples and all samples were analyzed for proximate and ultimate analysis, petrographic analysis, {sup 13}C NMR dipolar-dephasing spectroscopy, and density analysis. The observed methane adsorption behavior was correlated with the chemical structure and physical properties of the coals.

  18. Candida septic arthritis with rice body formation: A case report and review of literature

    International Nuclear Information System (INIS)

    Jeong, Yu Mi; Cho, Hyun Yee; Lee, Sheen Woo; Hwang, Yun Mi; Kim, Young Kyu

    2013-01-01

    Rice body formation in a joint or bursa is a rare condition, and is usually associated with rheumatoid arthritis or tuberculous arthritis. Here we describe a case of multiple rice body formation in a shoulder joint and in adjacent bursae, which was confirmed to be due to septic arthritis by Candida species. To the best of our knowledge, rice body formation in Candida septic arthritis in an immune-competent patient has not been previously reported.

  19. Candida septic arthritis with rice body formation: A case report and review of literature

    Energy Technology Data Exchange (ETDEWEB)

    Jeong, Yu Mi; Cho, Hyun Yee; Lee, Sheen Woo; Hwang, Yun Mi; Kim, Young Kyu [Gachon University, Gil Hospital, Incheon (Korea, Republic of)

    2013-06-15

    Rice body formation in a joint or bursa is a rare condition, and is usually associated with rheumatoid arthritis or tuberculous arthritis. Here we describe a case of multiple rice body formation in a shoulder joint and in adjacent bursae, which was confirmed to be due to septic arthritis by Candida species. To the best of our knowledge, rice body formation in Candida septic arthritis in an immune-competent patient has not been previously reported.

  20. BRIEF REPORT: Beyond Clinical Experience: Features of Data Collection and Interpretation That Contribute to Diagnostic Accuracy

    Science.gov (United States)

    Nendaz, Mathieu R; Gut, Anne M; Perrier, Arnaud; Louis-Simonet, Martine; Blondon-Choa, Katherine; Herrmann, François R; Junod, Alain F; Vu, Nu V

    2006-01-01

    BACKGROUND Clinical experience, features of data collection process, or both, affect diagnostic accuracy, but their respective role is unclear. OBJECTIVE, DESIGN Prospective, observational study, to determine the respective contribution of clinical experience and data collection features to diagnostic accuracy. METHODS Six Internists, 6 second year internal medicine residents, and 6 senior medical students worked up the same 7 cases with a standardized patient. Each encounter was audiotaped and immediately assessed by the subjects who indicated the reasons underlying their data collection. We analyzed the encounters according to diagnostic accuracy, information collected, organ systems explored, diagnoses evaluated, and final decisions made, and we determined predictors of diagnostic accuracy by logistic regression models. RESULTS Several features significantly predicted diagnostic accuracy after correction for clinical experience: early exploration of correct diagnosis (odds ratio [OR] 24.35) or of relevant diagnostic hypotheses (OR 2.22) to frame clinical data collection, larger number of diagnostic hypotheses evaluated (OR 1.08), and collection of relevant clinical data (OR 1.19). CONCLUSION Some features of data collection and interpretation are related to diagnostic accuracy beyond clinical experience and should be explicitly included in clinical training and modeled by clinical teachers. Thoroughness in data collection should not be considered a privileged way to diagnostic success. PMID:17105525

  1. The Technologist Function in Fields Related to Radiology: Tasks in Radiation Therapy and Diagnostic Ultrasound. Research Report No. 9; Relating Technologist Tasks in Diagnostic Radiology, Ultrasound and Radiation Therapy. Research Report No. 10.

    Science.gov (United States)

    Gilpatrick, Eleanor

    The two research reports included in this document describe the application of the Health Services Mobility Study (HSMS) task analysis method to two technologist functions and examine the interrelationships of these tasks with those in diagnostic radiology. (The HSMS method includes processes for using the data for designing job ladders, for…

  2. 77 FR 75198 - Standard Format and Content for Post-Shutdown Decommissioning Activities Report

    Science.gov (United States)

    2012-12-19

    ... NUCLEAR REGULATORY COMMISSION [NRC-2012-0299] Standard Format and Content for Post-Shutdown... regulatory guide (DG), DG-1272, ``Standard Format and Content for Post-shutdown Decommissioning Activities... Content for Post-shutdown Decommissioning Activities Report,'' which was issued in July 2000. DG-1271...

  3. 36 CFR 1206.84 - What is the format and content of the narrative report?

    Science.gov (United States)

    2010-07-01

    ... content of the narrative report? 1206.84 Section 1206.84 Parks, Forests, and Public Property NATIONAL... Grant Administration § 1206.84 What is the format and content of the narrative report? (a) Interim narrative reports should state briefly the performance objectives and activities for the entire grant and...

  4. Heterotopic Ossification Formation Following a Simple Concussion: A Case Report.

    Science.gov (United States)

    O'Callaghan, Patrick K; Carter, Elliott; Walton, Zeke; Chapin, Russell; Bruner, Evelyn

    2018-05-09

    A 19-year-old woman presented with a 3-month history of an enlarging lesion on the proximal aspect of the femur. After imaging studies and a biopsy had been performed, the mass was determined to represent heterotopic ossification (HO). The only known risk factor was a history of concussion. The mass was resected and, as of the 12-month follow-up, had not recurred. HO is a potentially serious complication of ossification in soft tissues that can develop secondary to several disease states; it commonly occurs following traumatic brain injury. To our knowledge, this is the only case report that describes HO associated with a concussion and no other risk factors.

  5. The IDEA Assessment Tool: Assessing the Reporting, Diagnostic Reasoning, and Decision-Making Skills Demonstrated in Medical Students' Hospital Admission Notes.

    Science.gov (United States)

    Baker, Elizabeth A; Ledford, Cynthia H; Fogg, Louis; Way, David P; Park, Yoon Soo

    2015-01-01

    (intraclass correlations [ICCs] = .29-.67). There was moderate reliability for all three skill domains, including reporting skills (ICC = .53), diagnostic reasoning skills (ICC = .64), and decision-making skills (ICC = .63). Fourth, there was a significant correlation between IDEA rating scores (2010-2013) and final Internal Medicine clerkship grades (r = .24), 95% confidence interval (CI) [.15, .33]. The IDEA assessment tool is a novel tool with validity evidence to support its use in the assessment of students' reporting, diagnostic reasoning, and decision-making skills. The moderate reliability achieved supports formative or lower stakes summative uses rather than high-stakes summative judgments.

  6. Application of modern diagnostic methods to environmental improvement. Annual progress report, October 1994--September 1995

    International Nuclear Information System (INIS)

    Shepard, W.S.

    1995-12-01

    The Diagnostic Instrumentation and Analysis Laboratory (DIAL), an interdisciplinary research department in the College of Engineering at Mississippi State University (MSU), is under contract with the US Department of Energy (DOE) to develop and apply advanced diagnostic instrumentation and analysis techniques to aid in solving DOE's nuclear waste problem. The program is a comprehensive effort which includes five focus areas: advanced diagnostic systems; development/application; torch operation and test facilities; process development; on-site field measurement and analysis; technology transfer/commercialization. As part of this program, diagnostic methods will be developed and evaluated for characterization, monitoring and process control. Also, the measured parameters, will be employed to improve, optimize and control the operation of the plasma torch and the overall plasma treatment process. Moreover, on-site field measurements at various DOE facilities are carried out to aid in the rapid demonstration and implementation of modern fieldable diagnostic methods. Such efforts also provide a basis for technology transfer

  7. Application of modern diagnostic methods to environmental improvement. Annual progress report, October 1994--September 1995

    Energy Technology Data Exchange (ETDEWEB)

    Shepard, W.S.

    1995-12-01

    The Diagnostic Instrumentation and Analysis Laboratory (DIAL), an interdisciplinary research department in the College of Engineering at Mississippi State University (MSU), is under contract with the US Department of Energy (DOE) to develop and apply advanced diagnostic instrumentation and analysis techniques to aid in solving DOE`s nuclear waste problem. The program is a comprehensive effort which includes five focus areas: advanced diagnostic systems; development/application; torch operation and test facilities; process development; on-site field measurement and analysis; technology transfer/commercialization. As part of this program, diagnostic methods will be developed and evaluated for characterization, monitoring and process control. Also, the measured parameters, will be employed to improve, optimize and control the operation of the plasma torch and the overall plasma treatment process. Moreover, on-site field measurements at various DOE facilities are carried out to aid in the rapid demonstration and implementation of modern fieldable diagnostic methods. Such efforts also provide a basis for technology transfer.

  8. Reported estimates of diagnostic accuracy in ophthalmology conference abstracts were not associated with full-text publication.

    Science.gov (United States)

    Korevaar, Daniël A; Cohen, Jérémie F; Spijker, René; Saldanha, Ian J; Dickersin, Kay; Virgili, Gianni; Hooft, Lotty; Bossuyt, Patrick M M

    2016-11-01

    To assess whether conference abstracts that report higher estimates of diagnostic accuracy are more likely to reach full-text publication in a peer-reviewed journal. We identified abstracts describing diagnostic accuracy studies, presented between 2007 and 2010 at the Association for Research in Vision and Ophthalmology (ARVO) Annual Meeting. We extracted reported estimates of sensitivity, specificity, area under the receiver operating characteristic curve (AUC), and diagnostic odds ratio (DOR). Between May and July 2015, we searched MEDLINE and EMBASE to identify corresponding full-text publications; if needed, we contacted abstract authors. Cox regression was performed to estimate associations with full-text publication, where sensitivity, specificity, and AUC were logit transformed, and DOR was log transformed. A full-text publication was found for 226/399 (57%) included abstracts. There was no association between reported estimates of sensitivity and full-text publication (hazard ratio [HR] 1.09 [95% confidence interval {CI} 0.98, 1.22]). The same applied to specificity (HR 1.00 [95% CI 0.88, 1.14]), AUC (HR 0.91 [95% CI 0.75, 1.09]), and DOR (HR 1.01 [95% CI 0.94, 1.09]). Almost half of the ARVO conference abstracts describing diagnostic accuracy studies did not reach full-text publication. Studies in abstracts that mentioned higher accuracy estimates were not more likely to be reported in a full-text publication. Copyright © 2016 Elsevier Inc. All rights reserved.

  9. Optic Neuropathy Secondary to Polyarteritis Nodosa, Case Report, and Diagnostic Challenges.

    Science.gov (United States)

    Vazquez-Romo, Kristian A; Rodriguez-Hernandez, Adrian; Paczka, Jose A; Nuño-Suarez, Moises A; Rocha-Muñoz, Alberto D; Zavala-Cerna, Maria G

    2017-01-01

    To describe a case of optic neuropathy as a primary manifestation of polyarteritis nodosa (PAN) and discuss diagnostic challenges. Case report. A 41-year-old Hispanic man presented with a 2-day history of reduced visual acuity in his left eye. Physical examination revealed a complete visual field loss in the affected eye. Best-corrected visual acuity (BCVA) in the left eye was hand motion, and fundus examination revealed a hyperemic optic disk with blurred margins, swelling, retinal folds, dilated veins, and normal size arteries. BCVA in the right eye was 20/20; no anomalies were seen during examination of the fundus. The patient was started on oral corticosteroids and once the diagnosis of PAN was made, cyclophosphamide was added to the treatment regimen. Six months later, the patient recovered his BCVA to 20/20 in his left eye. Rarely does optic neuropathy present as a primary manifestation of PAN; nevertheless, it represents an ophthalmologic emergency that requires expeditious anti-inflammatory and immunosuppressive treatment to decrease the probability of permanent visual damage. Unfortunately, diagnosing PAN is challenging as it necessitates a high index of suspicion. In young male patients who present for the first time with diminished visual acuity, ophthalmologists become cornerstones in the suspicion of this diagnosis and should be responsible for continuing the study until a diagnosis is reached to ensure rapid commencement of immunosuppressive treatment.

  10. Rectus sheath haematoma or leaking aortic aneurysm - a diagnostic challenge: a case report

    Directory of Open Access Journals (Sweden)

    Shaw Aidan G

    2009-11-01

    Full Text Available Abstract Introduction A rectus sheath haematoma is a rare condition that arises from the accumulation of blood within the rectus sheath from either muscular tear or rupture of the epigastric vessels. It is a known complication of either blunt abdominal trauma, anticoagulation therapy or the repetitive contraction of the rectus muscle such as paroxysms of coughing. It remains an uncommon and elusive entity and is often clinically misdiagnosed. Case presentation An 80-year-old British man with a known aortic aneurysm was admitted with sudden onset of right iliac fossa pain. The patient was hemodynamically stable and underwent a computed tomography scan which revealed an intact aorta and an acute rectus sheath hematoma. Conclusion To the best of our knowledge, no case has previously been reported involving the diagnostic challenge of a rectus sheath hematoma in a patient with a known aortic aneurysm. Here we discuss the symptoms and signs of a rectus sheath hematoma, as well as the radiological modalities that could be utilized to reach the diagnosis.

  11. Gastric volvulus in children--a diagnostic problem: two case reports.

    Science.gov (United States)

    Trecroci, Ilaria; Morabito, Giuliana; Romano, Claudio; Salamone, Ignazio

    2016-05-31

    Gastric volvulus is a clinically significant cause of acute or recurrent abdominal pain and chronic vomiting in children. Since related clinical symptoms are nonspecific, clinicians often refer to radiologists for a diagnostic evaluation. Early diagnosis is crucial to prevent life-threatening complications of prolonged volvulus, such as intestinal ischemia, infarction, strangulation, necrosis, and perforation that may require immediate surgical treatment. In this report, we describe clinical and radiological criteria for diagnosis of gastric volvulus in children. We describe two pediatric clinical cases. A 16-month-old female Caucasian child was admitted to our hospital for recurrent postprandial vomiting episodes, which started at 11 months old, associated with failure to thrive. A 9-month-old term-born baby boy was admitted for chronic, recurrent, postprandial vomiting, which started at 7 months of age, with progressive failure to thrive. A barium study allowed definitive diagnosis of chronic organoaxial gastric volvulus. Gastric volvulus is an extremely rare disorder in the pediatric population. It can be considered a complex clinical condition with regard to the etiology and the management. A nonoperative approach is advisable in the absence of warning signs.

  12. European specialist porphyria laboratories: diagnostic strategies, analytical quality, clinical interpretation, and reporting as assessed by an external quality assurance program.

    Science.gov (United States)

    Aarsand, Aasne K; Villanger, Jørild H; Støle, Egil; Deybach, Jean-Charles; Marsden, Joanne; To-Figueras, Jordi; Badminton, Mike; Elder, George H; Sandberg, Sverre

    2011-11-01

    The porphyrias are a group of rare metabolic disorders whose diagnosis depends on identification of specific patterns of porphyrin precursor and porphyrin accumulation in urine, blood, and feces. Diagnostic tests for porphyria are performed by specialized laboratories in many countries. Data regarding the analytical and diagnostic performance of these laboratories are scarce. We distributed 5 sets of multispecimen samples from different porphyria patients accompanied by clinical case histories to 18-21 European specialist porphyria laboratories/centers as part of a European Porphyria Network organized external analytical and postanalytical quality assessment (EQA) program. The laboratories stated which analyses they would normally have performed given the case histories and reported results of all porphyria-related analyses available, interpretative comments, and diagnoses. Reported diagnostic strategies initially showed considerable diversity, but the number of laboratories applying adequate diagnostic strategies increased during the study period. We found an average interlaboratory CV of 50% (range 12%-152%) for analytes in absolute concentrations. Result normalization by forming ratios to the upper reference limits did not reduce this variation. Sixty-five percent of reported results were within biological variation-based analytical quality specifications. Clinical interpretation of the obtained analytical results was accurate, and most laboratories established the correct diagnosis in all distributions. Based on a case-based EQA scheme, variations were apparent in analytical and diagnostic performance between European specialist porphyria laboratories. Our findings reinforce the use of EQA schemes as an essential tool to assess both analytical and diagnostic processes and thereby to improve patient care in rare diseases.

  13. The radiological 'second opinion' online through the Internet. Report on implementation and analysis of the diagnostic certainty of transmitted images

    International Nuclear Information System (INIS)

    Ricke, J.; Donk, E. van der; Ostendorf, B.; Zielinski, C.; Liebig, T.; Stroszczinski, C.; Loez-Haenninen, E.; Lemke, A.J.; Gillessen, C.; Guervit, Oe.; Amthauer, H.; Kleinholz, L.; Bartelink, H.

    1997-01-01

    Numerous medical on-line services have already been established in the world-wide Internet. In connection with the Information service TELESCAN, sponsored by the EU, a pilot project has been initiated which offers a radiological 'second opinion' via the transmission of radiological findings and images that have been previously rendered anonymous. In addition to a description of the basic implementation, tests of the diagnostic certainty of the transmitted over the Internet, and then evaluated on the receiver's monitor. Both the transfer of originally generated digital image files (in ACR-NEMA or DICOM) as well as graphic files after digitization of X-ray films, for example by a document camera, is possible via e-mail. Visualization by the receiver requires the use of current proprietary software for special medical image formats, while standard graphic formats such as GIFF or JPEG can be visualized with the usual Internet software. In an ROC analysis, 56 individual images of cranial computed tomographs, half with pathological findings such as space-occupying lesions, infarcts, or brain edema, were tested with regard to the diagnostic certainty after digitization and transmission. In comparison with the original film findings, there was a slight but statistically not significant reduction in diagnostic certainty of the images evaluated on screen after transfer via the Internet. We believe that this result is due to the low local resolution, low dynamic range, the high image noise and of CT arising from the window technique. The same parameters are probably valid for MRI. (orig.) [de

  14. Comparison of Accuracy and Speed of Information Identification by Nonpathologists in Synoptic Reports With Different Formats.

    Science.gov (United States)

    Renshaw, Andrew A; Gould, Edwin W

    2017-03-01

    - The College of American Pathologists requires synoptic reports for specific types of pathology reports. - To compare the accuracy and speed of information retrieval in synoptic reports of different formats. - We assessed the performance of 28 nonpathologists from 4 different types of users (cancer registrars, MDs, medical non-MDs, and nonmedical) at identifying specific information in various formatted synoptic reports, using a computerized quiz that measured both accuracy and speed. - There was no significant difference in the accuracy of data identification for any user group or in any format. While there were significant differences in raw time between users, these were eliminated when normalized times were used. Compared with the standard format of a required data element (RDE) and response on 1 line, both a list of responses without an RDE (21%, P RDE header on one line, response indented on the second line) (12%, P RDE response pairs in a random order were significantly slower (16%, P < .001). - There are significant differences in ease of use by nonpathologists between different synoptic report formats. Such information may be useful in deciding between different format options.

  15. Development of Monitoring and Diagnostic Methods for Robots Used In Remediation of Waste Sites - Final Report

    International Nuclear Information System (INIS)

    Martin, M.

    2000-01-01

    This project is the first evaluation of model-based diagnostics to hydraulic robot systems. A greater understanding of fault detection for hydraulic robots has been gained, and a new theoretical fault detection model developed and evaluated

  16. Breast Cancer Diagnostic System Final Report CRADA No. TC02098.0

    Energy Technology Data Exchange (ETDEWEB)

    Rubenchik, A. M. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); DaSilva, L. B. [BioTelligent, Inc., Livermore, CA (United States)

    2017-09-06

    This was a collaborative effort between Lawrence Livermore National Security, LLC (formerly The Regents of the University of California)/Lawrence Liver more National Laboratory (LLNL) and BioTelligent, Inc. together with a Russian Institution (BioFil, Ltd.), to develop a new system ( diagnostic device, operating procedures, algorithms and software) to accurately distinguish between benign and malignant breast tissue (Breast Cancer Diagnostic System, BCDS).

  17. [Paraneoplastic Cushing's syndrome, a real diagnostic and therapeutic challenge: A case report and literature review].

    Science.gov (United States)

    Meftah, A; Moumen, A; Massine El Hammoumi, M; Hajhouji, S; El Jadi, H; Anas Guerboub, A; Elmoussaoui, S; Mayaudon, H; Hassane Kabiri, E; Hakkou, K; Belmejdoub, G

    2015-12-01

    Paraneoplastic Cushing's syndrome is a rare cause of endogenous hypercortisolism attributable to ectopic ACTH secretion by non-pituitary tumors. Imaging and biochemical results are often inconclusive and differential diagnosis with Cushing's disease can then be challenging. Moreover, these tumors may be occult and difficult to find and thus the need of new imaging tools such as (18)FDG-PET scan and (18)DOPA-PET scan. We report a 50-year-old man who presented with very aggressive clinical features related to Cushing's syndrome. Biological work-up confirmed the hypercortisolism and was consistent with an ectopic ACTH secretion. Conventional localization techniques failed to show any tumor and bilateral adrenalectomy was performed because of life-threatening complications. Two years later, thoracic computed tomography reveals an 11 mm mass in the left lower pulmonary lobe, (18)FDG-PET scan found a non-specific mild hypermetabolism of the lung nodule, and the (18)DOPA-PET scan confirmed the high uptake of this nodule suggesting an endocrine carcinoma. Histology confirmed a typical carcinoid tumor. The tumor cells stained positive for ACTH, CD56, chromogranin and synaptophysin. This case illustrates the dilemma between the need for morphological diagnosis of the ectopic ACTH source and control of the life-threatening hypercortisolism. (18)FDG-PET scan and (18)DOPA-PET scan should be considered early as a secondary diagnostic tool when conventional imagery fails to show any tumor. Copyright © 2015 Société nationale française de médecine interne (SNFMI). Published by Elsevier SAS. All rights reserved.

  18. Chapitre II. La formation extrascolaire existe-t-elle ? Les problèmes des diagnostics et des inventaires

    OpenAIRE

    Furter, Pierre

    2016-01-01

    De la marginalité à la centralité La formation des travailleurs étrangers n’a pas donné lieu, jusqu’à maintenant, à une production massive de discours de spécialistes universitaires, nationaux et étrangers. On trouve par contre une abondance de textes, de documents, de rapports de ces spécialistes — nationaux pour la plupart — que sont les enseignants bénévoles. C’est en effet principalement sur le terrain de la formation que se situent la plupart des actions bénévoles, dans la mesure où cell...

  19. Far infrared fusion plasma diagnostics. Task 3A, Progress report, FY 1990

    Energy Technology Data Exchange (ETDEWEB)

    Luhmann, N.C. Jr.; Peebles, W.A.

    1990-12-31

    Over the last several years, reflectometry has grown in importance as a diagnostic for both steady-state density Profiles as well as for the investigation of density fluctuations and turbulence. As a diagnostic for density profile measurement, it is generally believed to be well understood in the tokamak environment. However, its use as a fluctuation diagnostic is hampered by a lack of quantitative experimental understanding of its wavenumber sensitivity and spatial resolution. Several researchers, have theoretically investigated these questions. However, prior to the UCLA laboratory investigation, no group has experimentally investigated these questions. Because of the reflectometer`s importance to the world effort in understanding plasma turbulence and transport, UCLA has, over the last year, made its primary Task IIIA effort the resolution of these questions. UCLA has taken the lead in a quantitative experimental understanding of reflectometer data as applied to the measurement of density fluctuations. In addition to this, work has proceeded on the design, construction, and installation of a reflectometer system on UCLA`s CCT tokamak. This effort will allow a comparison between the improved confinement regimes (H-mode) observed on both the DIII-D and CCT machines with the goal of achieving a physics understanding of the phenomena. Preliminary investigation of a new diagnostic technique to measure density profiles as a function of time has been initiated at UCLA. The technique promises to be a valuable addition to the range of available plasma diagnostics. Work on advanced holographic reflectometry technique as applied to fluctuation diagnostics has awaited a better understanding of the reflectometer signal itself as discussed above. Efforts to ensure the transfer of the diagnostic developments have continued with particular attention devoted to the preliminary design of a multichannel FIR interferometer for MST.

  20. Ion beam probe plasma diagnostic system. Technical progress report, 1 February 1977--31 December 1978

    International Nuclear Information System (INIS)

    Hickok, R.L.; Jennings, W.C.; Woo, J.T.; connor, K.A.

    1979-01-01

    During this time, reliable operation of the research tokamak, RENTOR, has been established but thedischarge is characterized by a large runaway populaion producing a strong x-ray flux. An ion beam probe and a Thomson scattering diagnostic system have been installed on RENTOR, but no definitive results have been obtained due to the large noise signal generated by the x-ray flux. The ALICE baseball coil has been obtained on loan from LLL and is being set up as the ALEX mirror system. It will be used for particle beam diagnostic development in 3 dimensional magnetic well geometry. A heavy neutral beam diagnostic system has been designed and is under construction for measuring the space potential in ALEX. Improvements in the focusing properties of ion guns and in the sensitivity of the feedback controlled electrostatic energy analyzers have been obtained

  1. Diagnostic Ultrasonography of an Ankle Fracture Undetectable by Conventional Radiography: A Case Report

    Science.gov (United States)

    Daniels, Clinton J.; Welk, Aaron B.; Enix, Dennis E.

    2016-01-01

    Objective The purpose of this study is to present diagnostic ultrasonography assessment of an occult fracture in a case of persistent lateral ankle pain. Clinical Features A 35-year-old woman presented to a chiropractic clinic with bruising, swelling, and pain along the distal fibula 3 days following an inversion ankle trauma. Prior radiographic examination at an urgent care facility was negative for fracture. Conservative care over the next week noted improvement in objective findings, but the pain persisted. Intervention and Outcome Diagnostic ultrasonography was ordered to assess her persistent ankle pain and showed a minimally displaced fracture of the fibula 4 cm proximal to the lateral malleolus. The patient was referred to her primary care physician and successfully managed with conservative care. Conclusion In this case, diagnostic ultrasonography was able to identify a Danis-Weber subtype B1 fracture that was missed by plain film radiography. PMID:27069430

  2. [CONE BEAM COMPUTED TOMOGRAPHY IN DIAGNOSTICS OF ODONTOGENIC MAXILLARY SINUSITIS (CASE REPORTS)].

    Science.gov (United States)

    Demidova, E; Khurdzidze, G

    2017-06-01

    Diagnostic studies performed by cone beam computed tomography Morita 3D made possible to obtain high resolution images of hard tissues of upper jawbone and maxillary sinus, to detect bony tissue defects, such as odontogenic cysts, cystogranulomas and granulomas. High-resolution and three dimensional tomographic image reconstructions allowed for optimal and prompt determination of the scope of surgical treatment and planning of effective conservative treatment regimen. Interactive diagnostics helped to estimate cosmetic and functional results of surgical treatment, to prevent the occurrence of surgical complications, and to evaluate the efficacy of conservative treatment. The obtained data contributed to determination of particular applications of cone beam computed tomography in the diagnosis of odontogenic maxillary sinusitis, detection of specific defects with cone beam tomography as the most informative method of diagnosis; as well as to determination of weak and strong sides, and helped to offer mechanisms of x-ray diagnostics to dental surgeons and ENT specialists.

  3. Positive results of serological tests for syphilis in pregnancy – diagnostic and therapeutic problems, report of two cases

    OpenAIRE

    Marta Koper; Agnieszka B. Serwin; Anna Baran; Iwona Flisiak

    2015-01-01

    Introduction. Undiagnosed and untreated syphilis in pregnancy may result in subsequent complications: early fetal loss, stillbirth, low birth weight of infants and newborns with congenital syphilis. Objective. To analyze diagnostic and therapeutic dilemmas of positive results of serological tests for syphilis (STS) in pregnancy. Case reports. We present two cases of pregnant women, hospitalized in our department due to positive results of serological tests for syphilis, pe...

  4. Survey of hospital clinicians' preferences regarding the format of radiology reports

    International Nuclear Information System (INIS)

    Plumb, A.A.O.; Grieve, F.M.; Khan, S.H.

    2009-01-01

    Aim: To determine hospital consultants' preferences for the format and content of radiology reports. Materials and methods: Ninety-nine questionnaires were sent to consultant staff with responsibility for requesting ultrasound examinations. The participants were invited to rank a variety of hypothetical reports in order of preference. They were also asked whether they felt other commonly included features of a radiology report were of value. Rank data were analysed by the Friedman statistic, Fisher's multiple comparisons least significant difference test, and the Kemeny-Young method. Results: Forty-nine responses were received. There was a preference for more detailed reports that included a clinical comment by the radiologist, for both normal and abnormal results (p < 0.05). Reports presented in tables were preferred. The combination of a detailed tabular report with a radiologist's comment was the most popular single structure, preferred by 43% of respondents for normal reports and 51% for abnormal reports. Conclusion: Detailed reports with a radiologists' comment are preferred to briefer reports, even for normal examinations. Tabular reports are preferred to prose, with the combination of a detailed report presented in a tabular format accompanied by a radiologist's comment being the most preferred style

  5. Survey of reader preferences concerning the format of NASA technical reports

    Science.gov (United States)

    Pinelli, T. E.; Glassman, M.; Cordle, V. M.

    1982-01-01

    A survey was conducted to determine the opinions of readers concerning the format (organization) of NASA technical reports and usage of technical report components. A survey questionnaire was sent to 513 LaRC engineers and scientists and 600 engineers and scientists from three (3) professional/technical societies. The response rates were 74 and 85 percent, respectively. The questionnaire included the order in which users read report components, the components reviewed or read to determine whether to read a report, report components which could be deleted, the desirability of a table of contents, the desirability of both a summary and abstract, the location of the symbols list and glossary, the integration of illustrative material, the preferred format for reference citations, column layout and right margin treatment, and person/voice. The results of the reader preference survey indicated that the conclusion was the component most often ready by survey respondents. The summary, conclusion, abstract, title page, and introduction were the components used most frequently to determine if a report would actually be read. Respondents indicated that a summary as well as an abstract should be included, that the definition of symbols and glossary of terms should be located in the front of the report, and that illustrative material should be integrated with the text rather than grouped at the end of the report. Citation by number was the preferred format for references. A one-column, ragged right margin was preferred. Third person, passive voice was the style of writing preferred by the respondents.

  6. Impact of the Diagnostic Process on Parents of Infants and Preschool Children. Final Report.

    Science.gov (United States)

    Tice, Terrence N.; Hanson, Janice L.

    In an investigation of the impact of the psychological/educational diagnostic process on the parents of young children at risk for developmental delay, 18 families completed questionnaires and were interviewed concerning their child's evaluation. Transcribed interviews conducted 1-2 weeks after the evaluation and 4 months after the evaluations…

  7. Dynamic Bayesian Network Modeling of Game Based Diagnostic Assessments. CRESST Report 837

    Science.gov (United States)

    Levy, Roy

    2014-01-01

    Digital games offer an appealing environment for assessing student proficiencies, including skills and misconceptions in a diagnostic setting. This paper proposes a dynamic Bayesian network modeling approach for observations of student performance from an educational video game. A Bayesian approach to model construction, calibration, and use in…

  8. Hyperinsulinaemic hypoglycaemia - a diagnostic challenge. A report of two atypical cases.

    Directory of Open Access Journals (Sweden)

    Renata Baronaite Hansen

    2015-07-01

    Patient 2 was diagnosed with a benign insulinoma and 5 years later with metastatic disease. Conclusion: The authors conclude that insulinomas are rare entities which often present a diagnostic and therapeutic challenge. In such cases, patient referral to tertiary multidisciplinary centers is recommended.

  9. IMAGING AND SPECTROSCOPIC DIAGNOSTICS ON THE FORMATION OF TWO MAGNETIC FLUX ROPES REVEALED BY SDO/AIA AND IRIS

    Energy Technology Data Exchange (ETDEWEB)

    Cheng, X.; Ding, M. D.; Fang, C., E-mail: xincheng@nju.edu.cn [School of Astronomy and Space Science, Nanjing University, Nanjing 210093 (China)

    2015-05-10

    Helical magnetic flux rope (MFR) is a fundamental structure of coronal mass ejections (CMEs) and has been discovered recently to exist as a sigmoidal channel structure prior to its eruption in the EUV high-temperature passbands of the Atmospheric Imaging Assembly (AIA). However, when and where the MFR is built up are still elusive. In this paper, we investigate two MFRs (MFR1 and MFR2) in detail, whose eruptions produced two energetic solar flares and CMEs on 2014 April 18 and 2014 September 10, respectively. The AIA EUV images reveal that for a long time prior to their eruption, both MFR1 and MFR2 are under formation, which is probably through magnetic reconnection between two groups of sheared arcades driven by the shearing and converging flows in the photosphere near the polarity inversion line. At the footpoints of the MFR1, the Interface Region Imaging Spectrograph Si iv, C ii, and Mg ii lines exhibit weak to moderate redshifts and a non-thermal broadening in the pre-flare phase. However, a relatively large blueshift and an extremely strong non-thermal broadening are found at the formation site of the MFR2. These spectral features consolidate the proposition that the reconnection plays an important role in the formation of MFRs. For the MFR1, the reconnection outflow may propagate along its legs, penetrating into the transition region and the chromosphere at the footpoints. For the MFR2, the reconnection probably takes place in the lower atmosphere and results in the strong blueshift and non-thermal broadening for the Mg ii, C ii, and Si iv lines.

  10. Imaging and Spectroscopic Diagnostics on the Formation of Two Magnetic Flux Ropes Revealed by SDO/AIA and IRIS

    Science.gov (United States)

    Cheng, X.; Ding, M. D.; Fang, C.

    2015-05-01

    Helical magnetic flux rope (MFR) is a fundamental structure of coronal mass ejections (CMEs) and has been discovered recently to exist as a sigmoidal channel structure prior to its eruption in the EUV high-temperature passbands of the Atmospheric Imaging Assembly (AIA). However, when and where the MFR is built up are still elusive. In this paper, we investigate two MFRs (MFR1 and MFR2) in detail, whose eruptions produced two energetic solar flares and CMEs on 2014 April 18 and 2014 September 10, respectively. The AIA EUV images reveal that for a long time prior to their eruption, both MFR1 and MFR2 are under formation, which is probably through magnetic reconnection between two groups of sheared arcades driven by the shearing and converging flows in the photosphere near the polarity inversion line. At the footpoints of the MFR1, the Interface Region Imaging Spectrograph Si iv, C ii, and Mg ii lines exhibit weak to moderate redshifts and a non-thermal broadening in the pre-flare phase. However, a relatively large blueshift and an extremely strong non-thermal broadening are found at the formation site of the MFR2. These spectral features consolidate the proposition that the reconnection plays an important role in the formation of MFRs. For the MFR1, the reconnection outflow may propagate along its legs, penetrating into the transition region and the chromosphere at the footpoints. For the MFR2, the reconnection probably takes place in the lower atmosphere and results in the strong blueshift and non-thermal broadening for the Mg ii, C ii, and Si iv lines.

  11. IMAGING AND SPECTROSCOPIC DIAGNOSTICS ON THE FORMATION OF TWO MAGNETIC FLUX ROPES REVEALED BY SDO/AIA AND IRIS

    International Nuclear Information System (INIS)

    Cheng, X.; Ding, M. D.; Fang, C.

    2015-01-01

    Helical magnetic flux rope (MFR) is a fundamental structure of coronal mass ejections (CMEs) and has been discovered recently to exist as a sigmoidal channel structure prior to its eruption in the EUV high-temperature passbands of the Atmospheric Imaging Assembly (AIA). However, when and where the MFR is built up are still elusive. In this paper, we investigate two MFRs (MFR1 and MFR2) in detail, whose eruptions produced two energetic solar flares and CMEs on 2014 April 18 and 2014 September 10, respectively. The AIA EUV images reveal that for a long time prior to their eruption, both MFR1 and MFR2 are under formation, which is probably through magnetic reconnection between two groups of sheared arcades driven by the shearing and converging flows in the photosphere near the polarity inversion line. At the footpoints of the MFR1, the Interface Region Imaging Spectrograph Si iv, C ii, and Mg ii lines exhibit weak to moderate redshifts and a non-thermal broadening in the pre-flare phase. However, a relatively large blueshift and an extremely strong non-thermal broadening are found at the formation site of the MFR2. These spectral features consolidate the proposition that the reconnection plays an important role in the formation of MFRs. For the MFR1, the reconnection outflow may propagate along its legs, penetrating into the transition region and the chromosphere at the footpoints. For the MFR2, the reconnection probably takes place in the lower atmosphere and results in the strong blueshift and non-thermal broadening for the Mg ii, C ii, and Si iv lines

  12. Extinction of gamma-ray burst afterglows as a diagnostic of the location of cosmic star formation

    Science.gov (United States)

    Ramirez-Ruiz, Enrico; Trentham, Neil; Blain, A. W.

    2002-01-01

    The properties of gamma-ray bursts (GRBs) and their afterglows are used to investigate the location of star formation activity through the history of the Universe. This approach is motivated by the following: (i) GRBs are thought to be associated with the deaths of massive stars and so the GRB rate ought to follow the formation rate of massive stars; (ii) GRBs are the last phase of the evolution of these stars, which do not live long enough to travel far from their place of birth, and so GRBs are located where the stars formed; and (iii) GRB afterglows occur over both X-ray and optical wavelengths, and so the differential effects of dust extinction between the two wavebands can reveal whether or not large amounts of dust are present in galaxies hosting GRBs. Recent evidence suggests that a significant fraction of stars in the Universe formed in galaxies that are bright at rest-frame submillimetre (submm) and infrared wavelengths rather than at ultraviolet wavelengths; we estimate about three quarters of the star formation in the Universe occurred in the submm-bright mode. High-redshift submm-selected galaxies are thought to have properties similar to local ultraluminous infrared galaxies (ULIGs) such as Arp 220, based on the concordance between their luminosities and spectral energy distributions. If this is the case, then GRBs in submm-bright galaxies should have their optical afterglows extinguished by internal dust absorption, but only very few should have their 2-10keV X-ray afterglows obscured. The value that we quote of three quarters is marginally consistent with observations of GRBs: 60+/-15 per cent of GRBs have no detected optical afterglow, whereas almost all have an X-ray afterglow. A more definitive statement could be made with observations of soft X-ray afterglows (0.5-2keV), in which extinction should be severe for GRBs located in submm-bright galaxies with gas densities similar to those in local ULIGs. If the X-ray afterglows disappear at soft X

  13. UNIFICATION OF ACCOUNTING PROCEDURES AS A BASIS FOR FORMATION OF CONSOLIDATED SEGMENTARY REPORTING OF AGROHOLDING

    Directory of Open Access Journals (Sweden)

    Aleksandra V. Glushchenko

    2018-01-01

    Full Text Available The most important area of sustainable development of agricultural production is the development of agro-industrial integration, which is the economic, informational, organizational and technological association of the enterprises of agriculture with the processing, transportation, servicing and other entities. Complex multi-level management system, diversified operations, the wide geography of markets, territorial fragmentation of integrated agroformations’ participants demand higher information capacity of accounting and reporting, and the formation of discrete and relevant information on the separate components (segments activities of agricultural holdings. Segments of agrostructure activity often include a plurality of interconnected companies that are legally independent entities, that makes it necessary to aggregate the registration information in the whole group of economic entities forming segment presented in the accounting and reporting as a single economic unit. In order to solve this problem, we developed a method of forming the consolidated information by segment feature based on a set of procedures for the four interrelated steps: 1 preparation – definition of reportable segments in accordance with the criteria of segmentation, development of uniform accounting policies for segmental reporting purposes, indicators and the format of segmental reporting; 2 basic – specification of parameters and format worksheets, tables and transformational forms of reporting, collecting the individual statements of the segments, the transformation of the individual reporting data from the analytical forms of the participants segment, followed by elimination of intergroups turnovers; 3 consolidation – the formation of summary reports and correction tables, consolidated statements, transfer of data from the consolidated statements to the form of segmental reporting; 4 analysis – verification of compliance with the principle of consistency

  14. Impact of x-ray dose on track formation and data analysis for CR-39-based proton diagnostics

    Energy Technology Data Exchange (ETDEWEB)

    Rinderknecht, H. G., E-mail: rinderknecht1@llnl.gov; Rojas-Herrera, J.; Zylstra, A. B.; Frenje, J. A.; Gatu Johnson, M.; Sio, H.; Sinenian, N.; Rosenberg, M. J.; Li, C. K.; Séguin, F. H.; Petrasso, R. D. [Massachusetts Institute of Technology, Cambridge, Massachusetts 02139 (United States); Filkins, T.; Steidle, Jessica A.; Traynor, N.; Freeman, C. [State University of New York at Geneseo, Geneseo, New York 14454 (United States); Steidle, Jeffrey A. [Rochester Institute of Technology, Rochester, New York 14623 (United States)

    2015-12-15

    The nuclear track detector CR-39 is used extensively for charged particle diagnosis, in particular proton spectroscopy, at inertial confinement fusion facilities. These detectors can absorb x-ray doses from the experiments in the order of 1–100 Gy, the effects of which are not accounted for in the previous detector calibrations. X-ray dose absorbed in the CR-39 has previously been shown to affect the track size of alpha particles in the detector, primarily due to a measured reduction in the material bulk etch rate [Rojas-Herrera et al., Rev. Sci. Instrum. 86, 033501 (2015)]. Similar to the previous findings for alpha particles, protons with energies in the range 0.5–9.1 MeV are shown to produce tracks that are systematically smaller as a function of the absorbed x-ray dose in the CR-39. The reduction of track size due to x-ray dose is found to diminish with time between exposure and etching if the CR-39 is stored at ambient temperature, and complete recovery is observed after two weeks. The impact of this effect on the analysis of data from existing CR-39-based proton diagnostics on OMEGA and the National Ignition Facility is evaluated and best practices are proposed for cases in which the effect of x rays is significant.

  15. Impact of x-ray dose on track formation and data analysis for CR-39-based proton diagnostics

    International Nuclear Information System (INIS)

    Rinderknecht, H. G.; Rojas-Herrera, J.; Zylstra, A. B.; Frenje, J. A.; Gatu Johnson, M.; Sio, H.; Sinenian, N.; Rosenberg, M. J.; Li, C. K.; Séguin, F. H.; Petrasso, R. D.; Filkins, T.; Steidle, Jessica A.; Traynor, N.; Freeman, C.; Steidle, Jeffrey A.

    2015-01-01

    The nuclear track detector CR-39 is used extensively for charged particle diagnosis, in particular proton spectroscopy, at inertial confinement fusion facilities. These detectors can absorb x-ray doses from the experiments in the order of 1–100 Gy, the effects of which are not accounted for in the previous detector calibrations. X-ray dose absorbed in the CR-39 has previously been shown to affect the track size of alpha particles in the detector, primarily due to a measured reduction in the material bulk etch rate [Rojas-Herrera et al., Rev. Sci. Instrum. 86, 033501 (2015)]. Similar to the previous findings for alpha particles, protons with energies in the range 0.5–9.1 MeV are shown to produce tracks that are systematically smaller as a function of the absorbed x-ray dose in the CR-39. The reduction of track size due to x-ray dose is found to diminish with time between exposure and etching if the CR-39 is stored at ambient temperature, and complete recovery is observed after two weeks. The impact of this effect on the analysis of data from existing CR-39-based proton diagnostics on OMEGA and the National Ignition Facility is evaluated and best practices are proposed for cases in which the effect of x rays is significant

  16. Final Report for 'Modeling Electron Cloud Diagnostics for High-Intensity Proton Accelerators'

    International Nuclear Information System (INIS)

    Veitzer, Seth A.

    2009-01-01

    Electron clouds in accelerators such as the ILC degrade beam quality and limit operating efficiency. The need to mitigate electron clouds has a direct impact on the design and operation of these accelerators, translating into increased cost and reduced performance. Diagnostic techniques for measuring electron clouds in accelerating cavities are needed to provide an assessment of electron cloud evolution and mitigation. Accurate numerical modeling of these diagnostics is needed to validate the experimental techniques. In this Phase I, we developed detailed numerical models of microwave propagation through electron clouds in accelerating cavities with geometries relevant to existing and future high-intensity proton accelerators such as Project X and the ILC. Our numerical techniques and simulation results from the Phase I showed that there was a high probability of success in measuring both the evolution of electron clouds and the effects of non-uniform electron density distributions in Phase II.

  17. Standard format and content for radiological contingency plans for fuel cycle and materials facilities. Regulatory report

    International Nuclear Information System (INIS)

    1981-07-01

    This report is issued as guidance to those fuel cycle and major materials licensees who are required by the NRC to prepare and submit a radiological contingency plan. This Standard Format has been prepared to help assure uniformity and completeness in the preparation of those plans

  18. 77 FR 22322 - Common Formats for Patient Safety Data Collection and Event Reporting

    Science.gov (United States)

    2012-04-13

    ... safety reporting systems. This inventory provides an evidence base that informs construction of the Common Formats. The inventory includes many systems from the private sector, including prominent academic... HHS Web site: http://www.PSO.AHRQ.gov/index.html . FOR FURTHER INFORMATION CONTACT: Cathryn Niane...

  19. Hydrocephalic newborn in a missed advanced abdominal pregnancy - diagnostic challenges in a rural setting: A case report

    Directory of Open Access Journals (Sweden)

    Ibrahim Aliyu

    2016-01-01

    Full Text Available Advanced abdominal pregnancy (AAP is a rare event associated with high maternal and perinatal morbidity and mortality. It is commonly seen among patients in the low socioeconomic class, those with previous history of infertility, and women with pelvic infection that seems to be more in the developing countries like Nigeria. It could, however, pose a diagnostic challenge, especially in resource-limited settings where there is lack or restriction of healthcare professionals and medical diagnostic facilities; hence diagnosis is often clinical that is fraught with errors. This may result in misdiagnosis as was observed in our case. Abdominal pregnancy is often associated with congenital deformation anomalies such as talipes and spinal dysraphism. However, the case of a live newborn delivered at term with combination of talipes and hydrocephalus, which are deformation and malformation anomalies respectively is reported.

  20. Opportunities and challenges associated with clinical diagnostic genome sequencing: a report of the Association for Molecular Pathology.

    Science.gov (United States)

    Schrijver, Iris; Aziz, Nazneen; Farkas, Daniel H; Furtado, Manohar; Gonzalez, Andrea Ferreira; Greiner, Timothy C; Grody, Wayne W; Hambuch, Tina; Kalman, Lisa; Kant, Jeffrey A; Klein, Roger D; Leonard, Debra G B; Lubin, Ira M; Mao, Rong; Nagan, Narasimhan; Pratt, Victoria M; Sobel, Mark E; Voelkerding, Karl V; Gibson, Jane S

    2012-11-01

    This report of the Whole Genome Analysis group of the Association for Molecular Pathology illuminates the opportunities and challenges associated with clinical diagnostic genome sequencing. With the reality of clinical application of next-generation sequencing, technical aspects of molecular testing can be accomplished at greater speed and with higher volume, while much information is obtained. Although this testing is a next logical step for molecular pathology laboratories, the potential impact on the diagnostic process and clinical correlations is extraordinary and clinical interpretation will be challenging. We review the rapidly evolving technologies; provide application examples; discuss aspects of clinical utility, ethics, and consent; and address the analytic, postanalytic, and professional implications. Copyright © 2012 American Society for Investigative Pathology and the Association for Molecular Pathology. Published by Elsevier Inc. All rights reserved.

  1. Bouveret's Syndrome: diagnostic considerations

    International Nuclear Information System (INIS)

    Cooper, S.G.; Sherman, S.B.; Steinhardt, J.E.; Wilson, J.M. Jr.; Richman, A.H.

    1987-01-01

    Bouveret's syndrome is a rare disease entity manifested by the formation of a cholecystoduodenal or choledochoduodenal fistula with passage of a gallstone into the duodenal bulb and subsequent obstruction of the gastric outlet. To date, no report of this entity using computed tomographic (CT) imaging is available. This article presents a case of Bouveret's syndrome with the classic findings on upper gastrointestinal (GI) tract series and a description of the CT manifestations. The literature is reviewed with discussion of the diagnostic approach to patients with Bouveret's syndrome

  2. Using formative feedback to identify and support first-year chemistry students with missing or misconceptions. A Practice Report

    Directory of Open Access Journals (Sweden)

    Gwen Lawrie

    2013-08-01

    Full Text Available Students entering tertiary studies possess a diverse range of prior experiences in their academic preparation for tertiary chemistry so academics need tools to enable them to respond to issues in diversity in conceptual models possessed by entering students. Concept inventories can be used to provide formative feedback to help students identify concepts that they need to address to improve construction of subsequent understanding enabling their learning.Modular, formative learning activities that can be administered inside or outside of class in first year chemistry courses have been developed. These activities address key missing and mis-conceptions possessed by incoming student. Engagement in these learning activities by students and academics will help shift the culture of diagnostic and formative assessment within the tertiary context and address issues around the secondary/tertiary transition. This diagnostic/intervention framework is currently being trialed across five Australian tertiary institutions encompassing a large heterogeneous sample of students.

  3. Radiation effects on transport and bubble formation in silicate glasses. 1998 annual progress report

    International Nuclear Information System (INIS)

    Trifunac, A.D.

    1998-01-01

    'To study the fundamental chemistry of radiation damage in silicate/borosilicate glasses and simulated high-level nuclear waste (HLW) forms. Special emphasis is on delineating molecular processes crucial for understanding the aggregation of defects and formation of oxygen bubbles. The knowledge obtained will provide the needed scientific basis for extrapolating long-term behavior of stored radiative waste glass forms. This report summarizes the first 6 months of a 3-year project. The following issues have been addressed: (i) the production of radiolytic oxygen, (ii) the chemistry of hydrogenous species, and (iii) the effect of glass composition and microstructure on the formation and accumulation of metastable point defects.'

  4. Angiomatous lesion and delayed cyst formation after gamma knife surgery for intracranial meningioma: case report and review of literatures.

    Science.gov (United States)

    Liu, Zhiyong; He, Min; Chen, Hongxu; Liu, Yi; Li, Qiang; Li, Lin; Li, Jin; Chen, Haifeng; Xu, Jianguo

    2015-01-01

    Gamma Knife has become a major therapeutic method for intracranial meningiomas, vascular malformations and schwannomas with exact effect. In recent years an increasing number of delayed complications after Gamma Knife surgery have been reported, such as secondary tumors, cystic changes or cyst formation. But angiomatous lesion and delayed cyst formation after Gamma Knife for intracranial lesion has rarely been reported. Here we report the first case of angiomatous lesion and delayed cyst formation following Gamma Knife for intracranial meningioma and discuss its pathogenesis.

  5. Simulation-based expert system for nuclear reactor control and diagnostics. Progress report

    International Nuclear Information System (INIS)

    Lee, J.C.; Martin, W.R.

    1986-01-01

    This research concerns the development of artificial intelligence (AI) techniques suitable for application to the diagnostics and control of nuclear power plant systems. The overall objective of the current effort is to build a prototype simulation-based expert system for diagnosing accidents in nuclear reactors. The system is being designed to analyze plant data heuristically using fuzzy logic to form a set of hypotheses about a particular transient. Hypothesis testing, fault magnitude estimation and transient analysis is performed using simulation programs to model plant behavior. An adaptive learning technique has been developed for achieving accurate simulations of plant dynamics using low-order physical models of plant components. The results of the diagnostics and simulation analysis of the plant transient are to be analyzed by an expert system for final diagnoses and control guidance. To date, significant progress has been made toward achieving the primary goals of this project. Based on a critical safety functions approach, an overall design for the nuclear plant expert system has been developed. The methodology for performing diagnostic reasoning on plant signals has been developed and the algorithms implemented and tested. A methodology for utilizing the information contained in the physical models of plant components has also been developed. This work included the derivation of a unique Kalman filtering algorithm for using power plant data to systematically improve on-line simulations through the judicious adjustment of key model parameters. A few simulation models of key plant components have been developed and implemented to demonstrate the method on a realistic accident scenario. The chosen transient is a loss of feed flow exasperated by a stuck open relief valve, similar to the initiating event of the Three Mile Island Unit 2 accident in 1979

  6. [Rationale for a diagnostic approach in non-Graves' orbital inflammation--Report of 61 patients].

    Science.gov (United States)

    Gavard-Perret, A; Lagier, J; Delmas, J; Delas, J; Adenis, J-P; Robert, P-Y

    2015-12-01

    Orbital inflammatory syndromes include a wide variety of inflammatory intraorbital processes which are very different in terms of clinical presentation and prognosis. We currently prefer to differentiate so-called "specific" inflammations, for which an etiology is able to be identified, from idiopathic orbital inflammatory syndromes (IOIS), for which the etiology remains unknown and the histology is nonspecific. To propose an efficient diagnostic approach for clinicians managing patients with non-Graves' orbital inflammations. This is a retrospective and prospective study concerning 61 patients managed by the medical team for non-Graves' orbital inflammations between May, 1999 and May, 2013 in the ophthalmology departments of Nice and Limoges university hospitals in France. Seventeen specific inflammations, 19 orbital lymphomas and 25 idiopathic orbital inflammatory syndromes were included. Patients were divided into two groups. Thirty-six patients (group 1) underwent primary biopsy, while for the other 25 (group 2), therapy was begun empirically without biopsy. We could therefore compare both approaches in terms of diagnostic efficiency and time until identification of a specific etiology. Our statistical results show that an approach without primary biopsy leads to a number of specific diagnoses statistically much lower than that obtained by the approach with primary biopsy. Also, the risk of missing a specific inflammation (with as a consequence an inappropriate treatment and a risk of functional sequelae as well as a fatal risk of missing a lymphoproliferative pathology) is very clearly higher in the case of not performing primary biopsy. Finally, the average time elapsed between the initial consultation with the ophthalmologist and a specific diagnosis was one month in the case of the first approach, while this delay was almost three times higher with the second approach, with a mean of 2.91 months (P<0.01). Our study shows that biopsy should be the mainstay

  7. Retroperitoneal Inflammatory Liposarcoma in a Patient with Non-Hodgkin Lymphoma: A Report Highlighting Diagnostic Pitfalls

    Directory of Open Access Journals (Sweden)

    Cathy S. Lim

    2010-01-01

    Full Text Available Well differentiated liposarcoma (WDLS is the commonest subtype of liposarcoma. Recognised subtypes of WDLSs are lipoma-like, sclerosing, spindle cell and inflammatory. The inflammatory variant of WDLS also known as “lymphocyte-rich liposarcoma” is rare. We present a case of inflammatory WDLS occurring in the retroperitoneum, in a patient with a past history of non-Hodgkin lymphoma. We outline the histological features, discuss the differential diagnoses and highlight the diagnostic pitfalls in interpretation of this lesion on fine needle biopsy.

  8. Nuclear power plant diagnostics - Safety aspects and licensing. Report of a technical committee meeting. Working material

    International Nuclear Information System (INIS)

    1997-01-01

    The aim of the Technical Committee Meeting (TCM) was to review developed systems and methods in diagnostics in the scope of their impacts and importance to the safety of Nuclear Power Plants. Papers presented on TCM came from different sources, from developers, from manufacturers, from licensing authorities and from NPP personal. They reflect up to date status in the given subject. Participants of TCM formulated three working groups to elaborate different questions which were raised during the discussions. Their results are reflected in the three chapter titles of the given material. Annex 1 to this document contains presentations made at the Technical Committee Meeting. Refs, figs, tabs

  9. Diagnostics of Carbon Nanotube Formation in a Laser Produced Plume: An Investigation of the Metal Catalyst by Laser Ablation Atomic Fluorescence Spectroscopy

    Science.gov (United States)

    deBoer, Gary; Scott, Carl

    2003-01-01

    Carbon nanotubes, elongated molecular tubes with diameters of nanometers and lengths in microns, hold great promise for material science. Hopes for super strong light-weight material to be used in spacecraft design is the driving force behind nanotube work at JSC. The molecular nature of these materials requires the appropriate tools for investigation of their structure, properties, and formation. The mechanism of nanotube formation is of particular interest because it may hold keys to controlling the formation of different types of nanotubes and allow them to be produced in much greater quantities at less cost than is currently available. This summer's work involved the interpretation of data taken last summer and analyzed over the academic year. The work involved diagnostic studies of carbon nanotube formation processes occurring in a laser-produced plume. Laser ablation of metal doped graphite to produce a plasma plume in which carbon nanotubes self assemble is one method of making carbon nanotube. The laser ablation method is amenable to applying the techniques of laser spectroscopy, a powerful tool for probing the energies and dynamics of atomic and molecular species. The experimental work performed last summer involved probing one of the metal catalysts, nickel, by laser induced fluorescence. The nickel atom was studied as a function of oven temperature, probe laser wavelength, time after ablation, and position in the laser produced plume. This data along with previously obtained data on carbon was analyzed over the academic year. Interpretations of the data were developed this summer along with discussions of future work. The temperature of the oven in which the target is ablated greatly influences the amount of material ablated and the propagation of the plume. The ablation conditions and the time scale of atomic and molecular lifetimes suggest that initial ablation of the metal doped carbon target results in atomic and small molecular species. The metal

  10. Dose and diagnostic performance comparison between phase-contrast mammography with synchrotron radiation and digital mammography: a clinical study report.

    Science.gov (United States)

    Fedon, Christian; Rigon, Luigi; Arfelli, Fulvia; Dreossi, Diego; Quai, Elisa; Tonutti, Maura; Tromba, Giuliana; Cova, Maria Assunta; Longo, Renata

    2018-01-01

    Two dosimetric quantities [mean glandular dose (MGD) and entrance surface air kerma (ESAK)] and the diagnostic performance of phase-contrast mammography with synchrotron radiation (MSR) are compared to conventional digital mammography (DM). Seventy-one patients (age range, 41 to 82 years) underwent MSR after a DM examination if questionable or suspicious breast abnormalities were not clarified by ultrasonography. The MGD and the ESAK delivered in both examinations were evaluated and compared. Two on-site radiologists rated the images in consensus according to the Breast Imaging Reporting and Data System assessment categories, which were then correlated with the final diagnoses by means of statistical generalized linear models (GLMs). Receiver operating characteristic curves were also used to assess the diagnostic performance by comparing the area under the curve (AUC). An important MGD and ESAK reduction was observed in MSR due to the monoenergetic beam. In particular, an average 43% reduction was observed for the MGD and a reduction of more than 50% for the ESAK. GLM showed higher diagnostic accuracy, especially in terms of specificity, for MSR, confirmed by AUC analysis ([Formula: see text]). The study design implied that the population was characterized by a high prevalence of disease and that the radiologists, who read the DM images before referring the patient to MSR, could have been influenced in their assessments. Within these limitations, the use of synchrotron radiation with the phase-contrast technique applied to mammography showed an important dose reduction and a higher diagnostic accuracy compared with DM. These results could further encourage research on the translation of x-ray phase-contrast imaging into the clinics.

  11. Hydraulic Testing of Salado Formation Evaporites at the Waste Isolation Pilot Plant Site: Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Beauheim, Richard L.; Domski, Paul S.; Roberts, Randall M.

    1999-07-01

    This report presents interpretations of hydraulic tests conducted in bedded evaporates of the Salado Formation from May 1992 through May 1995 at the Waste Isolation Pilot Plant (WIPP) site in southeastern New Mexico. The WIPP is a US Department of Energy research and development facility designed to demonstrate safe disposal of transuranic wastes from the nation's defense programs. The WIPP disposal horizon is located in the lower portion of the Permian Salado Formation. The hydraulic tests discussed in this report were performed in the WIPP underground facility by INTERA inc. (now Duke Engineering and Services, Inc.), Austin, Texas, following the Field Operations Plan and Addendum prepared by Saulnier (1988, 1991 ) under the technical direction of Sandia National Laboratories, Albuquerque, New Mexico.

  12. Hydraulic Testing of Salado Formation Evaporites at the Waste Isolation Pilot Plant Site: Final Report

    International Nuclear Information System (INIS)

    Beauheim, Richard L.; Domski, Paul S.; Roberts, Randall M.

    1999-01-01

    This report presents interpretations of hydraulic tests conducted in bedded evaporates of the Salado Formation from May 1992 through May 1995 at the Waste Isolation Pilot Plant (WIPP) site in southeastern New Mexico. The WIPP is a US Department of Energy research and development facility designed to demonstrate safe disposal of transuranic wastes from the nation's defense programs. The WIPP disposal horizon is located in the lower portion of the Permian Salado Formation. The hydraulic tests discussed in this report were performed in the WIPP underground facility by INTERA inc. (now Duke Engineering and Services, Inc.), Austin, Texas, following the Field Operations Plan and Addendum prepared by Saulnier (1988, 1991 ) under the technical direction of Sandia National Laboratories, Albuquerque, New Mexico

  13. Reservoir characterization of the Smackover Formation in southwest Alabama. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Kopaska-Merkel, D.C.; Hall, D.R.; Mann, S.D.; Tew, B.H.

    1993-02-01

    The Upper Jurassic Smackover Formation is found in an arcuate belt in the subsurface from south Texas to panhandle Florida. The Smackover is the most prolific hydrocarbon-producing formation in Alabama and is an important hydrocarbon reservoir from Florida to Texas. In this report Smackover hydrocarbon reservoirs in southwest Alabama are described. Also, the nine enhanced- and improved-recovery projects that have been undertaken in the Smackover of Alabama are evaluated. The report concludes with recommendations about potential future enhanced- and improved-recovery projects in Smackover reservoirs in Alabama and an estimate of the potential volume of liquid hydrocarbons recoverable by enhanced- and improved-recovery methods from the Smackover of Alabama.

  14. Report on the experience with the Supervisory Control and Diagnostics System (SCDS) of MFTF-B

    International Nuclear Information System (INIS)

    Wyman, R.H.

    1983-01-01

    The Supervisory Control and Diagnostics System (SCDS) of MFTF is a multiprocessor computer system using graphics oriented displays with touch sensitive panels as the primary operator interface. Late in the calendar year 1981 the system was used to control an integrated test of the vacuum vessel, vacuum system, cryogenics system and the superconducting magnet of MFTF. Since the completion of those tests and starting in early calendar 1983 the system has been used for control of the neutral beam test facility at LLNL. This paper presents a short overview of SCDS for the purpose of orientation and then proceeds to describe the difficulties encountered in these preliminary encounters with reality. The band-aids used to hold things together as disaster threatened as well as the long-term solutions to the problems will be discussed. Finally, we will present some comments on system costs and management philosophy

  15. Multipronged diagnostic approaches for monitoring the treatment of Brucella abortus infected patient: a case report

    Directory of Open Access Journals (Sweden)

    Rajeswari Shome

    2015-07-01

    Full Text Available Brucellosis caused by Brucella species is readily transmissible to humans, causing acute febrile illness and undulant fever which may progress to a more chronic form and can also produce serious complications affecting the musculoskeletal, cardiovascular, and central nervous systems. A veterinary livestock inspector presented to the institute with symptoms of intermittent fever, pain involving muscles and joints, loss of weight, anxiety and weakness for about three months has been investigated. The isolation, serological tests and PCR were performed for diagnosis of brucellosis. Based on history of constant professional association with animals, characteristic symptoms, hematological and biochemical, multiple serological and PCR assay results, the patient was diagnosed as brucellosis. Detection of Brucella abortus directly in the clinical samples by gel based PCRs were highly useful for diagnosis and monitoring of treatment. This diagnostic protocol will facilitate in a simple way to map major Brucella species infecting humans in a geographical region.

  16. Combined gait disorder: a diagnostic challenge –a case report

    Directory of Open Access Journals (Sweden)

    Ioana Stanescu

    2017-02-01

    Full Text Available Gait disorders are a major cause of functional impairment and morbidity, especially in the elderly population. Prevalence of gait disorders is higher in persons over 60: is estimated to be around 15% at 60 years of age and more than 50% in people > 80 years. Most gait disorders are multifactorial and have both neurologic and non-neurologic components. Neurological gait abnormalities result from focal or diffuse lesions occurring in the neural pathways linking the cortical motor centers to the peripheral neuromuscular systems. Nonneurological gait abnormalities include gait limitations caused by musculoskeletal, cardiac, or respiratory diseases. Assessment of a gait abnormality should include history, clinical presentation and additional diagnostic tests. Finding the ethiology of a gait disorder could be a challenge for the practitioners in many cases, requiring interdisciplinary cooperation.

  17. A practical guide to diagnostic transcranial magnetic stimulation: Report of an IFCN committee

    Science.gov (United States)

    Groppa, S.; Oliviero, A.; Eisen, A.; Quartarone, A.; Cohen, L.G.; Mall, V.; Kaelin-Lang, A.; Mima, T.; Rossi, S.; Thickbroom, G.W.; Rossini, P.M.; Ziemann, U.; Valls-Solé, J.; Siebner, H.R.

    2016-01-01

    Transcranial magnetic stimulation (TMS) is an established neurophysiological tool to examine the integrity of the fast-conducting corticomotor pathways in a wide range of diseases associated with motor dysfunction. This includes but is not limited to patients with multiple sclerosis, amyotrophic lateral sclerosis, stroke, movement disorders, disorders affecting the spinal cord, facial and other cranial nerves. These guidelines cover practical aspects of TMS in a clinical setting. We first discuss the technical and physiological aspects of TMS that are relevant for the diagnostic use of TMS. We then lay out the general principles that apply to a standardized clinical examination of the fast-conducting corticomotor pathways with single-pulse TMS. This is followed by a detailed description of how to examine corticomotor conduction to the hand, leg, trunk and facial muscles in patients. Additional sections cover safety issues, the triple stimulation technique, and neuropediatric aspects of TMS. PMID:22349304

  18. Magnetic resonance imaging-a diagnostic tool for postoperative evaluation of dental implants: a case report.

    Science.gov (United States)

    Wanner, Laura; Ludwig, Ute; Hövener, Jan-Bernd; Nelson, Katja; Flügge, Tabea

    2018-04-01

    Compared with cone beam computed tomography (CBCT), magnetic resonance imaging (MRI) might be superior for the diagnosis of nerve lesions associated with implant placement. A patient presented with unilateral pain associated with dysesthesia in the region of the right lower lip and chin after implant placement. Conventional orthopantomography could not identify an association between the position of the inferior alveolar nerve and the implant. For 3-dimensional display of the implant in relation to the surrounding anatomy, CBCT was compared with MRI. MRI enabled the precise depiction of the implant position and its spatial relation to the inferior alveolar nerve, whereas the nerve position and its exact course within the mandible could not be directly displayed in CBCT. MRI may be a valuable, radiation-free diagnostic tool for the visualization of intraoral hard and soft tissues, offering an objective assessment of nerve injuries by a direct visualization of the inferior alveolar neurovascular bundle. Copyright © 2018 Elsevier Inc. All rights reserved.

  19. Duplicated collecting system of a kidney complicated with hydronephrosis - diagnostic methods review: A case report

    International Nuclear Information System (INIS)

    Osmanski, P.; Plucinska, I.; Calka, K.; Kedzierski, B.; Jazwiec, P.

    2008-01-01

    Duplicated collecting system of a kidney occurs in 1.7-4.2% of the population. It is a complex, unilateral or bilateral, congenital abnormality of the pyelocalyceal system and the ureter. The 2 ureters fuse to form a single ureteral orifice or empty separately into the bladder (ureter duplex). Duplicated collecting systems with complete ureteric duplication may lead to developing vesicoureteral reflux, hydronephrosis, and urinary infection. This article presents a case of a 49-year-old woman with duplicated collecting system and hydronephrosis in the upper pole. The anomaly was diagnosed using urography, ultrasonography and computed tomography examination.The best method for diagnostics of the duplicated pyelocalyceal system complicated by hydronephrosis is computed tomography examination, especially multislice computed tomography. The authors present also the options for therapy (author)

  20. The use of X Rays in diagnostic and interventional imaging, excluding radiotherapy. Report and recommendations

    International Nuclear Information System (INIS)

    Dubousset, Jean

    2016-01-01

    The X-Ray discovery (W.C. Roentgen, 1895) offers an immediate progress to the medical efficiency. Today, the medical diagnostic imaging knows a considerable and constant growing when becoming 'interventional', as a surgical help in the operating room. These 'ionizing' radiations, simultaneously, are the first treatment for cancers (A. Beclere, 1900's). But their use in diagnostic presents a potential danger, in children and young people who are the most sensible. The medical and paramedical members of the team are dangerously exposed, too, through the accumulative exposure. Our group reminds the consequences of the ionizing radiations. Invisible, they do not create the suspicion. Therefore, the radioprotection is mandatory because of the all-lifelong cumulative dose of exposure. Many Rules and obligations, international (WHO), European (EU), and national (Agencies, HAS, Ministry of health) with the close cooperation of Societe Francaise de Radiologie (SFR) and Societe Francaise de Radioprotection (SFRP) either in radiodiagnosis or in interventional (500.000 procedures each year in France). Closely concerned by the observance of this radioprotection, the ANM had given information and texts from more than 10 years. Alas, as a pediatric orthopedist surgeon, we observe that today half of the irradiation complications (in the past from radiotherapy) went from interventional radiological procedures (and dental exercise). We went to a 30 years bibliography about this question and to a memorandum about the new indications in modern imaging and its indications with minimization of the dose delivery. We insist on the non-ionizing radiations (MRI, echography, photonic techniques). Five guidelines, concluding the text are underlined. (authors)

  1. Using three-dimensional-computerized tomography as a diagnostic tool for temporo-mandibular joint ankylosis: a case report.

    Science.gov (United States)

    Kao, S Y; Chou, J; Lo, J; Yang, J; Chou, A P; Joe, C J; Chang, R C

    1999-04-01

    Roentgenographic examination has long been a useful diagnostic tool for temporo-mandibular joint (TMJ) disease. The methods include TMJ tomography, panoramic radiography and computerized tomography (CT) scan with or without injection of contrast media. Recently, three-dimensional CT (3D-CT), reconstructed from the two-dimensional image of a CT scan to simulate the soft tissue or bony structure of the real target, was proposed. In this report, a case of TMJ ankylosis due to traumatic injury is presented. 3D-CT was employed as one of the presurgical roentgenographic diagnostic tools. The conventional radiographic examination including panoramic radiography and tomography showed lesions in both sides of the mandible. CT scanning further suggested that the right-sided lesion was more severe than that on the left. With 3D-CT image reconstruction the size and extent of the lesions were clearly observable. The decision was made to proceed with an initial surgical approach on the right side. With condylectomy and condylar replacement using an autogenous costochondral graft on the right side, the range of mouth opening improved significantly. In this case report, 3D-CT demonstrates its advantages as a tool for the correct and precise diagnosis of TMJ ankylosis.

  2. Wandering spleen in children: a report of 3 cases and a brief literature review underlining the importance of diagnostic imaging.

    Science.gov (United States)

    Lombardi, Roberta; Menchini, Laura; Corneli, Teresa; Magistrelli, Andrea; Accinni, Antonella; Monti, Lidia; Tomà, Paolo

    2014-03-01

    Wandering spleen is a rare condition in children that is often caused by loss or weakening of the splenic ligaments. Its clinical presentation is variable; 64% of children with wandering spleen have splenic torsion as a complication. To provide up-to-date information on the diagnosis, clinical management and diagnostic imaging approaches for wandering spleen in infants and children and to underline the importance of color Doppler US and CT in providing important information for patient management. We report a series of three children with wandering spleen treated at our children's hospital over the last 6 years. All three underwent clinical evaluation, color Doppler US and CT and were surgically treated. We also reviewed 40 articles that included 55 patients younger than 18 years reported in the Medline database from 2002 to 2012. We correlated pathological data with imaging findings. Color Doppler US, the first imaging modality in investigating abdominal symptoms in children with suspected wandering spleen, yielded a diagnostic sensitivity of 54.9%, whereas CT achieved about 71.7%. Radiologic evaluation has a major role in confirming the diagnosis of a suspected wandering spleen and avoiding potentially life-threatening complications requiring immediate surgery.

  3. Wandering spleen in children: a report of 3 cases and a brief literature review underlining the importance of diagnostic imaging

    Energy Technology Data Exchange (ETDEWEB)

    Lombardi, Roberta; Menchini, Laura; Corneli, Teresa; Magistrelli, Andrea; Monti, Lidia; Toma, Paolo [Bambino Gesu Pediatric Hospital, Department of Radiology, Rome (Italy); Accinni, Antonella [Bambino Gesu Pediatric Hospital, Department of General and Thoracic Surgery, Rome (Italy)

    2014-03-15

    Wandering spleen is a rare condition in children that is often caused by loss or weakening of the splenic ligaments. Its clinical presentation is variable; 64% of children with wandering spleen have splenic torsion as a complication. To provide up-to-date information on the diagnosis, clinical management and diagnostic imaging approaches for wandering spleen in infants and children and to underline the importance of color Doppler US and CT in providing important information for patient management. We report a series of three children with wandering spleen treated at our children's hospital over the last 6 years. All three underwent clinical evaluation, color Doppler US and CT and were surgically treated. We also reviewed 40 articles that included 55 patients younger than 18 years reported in the Medline database from 2002 to 2012. We correlated pathological data with imaging findings. Color Doppler US, the first imaging modality in investigating abdominal symptoms in children with suspected wandering spleen, yielded a diagnostic sensitivity of 54.9%, whereas CT achieved about 71.7%. Radiologic evaluation has a major role in confirming the diagnosis of a suspected wandering spleen and avoiding potentially life-threatening complications requiring immediate surgery. (orig.)

  4. Wandering spleen in children: a report of 3 cases and a brief literature review underlining the importance of diagnostic imaging

    International Nuclear Information System (INIS)

    Lombardi, Roberta; Menchini, Laura; Corneli, Teresa; Magistrelli, Andrea; Monti, Lidia; Toma, Paolo; Accinni, Antonella

    2014-01-01

    Wandering spleen is a rare condition in children that is often caused by loss or weakening of the splenic ligaments. Its clinical presentation is variable; 64% of children with wandering spleen have splenic torsion as a complication. To provide up-to-date information on the diagnosis, clinical management and diagnostic imaging approaches for wandering spleen in infants and children and to underline the importance of color Doppler US and CT in providing important information for patient management. We report a series of three children with wandering spleen treated at our children's hospital over the last 6 years. All three underwent clinical evaluation, color Doppler US and CT and were surgically treated. We also reviewed 40 articles that included 55 patients younger than 18 years reported in the Medline database from 2002 to 2012. We correlated pathological data with imaging findings. Color Doppler US, the first imaging modality in investigating abdominal symptoms in children with suspected wandering spleen, yielded a diagnostic sensitivity of 54.9%, whereas CT achieved about 71.7%. Radiologic evaluation has a major role in confirming the diagnosis of a suspected wandering spleen and avoiding potentially life-threatening complications requiring immediate surgery. (orig.)

  5. The impact of health on individual retirement plans: self-reported versus diagnostic measures

    DEFF Research Database (Denmark)

    Datta Gupta, Nabanita; Larsen, Mona

    2009-01-01

    provides evidence that men's self-report of myalgia and back problems and women's self-report of osteoarthritis possibly yield biased estimates of the impact on planned retirement age, and that this bias ranges between 1.5 and 2 years, suggesting that users of survey data should be wary of applying self...

  6. [Therapeutic goals and indications: psychotherapy patient's self-reports during diagnostic assessment].

    Science.gov (United States)

    Faller, H

    2000-07-01

    Although individual therapeutic goals are considered to be important factors motivating patients to engage in therapeutic work, they have gained little attention in empirical research. In the present study, patients were given a questionnaire containing 24 therapeutic goals which could be rated according to their subjective relevance on a 5-point scale. N = 152 patients (mean age 34.5 years, 59.2% female) who presented at a university psychotherapy outpatient department to attend a diagnostic interview participated in the study. "To solve my problems" and "to get relief from my complaints" were the goals that were rated as most important. Goals pertaining to mental health such as more contentness and calmness, self-assertion and insight scored high, too. Three rational scales were constructed: 1. insight, 2. sociability, and 3. self-assertion. These scales were correlated with both patients' causal attributions and therapy expectations in plausible ways. However, the general strength of intercorrelations point of the conception patients goals were not very succinct at the time of the intake interview. Indication groups regarding specific therapeutic measures did not differ with respect to therapy goals. Only the general decision whether to recommend a psychotherapeutic intervention or not seemed to be influenced by patients' therapeutic aims.

  7. Efficacy of clinical diagnostic procedures utilized in nuclear medicine. Nine month progress report

    Energy Technology Data Exchange (ETDEWEB)

    None

    1978-01-01

    This study is designed to determine the efficacy of nuclear medicine procedures in clinical practice. Several methods of determining efficacy will be evaluated to determine those most suitable. Nuclear medicine methods will be confined to the study of lung diseases by pulmonary perfusion and ventilation. In addition to evaluating the above methods data will be obtained to determine the sensitivity, specificity, predictive value and efficiency of the test under consideration. These values, corrected for prevalence of the disease processes under consideration will then be compared to the values obtained by the MACRO and MICRO methods and will help to bound the clinical reliability of the diagnostic method depending on the degree to which the several methods trend together. Depending on the practicality of these two methods, in addition to the determination of efficacy, cost effectiveness factors and benefit-risk estimates which are used to apply to radiation effects will be determined for nuclear medicine studies of the brain, bone, heart, liver and thyroid subsequently. The measurement techniques will then be utilized to establish guidelines for the most useful applications of the given procedure so that clinicians will be able to obtain a pretest estimate of the utility of the nuclear medicine test.

  8. Thyroid cancer incidence among Swedish patients exposed to diagnostic doses of iodine-131: A preliminary report

    International Nuclear Information System (INIS)

    Hall, P.E.

    1996-01-01

    The level of risk associated with I-131 is not well defined but appears lower than equivalent doses of x-rays. To provide quantitative data on the risk of thyroid cancer following I-131 exposure, 34,104 patients surviving ≅ 5 years after I-131 administration between 1950-69 for diagnostic purposes were studied. The mean thyroid dose was estimated to be 1.1 Gy (range 0-40.5). A significantly increased risk of a subsequent thyroid cancer was found, however, the excess rates were based entirely on patients referred because of a suspicion of a thyroid tumor. There was no suggestion of an increasing risk with increasing dose or time since exposure. No significant excess risk was found among those less than 20 years of age at exposure. The absence of a risk among those over age 20 is consistent with studies of A-bomb survivors and implies that any type of exposure to ionizing radiation later in life is associated with a minimal cancer risk. (author). 23 refs, 4 tabs

  9. Thyroid cancer incidence among Swedish patients exposed to diagnostic doses of iodine-131: A preliminary report

    Energy Technology Data Exchange (ETDEWEB)

    Hall, P E [Karolinska Hospital, Stockhom (Sweden). Dept. of General Oncology; Holm, L E [National Inst. of Public Health, Stockholm (Sweden)

    1996-08-01

    The level of risk associated with I-131 is not well defined but appears lower than equivalent doses of x-rays. To provide quantitative data on the risk of thyroid cancer following I-131 exposure, 34,104 patients surviving {approx_equal} 5 years after I-131 administration between 1950-69 for diagnostic purposes were studied. The mean thyroid dose was estimated to be 1.1 Gy (range 0-40.5). A significantly increased risk of a subsequent thyroid cancer was found, however, the excess rates were based entirely on patients referred because of a suspicion of a thyroid tumor. There was no suggestion of an increasing risk with increasing dose or time since exposure. No significant excess risk was found among those less than 20 years of age at exposure. The absence of a risk among those over age 20 is consistent with studies of A-bomb survivors and implies that any type of exposure to ionizing radiation later in life is associated with a minimal cancer risk. (author). 23 refs, 4 tabs.

  10. A practical guide to diagnostic transcranial magnetic stimulation: report of an IFCN committee.

    Science.gov (United States)

    Groppa, S; Oliviero, A; Eisen, A; Quartarone, A; Cohen, L G; Mall, V; Kaelin-Lang, A; Mima, T; Rossi, S; Thickbroom, G W; Rossini, P M; Ziemann, U; Valls-Solé, J; Siebner, H R

    2012-05-01

    Transcranial magnetic stimulation (TMS) is an established neurophysiological tool to examine the integrity of the fast-conducting corticomotor pathways in a wide range of diseases associated with motor dysfunction. This includes but is not limited to patients with multiple sclerosis, amyotrophic lateral sclerosis, stroke, movement disorders, disorders affecting the spinal cord, facial and other cranial nerves. These guidelines cover practical aspects of TMS in a clinical setting. We first discuss the technical and physiological aspects of TMS that are relevant for the diagnostic use of TMS. We then lay out the general principles that apply to a standardized clinical examination of the fast-conducting corticomotor pathways with single-pulse TMS. This is followed by a detailed description of how to examine corticomotor conduction to the hand, leg, trunk and facial muscles in patients. Additional sections cover safety issues, the triple stimulation technique, and neuropediatric aspects of TMS. Copyright © 2012 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.

  11. Laser diagnostics of combustion phenomena related to engines/gas turbines. Technical report

    Energy Technology Data Exchange (ETDEWEB)

    Alden, Marcus [Lund Inst. of Technology (Sweden). Dept. of Combustion

    2000-05-01

    The following project has been a one year project bridging the time between the NUTEK program in 'Motorrelaterad foerbraenning' and the new STEM program in 'Energisystem i vaegfordon. The activities has included three Ph. D students and the project has been directed towards two main areas. The first area is the development and application of a new laser diagnostic technique based on laser-induced fluorescence from atomic species for measurements of two-dimensional temperatures in combustion systems. The technique has shown to have distinct advantages compared to more commonly used laser techniques and it has been applied both in engines (VOLVO PV) as well as in gas turbines (VOLVO Aero Corp.) A major advantage is the potential, recently investigated, to make measurements in sooty environments. The second area is in the area of development and application of a technique for measurements of two-dimensional soot volume fractions and particle sizes. The technique is called Laser-induced Incandescence, LII, and here a laser beam is heating the particle considerably above the flame temperature and by detecting the increased blackbody radiation, the parameters above can be inferred. During the year most work has been to develop the technique, but distinct applications in burners, engines and model fires are planned.

  12. Pilot project for a commercial buildings Energy Analysis and Diagnostic Center (EADC) program. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Capehart, B.L.

    1996-02-01

    Commercial energy use costs businesses around $70 billion annually. Many of these businesses are small and medium sized organizations that do not have the resources to help themselves, or to pay for professional engineering services to help reduce their energy costs and improve their economic competitiveness. Energy cost reduction actions with payback times of around two years could save the commercial sector 15--20%, or $10--$15 billion per year. This project was initially intended to evaluate the feasibility of performing commercial energy audits as an adjunct to the industrial audit program run by the US Department of Energy Industrial Office. This program is housed in 30 universities throughout the United States. Formerly known as Energy Analysis and Diagnostic Centers (EADC`s), the university programs are now called Industrial Assessment Centers (IAC`s) to reflect their expansion from energy use analyses to include waste and productivity analyses. The success of the EADC/IAC program in helping the manufacturing sector provides an excellent model for a similar program in the commercial buildings sector. This project has investigated using the EADC/IAC approach to performing energy audits for the commercial sector, and has determined that such an approach is feasible and cost effective.

  13. A pin diode x-ray camera for laser fusion diagnostic imaging: Final technical report

    International Nuclear Information System (INIS)

    Jernigan, J.G.

    1987-01-01

    An x-ray camera has been constructed and tested for diagnostic imaging of laser fusion targets at the Laboratory for Laser Energetics (LLE) of the University of Rochester. The imaging detector, developed by the Hughes Aircraft Company, is a germanium PIN diode array of 10 x 64 separate elements which are bump bonded to a silicon readout chip containing a separate low noise amplifier for each pixel element. The camera assembly consists of a pinhole alignment mechanism, liquid nitrogen cryostat with detector mount and a thin beryllium entrance window, and a shielded rack containing the analog and digital electronics for operations. This x-ray camera has been tested on the OMEGA laser target chamber, the primary laser target facility of LLE, and operated via an Ethernet link to a SUN Microsystems workstation. X-ray images of laser targets are presented. The successful operation of this particular x-ray camera is a demonstration of the viability of the hybrid detector technology for future imaging and spectroscopic applications. This work was funded by the Department of Energy (DOE) as a project of the National Laser Users Facility (NLUF)

  14. Functional protease profiling with reporter peptides in serum specimens of colorectal cancer patients: demonstration of its routine diagnostic applicability.

    Science.gov (United States)

    Findeisen, Peter; Costina, Victor; Yepes, Diego; Hofheinz, Ralf; Neumaier, Michael

    2012-06-08

    The progression of many solid tumors is characterized by the release of tumor-associated proteases and the detection of tumor specific proteolytic activity in serum specimens is a promising diagnostic tool in oncology. Here we describe a mass spectrometry-based functional proteomic profiling approach that tracks the ex-vivo degradation of a synthetic endoprotease substrate in serum specimens of colorectal tumor patients. A reporter peptide (RP) with the amino acid sequence WKPYDAAD was synthesized that has a known cleavage site for the cysteine-endopeptidase cancer procoagulant (EC 3.4.22.26). The RP was added to serum specimens from colorectal cancer patients (n = 30), inflammatory controls (n = 30) and healthy controls (n = 30) and incubated under strictly standardized conditions. The proteolytic fragment of the RP was quantified with liquid chromatography / mass spectrometry (LC/MS). RP-spiking showed good intra- and inter-day reproducibility with coefficients of variation (CVs) that did not exceed a value of 10%. The calibration curve for the anchor peptide was linear in the concentration range of 0.4 - 50 μmol/L. The median concentration of the RP-fragment in serum specimens from tumor patients (TU: 17.6 μmol/L, SD 9.0) was significantly higher when compared to non-malignant inflammatory controls (IC: 11.1 μmol/L, SD 6.1) and healthy controls (HC: 10.3 μmol/L, SD 3.1). Highest area under receiver operating characteristic (AUROC) values were seen for discrimination of TU versus HC (0.89) followed by TU versus IC (0.77). IC and HC could barely be separated indicated by an AUROC value of 0.57. The proteolytic activity towards the RP was conserved in serum specimens that were kept at room temperature for up to 24 hours prior to the analysis. The proteolytic cleavage of reporter peptides is a surrogate marker for tumor associated proteolytic activity in serum specimens of cancer patients. A simple, robust and highly reproducible LC/MS method has

  15. Functional protease profiling with reporter peptides in serum specimens of colorectal cancer patients: demonstration of its routine diagnostic applicability

    Directory of Open Access Journals (Sweden)

    Findeisen Peter

    2012-06-01

    Full Text Available Abstract Background The progression of many solid tumors is characterized by the release of tumor-associated proteases and the detection of tumor specific proteolytic activity in serum specimens is a promising diagnostic tool in oncology. Here we describe a mass spectrometry-based functional proteomic profiling approach that tracks the ex-vivo degradation of a synthetic endoprotease substrate in serum specimens of colorectal tumor patients. Methods A reporter peptide (RP with the amino acid sequence WKPYDAAD was synthesized that has a known cleavage site for the cysteine-endopeptidase cancer procoagulant (EC 3.4.22.26. The RP was added to serum specimens from colorectal cancer patients (n = 30, inflammatory controls (n = 30 and healthy controls (n = 30 and incubated under strictly standardized conditions. The proteolytic fragment of the RP was quantified with liquid chromatography / mass spectrometry (LC/MS. Results RP-spiking showed good intra- and inter-day reproducibility with coefficients of variation (CVs that did not exceed a value of 10%. The calibration curve for the anchor peptide was linear in the concentration range of 0.4 – 50 μmol/L. The median concentration of the RP-fragment in serum specimens from tumor patients (TU: 17.6 μmol/L, SD 9.0 was significantly higher when compared to non-malignant inflammatory controls (IC: 11.1 μmol/L, SD 6.1 and healthy controls (HC: 10.3 μmol/L, SD 3.1. Highest area under receiver operating characteristic (AUROC values were seen for discrimination of TU versus HC (0.89 followed by TU versus IC (0.77. IC and HC could barely be separated indicated by an AUROC value of 0.57. The proteolytic activity towards the RP was conserved in serum specimens that were kept at room temperature for up to 24 hours prior to the analysis. Conclusion The proteolytic cleavage of reporter peptides is a surrogate marker for tumor associated proteolytic activity in serum specimens of cancer patients. A

  16. Neuroleptic malignant syndrome: A review of the clinical/diagnostic features and report of a case without fever

    Directory of Open Access Journals (Sweden)

    Okwudili Obayi

    2017-01-01

    Full Text Available Neuroleptic malignant syndrome (NMS is an uncommon but potentially fatal idiosyncratic reaction characterized by the development of altered consciousness, hyperthermia, autonomic dysfunction, and muscular rigidity on exposure to antipsychotic (or some other psychotropic medications. It is a medical emergency that requires early prompt identification and intervention. Fever is a predominant symptom in NMS. However, there have been reports that the classical high temperature usually associated with NMS may, on rare occasions, be absent. Case presentation This review and case report focus on the clinical/diagnostic features of NMS and a report of an unusual case without the classical high grade fever in a 27- year old male patient with schizophrenia who had been on high doses of multiple typical and atypical antipsychotic drugs. Conclusion This case report serves to remind clinicians of the essential features in the diagnosis of NMS and supports earlier reports that the classical high temperature usually associated with NMS may, on rare occasions, be absent and that would not exclude the diagnosis.

  17. Multimodality diagnostics and megatherapy in poor prognosis Ewing's tumor patients. A single-center report

    International Nuclear Information System (INIS)

    Laws, H.J.; Kaick, B. van; Engel, B.; Dirksen, U.; Koerholz, D.; Goebel, U.; Burdach, S.; Pape, H.; Kahn, T.; Merck, H.; Schmitz, M.; Heyll, A.; Dockhorn-Dworniczak, B.D.; Juergens, H.

    1999-01-01

    Patients and Methods: Since 1988, 25 patients were treated with megatherapy consisting of melphalan, etoposide and total-body irradiation followed by stem cell transplantation. All patients received 6 courses of an induction therapy. Before the fourth therapy block, tumors that were bulky at initial diagnosis (>200 ml) were excised, as well as lung metastases which could still be detected after the third chemotherapy block. During the fifth and sixth chemotherapy block, patients received local irradiation on all infiltrated sites. Persisting immunosuppression after high-dose treatment may facilitate the incidence of relapse. To improve proliferation and cytotoxic activity of early regenerating NK-cells, adoptive immunotherapy with systemic IL-2 therapy after megatherapy is part of the treatment protocol. Results: Of 25 patients treated with megatherapy, 10 patients are still alive with a follow-up time of 6 months to 9 years after megatherapy. The time up to engraftment was decreased from 15±6 days down to 9±2 days through the use of G-CSF and CD34+ selected stem cells. At the same time, erythrocyte and platelet replacement was shortened. Frequently occurring complications were mucositis and infections. One patient died after developing septicemia and multiorgan failure, another patient developed a myelodysplastic syndrome 4.5 years after megatherapy. However, relapse is still the major cause of death. The influence of IL-2 on event-free survival cannot valued because 21 of 25 patients were treated with adoptive immunotherapy. Conclusion: The complex diagnostic and therapeutic strategy renders an EFS of 34% for a patient group with otherwise dismal prognosis. To clarify the efficiency of megatherapy in patients with advanced Ewing's tumors, a standardized treatment strategy is necessary to accumulate a sufficient number of patients for large cooperative studies in this subject. (orig.) [de

  18. A Report on Molecular Diagnostic Testing for Inherited Retinal Dystrophies by Targeted Genetic Analyses.

    Science.gov (United States)

    Ramkumar, Hema L; Gudiseva, Harini V; Kishaba, Kameron T; Suk, John J; Verma, Rohan; Tadimeti, Keerti; Thorson, John A; Ayyagari, Radha

    2017-02-01

    To test the utility of targeted sequencing as a method of clinical molecular testing in patients diagnosed with inherited retinal degeneration (IRD). After genetic counseling, peripheral blood was drawn from 188 probands and 36 carriers of IRD. Single gene testing was performed on each patient in a Clinical Laboratory Improvement Amendment (CLIA) certified laboratory. DNA was isolated, and all exons in the gene of interest were analyzed along with 20 base pairs of flanking intronic sequence. Genetic testing was most often performed on ABCA4, CTRP5, ELOV4, BEST1, CRB1, and PRPH2. Pathogenicity of novel sequence changes was predicted by PolyPhen2 and sorting intolerant from tolerant (SIFT). Of the 225 genetic tests performed, 150 were for recessive IRD, and 75 were for dominant IRD. A positive molecular diagnosis was made in 70 (59%) of probands with recessive IRD and 19 (26%) probands with dominant IRD. Analysis confirmed 12 (34%) of individuals as carriers of familial mutations associated with IRD. Thirty-two novel variants were identified; among these, 17 sequence changes in four genes were predicted to be possibly or probably damaging including: ABCA4 (14), BEST1 (2), PRPH2 (1), and TIMP3 (1). Targeted analysis of clinically suspected genes in 225 subjects resulted in a positive molecular diagnosis in 26% of patients with dominant IRD and 59% of patients with recessive IRD. Novel damaging mutations were identified in four genes. Single gene screening is not an ideal method for diagnostic testing given the phenotypic and genetic heterogeneity among IRD cases. High-throughput sequencing of all genes associated with retinal degeneration may be more efficient for molecular diagnosis.

  19. The Determination of Essentiality as a Leading Principle of the Formation of Integrated Reporting

    Directory of Open Access Journals (Sweden)

    Makarenko Vita Yu.

    2018-03-01

    Full Text Available The definition of essentiality as the leading principle of formation of integrated reporting is considered. The normative basis of essentiality in the context of integrated reporting is the International standard for integrated reporting. The principle of essentiality is that the integrated report should disclose information on issues that have a significant impact on an assessment of the organization’s ability to generate value in the short, medium, and long term periods. Essential for an integrated report is information that is capable of making changes to the organization’s value creation procedure. The definition of essentiality indicates that the essential information is the one that can change the order of assessment of any particular event. Therefore, insignificant for the integrated report is the information that cannot and does not bring such changes. The lack of a clear methodology for determining the essentiality, on the one hand, facilitates application of the principle of essentiality in specific conditions, and on the other — reduces the comparability of indicators of integrated reporting.

  20. Critical Pitfalls in the use of BRAF Mutation as a Diagnostic Tool in Thyroid Nodules: a Case Report.

    Science.gov (United States)

    Kuhn, Elisabetta; Ragazzi, Moira; Zini, Michele; Giordano, Davide; Nicoli, Davide; Piana, Simonetta

    2016-09-01

    Thyroid fine-needle aspiration (FNA) cytology is the primary tool for the diagnostic evaluation of thyroid nodules. BRAF mutation analysis is employed as an ancillary tool in indeterminate cases, as recommended by the American Thyroid Association management guidelines. Hereby, we report the case of a 73-year-old woman who presented an 8-mm-size, ill-defined, left thyroid nodule. FNA resulted "suspicious for papillary thyroid carcinoma". BRAF mutation status was analyzed, and somatic BRAF (V600E) mutation identified. The patient underwent a total thyroidectomy. At histological examination, the nodule was composed of Langerhans cells, admixed with many eosinophils. A final diagnosis of Langerhans cell histiocytosis of the thyroid was made. Our case emphasizes the critical diagnostic pitfalls due to the use of BRAF (V600E) mutation analysis in thyroid FNA. Notably, BRAF (V600E) mutation is common in melanoma, colorectal carcinoma, lung carcinoma, ovarian carcinoma, brain tumors, hairy cell leukemia, multiple myeloma, and histiocytoses. Therefore, in cases of indeterminate FNA with unclassifiable atypical cells BRAF (V600E) mutated, the possibility of a localization of hystiocytosis or a secondary thyroid malignancy should be taken into account.

  1. Diagnostic accuracy of radiographer reporting of computed tomography colonography examinations: A systematic review

    International Nuclear Information System (INIS)

    Meertens, R.; Brealey, S.; Nightingale, J.; McCoubrie, P.

    2013-01-01

    Computed tomography colonography (CTC) is the primary radiological test for the detection of colorectal tumours and precancerous polyps. Radiographer reporting of CTC examinations could help to improve the provision of this expanding service. We undertook a systematic review to assess the accuracy with which radiographers can provide formal written reports on intraluminal disease entities of CTC examinations compared to a reference standard. Data sources searched included online databases, peer-reviewed journals, grey literature, and reference and citation tracking. Eligible studies were assessed for bias, and data were extracted on study characteristics. Pooled estimates of sensitivities and specificities and chi-square tests of heterogeneity were calculated. Eight studies were eligible for inclusion with some risk to bias. Pooled estimates from three studies showed per patient sensitivity and specificity of reporting radiographers was 76% (95% CI: 70–80%) and 74% (95% CI: (67–80%), respectively. From seven studies, per lesion sensitivity for the detection of lesions >5 and >10 mm was 68% (95% CI: 65–71%) and 75% (95% CI: 72–79%) respectively. Pooled sensitivity for detection of lesions >5 mm in studies for which radiographers reported 50 or less training cases was 57% (95% CI: 52–61%) and more than 50 cases was 78% (95% CI: 74–81%). The current evidence does not support radiographers in a role involving the single formal written reporting of CTC examinations. Radiographers' performance, however, did appear to improve significantly with the number read. Therefore, when provided with adequate training and experience, there may be a potential role for radiographers in the reporting of CTC examinations

  2. THE EXPERIENCE OF THE AUTOMATION OF THE STATISTICAL REPORTING FORMATION ON WAGES IN MULTIDISCIPLINARY MEDICAL INSTITUTION

    Directory of Open Access Journals (Sweden)

    O. E. Karpov

    2018-01-01

    Full Text Available The article is dedicated to the description of the experience of automation of the processes of statistical reporting on salaries in Federal State Budgetary Institution «NationalPirogovMedicalSurgicalCenter» of Ministry of Health of theRussian Federationwith the use of information systems.According to the current legislation of theRussian Federation, within the framework of the successful implementation of the «Road Map» on a national scale, statistical information about salaries of employees of social institutions is collected in various sections of data reporting. It became necessary to develop a tool to promptly collect, process and analyze data on salaries to provide statistical information to social institutions.The purpose of this article is to familiarize oneself with the concept of multidimensional data representation and to structure information on multidimensional analytical reports within the framework of practical application for solving economic problems related to the formation of statistical reporting on salaries. The algorithm and the procedure for the formation of multidimensional analytical reports are described, both from the methodological and from the practical point of view. As a material for this study, the normative and legal acts of the Russian Federation, statistical and analytical materials of the section «Salaries of certain categories of workers in the social sphere and science» of the Federal State Statistics Service of the Russian Federation, scientific publications and articles of the periodical press, as well as the results of their own research were used.To facilitate the perception, special attention is given to the description of the basic concepts of multidimensional analytical reporting: measure, performance variables, value. The authors not only gave a definition of multidimensional analytical reporting, but also demonstrated a visual representation of the multidimensional information space of

  3. Communicating patient-reported outcome scores using graphic formats: results from a mixed-methods evaluation.

    Science.gov (United States)

    Brundage, Michael D; Smith, Katherine C; Little, Emily A; Bantug, Elissa T; Snyder, Claire F

    2015-10-01

    Patient-reported outcomes (PROs) promote patient-centered care by using PRO research results ("group-level data") to inform decision making and by monitoring individual patient's PROs ("individual-level data") to inform care. We investigated the interpretability of current PRO data presentation formats. This cross-sectional mixed-methods study randomized purposively sampled cancer patients and clinicians to evaluate six group-data or four individual-data formats. A self-directed exercise assessed participants' interpretation accuracy and ratings of ease-of-understanding and usefulness (0 = least to 10 = most) of each format. Semi-structured qualitative interviews explored helpful and confusing format attributes. We reached thematic saturation with 50 patients (44 % < college graduate) and 20 clinicians. For group-level data, patients rated simple line graphs highest for ease-of-understanding and usefulness (median 8.0; 33 % selected for easiest to understand/most useful) and clinicians rated simple line graphs highest for ease-of-understanding and usefulness (median 9.0, 8.5) but most often selected line graphs with confidence limits or norms (30 % for each format for easiest to understand/most useful). Qualitative results support that clinicians value confidence intervals, norms, and p values, but patients find them confusing. For individual-level data, both patients and clinicians rated line graphs highest for ease-of-understanding (median 8.0 patients, 8.5 clinicians) and usefulness (median 8.0, 9.0) and selected them as easiest to understand (50, 70 %) and most useful (62, 80 %). The qualitative interviews supported highlighting scores requiring clinical attention and providing reference values. This study has identified preferences and opportunities for improving on current formats for PRO presentation and will inform development of best practices for PRO presentation. Both patients and clinicians prefer line graphs across group-level data and individual

  4. Parental Report of the Diagnostic Process and Outcome: ASD Compared with Other Developmental Disabilities

    Science.gov (United States)

    Oswald, Donald P.; Haworth, Shannon M.; Mackenzie, Bernadette K.; Willis, Janet H.

    2017-01-01

    Parents report that the process of getting an autism spectrum disorder (ASD) diagnosis is arduous, lengthy, and fraught with difficulties. This analysis of the Pathways survey data set examined the experiences of parents who said, at the time of the survey, that their child currently had ASD compared with parents who said, at the time of the…

  5. Preferred Reporting Items for a Systematic Review and Meta-analysis of Diagnostic Test Accuracy Studies: The PRISMA-DTA Statement.

    Science.gov (United States)

    McInnes, Matthew D F; Moher, David; Thombs, Brett D; McGrath, Trevor A; Bossuyt, Patrick M; Clifford, Tammy; Cohen, Jérémie F; Deeks, Jonathan J; Gatsonis, Constantine; Hooft, Lotty; Hunt, Harriet A; Hyde, Christopher J; Korevaar, Daniël A; Leeflang, Mariska M G; Macaskill, Petra; Reitsma, Johannes B; Rodin, Rachel; Rutjes, Anne W S; Salameh, Jean-Paul; Stevens, Adrienne; Takwoingi, Yemisi; Tonelli, Marcello; Weeks, Laura; Whiting, Penny; Willis, Brian H

    2018-01-23

    Systematic reviews of diagnostic test accuracy synthesize data from primary diagnostic studies that have evaluated the accuracy of 1 or more index tests against a reference standard, provide estimates of test performance, allow comparisons of the accuracy of different tests, and facilitate the identification of sources of variability in test accuracy. To develop the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) diagnostic test accuracy guideline as a stand-alone extension of the PRISMA statement. Modifications to the PRISMA statement reflect the specific requirements for reporting of systematic reviews and meta-analyses of diagnostic test accuracy studies and the abstracts for these reviews. Established standards from the Enhancing the Quality and Transparency of Health Research (EQUATOR) Network were followed for the development of the guideline. The original PRISMA statement was used as a framework on which to modify and add items. A group of 24 multidisciplinary experts used a systematic review of articles on existing reporting guidelines and methods, a 3-round Delphi process, a consensus meeting, pilot testing, and iterative refinement to develop the PRISMA diagnostic test accuracy guideline. The final version of the PRISMA diagnostic test accuracy guideline checklist was approved by the group. The systematic review (produced 64 items) and the Delphi process (provided feedback on 7 proposed items; 1 item was later split into 2 items) identified 71 potentially relevant items for consideration. The Delphi process reduced these to 60 items that were discussed at the consensus meeting. Following the meeting, pilot testing and iterative feedback were used to generate the 27-item PRISMA diagnostic test accuracy checklist. To reflect specific or optimal contemporary systematic review methods for diagnostic test accuracy, 8 of the 27 original PRISMA items were left unchanged, 17 were modified, 2 were added, and 2 were omitted. The 27-item

  6. Positive results of serological tests for syphilis in pregnancy – diagnostic and therapeutic problems, report of two cases

    Directory of Open Access Journals (Sweden)

    Marta Koper

    2015-06-01

    Full Text Available Introduction. Undiagnosed and untreated syphilis in pregnancy may result in subsequent complications: early fetal loss, stillbirth, low birth weight of infants and newborns with congenital syphilis. Objective. To analyze diagnostic and therapeutic dilemmas of positive results of serological tests for syphilis (STS in pregnancy. Case reports. We present two cases of pregnant women, hospitalized in our department due to positive results of serological tests for syphilis, performed during the antenatal visit. On the basis of patients' history, physical examination and STS results, early latent syphilis was diagnosed in the first patient; biological false positive reactions were considered in the second one. Both patients received procaine penicillin treatment. Conclusions. Screening for syphilis in pregnancy as a part of antenatal care and appropriate treatment with penicillin are the most effective interventions to prevent complications of syphilis in pregnancy. It is also important to adapt modern European Guidelines for management of syphilis to Polish conditions.

  7. Long-standing chin-augmenting costochondral graft creating a diagnostic challenge: A case report and literature review

    Energy Technology Data Exchange (ETDEWEB)

    Badr, Fatma; Mintline, Mark; Ruprecht, Axel; Cohen, Donald; Nair, Madhu [College of Dentistry, University of Florida, Gainesville (United States); Blumberg, Barton R. [Barton Blumberg, DMD Oral and Maxillofacial Surgery Center, The Villages (United States)

    2016-12-15

    To our knowledge, the imaging features of costochondral grafts (CCGs) on cone-beam computed tomography (CBCT) have not been documented in the literature. We present the case of a CCG in the facial soft tissue to the anterior mandible, with changes mimicking a cartilaginous neoplasm. This is the first report to describe the CBCT imaging features of a long-standing graft in the anterior mandible. Implants or grafts may be incidental findings on radiographic images made for unrelated purposes. Although most are well-defined and radiographically homogeneous, being of relatively inert non-biological material, immune reactions to some grafts may stimulate alterations in the appearance of surrounding tissues. Biological implants may undergo growth and differentiation, causing their appearance to mimic neoplastic lesions. We present the case of a cosmetic autogenous CCG that posed a diagnostic challenge both radiographically and histopathologically.

  8. Oesophageal Perforation: A diagnostic and therapeutic challenge in a resource limited setting. A report of three cases

    Directory of Open Access Journals (Sweden)

    Mahalu William

    2011-09-01

    Full Text Available Abstract Background Oesophageal perforation is a condition associated with a high mortality. Its management is still controversial with operative treatment being favoured but a shift to conservative management is occurring. Very little exists in medical literature about its management in Sub-Saharan Africa, where the paucity of thoracic surgeons is compounded by limited diagnostic and therapeutic facilities. Case Presentation We report three cases of oesophageal perforation which were all treated conservatively with tube thoracostomy, nil by mouth with feeding gastrostomy, intravenous antibiotics and chest physiotherapy. Two patients achieved oesophageal healing but one died due to severe septicaemia. Conclusion In a resource restricted setting, conservative management which includes enteral nutrition by feeding gastrostomy, tube thoracostomy to drain inter pleural contaminants, intravenous antibiotics and chest physiotherapy is a safe and effective treatment for oesophageal perforations.

  9. Development of a reactor-coolant-pump monitoring and diagnostic system. Semi-annual progress report, December 1981-May 1982

    International Nuclear Information System (INIS)

    Morris, D.J.; Gabler, H.C.

    1982-10-01

    Reactor coolant (RC) pump seal failures have resulted in excessive leakage of primary coolant into reactor containment buildings. In some cases, high levels of airborne activity and surface contamination following these failures have necessitated extensive cleanup efforts and personnel radiation exposure. Unpredictable pump seal performance has also caused forced outages and frequent maintenance. The quality of operating data has been insufficient to allow proper evaluation of theoretical RC pump seal failure mechanisms. The RC pump monitoring and diagnostic system being developed and installed at Toledo Edison's Davis-Besse Nuclear Power Station will examine the relationship between seal failures and three other variables. This report describes system software and hardware development, testing, and installation work performed during the period of December 1981 through May 1982. Also described herein is a parallel effort being conducted by a B and W/Byron Jackson/Utility group to improve pump seal performance

  10. Development of monitoring and diagnostic methods for robots used in remediation of waste sites. 1997 annual progress report

    International Nuclear Information System (INIS)

    Tecza, J.

    1998-01-01

    'Safe and efficient clean up of hazardous and radioactive waste sites throughout the DOE complex will require extensive use of robots. This research effort focuses on developing Monitoring and Diagnostic (M and D) methods for robots that will provide early detection, isolation, and tracking of impending faults before they result in serious failure. The utility and effectiveness of applying M and D methods to hydraulic robots has never been proven. The present research program is utilizing seeded faults in a laboratory test rig that is representative of an existing hydraulically-powered remediation robot. This report summarizes activity conducted in the first 9 months of the project. The research team has analyzed the Rosie Mobile Worksystem as a representative hydraulic robot, developed a test rig for implanted fault testing, developed a test plan and agenda, and established methods for acquiring and analyzing the test data.'

  11. 2. IAEA research co-ordination meeting on 'Atomic and molecular data for fusion plasma diagnostics'. Summary report

    International Nuclear Information System (INIS)

    Clark, R.E.H.

    2004-05-01

    This report briefly describes the proceedings, conclusions and recommendations of the 2nd Research Co-ordination Meeting (RCM) of the Co-ordinated Research Project (CRP) on 'Atomic and Molecular Data for Fusion Plasma Diagnostics' held on 16-18 June 2003 at IAEA Headquarters, Vienna. During the course of the meeting the progress achieved to data was thoroughly reviewed. It was noted that during the course of the research several new areas of data needs were revealed. During detailed discussions proposals from all participants on ongoing data needs indicated that a one year extension of the CRP would be extremely valuable with an additional RCM to be held in 2004. A specific proposal for such an extension was formulated along with the summary of the results achieved to date. (author)

  12. [Pannus Formation Two Years after Bioprosthetic Aortic Valve Implantation;Report of a Case].

    Science.gov (United States)

    Ono, Kimiyo; Kuroda, Hiroaki

    2015-08-01

    We report a case of early deterioration of the bioprosthetic aortic valve 23 months postoperatively. A 77-year-old man who had undergone aortic valve replacement with a 23-mm Epic valve( St. Jude Medical [SJM])presented to us after a syncopal episode. Echocardiography revealed severe aortic stenosis, and redo aortic valve replacement with a 21-mm SJM mechanical valve was performed. All 3 cusps of the tissue valve were thickened by fibrous pannus overgrowth. Neither calcification nor invasion of inflammatory cells was observed. The cause of pannus formation at such an early stage after implantation remains unknown.

  13. Diagnostic challenges in primary brain stem glioblastoma multiform; a case report

    Directory of Open Access Journals (Sweden)

    Muhammad Taimur Malik, MD

    2017-12-01

    Full Text Available Brainstem gliomas are rare form of primary brain tumors in adult and represent <2% of gliomas. Glioblastomas (GBM are much less common in pediatric patients; adult GBM vary in presentation and response to therapy, and generally have a very poor prognosis. GBM is less common in the brainstem, comprising <2% gliomas and there is therefore limited data available to provide a standard of care. Here we present a case report of a patient who presented with aggressive primary pontine GBM.

  14. Peripheral (Seventh Nerve Palsy and Multiple Sclerosis: A Diagnostic Dilemma - A Case Report

    Directory of Open Access Journals (Sweden)

    Christian Saleh

    2016-01-01

    Full Text Available During the last decades, only a few cases on the association between peripheral demyelinating diseases and multiple sclerosis (MS have been reported. We describe the case of a young man who was initially diagnosed with Bell's palsy, and only after performing a brain MRI was the diagnosis of MS made. We review the literature and discuss some pitfalls which may lead to missing the diagnosis of MS.

  15. Impact of Diagnostic Practices on the Self-Reported Health of Mothers of Recently Diagnosed Children with ASD

    Directory of Open Access Journals (Sweden)

    Phil Reed

    2016-09-01

    Full Text Available Objectives: Obtaining a diagnosis of an Autism Spectrum Disorder (ASD for a child is a pivotal point in developing the treatment plan for the child but can also be regarded as highly stressful by parents. The current study examined the impact of different aspects of the diagnosis process on the self-reported mental health of mothers of children undergoing a diagnosis for ASD in a cross-sectional cohort design. Methods: One-hundred-fifty-eight mothers of consequently diagnosed children with ASD participated. The severity of the children’s ASD and their intellectual functioning was assessed within twelve months of the diagnosis, and the mothers completed a psychometric assessment battery including the Hospital Anxiety and Depression Scale, General Health Questionnaire, and Questionnaire on Resources and Stress. Results: The actual time from first reporting a problem to obtaining a diagnosis, and the speed of the diagnostic process from first to last appointment, were both negatively related to patenting stress. In contrast, mothers’ perceptions of the speed and helpfulness of the process were negatively related to levels of anxiety and depression. The number of professionals involved in the process and the perceived coherence of the diagnosis were also negatively related to aspects of mothers’ functioning. Conclusions: Care is needed to help mothers through the diagnostic process with regard to their own functioning. Providing information and help sources throughout the process, while keeping the number of professionals involved to a minimum, may improve the parent perception of the process and reduce the negative impacts of the diagnosis on the family as a whole.

  16. Reporting guidelines for diagnostic accuracy studies that use Bayesian latent class models (STARD-BLCM)

    DEFF Research Database (Denmark)

    Kostoulas, Polychronis; Nielsen, Søren S.; Branscum, Adam J.

    2017-01-01

    of disease status (i.e., disease status is a latent variable). Statistical methods were introduced in this context by Hui and Walter and have been succesfully applied since then, with the majority of the work being carried out in a Bayesian framework. While STARD provides useful reporting guidelines...... for studies designed to estimate the accuracy of tests when disease status is known. The original STARD statement was initially published in seven journals, while an updated version — STARD2015 — has been recently released. More than 200 biomedical journals encourage its use in their instructions to authors...

  17. Diagnostic difficulties of Lactobacillus casei bacteraemia in immunocompetent patients: A case report

    Directory of Open Access Journals (Sweden)

    Tommasi Chiara

    2008-09-01

    Full Text Available Abstract Introduction Lactobacilli are currently proposed as probiotic agents in several dietary products. In blood cultures, they are usually considered as contaminants, but in recent years they have been recognized as causal infectious agents of endocarditis, urinary tract infections, meningitis, intra-abdominal infections and bacteraemia. Case presentation We report a case of Lactobacillus casei bacteraemia in a 66-year-old immunocompetent man with a history of fever of unknown origin. Leuconostoc bacteraemia was demonstrated by blood culture, but a later polymerase chain reaction analysis with sequencing of 16S ribosomal RNA identified Lactobacillus casei and a successful antibiotic therapy was performed. Conclusion Bacteraemia caused by probiotic organisms is rare but underestimated, since they are normally regarded as contaminants and their role as primary invaders is not always easily established. Although the consumption of probiotic products cannot be considered a risk factor in the development of diseases caused by usually non-pathogenic bacteria, specific individual clinical histories should be taken into account. This report should alert both clinicians and microbiologists to the possibility of unusual pathogens causing serious illnesses and to the use of 16S ribosomal RNA sequencing for molecular identification as a powerful tool in confirming the diagnosis of infrequent pathogens.

  18. Sporadic fatal insomnia in a young woman: A diagnostic challenge: Case Report

    Directory of Open Access Journals (Sweden)

    Cracco Laura

    2011-10-01

    Full Text Available Abstract Background Sporadic fatal insomnia (sFI and fatal familial insomnia (FFI are rare human prion diseases. Case Presentation We report a case of a 33-year-old female who died of a prion disease for whom the diagnosis of sFI or FFI was not considered clinically. Following death of this patient, an interview with a close family member indicated the patient's illness included a major change in her sleep pattern, corroborating the reported autopsy diagnosis of sFI. Genetic tests identified no prion protein (PrP gene mutation, but neuropathological examination and molecular study showed protease-resistant PrP (PrPres in several brain regions and severe atrophy of the anterior-ventral and medial-dorsal thalamic nuclei similar to that described in FFI. Conclusions In patients with suspected prion disease, a characteristic change in sleep pattern can be an important clinical clue for identifying sFI or FFI; polysomnography (PSG, genetic analysis, and nuclear imaging may aid in diagnosis.

  19. Mucinous cystic tumors of the pancreas - report of a radiological diagnostic and review of the literature

    International Nuclear Information System (INIS)

    Teixeira, Sonia Marcelino; Marchiori, Edson; Borges, Aurea Valeria Rosa Mohana; Dinoa, Vanessa de Albuquerque; Santos, Maria Cristina Soares dos

    1997-01-01

    Cystic lesions of the pancreas can be either inflammatory (pseudocyst) or neoplastic. Neoplastic cysts contain either serous or mucinous fluid. Mucinous cystic tumor are more common in the tail of the pancreas of young women with palpable upper abdominal mass. The treatment is total excision of the lesion, and has very good results. The authors report the case of a 41-year-old woman, who presented a large palpable upper abdominal mass and fever. Abdominal sonography and CT scan have shown a heterogeneous cyst in the pancreas body and tail. The histologic diagnosis was mucinous cystic tumor of the pancreas. The treatment was removal of the body and tail of the pancreas together with the cyst. One year after surgery, the patient is doing well. (author)

  20. Ewing's sarcoma of the cervix, a diagnostic dilemma: a case report and review of the literature.

    Science.gov (United States)

    Mashriqi, Nazia; Gujjarlapudi, Jaya Kranthi; Sidhu, Jagmohan; Zur, Michael; Yalamanchili, Madhuri

    2015-11-09

    Ewing's sarcoma belongs to a spectrum of neoplastic diseases known as Ewing's family of tumors. This family of tumors is usually seen in osseous sites. Ewing's sarcoma of the cervix is extremely rare, with only 18 cases reported in the English literature. The immunohistochemical profile of Ewing's sarcoma overlaps with other malignancies like small cell carcinoma. The rarity and complex pathologic picture of Ewing's sarcoma of the cervix creates the potential for misdiagnosis. Hence, we believe this case needs to be reported to add to the available literature. A 49-year-old white Caucasian woman presented with vaginal bleeding. A pelvic examination revealed a cystic lesion arising from her cervix. Examination of a biopsy specimen revealed a poorly differentiated neoplasm, with sheets of small hyperchromatic cells, staining weakly for neuroendocrine markers. She was diagnosed with small cell carcinoma and started on concurrent chemotherapy and radiation. However, additional positive immunostaining for CD99 was strongly suggestive of Ewing's sarcoma. Fluorescence in situ hybridization revealed ESWR1 gene rearrangement, confirming Ewing's sarcoma. Our patient underwent surgery, which confirmed stage IIB Ewing's sarcoma. She received adjuvant chemotherapy but died from progressive metastatic disease after four cycles. With early diagnosis and appropriate treatment, Ewing's sarcoma of the cervix can be a potentially curable disease. However, owing to overlapping clinical and histopathological features, the diagnosis poses a challenge to oncologists and pathologists. This article guides pathologists to consider Ewing's sarcoma in the differential diagnosis of small cell carcinoma with weak staining for neuroendocrine markers. This literature review will benefit oncologists encountering this rare entity.

  1. Nuclear Energy Research Initiative (NERI): On-Line Intelligent Self-Diagnostic Monitoring for Next Generation Nuclear Plants - Phase I Annual Report

    Energy Technology Data Exchange (ETDEWEB)

    L. J. Bond; S. R. Doctor; R. W. Gilbert; D. B. Jarrell; F. L. Greitzer; R. J. Meador

    2000-09-01

    OAK-B135 This OSTI ID belongs to an IWO and is being released out of the system. The Program Manager Rebecca Richardson has confirmed that all reports have been received. The objective of this project is to design and demonstrate the operation of the real-time intelligent self-diagnostic and prognostic system for next generation nuclear power plant systems. This new self-diagnostic technology is titled, ''On-Line Intelligent Self-Diagnostic Monitoring System'' (SDMS). This project provides a proof-of-principle technology demonstration for SDMS on a pilot plant scale service water system, where a distributed array of sensors is integrated with active components and passive structures typical of next generation nuclear power reactor and plant systems. This project employs state-of-the-art sensors, instrumentation, and computer processing to improve the monitoring and assessment of the power reactor system and to provide diagnostic and automated prognostics capabilities.

  2. Review of selected state-of-the-art applications of diagnostic measurements for radon-mitigation planning. Report for April 1986-June 1987

    International Nuclear Information System (INIS)

    Hubbard, L.M.; Harrje, D.T.; Gadsby, K.J.; Sanchez, D.C.; Turk, B.H.

    1987-09-01

    Since late-1984, EPA's AEERL has supported a program to develop and demonstrate radon-mitigation techniques for single-family detached dwellings. As part of the program, projects have been started, directed at developing and demonstrating the use of diagnostic measurements in all phases of the radon-mitigation process. Diagnostic measurements are used to assess: (1) the radon sources strengths, variability, and locations; and, (2) radon transport to the house and its entry and distribution in the house as influenced by environmental, house characteristics, and occupancy factors. The diagnostic measurements reported include: (1) soil-gas grab sampling; (2) communication (air flow or pressure-field extension) tests; (3) whole house infiltration; (4) differential pressure, (5) gamma radiation; and, (6) radon flux. The paper concludes that the above selected diagnostic measurements were especially useful in characterizing houses with indoor radon problems attributable to soil-gas-borne radon that may be amenable to mitigation through the use of subslab ventilation

  3. Nuclear Energy Research Initiative (NERI): On-Line Intelligent Self-Diagnostic Monitoring for Next Generation Nuclear Plants - Phase I Annual Report

    International Nuclear Information System (INIS)

    Bond, L.G.; Doctor, S.R.; Gilbert, R.W.; Jarrell, D.B.; Greitzer, F.L.; Meador, R.J.

    2000-01-01

    OAK-B135 This OSTI ID belongs to an IWO and is being released out of the system. The Program Manager Rebecca Richardson has confirmed that all reports have been received. The objective of this project is to design and demonstrate the operation of the real-time intelligent self-diagnostic and prognostic system for next generation nuclear power plant systems. This new self-diagnostic technology is titled, ''On-Line Intelligent Self-Diagnostic Monitoring System'' (SDMS). This project provides a proof-of-principle technology demonstration for SDMS on a pilot plant scale service water system, where a distributed array of sensors is integrated with active components and passive structures typical of next generation nuclear power reactor and plant systems. This project employs state-of-the-art sensors, instrumentation, and computer processing to improve the monitoring and assessment of the power reactor system and to provide diagnostic and automated prognostics capabilities

  4. [Rhabdomyolysis - may it be a metabolic myopathy? Case report and diagnostic algorithm].

    Science.gov (United States)

    Sebők, Ágnes; Pál, Endre; Molnár, Gergő Attila; Wittmann, István; Berenténé Bene, Judit; Melegh, Béla; Komoly, Sámuel; Hidvégi, Tibor; Balogh, Lídia; Szabó, Attila; Zsidegh, Petra

    2017-11-01

    We report the case of a 46-year-old female patient with recurrent rhabdomyolysis. In the background of her metabolic myopathy an inherited metabolic disorder of the fatty acid oxidation, very long-chain acyl-coenzyme A-dehydrogenase deficiency was diagnosed. The diagnosis was based on abnormal acyl-carnitine- and urine organic-acid profile in addition to low residual enzyme activity, and was confirmed by genetic testing. After introduction of dietotherapy metabolic crisis necessitating hospital admission has not occurred neither have fixed myopathic changes developed. We present here the differential diagnosis of rhabdomyolysis and exertional muscle complaints, with the metabolic myopathies in focus. The main features of fatty acid oxidation disorders are highlighted, acute and chronic managements of very long-chain acyl-coenzyme A-dehydrogenase deficiency are discussed. Metabolic myopathies respond well to treatment, so good quality of life can be achieved. However, especially in fatty acid oxidation disorders, a metabolic crisis may develop quickly and can be fatal, albeit rarely. Some of these disorders can be identified by newborn screening, but occasionally the symptoms may manifest only in adulthood. With the presentation of this case we would like to point out that in the differential diagnosis of recurrent rhabdomyolysis inherited metabolic disorders should be considered regardless of the patient's age. Orv Hetil. 2017; 158(46): 1873-1882.

  5. Efficacy of clinical diagnostic procedures utilized in nuclear medicine. Final report, August 1977-November 30, 1983

    International Nuclear Information System (INIS)

    Saenger, E.L.

    1986-06-01

    This report describes a study of 2023 patients comparing two methods of evaluating the efficacy of lung scanning in patients suspected of having pulmonary embolism (PE). Only the referring physicians determined the probability of the most important (MI) and most likely (ML) diagnoses, and management, before and after lung scanning. A logistic regression model was developed for the probability of a signout diagnosis of PE. Equal patient groups tested the validity of the regression equations for the probability of PE both before and after the lung scan. The models developed on half the data (Group I) were then tested on the second half of the data set (Group II) to determine their ability to predict with similar results. This shows that the lung scan classifies PE and NOT PE patients well. Entropy minimax pattern detection (EMPD) attempts to predict the diagnosis and management from prior patient attributes. In 2023 cases, attributes alone could not iminate the use of lung scans for all patients. Comparing the two analytic methods, the predictive value, sensitivity, specificity and accuracy of each method are similar. However, EMPD predicts on a relatively small percent of cases (40% prior and 715 post scan) while logistic regression equations predict on 100% of cases. 29 refs., 2 figs., 16 tabs

  6. [Atypical subacute thyroiditis in combination with Grave's disease:Diagnostic difficulties in a case report].

    Science.gov (United States)

    Koutouridou, Emmanouela; Planck, Tereza; Uddman, Erik; Lantz, Mikael

    2018-04-13

    Subacute thyroiditis is a common inflammatory disorder of the thyroid gland, possibly of viral etiology, that typically presents with neck pain, fever and tenderness on palpation of the thyroid gland. Graves' disease is an autoimmune thyroid disorder caused by stimulation of the thyroid gland by thyrotropin receptor antibodies (TRAb). The development of Graves´ disease and subacute thyroiditis simultaneously is an uncommon condition and only a few cases have been reported. In this article we present a case of a 46-year old woman diagnosed with Graves´ disease who was started on thiamazole and weeks later developed high fever. Several differential diagnoses were considered such as infection, lymphoma and vasculitis due to thiamazole. Finally, the fine needle aspiration of the thyroid gland displayed histopathological features of subacute thyroiditis. Remarkably, our patient did not have neck pain or tenderness on palpation of the thyroid gland and overall the clinical presentation of subacute thyroiditis was atypical. Thus, subacute thyroiditis may be considered as a potential cause of fever of unknown origin.

  7. A diagnostic dilemma between psychosis and post-traumatic stress disorder: a case report and review of the literature

    Directory of Open Access Journals (Sweden)

    Coentre Ricardo

    2011-03-01

    Full Text Available Abstract Introduction Post-traumatic stress disorder is defined as a mental disorder that arises from the experience of traumatic life events. Research has shown a high incidence of co-morbidity between post-traumatic stress disorder and psychosis. Case presentation We report the case of a 32-year-old black African woman with a history of both post-traumatic stress disorder and psychosis. Two years ago she presented to mental health services with auditory and visual hallucinations, persecutory delusions, suicidal ideation, recurring nightmares, hyper-arousal, and initial and middle insomnia. She was prescribed trifluoperazine (5 mg/day and began cognitive-behavioral therapy for psychosis. Her psychotic symptoms gradually resolved over a period of three weeks; however, she continues to experience ongoing symptoms of post-traumatic stress disorder. In our case report, we review both the diagnostic and treatment issues regarding post-traumatic stress disorder with psychotic symptoms. Conclusions There are many factors responsible for the symptoms that occur in response to a traumatic event, including cognitive, affective and environmental factors. These factors may predispose both to the development of post-traumatic stress disorder and/or psychotic disorders. The independent diagnosis of post-traumatic stress disorder with psychotic features remains an open issue. A psychological formulation is essential regarding the appropriate treatment in a clinical setting.

  8. Dog and cat exposures to hazardous substances reported to the Kansas State Veterinary Diagnostic Laboratory: 2009-2012.

    Science.gov (United States)

    Mahdi, Ali; Van der Merwe, Deon

    2013-06-01

    Pet dogs and cats in the USA are commonly exposed to potentially hazardous substances found in domestic environments. Requests for assistance and advice received by the Kansas State Veterinary Diagnostic Laboratory regarding exposures in dogs and cats to substances perceived by their caretakers to be potentially harmful included 1,616 phone calls, over a 3-year period covering 2009-2012. Enquiries occurred more often during summer. Dogs were involved in 84.7 % of calls and cats in 15.3 %. Oral exposures were reported in 95.5 % of calls, dermal exposures in 3.7 % of calls, inhalation exposures in 0.6 % of calls, and parenteral exposures in 0.2 % of calls. Therapeutic drugs were the most frequently reported substances, accounting for 35.4 % of calls, followed by household chemicals (15.5 %); foods (14.8 %); pesticides (13.9 %); plants (12 %), industrial chemicals and fertilizers (3.6 %); cosmetics and personal care products (2.8 %); and animal, insect, and microorganism toxins (2.1 %). Although requests for information or assistance are not a measure of poisoning incidence, it can provide insight regarding relative exposure rates, help to identify changing exposure trends and emerging exposures, and reflect the public concern regarding actual or apparent harmful exposures in pets.

  9. Cribriform carcinoma mimicking breast abscess - case report. Diagnostic and therapeutic management.

    Science.gov (United States)

    Dobruch-Sobczak, Katarzyna; Roszkowska-Purska, Katarzyna; Chrapowicki, Eryk

    2013-06-01

    The authors presents a case of cribriform breast carcinoma in a cyst that clinically imitated an abscess. The case concerns a 71-year-old female patient treated for ankylosing spondylitis, with a positive family history of breast cancer. The patient presented at the surgical clinic for incision of an abscess of the mammary gland localized in the lower inner quadrant that was a consequence of previous trauma to the right breast. The abscess was incised and the serosanguineous contents were evacuated. The wound was drained and antibiotics (Dalacin with Metronidazol) were administered for the period of 10 days. During the treatment, a cutaneous fistula was formed. At the incision site, a hard thickening was palpable (tumor). Core needle biopsy of the clinically palpable tumor was performed and the purulent material from the fistula was collected for a culture test. Complete blood count did not reveal leucocytosis. In accordance with the obtained sensitivity report, the patient was started on antibiotics again. Breast ultrasound performed upon the completion of the antibiotic therapy, in the right breast, revealed two solidcystic oval lesions with thick echogenic walls and blurred margins. Both masses contained dense levels of fluid material and solid polycyclic structures. On sonoelastography, the lesions were heterogeneous with a high Young's modulus. In the right axillary fossa, ultrasound examination revealed three abnormal lymph nodes enlarged to 31 mm length, which were rounded, hypoechoic and without visible sinuses. Histopathology of the core needle biopsy performed at admittance and after the antibiotic therapy indicated a breast abscess (presence of fibrinous and partly fibrinopurulent material). The mass was finally resected to confirm histopathology. The resected material revealed the presence of an invasive, moderately differentiated cribriform carcinoma, which developed within a cyst, with a 40% necrotic component. Eighteen months after the commencement

  10. Cribriform carcinoma mimicking breast abscess – case report. Diagnostic and therapeutic management

    Directory of Open Access Journals (Sweden)

    Katarzyna Dobruch‑Sobczak

    2013-06-01

    Full Text Available The authors presents a case of cribriform breast carcinoma in a cyst that clinically imitated an abscess. The case concerns a 71-year-old female patient treated for ankylosing spondylitis, with a positive family history of breast cancer. The patient presented at the surgical clinic for incision of an abscess of the mammary gland localized in the lower inner quadrant that was a consequence of previous trauma to the right breast. The abscess was incised and the serosanguineous contents were evacuated. The wound was drained and antibiotics (Dalacin with Metronidazol were administered for the period of 10 days. During the treatment, a cutaneous fistula was formed. At the incision site, a hard thickening was palpable (tumor. Core needle biopsy of the clinically palpable tumor was performed and the purulent material from the fistula was collected for a culture test. Complete blood count did not reveal leucocytosis. In accordance with the obtained sensitivity report, the patient was started on antibiotics again. Breast ultrasound performed upon the completion of the antibiotic therapy, in the right breast, revealed two solidcystic oval lesions with thick echogenic walls and blurred margins. Both masses contained dense levels of fluid material and solid polycyclic structures. On sonoelastography, the lesions were heterogeneous with a high Young’s modulus. In the right axillary fossa, ultrasound examination revealed three abnormal lymph nodes enlarged to 31 mm length, which were rounded, hypoechoic and without visible sinuses. Histopathology of the core needle biopsy performed at admittance and after the antibiotic therapy indicated a breast abscess (presence of fibrinous and partly fibrinopurulent material. The mass was finally resected to confirm histopathology. The resected material revealed the presence of an invasive, moderately differentiated cribriform carcinoma, which developed within a cyst, with a

  11. ADDIGAS. Advective and diffusive gas transport in rock salt formations. Final report

    International Nuclear Information System (INIS)

    Jockwer, Norbert; Wieczorek, Klaus

    2008-04-01

    Beside granite and clay formations also rock salt is investigated as potential host rock for the disposal or radioactive waste. As a result of the mining activities the stress and strain state is changed which leads to dilatancy (i.e., volume increase, manly caused by microfracturing) in the vicinity of the excavations. The affected area is termed as Excavation Disturbed Zone (EDZ) and is characterized by an increased porosity and permeability with micro- and potential macrofractures. For the radioactive waste disposal in a geologic formation the properties of the EDZ with its permeability, extent, and evolution with time is of importance especially for the construction and building of geotechnical barriers. In the recent years the EDZ in rock salt formations was investigated at GRS in the frame of various projects. Main subjects of these projects were the characterisation of the EDZ with regard to its extent, hydraulic behaviour and possible healing at the in-situ stress conditions. The main emphasis of the ADDIGAS project reported here was the evolution of the EDZ after cutting off the drift contour, the anisotropy of permeability, and the diffusive gas transport which had not been investigated in earlier projects. Moreover, an constitutive model for calculating EDZ behaviour which had been developed in the frame of the BAMBUS II project was tested. The experimental work was performed on the 800-m level of the ASSe salt mine. The project ran from 2004 to 2007 and was funded by German Ministry of Economics and Labour (BMWA) under the contract No. 02 E 9924. The modelling work was co-funded by the CEC in the frame of the Integrated Project NF-PRO under contract no. F16W-CT-2003-002389. (orig.)

  12. Patient-reported physical activity questionnaires: A systematic review of content and format

    Science.gov (United States)

    2012-01-01

    Background Many patients with chronic illness are limited in their physical activities. This systematic review evaluates the content and format of patient-reported outcome (PRO) questionnaires that measure physical activity in elderly and chronically ill populations. Methods Questionnaires were identified by a systematic literature search of electronic databases (Medline, Embase, PsychINFO & CINAHL), hand searches (reference sections and PROQOLID database) and expert input. A qualitative analysis was conducted to assess the content and format of the questionnaires and a Venn diagram was produced to illustrate this. Each stage of the review process was conducted by at least two independent reviewers. Results 104 questionnaires fulfilled our criteria. From these, 182 physical activity domains and 1965 items were extracted. Initial qualitative analysis of the domains found 11 categories. Further synthesis of the domains found 4 broad categories: 'physical activity related to general activities and mobility', 'physical activity related to activities of daily living', 'physical activity related to work, social or leisure time activities', and '(disease-specific) symptoms related to physical activity'. The Venn diagram showed that no questionnaires covered all 4 categories and that the '(disease-specific) symptoms related to physical activity' category was often not combined with the other categories. Conclusions A large number of questionnaires with a broad range of physical activity content were identified. Although the content could be broadly organised, there was no consensus on the content and format of physical activity PRO questionnaires in elderly and chronically ill populations. Nevertheless, this systematic review will help investigators to select a physical activity PRO questionnaire that best serves their research question and context. PMID:22414164

  13. Effective choices for diagnostic imaging in clinical practice. Excerpts from a report of a WHO Scientific Group on Clinical Diagnostic Imaging

    International Nuclear Information System (INIS)

    1992-01-01

    There are so many different methods of diagnostic imaging that medical practitioners may need guidance to choose the best through the maze of options for each clinical problem. Advice may be required for more than just the first choice, because the first imaging procedure does not always give the desired answer and, depending on the results, further imaging may have to undertaken. The alternative is to submit the patient to a barrage of imaging and hope that one type, at least provides the diagnosis. This is a quite unacceptable way to practice medicine because of the cost and the risk of radiation damage from unnecessary examinations. The choice of the most effective imaging is often difficult and frequently controversial. The sequence to be followed vries with many factors: the equipment available, the skills of the practitioner, the expected quality of the results, the quality of interpretation, and conclusion which can be drawn

  14. Development of format and contents of safety analysis report for the KNGR standard design

    International Nuclear Information System (INIS)

    Lee, J. H.; Kim, H. S.; Yun, Y. K. and others

    1999-01-01

    Referring to the USNRC Regulatory Guide 1.70 which has been used in the preparation of the SAR for conventional nuclear power plants, the draft guide for format and contents of the SAR for the KNGR standard design was developed based on new regulatory information related to advanced reactors. The draft guide will enable the regulator to make an effective and consistent review on the safety of the KNGR, when this draft guide is used, since the draft guide requires more specific and additional safety information for the standardized NPPs than RG 1.70. In addition, it is expected that the guide for the format and contents of the COL's SAR will be more easily developed using the draft guide suggested in this report. Also, the draft guide can serve as the Korean national guide, with the exception to some industry codes and standards. The experts' review will be performed during the next stage of the project to ensure the objectivity and consistency of the draft guide developed in this study. After reflecting the experts' comments in the guide and revising the contents, it will be utilized in the licensing activities for the KNGR standard design

  15. Peer Feedback, Learning, and Improvement: Answering the Call of the Institute of Medicine Report on Diagnostic Error.

    Science.gov (United States)

    Larson, David B; Donnelly, Lane F; Podberesky, Daniel J; Merrow, Arnold C; Sharpe, Richard E; Kruskal, Jonathan B

    2017-04-01

    In September 2015, the Institute of Medicine (IOM) published a report titled "Improving Diagnosis in Health Care," in which it was recommended that "health care organizations should adopt policies and practices that promote a nonpunitive culture that values open discussion and feedback on diagnostic performance." It may seem counterintuitive that a report addressing a highly technical skill such as medical diagnosis would be focused on organizational culture. The wisdom becomes clearer, however, when examined in the light of recent advances in the understanding of human error and individual and organizational performance. The current dominant model for radiologist performance improvement is scoring-based peer review, which reflects a traditional quality assurance approach, derived from manufacturing in the mid-1900s. Far from achieving the goals of the IOM, which are celebrating success, recognizing mistakes as an opportunity to learn, and fostering openness and trust, we have found that scoring-based peer review tends to drive radiologists inward, against each other, and against practice leaders. Modern approaches to quality improvement focus on using and enhancing interpersonal professional relationships to achieve and maintain high levels of individual and organizational performance. In this article, the authors review the recommendations set forth by the recent IOM report, discuss the science and theory that underlie several of those recommendations, and assess how well they fit with the current dominant approach to radiology peer review. The authors also offer an alternative approach to peer review: peer feedback, learning, and improvement (or more succinctly, "peer learning"), which they believe is better aligned with the principles promoted by the IOM. © RSNA, 2016.

  16. Operational report, Formation of the XXVII reactor core, plan of fuel exchange

    International Nuclear Information System (INIS)

    Martinc, R.

    1977-01-01

    Plan for fuel exchange for formation of the reactor core No. XXVII is presented. This report includes: the quantity of 80% enriched fuel which is input in the core, description of the fuel 'transfer' through the core within this fuelling scheme. It covers the review of reactor safety operating with the core No. XXVII related to reactivity change, thermal load of the fuel channels and fuel burnup. These data result from the analysis based on the same correlated calculation method which was applied for planning the first regular fuel exchange with 80% enriched fuel (core No. XXVI configuration), which has been approved in february 1977. Based on the enclosed data and the fuel exchange according to the proposed procedure it is expected that the reactor operation with core No. XXVII configuration will be safe [sr

  17. The first reported ceratopsid dinosaur from eastern North America (Owl Creek Formation, Upper Cretaceous, Mississippi, USA).

    Science.gov (United States)

    Farke, Andrew A; Phillips, George E

    2017-01-01

    Ceratopsids ("horned dinosaurs") are known from western North America and Asia, a distribution reflecting an inferred subaerial link between the two landmasses during the Late Cretaceous. However, this clade was previously unknown from eastern North America, presumably due to limited outcrop of the appropriate age and depositional environment as well as the separation of eastern and western North America by the Western Interior Seaway during much of the Late Cretaceous. A dentary tooth from the Owl Creek Formation (late Maastrichtian) of Union County, Mississippi, represents the first reported occurrence of Ceratopsidae from eastern North America. This tooth shows a combination of features typical of Ceratopsidae, including a double root and a prominent, blade-like carina. Based on the age of the fossil, we hypothesize that it is consistent with a dispersal of ceratopsids into eastern North America during the very latest Cretaceous, presumably after the two halves of North America were reunited following the retreat of the Western Interior Seaway.

  18. Ambient diagnostics

    CERN Document Server

    Cai, Yang

    2014-01-01

    Part I. FundamentalsIntroductionWhat is Ambient Diagnostics?Diagnostic ModelsMultimedia IntelligenceCrowd SourcingSoft SensorsScience of SimplicityPersonal DiagnosesBasic AlgorithmsBasic ToolsSummaryProblemsTransformationEarly Discoveries of Heartbeat PatternsTransforms, Features, and AttributesSequential FeaturesSpatiotemporal FeaturesShape FeaturesImagery FeaturesFrequency Domain FeaturesMulti-Resolution FeaturesSummaryProblemsPattern RecognitionSimilarities and DistancesClustering MethodsClassification MethodsClassifier Accuracy MeasuresSummaryProblemsPart II. Multimedia IntelligenceSound RecognitionMicrophone AppsModern Acoustic Transducers (Microphones)Frequency Response CharacteristicsDigital Audio File FormatsHeart Sound SensingLung Sound SensingSnore MeterSpectrogram (STFT)Ambient Sound AnalysisSound RecognitionRecognizing Asthma SoundPeak ShiftFeature CompressionRegroupingNoise IssuesFuture ApplicationsSummaryProblemsColor SensorsColor SensingHuman Color VisionColor SensorsColor Matching ExperimentsC...

  19. The radiological diagnosis of frontotemporal dementia in everyday practice: an audit of reports, review of diagnostic criteria, and proposal for service improvement

    International Nuclear Information System (INIS)

    Dewer, B.; Rogers, P.; Ricketts, J.; Mukonoweshuro, W.; Zeman, A.

    2016-01-01

    Aim: To investigate how commonly valuable diagnostic information regarding the frontotemporal dementias (FTDs) may be missed on routine radiological reporting. Materials and methods: The magnetic resonance imaging (MRI) examination results of a series of 39 consecutive patients in whom the diagnosis was initially thought to be a form of FTD were audited. Twenty-two patients satisfied formal diagnostic criteria for subtypes of FTD. The initial non-specialist radiological reports of the MRI examinations were compared with those of a radiologist who specifically examined the images for the possibility of atypical dementia. Results: Six of the 22 original reports provided a full and accurate description of the radiological findings, while two provided a fully accurate interpretation. Conclusion: Valuable diagnostic information may be missed unless clinicians and radiologists jointly review and discuss brain imaging in cases of dementia. The use of standardised scales may enhance the reporting of MRI examinations for dementia. - Highlights: • Relevant MRI findings in dementia are often omitted from non-specialist reports. • 6/22 reports provided full and accurate description of radiological findings. • 2/22 reports provided full and accurate interpretation. • Multidisciplinary meetings between clinicians and radiologists are valuable. • The use of standardised scales may enhance the reporting of ‘dementia scans’.

  20. Development of a diagnostic test set to assess agreement in breast pathology: practical application of the Guidelines for Reporting Reliability and Agreement Studies (GRRAS).

    Science.gov (United States)

    Oster, Natalia V; Carney, Patricia A; Allison, Kimberly H; Weaver, Donald L; Reisch, Lisa M; Longton, Gary; Onega, Tracy; Pepe, Margaret; Geller, Berta M; Nelson, Heidi D; Ross, Tyler R; Tosteson, Aanna N A; Elmore, Joann G

    2013-02-05

    Diagnostic test sets are a valuable research tool that contributes importantly to the validity and reliability of studies that assess agreement in breast pathology. In order to fully understand the strengths and weaknesses of any agreement and reliability study, however, the methods should be fully reported. In this paper we provide a step-by-step description of the methods used to create four complex test sets for a study of diagnostic agreement among pathologists interpreting breast biopsy specimens. We use the newly developed Guidelines for Reporting Reliability and Agreement Studies (GRRAS) as a basis to report these methods. Breast tissue biopsies were selected from the National Cancer Institute-funded Breast Cancer Surveillance Consortium sites. We used a random sampling stratified according to woman's age (40-49 vs. ≥50), parenchymal breast density (low vs. high) and interpretation of the original pathologist. A 3-member panel of expert breast pathologists first independently interpreted each case using five primary diagnostic categories (non-proliferative changes, proliferative changes without atypia, atypical ductal hyperplasia, ductal carcinoma in situ, and invasive carcinoma). When the experts did not unanimously agree on a case diagnosis a modified Delphi method was used to determine the reference standard consensus diagnosis. The final test cases were stratified and randomly assigned into one of four unique test sets. We found GRRAS recommendations to be very useful in reporting diagnostic test set development and recommend inclusion of two additional criteria: 1) characterizing the study population and 2) describing the methods for reference diagnosis, when applicable.

  1. Concomitant occurrence of macroprolactin, exercise-induced amenorrhea, and a pituitary lesion: a diagnostic pitfall. Case report.

    Science.gov (United States)

    Cattaneo, F A; Fahie-Wilson, M N

    2001-08-01

    The authors report the case of a 37-year-old woman who presented with amenorrhea and an increased level of serum prolactin. Magnetic resonance images of the pituitary revealed a lesion with characteristics consistent with those of a microadenoma. Transsphenoidal exploration was performed, but a prolactinoma was not found. After endocrinological review, the patient's hyperprolactinemia was found to be caused by the presence of macroprolactin and her amenorrhea was due to intense exercise and low body weight. Macroprolactin is an isoform of prolactin that is variably reactive in assays for prolactin, but displays minimum bioactivity in vivo. Patients with macroprolactin are mostly asymptomatic. This phenomenon may cause elevated prolactin values, which the authors view as apparent hyperprolactinemia. The presence of macroprolactin is an underrecognized problem, occurring in as many as 15 to 20% of patients with elevated prolactin values and often leading to unnecessary, expensive diagnostic procedures and inappropriate treatment. The presence of macroprolactin should always be suspected when the patient's clinical history or clinical or radiological data are incompatible with the prolactin value. Physicians dealing with diagnosis and treatment of hyperprolactinemia (general practitioners, gynecologists, neurosurgeons, endocrinologists, and biochemists) should be aware of the potentially misleading nature of macroprolactin.

  2. Standard format and content of a license application for a low-level radioactive waste disposal facility: Safety analysis report

    International Nuclear Information System (INIS)

    1988-01-01

    This document discusses the information that should be provided in the Safety Analysis Report and establishes a uniform format for presenting the information necessary to fulfill the licensing requirements for land disposal of radioactive waste called for in 10 CFR 61. The uniform format will (1) help ensure that the Safety Analysis Report contains the information required by 10 CFR 61, (2) aid the applicant and NRC staff in ensuring that the information is complete, (3) help persons reading the Safety Analysis Report to locate information, and (4) contribute to shortening the time needed for the review process

  3. Standard format and content of a license application for a low-level radioactive waste disposal facility: Safety analysis report

    International Nuclear Information System (INIS)

    1987-01-01

    This document discusses the information that should be provided in the Safety Analysis Report and establishes a uniform format for presenting the information necessary to fulfill the licensing requirements for land disposal of radioactive waste called for in 10 CFR 61. The uniform format will (1) help ensure that the Safety Analysis Report contains the information required by 10 CFR 61, (2) aid the applicant and NRC staff in ensuring that the information is complete, (3) help persons reading the Safety Analysis Report to locate information, and (4) contribute to shortening the time needed for the review process

  4. Diagnostic accuracy of calculated serum osmolarity to predict dehydration in older people: adding value to pathology laboratory reports.

    Science.gov (United States)

    Hooper, Lee; Abdelhamid, Asmaa; Ali, Adam; Bunn, Diane K; Jennings, Amy; John, W Garry; Kerry, Susan; Lindner, Gregor; Pfortmueller, Carmen A; Sjöstrand, Fredrik; Walsh, Neil P; Fairweather-Tait, Susan J; Potter, John F; Hunter, Paul R; Shepstone, Lee

    2015-10-21

    To assess which osmolarity equation best predicts directly measured serum/plasma osmolality and whether its use could add value to routine blood test results through screening for dehydration in older people. Diagnostic accuracy study. Older people (≥65 years) in 5 cohorts: Dietary Strategies for Healthy Ageing in Europe (NU-AGE, living in the community), Dehydration Recognition In our Elders (DRIE, living in residential care), Fortes (admitted to acute medical care), Sjöstrand (emergency room) or Pfortmueller cohorts (hospitalised with liver cirrhosis). Directly measured serum/plasma osmolality: current dehydration (serum osmolality>300 mOsm/kg), impending/current dehydration (≥295 mOsm/kg). 39 osmolarity equations calculated using serum indices from the same blood draw as directly measured osmolality. Across 5 cohorts 595 older people were included, of whom 19% were dehydrated (directly measured osmolality>300 mOsm/kg). Of 39 osmolarity equations, 5 showed reasonable agreement with directly measured osmolality and 3 had good predictive accuracy in subgroups with diabetes and poor renal function. Two equations were characterised by narrower limits of agreement, low levels of differential bias and good diagnostic accuracy in receiver operating characteristic plots (areas under the curve>0.8). The best equation was osmolarity=1.86×(Na++K+)+1.15×glucose+urea+14 (all measured in mmol/L). It appeared useful in people aged ≥65 years with and without diabetes, poor renal function, dehydration, in men and women, with a range of ages, health, cognitive and functional status. Some commonly used osmolarity equations work poorly, and should not be used. Given costs and prevalence of dehydration in older people we suggest use of the best formula by pathology laboratories using a cutpoint of 295 mOsm/L (sensitivity 85%, specificity 59%), to report dehydration risk opportunistically when serum glucose, urea and electrolytes are measured for other reasons in

  5. Hand trauma: A prospective observational study reporting diagnostic concordance in emergency hand trauma which supports centralised service improvements.

    Science.gov (United States)

    Miranda, B H; Spilsbury, Z P; Rosala-Hallas, A; Cerovac, S

    2016-10-01

    Hand injuries are common, contributing up to 30% of accident and emergency (A&E) attendances. The aim of this study was to prospectively analyse the pathological demographics of hand injuries in a level 1 trauma centre with a Hand Trauma Unit and direct A&E links, and compare clinical and intra-operative findings. The null hypothesis was that there would be no differences between clinical and intra-operative findings (100% diagnostic concordance). Data were prospectively collected for referrals during 2012. Referral diagnosis, additional pathologies found on clinical assessment and intra-operative findings were documented on a live database accessible from both the Hand Unit and associated operating theatres. Odds ratios were calculated using SAS. Injuries (1526) were identified in 1308 patients included in the study. Diagnostic concordance between Hand Unit clinical examination and intra-operative findings was 92.5% ± 2.85% (mean ± SEM); this was lower for flexor tendon injuries (56.3%) because a greater number of additional pathologies were found intra-operatively (2.25 ± 0.10). This 'trend' was noted across multiple referral pathologies including phalangeal fractures (1.28 ± 0.02; 82.9%), lacerations (1.33 ± 0.04; 79.1%), extensor tendon injuries (1.30 ± 0.05; 87.8%) and dislocations (1.18 ± 0.05; 87.8%). Odds ratio analysis indicated a relationship between primary referral diagnoses that were more or less likely to be associated with additional injuries (p management of hand trauma. Our findings, coupled with the presented relevant literature reports, lead us to advocate that A&E departments should move towards a system wherein links to specialist hand trauma services are in place; we hereby present useful data for hospitals implementing such services. Crown Copyright © 2016. Published by Elsevier Ltd. All rights reserved.

  6. 75 FR 65359 - Common Formats for Patient Safety Data Collection and Event Reporting

    Science.gov (United States)

    2010-10-22

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Common Formats..., and analyze confidential information regarding the quality and safety of healthcare delivery. The... Information Technology (HIT) Device format and the remaining Common Formats Version 1.1 can be accessed...

  7. Diagnostic development and support of MHD test facilities: Technical progress report for the period January, February, March 1985

    International Nuclear Information System (INIS)

    Shepard, W.S.; Cook, R.L.

    1985-04-01

    Mississippi State University is developing diagnostic instruments for MHD power train data acquisition and for support of MHD component development test facilities. Microprocessor-controlled optical instruments, initially developed for HRSR support, are being refined, and new systems to measure temperatures and gas-seed-slag stream characteristics are being developed. To further data acquisition and analysis capabilities, the diagnostic systems are being interfaced with MHD Energy Center computers. Additionally, technical support of the diagnostic needs of the national MHD research effort is being provided

  8. Application Of The CSRL Language To The Design Of Diagnostic Expert Systems: The Moodis Experience, A Preliminary Report

    Science.gov (United States)

    Bravos, Angelo; Hill, Howard; Choca, James; Bresolin, Linda B.; Bresolin, Michael J.

    1986-03-01

    Computer technology is rapidly becoming an inseparable part of many health science specialties. Recently, a new area of computer technology, namely Artificial Intelligence, has been applied toward assisting the medical experts in their diagnostic and therapeutic decision making process. MOODIS is an experimental diagnostic expert system which assists Psychiatry specialists in diagnosing human Mood Disorders, better known as Affective Disorders. Its diagnostic methodology is patterned after MDX, a diagnostic expert system developed at LAIR (Laboratory for Artificial Intelligence Research) of Ohio State University. MOODIS is implemented in CSRL (Conceptual Structures Representation Language) also developed at LAIR. This paper describes MOODIS in terms of conceptualization and requirements, and discusses why the MDX approach and CSRL were chosen.

  9. Diagnostic accuracy of self-report and subjective history in the diagnosis of low back pain with non-specific lower extremity symptoms: A systematic review.

    Science.gov (United States)

    Shultz, Susan; Averell, Kristina; Eickelman, Angela; Sanker, Holly; Donaldson, Megan Burrowbridge

    2015-02-01

    Subjective history questions/self-report items are commonly used to triage the patient with low back pain and related leg symptoms. However the value of the history taking process for decision-making to identify common classifications/diagnosis for patients presenting with low back related leg pain (LBRLP) have not been considered. The purpose of this study was to investigate the diagnostic accuracy of self-report items/history-taking questions used to identify patients with LBRLP. Eligible studies included: 1)subjects with low back pain AND related lower extremity pain, 2)details of subjective examination/self-report items, 3)cohort, prospective/longitudinal studies, and randomized control trials, 4)use of statistical reporting, 5)an acceptable reference standard. Quality was evaluated using the Quality Assessment of Diagnostic Accuracy Studies 2. A synthesis of history items that met the threshold for at least a small shift in the likelihood of the condition with a +LR ≥ 2 or -LR ≤ 0.5 were reported. Conditions commonly reported in the literature: lumbar spinal stenosis, lumbosacral nerve root compression/radiculopathy, disc herniation and neurophysiological low back pain ± leg pain. Eleven studies met the inclusion criteria. This is the first systematic review of diagnostic accuracy studies that examined only the history-taking items for their ability to identify LBRLP conditions. Clustering key items may provide a more precise clinical picture necessary to detect and treat a patient's presentation. History questions formed within the interview and their contributing value for decision-making remain understudied. There is a need for better designs to determine a more accurate diagnostic power to identify conditions with LBRLP. Copyright © 2014 Elsevier Ltd. All rights reserved.

  10. International Approaches for Nuclear Waste Disposal in Geological Formations: Report on Fifth Worldwide Review

    Energy Technology Data Exchange (ETDEWEB)

    Faybishenko, Boris [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Birkholzer, Jens [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Persoff, Peter [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Sassani, David [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Swift, Peter [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2016-09-01

    The goal of the Fifth Worldwide Review is to document evolution in the state-of-the-art of approaches for nuclear waste disposal in geological formations since the Fourth Worldwide Review that was released in 2006. The last ten years since the previous Worldwide Review has seen major developments in a number of nations throughout the world pursuing geological disposal programs, both in preparing and reviewing safety cases for the operational and long-term safety of proposed and operating repositories. The countries that are approaching implementation of geological disposal will increasingly focus on the feasibility of safely constructing and operating their repositories in short- and long terms on the basis existing regulations. The WWR-5 will also address a number of specific technical issues in safety case development along with the interplay among stakeholder concerns, technical feasibility, engineering design issues, and operational and post-closure safety. Preparation and publication of the Fifth Worldwide Review on nuclear waste disposal facilitates assessing the lessons learned and developing future cooperation between the countries. The Report provides scientific and technical experiences on preparing for and developing scientific and technical bases for nuclear waste disposal in deep geologic repositories in terms of requirements, societal expectations and the adequacy of cases for long-term repository safety. The Chapters include potential issues that may arise as repository programs mature, and identify techniques that demonstrate the safety cases and aid in promoting and gaining societal confidence. The report will also be used to exchange experience with other fields of industry and technology, in which concepts similar to the design and safety cases are applied, as well to facilitate the public perception and understanding of the safety of the disposal approaches relative to risks that may increase over long times frames in the absence of a successful

  11. The first reported ceratopsid dinosaur from eastern North America (Owl Creek Formation, Upper Cretaceous, Mississippi, USA

    Directory of Open Access Journals (Sweden)

    Andrew A. Farke

    2017-05-01

    Full Text Available Ceratopsids (“horned dinosaurs” are known from western North America and Asia, a distribution reflecting an inferred subaerial link between the two landmasses during the Late Cretaceous. However, this clade was previously unknown from eastern North America, presumably due to limited outcrop of the appropriate age and depositional environment as well as the separation of eastern and western North America by the Western Interior Seaway during much of the Late Cretaceous. A dentary tooth from the Owl Creek Formation (late Maastrichtian of Union County, Mississippi, represents the first reported occurrence of Ceratopsidae from eastern North America. This tooth shows a combination of features typical of Ceratopsidae, including a double root and a prominent, blade-like carina. Based on the age of the fossil, we hypothesize that it is consistent with a dispersal of ceratopsids into eastern North America during the very latest Cretaceous, presumably after the two halves of North America were reunited following the retreat of the Western Interior Seaway.

  12. Final Report: Mechanisms of sputter ripple formation: coupling among energetic ions, surface kinetics, stress and composition

    Energy Technology Data Exchange (ETDEWEB)

    Chason, Eric; Shenoy, Vivek

    2013-01-22

    Self-organized pattern formation enables the creation of nanoscale surface structures over large areas based on fundamental physical processes rather than an applied template. Low energy ion bombardment is one such method that induces the spontaneous formation of a wide variety of interesting morphological features (e.g., sputter ripples and/or quantum dots). This program focused on the processes controlling sputter ripple formation and the kinetics controlling the evolution of surfaces and nanostructures in high flux environments. This was done by using systematic, quantitative experiments to measure ripple formation under a variety of processing conditions coupled with modeling to interpret the results.

  13. Gearbox vibration diagnostic analyzer

    Science.gov (United States)

    1992-01-01

    This report describes the Gearbox Vibration Diagnostic Analyzer installed in the NASA Lewis Research Center's 500 HP Helicopter Transmission Test Stand to monitor gearbox testing. The vibration of the gearbox is analyzed using diagnostic algorithms to calculate a parameter indicating damaged components.

  14. Lichtheimia Infection in a Lymphoma Patient: Case Report and a Brief Review of the Available Diagnostic Tools.

    Science.gov (United States)

    Zimmerli, Stefan; Bialek, Ralf; Blau, Igor W; Christe, Andreas; Lass-Flörl, Cornelia; Presterl, Elisabeth

    2016-08-01

    We describe the case of a patient with a T-lymphoblastic lymphoma whose disseminated mucormycosis was diagnosed with delay, and we address the diagnostic and therapeutic decision-making process and review the diagnostic workup of patients with potential IFD. The diagnosis was delayed despite a suggestive radiological presentation of the patient's pulmonary lesion. The uncommon risk profile (T-lymphoblastic lymphoma, short neutropenic phases) wrongly led to a low level of suspicion. The diagnosis was also hampered by the lack of indirect markers for infections caused by Mucorales, the low sensitivity of both fungal culture and panfungal PCR, and the limited availability of species-specific PCR. A high level of suspicion of IFD is needed, and aggressive diagnostic procedures should be promptly initiated even in apparently low-risk patients with uncommon presentations. The extent of the analytical workup should be decided on a case-by-case base. Diagnostic tests such as the galactomannan and β-D-glucan test and/or PCR on biological material followed by sequencing should be chosen according to their availability and after evaluation of their specificity and sensitivity. In high-risk patients, preemptive therapy with a broad-spectrum mould-active antifungal agent should be started before definitive diagnostic findings become available.

  15. Simulation-based diagnostics and control for nuclear power plants. Final report, April 15, 1992--April 14, 1995

    International Nuclear Information System (INIS)

    Lee, J.C.

    1995-07-01

    The objective of the project was to develop and test a simulation-based diagnostics and control guidance system that can be used to diagnose and manage off-normal transient events in nuclear power plants. The research has focused on developing two diagnostic approaches suitable for detection and identification of faults involving multiple components, subject to uncertainties in system modeling and observations. The first approach is based on a fuzzy logic framework that can diagnose binary failures using a single-failure diagnostic knowledge base. Construction of the binary-failure knowledge base is accomplished through the use of macroscopic conservation relationships and a fuzzy inference structure is developed to determine the magnitude of faults and the associated certainty. In the second diagnostic approach, an adaptive Kalman filter algorithm is derived to yield information on the type and magnitude of feasible component transitions that can account for system observations. To obtain the likelihood of feasible component failures or degradations, a general probabilistic formulation is developed where statistical distributions associated with component reliability data are explicitly represented. Testing of the diagnostic algorithms has been performed through the analysis of simulated transient events for light water reactor systems. Preliminary studies have been conducted to develop Monte Carlo algorithms for flexible control of transient events

  16. Research and Development Program in Reactor Diagnostics and Monitoring with Neutron Noise Methods. Stage 8. Final report

    International Nuclear Information System (INIS)

    Pazsit, I.; Demaziere, C.; Arzhanov, V.

    2003-01-01

    This report constitutes Stage 8 of a long-term research and development program concerning the development of diagnostics and monitoring methods for nuclear reactors. A brief proposal for the continuation of this program in stage 9 is also given at the end of the report. The program executed in Stage 8 consists of three parts and the work performed in each part is summarized below. In Stage 7, an anomaly localisation algorithm was presented and applied to the Forsmark-1 channel instability event. This investigation was carried out with a set of static data that were typical of a generic BWR model, since no data except the Local Power Range Monitors (LPRMs) time signals recorded during the instability event were made accessible to us at that time. In the present Stage, these static data were obtained from Vattenfall Fuel AB, who used the SIMULATE-3 code. The first Section of this report is thus devoted to this anomaly localisation but this time with a relevant set of data, both regarding the static core conditions and regarding the LPRMs time signals. The noise source pointed out by the localisation algorithm was once again found to be very close to an unseated fuel assembly discovered during the fuel outage following the instability event. The localisation procedure relies in fact on the prior calculation of the reactor transfer function, carried out via the neutron noise simulator first presented in Stage 6 and later improved in Stage 7. The neutron noise simulator was also improved in this Stage. More precisely, a 2-D 2- group static core simulator was developed in order to calculate the static flux and the associated eigenvalue with a spatial discretization scheme compatible with the one in use in the neutron noise simulator, i.e. finite differences. It has generally been assumed that the Decay Ratio (DR), a parameter characterizing the stability of BWRs, is a space-independent parameter of the reactor, i.e. it is independent of which LPRM is used in the core to

  17. 77 FR 42736 - Common Formats for Patient Safety Data Collection and Event Reporting

    Science.gov (United States)

    2012-07-20

    ... safety problems. The Patient Safety Act and Patient Safety Rule establish a framework by which doctors... DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Common Formats... formats, specified by AHRQ, that allow health care providers to collect and submit standardized...

  18. Endodontic management of mandibular third molar with three mesial roots using spiral computed tomography scan as a diagnostic aid: a case report.

    Science.gov (United States)

    Tomar, Deepak; Dhingra, Anil; Tomer, Anil; Sharma, Shalini; Sharma, Vivek; Miglani, Anjali

    2013-05-01

    Aberrant root canal anatomy is diagnostically and clinically challenging for clinicians. The most common root canal configuration of human molars is 2 roots and 3 canals, but various combinations may still exist. Third molars are known to have the most unusual anatomy among human teeth. Restorative, prosthetic, and orthodontic considerations often require endodontic treatment of third molars in order for them to be retained as functional components of the dental arch. The present case report demonstrates unusual root canal morphology of the mandibular third molar. Roentgenographic examination, which included spiral CT scan, revealed 3 separate mesial roots in tooth #48 with 3 independent canals and 3 canal orifices, indicating an endodontic rarity. The present case report puts impetus on exploration of additional canals using advanced diagnostic aids, such as spiral computed tomography, which can have a huge impact on the successful outcome of endodontic therapy. Copyright © 2013 Elsevier Inc. All rights reserved.

  19. Green River Formation Water Flood Demonstration Project: Final report. [October 21, 1992-April, 30, 1996

    Energy Technology Data Exchange (ETDEWEB)

    Deo, M.D. [Dept. of Chemical and Fuels Engineering, University of Utah, Salt Lake City (US); Dyer, J.E.; Lomax, J.D. [Inland Resources, Inc., Lomax Exploration Co., Salt Lake City, UT (US); Nielson, D.L.; Lutz, S.J. [Energy and Geoscience Institute at the University of Utah, Salt Lake City (US)

    1996-11-01

    The objectives were to understand the oil production mechanisms in the Monument Butte unit via reservoir characterization and reservoir simulations and to transfer the water flooding technology to similar units in the vicinity, particularly the Travis and the Boundary units. Comprehensive reservoir characterization and reservoir simulations of the Monument Butte, Travis and Boundary units were presented in the two published project yearly reports. The primary and the secondary production from the Monument Butte unit were typical of oil production from an undersaturated oil reservoir close to its bubble point. The water flood in the smaller Travis unit appeared affected by natural and possibly by large interconnecting hydraulic fractures. Water flooding the boundary unit was considered more complicated due to the presence of an oil water contact in one of the wells. The reservoir characterization activity in the project basically consisted of extraction and analysis of a full diameter c ore, Formation Micro Imaging logs from several wells and Magnetic Resonance Imaging logs from two wells. In addition, several side-wall cores were drilled and analyzed, oil samples from a number of wells were physically and chemically characterized (using gas chromatography), oil-water relative permeabilities were measured and pour points and cloud points of a few oil samples were determined. The reservoir modeling activity comprised of reservoir simulation of all the three units at different scales and near well-bore modeling of the wax precipitation effects. The reservoir characterization efforts identified new reservoirs in the Travis and the Boundary units. The reservoir simulation activities established the extent of pressurization of the sections of the reservoirs in the immediate vicinity of the Monument Butte unit. This resulted in a major expansion of the unit and the production from this expanded unit increased from about 300 barrels per day to about 2000 barrels per day.

  20. Green River Formation Water Flood Demonstration Project: Final report, October 21, 1992-April, 30, 1996

    International Nuclear Information System (INIS)

    Deo, M.D.; Dyer, J.E.; Lomax, J.D.; Nielson, D.L.; Lutz, S.J.

    1996-01-01

    The objectives were to understand the oil production mechanisms in the Monument Butte unit via reservoir characterization and reservoir simulations and to transfer the water flooding technology to similar units in the vicinity, particularly the Travis and the Boundary units. Comprehensive reservoir characterization and reservoir simulations of the Monument Butte, Travis and Boundary units were presented in the two published project yearly reports. The primary and the secondary production from the Monument Butte unit were typical of oil production from an undersaturated oil reservoir close to its bubble point. The water flood in the smaller Travis unit appeared affected by natural and possibly by large interconnecting hydraulic fractures. Water flooding the boundary unit was considered more complicated due to the presence of an oil water contact in one of the wells. The reservoir characterization activity in the project basically consisted of extraction and analysis of a full diameter c ore, Formation Micro Imaging logs from several wells and Magnetic Resonance Imaging logs from two wells. In addition, several side-wall cores were drilled and analyzed, oil samples from a number of wells were physically and chemically characterized (using gas chromatography), oil-water relative permeabilities were measured and pour points and cloud points of a few oil samples were determined. The reservoir modeling activity comprised of reservoir simulation of all the three units at different scales and near well-bore modeling of the wax precipitation effects. The reservoir characterization efforts identified new reservoirs in the Travis and the Boundary units. The reservoir simulation activities established the extent of pressurization of the sections of the reservoirs in the immediate vicinity of the Monument Butte unit. This resulted in a major expansion of the unit and the production from this expanded unit increased from about 300 barrels per day to about 2000 barrels per day

  1. Screening diagnostic program breast cancer

    International Nuclear Information System (INIS)

    Portnoj, L.M.; Zhakova, I.I.; Budnikova, N.V.; Rukhlyadko, E.D.

    1995-01-01

    The authors propose their screening program for detection of breast cancer. It includes the entire complex of present-day screening diagnostic methods, starting from an original system for the formation of groups at risk of breast cancer and completed by the direct diagnostic model of detection of the condition, oriented at a differentiated approach to the use of mammographic techniques. The proposed organizational and methodologic screening measures are both economic and diagnostically effective, thus meeting the principal requirements to screening programs. Screening of 8541 risk-groups patients helped detect 867 nodular formations, 244 of which were cancer and 623 benign formations. 8 refs., 3 figs.,

  2. Standard format and content for emergency plans for fuel-cycle and materials facilities: Draft report for comment

    International Nuclear Information System (INIS)

    1987-11-01

    This report is issued as guidance to those fuel-cycle and major materials licensees who are required by the NRC to prepare and submit an emergency plan. This Standard Format has been prepared to help ensure uniformity and completeness in the preparation of those plans

  3. 75 FR 53988 - Notice Regarding the Requirement To Use eXtensible Business Reporting Language Format To Make...

    Science.gov (United States)

    2010-09-02

    ... eXtensible Business Reporting Language Format To Make Publicly Available the Information Required... of XBRL Tags'') to be used for the ratings history disclosure requirements in paragraph (d) of Rule... and retain certain records relating to its business and to retain certain other business records made...

  4. Algorithm of Functional Musculoskeletal Disorders Diagnostics

    OpenAIRE

    Alexandra P. Eroshenko

    2012-01-01

    The article scientifically justifies the algorithm of complex diagnostics of functional musculoskeletal disorders during resort treatment, aimed at the optimal application of modern methods of physical rehabilitation (correction programs formation), based on diagnostic methodologies findings

  5. Algorithm of Functional Musculoskeletal Disorders Diagnostics

    Directory of Open Access Journals (Sweden)

    Alexandra P. Eroshenko

    2012-04-01

    Full Text Available The article scientifically justifies the algorithm of complex diagnostics of functional musculoskeletal disorders during resort treatment, aimed at the optimal application of modern methods of physical rehabilitation (correction programs formation, based on diagnostic methodologies findings

  6. The diagnostic and therapeutic approach of a primary bilateral leiomyoma of the ovaries: a case report and a literature review.

    NARCIS (Netherlands)

    Esch, E.M. van; Wijngaarden, S.E. van; Schaafsma, H.E.; Smeets, M.J.; Rhemrev, J.P.

    2011-01-01

    INTRODUCTION: A primary fibroid (leiomyoma) arising from both ovaries is rare and can be difficult to diagnose as a result of the low incidence and its indistinctive presentation. A literature review on the diagnostic and therapeutic approach of this rare benign tumour is presented. We describe a

  7. Diagnostic Validity of the Eppendorf Schizophrenia Inventory (ESI): A Self-Report Screen for Ultrahigh Risk and Acute Psychosis

    Science.gov (United States)

    Niessen, Maurice A. J.; Dingemans, Peter M. A. J.; van de Fliert, Reinaud; Becker, Hiske E.; Nieman, Dorien H.; Linszen, Don

    2010-01-01

    Providers of mental health services need tools to screen for acute psychosis and ultrahigh risk (UHR) for transition to psychosis in help-seeking individuals. In this study, the Eppendorf Schizophrenia Inventory (ESI) was examined as a screening tool and for its ability to correctly predict diagnostic group membership (e.g., help seeking, mild…

  8. The physics of pattern formation at liquid interface: Progress report, June 1, 1988--May 31, 1989

    International Nuclear Information System (INIS)

    Maher, J.V.

    1989-06-01

    This paper describes pattern formation at liquid interfaces. Results shed light on questions which underlie the theory of solidification. Also reviewed are random system issues of wetting of curved surfaces and fluctuations in swollen polymeric gel

  9. Varying the item format improved the range of measurement in patient-reported outcome measures assessing physical function.

    Science.gov (United States)

    Liegl, Gregor; Gandek, Barbara; Fischer, H Felix; Bjorner, Jakob B; Ware, John E; Rose, Matthias; Fries, James F; Nolte, Sandra

    2017-03-21

    Physical function (PF) is a core patient-reported outcome domain in clinical trials in rheumatic diseases. Frequently used PF measures have ceiling effects, leading to large sample size requirements and low sensitivity to change. In most of these instruments, the response category that indicates the highest PF level is the statement that one is able to perform a given physical activity without any limitations or difficulty. This study investigates whether using an item format with an extended response scale, allowing respondents to state that the performance of an activity is easy or very easy, increases the range of precise measurement of self-reported PF. Three five-item PF short forms were constructed from the Patient-Reported Outcomes Measurement Information System (PROMIS®) wave 1 data. All forms included the same physical activities but varied in item stem and response scale: format A ("Are you able to …"; "without any difficulty"/"unable to do"); format B ("Does your health now limit you …"; "not at all"/"cannot do"); format C ("How difficult is it for you to …"; "very easy"/"impossible"). Each short-form item was answered by 2217-2835 subjects. We evaluated unidimensionality and estimated a graded response model for the 15 short-form items and remaining 119 items of the PROMIS PF bank to compare item and test information for the short forms along the PF continuum. We then used simulated data for five groups with different PF levels to illustrate differences in scoring precision between the short forms using different item formats. Sufficient unidimensionality of all short-form items and the original PF item bank was supported. Compared to formats A and B, format C increased the range of reliable measurement by about 0.5 standard deviations on the positive side of the PF continuum of the sample, provided more item information, and was more useful in distinguishing known groups with above-average functioning. Using an item format with an extended

  10. Inventory of clayey and marly formations in France and update of knowledge on the Albian in Aube. Final report. Volume 1: Report. Volume 2: Appendices

    International Nuclear Information System (INIS)

    2008-01-01

    In the context of searching a site for a storage centre for low level and long life radioactive wastes, this voluminous document reports geological studies on soils presenting the most favourable geological and hydro-geological criteria to retain radionuclides. The locations, characteristics, variability, geology, hydro-geology, and environmental constraints of various and precisely identified clayey or marly formations of the Paris basin and of the Aquitaine basin are analysed and reported in detail. Some additional results of investigations of the Albian site in the Aube district are also reported. The appendices contain information, data and analysis concerning the different French regions

  11. Research and Development Program in Reactor Diagnostics and Monitoring with Neutron Noise Methods. Stage 10. Final Report

    International Nuclear Information System (INIS)

    Demaziere, C.; Pazsit, I.; Sunde, S.; Wright, J.

    2004-12-01

    This report constitutes Stage 10 of a long-term research and development program concerning the development of diagnostics and monitoring methods for nuclear reactors. The program executed in Stage 10 consists of three parts and the work performed in each part is summarized below. A so-called 2-D 2-group neutron noise simulator was previously developed at the Department of Reactor Physics. This simulator is able to calculate the space-dependence of the neutron noise induced by localised or spatially-distributed absorbers of variable strength or by vibrating absorbers. These calculations are performed in the 2-group diffusion approximation and can treat an arbitrary heterogeneous 2-D system. The goal of the present investigation is to use the simulator for unfolding purposes, i.e. to reconstruct the noise source from the detector readings. This task is particularly challenging since the number of detectors available in a commercial PWR can be very low. In this study, five detectors are assumed to be present and evenly distributed in the core. Furthermore, only localised absorbers of variable strength are considered as perturbations. Numerical simulations were first carried out to verify that the space-dependent local and global components of the neutron noise were overwhelmingly large compared to the point-kinetic term of the neutron noise whose spatial structure does not depend on the position of the perturbation. The significance of the space-dependent global component is that its relaxation length is large enough, so that several neutron detectors can monitor it. Therefore, the neutron noise induced at the position of the detectors is itself a function of the position of the perturbation. Unfolding procedures could thus be considered. Prior to performing any unfolding, the type of the noise source has to be determined, since the algorithms developed in this report are based on the assumption of an absorber of variable strength. Such a noise source can also be

  12. FINAL REPORT: Building Performance Optimization while Empowering Occupants Toward Environmentally Sustainable Behavior through Continuous Monitoring and Diagnostics

    Science.gov (United States)

    2016-12-05

    Federal Energy Management Program FM Facility Manager GHG Green House Gases HASP Health and Safety Plan HVAC Heating Ventilation and... workplace energy efficiency enhancement by the DOD personnel. 2.1.2 ID-F Intelligent Dashboards for Facility Managers Creation of the Base Building...demonstration project. The first technology, ‘ID-F,’ targets building facility managers and allows real time diagnostics for BAS systems with features

  13. Final report on the scientific and engineering design of a soft X-ray diode array diagnostic system for JET (KJ 1)

    International Nuclear Information System (INIS)

    Fahrbach, H.U.; Goss, H.; Harmeyer, E.; Schramm, G.

    1982-07-01

    This report describes the Soft-X-Ray Diode Array Diagnostic System for JET. It was designed by the IPP under an Article 14 contract for Phase I. The diagnostics will be capable of measuring the Soft-X-ray emission from H and D plasmas in JET with high resolution in space and time. Two slot-hole cameras with 150 detectors viewing the same toroidal cross-section of the plasma are foreseen. Thin beryllium and aluminium filters in the line of sight of the detectors allow simultaneous measurements within different limits of the X-ray spectrum. Heavy shielding against neutron and gamma radiation is provided in order to reduce radiation induced signals and to increase detector lifetimes. The signals of 100 detectors can be simultaneously sampled with a sampling rate variable up to 250 KHz and stored in 12 bit memories of about 20 Kwords size. (orig.)

  14. Radiation doses in diagnostic radiology and methods for dose reduction. Report of a co-ordinated research programme (1991-1993)

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-04-01

    It is well recognized that diagnostic radiology is the largest contributor to the collective dose from all man-made sources of radiation. Large differences in radiation doses from the same procedures among different X ray rooms have led to the conclusion that there is a potential for dose reduction. A Co-ordinated Research Programme on Radiation Doses in Diagnostic Radiology and Methods for Dose Reduction, involving Member States with different degrees of development, was launched by the IAEA in co-operation with the CEC. This report summarizes the results of the second and final Research Co-ordination Meeting held in Vienna from 4 to 8 October 1993. 22 refs, 6 figs and tabs.

  15. Application of digital diagnostic impression, virtual planning, and computer-guided implant surgery for a CAD/CAM-fabricated, implant-supported fixed dental prosthesis: a clinical report.

    Science.gov (United States)

    Stapleton, Brandon M; Lin, Wei-Shao; Ntounis, Athanasios; Harris, Bryan T; Morton, Dean

    2014-09-01

    This clinical report demonstrated the use of an implant-supported fixed dental prosthesis fabricated with a contemporary digital approach. The digital diagnostic data acquisition was completed with a digital diagnostic impression with an intraoral scanner and cone-beam computed tomography with a prefabricated universal radiographic template to design a virtual prosthetically driven implant surgical plan. A surgical template fabricated with computer-aided design and computer-aided manufacturing (CAD/CAM) was used to perform computer-guided implant surgery. The definitive digital data were then used to design the definitive CAD/CAM-fabricated fixed dental prosthesis. Copyright © 2014 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.

  16. Radiation doses in diagnostic radiology and methods for dose reduction. Report of a co-ordinated research programme (1991-1993)

    International Nuclear Information System (INIS)

    1995-04-01

    It is well recognized that diagnostic radiology is the largest contributor to the collective dose from all man-made sources of radiation. Large differences in radiation doses from the same procedures among different X ray rooms have led to the conclusion that there is a potential for dose reduction. A Co-ordinated Research Programme on Radiation Doses in Diagnostic Radiology and Methods for Dose Reduction, involving Member States with different degrees of development, was launched by the IAEA in co-operation with the CEC. This report summarizes the results of the second and final Research Co-ordination Meeting held in Vienna from 4 to 8 October 1993. 22 refs, 6 figs and tabs

  17. Competence and lastingness in specialized clinical laboratories: technical report about requirements concerning quality of users competence and used processes in immunochemical diagnostic procedures using isotopic and non-isotopic tracer technologies

    International Nuclear Information System (INIS)

    Wiegel, B.

    2005-01-01

    From the citizens view this technical report about immunochemical diagnostic procedures using radioactive and nonradioactive tracer technologies describes the requirements in special laboratory diagnostics concerning competency and process control. Governmental or administrational obligations of inspecting both skill and sites to guarantee patients security are pointed out. (orig.)

  18. Cable Diagnostic Focused Initiative

    Energy Technology Data Exchange (ETDEWEB)

    Hartlein, R.A.; Hampton, R.N.

    2010-12-30

    This report summarizes an extensive effort made to understand how to effectively use the various diagnostic technologies to establish the condition of medium voltage underground cable circuits. These circuits make up an extensive portion of the electric delivery infrastructure in the United States. Much of this infrastructure is old and experiencing unacceptable failure rates. By deploying efficient diagnostic testing programs, electric utilities can replace or repair circuits that are about to fail, providing an optimal approach to improving electric system reliability. This is an intrinsically complex topic. Underground cable systems are not homogeneous. Cable circuits often contain multiple branches with different cable designs and a range of insulation materials. In addition, each insulation material ages differently as a function of time, temperature and operating environment. To complicate matters further, there are a wide variety of diagnostic technologies available for assessing the condition of cable circuits with a diversity of claims about the effectiveness of each approach. As a result, the benefits of deploying cable diagnostic testing programs have been difficult to establish, leading many utilities to avoid the their use altogether. This project was designed to help address these issues. The information provided is the result of a collaborative effort between Georgia Tech NEETRAC staff, Georgia Tech academic faculty, electric utility industry participants, as well as cable system diagnostic testing service providers and test equipment providers. Report topics include: •How cable systems age and fail, •The various technologies available for detecting potential failure sites, •The advantages and disadvantages of different diagnostic technologies, •Different approaches for utilities to employ cable system diagnostics. The primary deliverables of this project are this report, a Cable Diagnostic Handbook (a subset of this report) and an online

  19. Research and Development Program in Reactor Diagnostics and Monitoring with Neutron Noise Methods. Stage 11 and 12. Final report

    International Nuclear Information System (INIS)

    Sunde, C.; Pazsit, I.; Demaziere, C.; Dahl, O.; Mileshina, L.

    2006-06-01

    This report describes the results obtained during Stage 11 and 12 of a long-term research and development program concerning the development of diagnostics and monitoring methods for nuclear reactors. The long-term goals are elaborated in more detail in e.g. the Final Reports of stage 1 and 2 (SKI Report 95:14 and 96:50). Higher order eigenfunctions and eigenvalues of the diffusion equation, describing a static core, have lost their significance when doing calculations in realistic systems, since there are usually made by nodal methods or other direct numerical techniques. However, there are situations when knowledge of the higher order modes is still useful. Such case is the separation of the global and regional flux oscillations in the case of BWR instability. Another case is the investigation of the stability properties of large inhomogeneous cores, which is usually quantified with the so-called eigenvalue separation, ES=1/k 1 - 1/k 0 where k 0 and k 1 , are the fundamental and first higher order eigenvalues, respectively. Numerical codes used for ICMF calculations usually do not have the option of calculating the higher order eigenvalues and eigenfunctions. In idealised systems, these can be calculated with semi-analytical methods. In order to get insight into the characteristics of the higher order eigenmodes of the neutron flux and the adjoint, these were calculated in a reflected homogeneous system with two-group theory. The adjoint eigenmodes are necessary if an orthogonality property needs to be used, such as the separation of the modes from a flux shape which is a sum of several eigenmodes. At the same time, the so-called numerical noise simulator, developed at the Dept., was extended such that it became suitable for the calculation of the higher order eigenmodes, both direct and adjoint ones. This simulator can treat real inhomogeneous cores, with an input deck compatible with that of SIMULATE. The simulator was used to calculate the eigenfunctions and

  20. Research and Development Program in Reactor Diagnostics and Monitoring with Neutron Noise Methods. Stage 11 and 12. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Sunde, C.; Pazsit, I.; Demaziere, C.; Dahl, O.; Mileshina, L. [Chalmers Univ. of Technology, Goeteborg (Sweden). Dept. of Nuclear Engineering

    2006-06-15

    This report describes the results obtained during Stage 11 and 12 of a long-term research and development program concerning the development of diagnostics and monitoring methods for nuclear reactors. The long-term goals are elaborated in more detail in e.g. the Final Reports of stage 1 and 2 (SKI Report 95:14 and 96:50). Higher order eigenfunctions and eigenvalues of the diffusion equation, describing a static core, have lost their significance when doing calculations in realistic systems, since there are usually made by nodal methods or other direct numerical techniques. However, there are situations when knowledge of the higher order modes is still useful. Such case is the separation of the global and regional flux oscillations in the case of BWR instability. Another case is the investigation of the stability properties of large inhomogeneous cores, which is usually quantified with the so-called eigenvalue separation, ES=1/k{sub 1} - 1/k{sub 0} where k{sub 0} and k{sub 1}, are the fundamental and first higher order eigenvalues, respectively. Numerical codes used for ICMF calculations usually do not have the option of calculating the higher order eigenvalues and eigenfunctions. In idealised systems, these can be calculated with semi-analytical methods. In order to get insight into the characteristics of the higher order eigenmodes of the neutron flux and the adjoint, these were calculated in a reflected homogeneous system with two-group theory. The adjoint eigenmodes are necessary if an orthogonality property needs to be used, such as the separation of the modes from a flux shape which is a sum of several eigenmodes. At the same time, the so-called numerical noise simulator, developed at the Dept., was extended such that it became suitable for the calculation of the higher order eigenmodes, both direct and adjoint ones. This simulator can treat real inhomogeneous cores, with an input deck compatible with that of SIMULATE. The simulator was used to calculate the

  1. Research and development program in reactor diagnostics and monitoring with neutron noise methods. Stage 7. Final report

    International Nuclear Information System (INIS)

    Pazsit, I.; Demaziere, C.; Arzhanov, V.

    2001-08-01

    This report constitutes stage 7 of a long-term research and development program concerning the development of diagnostics and monitoring methods for nuclear reactors. A proposal for the continuation of this program in stage 8 is also given at the end of the report. In stage 6, the basic principles of a 3-D fully coupled neutronic/thermal-hydraulic simulator in the frequency domain were presented. The neutronic model relied on the two-group diffusion approximation, whereas the thermal-hydraulic algorithms relied on the so called 'lumped' model. The key element of this simulator was that only the static data were required which could be obtained from the Studsvik Scandpower CASMO-4/TABLES-3/ SIMULATE-3 code package. The simulator was developed with this underlying idea, which means that the calculation of the static fluxes and the eigenvalue were avoided. Depending on what kind of spatial discretization scheme which is used in the noise simulator to calculate the 'leakage' noise, it is not granted that the system remains critical by using the group constants supplied by SIMULATE. Nevertheless, when the system is critical, the balance equations should be fulfilled in all nodes with respect to the discretization scheme used. In concrete terms, the calculation of the static fluxes and eigenvalue can be avoided if the system is brought back to criticality by modifying the cross-sections so that the balance equations are always fulfilled with the chosen spatial discretization scheme. This approach was used in this study with the finite difference scheme. As pointed out in stage 6, the finite difference scheme is relatively inefficient compared to finite elements or nodal methods, but on the other hand it is rather easy to implement. These two more sophisticated schemes are planned to be investigated at a later stage, but for the time being the simulator relying on the finite difference scheme was improved as much as possible so that a 2-D entirely neutronic model could be

  2. Diagnostic capabilities of the virtual bronchoscopy at advanced neoplastic process of esophagus with formation of tracheobronchial fistula: Description of a case

    Directory of Open Access Journals (Sweden)

    M. A. Mitev

    2017-09-01

    Full Text Available The relevance of the problem is related to the continued increase in the neoplastic processes, and at the same time also to the development and improvement of the endoscopic and CT equipment, and thus expanding the diagnostic capabilities. Purpose: The presented research examines the results of the study of a rare case of ruptured trachea as a result of cancer of the esophagus. Methods: Fiberoptic esophagoscopy (FOE and CT of the chest followed by virtual bronchoscopy on a patient with a ruptured trachea, a 63 year-old man, were performed. Result: Performing MDCT with virtual bronchoscopy, according to this study, is crucial as the sole and complex methodology for the described case in connection with the finding of the trachea-oesophageal fistula and evaluation of the mediastinum and the pulmonary parenchyma. Conclusion: The VB is a successful method equally effective compared to the FB, to diagnose of advanced neoplastic processes.

  3. Study of pattern formation at liquid interfaces: Progress report, November 1986-October 1987

    International Nuclear Information System (INIS)

    Maher, J.V.

    1987-10-01

    This paper summarizes the work done on the following topics at the University of Pittsburgh: the behavior of a tip-splitting, viscous-fingering system and the role of interfacial noise in pattern formation on planar interfaces; the search for instability on a quenched liquid interface; and binary liquid gels and polymer solutions

  4. 76 FR 12358 - Common Formats for Patient Safety Data Collection and Event Reporting

    Science.gov (United States)

    2011-03-07

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Common Formats... information regarding the quality and safety of healthcare delivery. The Patient Safety Act (at 42 U.S.C. 299b...: Device or Supply, including Health Information Technology; Fall; Healthcare-Associated Infection...

  5. Technical committee meeting on aerosol formation, vapour deposits and sodium vapour trapping. Summary report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1977-01-01

    The papers presented at the LMFBR meeting on aerosol formation covered the following four main topics: theoretical studies on aerosol behaviour and comparison with experimental results; techniques for measurement of aerosols; techniques for trapping sodium vapour and aerosols in gas circuits; design of components having to cope with aerosol deposits. The resulting summaries, conclusions and recommendations which were were agreed upon are presented.

  6. Hydraulic testing of Salado Formation evaporites at the Waste Isolation Pilot Plant site: Second interpretive report

    Energy Technology Data Exchange (ETDEWEB)

    Beauheim, R.L. [Sandia National Labs., Albuquerque, NM (United States); Roberts, R.M.; Dale, T.F.; Fort, M.D.; Stensrud, W.A. [INTERA, Inc., Austin, TX (United States)

    1993-12-01

    Pressure-pulse, constant-pressure flow, and pressure-buildup tests have been performed in bedded evaporites of the Salado Formation at the Waste Isolation Pilot Plant (WIPP) site to evaluate the hydraulic properties controlling brine flow through the Salado. Transmissivities have been interpreted from six sequences of tests conducted on five stratigraphic intervals within 15 m of the WIPP underground excavations.

  7. Technical committee meeting on aerosol formation, vapour deposits and sodium vapour trapping. Summary report

    International Nuclear Information System (INIS)

    1977-01-01

    The papers presented at the LMFBR meeting on aerosol formation covered the following four main topics: theoretical studies on aerosol behaviour and comparison with experimental results; techniques for measurement of aerosols; techniques for trapping sodium vapour and aerosols in gas circuits; design of components having to cope with aerosol deposits. The resulting summaries, conclusions and recommendations which were were agreed upon are presented

  8. 76 FR 67456 - Common Formats for Patient Safety Data Collection and Event Reporting

    Science.gov (United States)

    2011-11-01

    ... information regarding the quality and safety of health care delivery. The Patient Safety Act (at 42 U.S.C... Formats in order to facilitate standardized data collection and improve the safety and quality of health... conjunction with an interagency Federal Patient Safety Work Group (PSWG), revises and refines the Common...

  9. Hydraulic testing of Salado Formation evaporites at the Waste Isolation Pilot Plant site: Second interpretive report

    International Nuclear Information System (INIS)

    Beauheim, R.L.; Roberts, R.M.; Dale, T.F.; Fort, M.D.; Stensrud, W.A.

    1993-12-01

    Pressure-pulse, constant-pressure flow, and pressure-buildup tests have been performed in bedded evaporites of the Salado Formation at the Waste Isolation Pilot Plant (WIPP) site to evaluate the hydraulic properties controlling brine flow through the Salado. Transmissivities have been interpreted from six sequences of tests conducted on five stratigraphic intervals within 15 m of the WIPP underground excavations

  10. Research and development program in reactor diagnostics and monitoring with neutron noise methods. Stage 7. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Pazsit, I.; Demaziere, C.; Arzhanov, V. [Chalmers Univ. of Technology, Goeteborg (Sweden). Department of Reactor Physics; Garis, N.S. [Swedish Nuclear Power Inspectorate, Stockholm (Sweden)

    2001-08-01

    This report constitutes stage 7 of a long-term research and development program concerning the development of diagnostics and monitoring methods for nuclear reactors. A proposal for the continuation of this program in stage 8 is also given at the end of the report. In stage 6, the basic principles of a 3-D fully coupled neutronic/thermal-hydraulic simulator in the frequency domain were presented. The neutronic model relied on the two-group diffusion approximation, whereas the thermal-hydraulic algorithms relied on the so called 'lumped' model. The key element of this simulator was that only the static data were required which could be obtained from the Studsvik Scandpower CASMO-4/TABLES-3/ SIMULATE-3 code package. The simulator was developed with this underlying idea, which means that the calculation of the static fluxes and the eigenvalue were avoided. Depending on what kind of spatial discretization scheme which is used in the noise simulator to calculate the 'leakage' noise, it is not granted that the system remains critical by using the group constants supplied by SIMULATE. Nevertheless, when the system is critical, the balance equations should be fulfilled in all nodes with respect to the discretization scheme used. In concrete terms, the calculation of the static fluxes and eigenvalue can be avoided if the system is brought back to criticality by modifying the cross-sections so that the balance equations are always fulfilled with the chosen spatial discretization scheme. This approach was used in this study with the finite difference scheme. As pointed out in stage 6, the finite difference scheme is relatively inefficient compared to finite elements or nodal methods, but on the other hand it is rather easy to implement. These two more sophisticated schemes are planned to be investigated at a later stage, but for the time being the simulator relying on the finite difference scheme was improved as much as possible so that a 2-D entirely

  11. Pelvicalyceal system duplication with ectopic ureter – diagnostic difficulties associated with the imaging procedure. Two cases report

    Directory of Open Access Journals (Sweden)

    Agnieszka Pukajło-Marczyk

    2014-09-01

    Full Text Available Urinary tract abnormalities are the most frequently occurring developmental anomaly in children. Pelvicalyceal system duplication is one of them and signifies the existence of two urine diverting separate systems. This anomaly occurs in 10% of population, usually in girls, and is associated with complete or partial ureter duplication. The frequency of total ureter duplication, which in 20–40% of patients is found as bilateral, is 1:125 children (0.8% of the population. The most frequent malformation is asymptomatic, diagnosed coincidentally casually and does not require any treatment. In some patients with pelvicalyceal system duplication, vesicoureteral reflux (VUR and ectopic ureter may coexist. Malposition of ureter’s orifice into the bladder predispose to urinary retention, development of hydronephrosis and urinary tract infection (UTI. Ectopic ureterocele is recognized in 6–20% of children with recurrent UTI. The reason why children are referred to the hospital is UTI or hydronephrosis revealed by ultrasound imaging. When the ultrasound image of pelvicalyceal system duplication is ambiguous, micturating cystourethrography (MCU and scintigraphy become the primary diagnostic procedure, or urography – in more complicated cases. In the case of ectopic ureter, the danger of inappropriate catheterization, i.e. directly into its lumen, may occur. Though very rare, this may cause some diagnostic difficulties and lead to injury of the urinary tract. For this reason, we want to further discuss this complication following a diagnostic procedure on the example of two cases of pelvicalyceal system duplication with ectopic ureter.

  12. Molecular Diagnostics

    OpenAIRE

    Choe, Hyonmin; Deirmengian, Carl A.; Hickok, Noreen J.; Morrison, Tiffany N.; Tuan, Rocky S.

    2015-01-01

    Orthopaedic infections are complex conditions that require immediate diagnosis and accurate identification of the causative organisms to facilitate appropriate management. Conventional methodologies for diagnosis of these infections sometimes lack accuracy or sufficient rapidity. Current molecular diagnostics are an emerging area of bench-to-bedside research in orthopaedic infections. Examples of promising molecular diagnostics include measurement of a specific biomarker in the synovial fluid...

  13. Budd-Chiari syndrome and secondary nodular regenerative hyperplasia of the liver. Case report with special reference to diagnostic imaging

    International Nuclear Information System (INIS)

    Mutze, A.; Rueckert, R.; Rudolph, B.; Paris, S.; Podrabski, P.

    1993-01-01

    Nodular regenerative hyperplasia is a benign epithelial proliferation of the liver with unknown etiology. We observed a female patient with Budd-Chiari syndrome and secondary nodular regenerative hyperplasia of the liver over a period of five years. Patient history, diagnostic imaging (sonography, CT, MR imaging, angiography), and clinical course are demonstrated along with results of macroscopic and microscopic studies of explanted liver prior to liver transplantation. The patient presented with various predisposing factors in combination that favour the development of nodular regenerative hyperplasia. (orig.) [de

  14. Dog and Cat Exposures to Hazardous Substances Reported to the Kansas State Veterinary Diagnostic Laboratory: 2009–2012

    OpenAIRE

    Mahdi, Ali; Van der Merwe, Deon

    2013-01-01

    Pet dogs and cats in the USA are commonly exposed to potentially hazardous substances found in domestic environments. Requests for assistance and advice received by the Kansas State Veterinary Diagnostic Laboratory regarding exposures in dogs and cats to substances perceived by their caretakers to be potentially harmful included 1,616 phone calls, over a 3-year period covering 2009–2012. Enquiries occurred more often during summer. Dogs were involved in 84.7 % of calls and cats in 15.3 %. Ora...

  15. Clinical data miner: an electronic case report form system with integrated data preprocessing and machine-learning libraries supporting clinical diagnostic model research.

    Science.gov (United States)

    Installé, Arnaud Jf; Van den Bosch, Thierry; De Moor, Bart; Timmerman, Dirk

    2014-10-20

    Using machine-learning techniques, clinical diagnostic model research extracts diagnostic models from patient data. Traditionally, patient data are often collected using electronic Case Report Form (eCRF) systems, while mathematical software is used for analyzing these data using machine-learning techniques. Due to the lack of integration between eCRF systems and mathematical software, extracting diagnostic models is a complex, error-prone process. Moreover, due to the complexity of this process, it is usually only performed once, after a predetermined number of data points have been collected, without insight into the predictive performance of the resulting models. The objective of the study of Clinical Data Miner (CDM) software framework is to offer an eCRF system with integrated data preprocessing and machine-learning libraries, improving efficiency of the clinical diagnostic model research workflow, and to enable optimization of patient inclusion numbers through study performance monitoring. The CDM software framework was developed using a test-driven development (TDD) approach, to ensure high software quality. Architecturally, CDM's design is split over a number of modules, to ensure future extendability. The TDD approach has enabled us to deliver high software quality. CDM's eCRF Web interface is in active use by the studies of the International Endometrial Tumor Analysis consortium, with over 4000 enrolled patients, and more studies planned. Additionally, a derived user interface has been used in six separate interrater agreement studies. CDM's integrated data preprocessing and machine-learning libraries simplify some otherwise manual and error-prone steps in the clinical diagnostic model research workflow. Furthermore, CDM's libraries provide study coordinators with a method to monitor a study's predictive performance as patient inclusions increase. To our knowledge, CDM is the only eCRF system integrating data preprocessing and machine-learning libraries

  16. Rapid and Accurate Behavioral Health Diagnostic Screening: Initial Validation Study of a Web-Based, Self-Report Tool (the SAGE-SR).

    Science.gov (United States)

    Brodey, Benjamin; Purcell, Susan E; Rhea, Karen; Maier, Philip; First, Michael; Zweede, Lisa; Sinisterra, Manuela; Nunn, M Brad; Austin, Marie-Paule; Brodey, Inger S

    2018-03-23

    The Structured Clinical Interview for DSM (SCID) is considered the gold standard assessment for accurate, reliable psychiatric diagnoses; however, because of its length, complexity, and training required, the SCID is rarely used outside of research. This paper aims to describe the development and initial validation of a Web-based, self-report screening instrument (the Screening Assessment for Guiding Evaluation-Self-Report, SAGE-SR) based on the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) and the SCID-5-Clinician Version (CV) intended to make accurate, broad-based behavioral health diagnostic screening more accessible within clinical care. First, study staff drafted approximately 1200 self-report items representing individual granular symptoms in the diagnostic criteria for the 8 primary SCID-CV modules. An expert panel iteratively reviewed, critiqued, and revised items. The resulting items were iteratively administered and revised through 3 rounds of cognitive interviewing with community mental health center participants. In the first 2 rounds, the SCID was also administered to participants to directly compare their Likert self-report and SCID responses. A second expert panel evaluated the final pool of items from cognitive interviewing and criteria in the DSM-5 to construct the SAGE-SR, a computerized adaptive instrument that uses branching logic from a screener section to administer appropriate follow-up questions to refine the differential diagnoses. The SAGE-SR was administered to healthy controls and outpatient mental health clinic clients to assess test duration and test-retest reliability. Cutoff scores for screening into follow-up diagnostic sections and criteria for inclusion of diagnoses in the differential diagnosis were evaluated. The expert panel reduced the initial 1200 test items to 664 items that panel members agreed collectively represented the SCID items from the 8 targeted modules and DSM criteria for the covered

  17. Disseminated Acanthamoeba Infection Presenting With Cutaneous Lesions in an Immunocompromised Patient: A Case Report, Review of Histomorphologic Findings, and Potential Diagnostic Pitfalls.

    Science.gov (United States)

    Morrison, Annie O; Morris, Robert; Shannon, Amie; Lauer, Scott R; Guarner, Jeannette; Kraft, Colleen S

    2016-02-01

    Free-living amoebas are exceedingly rare causes of cutaneous infections and present unique diagnostic and therapeutic challenges. We describe a case of disseminated acanthamoebiasis with cutaneous manifestations and summarize additional diagnostic, prognostic, and therapeutic highlights. A 58-year-old man with relapsed chronic lymphocytic leukemia had several weeks of progressive, painful ulcerations on the forehead, arms, abdomen, and thighs. A biopsy was performed for histopathologic evaluation. The biopsy specimen showed inflammatory infiltrate with abscess formation involving the epidermis, dermis, and subcutis. Scattered cells showed nuclei with a prominent central karyosome, dispersed chromatin, and either abundant foamy basophilic cytoplasm or two well-demarcated cytoplasmic walls. Acanthamoeba species was confirmed by polymerase chain reaction from the formalin-fixed, paraffin-embedded tissue. Cutaneous lesions from acanthamoebiasis are exceptionally rare but should be included in the differential diagnosis of necrotic cutaneous lesions in immunocompromised patients. Although infrequently encountered, pathologists need to be aware of the morphologic features of free-living amoebas. Immunohistochemical and molecular studies can confirm the diagnosis. Multiagent treatment regimens, when initiated empirically, have been more successful than single-agent regimens, but infections involving the central nervous system are almost universally fatal. © American Society for Clinical Pathology, 2016. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  18. Dioxin formation mechanisms: Implications for combustion technologies. Report for October 1997--March 1998

    International Nuclear Information System (INIS)

    Gullett, B.K.

    1998-01-01

    The paper discusses current mechanistic theories relating to the formation of polychlorinated dibenzodioxin and polychlorinated dibenzofuran (PCDD/F) and how these theories relate to coal combustion, diesel vehicles, and open burning practices that may be of interest for the Asia-Pacific region. Co-firing coal with waste combustion has been shown to significantly decrease PCDD/F formation, likely by affecting the catalytic activity of the fly ash. On-road sampling results for diesel trucks have shown that modern, electronically controlled vehicles are likely a minor source of PCDD/F, although older vehicles remain a virtually uncharacterized and potentially significant source. Recent results from open burning of municipal waste have shown that PCDD/F emission factors are at least 14 orders of magnitude higher than modern waste combustors

  19. The accumulation of a platelet protein, thrombospondin, at the site of arterial thrombus formation: Preliminary report

    International Nuclear Information System (INIS)

    Perlman, S.B.; Hammes, R.J.; Besozzi, M.C.; Folts, J.D.; Mosher, D.F.

    1987-01-01

    There are many methods available for the detection of thrombosis, none of which are noninvasive, rapid and accurate. Thrombosponding is a platelet protein that is present in the developing thrombus and may be an effective substance to use for imaging thrombosis. Vascular stenosis and thrombosis were produced in coronary, carotid and femoral arteries in eleven adult mongrel dogs. 131 I labeled thrombosponding was administered to each animal to determine whether the radiotracer accumulated at the site of thrombus formation. The radioactivity per gram of vessels with thrombi was significantly different from the control vessels or whole blood (p=0.0037 and p=0.015, respectively, paired t-test). This preliminary work suggests that iodinated thrombosponding accumulates at the site of thrombus formation. Labeled thrombosponding may be a rapid, safe and accurate method of detecting arterial thrombosis. (orig.)

  20. Pseudocapsule formation after gamma knife radiosurgery for trigeminal neurinoma. Case report

    International Nuclear Information System (INIS)

    Akiyama, Takenori; Ikeda, Eiji; Kawase, Takeshi; Yoshida, Kazunari

    2005-01-01

    A 38-year-old female presented with a trigeminal neurinoma manifesting as left facial paresthesia. The diagnosis was based on magnetic resonance (MR) imaging findings. Gamma knife radiosurgery (GKR) was performed at another hospital at her request. Fifteen months after the GKR, follow-up MR imaging revealed tumor regrowth causing extensive compression of the brainstem, and cyst formation in the tumor. Her clinical symptoms including facial pain and diplopia had worsened, so she was referred to our affiliated hospital for microsurgery. The tumor was totally resected, but the left trigeminal nerve had to be sacrificed because of pseudocapsule formation which covered both the tumor and the trigeminal nerve fibers. The diplopia disappeared, but her facial pain deteriorated after the operation. GKR can induce fibrosis or degenerative change in nearby structures, which may complicate subsequent surgery. (author)

  1. Diagnostic thoracoscopy

    Directory of Open Access Journals (Sweden)

    Plavec Goran

    2002-01-01

    Full Text Available Diagnostic thoracoscopy in patients with pleural effusion of unclear origin mostly provides the correct diagnosis. Results from published reports of previous researches are not uniform. In 47 male and 20 female patients with pleural effusion of unknown etiology, after receiving negative results obtained from cytological finding of pleural effusion and percutaneous needle biopsy, thoracoscopy with biopsy of one or both pleurae was performed. Procedure was done in local anesthesia using Stortz rigid thoracoscope. In 37 patients with malignant disease (primary or metastatic diagnosis was confirmed histopathologically in 31 patient (81.12%. In 27 patients with inflammatory pleural disease diagnosis was confirmed histopathologically in 22 patients (81.4%. Among 11 patients with specific pleural effusions, tuberculosis was confirmed in 10 (90.91%. Normal finding in cases of spontaneous pneumothorax and pulmonary embolism was taken as a positive result. Total number of positive findings was 55 (82.10%. In one patient, the third spontaneous pneumothorax was the indication for thoracoscopy, and after numerous bullae were seen during the procedure, talcum powder pleurodesis was done. In four patients low intensity subcutaneous emphysema occurred one day after thoracoscopy. It can be concluded that thoracoscopy in local anesthesia out of the operating room is good and practical method for solving the unclear pleural effusions, with neglectable rate of complications.

  2. Mitigation diagnostics

    International Nuclear Information System (INIS)

    Hall, S.T.

    1990-01-01

    This paper reports that experience in the remediation of schools and other large buildings has shown the importance of the effects of both the location of geologic sources and HVAC-induced distribution of indoor radon. In general, elevated radon in areas of schools with evenly distributed HVAC pressures are correlated with maximum soil radon emanations. However, strong or unequal HVAC effects can redistribute indoor radon to areas away from the direct source. Effective remediation required a complete understanding of both contributions. In some schools, highest indoor radon levels were located near large return ducts and were attributed to proximity to negative HVAC pressure. Successful sub-slab depressurization systems were installed, however, in rooms with lower indoor but greatest sub-slab radon levels, closest to the source. This shows the inadequacy of using indoor radon levels alone as a basis for remediation. Wings of two other schools with radon problems have equivalent window fan coil units in rooms of equal size and no central HVAC system. Highest indoor radon levels correlated well with highest sub-slab radon levels due to the equivalent effects of the window units. Diagnostic tests in other schools have revealed: blockwall radon transport to upper floors; high blockwall radon adjacent to sub-slab sources; and elevated indoor radon over crawlspace being drawn upward by HVAC-induced negative pressure, determined from indoor to outdoor micromanometer measurements

  3. FMS: A Format Manipulation System for Automatic Production of Natural Language Documents, Second Edition. Final Report.

    Science.gov (United States)

    Silver, Steven S.

    FMS/3 is a system for producing hard copy documentation at high speed from free format text and command input. The system was originally written in assembler language for a 12K IBM 360 model 20 using a high speed 1403 printer with the UCS-TN chain option (upper and lower case). Input was from an IBM 2560 Multi-function Card Machine. The model 20…

  4. Routine clinical knee MR reports: comparison of diagnostic performance at 1.5 T and 3.0 T for assessment of the articular cartilage

    Energy Technology Data Exchange (ETDEWEB)

    Mandell, Jacob C.; Rhodes, Jeffrey A.; Shah, Nehal; Gaviola, Glenn C.; Smith, Stacy E. [Brigham and Women' s Hospital, Division of Musculoskeletal Imaging and Intervention, Department of Radiology, Boston, MA (United States); Gomoll, Andreas H. [Brigham and Women' s Hospital, Cartilage Repair Center, Department of Orthopedic Surgery, Boston, MA (United States)

    2017-11-15

    Accurate assessment of knee articular cartilage is clinically important. Although 3.0 Tesla (T) MRI is reported to offer improved diagnostic performance, literature regarding the clinical impact of MRI field strength is lacking. The purpose of this study is to compare the diagnostic performance of clinical MRI reports for assessment of cartilage at 1.5 and 3.0 T in comparison to arthroscopy. This IRB-approved retrospective study consisted of 300 consecutive knees in 297 patients who had routine clinical MRI and arthroscopy. Descriptions of cartilage from MRI reports of 165 knees at 1.5 T and 135 at 3.0 T were compared with arthroscopy. The sensitivity, specificity, percent of articular surfaces graded concordantly, and percent of articular surfaces graded within one grade of the arthroscopic grading were calculated for each articular surface at 1.5 and 3.0 T. Agreement between MRI and arthroscopy was calculated with the weighted-kappa statistic. Significance testing was performed utilizing the z-test after bootstrapping to obtain the standard error. The sensitivity, specificity, percent of articular surfaces graded concordantly, and percent of articular surfaces graded within one grade were 61.4%, 82.7%, 62.2%, and 77.5% at 1.5 T and 61.8%, 80.6%, 59.5%, and 75.6% at 3.0 T, respectively. The weighted kappa statistic was 0.56 at 1.5 T and 0.55 at 3.0 T. There was no statistically significant difference in any of these parameters between 1.5 and 3.0 T. Factors potentially contributing to the lack of diagnostic advantage of 3.0 T MRI are discussed. (orig.)

  5. The formation of aerosol particles during combustion of biomass and waste. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Hjerrild Zeuthen, J

    2007-05-15

    This thesis describes the formation of aerosol particles during combustion of biomass and waste. The formation of aerosol particles is investigated by studying condensation of alkali salts from synthetic flue gasses in a laboratory tubular furnace. In this so-called laminar flow aerosol condenser-furnace gaseous alkali chlorides are mixed with sulphur dioxide, water vapour and oxygen. At high temperatures the alkali chloride reacts with sulphur dioxide to form alkali sulphate. During subsequent cooling of the synthetic flue gas the chlorides and sulphates condense either as deposits on walls or on other particles or directly from the gas phase by homogenous nucleation. A previously developed computer code for simulation of one-component nucleation of particles in a cylindrical laminar flow is extended to include a homogeneous gas phase reaction to produce gaseous alkali sulphate. The formation of aerosol particles during full-scale combustion of wheat straw is investigated in a 100 MW grate-fired boiler. Finally, aerosols from incineration of waste are investigated during full-scale combustion of municipal waste in a 22 MW grate-fired unit. (BA)

  6. The diagnostic yield of neuroimaging in sixth nerve palsy - Sankara Nethralaya Abducens Palsy Study (SNAPS: Report 1

    Directory of Open Access Journals (Sweden)

    Akshay Gopinathan Nair

    2014-01-01

    Full Text Available Aims: The aim was to assess the etiology of sixth nerve palsy and on the basis of our data, to formulate a diagnostic algorithm for the management in sixth nerve palsy. Design: Retrospective chart review. Results: Of the 104 neurologically isolated cases, 9 cases were attributable to trauma, and 95 (86.36% cases were classified as nontraumatic, neurologically isolated cases. Of the 95 nontraumatic, isolated cases of sixth nerve palsy, 52 cases were associated with vasculopathic risk factors, namely diabetes and hypertension and were classified as vasculopathic sixth nerve palsy (54.7%, and those with a history of sixth nerve palsy from birth (6 cases were classified as congenital sixth nerve palsy (6.3%. Of the rest, neuroimaging alone yielded a cause in 18 of the 37 cases (48.64%. Of the other 19 cases where neuroimaging did not yield a cause, 6 cases were attributed to preceding history of infection (3 upper respiratory tract infection and 3 viral illnesses, 2 cases of sixth nerve palsy were found to be a false localizing sign in idiopathic intracranial hypertension and in 11 cases, the cause was undetermined. In these idiopathic cases of isolated sixth nerve palsy, neuroimaging yielded no positive findings. Conclusions: In the absence of risk factors, a suggestive history, or positive laboratory and clinical findings, neuroimaging can serve as a useful diagnostic tool in identifying the exact cause of sixth nerve palsy. Furthermore, we recommend an algorithm to assess the need for neuroimaging in sixth nerve palsy.

  7. The definitive diagnostic process and successful treatment for ABPM caused by Schizophyllum commune: a report of two cases.

    Science.gov (United States)

    Ogawa, Haruhiko; Fujimura, Masaki; Takeuchi, Yasuo; Makimura, Koichi; Satoh, Kazuo

    2012-03-01

    Although mucoid impaction of the bronchi (MIB) is a well-known manifestation in allergic bronchopulmonary mycosis (ABPM), when unknown samples or plural eumycetes are cultured from bronchial materials, several problems are encountered which can affect the definitive diagnostic process or successful treatment. The definitive diagnostic process of two patients [a 58-(Case 1) and a 70-(Case 2) year-old female] with MIB was: 1) to identify the existence of any allergic respiratory disorder, 2) to detect the fungi obtained from bronchial materials, with use of the 28S rDNA sequencing and analysis, 3) to investigate whether the detected fungus was a probable etiologic antigen, and 4) to make the final diagnosis based on the results of the inhalation examinations using the antigenic solution of the fungi. As a treatment strategy, bronchial toilet and low dose itraconazole therapy were planned according to the clinical manifestations of each patient. The two patients with MIB were successfully diagnosed as ABPM caused by Schizophyllum commune (Sc-ABPM) accompanied with hyperattenuating mucoid impaction. The reliability of some allergological makers as a substitution for the bronchoprovocation test should be clarified in near future. Clinical manifestations demonstrated in our cases suggested that the allergic reaction such as eosinophilic bronchoalveolitis spreading around the mucus plug was a primary lesion underlying the Sc-ABPM. The success of the treatment for Sc-ABPM will be achieved by the strategy targeting to fundamental condition and by the control of the disease recurrence by means of effective environmental management.

  8. Synchronized multiple regression of diagnostic radiation-induced rather than spontaneous: disseminated primary intracranial germinoma in a woman: a case report

    Directory of Open Access Journals (Sweden)

    Natsumeda Manabu

    2011-01-01

    Full Text Available Abstract Introduction Examples of the spontaneous regression of primary intracranial germinomas can be found in the literature. We present the case of a patient with disseminated lesions of primary intracranial germinoma which synchronously shrunk following diagnostic irradiation. We will discuss whether this regression was spontaneous or radiation-induced. Case presentation A 43-year-old Japanese woman presented to our hospital complaining of memory problems over a period of one year and blurred vision over a period of three months. Following magnetic resonance imaging, she was found to have a massive lesion in the third ventricle and small lesions in the pineal region, fourth ventricle, and in the anterior horn of the left lateral ventricle. Prior to an open biopsy to confirm the pathology of the lesions, she underwent a single cranial computed tomography scan and a single cranial digital subtraction angiography for a transcranial biopsy. Fourteen days after the first magnetic resonance image - 12 and eight days after the computed tomography scan and digital subtraction angiography, respectively - a pre-operative magnetic resonance image was taken, which showed a notable synchronous shrinkage of the third ventricle tumor, as well as shrinkage of the lesions in the pineal region and in the fourth ventricle. She did not undergo steroid administration until after a biopsy that confirmed the pathological diagnosis of pure germinoma. She then underwent whole craniospinal irradiation and went into a complete remission. Conclusions In our case report, we state that diagnostic radiation can induce the regression of germinomas; this is the most reasonable explanation for the synchronous multiple regression observed in this case of germinoma. Clinicians should keep this non-spontaneous regression in mind and monitor germinoma lesions with minimal exposure to diagnostic radiation before diagnostic confirmation, and also before radiation treatment with or

  9. Effect of response format for clinical vignettes on reporting quality of physician practice

    Directory of Open Access Journals (Sweden)

    Durieux Pierre

    2009-07-01

    Full Text Available Abstract Background Clinical vignettes have been used widely to compare quality of clinical care and to assess variation in practice, but the effect of different response formats has not been extensively evaluated. Our objective was to compare three clinical vignette-based survey response formats – open-ended questionnaire (A, closed-ended (multiple-choice questionnaire with deceptive response items mixed with correct items (B, and closed-ended questionnaire with only correct items (C – in rheumatologists' pre-treatment assessment for tumor-necrosis-factor (TNF blocker therapy. Methods Study design: Prospective randomized study. Setting: Rheumatologists attending the 2004 French Society of Rheumatology meeting. Physicians were given a vignette describing the history of a fictitious woman with active rheumatoid arthritis, who was a candidate for therapy with TNF blocking agents, and then were randomized to receive questionnaire A, B, or C, each containing the same four questions but with different response formats, that asked about their pretreatment assessment. Measurements: Long (recommended items and short (mandatory items checklists were developed for pretreatment assessment for TNF-blocker therapy, and scores were expressed on the basis of responses to questionnaires A, B, and C as the percentage of respondents correctly choosing explicit items on these checklists. Statistical analysis: Comparison of the selected items using pairwise Chi-square tests with Bonferonni correction for variables with statistically significant differences. Results Data for all surveys distributed (114 As, 118 Bs, and 118 Cs were complete and available for analysis. The percentage of questionnaire A, B, and C respondents for whom data was correctly complete for the short checklist was 50.4%, 84.0% and 95.0%, respectively, and was 0%, 5.0% and 5.9%, respectively, for the long version. As an example, 65.8%, 85.7% and 95.8% of the respondents of A, B, and C

  10. Episodic and semantic memory impairments in (very early Alzheimer’s disease: The diagnostic accuracy of paired-associate learning formats

    Directory of Open Access Journals (Sweden)

    Pauline E.J. Spaan

    2016-12-01

    Full Text Available Paired-associate learning (PAL paradigms measure memory processes sensitive to the medial temporal lobe, which shows atrophy in early Alzheimer’s disease (AD. PAL tests have not yet been standard clinical procedure, neither are semantic memory tests. In early AD, impairments are more subtle. A literature review indicates that standard neuropsychological tests may not measure these impairments accurately. Therefore, I constructed new episodic and semantic memory tests. I investigated the diagnostic accuracy of these tests in 37 amnestic mild cognitive impairment (aMCI; of whom 21 had converted to AD at 1.3-year-follow-up, 43 early AD patients, and 80 non-demented controls. Main questions: (1 which tests best differentiate aMCI and AD from normal aging: most sensitively, most specifically?; (2 do PAL paradigms and/or semantic memory tests (fluency; naming contribute to this differentiation? A free recall (non-PAL test of unrelated words was most sensitive to aMCI and AD (91%, whereas a PAL-recognition-test (of semantically related word pairs of moderate association strength, including strongly related foils was most specific (96%. Stepwise logistic regression analysis showed that differentiation was improved by a subordinate semantic fluency test. I conclude that a combination of episodic and semantic memory components best predicts AD. Future research should focus on comparing semantic and visuospatial PAL tests.

  11. Introduced materials and colloid formation: A report on the current state of knowledge

    International Nuclear Information System (INIS)

    Meike, A.; Wittwer, C.

    1993-11-01

    This paper reviews potential sources of colloids and enhanced adsorption of radionuclides that may stem from materials introduced into a repository setting. Three major sources of colloids are examined: metals, cements, and organics. The sensitivity of colloids to chemical species, pH, time, temperature, radiolysis, redox state, gradients of the aforementioned variables, and microbial activity is shown. The authors consider these influences on colloid formation and sorption with respect to introduced materials. They also discuss areas that have not been addressed but may have consequences in a repository setting

  12. Efficacy of clinical diagnostic procedures utilized in nuclear medicine. Technical progress report, 1 December 1981-30 November 1982

    International Nuclear Information System (INIS)

    Saenger, E.L.

    1982-07-01

    The efficacy of nuclear medicine diagnostic procedures was measured. Three levels of efficacy were defined. However, two different methods of evaluating efficacy itself were first compared. Using two methods, logistic regression and entropy-minimax pattern detection, substantial agreement was found between them in several clinical observations. (1) There are no attributes that indicate that any grouping of symptoms, signs, and laboratory findings is capable of suggesting that a patient does or does not have a pulmonary embolus. (2) The lung scan test is the only reliable method which indicates that a patient may have a pulmonary embolus or does not have a pulmonary embolus. (3) The validity of these conclusions and the ability to apply them widely to ongoing clinical practice is based on the prospective design of the Study which included an appropriate distribution of institutions by type, size, and geographic location. Also, the only judgement samples was that of the referring physician

  13. Palpable pediatric thyroid abnormalities – diagnostic pitfalls necessitate a high index of clinical suspicion: a case report

    Directory of Open Access Journals (Sweden)

    Klopper Joshua P

    2007-06-01

    Full Text Available Abstract A 12-year-old girl presented with a 4 year history of an enlarged, firm thyroid gland. On exam, her thyroid was firm and fixed and an enlarged cervical lymph node was palpable as well. Though a thyroid ultrasound prior to referral was read as thyroiditis, clinical suspicion for thyroid carcinoma mandated continued investigation. The diagnosis of papillary thyroid cancer was established and her workup revealed lymph node metastases as well as a tremendous burden of pulmonary metastases. Pediatric thyroid cancer is extremely rare, but often presents with aggressive disease. Palpable thyroid abnormalities in an individual under 20-years-old should be viewed with suspicion and should be thoroughly investigated to rule out malignancy even in the face of negative diagnostic procedures. Though pediatric papillary thyroid cancer often presents with loco-regional and even distant metastatic disease, mortality rates in follow-up for as long as 20 years are very favorable.

  14. Advanced development of particle-beam-probe diagnostic systems. Technical progress report, 1 July 1980-30 April 1981

    International Nuclear Information System (INIS)

    Hickok, R.L.; Jennings, W.C.; Woo, J.T.; Connor, K.A.

    1981-05-01

    The heavy ion beam probe system on the RENTOR tokamak has been reinstalled with considerably improved performance. The heavy neutral beam probe system on the ALEX baseball facility has demonstrated the capability of measuring space potential in minimum-B geometry. A large amount of data were obtained from the highly successful TMX beam probe system and are presently being analyzed. Technological improvements were made on both the RENTOR and ALEX diagnostic systems, new ion sources and extraction configurations were investigated, and the superiority of off-line processing techniques for beam probe data has been demonstrated. The development of high energy probing beams for application to major confinement experiments has been initiated and cross-over sweep systems to improve spatial resolution, differential pumping, and reduce energy requirements have been designed

  15. An 11-Year-Old Girl Presenting with Chronic Knee Pain: A Case Report with Diagnostic Dilemma

    Directory of Open Access Journals (Sweden)

    Muhammad Kamal Maj

    2010-01-01

    Full Text Available Discoid meniscus is the commonest anatomical aberration of the knee joint, among rare cases such as bilateral separated lateral meniscus, accessory lateral meniscus, partial deficiency of the lateral meniscus and double-layered lateral meniscus. An 11-year- old girl presented with history of chronic pain in her right knee for the last 6 months. The problem disturbed her involvement in the sport activities at school. Clinical examination revealed a clicking sensation on knee extension with lateral joint line tenderness. Magnetic resonance imaging (MRI of her right knee showed torn posterior horn of lateral meniscus. Arthroscopy examination revealed a discoid meniscus with absence posterior horn. Posterior horn deficient discoid meniscus is a rare form of a congenital meniscus anomaly. We as clinicians believe that the abnormal shaped meniscus may pose a diagnostic challenge clinically and radiologically. Presentation of this case may be beneficial for orthopaedicians in their daily clinical practice.

  16. EVIDENCE OF A GUADALUPIAN AGE FOR THE KHUFF FORMATION OF SOUTHEASTERN OMAN: PRELIMINARY REPORT

    Directory of Open Access Journals (Sweden)

    LUCIA ANGIOLINI

    1998-11-01

    Full Text Available The Guadalupian succession of the Huqf area (Sultanate of Oman represents a mega-sequence comprising the fluvial terrigenous Gharif Formation and the overlying marine Khuff Formation. The Khuff Fm. is subdivided into four members and is composed of marls and bioclastic limestones. The Khuff Fm. yields a rich fauna of brachiopods, conodonts, foraminifers, bivalves, gastropods, ostracods and cephalopods. The brachiopod fauna of the Khuff Fm. includes strophomenids, productids, orthids and terebratulids. The associated conodont fauna includes Hindeodus excavatus Behnken, Merrilina sp., M. praedivergens Kozur & Mostler, and Sweetina n. sp. (systematic descriptions of conodonts are given in the Paleontological Appendix. Foraminifers are represented by species of Miliolina and Rotaliina. The Khuff Fm. is given a Wordian age, based on brachiopods and conodonts. The depositional environment of the Khuff Fm. of southeastern Oman corresponds to the outer shelf of a large carbonate platform covering most of the Arabian Platform. The Khuff Fm. is interpreted as a major transgressive-regressive cycle related to differential subsidence. 

  17. Companion diagnostics

    DEFF Research Database (Denmark)

    Jørgensen, Jan Trøst; Hersom, Maria

    2016-01-01

    of disease mechanisms, things are slowly changing. Within the last few years, we have seen an increasing number of predictive biomarker assays being developed to guide the use of targeted cancer drugs. This type of assay is called companion diagnostics and is developed in parallel to the drug using the drug-diagnostic...... co-development model. The development of companion diagnostics is a relatively new discipline and in this review, different aspects will be discussed including clinical and regulatory issues. Furthermore, examples of drugs, such as the ALK and PD-1/PD-L1 inhibitors, that have been approved recently....... Despite having discussed personalized medicine for more than a decade, we still see that most drug prescriptions for severe chronic diseases are largely based on 'trial and error' and not on solid biomarker data. However, with the advance of molecular diagnostics and a subsequent increased understanding...

  18. Patterns of Recent National Institutes of Health (NIH) Funding to Diagnostic Radiology Departments: Analysis Using the NIH RePORTER System.

    Science.gov (United States)

    Franceschi, Ana M; Rosenkrantz, Andrew B

    2017-09-01

    This study aimed to characterize recent National Institutes of Health (NIH) funding for diagnostic radiology departments at US medical schools. This retrospective study did not use private identifiable information and thus did not constitute human subjects research. The public NIH Research Portfolio Online Reporting Tools Expenditure and Results system was used to extract information regarding 887 NIH awards in 2015 to departments of "Radiation-Diagnostic/Oncology." Internet searches were conducted to identify each primary investigator (PI)'s university web page, which was used to identify the PI's departmental affiliation, gender, degree, and academic rank. A total of 649 awards to diagnostic radiology departments, based on these web searches, were included; awards to radiation oncology departments were excluded. Characteristics were summarized descriptively. A total of 61 unique institutions received awards. The top five funded institutions represented 33.6% of all funding. The most common institutes administering these awards were the National Cancer Institute (29.0%) and the National Institute of Biomedical Imaging and Bioengineering (21.6%). Women received 15.9% of awards and 13.3% of funding, with average funding per award of $353,512 compared to $434,572 for men. PhDs received 77.7% of all awards, with average funding per award of $457,413 compared to $505,516 for MDs. Full professors received 51.2% of awards (average funding per award of $532,668), compared to assistant professors who received 18.4% of awards ($260,177). Average funding was $499,859 for multiple-PI awards vs. $397,932 for single-PI awards. Common spending categories included "neurosciences," "cancer," "prevention," and "aging." NIH funding for diagnostic radiology departments has largely been awarded to senior-ranking male PhD investigators, commonly at large major academic medical centers. Initiatives are warranted to address such disparities and promote greater diversity in NIH funding

  19. Association between framing of the research question using the PICOT format and reporting quality of randomized controlled trials

    Directory of Open Access Journals (Sweden)

    Thabane Lehana

    2010-02-01

    Full Text Available Abstract Background Experts recommend formulating a structured research question to guide the research design. However, the basis for this recommendation has not been formally evaluated. The aim of this study was to examine if a structured research question using the PICOT (Population, Intervention, Comparator, Outcome, Time-frame format is associated with a better reporting quality of randomized controlled trials (RCTs. Methods We evaluated 89 RCTs reports published in three endocrinology journals in 2005 and 2006, the quality of reporting of which was assessed in a previous study. We examined whether the reports stated each of the five elements of a structured research question: population, intervention, comparator, outcome and time-frame. A PICOT score was created with a possible score between 0 and 5. Outcomes were: 1 a 14-point overall reporting quality score (OQS based on the Consolidated Standards for Reporting Trials; and 2 a 3-point key score (KS, based on allocation concealment, blinding and use of intention-to-treat analysis. We conducted multivariable regression analyses using generalized estimating equations to determine if a higher PICOT score or the use of a structured research question were independently associated with a better reporting quality. Journal of publication, funding source and sample size were identified as factors associated with OQS in our previous report on this dataset, and therefore included in the model. Results A higher PICOT score was independently associated with OQS (incidence rate ratio (IRR = 1.021, 95% CI: 1.012 to 1.029 and KS (IRR = 1.142, 95% CI: 1.079 to 1.210. A structured research question was present in 33.7% of the reports and it was associated with a better OQS (IRR = 1.095, 95% CI 1.059-1.132 and KS (IRR = 1.530, 95% CI 1.311-1.786. Conclusions Better framing of the research question using the PICOT format is independently associated with better overall reporting quality - although the effect

  20. Low-Grade Astrocytoma Associated with Abscess Formation: Case Report and Literature Review

    Directory of Open Access Journals (Sweden)

    Tai-Hsin Tsai

    2008-05-01

    Full Text Available A rare case of low-grade astrocytoma associated with abscess formation occurred in a 52-year-old man presenting with Broca's aphasia. He underwent craniotomy and tumor removal under the impression of brain tumor with necrotic cystic change. Abscess accumulation within the intra-axial tumor was found intraoperatively. Literature related to brain abscess with brain tumor is reviewed, with an emphasis on abscesses with astrocytoma. We discuss the common brain tumors that are associated with abscess, pathogens that coexist with brain tumor, and the pathogeneses of coexisting brain abscess and tumor. It is very important to know how to differentiate between and diagnose a brain abscess and tumor, or brain abscess with tumor, preoperatively from clinical presentation and through the use of computed tomography, conventional magnetic resonance imaging, diffusion-weighted imaging or magnetic resonance spectroscopy.

  1. Proposed format and content of environmental reports for deep geologic terminal repositories for radioactive material

    International Nuclear Information System (INIS)

    Carrell, D.J.; Jones, G.L.

    1978-01-01

    As the Nuclear Regulatory Commission has not yet issued a format guide for the preparation of an environmental impact statement for radioactive waste repositories, Rockwell Hanford operations has developed an annotated outline which will serve as the basis for the environmental evaluation activities until replaced by an appropriate NRC regulatory guide. According to the outline, the applicant should summarize the major environmental effects that are expected to occur during the construction, operation, and terminal isolation phases of the radioactive material repository. Compare these environmental effects with the possible effect of continued use of interim storage facilities. Unless unforeseen environmental effects become apparent, the summary should be a positive statement indicating that the short-term environmental effects are outweighed by the long-term benefits of the repository

  2. Alligator Rivers Analogue project. Geochemical modelling of secondary uranium ore formation. Final Report - Volume 11

    International Nuclear Information System (INIS)

    Sverjensky, D.; Bennett, D.G.; Read, D.

    1992-01-01

    The purpose of the present study was to establish how the uranyl phosphate zone at the Koongarra site was formed. The overall approach taken in the present study employed theoretical chemical mass transfer calculations and models that permit investigation and reconstruction of the kinds of waters that could produce the uranyl phosphate zone. These calculations have used the geological and mineralogical data for the Koongarra weathered zone (Volumes 2, 8, and 9 of this series), to constrain the initial compositions and reactions undergone by groundwater during the formation of the uranyl phosphate zone. In carrying out these calculations the present-day analyses of Koongarra waters are used only as a guide to the possible initial composition of the fluids associated with the formation of the phosphate zone. Aqueous speciation, saturation state and chemical mass transfer calculations were carried out using the computer programs EQ3NR and EQ6 (Wolery, 1983; Wolery et al., 1984) and a thermodynamic database generated at The Johns Hopkins University over the last eight years which is tabulated in the Appendix 1 to Volume 12 of this series. Despite uncertainties in the thermodynamic characterisation of species, all the above calculations suggest that the uranyl phosphate zone at Koongarra has not formed from present-day groundwaters (Volume 12 of this series). The present-day groundwaters in the weathered zone (eg. at 13 m depth) appear to be undersaturated with respect to saleeite. Furthermore, as present-day groundwaters descend below the water table they rapidly lose their atmospheric oxygen imprint, as is typical of most groundwaters, and become even more reducing in character. Under these circumstances, the groundwaters become more undersaturated with respect to saleeite than the shallow groundwaters. Because much of the phosphate zone is currently below the water table, under saturated zone conditions, it is suggested in the present study that the uranyl phosphate

  3. Alligator Rivers Analogue project. Geochemical modelling of secondary uranium ore formation. Final Report - Volume 11

    Energy Technology Data Exchange (ETDEWEB)

    Sverjensky, D [The John Hopkins Univ, Dept of Earth and Planetary Sciences, Baltimore (United States); Bennett, D G; Read, D [W.S. Atkins Science and Technology, Epsom Surrey, (United Kingdom)

    1993-12-31

    The purpose of the present study was to establish how the uranyl phosphate zone at the Koongarra site was formed. The overall approach taken in the present study employed theoretical chemical mass transfer calculations and models that permit investigation and reconstruction of the kinds of waters that could produce the uranyl phosphate zone. These calculations have used the geological and mineralogical data for the Koongarra weathered zone (Volumes 2, 8, and 9 of this series), to constrain the initial compositions and reactions undergone by groundwater during the formation of the uranyl phosphate zone. In carrying out these calculations the present-day analyses of Koongarra waters are used only as a guide to the possible initial composition of the fluids associated with the formation of the phosphate zone. Aqueous speciation, saturation state and chemical mass transfer calculations were carried out using the computer programs EQ3NR and EQ6 (Wolery, 1983; Wolery et al., 1984) and a thermodynamic database generated at The Johns Hopkins University over the last eight years which is tabulated in the Appendix 1 to Volume 12 of this series. Despite uncertainties in the thermodynamic characterisation of species, all the above calculations suggest that the uranyl phosphate zone at Koongarra has not formed from present-day groundwaters (Volume 12 of this series). The present-day groundwaters in the weathered zone (eg. at 13 m depth) appear to be undersaturated with respect to saleeite. Furthermore, as present-day groundwaters descend below the water table they rapidly lose their atmospheric oxygen imprint, as is typical of most groundwaters, and become even more reducing in character. Under these circumstances, the groundwaters become more undersaturated with respect to saleeite than the shallow groundwaters. Because much of the phosphate zone is currently below the water table, under saturated zone conditions, it is suggested in the present study that the uranyl phosphate

  4. Alligator Rivers Analogue project. Geochemical modelling of secondary uranium ore formation. Final Report - Volume 11

    Energy Technology Data Exchange (ETDEWEB)

    Sverjensky, D. [The John Hopkins Univ, Dept of Earth and Planetary Sciences, Baltimore (United States); Bennett, D.G.; Read, D. [W.S. Atkins Science and Technology, Epsom Surrey, (United Kingdom)

    1992-12-31

    The purpose of the present study was to establish how the uranyl phosphate zone at the Koongarra site was formed. The overall approach taken in the present study employed theoretical chemical mass transfer calculations and models that permit investigation and reconstruction of the kinds of waters that could produce the uranyl phosphate zone. These calculations have used the geological and mineralogical data for the Koongarra weathered zone (Volumes 2, 8, and 9 of this series), to constrain the initial compositions and reactions undergone by groundwater during the formation of the uranyl phosphate zone. In carrying out these calculations the present-day analyses of Koongarra waters are used only as a guide to the possible initial composition of the fluids associated with the formation of the phosphate zone. Aqueous speciation, saturation state and chemical mass transfer calculations were carried out using the computer programs EQ3NR and EQ6 (Wolery, 1983; Wolery et al., 1984) and a thermodynamic database generated at The Johns Hopkins University over the last eight years which is tabulated in the Appendix 1 to Volume 12 of this series. Despite uncertainties in the thermodynamic characterisation of species, all the above calculations suggest that the uranyl phosphate zone at Koongarra has not formed from present-day groundwaters (Volume 12 of this series). The present-day groundwaters in the weathered zone (eg. at 13 m depth) appear to be undersaturated with respect to saleeite. Furthermore, as present-day groundwaters descend below the water table they rapidly lose their atmospheric oxygen imprint, as is typical of most groundwaters, and become even more reducing in character. Under these circumstances, the groundwaters become more undersaturated with respect to saleeite than the shallow groundwaters. Because much of the phosphate zone is currently below the water table, under saturated zone conditions, it is suggested in the present study that the uranyl phosphate

  5. Diagnostics and structure

    International Nuclear Information System (INIS)

    Vial, J.C.

    1986-01-01

    The structure of prominences and the diagnostic techniques used to evaluate their physical parameters are discussed. These include electron temperature, various densities (n sub p, n sub e, n sub l), ionization degree, velocities, and magnetic field vector. UV and radio measurements have already evidenced the existence of different temperature regions, corresponding to different geometrical locations, e.g., the so called Prominence-Corona (P-C) interface. Velocity measurements are important for considering formation and mass balance of prominences but there are conflicting velocity measurements which have led to the basic question: what structure is actually observed at a given wavelength; what averaging is performed within the projected slit area during the exposure time? In optically thick lines, the question of the formation region of the radiation along the line of sight is also not a trivial one. The same is true for low resolution measurements of the magnetic field. Coupling diagnostics with structure is now a general preoccupation

  6. Development of a high resolution cylindrical crystal spectrometer for line shape and spectral diagnostics of x-rays emitted from - hot - plasmas. Final report, June 1, 1976-December 31, 1983

    International Nuclear Information System (INIS)

    Kaellne, E.G.

    1984-01-01

    The development, installation and evaluation of a high resolution X-ray spectroscopic diagnostics are reported. The approach has been to optimize spectrometer throughput to enable single shot plasma diagnostics with good time resolution and to ensure sufficient energy resolution to allow line profile analysis. These goals have been achieved using a new X-ray geometry combined with a new position sensitive X-ray detector. These diagnostics have been used at Alcator C to detect X-ray emission of highly ionized impurity elements as well as argon seed elements specially introduced into the plasma for this diagnostic. Temporally resolved ion temperature profiles have been obtained from the recorded X-ray spectra simultaneously with other plasma parameters such as electron temperature, ionization temperature and ionization stage distribution. Radial profiles have also been measured. The developed X-ray diagnostics thus serve as a major multiparameter probe of the central core of the plasma with complementary informtion on radial profiles

  7. Diagnostics for the ATA beam propagation experiments

    International Nuclear Information System (INIS)

    Fessenden, T.J.; Atchison, W.L.; Barletta, W.A.

    1981-11-01

    This report contains a discussion of the diagnostics required for the beam propagation experiment to be done with the ATA accelerator. Included are a list of the diagnostics needed; a description of the ATA experimental environment; the status of beam diagnostics available at Livermore including recent developments, and a prioritized list of accelerator and propagation diagnostics under consideration or in various stages of development

  8. Development of Monitoring and Diagnostic Methods for Robots Used in Remediation of Waste Sites 1999 Technical Progress Report

    International Nuclear Information System (INIS)

    Martin, Michael

    1999-01-01

    The final assembly of the test rig was completed in January 1999 (see Figure 1). The test rig incorporated a wheel motor typical of those used for hydraulic robots, and allowed wheel motor loading at expected operating conditions. The rig included instrumentation, as shown in Figure 2, for acquisition of key parameters for both unfaulted baseline and inserted fault runs. Checkout of the test rig was accomplished in two phases. In the first phase, only the wheel motor was connected to the hydraulic supply and the driven pump disconnected. With the rig in this configuration, operation of the wheel motor control loop and the monitoring and diagnostic (M and D) data acquisition system was verified. In the second phase, the driven pump was connected to the wheel motor and the operation of the rig under load was confirmed and unfaulted baseline data were acquired. A list of 13 faults was developed (see Table 1). All faults were inserted and data were acquired. The data files were electronically transmitted to Rice University for analysis using Analytical Redundancy (AR), a model-based static space technique that derives the maximum number of independent tests of the consistency of sensor data with the linearized system model and past sensor and control inputs

  9. A Case Report of Herpetic Whitlow with Positive Kanavel’s Cardinal Signs: A Diagnostic and Treatment Difficulty

    Directory of Open Access Journals (Sweden)

    Milos Brkljac

    2014-01-01

    Full Text Available Herpetic whitlow is an acute viral infection of the hand caused by either herpes simplex virus (HSV 1 or 2. Its characteristic findings are significant pain and erythema with overlying nonpurulent vesicles. The differential diagnosis includes flexor tenosynovitis. We present a case of recurrent infection of the middle finger in an immunocompetent 19-year-old girl. Multiple painful pustules with tracking cellulitis were partially treated by oral antibiotics. A recurrence with positive Kanavel’s signs suggested flexor tenosynovitis at seven months. Her symptoms improved transiently following emergent surgical open flexor sheath exploration and washout however, she required two further washouts; at eleven and thirteen months to improve symptoms. Viral cultures were obtained from the third washout as HSV infection was disclosed from further history taking. These were positive for HSV2. Treatment with acyclovir at thirteen months after presentation led to a complete resolution of her symptoms with no further recurrences to date. This rare case highlights the similarity in presentation between flexor sheath infection and herpetic whitlow which can lead to diagnostic confusion and mismanagement. We emphasise the importance of careful past medical history taking as well as considering herpetic whitlow as a differential diagnosis despite the presence of strongly positive Kanavel’s signs.

  10. Plasma Diagnostics

    Energy Technology Data Exchange (ETDEWEB)

    Zaveryaev, V [Kurchatov Institute, Moscow (Russian Federation); others, and

    2012-09-15

    The success in achieving peaceful fusion power depends on the ability to control a high temperature plasma, which is an object with unique properties, possibly the most complicated object created by humans. Over years of fusion research a new branch of science has been created, namely plasma diagnostics, which involves knowledge of almost all fields of physics, from electromagnetism to nuclear physics, and up-to-date progress in engineering and technology (materials, electronics, mathematical methods of data treatment). Historically, work on controlled fusion started with pulsed systems and accordingly the methods of plasma parameter measurement were first developed for short lived and dense plasmas. Magnetically confined hot plasmas require the creation of special experimental techniques for diagnostics. The diagnostic set is the most scientifically intensive part of a plasma device. During many years of research operation some scientific tasks have been solved while new ones arose. New tasks often require significant changes in the diagnostic system, which is thus a very flexible part of plasma machines. Diagnostic systems are designed to solve several tasks. As an example here are the diagnostic tasks for the International Thermonuclear Experimental Reactor - ITER: (1) Measurements for machine protection and basic control; (2) Measurements for advanced control; (3) Additional measurements for performance evaluation and physics. Every new plasma machine is a further step along the path to the main goal - controlled fusion - and nobody knows in advance what new phenomena will be met on the way. So in the planning of diagnostic construction we should keep in mind further system upgrading to meet possible new scientific and technical challenges. (author)

  11. Abridged style manual for use by contractors producing typed reports to AECB format specifications

    International Nuclear Information System (INIS)

    1981-07-01

    The AECB contractor's style manual sets down basic standards for content and layout of typewritten reports. Points of style are outlined for reference by authors. The elements of a document and their location are described, and instructions to typists are detailed. Example of proper usage are given and the appendices contain layout pro formas for the setting up of any typewritten page. (author)

  12. Data formats and procedures for the evaluated nuclear data format. ENDF-IV. Reprint of the report BNL-NCS-50496 (ENDF-102), revised

    Energy Technology Data Exchange (ETDEWEB)

    Garber, D; Dunford, C; Pearlstein, S

    1984-05-01

    These revisions to Data Formats and Procedures for the ENDF Neutron Cross Section Library, ENDF-102, pertain to the latest version of ENDF/B-IV.The descriptions of the formats have been brought up to date and important procedural matters have been explained. Three new appendices have been added

  13. Data formats and procedures for the evaluated nuclear data format. ENDF-IV. Reprint of the report BNL-NCS-50496 (ENDF-102), revised

    International Nuclear Information System (INIS)

    Garber, D.; Dunford, C.; Pearlstein, S.

    1984-01-01

    These revisions to Data Formats and Procedures for the ENDF Neutron Cross Section Library, ENDF-102, pertain to the latest version of ENDF/B-IV.The descriptions of the formats have been brought up to date and important procedural matters have been explained. Three new appendices have been added

  14. Classification of neuropathic pain in cancer patients: A Delphi expert survey report and EAPC/IASP proposal of an algorithm for diagnostic criteria.

    Science.gov (United States)

    Brunelli, Cinzia; Bennett, Michael I; Kaasa, Stein; Fainsinger, Robin; Sjøgren, Per; Mercadante, Sebastiano; Løhre, Erik T; Caraceni, Augusto

    2014-12-01

    Neuropathic pain (NP) in cancer patients lacks standards for diagnosis. This study is aimed at reaching consensus on the application of the International Association for the Study of Pain (IASP) special interest group for neuropathic pain (NeuPSIG) criteria to the diagnosis of NP in cancer patients and on the relevance of patient-reported outcome (PRO) descriptors for the screening of NP in this population. An international group of 42 experts was invited to participate in a consensus process through a modified 2-round Internet-based Delphi survey. Relevant topics investigated were: peculiarities of NP in patients with cancer, IASP NeuPSIG diagnostic criteria adaptation and assessment, and standardized PRO assessment for NP screening. Median consensus scores (MED) and interquartile ranges (IQR) were calculated to measure expert consensus after both rounds. Twenty-nine experts answered, and good agreement was found on the statement "the pathophysiology of NP due to cancer can be different from non-cancer NP" (MED=9, IQR=2). Satisfactory consensus was reached for the first 3 NeuPSIG criteria (pain distribution, history, and sensory findings; MEDs⩾8, IQRs⩽3), but not for the fourth one (diagnostic test/imaging; MED=6, IQR=3). Agreement was also reached on clinical examination by soft brush or pin stimulation (MEDs⩾7 and IQRs⩽3) and on the use of PRO descriptors for NP screening (MED=8, IQR=3). Based on the study results, a clinical algorithm for NP diagnostic criteria in cancer patients with pain was proposed. Clinical research on PRO in the screening phase and on the application of the algorithm will be needed to examine their effectiveness in classifying NP in cancer patients. Copyright © 2014 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.

  15. The FAO/IAEA External Quality Assurance Programme (EQAP) and movement towards a generic veterinary diagnostic testing laboratory accreditation scheme. Report of an FAO/IAEA consultants meeting

    International Nuclear Information System (INIS)

    2002-01-01

    /IAEA EQAP objectives and processes are in harmony with international QA guidelines as they develop in this area. This report presents the summary information, conclusions, and recommendations made by the Consultants for both the FAO/IAEA programmatic EQAP and a generic veterinary diagnostic laboratory 'accreditation' scheme. Appended are two proposals elaborating 1) the principles of quality management for veterinary diagnostic testing laboratories and 2) a scheme for monitoring compliance with these principles

  16. Salinity variations and chemical compositions of waters in the Frio Formation, Texas Gulf Coast. Annual report

    Energy Technology Data Exchange (ETDEWEB)

    Morton, R.A.; Garrett, C.M. Jr.; Posey, J.S.; Han, J.H.; Jirik, L.A.

    1981-11-01

    Waters produced from sandstone reservoirs of the deep Frio Formation exhibit spatial variations in chemical composition that roughly coincide with the major tectonic elements (Houston and Rio Grande Embayments, San Marcos Arch) and corresponding depositional systems (Houston and Norias deltas, Greta-Carancahua barrier/strandplain system) that were respectively active along the upper, lower, and middle Texas Coast during Frio deposition. Within an area, salinities are usually depth dependent, and primary trends closely correspond to pore pressure gradients and thermal gradients. Where data are available (mainly in Brazoria County) the increases in TDS and calcium with depth coincide with the zone of albitization, smectite-illite transition, and calcite decrease in shales. Waters have fairly uniform salinities when produced from the same sandstone reservoir within a fault block or adjacent fault blocks with minor displacement. In contrast, stratigraphically equivalent sandstones separated by faults with large displacement usually yield waters with substantially different salinities owing to the markedly different thermal and pressure gradients across the faults that act as barriers to fluid movement.

  17. Formation and emission of PM10 in combustion of biofuels. Final report

    International Nuclear Information System (INIS)

    Johansson, Linda; Tullin, Claes; Leckner, Bo

    2004-02-01

    Epidemiological studies have shown correlations between negative health effects and increased particle concentrations in the ambient air. Because of this correlation and the increasing biofuel combustion, there is a need to more carefully investigate formation and emissions from biofuel combustion to secure good air quality in the future. This project is limited to primary combustion particles emitted from small-scale biofuel combustion. Small-scale is here defined as combustion devices with an output less than 10 MW. The project is divided into two parts. In the first part, particles from small-scale biofuel combustion have been characterised. In the second part, the formation of particles during biofuel combustion is studied. Characterisation of particle emissions has been performed for a range of different combustion units, i.e. pellet stove with a thermal output of a few kW, domestic wood and pellet boilers and district-heating boilers with thermal outputs around 2 MW. Mass concentration of particles was measured according to Swedish Standard method. Particle mass size distribution was measured using Dekati Low Pressure Impactor (DLPI, size range 30 nm - 10 μm). The number of particles and corresponding size distribution were measured with an Electrical Low Pressure Impactor (ELPI, 30 nm - 10 μm). To some extent, the particle emissions were investigated regarding chemical content and morphology. In all measurement cases, gas concentrations were measured in the flue gas as a control of combustion conditions. The highest mass concentration of particles (2,200 mg/MJ fuel ) was recorded in the flue gas from an old domestic wood log boiler with poor combustion conditions resulting in very high emissions of unburnt (soot). On the other hand, the lowest mass concentration of particles (20 mg/MJ fueI ) was recorded during optimally adjusted pellet combustion, where 83 % of the particles were found to be inorganic. The remaining part consists of unburnt material (e

  18. Hypertrophic cardiomyopathy with midventricular obstruction and apical aneurysm formation in a single family: case report

    Directory of Open Access Journals (Sweden)

    Paraskevaidis Stylianos

    2009-06-01

    Full Text Available Abstract Background Hypertrophic cardiomyopathy (HCM is an extremely heterogeneous disease. An under recognized and very often missed subgroup within this broad spectrum concerns patients with left ventricular (LV apical aneurysms in the absence of coronary artery disease. Case presentation We describe a case of HCM with midventricular obstruction and apical aneurysm formation in 3 patients coming from a single family. This HCM pattern was detected by 2D-echocardiography and confirmed by cardiac magnetic resonance imaging. A cardioverter defibrillator was implanted in one of the patients because of non-sustained ventricular tachycardia detected in 24-h Holter monitoring and an abrupt drop in systolic blood pressure during maximal exercise test. The defibrillator activated 8 months after implantation by suppression of a ventricular tachycardia providing anti-tachycardia pacing. The patient died due to refractory heart failure 2 years after initial evaluation. The rest of the patients are stable after a 2.5-y follow-up period. Conclusion The detection of apical aneurysm by echocardiography in HCM patients may be complicated. Ventricular tachycardia arising from the scarred aneurysm wall may often occur predisposing to sudden death.

  19. Barometric pressure transient testing applications at the Nevada Test Site: formation permeability analysis. Final report

    International Nuclear Information System (INIS)

    Hanson, J.M.

    1984-12-01

    The report evaluates previous investigations of the gas permeability of the rock surrounding emplacement holes at the Nevada Test Site. The discussion sets the framework from which the present uncertainty in gas permeability can be overcome. The usefulness of the barometric pressure testing method has been established. Flow models were used to evaluate barometric pressure transients taken at NTS holes U2fe, U19ac and U20ai. 31 refs., 103 figs., 18 tabs

  20. Ion beam probe diagnostic system. Technical progress report, 1 January 1979-30 June 1980. RPDL report No. 80-17

    International Nuclear Information System (INIS)

    Hickok, R.L.; Jennings, W.C.; Woo, J.T.; Connor, K.A.

    1980-07-01

    Tokomak plasmas suitable for diagnostic development were produced during this period in RENTOR following technological improvements in the vacuum chamber and discharge cleaning systems. Secondary ion signals were obtained from the heavy ion beam probe on RENTOR leading to initial estimates of the plasma space potential, which appears to vary by several hundred volts during the plasma pulse. The principle of measuring space potential in a minimum-B geometry was established using an ion gun mounted at the center of the ALEX baseball coil. The neutral beam probe was installed for measuring the space potential using actual secondary ion signals from a hollow cathode arc in ALEX and preliminary tests have begun. The ion beam test stand was significantly altered to allow more flexibility in testing energy analyzers, ion guns, and ion focusing concepts

  1. Selection and reporting of statistical methods to assess reliability of a diagnostic test: Conformity to recommended methods in a peer-reviewed journal

    International Nuclear Information System (INIS)

    Park, Ji Eun; Sung, Yu Sub; Han, Kyung Hwa

    2017-01-01

    To evaluate the frequency and adequacy of statistical analyses in a general radiology journal when reporting a reliability analysis for a diagnostic test. Sixty-three studies of diagnostic test accuracy (DTA) and 36 studies reporting reliability analyses published in the Korean Journal of Radiology between 2012 and 2016 were analyzed. Studies were judged using the methodological guidelines of the Radiological Society of North America-Quantitative Imaging Biomarkers Alliance (RSNA-QIBA), and COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) initiative. DTA studies were evaluated by nine editorial board members of the journal. Reliability studies were evaluated by study reviewers experienced with reliability analysis. Thirty-one (49.2%) of the 63 DTA studies did not include a reliability analysis when deemed necessary. Among the 36 reliability studies, proper statistical methods were used in all (5/5) studies dealing with dichotomous/nominal data, 46.7% (7/15) of studies dealing with ordinal data, and 95.2% (20/21) of studies dealing with continuous data. Statistical methods were described in sufficient detail regarding weighted kappa in 28.6% (2/7) of studies and regarding the model and assumptions of intraclass correlation coefficient in 35.3% (6/17) and 29.4% (5/17) of studies, respectively. Reliability parameters were used as if they were agreement parameters in 23.1% (3/13) of studies. Reproducibility and repeatability were used incorrectly in 20% (3/15) of studies. Greater attention to the importance of reporting reliability, thorough description of the related statistical methods, efforts not to neglect agreement parameters, and better use of relevant terminology is necessary

  2. Selection and reporting of statistical methods to assess reliability of a diagnostic test: Conformity to recommended methods in a peer-reviewed journal

    Energy Technology Data Exchange (ETDEWEB)

    Park, Ji Eun; Sung, Yu Sub [Dept. of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul (Korea, Republic of); Han, Kyung Hwa [Dept. of Radiology, Research Institute of Radiological Science, Yonsei University College of Medicine, Seoul (Korea, Republic of); and others

    2017-11-15

    To evaluate the frequency and adequacy of statistical analyses in a general radiology journal when reporting a reliability analysis for a diagnostic test. Sixty-three studies of diagnostic test accuracy (DTA) and 36 studies reporting reliability analyses published in the Korean Journal of Radiology between 2012 and 2016 were analyzed. Studies were judged using the methodological guidelines of the Radiological Society of North America-Quantitative Imaging Biomarkers Alliance (RSNA-QIBA), and COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) initiative. DTA studies were evaluated by nine editorial board members of the journal. Reliability studies were evaluated by study reviewers experienced with reliability analysis. Thirty-one (49.2%) of the 63 DTA studies did not include a reliability analysis when deemed necessary. Among the 36 reliability studies, proper statistical methods were used in all (5/5) studies dealing with dichotomous/nominal data, 46.7% (7/15) of studies dealing with ordinal data, and 95.2% (20/21) of studies dealing with continuous data. Statistical methods were described in sufficient detail regarding weighted kappa in 28.6% (2/7) of studies and regarding the model and assumptions of intraclass correlation coefficient in 35.3% (6/17) and 29.4% (5/17) of studies, respectively. Reliability parameters were used as if they were agreement parameters in 23.1% (3/13) of studies. Reproducibility and repeatability were used incorrectly in 20% (3/15) of studies. Greater attention to the importance of reporting reliability, thorough description of the related statistical methods, efforts not to neglect agreement parameters, and better use of relevant terminology is necessary.

  3. Preparation of safety analysis reports (SARs) for near surface radioactive waste disposal facilities. Format and content of SARs

    International Nuclear Information System (INIS)

    1995-02-01

    All facilities at which radioactive wastes are processed, stored and disposed of have the potential for causing hazards to humans and to the environment. Precautions must be taken in the siting, design and operation of the facilities to ensure that an adequate level of safety is achieved. The processes by which this is evaluated is called safety assessment. An important part of safety assessment is the documentation of the process. A well prepared safety analysis report (SAR) is essential if approval of the facility is to be obtained from the regulatory authorities. This TECDOC describes the format and content of a safety analysis report for a near surface radioactive waste disposal facility and will serve essentially as a checklist in this respect

  4. Monostotic fibrous dysplasia of a lumbar vertebral body with secondary aneurysmal bone cyst formation: a case report

    Directory of Open Access Journals (Sweden)

    Snieders Marieke N

    2009-06-01

    Full Text Available Abstract We report the case of a 25-year-old Caucasian woman with symptomatic monostotic fibrous dysplasia of the fourth lumbar vertebral body. The patient suffered from a five-week history of progressive low back pain, radiating continuously to the left leg. Her medical history and physical and neurological examination did not demonstrate any significant abnormalities. Radiographs, computed tomography and magnetic resonance imaging revealed an osteolytic expansive lesion with a cystic component of the fourth lumbar vertebral body. Percutaneous transpedicular biopsy showed histological characteristics of fibrous dysplasia superimposed by the formation of aneurysmal bone cyst components. The patient was treated by subtotal vertebrectomy of the L4 vertebral body with anterior reconstruction and her postoperative course was uncomplicated. To our knowledge, this is the first reported case of a monostotic fibrous dysplasia with superimposed secondary aneurysmal bone cysts of a lumbar vertebral body.

  5. Diagnostic development

    International Nuclear Information System (INIS)

    Barnett, C.F.; Brisson, D.A.; Greco, S.E.

    1978-01-01

    During the past year the far-infrared or submillimeter diagnostic research program resulted in three major developments: (1) an optically pumped 0.385-μm D 2 O-laser oscillator-amplifier system was operated at a power level of 1 MW with a line width of less than 50 MHz; (2) a conical Pyrex submillimeter laser beam dump with a retention efficiency greater than 10 4 was developed for the ion temperature Thompson scattering experiment; and (3) a new diagnostic technique was developed that makes use of the Faraday rotation of a modulated submillimeter laser beam to determine plasma current profile. Measurements of the asymmetric distortion of the H/sub α/ (6563 A) spectral line profile show that the effective toroidal drift velocity, dv/sub two vertical bars i/dT/sub i/, may be used as an indicator of plasma quality and as a complement to other ion temperature diagnostics

  6. Diagnostic of the spatial and velocity distribution of alpha particles in tokamak fusion reactor using beat-wave generated lower hybrid wave. Progress report, 1994-1995

    International Nuclear Information System (INIS)

    Hwang, D.Q.; Horton, R.D.; Evans, R.

    1995-01-01

    The alpha particle population from fusion reactions in a DT tokamak reactor can have dramatic effects on the pressure profiles, energetic particle confinement, and the overall stability of the plasma; thus leading to important design consideration of a fusion reactor based on the tokamak concept. In order to fully understand the effects of the alpha population, a non-invasive diagnostic technique suitable for use in a reacting plasma environment needs to be developed to map out both the spatial and velocity distribution of the alphas. The proposed experimental goals for the eventual demonstration of LH wave interaction with a fast ion population is given in the reduced 3 year plan in table 1. At present time the authors are approaching the 8th month in their first year of this project. Up to now, their main effort has been concentrated in the operation of the two beat wave sources in burst mode. The second priority in the experimental project is the probe diagnostics and computer aided data acquisition system. The progress made so far is given, and they are ready to perform the beat-wave generated lower hybrid wave experiment. Some theoretical calculation had been reported at APS meetings. More refined theoretical models are being constructed in collaboration with Drs. J. Rogers and E. Valeo at PPPL

  7. Formation of organic solid phases in hydrocarbon reservoir fluids. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Andersen, S.I.; Lindeloff, N.; Stenby, E.H.

    1998-12-31

    The occurrence of solid phases during oil recovery is a potential problem. The present work has mainly been concerned with wax formation due to cooling of oils with a large paraffin content. 8 oils have been included in this project, although only a few of these have till now been subject to all the experimental techniques applied. The oils and wax fractions from these have been characterized using techniques such as GC-MS and Ftir. The goal has in part been to get a detailed description of the oil composition for use in model evaluation and development and in part to get a fundamental understanding of waxy oil properties and behaviour. A high pressure (200 bar) equipment has been developed for automatic detection of wax appearance using a filtration technique and laser light turbidimetry. The latter was found to be far superior to the filtration. The filtration was used to sample the incipient solid phase for characterization. However entrapment of liquid in the filters currently used have hampered this part. A number of model systems and one gas condensate have been investigated. The GC-MS procedure was found only to been able to detect molecules up to n-C45 and the group type analysis was not accurate enough for modelling purposes. Using Ftir it was obvious that incipient phases may contain very complex molecules (asphaltenes) which are not captured by GC-MS especially when fractionation is done using the acetone precipitation at elevated temperature. The latter fractionation procedure has been investigated thoroughly as a tool for understanding wax distribution etc. Within thermodynamic modelling a delta lattice parameter model has been developed which incorporates the non-ideality of the solid phases into the calculation of SLE. The non-ideality is estimated from pure component properties. A new algorithm for phase equilibria involving gas-liquid-solid has been developed. Currently both the model work and the experimental works are continued. (au)

  8. Enzymology of acetone-butanol-isopropanol formation. Final technical report, June 1, 1985--July 31, 1997

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Jiann-Shin

    1998-03-01

    Several species of anaerobic bacteria within the genus Clostridium produce acetone, n-butanol, and isopropanol (solvents), which are important industrial chemicals and fuel additives. Commercial production of solvents by the clostridia is a classical example of largescale chemical production by bacterial fermentation. Although the fermentation has been in use for decades, it still faces problems that include strain degeneration, a relatively low final product concentration due to butanol toxicity, and a need to fine-tune the growth conditions to achieve a high yield. The long-term goal of this project was to understand the fundamental properties of bacterial solvent production for the purpose of achieving a positive control on the metabolic switch leading to solvent production and on the proportion of useful products formed as well as of developing strategies for preventing the degeneration of producing strains. The objectives for the project included those approved in 1985 for the initial project period and those approved in 1988, 1991, and 1994 when the project was renewed. The objectives for the entire project period may be summarized as (1) To purify and characterize the enzymes that are specifically required for the formation of acetone, butanol, and isopropanol by the clostridia, (2) To clone and characterize the genes that encode enzymes or regulatory proteins for the production of solvents, and the emphasis was to determine the control mechanism for the transcription of the solvent-production genes, (3) To characterize the onset of solvent production and the intra- and extra-cellular parameters surrounding the metabolic switch to solvent production, and (4) To determine the genetic identity of the strains of solvent-producing clostridia that are currently in use by investigators around the world.

  9. Preliminary survey on the distribution of medical equipment and frequency of diagnostic and therapeutic procedures in Brazil: a contribution to the UNSCEAR report

    International Nuclear Information System (INIS)

    Biazotto, Bruna; Taboza de Oliveira, Alexandre; Baptista de Freitas, Marcelo

    2008-01-01

    Information about Brazil published in the UNSCEAR 2000 report are still scarce when compared to others countries. In this study, a survey on the distribution of medical equipment (X-ray generators, ultrasound, CT and MRI scanners, nuclear medicine equipment and teletherapy and brachytherapy units) and frequency of diagnostic and therapeutic procedures at the various Brazilian States was carried out. The overall information was obtained from a national database supported by the Brazilian Ministry of Health through the Computer Science Department of the National Health System (SUS - Sistema Unico de Saude). The distribution of equipment and the annual frequency of each type of procedure were analyzed considering the five geographical regions that form the country and their respective population. Temporal and regional trends in the annual frequency of procedures for 2000-2007 were also summarized in this study. National annual frequencies for the total of all medical X-ray examinations (259.0 examinations per 1000 population) were evaluated. Some examples can be given from chest, mammography and CT examinations: 67.4, 30.2 and 7.2 per 1000 population, respectively. In addition, annual frequencies for other modalities of diagnostic imaging have also been estimated: 61.5, 1.6 and 1.4 per 1000 population for ultrasound, nuclear medicine and MRI procedures, respectively. A total of 38.7 therapeutic procedures per 1000 population (teletherapy and brachytherapy) are annually performed in the country. The health services localized in Brazil comprised a total number of 253.1 diagnostic imaging equipment per million population, without considering dental X-ray. Amongst them, X-ray equipment used in common radiological examinations (chest, skull, spine, etc.) stands for 39% (97.7 per million). As expected, a significant decrease in the offer of equipment is observed when technologically more sophisticated equipment is concerned: magnetic resonance (3.5 per million), gamma

  10. The report of medical exposures in diagnostic radiology. Pt. 1. The questionnaire of medical exposure and standard radiation exposure

    International Nuclear Information System (INIS)

    Sasakawa, Yasuhiro; Matsumura, Yoshitaka; Iwasaki, Takanobu; Segawa, Hiroo; Yasuda, Sadatoshi; Kusuhara, Toshiaki

    1997-01-01

    We had made reports of patient radiation exposure for doctors to judge adaptation of medical radiation rightly. By these reports the doctors can be offered data of exposure dose and somatic effect. First, we sent out questionnaires so that we grasped the doctor's understanding about radiation exposure. Consequently we understood that the doctors had demanded data of exposure dose and somatic effect. Secondly, by the result of questionnaires we made the tables of exposure dose about radiological examination. As a result we have be able to presume exposure dose about high radiation sensitive organization as concrete figures. (author)

  11. Abdominal lithopedion formation with 30 years of evolution: report of a case.

    Science.gov (United States)

    Yang, Yali; Zhou, Hong; Guo, Jin; Su, Wei; Shen, Hong

    2016-01-01

    The incidence of abdominal pregnancy is very rare, long-retained abdominal pregnancy undergoing fetal death and evolving to a lithopaedion is even more scarce. The authors report the case of a 60-year-old woman who discovered an abdominal mass 31 years ago that was recently identified intraoperatively as lithopaedion. Although imaging had revealed a low-level echogenic mass in the cavity, nobody had considered the possibility of a lithopaedion before the operation. The authors strongly suggest identifying the small skeletal frame through imaging that will be a very important preoperative sign that will lead to a diagnosis, otherwise neglected in the past years.

  12. The prevalence of PFS and prevalence and characteristics of reported food allergy; a survey of UK adults aged 18-75 incorporating a validated PFS diagnostic questionnaire.

    Science.gov (United States)

    Skypala, I J; Bull, S; Deegan, K; Gruffydd-Jones, K; Holmes, S; Small, I; Emery, P W; Durham, S R

    2013-08-01

    Pollen-food syndrome (PFS), a food allergy affecting pollen-sensitized individuals, is likely to be the most prevalent food allergy in adults, estimated to affect 50-90% of people allergic to birch tree pollen. A validated PFS diagnostic questionnaire (PFSDQ2) was used to determine the prevalence of PFS and also to characterize those who report reactions to foods. Five UK General practices each sent the PFSDQ2 by post to 2000 patients aged 18-75 years randomly selected from their practice database. The validated questionnaire was accompanied by an additional set of questions to ascertain the demographic of the population, the foods involved and the age of onset. There were 3590 subjects who returned completed questionnaires, with an average return rate from each practice of 36% (range 22-47%). Of these, 73 were diagnosed with PFS according to the questionnaire (PFS+ve) giving a population prevalence of 2%. A further 482 subjects reported reactions to foods but did not fulfil the diagnostic criteria for PFS. The greatest prevalence of PFS was in the Croydon (SE England) urban practice (4.1%) and the lowest in the Aberdeen (Scotland) urban practice (0.8%) (P < 0.001).The most frequently reported trigger foods were apples, hazelnuts and kiwifruit and the majority of those with PFS first experienced symptoms below the age of 20 years. PFS+ve subjects were also more likely to be female and have a higher socio-economic status than those who did not report reactions to foods. The UK prevalence of PFS was 2%, although this varied according to the location of the practice population. The majority of PFS+ve subjects first reported symptoms in their teens. The reported age of onset has important implications for the diagnosis of primary and cross-reactive peanut and tree nut allergies in teenagers and young adults. The continuing rise in aeroallergen sensitization is likely to result in an increased frequency of PFS presenting in both primary and secondary care. © 2013

  13. A Discrete Latent State Approach to Diagnostic Testing. Final Report on Contract Number N00014-81-K-0564.

    Science.gov (United States)

    Paulson, James A.

    This paper reports on a project which has developed the general latent class model as a framework for representation of item responses. This framework can be used to represent data in applications such as mastery tests and other kinds of achievement tests, where there is reason to believe that current foundations are deficient. Methods of…

  14. Aerosol formation from high-velocity uranium drops: Comparison of number and mass distributions. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Rader, D.J.; Benson, D.A.

    1995-05-01

    This report presents the results of an experimental study of the aerosol produced by the combustion of high-velocity molten-uranium droplets produced by the simultaneous heating and electromagnetic launch of uranium wires. These tests are intended to simulate the reduction of high-velocity fragments into aerosol in high-explosive detonations or reactor accidents involving nuclear materials. As reported earlier, the resulting aerosol consists mainly of web-like chain agglomerates. A condensation nucleus counter was used to investigate the decay of the total particle concentration due to coagulation and losses. Number size distributions based on mobility equivalent diameter obtained soon after launch with a Differential Mobility Particle Sizer showed lognormal distributions with an initial count median diameter (CMD) of 0.3 {mu}m and a geometric standard deviation, {sigma}{sub g} of about 2; the CMD was found to increase and {sigma}{sub g} decrease with time due to coagulation. Mass size distributions based on aerodynamic diameter were obtained for the first time with a Microorifice Uniform Deposit Impactor, which showed lognormal distributions with mass median aerodynamic diameters of about 0.5 {mu}m and an aerodynamic geometric standard deviation of about 2. Approximate methods for converting between number and mass distributions and between mobility and aerodynamic equivalent diameters are presented.

  15. Aerosol formation from high-velocity uranium drops: Comparison of number and mass distributions. Final report

    International Nuclear Information System (INIS)

    Rader, D.J.; Benson, D.A.

    1995-05-01

    This report presents the results of an experimental study of the aerosol produced by the combustion of high-velocity molten-uranium droplets produced by the simultaneous heating and electromagnetic launch of uranium wires. These tests are intended to simulate the reduction of high-velocity fragments into aerosol in high-explosive detonations or reactor accidents involving nuclear materials. As reported earlier, the resulting aerosol consists mainly of web-like chain agglomerates. A condensation nucleus counter was used to investigate the decay of the total particle concentration due to coagulation and losses. Number size distributions based on mobility equivalent diameter obtained soon after launch with a Differential Mobility Particle Sizer showed lognormal distributions with an initial count median diameter (CMD) of 0.3 μm and a geometric standard deviation, σ g of about 2; the CMD was found to increase and σ g decrease with time due to coagulation. Mass size distributions based on aerodynamic diameter were obtained for the first time with a Microorifice Uniform Deposit Impactor, which showed lognormal distributions with mass median aerodynamic diameters of about 0.5 μm and an aerodynamic geometric standard deviation of about 2. Approximate methods for converting between number and mass distributions and between mobility and aerodynamic equivalent diameters are presented

  16. Low-energy x-ray and electron physics and applications to diagnostics development for laser-produced plasma research. Final report, April 30, 1980-April 29, 1981

    Energy Technology Data Exchange (ETDEWEB)

    Henke, B.L.

    1981-08-01

    This final report describes a collaborative extension of an ongoing research program in low-energy x-ray and electron physics into particular areas of immediate need for the diagnostics of plasmas as involved in laser-produced fusion research. It has been for the continued support for one year of a post-doctoral research associate and for three student research assistants who have been applied to the following specific efforts: (1) the continuation of our research on the absolute characterization of x-ray photocathode systems for the 0.1 to 10 keV photon energy region. The research results were applied collaboratively to the design, construction and calibration of photocathodes for time-resolved detection with the XRD and the streak and framing cameras; (2) the design, construction and absolute calibration of optimized, bolt-on spectrographs for the absolute measurement of laser-produced plasma spectra.

  17. Carcinosarcoma of the Ureter with a Small Cell Component: Report of a Rare Pathologic Entity and Potential for Diagnostic Error on Biopsy

    Directory of Open Access Journals (Sweden)

    Kent Newsom

    2014-01-01

    Full Text Available Carcinosarcomas of the ureter are rare biphasic neoplasms, composed of both malignant epithelial (carcinomatous and malignant mesenchymal (sarcomatous components. Carcinosarcomas of the urinary tract are exceedingly rare. We report a unique case of a carcinosarcoma of the ureter with a chondrosarcoma and small cell tumor component arising in a 68-year-old male who presented with microscopic hematuria. CT intravenous pyelogram revealed right-sided hydroureter and hydronephrosis with thickening and narrowing of the right ureter. The patient underwent robot-assisted ureterectomy with bladder cuff excision and subsequent adjuvant chemotherapy. The patient is disease-free at 32 months after treatment. We provide a brief synoptic review of carcinosarcoma of the ureter and bladder with utilization of immunohistochemical (IHC stains and potential diagnostic pitfalls.

  18. Low-energy x-ray and electron physics and applications to diagnostics development for laser-produced plasma research. Final report, April 30, 1980-April 29, 1981

    International Nuclear Information System (INIS)

    Henke, B.L.

    1981-08-01

    This final report describes a collaborative extension of an ongoing research program in low-energy x-ray and electron physics into particular areas of immediate need for the diagnostics of plasmas as involved in laser-produced fusion research. It has been for the continued support for one year of a post-doctoral research associate and for three student research assistants who have been applied to the following specific efforts: (1) the continuation of our research on the absolute characterization of x-ray photocathode systems for the 0.1 to 10 keV photon energy region. The research results were applied collaboratively to the design, construction and calibration of photocathodes for time-resolved detection with the XRD and the streak and framing cameras; (2) the design, construction and absolute calibration of optimized, bolt-on spectrographs for the absolute measurement of laser-produced plasma spectra

  19. Gross chylous ascites in cirrhosis with massive portal vein thrombosis: diagnostic value of lymphoscintigraphy. A case report and review of the literature.

    Science.gov (United States)

    Archimandritis, Athanasios J; Zonios, Dimitrios I; Karadima, Dimitra; Vlachoyiannopoulos, Panagiotis G; Kiriaki, Despina; Hatzis, Grigorios S

    2003-01-01

    Chylous ascites is an uncommon condition, which could be due to various causes. We report a case of gross chylous ascites in a patient with cirrhosis and portal vein thrombosis. It is confirmed that gross chylous ascites in a patient with cirrhosis and portal vein thrombosis heralds an ominous prognosis for the patient. Results also demonstrate that common therapeutic interventions confer minimal benefit to the patient, whose survival may be limited to a few months. The use of lymphoscintigraphy as a convenient method for diagnostic exploration of the chylous ascites is emphasized, as it does not lead to complications or adverse effects, and can be readily repeated as needed. Copyright 2003 Lippincott Williams & Wilkins

  20. Diagnostic dilemma

    DEFF Research Database (Denmark)

    Feldt-Rasmussen, Ulla; Dobrovolny, Robert; Nazarenko, Irina

    2011-01-01

    Fabry disease, an X-linked lysosomal storage disorder, results from the deficient activity of a-galactosidase A (a-Gal A). In affected males, the clinical diagnosis is confirmed by the markedly decreased a-Gal A activity. However, in female heterozygotes, the a-Gal A activity can range from low t...... on enzyme replacement therapy. Thus, gene dosage analyses can detect large deletions (>50bp) in suspect heterozygotes for X-linked and autosomal dominant diseases that are "sequencing cryptic," resolving molecular diagnostic dilemmas....... to normal due to random X-chromosomal inactivation, and diagnostic confirmation requires identification of the family's a-Gal A gene mutation. In a young female who had occasional acroparesthesias, corneal opacities, and 15 to 50% of the lower limit of normal leukocyte a-Gal A activity, a-Gal A sequencing...... in two expert laboratories did not identify a confirmatory mutation, presenting a diagnostic dilemma. A renal biopsy proved diagnostic and renewed efforts to detect an a-Gal A mutation. Subsequent gene dosage analyses identified a large a-Gal A deletion confirming her heterozygosity, and she was started...

  1. Stratigraphy and environments of deposition of the Cretaceous Hell Creek Formation (reconnaissance) and the Paleocene Ludlow Formation (detailed), southwestern North Dakota. Report of investigations No. 56

    International Nuclear Information System (INIS)

    Moore, W.L.

    1976-01-01

    The Cretaceous Hell Creek and Paleocene Ludlow Formations of southwestern North Dakota, with the exception of the included lignite beds and minor amounts of concretions and nodules, are almost exclusively clastic sediments and sedimentary rocks. Massive clays, clays alternating with silts and sands, sandstones filling channels and other depressions, sheet sandstones, and lignites are the dominant sediment and rock types present. These sediments and sedimentary rocks were mostly deposited in a continental environment and were largely alluvial, lacustrine or paludal in origin; though marginal marine deposition, in part, is indicated by the occurrence of brackish water faunas in portions of the upper Ludlow Formation. With the possible exception of a persistent lignite near the base, persistent lignites are not present in the Hell Creek Formation. The Ludlow can be subdivided into several informal units, typically coal-bounded, which can be traced laterally over large areas. This informal subdivision permits isolation of stratigraphic units for the study of local environments of deposition. Channel and depression fill sandstones of the Ludlow Formation have a relatively low permeability and a high organic content at the surface and, for this reason, are considered poor prospective uranium host rocks. The lighter colored yellow winnowed sheet sandstones of the Ludlow are more permeable and relatively free of organic matter. They are considered as possible host rocks for uranium occurring in association with an oxidation/reduction interface at shallow depths. The uranium potential is enhanced where the latter sandstones occur along paleodivides which have been overlain by the Oligocene White River Formation, or in local areas where the latter formation is still preserved. Light yellow winnowed sheet sandstones are rare in the Hell Creek Formation, and the chances for uranium prospects in this interval seem correspondingly reduced

  2. Understanding diagnostic variability in breast pathology: lessons learned from an expert consensus review panel

    Science.gov (United States)

    Allison, Kimberly H; Reisch, Lisa M; Carney, Patricia A; Weaver, Donald L; Schnitt, Stuart J; O’Malley, Frances P; Geller, Berta M; Elmore, Joann G

    2015-01-01

    Aims To gain a better understanding of the reasons for diagnostic variability, with the aim of reducing the phenomenon. Methods and results In preparation for a study on the interpretation of breast specimens (B-PATH), a panel of three experienced breast pathologists reviewed 336 cases to develop consensus reference diagnoses. After independent assessment, cases coded as diagnostically discordant were discussed at consensus meetings. By the use of qualitative data analysis techniques, transcripts of 16 h of consensus meetings for a subset of 201 cases were analysed. Diagnostic variability could be attributed to three overall root causes: (i) pathologist-related; (ii) diagnostic coding/study methodology-related; and (iii) specimen-related. Most pathologist-related root causes were attributable to professional differences in pathologists’ opinions about whether the diagnostic criteria for a specific diagnosis were met, most frequently in cases of atypia. Diagnostic coding/study methodology-related root causes were primarily miscategorizations of descriptive text diagnoses, which led to the development of a standardized electronic diagnostic form (BPATH-Dx). Specimen-related root causes included artefacts, limited diagnostic material, and poor slide quality. After re-review and discussion, a consensus diagnosis could be assigned in all cases. Conclusions Diagnostic variability is related to multiple factors, but consensus conferences, standardized electronic reporting formats and comments on suboptimal specimen quality can be used to reduce diagnostic variability. PMID:24511905

  3. The diagnostic value of contrast-enhanced CT in Acute bilateral renal cortical necrosis: a case report

    International Nuclear Information System (INIS)

    Choi, Pil Youb; Lee, Su Han; Lee, Woo Dong

    1996-01-01

    Acute renal cortical necrosis in which there is destruction of the renal cortex and sparing of the renal medulla, is a relatively rare cause of acute renal failure. A definitive diagnosis of acute renal cortical necrosis is based on renal biopsy, but on CT(computed tomography) the rather specific contrast-enhanced appearance of acute renal cortical necrosis has been described. As renal biopsy is not available, contrast-enhanced CT is a useful, noninvasive investigate modality for the early diagnosis of acute renal cortical necrosis. We report the characteristic CT findings of acute renal cortical necrosis in a patient with acute renal failure following an operation for abdominal trauma

  4. Gingival enlargement as an early diagnostic indicator in therapy-related acute myeloid leukemia: A rare case report and review of literature

    Directory of Open Access Journals (Sweden)

    Triveni M Gowda

    2013-01-01

    Full Text Available Treatment for Hodgkin′s lymphoma (HL has resulted in excellent survival rates but is associated with increased risks of secondary therapy-related acute myeloid leukemia (t-AML. Gingival enlargement associated with bleeding and ulceration is the most common rapidly appearing oral manifestations of leukemic involvement. An 8 months pregnant patient reported with generalized gingival enlargement, with localized cyanotic and necrotic papillary areas. Co-relating the hematological report with the oral lesions and her past medical history of HL, a diagnosis of t-AML secondary to treatment for HL was made by the oncologist. As oral lesions are one of the initial manifestations of acute leukemia, they may serve as a significant diagnostic indicator for the dental surgeons and their important role in diagnosing and treating such cases. Furthermore, this case report highlights the serious complication of t-AML subsequent to HL treatment and the important role that a general and oral health care professional may play in diagnosing and treating such cases.

  5. Improvement of the excavation damaged zone in saliferous formations. Phase II. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Mueller, C.; Simo Kuate, E.; Borstel, L. von; Engelhardt, H.J.

    2016-01-15

    In Germany, salt formations are considered to be suitable to host a deep geological repository for radioactive waste. However, local stress changes adjacent to man-made openings lead to the evolution of an excavation damaged zone (EDZ) during and after excavation. Such an EDZ can have a major impact on the operation of a radioactive waste repository since it represents a region where progressive failure occurs. This decreases the material strength and thus increases the permeability of the originally tight host rock. The objective of this investigation is determined by the need to develop a modeling strategy that can be applied to simulate the permeability increase due to mechanical deterioration of rock salt, in particular that occurring in the EDZ. The identification of material parameters is often conducted by back-calculation of laboratory experiments. However, standard laboratory tests, e.g. compression tests, are only applicable to provide information about the macroscopic deformation. For this purpose, further laboratory tests were conducted to derive material parameters used in the constitutive models. Combined acoustic emission and uniaxial compression tests as well as microstructural analyses were carried out to dissolve the macroscopic behavior micromechanically. The information obtained was then used for parameter identification utilizing optimization methods. The objective was to identify the best estimate of the micro-parameter values that can be applied to simulate the laboratory results performed. To make a qualitative comparison between the numerical analysis and the acoustic emission (AE) testing, the onset of failure at contacts was equated with events detected by AE testing. The onset of failure is identified at stress levels above 3 MPa. The number of tensile fractures increases continuously and the maximum is reached between 10 and 12 MPa axial stress. At the beginning of loading, tensile fractures appear more frequently than shear fractures

  6. The Rustler Formation at the WIPP [Waste Isolations Pilot Plant] site: Report of a workshop on the geology and hydrology of the Rustler Formation as it relates to the WIPP Project

    International Nuclear Information System (INIS)

    Chaturvedi, L.

    1987-02-01

    This workshop contained eight papers characterizing the Rustler Formation at the WIPP site in New Mexico. Four of these reports were processed separately for the data bases. Information contained in the four remaining papers is available in journal articles or in the reports of other conferences and included discussions of ground water flow through the Rustler Formation, the potential migration of leached radionuclides in this rock, the effects of mineral dissolution on the removal of underlying salt deposits, and a possible pathway for radionuclide migration into the biosphere

  7. International Approaches for Nuclear Waste Disposal in Geological Formations: Report on Fifth Worldwide Review

    Energy Technology Data Exchange (ETDEWEB)

    Faybishenko, Boris [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Birkholzer, Jens [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Persoff, Peter [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Sassani, David [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Swift, Peter N. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2016-08-01

    An important issue for present and future generations is the final disposal of spent nuclear fuel. Over the past over forty years, the development of technologies to isolate both spent nuclear fuel (SNF) and other high-level nuclear waste (HLW) generated at nuclear power plants and from production of defense materials, and low- and intermediate-level nuclear waste (LILW) in underground rock and sediments has been found to be a challenging undertaking. Finding an appropriate solution for the disposal of nuclear waste is an important issue for protection of the environment and public health, and it is a prerequisite for the future of nuclear power. The purpose of a deep geological repository for nuclear waste is to provide to future generations, protection against any harmful release of radioactive material, even after the memory of the repository may have been lost, and regardless of the technical knowledge of future generations. The results of a wide variety of investigations on the development of technology for radioactive waste isolation from 19 countries were published in the First Worldwide Review in 1991 (Witherspoon, 1991). The results of investigations from 26 countries were published in the Second Worldwide Review in 1996 (Witherspoon, 1996). The results from 32 countries were summarized in the Third Worldwide Review in 2001 (Witherspoon and Bodvarsson, 2001). The last compilation had results from 24 countries assembled in the Fourth Worldwide Review (WWR) on radioactive waste isolation (Witherspoon and Bodvarsson, 2006). Since publication of the last report in 2006, radioactive waste disposal approaches have continued to evolve, and there have been major developments in a number of national geological disposal programs. Significant experience has been obtained both in preparing and reviewing cases for the operational and long-term safety of proposed and operating repositories. Disposal of radioactive waste is a complex issue, not only because of the nature

  8. Ossifying fibroma of the maxilla: An uncommon tumor presenting diagnostic and management dilemma for the clinician: A rare case report

    Directory of Open Access Journals (Sweden)

    Shahanavaj I Khaji

    2014-01-01

    In the present case, we hereby report a 35-year-old male patient who presented with painless swelling over middle one third of face - left side since 8 months. Patient had no significant medical history in the previous past (history of trauma 6 years earlier. Panoramic radiography revealed rounded mixed type of image over left side of posterior maxilla in relation to 23, 24, 25, 26 region, respectively. An incisional biopsy was carried out which yielded a definitive diagnosis of ossifying fibroma of the maxilla. Management of the lesion was carried out by taking into account the benign nature, growth pattern, and behavior of the lesion clinically and radio graphically with regular and periodic follow-up postoperatively.

  9. Diagnostic accuracy of gadoxetic acid-enhanced MR for small hypervascular hepatocellular carcinoma and the concordance rate of Liver Imaging Reporting and Data System (LI-RADS).

    Science.gov (United States)

    Bae, Jae Seok; Kim, Jung Hoon; Yu, Mi Hye; Lee, Dong Ho; Kim, Hyo-Cheol; Chung, Jin Wook; Han, Joon Koo

    2017-01-01

    To assess diagnostic accuracy of gadoxetic acid-enhanced MR for small hypervascular hepatocellular carcinoma (HCC) detected by C-arm CT and concordance rate of Liver Imaging Reporting and Data System (LI-RADS). In this retrospective study, we recruited 4,544 patients suspected of having HCC underwent C-arm CT from November 2008 to May 2013. Among these patients, gadoxetic acid-enhanced MR was performed in 167 patients with HCC (n = 379; 257 > 1 cm, 122 ≤ 1 cm). HCC was confirmed by MR, CT, or follow-up images. Two radiologists graded likelihood of HCC and assessed MR features. Jackknife alternative free-response receiver operating characteristic (JAFROC) analysis was performed. All HCCs were evaluated concordance rate of LI-RADS. Mean JAFROC figure of merit for large (>1-cm) HCC was 0.948, while that for small HCC was 0.787 with fair agreement (κ = 0.409). Mean sensitivity and positive predictive value (PPV) were 91% and 90% for large HCC versus 63.0% and 79% for small HCC, respectively. Seventeen of 122 small HCCs (13.9%) were not visible on MR. Among 379 HCCs, 99 met LR-5, and 259 met LR-4. Common features for small HCC included arterial enhancement (81.9%), hepatobiliary phase hypointensity (80.3%), and delayed washout (72.9%). Diagnostic accuracy of gadoxetic acid-enhanced MR imaging for small, hypervascular HCCs (Mean figure of merit = 0.787) was still low compared with large HCC (Mean figure of merit = 0.948). LR-5 and LR-4 covered 94% (358/379) of the HCCs.

  10. Follicular Conjunctivitis due to Chlamydia felis—Case Report, Review of the Literature and Improved Molecular Diagnostics

    Directory of Open Access Journals (Sweden)

    Juliana Wons

    2017-07-01

    Full Text Available A 29-year-old woman presented with unilateral, chronic follicular conjunctivitis since 6 weeks. While the conjunctival swab taken from the patient’s eye was negative in a Chlamydia (C. trachomatis-specific PCR, C. felis was identified as etiological agent using a pan-Chlamydia TaqMan-PCR followed by sequence analysis. A pet kitten of the patient was found to be the source of infection, as its conjunctival and pharyngeal swabs were also positive for C. felis. The patient was successfully treated with systemic doxycycline. This report, which presents one of the few documented cases of human C. felis infection, illustrates that standard PCR tests are designed to detect the most frequently seen species of a bacterial genus but might fail to be reactive with less common species. We developed a modified pan-Chlamydia/C. felis duplex TaqMan-PCR assay that detects C. felis without the need of subsequent sequencing. The role of chlamydiae-specific serum antibody titers for the diagnosis of follicular conjunctivitis is discussed.

  11. Follicular Conjunctivitis due to Chlamydia felis-Case Report, Review of the Literature and Improved Molecular Diagnostics.

    Science.gov (United States)

    Wons, Juliana; Meiller, Ralph; Bergua, Antonio; Bogdan, Christian; Geißdörfer, Walter

    2017-01-01

    A 29-year-old woman presented with unilateral, chronic follicular conjunctivitis since 6 weeks. While the conjunctival swab taken from the patient's eye was negative in a Chlamydia (C.) trachomatis -specific PCR, C. felis was identified as etiological agent using a pan- Chlamydia TaqMan-PCR followed by sequence analysis. A pet kitten of the patient was found to be the source of infection, as its conjunctival and pharyngeal swabs were also positive for C. felis . The patient was successfully treated with systemic doxycycline. This report, which presents one of the few documented cases of human C. felis infection, illustrates that standard PCR tests are designed to detect the most frequently seen species of a bacterial genus but might fail to be reactive with less common species. We developed a modified pan- Chlamydia / C. felis duplex TaqMan-PCR assay that detects C. felis without the need of subsequent sequencing. The role of chlamydiae-specific serum antibody titers for the diagnosis of follicular conjunctivitis is discussed.

  12. Severe form of streptococcal necrotizing fasciitis of the upper limb - diagnostic and therapeutic challenge: A case report

    Directory of Open Access Journals (Sweden)

    Mikić Dragan

    2015-01-01

    Full Text Available Introduction. Since delay in recognition and effective treatment of necrotizing fasciitis (NF caused by invasive group A streptococcus increases the mortality and disability, the early diagnosis and management of this disease are essential for a better outcome. We presented a patient with a severe form of streptococcal NF of the left upper limb in whom amputation was performed as a life saving procedure. Case report. A 65-year-old man, previously healthy, suffered an injury to his left hand by sting on a fish bone. Two days after that the patient got fever, redness, swelling and pain in his left hand. Clinical examination of the patient after admission indicated NF that spread quickly to the entire left upper limb, left armpit, and the left side of the chest and abdomen. Despite the use of aggressive antibiotic and surgical therapy severe destruction of the skin and subcutaneous tissues developed with the development of gangrene of the left upper limb. In this situation, the team of specialists decided that the patient must be operated on submited to amputation of the left arm, at the shoulder. After amputation and aggressive debridement of soft tissue on the left side of the trunk, the patient completely recovered. β-hemolytic streptococcus group A was isolated from the skin and tissue obtained during the surgery. Conclusion. In the most severe forms of streptococcal NF of the extremities, adequate multidisciplinary treatment, including limb amputation, can save the life of a patient.

  13. Extraskeletal myxoid chondrosarcoma presenting as an intradural spinal mass: report of a rare clinical presentation with an emphasis on differential diagnostic considerations

    Directory of Open Access Journals (Sweden)

    Priya Rao

    2014-12-01

    Full Text Available Extraskeletal myxoid chondrosarcoma is a rare soft tissue neoplasm that occurs predominantly in the soft tissues of the lower extremities. Herein we present a case of a 29 year old male who presented with bilateral femoral numbness believed to be the result of prior injury to his back. A magnetic resonance imaging revealed a mass in the T4-T5 epidural space compressing the spinal cord. Laminectomy was performed and the lesion removed piecemeal. The pathology specimen consisted of multiple fragments of dura involved by a myxoid neoplasm with a nodular growth pattern. The tumor cells were arranged in anastomosing cords and strands. Individual tumor cells were small, of uniform size and shape, with small hyperchromatic nuclei and scant eosinophilic cytoplasm. Immunohistochemical stains were performed which showed the tumor cells were diffusely positive for vimentin and focally positive for EMA, S-100 protein and cytokeratin, whereas they were negative for CD34 and CD99. Fluorescence in situ hybridization (FISH studies showed a clonal population of cells with re-arrangement of the EWSR1 locus, confirming the histologic impression of extraskeletal myxoid chondrosarcoma. This is the first report of a case of an extraskeletal myxoid chondrosarcoma arising from the dura, confirmed to have rearrangement of the EWSR1 gene by FISH. There have only been two other cases of dural based extraskeletal myxoid chondrosarcoma reported prior to our case. We also briefly review the published literature and discuss differential diagnostic considerations for this rare tumor.

  14. Varying the item format improved the range of measurement in patient-reported outcome measures assessing physical function

    DEFF Research Database (Denmark)

    Liegl, Gregor; Gandek, Barbara; Fischer, H. Felix

    2017-01-01

    precision between the short forms using different item formats. Results: Sufficient unidimensionality of all short-form items and the original PF item bank was supported. Compared to formats A and B, format C increased the range of reliable measurement by about 0.5 standard deviations on the positive side...

  15. Formation and sustainment of a very low aspect ratio tokamak using coaxial helicity injection. Final report, June 1, 1995--May 31, 1997

    International Nuclear Information System (INIS)

    Jarboe, T.R.; Nelson, B.A.

    1997-01-01

    During the reporting period of this HIT grant (1 June 1995--31 May 1997) we've conducted further stability analysis, used the TIP diagnostic to measure plasma fields in HIT, and developed a single-parameter helicity injector model. HIT has undergone a significant upgrade to the HIT-II configuration which is described here. Parts for HIT-II have been designed, ordered, and received under this grant and are being assembled under the subsequent grant

  16. Thyroid diagnostics

    Energy Technology Data Exchange (ETDEWEB)

    Scriba, P C; Boerner, W; Emrich, S; Gutekunst, R; Herrmann, J; Horn, K; Klett, M; Krueskemper, H L; Pfannenstiel, P; Pickardt, C R

    1985-03-01

    None of the in-vitro and in-vivo methods listed permits on unambiguous diagnosis when applied alone, owing to the fact that similar or even identical findings are obtained for various individual parameters in different thyroid diseases. Further, especially the in-vitro tests are also subject to extrathyroidal effects which may mask the typical findings. The limited and varying specificity and sensitivity of the tests applied, as well as the falsification of results caused by the patients' idiosyncracies and the methodology, make it necessary to interpret and evaluate the in-vivo and in-vitro findings only if the clinical situation (anamnesis and physical examination) is known. For maximum diagnostic quality of the tests, the initial probability of the assumed type of thyroid disease must be increased (formulation of the clinical problem). The concepts of exclusion diagnosis and identification must be distinguished as well as the diagnosis of functional disturbances on the one hand and of thyroid diseases on the other. Both of this requires a qualified, specific and detailed anamnesis and examination procedure, and the clinical examination remains the obligatory basis of clinical diagnostics. In case of inexplicable discrepancies between the clinical manifestations and the findings obtained with specific methods, or between the findings obtained with a specific method, the patient should be referred to an expert institution, or the expert institution should be consulted.

  17. Thyroid diagnostics

    International Nuclear Information System (INIS)

    Scriba, P.C.; Boerner, W.; Emrich, S.; Gutekunst, R.; Herrmann, J.; Horn, K.; Klett, M.; Krueskemper, H.L.; Pfannenstiel, P.; Pickardt, C.R.; Reiners, C.; Reinwein, D.; Schleusener, H.

    1985-01-01

    None of the in-vitro and in-vivo methods listed permits on unambiguous diagnosis when applied alone, owing to the fact that similar or even identical findings are obtained for various individual parameters in different thyroid diseases. Further, especially the in-vitro tests are also subject to extrathyroidal effects which may mask the typical findings. The limited and varying specificity and sensitivity of the tests applied, as well as the falsification of results caused by the patients' idiosyncracies and the methodology, make it necessary to interpret and evaluate the in-vivo and in-vitro findings only if the clinical situation (anamnesis and physical examination) is known. For maximum diagnostic quality of the tests, the initial probability of the assumed type of thyroid disease must be increased (formulation of the clinical problem). The concepts of exclusion diagnosis and identification must be distinguished as well as the diagnosis of functional disturbances on the one hand and of thyroid diseases on the other. Both of this requires a qualified, specific and detailed anamnesis and examination procedure, and the clinical examination remains the obligatory basis of clinical diagnostics. In case of inexplicable discrepancies between the clinical manifestations and the findings obtained with specific methods, or between the findings obtained with a specific method, the patient should be referred to an expert institution, or the expert institution should be consulted. (orig./MG) [de

  18. Research Reports from the First Pre-ICME Satellite Conference on Diagnostic and Prescriptive Mathematics (Monash University, Melbourne, Australia, August 21-22, 1984).

    Science.gov (United States)

    Blane, Dudley, Ed.

    Provided are the papers presented at a conference which served as an international forum on diagnostic and prescriptive mathematics education. They are: (1) "The Evolution of the Research Council for Diagnostic and Prescriptive Mathematics" by Robert Underhill; (2) "The Interaction of Knowledge and Cognitive Processes in Diagnosis…

  19. Brief Report: An Exploratory Study Comparing Diagnostic Outcomes for Autism Spectrum Disorders under DSM-IV-TR with the Proposed DSM-5 Revision

    Science.gov (United States)

    Gibbs, Vicki; Aldridge, Fiona; Chandler, Felicity; Witzlsperger, Ellen; Smith, Karen

    2012-01-01

    The proposed revision for Autism spectrum disorders (ASDs) in the Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (DSM-5) represents a shift from the Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition, Text Revision (DSM-IV-TR). As the proposed DSM-5 criteria require a higher minimum number of symptoms to be…

  20. Diagnostic accuracy of general physician versus emergency medicine specialist in interpretation of chest X-ray suspected for iatrogenic pneumothorax: a brief report

    Directory of Open Access Journals (Sweden)

    Ghane Mohammad-reza

    2012-03-01

    Conclusion: These findings indicate that the diagnostic accuracy of emergency medicine specialists is significantly higher than those of general physicians. The diagnostic accuracy of both physician groups was higher than the values in similar studies that signifies the role of relevant training given in the emergency departments of the Hospital.

  1. Brucellosis - diagnostic dilemma: Case report

    Directory of Open Access Journals (Sweden)

    Bojić Biljana

    2002-01-01

    Full Text Available The authors present a case of a 20-year old student from Belgrade, who was admitted to the Institute of Infectious Diseases with fever, muscle and spine pains, strong headacke and malice. During the clinical examination bilateral sacroileitis was found. Serological analyses confirmed brucellosis. Epidemiological data showed that she lived in Kosovo and Metohia in 1997, where she consumed diary products from domestic animals this might be the reason of the acquired infection. With appropriate antibiotic therapy (aminoglycoside, doxicyclin, rifampicin, symptomatic therapy and rehabilitation the disease had favorable outcome; there was no recidive. The authors point out the importance of specific microbiological examinations of patients with fever of unknown origin, especially if the patient has the symptoms that are compatible with brucellosis. In our case it was sacroileitis, as a characteristic complication. As brucellosis is endemic in some parts of our country, there is always a possibility of brucellosis in general medical practice.

  2. Diagnostic accuracy of organ electrodermal diagnostics | Szopinski ...

    African Journals Online (AJOL)

    Objective. To estimate the diagnostic accuracy as well as the scope of utilisation of a new bio-electronic method of organ diagnostics. Design. Double-blind comparative study of the diagnostic results obtained by means of organ electrodermal diagnostics (OED) and clinical diagnoses, as a criterion standard. Setting.

  3. Pact for secondary education and curriculum: reflections from formation books and final report of PNEM Rondônia

    Directory of Open Access Journals (Sweden)

    Mirian de Oliveira Bertotti

    2016-08-01

    Full Text Available The vocation of this article is to discuss the dimensions of the existing secondary school curriculum in the continuing education of the federal government titled "Pacto Nacional pelo Fortalecimento do Ensino Médio- PNEM" for the teachers of the state school system of Rondonia. This training allowed seeing with new eyes the pedagogical practices of teachers with the subject of the last stage of basic education. Therefore, it takes a qualitative approach, and its methodological approach relies on the analysis of the formation of the notebooks used by course participants and the final report prepared by the educational program coordinator in the state of Rondônia. Even though our research still in development, the theoretical basis and data collection phase, we rely on the multiculturalist theory, as in Freire's pedagogy, which raises the critical reading, questioning and intervention in reality. We understand that curriculum policies are hybrid, polyphonic, produced by discourses that circulate in different educational space- time. We understand that the curriculum as a social instrument is built collectively, with the participation of each subject to enforce the quality of education in secondary school territories.

  4. Investigation on long-term safety aspects of a radioactive waste repository in a diagenic clay formation. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Jobmann, M.; Gazul, R. [DBE Technology GmbH, Peine (Germany); Fluegge, J. [Gesellschaft fuer Anlagen- und Reaktorsicherheit (GRS) gGmbH, Braunschweig (Germany); and others

    2017-03-28

    The report presents the sealing concept developed for a Russian near surface low/intermediate level (LILW) waste repository at the ''radon site'' in the lower Cambrian ''blue clay'' formation. The radioactive wastes will be transported to the repository through a tunnel that will connect the underground disposal areas with the surface facilities. Two ventilation shafts for fresh and exhaust air will also connect the underground facilities with the surface. Specific characteristics of the flow regime in the studied area have been simulated. For the construction of a potential repository site it is necessary to know the possible contaminant transport paths to the surface and the biosphere. Due to the lack of sufficient data the calculation can only indicate tendencies that can trigger future explorations. Simulations of the radionuclide (C-14, Cl-36, Se-79, I-129) release from the repository in the liquid phase show a similar behavior as for other repositories in clay. Probabilistic simulations show a large variation of obtained results as a result of the parameter uncertainty.

  5. Myometrial Cystic Formation after Local Methotrexate Application into Cornual Gestational Sac: A Case Report of an Unexpected Complication

    Directory of Open Access Journals (Sweden)

    Zehra Sema Ozkan

    2011-01-01

    Full Text Available Cornual pregnancy is a rare type of ectopic pregnancy, and diverse therapeutic options exist for the management. Medical treatment despite high initial beta HCG values is not thought to be safe. We reported a 39-year-old woman with an initial beta HCG value of 22000 mIU/mL and diagnosed of a cornual pregnancy. Patient was managed successfully with the administration of combined systemic and ultrasonographically guided local injection of methotrexate into the gestational sac. During followup with serial beta hcg measurements, 27×20 mm cystic area in myometrium has been detected. Beta hcg <1 mIU/mL value was reached three months later, and this cystic area resolved spontaneously. Systemic methotrexate administration combined with ultrasound-guided local methotrexate injection into the gestational sac might be considered as the first-line treatment in the management of hemodynamically stable patients having cornual pregnancy even with high beta HCG values and risk of myometrial cystic formation.

  6. SNS Diagnostics

    International Nuclear Information System (INIS)

    Shea, T.J.; Cameron, P.; Doolittle, L.; Power, J.

    2000-01-01

    The Spallation Neutron Source (SNS) Project is a collaborative effort to build the next generation neutron science facility at Oak Ridge, TN. The facility will deliver a 2 MW proton beam to a liquid mercury target. Neutrons from this target will be moderated and sent to several state-of-the-art instruments. Six national laboratories are involved in SNS construction. Berkeley (LBNL) will build the front end that produces a 2.5 MeV, 52 mA H-beam. Los Alamos (LANL) is responsible for the 1 GeV linac with a superconducting section provided by Thomas Jefferson (JLab). Brookhaven (BNL) is building the transfer lines and accumulator ring. Oak Ridge (ORNL) and Argonne (ANL) have responsibility for the target and instruments. All activities are coordinated by the SNS project office at Oak Ridge. The high beam power, a desired availability of 95%, and an aggressive commissioning schedule lead to some interesting challenges in beam diagnostics

  7. Idiopathic chondrolysis - diagnostic difficulties

    International Nuclear Information System (INIS)

    Kozlowski, K.; Scougall, J.; Royal Alexandra Hospital for Children, Sydney

    1984-01-01

    Four cases of idiopathic chondrolysis of the hip in three white girls and one Maori girl are reported. The authors stress the causes why a disease with characteristic clinical and radiographic appearances and normal biochemical findings presents diagnostic difficulties. It is suspected that idiopathic chondrolysis is a metabolic disorder of chondrocytes, triggered by environment circumstances in susceptible individuals. Idiopathic chondrolysis is probably one of the most common causes of coxarthrosis in women. (orig.)

  8. BWR recirculation pump diagnostic expert system

    International Nuclear Information System (INIS)

    Chiang, S.C.; Morimoto, C.N.; Torres, M.R.

    2004-01-01

    At General Electric (GE), an on-line expert system to support maintenance decisions for BWR recirculation pumps for nuclear power plants has been developed. This diagnostic expert system is an interactive on-line system that furnishes diagnostic information concerning BWR recirculation pump operational problems. It effectively provides the recirculation pump diagnostic expertise in the plant control room continuously 24 hours a day. The expert system is interfaced to an on-line monitoring system, which uses existing plant sensors to acquire non-safety related data in real time. The expert system correlates and evaluates process data and vibration data by applying expert rules to determine the condition of a BWR recirculation pump system by applying knowledge based rules. Any diagnosis will be automatically displayed, indicating which pump may have a problem, the category of the problem, and the degree of concern expressed by the validity index and color hierarchy. The rules incorporate the expert knowledge from various technical sources such as plant experience, engineering principles, and published reports. These rules are installed in IF-THEN formats and the resulting truth values are also expressed in fuzzy terms and a certainty factor called a validity index. This GE Recirculation Pump Expert System uses industry-standard software, hardware, and network access to provide flexible interfaces with other possible data acquisition systems. Gensym G2 Real-Time Expert System is used for the expert shell and provides the graphical user interface, knowledge base, and inference engine capabilities. (author)

  9. Diagnostics for pellet experiments

    International Nuclear Information System (INIS)

    Johnson, R.R.

    1978-01-01

    The target diagnostics which are being used and planned in current laser driven ICF Experiments are described. Most of these diagnostics can be easily applied to future ion-beam fusion experiments. The status of laser fusion diagnostics has been much improved in the last 5 years and further improvements can be expected and should be available when the first ICF experiments using ion beams are performed. As an example, x-ray temporal and spatial resolutions are now approximately 5 psec and 3 μm, which is approximately a factor of 4 better than the resolution reported in the first implosion experiments. As one plans ahead for ion-beam fusion experiments it should be emphasized that high yield experiments are easier to diagnose provided adequate shielding is employed. However, in the event that the first high yield experiments fail it will be necessary to have diagnostics available to determine where the problems lie. In laser fusion it is interesting to note that higher laser powers are required now for breakeven experiments than first anticipated, mainly because some aspects of the laser-interaction physics were not recognized until the experiments were carefully diagnosed. Thus as has been pointed out, it may be necessary to increase the energy of the ion-beam driver to enable us to do breakeven experiments with high confidence

  10. On a report that the 2012 M 6.0 earthquake in Italy was predicted after seeing an unusual cloud formation

    Science.gov (United States)

    Thomas, J.N.; Masci, F; Love, Jeffrey J.

    2015-01-01

    Several recently published reports have suggested that semi-stationary linear-cloud formations might be causally precursory to earthquakes. We examine the report of Guangmeng and Jie (2013), who claim to have predicted the 2012 M 6.0 earthquake in the Po Valley of northern Italy after seeing a satellite photograph (a digital image) showing a linear-cloud formation over the eastern Apennine Mountains of central Italy. From inspection of 4 years of satellite images we find numerous examples of linear-cloud formations over Italy. A simple test shows no obvious statistical relationship between the occurrence of these cloud formations and earthquakes that occurred in and around Italy. All of the linear-cloud formations we have identified in satellite images, including that which Guangmeng and Jie (2013) claim to have used to predict the 2012 earthquake, appear to be orographic – formed by the interaction of moisture-laden wind flowing over mountains. Guangmeng and Jie (2013) have not clearly stated how linear-cloud formations can be used to predict the size, location, and time of an earthquake, and they have not published an account of all of their predictions (including any unsuccessful predictions). We are skeptical of the validity of the claim by Guangmeng and Jie (2013) that they have managed to predict any earthquakes.

  11. Indications and expectations for neuropsychological assessment in routine epilepsy care: Report of the ILAE Neuropsychology Task Force, Diagnostic Methods Commission, 2013-2017.

    Science.gov (United States)

    Wilson, Sarah J; Baxendale, Sallie; Barr, William; Hamed, Sherifa; Langfitt, John; Samson, Séverine; Watanabe, Masako; Baker, Gus A; Helmstaedter, Christoph; Hermann, Bruce P; Smith, Mary-Lou

    2015-05-01

    The International League Against Epilepsy (ILAE) Diagnostic Methods Commission charged the Neuropsychology Task Force with the job of developing a set of recommendations to address the following questions: (1) What is the role of a neuropsychological assessment? (2) Who should do a neuropsychological assessment? (3) When should people with epilepsy be referred for a neuropsychological assessment? and (4) What should be expected from a neuropsychological assessment? The recommendations have been broadly written for health care clinicians in established epilepsy settings as well as those setting up new services. They are based on a detailed survey of neuropsychological assessment practices across international epilepsy centers, and formal ranking of specific recommendations for advancing clinical epilepsy care generated by specialist epilepsy neuropsychologists from around the world. They also incorporate the latest research findings to establish minimum standards for training and practice, reflecting the many roles of neuropsychological assessment in the routine care of children and adults with epilepsy. The recommendations endorse routine screening of cognition, mood, and behavior in new-onset epilepsy, and describe the range of situations when more detailed, formal neuropsychological assessment is indicated. They identify a core set of cognitive and psychological domains that should be assessed to provide an objective account of an individual's cognitive, emotional, and psychosocial functioning, including factors likely contributing to deficits identified on qualitative and quantitative examination. The recommendations also endorse routine provision of feedback to patients, families, and clinicians about the implications of the assessment results, including specific clinical recommendations of what can be done to improve a patient's cognitive or psychosocial functioning and alleviate the distress of any difficulties identified. By canvassing the breadth and depth

  12. Cloud-based CT dose monitoring using the DICOM-structured report. Fully automated analysis in regard to national diagnostic reference levels

    International Nuclear Information System (INIS)

    Boos, J.; Rubbert, C.; Heusch, P.; Lanzman, R.S.; Aissa, J.; Antoch, G.; Kroepil, P.

    2016-01-01

    To implement automated CT dose data monitoring using the DICOM-Structured Report (DICOM-SR) in order to monitor dose-related CT data in regard to national diagnostic reference levels (DRLs). Materials and Methods: We used a novel in-house co-developed software tool based on the DICOM-SR to automatically monitor dose-related data from CT examinations. The DICOM-SR for each CT examination performed between 09/2011 and 03/2015 was automatically anonymized and sent from the CT scanners to a cloud server. Data was automatically analyzed in accordance with body region, patient age and corresponding DRL for volumetric computed tomography dose index (CTDI vol ) and dose length product (DLP). Results: Data of 36 523 examinations (131 527 scan series) performed on three different CT scanners and one PET/CT were analyzed. The overall mean CTDI vol and DLP were 51.3 % and 52.8 % of the national DRLs, respectively. CTDI vol and DLP reached 43.8 % and 43.1 % for abdominal CT (n = 10 590), 66.6 % and 69.6 % for cranial CT (n = 16 098) and 37.8 % and 44.0 % for chest CT (n = 10 387) of the compared national DRLs, respectively. Overall, the CTDI vol exceeded national DRLs in 1.9 % of the examinations, while the DLP exceeded national DRLs in 2.9 % of the examinations. Between different CT protocols of the same body region, radiation exposure varied up to 50 % of the DRLs. Conclusion: The implemented cloud-based CT dose monitoring based on the DICOM-SR enables automated benchmarking in regard to national DRLs. Overall the local dose exposure from CT reached approximately 50 % of these DRLs indicating that DRL actualization as well as protocol-specific DRLs are desirable. The cloud-based approach enables multi-center dose monitoring and offers great potential to further optimize radiation exposure in radiological departments.

  13. The diagnostic challenge of pulmonary tumour thrombotic microangiopathy as a presentation for metastatic gastric cancer: a case report and review of the literature

    International Nuclear Information System (INIS)

    Ho, Andrew LK.; Szulakowsi, Patryk; Mohamid, Waria HS.

    2015-01-01

    Pulmonary tumour thrombotic microangiopathy (PTTM) is a rare complication of metastatic cancer with a distinct histological appearance which presents with dyspnoea and pulmonary arterial hypertension and leads to death in hours to days. It is a challenging diagnosis to make ante mortem, in part due to the rapid clinical decline. Herein, we report a case of a young woman initially felt to have pulmonary sarcoidosis but who then died eight days later from what was found at post mortem to be PTTM. A 41 year old Caucasian woman presented with progressive dyspnoea. Computed tomography of her thorax showed diffuse tiny centrilobular nodules in a tree-in-bud appearance along with small volume mediastinal lymphadenopathy. A presumptive diagnosis of pulmonary sarcoidosis was made; bronchoscopy with transbronchial lung biopsy was arranged to confirm the diagnosis. However, she rapidly deteriorated and died eight days later. Post mortem examination revealed metastatic poorly differentiated gastric adenocarcinoma with PTTM being the final cause of death. This case demonstrates the diagnostic difficulties in such a rare and rapidly fatal oncological complication; a greater awareness amongst clinicians may help make a positive diagnosis in the short window of time available. Little is known about its pathogenesis, and even less about optimal management strategies. We review the literature to demonstrate the clinical characteristics that might provide clues towards an ante mortem diagnosis, and highlight how imatinib may provide the key to treating PTTM. The online version of this article (doi:10.1186/s12885-015-1467-7) contains supplementary material, which is available to authorized users

  14. NASA/DOD Aerospace Knowledge Diffusion Research Project. Paper 65: Survey of Reader Preferences Concerning the Format of NASA Langley-Authored Technical Reports

    Science.gov (United States)

    Pinelli, Thomas E.; Barclay, Rebecca O.; Kennedy, John M.

    1997-01-01

    The U.S. government technical report is a primary means by which the results of federally funded research and development (R&D) are transferred to the U.S. aerospace industry. However, little is known about this information product in terms of its actual use, importance, and value in the transfer of federally funded R&D. Little is also known about the intermediary-based system that is used to transfer the results of federally funded R&D to the U.S. aerospace industry. To help establish a body of knowledge, the U.S. government technical report is being investigated as part of the NASA/DoD Aerospace Knowledge Diffusion Research Project. In this article, we summarize the literature on the U.S. government technical report and present the results of a survey of U.S. aerospace engineers and scientists that solicited their opinions concerning the format of NASA Langley Research Center (LaRC)-authored technical reports. To learn more about the preferences of U.S. aerospace engineers and scientists concerning the format of NASA LaRC-authored technical reports, we surveyed 133 report producers (i.e., authors) and 137 report users in March-April 1996. Questions covered such topics as: (a) the order in which report components are read; (b) components used to determine if a report would be read; (c) those components that could be deleted; (d) the placement of such components as the symbols list; (e) the desirability of a table of contents; (f) the format of reference citations; (g) column layout and right margin treatment; and (h) writing style in terms of person and voice. Mail (self-reported) surveys were used to collect the data. The response rates for report producers (i.e., authors) was 68% and for users was 62%.

  15. NASA/DOD Aerospace Knowledge Diffusion Research Project. Paper 58; Survey of Reader Preferences Concerning the Format of NASA Langley-Authored Technical Reports

    Science.gov (United States)

    Pinelli, Thomas E.; Barclay, Rebecca O.; Kennedy, John M.

    1996-01-01

    The U.S. government technical report is a primary means by which the results of federally funded research and development (R&D) are transferred to the U.S. aerospace industry. However, little is known about this information product in terms of its actual use, importance, and value in the transfer of federally funded R&D. Little is also known about the intermediary-based system that is used to transfer the results of federally funded R&D to the U.S. aerospace industry. To help establish a body of knowledge, the U.S. government technical report is being investigated as part of the NASA/DOD Aerospace Knowledge Diffusion Research Project. In this paper, we summarize the literature on the U.S. government technical report and present the results of a survey of U.S. aerospace engineers and scientists that solicited their opinions concerning the format of NASA Langley Research Center (LaRC)-authored technical reports. To learn more about the preferences of U.S. aerospace engineers and scientists concerning the format of NASA LaRC-authored technical reports, we surveyed 133 report producers (i.e., authors) and 137 report users in March-April 1996. Questions covered such topics as (1) the order in which report components are read, (2) components used to determine if a report would be read, (3) those components that could be deleted, (4) the placement of such components as the symbols list, (e) the de-sirability of a table of contents, (5) the format of reference citations, (6) column layout and right margin treatment, and (7) and person and voice. Mail (self-reported) surveys were used to collect the data. The response rates for report producers (i.e., authors) was 68% and for users was 62%.

  16. Diagnostic terminology for urinary cytology reports including the new subcategories 'atypical urothelial cells of undetermined significance' (AUC-US) and 'cannot exclude high grade' (AUC-H).

    Science.gov (United States)

    Piaton, E; Decaussin-Petrucci, M; Mege-Lechevallier, F; Advenier, A-S; Devonec, M; Ruffion, A

    2014-02-01

    We studied whether atypical, non-superficial urothelial cells (AUC) could be separated into new subcategories including AUC 'of undetermined significance' (AUC-US) and 'cannot exclude high grade'' (AUC-H) in order to help to standardize urine cytopathology reports, as it is widely accepted in the Bethesda system for gynaecological cytopathology. We investigated whether AUC-US and AUC-H, defined by distinctive cytological criteria, might be separated with statistical significance according to actual diagnosis and follow-up data. A series of 534 cyto-histological comparisons taken in 139 patients, including 221 AUC at various steps of their clinical history was studied. There were 513 (96.1%) postcystoscopy and 469 (87.8%) ThinPrep® liquid-based specimens (95.9% and 89.1% of AUC cases, respectively). Patients viewed between 1999 and 2011 had histological control in a 0- to 6-months delay and were followed-up during an additional 5.9 ± 9.2 (0- to 56-) months period. The 221 AUC represented 0.8-2% of the specimens viewed during the study period. Among AUC-H cases, 70 out of 185 (37.8%) matched with high-grade lesions, compared with 3 of 38 (8.3%) of AUC-US cases (P = 0.0003). Conservatively treated patients with AUC-H more frequently developed high-grade lesions than those with AUC-US (54.1% versus 16.7%, P = 0.0007) with a 17.6-months mean delay. Nuclear hyperchromasia, a nuclear to cytoplasm (N/C) ratio > 0.7 and the combination of both were the more informative diagnostic criteria, all with P < 0.01. We conclude that the new subcategories could help to standardize urine cytopathology reports and contribute to the patient's management, provided it is validated by multicentric studies. © 2013 John Wiley & Sons Ltd.

  17. Geology of the Cannonball Formation (Paleocene) in the Williston basin, with reference to uranium potential. Report of investigation No. 57

    International Nuclear Information System (INIS)

    Cvancara, A.M.

    1976-01-01

    The Paleocene Cannonball Formation is a marine, non-lignitic-bearing clastic sequence in the lower part of the Fort Union Group. It is overlain by the lignite-bearing Tongue River Formation in places and both overlain and underlain by the lignite-bearing Ludlow Formation in places. The Cannonball crops out primarily in southwest-central North Dakota and probably occurs throughout the western one-half of the state. It occurs also in northwestern South Dakota and may extend into parts of Saskatchewan and Manitoba. Poorly consolidated, very fine- to fine-grained, light to medium brownish yellow-weathering sandstone and light gray-weathering, sandy mudstone are the principal types of lithology. Mudstone generally predominates in North Dakota whereas sandstone seems to predominate in South Dakota. Although uranium in the Williston basin has been found almost entirely in lignite and nonmarine carbonaceous rocks, its occurrence in the marine Cannonball Formation is possible. If the Cannonball, Ludlow, Tongue River, and Sentinel Butte Formations are at least partly penecontemporaneous, a variety of depositional environments were in areal juxtaposition during the Paleocene. Streams originating or passing through coastal plain bogs could have carried uranium ions (derived from volcanic materials) to the Cannonball sea where they were deposited syngenetically. Epigenetic uranium may occur in Cannonball mudstones or sandstones that directly underlie the Ludlow Formation, which is known to contain volcanic materials

  18. The importance of venous hypertension in the formation of dural arteriovenous fistulas: a case report of multiple fistulas remote from sinus thrombosis

    International Nuclear Information System (INIS)

    Kusaka, N.; Sugiu, K.; Katsumata, A.; Nakashima, H.; Tamiya, T.; Ohmoto, T.

    2001-01-01

    Various hypotheses have been reported concerning the pathogenesis of dural arteriovenous fistulas (DAVFs). However, it is still controversial whether sinus thrombosis or venous hypertension has a greater influence on the formation of DAVFs. We present a rare case of multiple DAVFs that developed after sinus thrombosis. Chronic venous hypertension secondary to sinus thrombosis in the left transverse-sigmoid sinus induced the multiple DAVFs, including one in the right cavernous sinus, which was remote from the occluded sinus. This case indicates the importance of venous hypertension in the formation of DAVFs. (orig.)

  19. Automation of diagnostic genetic testing: mutation detection by cyclic minisequencing.

    Science.gov (United States)

    Alagrund, Katariina; Orpana, Arto K

    2014-01-01

    The rising role of nucleic acid testing in clinical decision making is creating a need for efficient and automated diagnostic nucleic acid test platforms. Clinical use of nucleic acid testing sets demands for shorter turnaround times (TATs), lower production costs and robust, reliable methods that can easily adopt new test panels and is able to run rare tests in random access principle. Here we present a novel home-brew laboratory automation platform for diagnostic mutation testing. This platform is based on the cyclic minisequecing (cMS) and two color near-infrared (NIR) detection. Pipetting is automated using Tecan Freedom EVO pipetting robots and all assays are performed in 384-well micro plate format. The automation platform includes a data processing system, controlling all procedures, and automated patient result reporting to the hospital information system. We have found automated cMS a reliable, inexpensive and robust method for nucleic acid testing for a wide variety of diagnostic tests. The platform is currently in clinical use for over 80 mutations or polymorphisms. Additionally to tests performed from blood samples, the system performs also epigenetic test for the methylation of the MGMT gene promoter, and companion diagnostic tests for analysis of KRAS and BRAF gene mutations from formalin fixed and paraffin embedded tumor samples. Automation of genetic test reporting is found reliable and efficient decreasing the work load of academic personnel.

  20. Diagnostic accuracy in virtual dermatopathology

    DEFF Research Database (Denmark)

    Mooney, E.; Kempf, W.; Jemec, G.B.E.

    2012-01-01

    Background Virtual microscopy is used for teaching medical students and residents and for in-training and certification examinations in the United States. However, no existing studies compare diagnostic accuracy using virtual slides and photomicrographs. The objective of this study was to compare...... diagnostic accuracy of dermatopathologists and pathologists using photomicrographs vs. digitized images, through a self-assessment examination, and to elucidate assessment of virtual dermatopathology. Methods Forty-five dermatopathologists and pathologists received a randomized combination of 15 virtual...... slides and photomicrographs with corresponding clinical photographs and information in a self-assessment examination format. Descriptive data analysis and comparison of groups were performed using a chi-square test. Results Diagnostic accuracy in dermatopathology using virtual dermatopathology...

  1. Summary from working group on noninterceptive diagnostics

    International Nuclear Information System (INIS)

    Chamberlin, D.D.

    1985-01-01

    The working group for noninterceptive diagnostics spent much of its time comparing diagnostic techniques from different fields and their possible application to high-power injectors. The group included backgrounds from electron beam diagnostics, fusion power diagnostics, cw ion source and transport design, and ion beam of diagnostics. The probability of success for adapting techniques from these different areas is quite difficult to judge, short of a detailed examination of each application. Unexpected flaws or unforeseen noise sources can eliminate an idea that would otherwise appear promising. The report presents several ideas that were discussed, with an indication of those ideas most likely to succeed if implemented

  2. MAST magnetic diagnostics

    Science.gov (United States)

    Edlington, T.; Martin, R.; Pinfold, T.

    2001-01-01

    The mega-ampere spherical tokamak (MAST) experiment is a new, large, low aspect ratio device (R=0.7-0.8 m, a=0.5-0.65 m, maximum BT˜0.63 T at R=0.7 m) operating its first experimental physics campaign. Designed to study a wide variety of plasma shapes with up to 2 MA of plasma current with an aspect ratio down to 1.3, the poloidal field (PF) coils used for plasma formation, equilibrium and shaping are inside the main vacuum vessel. For plasma control and to investigate a wide range of plasma phenomena, an extensive set of magnetic diagnostics have been installed inside the vacuum vessel. More than 600 vacuum compatible, bakeable diagnostic coils are configured in a number of discrete arrays close to the plasma edge with about half the coils installed behind the graphite armour tiles covering the center column. The coil arrays measure the toroidal and poloidal variation in the equilibrium field and its high frequency fluctuating components. Internal coils also measure currents in the PF coils, plasma current, stored energy and induced currents in the mechanical support structures of the coils and graphite armour tiles. The latter measurements are particularly important when halo currents are induced following a plasma termination, for example, when the plasma becomes vertically unstable. The article describes the MAST magnetic diagnostic coil set and their calibration. The way in which coil signals are used to control the plasma equilibrium is described and data from the first MAST experimental campaign presented. These coil data are used as input to the code EFIT [L. Lao et al., Nucl. Fusion 25, 1611 (1985)], for measurement of halo currents in the vacuum vessel structure and for measurements of the structure of magnetic field fluctuations near the plasma edge.

  3. Lectures in plasma diagnostics

    International Nuclear Information System (INIS)

    Hutchinson, I.H.

    1990-06-01

    This paper discusses the following topics on plasma diagnostics: Electric probes in flowing and magnetized plasmas; Electron cyclotron emission absorption; Magnetic diagnostics; Spectroscopy; and Thomson Scattering

  4. Final Report for Project DE-SC0006958: "An Investigation of the Effects of magnetic Fields and Collisionality on Shock Formation in Radiatively Cooled Plasma Flows"

    Energy Technology Data Exchange (ETDEWEB)

    Bott-Suzuki, Simon

    2014-11-05

    We have developed a new experimental platform to study bow-shock formation in plasma flows generated using an inverse wire array z-pinch. We have made significant progress on the analysis of both hydrodynamic and magnetized shocks using this system. The hydrodynamic experiments show formation of a well-defined Mach cone, and highly localized shock strong associated with radiative losses and rapidly cooling over the shock. Magnetized shocks show that the balance of magnetic and ram pressures dominate the evolution of the shock region, generating a low plasma beta void around the target. Manuscripts are in preparation for publication on both these topics. We have also published the development of a novel diagnostic method which allow recovery of interferometry and self-emission data along the same line of sight. Finally, we have carried out work to integrate a kinetic routine with the 3D MHD code Gorgon, however it remains to complete this process. Both undergraduate and graduate students have been involved in both the experimental work and publications.

  5. Encyclopedia of diagnostic imaging

    International Nuclear Information System (INIS)

    Baert, A.L.

    2008-01-01

    The simple A to Z format provides easy access to relevant information in the field of imaging. Extensive cross references between keywords and related articles enable efficient searches in a user-friendly manner. Fully searchable and hyperlinked electronic online edition. The aim of this comprehensive encyclopedia is to provide detailed information on diagnostic radiology contributing to the broad field of imaging. The wide range of entries are written by leading experts. They will provide basic and clinical scientists in academia, practice and industry with valuable information about the field of diagnostic imaging. Those in related fields, students, teachers, and interested laypeople will also benefit from the important and relevant information on the most recent developments. Please note that this publication is available as print only or online only or print + online set. Save 75% of the online list price when purchasing the bundle. For more information on the online version please type the publication title into the search box above, then click on the eReference version in the results list. (orig.)

  6. Improved reliability of lymphoma diagnostics via PCR-based clonality testing: report of the BIOMED-2 Concerted Action BHM4-CT98-3936.

    NARCIS (Netherlands)

    Krieken, J.H.J.M. van; Langerak, A.W.; Macintyre, E.A.; Kneba, M.; Hodges, E.; Sanz, R.G.; Morgan, G.J.; Parreira, A.; Molina, T.J.; Cabecadas, J.; Gaulard, P.; Jasani, B.; Garcia, J.F.; Ott, M.; Hannsmann, M.L.; Berger, F.; Hummel, M.; Davi, F.; Bruggemann, M.; Lavender, F.L.; Schuuring, E.; Evans, P.A.; White, H.; Salles, G.; Groenen, P.J.T.A.; Gameiro, P.; Pott, C.; Dongen, J.J.M. van

    2007-01-01

    The diagnosis of malignant lymphoma is a recognized difficult area in histopathology. Therefore, detection of clonality in a suspected lymphoproliferation is a valuable diagnostic criterion. We have developed primer sets for the detection of rearrangements in the B- and T-cell receptor genes as

  7. Improved reliability of lymphoma diagnostics via PCR-based clonality testing : - Report of the BIOMED-2 concerted action BHM4-CT98-3936

    NARCIS (Netherlands)

    van Krieken, J. H. J. M.; Langerak, A. W.; Macintyre, E. A.; Kneba, M.; Hodges, E.; Garcia Sanz, R.; Morgan, G. J.; Parreira, A.; Molina, T. J.; Cabecadas, J.; Gaulard, P.; Jasani, B.; Garcia, J. F.; Ott, M.; Hannsmann, M. L.; Berger, F.; Hummel, M.; Davi, F.; Brueggemann, M.; Lavender, F. L.; Schuuring, E.; Evans, P. A. S.; White, H.; Salles, G.; Groenen, P. J. T. A.; Gameiro, P.; Pott, Ch; van Dongen, J. J. M.

    The diagnosis of malignant lymphoma is a recognized difficult area in histopathology. Therefore, detection of clonality in a suspected lymphoproliferation is a valuable diagnostic criterion. We have developed primer sets for the detection of rearrangements in the B- and T-cell receptor genes as

  8. A diagnostic dilemma: Left-sided appendicitis in a 10 year old boy with previously undiagnosed intestinal malrotation. A case report

    Directory of Open Access Journals (Sweden)

    Ashvini Shekhar

    2015-01-01

    Conclusion: Left sided acute appendicitis is a diagnostic dilemma, thus often leading to management delays. It is pertinent to remember that malrotation of the gut is more common than previously thought, and not just a disease of infancy. It is advisable to consider imaging studies while balancing the risk-benefit-ratio of radiation exposure, especially in paediatric cases to cinch the diagnosis.

  9. Comparing Multiple-Group Multinomial Log-Linear Models for Multidimensional Skill Distributions in the General Diagnostic Model. Research Report. ETS RR-08-35

    Science.gov (United States)

    Xu, Xueli; von Davier, Matthias

    2008-01-01

    The general diagnostic model (GDM) utilizes located latent classes for modeling a multidimensional proficiency variable. In this paper, the GDM is extended by employing a log-linear model for multiple populations that assumes constraints on parameters across multiple groups. This constrained model is compared to log-linear models that assume…

  10. Brief Report: An Unusual Manifestation of Diagnostic Overshadowing of Pervasive Developmental Disorder--Not Otherwise Specified--A Five Year Longitudinal Case Study

    Science.gov (United States)

    Meera, S. S.; Kaipa, Ramesh; Thomas, Jaslin; Shivashankar, N.

    2013-01-01

    Children with communication disorders present with a range of comorbid conditions. Occasionally one of the comorbid conditions manifests so strongly that the primary condition goes unnoticed by the clinician. This tendency to overlook comorbid health problems in the presence of a disability is referred to as diagnostic overshadowing. This is a…

  11. FASTBUS Snoop Diagnostic Module

    International Nuclear Information System (INIS)

    Walz, H.V.; Downing, R.

    1980-11-01

    Development of the FASTBUS Snoop Module, undertaken as part of the prototype program for the new interlaboratory data bus standard, is described. The Snoop Module resides on a FASTBUS crate segment and provides diagnostic monitoring and testing capability. Communication with a remote host computer is handled independent of FASTBUS through a serial link. The module consists of a high-speed ECL front-end to monitor and single-step FASTBUS cycles, a master-slave interface, and a control microprocessor with serial communication ports. Design details and performance specifications of the prototype module are reported. 9 figures, 1 table

  12. Thermal diagnostics for LTP

    International Nuclear Information System (INIS)

    Lobo, Alberto; Nofrarias, M; Sanjuan, J

    2005-01-01

    This is a short note reporting on the current state of development of the temperature sensors which are part of the LTP Diagnostics Subsystem on board the LISA Pathfinder mission (LPF). A thermal insulator has been designed which ensures sufficient stability of a set of eight NTC sensors (negative temperature coefficient of resistance or thermistors), and the front-end electronics has also been designed and manufactured. Tests have been performed which nearly approach the goal of a global stability of 10 -5 K Hz -1/2

  13. Use of urethral catheters for diagnostic peritoneal lavage in blunt ...

    African Journals Online (AJOL)

    Background: Diagnostic peritoneal lavage (DPL) has been reported to be a reliable diagnostic tool in assessing the need for liparotomy in blunt abdominal trauma (BAT) with a diagnostic accuracy of more thin 95% when using a peritoneal lavage catheter (PLC). The aim of this study was to determine the diagnostic ...

  14. Formation and repair of gamma-ray induced nucleic acid base damage in bacteria and mammalian cells. Final report, September 1, 1973--August 31, 1976

    International Nuclear Information System (INIS)

    Cerutti, P.A.

    1976-01-01

    Results are summarized from a three-year study of the formation and repair of γ-ray induced thymine damage in bacteria and mammalian cells. A systematic study was made of the formation of a specific type of ionizing radiation induced base damage under in vivo conditions. Assay for the determination of γ-ray products of the 5,6-dihydroxy-dihydrothymine type (alkaline-acid degradation assay) and a method for the determination of the formation of 5-methylene-uracil radicals (formation of ( 3 H)H 2 O from thymine-methyl ( 3 H)) are discussed. The radiation-chemical reactivity of thymine decreased according to the following pattern in different biological systems: phi X174-DNA greater than E. coli DNA = phi X174 phage much greater than HeLa chromatin greater than E. coli cells greater than human fibroblasts WI-38. In WI-38 the efficiency of formation of 5-methylene-uracil radicals was 1.6 x 10 -3 per Krad and 10 6 daltons DNA and of products of the 5,6-dihydroxy-dihydrothymine type 0.54 x 10 -3 per Krad per 10 6 daltons DNA (uncorrected). It was concluded that γ-rays produce DNA single strand breaks and (total) base damage with comparable efficiencies under in vivo conditions in cultured cells. A list is included of 18 published papers that report the findings in detail

  15. A preliminary report on coprolites from the Late Triassic part of the Kap Stewart Formation, Jameson Land, East Greenland

    DEFF Research Database (Denmark)

    Milàn, Jesper; Clemmensen, Lars B; Adolphsen, Jan Schulz

    2012-01-01

    The basal part of the Triassic-Jurassic (Rhaetian-Sinemurian) Kap Stewart Formation, exposed at Jameson Land, East Greenland, yields an extensive coprolite collection from black, parallel-laminated mudstone (“paper shale”), representing an open lacustrine system. Preliminary investigations show t...

  16. Elevating Learner Achievement Using Formative Electronic Lab Assessments in the Engineering Laboratory: A Viable Alternative to Weekly Lab Reports

    Science.gov (United States)

    Chen, Baiyun; DeMara, Ronald F.; Salehi, Soheil; Hartshorne, Richard

    2018-01-01

    A laboratory pedagogy interweaving weekly student portfolios with onsite formative electronic laboratory assessments (ELAs) is developed and assessed within the laboratory component of a required core course of the electrical and computer engineering (ECE) undergraduate curriculum. The approach acts to promote student outcomes, and neutralize…

  17. How emotional media reports influence attitude formation and change: the interplay of attitude base, attitude certainty and persuasion

    NARCIS (Netherlands)

    Ryffel, F.A.; Wirz, D.S.; Kühne, R.; Wirth, W.

    2014-01-01

    This study examined the influence of an emotionally arousing writing style on attitude formation and change. It has been proposed that different writing styles induce attitudes based on either affect or cognition and with either high or low certainty. Previous work indicates that the interplay of

  18. 40 CFR Figure C-1 to Subpart C of... - Suggested Format for Reporting Test Results for Methods for SO 2, CO, O 3, NO 2

    Science.gov (United States)

    2010-07-01

    ... Results for Methods for SO 2, CO, O 3, NO 2 C Figure C-1 to Subpart C of Part 53 Protection of Environment... Pt. 53, Subpt. C, Fig. C-1 Figure C-1 to Subpart C of Part 53—Suggested Format for Reporting Test... Difference Table C-1 spec. Pass or fail Low 1 ____ ppm 2 to ____ ppm 3 4 5 6 Medium 1 ____ ppm 2 to ____ ppm...

  19. A two-cassette reporter system for assessing target gene translation and target gene product inclusion body formation

    DEFF Research Database (Denmark)

    2016-01-01

    The present invention relates to a dual cassette reporter system capable of assessing target gene translation and target gene product folding. The present invention further relates to vectors and host cells comprising the dual cassette reporter system. In addition the invention relates to the use...... of the dual cassette reporter system for assessing target gene translation and target gene product folding....

  20. DIAGNOSTIC POSSIBILITIES OF 3D-COMPUTED TOMOGRAPHY WITH INTRALESIONAL APPLICATION OF CONTRAST MATERIAL IN A CASE OF VERY LARGE RADICULAR MAXILLARY CYST - A CASE REPORT

    Directory of Open Access Journals (Sweden)

    Galina Gavazova

    2017-09-01

    Full Text Available Introduction: Diagnosis of odontogenic cysts despite their benign nature is a critical and challenging problem. Aim: The aim of this article is to demonstrate a different diagnostic approach in case of very large odontogenic cyst. Materials and Methods: This study was executed on one male patient aged of 38 using 3D computed tomography and contrast material inside the lesion. Differential diagnosis made by the residents was compared to the histopathological examination as the gold standard for identifying the nature of the cysts. Results: This diagnostic approach using 3D computed tomography combined with contrast material injected inside the lesion shows the real borders of the cyst of the maxilla and helps oral surgeon in planning the volume of the surgical intervention. Conclusion: Precise diagnose ensure the possibility of doing the optimal surgical intervention- a precondition for best wound healing.

  1. Data processing technologies and diagnostics for water chemistry and corrosion control in nuclear power plants (DAWAC). Report of a coordinated research project 2001-2005

    International Nuclear Information System (INIS)

    2006-06-01

    This publication provides information on the current status and development trends in monitoring, diagnostics and control of water chemistry and corrosion of core and primary circuit materials in water cooled power reactors. It summarizes the results of an IAEA Coordinated Research Project and focuses on the methods for development, qualification and implementation of water chemistry expert systems at nuclear power plants. These systems are needed to have full benefit from using on-line sensors in real time mode when sensor signals, and other chemistry and operational data, are collected and continuously analysed with data acquisition and evaluation software. Technical knowledge was acquired in water chemistry control techniques (grab sampling, on-line monitoring, data collecting and processing, etc), plant chemistry and corrosion diagnostics, plant monitoring (corrosion, chemistry, activity) and plant chemistry improvement (analytical models and practices). This publication covers contributions from leading experts in water chemistry/corrosion, representing organizations from 16 countries with the largest nuclear capacities

  2. Long-Term Symptoms Onset and Heterotopic Bone Formation around a Total Temporomandibular Joint Prosthesis: a Case Report

    Directory of Open Access Journals (Sweden)

    Luca Guarda-Nardini

    2014-04-01

    Full Text Available Background: The literature on total alloplastic temporomandibular joint (TMJ reconstructions is encouraging, and studies on total alloplastic TMJ replacements outcomes showed acceptable improvements in terms of both pain levels and jaw function. Nevertheless, some adverse events, such as heterotopic bone formation around the implanted prosthesis, may occur. In consideration of that, the present manuscript describes a case of heterotopic bone formation around a total temporomandibular joint prosthesis, which occurred several years after the implant. Methods: The present manuscript describes a case of heterotopic bone formation around a total TMJ prosthesis, which occurred several years after the implant in patients, who previously underwent multiple failed TMJ surgeries. Results: Ten years after the surgical TMJ replacement to solve an ankylotic bone block, the patient came to our attention again referring a progressive limitation in mouth opening. A computerized tomography showed evidence of marked heterotopic bone formation in the medial aspects of the joint, where a new-born ankylotic block occupied most part of the gap created by resecting the coronoid process at the time of the TMJ prosthesis insertion. Conclusions: Despite this adverse event has been sometimes described in the literature, this is the first case in which its occurrence happened several years after the temporomandibular joint replacement. It can be suggested that an accurate assessment of pre-operative risk factors for re-ankylosis (e.g., patients with multiple failed temporomandibular joint surgeries and within-intervention prevention (e.g., strategies to keep the bone interfaces around the implant separated should be better standardized and define in future studies.

  3. Development of a high resolution, high sensitivity cylindrical crystal spectrometer for line shape diagnostics of x-rays emitted from hot plasmas. Progress report, August 1, 1977--July 31, 1978

    International Nuclear Information System (INIS)

    Taylor, P.O.; Schnopper, H.

    1978-05-01

    This report oulines progress towards development of a high resolution, high throughput, curved crystal spectrometer suitable for line shape diagnostics of x-rays emitted from hot plasmas. The instrument is designed to interface with the MIT Tokamak (Alcator) with the initial aim of studying the prominent MoL lines which occur in the x-ray spectrum. However, it will have the versatility to function over an energy range of at least 1.5 keV to 7 keV allowing determination of temperature, charge state and density distributions for important impurity ions. The spectrometer employs a large, cylindrically bent crystal which focuses the dispersed x-rays along the cylinder axis where they are recorded by a position sensitive proportional counter. Thus, a wide energy range of the spectrum can be recorded simultaneously and sensitively from a short duration plasma. Computer control of data acquisition and analysis will allow real-time diagnostics

  4. Diagnostic reasoning strategies and diagnostic success.

    Science.gov (United States)

    Coderre, S; Mandin, H; Harasym, P H; Fick, G H

    2003-08-01

    Cognitive psychology research supports the notion that experts use mental frameworks or "schemes", both to organize knowledge in memory and to solve clinical problems. The central purpose of this study was to determine the relationship between problem-solving strategies and the likelihood of diagnostic success. Think-aloud protocols were collected to determine the diagnostic reasoning used by experts and non-experts when attempting to diagnose clinical presentations in gastroenterology. Using logistic regression analysis, the study found that there is a relationship between diagnostic reasoning strategy and the likelihood of diagnostic success. Compared to hypothetico-deductive reasoning, the odds of diagnostic success were significantly greater when subjects used the diagnostic strategies of pattern recognition and scheme-inductive reasoning. Two other factors emerged as independent determinants of diagnostic success: expertise and clinical presentation. Not surprisingly, experts outperformed novices, while the content area of the clinical cases in each of the four clinical presentations demonstrated varying degrees of difficulty and thus diagnostic success. These findings have significant implications for medical educators. It supports the introduction of "schemes" as a means of enhancing memory organization and improving diagnostic success.

  5. The effects of culture independent diagnostic testing on the diagnosis and reporting of enteric bacterial pathogens in Queensland, 2010 to 2014.

    Science.gov (United States)

    May, Fiona J; Stafford, Russell J; Carroll, Heidi; Robson, Jennifer Mb; Vohra, Renu; Nimmo, Graeme R; Bates, John; Kirk, Martyn D; Fearnley, Emily J; Polkinghorne, Benjamin G

    2017-09-01

    Changes in diagnostic laboratory testing procedures can impact on the number of cases notified and the public health surveillance of enteric pathogens. Culture independent diagnostic testing using a multiplex polymerase chain reaction (PCR) test was introduced for the rapid detection of bacterial enteric pathogens in pathology laboratories in Queensland, Australia, from late 2013 onwards. We conducted a retrospective descriptive study using laboratory data to assess the impact of the introduction of PCR testing on four common enteric pathogens, Salmonella, Campylobacter, Shigella and Yersinia, in Queensland between 2010 and 2014. The number of stool specimens tested and the proportion positive for each of the four pathogens increased in 2014 after the introduction of culture independent diagnostic testing. Among the specimens tested by both PCR and culture, 12% of Salmonella positive stools, 36% of Campylobacter positive stools, 74% of Shigella / enteroinvasive Escherichia coli positive stools and 65% of Yersinia positive stools were PCR positive only. Including those where culture was not performed, 19% of Salmonella positive stools, 44% of Campylobacter positive stools, 83% of Shigella positive stools and 79% of Yersinia positive stools had no cultured isolate available for further characterisation. The detection and tracking of foodborne and non-foodborne gastrointestinal outbreaks will become more difficult as culture independent diagnostic testing becomes more widespread. Until new techniques for characterisation of pathogens directly from clinical specimens have been developed, we recommend laboratories continue to culture specimens concurrently or reflexively with culture independent diagnostic tests. This work is copyright. You may download, display, print and reproduce the whole or part of this work in unaltered form for your own personal use or, if you are part of an organisation, for internal use within your organisation, but only if you or your

  6. Clinical diagnostic exome evaluation for an infant with a lethal disorder: genetic diagnosis of TARP syndrome and expansion of the phenotype in a patient with a newly reported RBM10 alteration.

    Science.gov (United States)

    Powis, Zöe; Hart, Alexa; Cherny, Sara; Petrik, Igor; Palmaer, Erika; Tang, Sha; Jones, Carolyn

    2017-06-02

    Diagnostic Exome Sequencing (DES) has been shown to be an effective tool for diagnosis individuals with suspected genetic conditions. We report a male infant born with multiple anomalies including bilateral dysplastic kidneys, cleft palate, bilateral talipes, and bilateral absence of thumbs and first toes. Prenatal testing including chromosome analysis and microarray did not identify a cause for the multiple congenital anomalies. Postnatal diagnostic exome studies (DES) were utilized to find a molecular diagnosis for the patient. Exome sequencing of the proband, mother, and father showed a previously unreported maternally inherited RNA binding motif protein 10 (RBM10) c.1352_1353delAG (p.E451Vfs*66) alteration. Mutations in RBM10 are associated with TARP syndrome, an X-linked recessive disorder originally described with cardinal features of talipes equinovarus, atrial septal defect, Robin sequence, and persistent left superior vena cava. DES established a molecular genetic diagnosis of TARP syndrome for a neonatal patient with a poor prognosis in whom traditional testing methods were uninformative and allowed for efficient diagnosis and future reproductive options for the parents. Other reported cases of TARP syndrome demonstrate significant variability in clinical phenotype. The reported features in this infant including multiple hemivertebrae, imperforate anus, aplasia of thumbs and first toes have not been reported in previous patients, thus expanding the clinical phenotype for this rare disorder.

  7. Formation of colloids from introduced materials in the post-emplacement environment: A report on the state of understanding

    International Nuclear Information System (INIS)

    Meike, A.; Wittwer, C.

    1993-09-01

    This literature review examines potential sources of colloids and enhanced adsorption that may stem from materials introduced into a repository setting, with a view towards prioritizing future studies. Three major sources of colloids are reviewed: metals, cements, and organics. Know chemical influences on colloid formation and mechanisms by which introduced materials may become involved are considered with respect to gradients, chemical species, pH, time, temperature, radiolysis, redox state, and microbial activity. Areas that have not been addressed but may have significant consequences in a repository setting are identified

  8. Blood drop patterns: Formation and applications.

    Science.gov (United States)

    Chen, Ruoyang; Zhang, Liyuan; Zang, Duyang; Shen, Wei

    2016-05-01

    The drying of a drop of blood or plasma on a solid substrate leads to the formation of interesting and complex patterns. Inter- and intra-cellular and macromolecular interactions in the drying plasma or blood drop are responsible for the final morphologies of the dried patterns. Changes in these cellular and macromolecular components in blood caused by diseases have been suspected to cause changes in the dried drop patterns of plasma and whole blood, which could be used as simple diagnostic tools to identify the health of humans and livestock. However, complex physicochemical driving forces involved in the pattern formation are not fully understood. This review focuses on the scientific development in microscopic observations and pattern interpretation of dried plasma and whole blood samples, as well as the diagnostic applications of pattern analysis. Dried drop patterns of plasma consist of intricate visible cracks in the outer region and fine structures in the central region, which are mainly influenced by the presence and concentration of inorganic salts and proteins during drying. The shrinkage of macromolecular gel and its adhesion to the substrate surface have been thought to be responsible for the formation of the cracks. Dried drop patterns of whole blood have three characteristic zones; their formation as functions of drying time has been reported in the literature. Some research works have applied engineering treatment to the evaporation process of whole blood samples. The sensitivities of the resultant patterns to the relative humidity of the environment, the wettability of the substrates, and the size of the drop have been reported. These research works shed light on the mechanisms of spreading, evaporation, gelation, and crack formation of the blood drops on solid substrates, as well as on the potential applications of dried drop patterns of plasma and whole blood in diagnosis. Crown Copyright © 2016. Published by Elsevier B.V. All rights reserved.

  9. Planetary Transmission Diagnostics

    Science.gov (United States)

    Lewicki, David G. (Technical Monitor); Samuel, Paul D.; Conroy, Joseph K.; Pines, Darryll J.

    2004-01-01

    This report presents a methodology for detecting and diagnosing gear faults in the planetary stage of a helicopter transmission. This diagnostic technique is based on the constrained adaptive lifting algorithm. The lifting scheme, developed by Wim Sweldens of Bell Labs, is a time domain, prediction-error realization of the wavelet transform that allows for greater flexibility in the construction of wavelet bases. Classic lifting analyzes a given signal using wavelets derived from a single fundamental basis function. A number of researchers have proposed techniques for adding adaptivity to the lifting scheme, allowing the transform to choose from a set of fundamental bases the basis that best fits the signal. This characteristic is desirable for gear diagnostics as it allows the technique to tailor itself to a specific transmission by selecting a set of wavelets that best represent vibration signals obtained while the gearbox is operating under healthy-state conditions. However, constraints on certain basis characteristics are necessary to enhance the detection of local wave-form changes caused by certain types of gear damage. The proposed methodology analyzes individual tooth-mesh waveforms from a healthy-state gearbox vibration signal that was generated using the vibration separation (synchronous signal-averaging) algorithm. Each waveform is separated into analysis domains using zeros of its slope and curvature. The bases selected in each analysis domain are chosen to minimize the prediction error, and constrained to have the same-sign local slope and curvature as the original signal. The resulting set of bases is used to analyze future-state vibration signals and the lifting prediction error is inspected. The constraints allow the transform to effectively adapt to global amplitude changes, yielding small prediction errors. However, local wave-form changes associated with certain types of gear damage are poorly adapted, causing a significant change in the

  10. Case report

    African Journals Online (AJOL)

    ebutamanya

    2015-01-06

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

  11. Leukemic blast cell colony formation in semisolid culture with erythropoietin: a case report of acute poorly differentiated erythroid leukemia.

    Science.gov (United States)

    Tomonaga, M; Jinnai, I; Tagawa, M; Amenomori, T; Nishino, K; Yao, E; Nonaka, H; Kuriyama, K; Yoshida, Y; Matsuo, T

    1987-02-01

    The bone marrow of a patient with acute undifferentiated leukemia developed unique colonies after a 14-day culture in erythropoietin (EPO)-containing methylcellulose. The colonies consisted of 20 to 200 nonhemoglobinized large blast cells. Cytogenetic analysis of single colonies revealed hypotetraploid karyotypes with several marker chromosomes that were identical to those found in directly sampled bone marrow. The concurrently formed erythroid bursts showed only normal karyotypes. No leukemic colony formation was observed in other culture systems with either colony-stimulating activity (CSA) or phytohemagglutinin-stimulated leukocyte-conditioned medium (PHA-LCM). The leukemic colonies exhibited a complete EPO-dose dependency similar to that of the patient's normal BFU-E. Although cytochemical and immunologic marker studies of the bone marrow cells failed to clarify the cell lineage of the leukemic cells with extraordinarily large cell size, ultrastructural study revealed erythroid differentiation such as siderosome formation in the cytoplasm and ferritin particles in the rhophecytosis invaginations. These findings indicate that the patient had poorly differentiated erythroid leukemia and that some of the clonogenic cells might respond to EPO in vitro. Corresponding to this biological feature, the leukemic cells were markedly decreased in number in response to repeated RBC transfusions, and partial remission was obtained. These observations suggest that erythroid leukemia distinct from erythroleukemia (M6) with a myeloblastic component, can develop as a minor entity of human acute leukemia.

  12. Formation and stability of crust in molten pools. Technical progress report, February 1, 1977--October 1, 1977

    International Nuclear Information System (INIS)

    Bankoff, S.G.; Ganguli, A.

    1977-01-01

    The objective of the research is to study the formation and stability of a freezing-melting process under well-defined hydrodynamic and thermal boundary conditions simulating LMFBR HCDA phenomena. A hot liquid, such as molten UO 2 , comes into contact with a cold solid, such as stainless steel forming a solid crust at the interface, possibly accompanied by the simultaneous formation of a melt layer. The stability and rate of growth of the crust and underlying melt layer are thus of concern. A steady flowpast an initially flat slab of the cold solid is considered. The experimental apparatus consists of a horizontal rectangular test section in which a frozen slab of n-decane 18-in. long and 4-in. wide, supported on a refrigerated copper block, is exposed to a flowing stream of cold water. Temperature profiles in the decane will be measured, as well as the rate of liquid decane collection, and the ice crust and melt layer profiles, if stable. These will be compared with theoretical predictions, following an integral boundary layer method. Current efforts are focussed on improving the mold release properties and other debugging operations

  13. De novo formation of cerebral cavernous malformation in a patient with intractable epilepsy: case report and review.

    Science.gov (United States)

    Colpan, Mustafa Efkan; Uckardesler, Levent; Sekerci, Zeki; Slavin, Konstantin

    2010-07-01

    The exact origin and process of development of cerebral cavernous malformations (CCMs) is currently unknown. In this article, the authors present de novo CCM formation in a patient with intractable epilepsy and discuss the pathogenesis of CCM in light of several current theories. A 34-year-old man presented with a 10-year history of intractable seizures. His neurological examination was normal, and the initial magnetic resonance imaging (MRI) was suggestive of right mesial temporal sclerosis (MTS). Follow-up MRI study showed development of CCM in the right frontal region. Subsequently, invasive monitoring revealed right temporal seizure source, prompting right temporal lobectomy that resulted in abolition of epilepsy. Histological diagnosis of CCM was confirmed after the lesion was removed in a separate surgery. The patient recovered to normal lifestyle without any complications. This appears to be a first documented case of de novo CCM formation in the setting of intractable epilepsy with ipsilateral MTS. Since the possibility of lesion development cannot be ruled out based on clinical examination, updated imaging and thorough neurophysiological workup are needed for successful treatment of patients with intractable epilepsy.

  14. Solitary Osteochondroma of the Ventral Scapula Associated with Large Bursa Formation and Pseudowinging of the Scapula: A Case Report and Literature Review

    Directory of Open Access Journals (Sweden)

    Kiyohisa Ogawa

    2018-01-01

    Full Text Available Osteochondroma (OC is the most common benign bone tumor and may occur on any bone in which endochondral ossification develops. Although scapular OC accounts for less than 5% of the cases of solitary OC, OC is the most common lesion among the tumors and tumor-like lesions of the scapula. OC that develops near the medial scapular border easily causes friction with the ribcage; hence, almost half the number of cases of OC associated with marked bursa formation develops in the ventral scapula. We report a case of a 27-year-old female with a painful OC of the ventral scapular surface associated with large bursa formation and pseudowinging of the scapula. After l2 years of follow-up with magnetic resonance imaging, we confirm that the accompanied bursa left at surgery disappears.

  15. Routine clinical knee MR reports: comparison of diagnostic performance at 1.5 T and 3.0 T for assessment of the articular cartilage.

    Science.gov (United States)

    Mandell, Jacob C; Rhodes, Jeffrey A; Shah, Nehal; Gaviola, Glenn C; Gomoll, Andreas H; Smith, Stacy E

    2017-11-01

    Accurate assessment of knee articular cartilage is clinically important. Although 3.0 Tesla (T) MRI is reported to offer improved diagnostic performance, literature regarding the clinical impact of MRI field strength is lacking. The purpose of this study is to compare the diagnostic performance of clinical MRI reports for assessment of cartilage at 1.5 and 3.0 T in comparison to arthroscopy. This IRB-approved retrospective study consisted of 300 consecutive knees in 297 patients who had routine clinical MRI and arthroscopy. Descriptions of cartilage from MRI reports of 165 knees at 1.5 T and 135 at 3.0 T were compared with arthroscopy. The sensitivity, specificity, percent of articular surfaces graded concordantly, and percent of articular surfaces graded within one grade of the arthroscopic grading were calculated for each articular surface at 1.5 and 3.0 T. Agreement between MRI and arthroscopy was calculated with the weighted-kappa statistic. Significance testing was performed utilizing the z-test after bootstrapping to obtain the standard error. The sensitivity, specificity, percent of articular surfaces graded concordantly, and percent of articular surfaces graded within one grade were 61.4%, 82.7%, 62.2%, and 77.5% at 1.5 T and 61.8%, 80.6%, 59.5%, and 75.6% at 3.0 T, respectively. The weighted kappa statistic was 0.56 at 1.5 T and 0.55 at 3.0 T. There was no statistically significant difference in any of these parameters between 1.5 and 3.0 T. Factors potentially contributing to the lack of diagnostic advantage of 3.0 T MRI are discussed.

  16. Clay as Thermoluminescence Dosemeter in diagnostic Radiology ...

    African Journals Online (AJOL)

    This paper reports the investigation of the basic thermoluminescence properties of clay at x-rays in the diagnostic radiology range, including dose monitoring in abdominal radiography. Clay sourced from Calabar, Nigeria, was tested for thermoluminescence response after irradiation at diagnostic radiology doses, including ...

  17. Extreme ultraviolet and soft x-ray diagnostics of high-temperature plasmas. Annual progress report, June 1, 1976--May 31, 1977

    International Nuclear Information System (INIS)

    Moos, H.W.; Armstrong, L. Jr.; Fastie, W.G.

    1977-01-01

    The results of the research program at this laboratory from mid February 1976 until January 31, 1977, are described. The four major research areas of the program: diagnostic studies of magnetically confined high temperature plasmas, supporting laboratory studies, theoretical studies of highly ionized atoms, and instrument development are discussed. Spatially resolved ultraviolet measurements on Elmo Bumpy Torus have determined impurity confinement times. The measured oxygen densities and fluxes are being determined at Alcator; the spectroscopic studies show that hydrogen discharges in this tokamak have an effective Z close to one. A laboratory study of the Penning discharge between 100 and 300 A shows that it is a bright source for evaluation of EUV diagnostic instrumentation. Design of a multispatial element spectrometer system is complete and construction has begun. A spectrophotometer compatible with both types of facilities is available for absolute intensity calibration transfer from the NBS SURF II facility to ERDA plasma facilities. Computer programs needed for relativistic calculation of transition probabilities and wavelengths have been completed and applied to calculations in the Li, Be, Ar, and K isoelectronic sequences

  18. [Pannus Formation Six-years after Aortic and Mitral Valve Replacement with Tissue Valves;Report of a Case].

    Science.gov (United States)

    Nakamura, Makoto; Muraoka, Arata; Aizawa, Kei; Akutsu, Hirohiko; Kurumisawa, Soki; Misawa, Yoshio

    2015-07-01

    A 77-year-old man presented with exertional dyspnea. He had undergone aortic and mitral valve replacement with tissue valves 6-years earlier. The patient's hemoglobin level was 9.8 g/dl and serum aspartate aminotransferase (70 mU/ml) and lactate dehydrogenase (1,112 mU/ml) were elevated. Echocardiography revealed stenosis of the prosthetic valve in the aortic position with peak flow velocity of 3.8 m/second and massive mitral regurgitation. The patient underwent repeat valve replacement. Pannus formation around both implanted valves was observed. The aortic valve orifice was narrowed by the pannus, and one cusp of the prosthesis in the mitral position was fixed and caused the regurgitation, but they were free from cusp laceration or calcification. The patient's postoperative course was uneventful, and he continues to do well 14 months after surgery.

  19. Status report: numerical modeling of ground-water flow in the Paleozoic formations, western Paradox Basin, Utah

    International Nuclear Information System (INIS)

    Dunbar, D.B.; Thackston, J.W.

    1985-10-01

    A three-dimensional finite-difference numerical model was applied to simulate the ground-water flow pattern in Paleozoic strata within the western Paradox Basin region. The primary purpose of the modeling was to test the present conceptual hydrogeologic model and evaluate data deficiencies. All available data on ground-water hydrology, although sparse in this area, were utilized as input to the model. Permeability and potentiometric levels were estimated from petroleum company drill-stem tests and water-supply wells; formation thicknesses were obtained from geologic correlation of borehole geophysical logs. Hydrogeologic judgment weighed heavily in the assignment of hydrologic values to geologic features for this preliminary modeling study. Calibration of the model was accomplished through trial-and-error matching of simulated potentiometric contours with available head data. Hypothetical flow patterns, flux rates, recharge amounts, and surface discharge amounts were produced by the model. 34 refs., 17 figs., 3 tabs

  20. GEODAT. Development of thermodynamic data for the thermodynamic equilibrium modeling of processes in deep geothermal formations. Combined report

    International Nuclear Information System (INIS)

    Moog, Helge C.; Regenspurg, Simona; Voigt, Wolfgang

    2015-02-01

    The concept for geothermal energy application for electricity generation can be differentiated into three compartments: In the geologic compartment cooled fluid is pressed into a porous or fractured rock formation, in the borehole compartment a hot fluid is pumped to the surface and back into the geothermal reservoir, in the aboveground facility the energy is extracted from the geothermal fluid by heat exchangers. Pressure and temperature changes influence the thermodynamic equilibrium of a system. The modeling of a geothermal system has therefore to consider besides the mass transport the heat transport and consequently changing solution compositions and the pressure/temperature effected chemical equilibrium. The GEODAT project is aimed to simulate the reactive mass transport in a geothermal reservoir in the North German basin (Gross Schoenebeck). The project was performed by the cooperation of three partners: Geoforschungsinstitut Potsdam, Bergakademie Freiberg and GRS.

  1. The Bosnian version of the international self-report measure of posttraumatic stress disorder, the Posttraumatic Stress Diagnostic Scale, is reliable and valid in a variety of different adult samples affected by war

    Directory of Open Access Journals (Sweden)

    Rosner Rita

    2005-02-01

    Full Text Available Abstract Background The aim of the present study was to assess the internal consistency and discriminant and convergent validity of the Bosnian version of a self-report measure of posttraumatic stress disorder (PTSD, the Posttraumatic Stress Diagnostic Scale (PTDS. The PTDS yields both a PTSD diagnosis according to the Diagnostic and Statistical Manual of Mental Disorders 4th edition (DSM-IV and a measure of symptom severity. Methods 812 people living in Sarajevo or in Banja Luka in Bosnia-Herzegovina, of whom the majority had experienced a high number of traumatic war events, were administered the PTDS and other measures of trauma-related psychopathology. The psychometric properties of the instrument were assessed using Cronbach's alpha and principal components analysis, and its construct validity was assessed via Spearman correlation coefficients with the other instruments. Results The PTDS and its subscales demonstrated high internal consistency. The principal components revealed by an exploratory analysis are broadly consistent with the DSM-IV subscales except that they reproduce some previously reported difficulties with the "numbing" items from the avoidance subscale. The construct validity of the PTDS was supported by appropriate correlations with other relevant measures of trauma related psychopathology. Conclusion The Bosnian version of the PTDS thus appears to be a time-economic and psychometrically sound measure for screening and assessing current PTSD. This self-report measure awaits further validation by interview methods.

  2. Acute intracranial hematoma formation following excision of a cervical subdural tumor: a report of two cases and literature review.

    Science.gov (United States)

    Ma, Xuexiao; Zhang, Yan; Wang, Ting; Li, Guizhi; Zhang, Guoqing; Khan, Hassan; Xiang, Hongfei; Chen, Bohua

    2014-01-01

    An intracranial hematoma is a rare, yet significant, complication following spinal surgery. The authors describe two cases with acute intracranial hematoma formation after excision of a cervical subdural schwannoma. One was a 14-year-old girl who developed bilateral intracranial extradural hematomas immediately following excision of the C4 subdural schwannoma. The other was a 59-year-old woman who had an acute cerebellar hematoma after removal of the C2-C5 subdural schwannoma. During the surgeries of both cases, spinal dura was partially removed together with the tumor and the dural sac could not be repaired, resulting in large amounts of intraoperative CSF loss and persistent postoperative CSF leakage. Both patients failed to regain consciousness from anesthesia after surgery, and a cranial CT scan identified large intracranial hematomas. Urgent hematoma evacuation was ultimately performed to save the patients. Based on the authors' experience and literature review, a conclusion was drawn that considerable CSF leakage and a sharp decrease of CSF pressure are common features during the excision of a spinal subdural tumor, which may lead to acute intracranial hematomas. Continual postoperative monitoring in patients with this condition should be of a very high priority. A CT or MRI should be immediately investigated to exclude intracranial hematomas for any patient with delayed emergence from anesthesia following spinal surgery. Hematoma evacuation is indispensable once an intracranial hematoma is identified in the patient who fails to regain consciousness from anesthesia post surgery. Furthermore, the possible pathophysiological mechanisms responsible for the formation of an intracranial hematoma after spinal procedures, particularly after manipulations of a cervical subdural tumor, are discussed.

  3. Status of TMX upgrade diagnostics construction

    International Nuclear Information System (INIS)

    Hornady, R.S.; Davis, J.C.; Simonen, T.C.

    1981-01-01

    This report describes the status of the initial TMX Upgrade diagnostics and the state of development of additional diagnostics being prepared for later TMX Upgrade experiments. The initial diagnostic instrument set has been described in the TMX Upgrade Proposal. This set is required to get TMX Upgrade operational and to evaluate its initial performance. Additional diagnostic instruments are needed to then carry out the more detailed experiments outlined by the TMX Upgrade program milestones. The relation of these new measurements to the physics program is described in The TMX Upgrade Program Plan

  4. Procedures in diagnostic radiology

    International Nuclear Information System (INIS)

    Doyle, T.; Hare, W.S.C.; Thomson, K.; Tess, B.

    1989-01-01

    This book outlines the various procedures necessary for the successful practice of diagnostic radiology. Topics covered are: general principles, imaging of the urinary and gastrointestinal tracts, vascular radiology, arthrography, and miscellaneous diagnostic radiologic procedures

  5. Diagnostic Algorithm Benchmarking

    Science.gov (United States)

    Poll, Scott

    2011-01-01

    A poster for the NASA Aviation Safety Program Annual Technical Meeting. It describes empirical benchmarking on diagnostic algorithms using data from the ADAPT Electrical Power System testbed and a diagnostic software framework.

  6. Veterinary Molecular Diagnostics

    NARCIS (Netherlands)

    Roest, H.I.J.; Engelsma, M.Y.; Weesendorp, E.; Bossers, A.; Elbers, A.R.W.

    2017-01-01

    In veterinary molecular diagnostics, samples originating from animals are tested. Developments in the farm animals sector and in our societal attitude towards pet animals have resulted in an increased demand for fast and reliable diagnostic techniques. Molecular diagnostics perfectly matches this

  7. Analysis of participant factors that affect the diagnostic performance of screening mammography: A report of the alliance for breast cancer screening in Korea

    International Nuclear Information System (INIS)

    Kim, Young Joong; Lee, Eu Hye

    2017-01-01

    To analyze participant factors that affect the diagnostic performance of screening mammography. We enrolled 128756 cases from 10 hospitals between 2005 and 2010. We analyzed recall rate, cancer detection rate (CDR) per 1000 examinations, positive predictive value (PPV), sensitivity, specificity, false positive rate (FPR), and interval cancer rate (ICR) per 1000 negative examinations according to participant factors including age, breast density, and number of visit to the same institution, and adjusted for confounding variables. Increasing age improved recall rates (27.4% in 40's, 17.5% in 50's, 11.1% in 60's, and 8.6% in 70's), CDR (2.7, 3.2, 2.0, and 2.4), PPV (1.0, 1.8, 1.8, and 2.8%), sensitivity (81.3, 88.8, 90.3, and 94.7%), specificity (72.7, 82.7, 89.0, and 91.7%), and FPR (27.3, 17.3, 11.0, and 8.4%) (p < 0.05). Higher breast density impaired recall rates (4.0% in P1, 9.0% in P2, 28.9% in P3, and 27.8% in P4), PPV (3.3, 2.3, 1.2, and 1.3%), specificity (96.1, 91.2, 71.4, and 72.5%), and FPR (3.9, 8.9, 28.6, and 27.6%) (p < 0.001). It also increased CDR (1.3, 2.1, 3.3, and 3.6) and ICR (0.2, 0.3, 0.6, and 1.6) (p < 0.05). Successive visits to the same institution improved recall rates (20.9% for one visit, 10.7% for two visits, 7.7% for more than three visits), PPV (1.6, 2.8, and 2.7%), specificity (79.4, 89.6, and 92.5%), and FPR (20.6, 10.4, and 7.5%) (p < 0.001). Young age and dense breasts negatively affected diagnostic performance in mammography screening, whereas successive visits to the same institution had a positive effect. Examinee education for successive visits to the same institution would improve the diagnostic performance

  8. Analysis of participant factors that affect the diagnostic performance of screening mammography: A report of the alliance for breast cancer screening in Korea

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Young Joong [Dept. of Radiology, Konyang University Hospital, Konyang University College of Medicine, Daejeon (Korea, Republic of); Lee, Eu Hye [Dept. of Radiology, Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon (Korea, Republic of); and others

    2017-08-01

    To analyze participant factors that affect the diagnostic performance of screening mammography. We enrolled 128756 cases from 10 hospitals between 2005 and 2010. We analyzed recall rate, cancer detection rate (CDR) per 1000 examinations, positive predictive value (PPV), sensitivity, specificity, false positive rate (FPR), and interval cancer rate (ICR) per 1000 negative examinations according to participant factors including age, breast density, and number of visit to the same institution, and adjusted for confounding variables. Increasing age improved recall rates (27.4% in 40's, 17.5% in 50's, 11.1% in 60's, and 8.6% in 70's), CDR (2.7, 3.2, 2.0, and 2.4), PPV (1.0, 1.8, 1.8, and 2.8%), sensitivity (81.3, 88.8, 90.3, and 94.7%), specificity (72.7, 82.7, 89.0, and 91.7%), and FPR (27.3, 17.3, 11.0, and 8.4%) (p < 0.05). Higher breast density impaired recall rates (4.0% in P1, 9.0% in P2, 28.9% in P3, and 27.8% in P4), PPV (3.3, 2.3, 1.2, and 1.3%), specificity (96.1, 91.2, 71.4, and 72.5%), and FPR (3.9, 8.9, 28.6, and 27.6%) (p < 0.001). It also increased CDR (1.3, 2.1, 3.3, and 3.6) and ICR (0.2, 0.3, 0.6, and 1.6) (p < 0.05). Successive visits to the same institution improved recall rates (20.9% for one visit, 10.7% for two visits, 7.7% for more than three visits), PPV (1.6, 2.8, and 2.7%), specificity (79.4, 89.6, and 92.5%), and FPR (20.6, 10.4, and 7.5%) (p < 0.001). Young age and dense breasts negatively affected diagnostic performance in mammography screening, whereas successive visits to the same institution had a positive effect. Examinee education for successive visits to the same institution would improve the diagnostic performance.

  9. Monostotic fibrous dysplasia of a lumbar vertebral body with secondary aneurysmal bone cyst formation: a case report

    NARCIS (Netherlands)

    Snieders, N.M.E.; Kemenade, van F.J.; Royen, van B.J.

    2009-01-01

    We report the case of a 25-year-old Caucasian woman with symptomatic monostotic fibrous dysplasia of the fourth lumbar vertebral body. The patient suffered from a five-week history of progressive low back pain, radiating continuously to the left leg. Her medical history and physical and neurological

  10. Investigation of gamma-ray induced polymer formation of the carboranes. Progress report, November 1, 1974--October 31, 1975

    International Nuclear Information System (INIS)

    Klingen, T.J.

    1975-01-01

    Progress is reported in studies on radioinduced polymerization in organo substituted derivatives of 1,2-dicarba-closo-dodecarborane-(11),o-carborane. They include studies on: INDO calculations of charge transfer; dipole moments and plastic crystallinity; o-carborane radiolysis; and, the radiolysis of 1-phenyl-o-carborane

  11. Groundwater flow in the Rustler Formation, Waste Isolation Pilot Plant (WIPP), southeast New Mexico (SENM). Interim report

    International Nuclear Information System (INIS)

    Gonzalez, D.D.

    1983-03-01

    In hypothetical breach scenarios for the WIPP, the Culebra Dolomite in the Rustler Formation has historically been considered the aquifer most likely to play a significant role in transporting radioisotopes to the biosphere. Recently, it was determined that breach scenarios involving connection of aquifers above and below the Salado Formation where waste emplacement is planned would not result in an upward flow of water into the Rustler aquifers. Considerable hydrologic investigation has focused on the Culebra, since some scenarios might result in contamination of this aquifer. In such events the Culebra would provide more rapid transport of radioisotopes from the WIPP than any of the other aquifers in the WIPP area. Hydrologic tests conducted in three-well arrays at four different locations near the WIPP are described. Tracer tests at the H-6 wells northwest of the WIPP indicated an effective porosity of 0.007 in the principal direction of flow and a dispersivity of 33 ft. At the H-2 wells, 1-1/4 mi W-SW of the center of the WIPP site, the effective porosity in the principal flow direction is 0.18 and the dispersivity is 17 ft. Anisotropy of transmissivity was determined from pumping tests at the H-4, H-5, and H-6 wells. The principal direction of transmissivity is roughly NW-SE at all three locations. The ratio of the major-to-minor transmissivity components varies only from 2.1 to 2.7, even though the transmissivity itself varies three orders of magnitude among the three locations. This information, coupled with transmissivity and head potential data, indicates that flow patterns near the WIPP site are toward the southeast. Present estimates for flow rates are 1 to 10 ft/y. Values of transmissivity for the Culebra vary six orders of magnitude over the extent of the study area, decreasing monotonically from 10 3 ft 2 /d in Nash Draw to 10 - 3 ft 2 /d on the east side of the WIPP site

  12. The Role of Large-Format Histopathology in Assessing Subgross Morphological Prognostic Parameters: A Single Institution Report of 1000 Consecutive Breast Cancer Cases

    Directory of Open Access Journals (Sweden)

    Tibor Tot

    2012-01-01

    Full Text Available Breast cancer subgross morphological parameters (disease extent, lesion distribution, and tumor size provide significant prognostic information and guide therapeutic decisions. Modern multimodality radiological imaging can determine these parameters with increasing accuracy in most patients. Large-format histopathology preserves the spatial relationship of the tumor components and their relationship to the resection margins and has clear advantages over traditional routine pathology techniques. We report a series of 1000 consecutive breast cancer cases worked up with large-format histology with detailed radiological-pathological correlation. We confirmed that breast carcinomas often exhibit complex subgross morphology in both early and advanced stages. Half of the cases were extensive tumors and occupied a tissue space ≥40 mm in its largest dimension. Because both in situ and invasive tumor components may exhibit unifocal, multifocal, and diffuse lesion distribution, 17 different breast cancer growth patterns can be observed. Combining in situ and invasive tumor components, most cases fall into three aggregate growth patterns: unifocal (36%, multifocal (35%, and diffuse (28%. Large-format histology categories of tumor size and disease extent were concordant with radiological measurements in approximately 80% of the cases. Noncalcified, low-grade in situ foci, and invasive tumor foci <5 mm were the most frequent causes of discrepant findings.

  13. The Challenge of Prenatal Diagnostic Work-Up of Maternally Inherited X-Linked Opitz G/BBB: Case Report and Literature Review

    Directory of Open Access Journals (Sweden)

    Marialuigia Spinelli

    2015-01-01

    Full Text Available Background. Prenatal diagnosis of Optiz G/BBB syndrome (OS is challenging because the characteristic clinical features, such as facial and genitourinary anomalies, may be subtle at sonography and rather unspecific. Furthermore, molecular testing of the disease gene is not routinely performed, unless a specific diagnosis is suggested. Method. Both familial and ultrasound data were used to achieve the diagnosis of X-linked OS (XLOS, which was confirmed by molecular testing of MID1 gene (Xp22.3 at birth. Results. Sequencing of MID1 gene disclosed the nucleotide change c.1285 +1 G>T, previously associated with XLOS. Conclusions. This case illustrates current challenges of the prenatal diagnostic work-up of XLOS and exemplifies how clinical investigation, including family history, and accurate US foetal investigations can lead to the correct diagnosis.

  14. Diagnostic value of self-reported mechanical symptoms for diagnosing large meniscal tears in patients aged 40 years or older with meniscal tears

    DEFF Research Database (Denmark)

    Pihl, Kenneth; Englund, Martin; Lohmander, Stefan

    2017-01-01

    Purpose: Meniscal tears, which are longitudinal-vertical tears (e.g. bucket-handle tears) and/or involve all three meniscal sub regions (anterior horn, body and posterior horn), are typically large and assumed to cause patient perceived mechanical knee symptoms (knee grinding or clicking and knee...... catching or locking). However, whether the presence of such mechanical symptoms is useful for diagnosing these forms of meniscus tears is unknown. Therefore, we investigated the diagnostic values of having mechanical symptoms in diagnosing a bucket-handle tear and/or a tear involving all three meniscal sub...... regions in middle-aged and older patients undergoing arthroscopic meniscal surgery. Methods: This study is a secondary analysis of Pihl et al. OARSI 2017. The study included patients aged 40 years or older undergoing surgery for a meniscal tear from Knee Arthroscopy Cohort Southern Denmark (KACS...

  15. Molecular pathological predictive diagnostics in a patient with non-small cell lung cancer treated with crizotinib therapy: A case report.

    Science.gov (United States)

    Stanek, Libor; Springer, Drahomira; Konopasek, Bohuslav; Vocka, Michal; Tesarova, Petra; Syrucek, Martin; Petruzelka, Lubos; Vicha, Ales; Musil, Zdenek

    2017-12-01

    Lung cancer is one of the most common malignant cancers in the Czech Republic in men, with the highest mortality rate of all the malignant diseases. The development of biological treatment enables study into novel personalized treatment options. This type of treatment is usually of high quality, and is often demanding of predictive and biopsy diagnostics, which is dependent on the quality of the collected material and close cooperation among particular departments. The present study describes the complete biopsy and predictive examinations performed in a male patient with lung adenocarcinoma, with an emphasis on the logistics of the whole process and the application of the tyrosine kinase inhibitors, crizotinib and LDK378. The patient experienced a long overall survival time of 28 months from diagnosis.

  16. To create a consensus on malnutrition diagnostic criteria: A report from the Global Leadership Initiative on Malnutrition (GLIM) meeting at the ESPEN Congress 2016.

    Science.gov (United States)

    Cederholm, Tommy; Jensen, Gordon L

    2017-02-01

    During the ESPEN Congress in Copenhagen, Denmark (September 2016) representatives of the 4 largest global PEN-societies from Europe (ESPEN), USA (ASPEN), Asia (PENSA) and Latin America (FELANPE), and from national PEN-societies around the world met to continue the conversation on how to diagnose malnutrition that started during the Clinical Nutrition Week, Austin, USA (February 2016). Current thinking on diagnostic approaches was shared; ESPEN suggested a grading approach that could encompass various types of signs, symptoms and etiologies to support diagnosis. ASPEN emphasized where the parties agree; i.e. that the three major published approaches (ESPEN, ASPEN/AND and Subjective Global Assessment (SGA)) all propose weight loss as a key indicator for malnutrition. FELANPE suggested that the anticipated consensus approach needs to prioritize a diagnostic methodology that is available for everybody since resources differ globally. PENSA highlighted that BMI varies by ethnicity/race, and that sarcopenia/muscle mass evaluation is important for the diagnosis of malnutrition. A Core Working Committee of the Global Leadership Initiative on Malnutrition (GLIM) has been established (comprised of two representatives each from the 4 largest PEN-societies) that will lead consensus development in collaboration with a larger Working Group with broad global representation, using e-mail, telephone conferences, and face-to-face meetings during the up-coming ASPEN and ESPEN Congresses. Transparency and external input will be sought. Objectives include: 1. Consensus development around evidence-based criteria for broad application. 2. Promotion of global dissemination of the consensus criteria. 3. Seeking adoption by the World Health Organization (WHO) and the International Classification of Diseases (ICD). Copyright © 2017 American Society for Parenteral and Enteral Nutrition, Elsevier Ltd, European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd.. All

  17. Intercomparison of techniques for inspection and diagnostics of heavy water reactor pressure tubes: Flaw detection and characterization [Phase 1] [Sample summary reports of pressure tube samples from Argentina, India, Canada, Republic of Korea, and Romania

    International Nuclear Information System (INIS)

    2006-05-01

    Nuclear power plants with heavy water reactors (HWRs) comprise nine percent of today's operating nuclear units, and more are under construction. Efficient and accurate inspection and diagnostic techniques for various reactor components and systems are an important factor in assuring reliable and safe plant operation. To foster international collaboration in the efficient and safe use of nuclear power, the IAEA conducted a Coordinated Research Programme (CRP) on Inter-comparison of Techniques for HWR Pressure Tube Inspection and Diagnostics. This CRP was carried out within the frame of the IAEA Department of Nuclear Energy's Technical Working Group on Advanced Technologies for HWRs (the TWG-HWR). The TWG-HWR is a group of experts nominated by their governments and designated by the IAEA to provide advice and to support implementation of the IAEA's project on advanced technologies for HWRs. The objective of the CRP was to inter-compare non-destructive inspection and diagnostic techniques, in use and being developed, for structural integrity assessment of HWR pressure tubes. During the first phase of this CRP, participants have investigated the capability of different techniques to detect and characterize flaws. During the second phase of this CRP, participants collaborated to detect and characterize hydride blisters and to determine the hydrogen concentration in Zirconium alloys. The intent was to identify the most effective pressure tube inspection and diagnostic methods, and to identify further development needs. The organizations that have participated in this CRP are: - The Comision Nacional de Energia Atomica (CNEA), Argentina; - Atomic Energy of Canada Ltd. (AECL); Chalk River Laboratories (CRL), Canada; - The Research Institute of Nuclear Power Operations (RINPO), China National Nuclear Corporation (CNNC), China; - Bhabha Atomic Research Centre (BARC), India; - The Korea Electric Power Research Institute (KEPRI), Republic of Korea; - The Korea Atomic Energy

  18. Damage development - effects of multiaxial loads on creep pore formation and fatigue damage in typical power plant steels. Final report

    International Nuclear Information System (INIS)

    Lenk, P.; Proft, D.; Kussmaul, A.; Fischer, R.

    2000-01-01

    The influence of multiaxial stress on creep pore formation in the steels 14MoV6-3 10CrMo9-10 and X10CrMoVNb9-1 was investigated on the basis of internal pressure experiments on smooth and notched hollow cylinders. In some cases, additional axial forces were applied in order to reproduce component-relevant multiaxial stresses. Local elongation during loading was investigated and analyzed using applied HT-DMS. When different strain levels had been reached, the samples were removed, analyzed, and characterized with regard to different damage parameters. It was found that no interdependence between the surface damage pattern and the deep damage pattern can be derived across the wall thickness if no information on the load state is available. Parallel to the experiments, inelastic FEA were carried out using the ABAQUS program system. The creep law of Graham and Walles was used for calculating flow and creep via a user-defined subroutine CREEP. The parameters of the creep law could be identified by adaptation to monoaxial creep tests [de

  19. National waste terminal storage repository in a bedded salt formation for spent unreprocessed fuel. Volume I. Conceptual design report

    International Nuclear Information System (INIS)

    1978-12-01

    In February 1976, the Energy Research and Development Administration (ERDA), now the Department of Energy (DOE), established a National Waste Terminal Storage (NWTS) program. As a part of this program, two parallel conceptual design efforts were initiated in January 1977. One was for deep geologic storage, in domed salt, of high level waste resulting from the reprocessing of spent fuel. The other was for deep geologic storage of unreprocessed spent fuel in bedded salt. These two concepts are identified as NWTS Repository 1 and Repository 2, respectively. Repository 2 (NWTSR2) is the concept which is covered by this Conceptual Design Report. Volume I of the conceptual design report contains the following information: physical description of the report; project purpose and justification; principal safety, fire, and health hazards; environmental impact considerations; quality assurance considerations; assessment of operational interfaces; assessment of research and development interfaces; project schedule; proposed method of accomplishment; summary cost estimate; and outline specifications. The conceptual design for Repository 2 was developed in sufficient detail to permit determination of scope, engineering feasibility, schedule, and cost estimates, all of which are necessary for planning and budgeting the project

  20. Diagnostic standards for dopaminergic augmentation of restless legs syndrome: report from a World Association of Sleep Medicine-International Restless Legs Syndrome Study Group consensus conference at the Max Planck Institute.

    Science.gov (United States)

    García-Borreguero, Diego; Allen, Richard P; Kohnen, Ralf; Högl, Birgit; Trenkwalder, Claudia; Oertel, Wolfgang; Hening, Wayne A; Paulus, Walter; Rye, David; Walters, Arthur; Winkelmann, Juliane; Earley, Christopher J

    2007-08-01

    Augmentation of symptom severity is the main complication of dopaminergic treatment of restless legs syndrome (RLS). The current article reports on the considerations of augmentation that were made during a European Restless Legs Syndrome Study Group (EURLSSG)-sponsored Consensus Conference in April 2006 at the Max Planck Institute (MPI) in Munich, Germany, the conclusions of which were endorsed by the International RLS Study Group (IRLSSG) and the World Association of Sleep Medicine (WASM). The Consensus Conference sought to develop a better understanding of augmentation and generate a better operational definition for its clinical identification. Current concepts of the pathophysiology, clinical features, and therapy of RLS augmentation were evaluated by subgroups who presented a summary of their findings for general consideration and discussion. Recent data indicating sensitivity and specificity of augmentation features for identification of augmentation were also evaluated. The diagnostic criteria of augmentation developed at the National Institutes of Health (NIH) conference in 2002 were reviewed in light of current data and theoretical understanding of augmentation. The diagnostic value and criteria for each of the accepted features of augmentation were considered by the group. A consensus was then developed for a revised statement of the diagnostic criteria for augmentation. Five major diagnostic features of augmentation were identified: usual time of RLS symptom onset each day, number of body parts with RLS symptoms, latency to symptoms at rest, severity of the symptoms when they occur, and effects of dopaminergic medication on symptoms. The quantitative data available relating the time of RLS onset and the presence of other features indicated optimal augmentation criteria of either a 4-h advance in usual starting time for RLS symptoms or a combination of the occurrence of other features. A paradoxical response to changes in medication dose also indicates

  1. Bereavement and depression: possible changes to the diagnostic and statistical manual of mental disorders: a report from the Scientific Advisory Committee of the Association for Death Education and Counseling.

    Science.gov (United States)

    Balk, David E; Noppe, Illee; Sandler, Irwin; Werth, James

    2011-01-01

    The fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) is being revised. A proposed revision hotly debated is to remove what is known as the exclusionary criterion and allow clinicians to diagnose a person with a major depressive episode within the early days and weeks following a death. The Executive Committee of the Association for Death Education and Counseling (ADEC) commissioned its Scientific Advisory Committee (SAC) to examine the debate over removing the exclusionary criterion and provide a written report. The DSM-IV-TR classifies bereavement as a clinical condition that is not a mental disorder. The exclusionary criterion states that within the first 2 months of the onset of bereavement a person should not be diagnosed as having major depression unless certain symptoms not characteristic of a normal grief reaction are present. We note these symptoms when discussing the exclusionary criterion. In the report we identify the features that comprise the exclusionary criterion, examine reasons (including research conclusions and clinical concerns) given for retaining and for eliminating the exclusionary criterion, offer extensive comments from experienced licensed clinicians about the issues involved, discuss diagnostic and treatment implications, and offer specific recommendations for ADEC to implement.

  2. Storage of radioactive wastes in geological formations. Technical criteria for site selection. Report by the work-group chaired by Professor Goguel

    International Nuclear Information System (INIS)

    Goguel, Jean; Candes, Pierre; Izabel, Cecile; Autran, Albert; Barthoux, Alain; Baudin, Guy; Devillers, Christian; Habib, Pierre; Lafuma, Jacques; Lefevre, Jean; Peaudecerf, Pierre; Pradel, Jacques; Salle, Claude; Treuil, Michel; Lebrun, Patrick; Tissier, Marie-Solange

    1985-06-01

    This document is the result of a prospective mission on the long term storage of radioactive wastes containing long-period emitters (wastes of B and C categories), and notably on a definitive storage in deep continental geological formations. After a presentation of hypotheses (brief description of the storage concept, main safety principles, objectives in terms of radiological safety, safety options, time-related considerations), the authors addressed the following issues: safety before closing during the exploitation period, and safety after closure (after backfilling and sealing of all underground cavities). For the first issue, they discuss the impacts of works on safety and thermal effects during exploitation. For the second issue, they discuss the site natural hydro-geological context, the disturbances brought by the storage (access of water to the storage, and return of water into the biosphere), and the influence of external factors (geological phenomena, human intrusion). Then, the authors make recommendations regarding reconnaissance programs and studies for the selection and qualification of a site. They finally propose technical criteria and main recommendations for site selection. Appendices propose a list of hearings, a presentation of the storage concept, a report on the impact of works, a report on the presence of mineralisation in granite massifs, reports on radiological consequences of intrusions in salt formations and in granite massif containing storage of radioactive wastes or vitrified wastes, a report on the characterization of unsteady parts of the French continental construction, a presentation of the evolution of climate and icings, and a study of seismic movements in the case of deep storages

  3. The first report on Listeria monocytogenes producing siderophores and responds positively to N-acyl homoserine lactone (AHL) molecules by enhanced biofilm formation.

    Science.gov (United States)

    Naik, Milind Mohan; Bhangui, Purva; Bhat, Chinmay

    2017-12-01

    Listeria monocytogenes are Gram-positive well-known emerging food-borne pathogens causing listeriosis in humans. In the present study, we have isolated biofilm-forming Listeria sp. from utensils used by a local milk collection dairy society at Usgao Goa, which collects milk for Goa dairy. Through biochemical tests and 16S rRNA sequence analysis, the bacterium was confirmed to be L. monocytogenes and designated as strain BN3, having GenBank accession number MF095110. We report for the first time Gram-positive L. monocytogenes strain BN3 producing iron-chelating siderophores by chrome azurol S (CAS) agar test. Also, this is a first report which reveals that L. monocytogenes strain BN3 responds to N-hexanoyl-homoserine lactone molecule (C 6 -HSL) by gradual increase in their biofilm-forming potential with a gradual increase in AHL (C 6 -HSL) concentration (250, 500 nM-1 μM) as compared to control revealed by crystal violet assay (CV) in microtiter plate. These results were further confirmed by scanning electron microscopy (SEM). A significant decrease in biofilm formation was observed when L. monocytogenes strain BN3 was treated with 10 µg/ml (R)-2-(2-hydroxynaphthalen-1-yl)thiazolidine-4-carboxylic acid, but when 250 and 500 nM AHL molecules were added, biofilm formation in strain BN3 was found to be enhanced as compared to control even in the presence of antibacterial compound, (R)-2-(2-hydroxynaphthalen-1-yl)thiazolidine-4-carboxylic acid. These results revealed that AHL molecules nullify the effect of antimicrobial compound and promote biofilm formation in L. monocytogenes strain BN3.

  4. Imaging and histopathological evaluation of a cystlike formation in subchondral insufficiency fracture of the femoral head: A case report and literature review.

    Science.gov (United States)

    Fukui, Kiyokazu; Kaneuji, Ayumi; Fukushima, Mana; Matsumoto, Tadami

    2014-01-01

    In the majority of subchondral insufficiency fractures (SIFs) of the femoral head, T1-weighted magnetic resonance imaging shows an irregular, serpiginous, low-intensity band that is convex to the articular surface. We report a case of a cystlike formation in SIF of the femoral head in an elderly woman. A 71-year-old woman reported right hip pain without any history of antecedent trauma. The initial radiograph showed a slight narrowing of the joint space in the right hip. The patient was treated with conservative therapy for 2 months. Radiographs obtained 3 months after the onset of pain showed non-progressive joint-space narrowing. T1-weighted magnetic resonance images obtained 2 months after pain onset revealed a round, cystlike, low-intensity area just beneath the articular cartilage. The patient underwent total hip arthroplasty. Histopathological examination showed fracture callus and granulation tissue in the subchondral area, surrounded by vascular-rich granulation tissue and fibrous tissue, which corresponded to the round, low-intensity band observed on the T1-weighted image. This case was a rare SIF of the femoral head which had a cystlike formation with a low signal intensity on T1-weighted images and a very high signal intensity on STIR sequences in the superolateral portion of the femoral head, surrounded by a pattern of edema in the bone marrow. To our knowledge, no similar cases were cited in the literature. It is important for surgeons to keep in mind that sometimes SIFs of the femoral head can appear as a round cystlike formation. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

  5. Interpretation of brine-permeability tests of the Salado Formation at the Waste Isolation Pilot Plant site: First interim report

    International Nuclear Information System (INIS)

    Beauheim, R.L.; Saulnier, G.J. Jr.; Avis, J.D.

    1991-08-01

    Pressure-pulse tests have been performed in bedded evaporites of the Salado Formation at the Waste Isolation Pilot Plant (WIPP) site to evaluate the hydraulic properties controlling brine flow through the Salado. Hydraulic conductivities ranging from about 10 -14 to 10 -11 m/s (permeabilities of about 10 -21 to 10 -18 m 2 ) have been interpreted from nine tests conducted on five stratigraphic intervals within eleven meters of the WIPP underground excavations. Tests of a pure halite layer showed no measurable permeability. Pore pressures in the stratigraphic intervals range from about 0.5 to 9.3 MPa. An anhydrite interbed (Marker Bed 139) appears to be one or more orders of magnitude more permeable than the surrounding halite. Hydraulic conductivities appear to increase, and pore pressures decrease, with increasing proximity to the excavations. These effects are particularly evident within two to three meters of the excavations. Two tests indicated the presence of apparent zero-flow boundaries about two to three meters from the boreholes. The other tests revealed no apparent boundaries within the radii of influence of the tests, which were calculated to range from about four to thirty-five meters from the test holes. The data are insufficient to determine if brine flow through evaporites results from Darcy-like flow driven by pressure gradients within naturally interconnected porosity or from shear deformation around excavations connecting previously isolated pores, thereby providing pathways for fluids at or near lithostatic pressure to be driven towards the low-pressure excavations. Future testing will be performed at greater distances from the excavations to evaluate hydraulic properties and processes beyond the range of excavation effects

  6. Preliminary report on the Oldenburg “butter shale” in the Upper Ordovician (Katian; Richmondian Waynesville Formation, USA

    Directory of Open Access Journals (Sweden)

    Christopher D. Aucoin

    2015-02-01

    Full Text Available The Cincinnatian Series (Upper Ordovician; upper Katian of the Cincinnati Arch region, Ohio, Indiana and Kentucky contains several bed packages informally referred to as “butter shales” or “trilobite shales”. These packages are typically 1–2 m of relatively pure, homogeneous claystone with isolated, lenticular limestone beds. These claystones are most widely known for their excellent preservation of abundant trilobites, especially Isotelus and Flexicalymene, as well as diverse and commonly articulated bivalves, and nautiloids. A newly recognized butter shale interval in the Clarksville Member of the Waynesville Formation contains a typical butter-shale fossil assemblage, dominated by bivalves, orthoconic cephalopods and trilobites. To better study the fabric of this claystone, a large, epoxy-coated block of the claystone was dry-cut. Polished surfaces show a variety of otherwise cryptic features, including pervasive bioturbation and the presence of probable lingulid escape burrows (Lingulichnus, as well as abundant fodinichnia (Chondrites, Planolites, Teichichnus. Preservation of articulated trilobites and closed bivalves in approximate living position, as well as escape burrows, indicates deposition as a series of mud burial events or obrution deposits. We suggest that the butter shales resulted from net accumulation of multiple episodes of re-suspended mud deposition, which rapidly smothered organisms and resulted in exceptional preservation. Between events the seafloor was colonized by abundant deposit-feeding infaunal organisms, which destabilized the substrate and generated turbidity near the sediment–water interface, thus inhibiting sessile suspension feeders. Rapid net deposition was also interrupted by more prolonged periods (tens to hundreds of years of low sedimentation that permitted colonization by epifaunal brachiopod-dominated communities. While most butter shale units are regionally extensive, the Oldenburg is

  7. Interpretation of brine-permeability tests of the Salado Formation at the Waste Isolation Pilot Plant site: First interim report

    Energy Technology Data Exchange (ETDEWEB)

    Beauheim, R.L. (Sandia National Labs., Albuquerque, NM (United States)); Saulnier, G.J. Jr.; Avis, J.D. (INTERA, Inc., Austin, TX (United States))

    1991-08-01

    Pressure-pulse tests have been performed in bedded evaporites of the Salado Formation at the Waste Isolation Pilot Plant (WIPP) site to evaluate the hydraulic properties controlling brine flow through the Salado. Hydraulic conductivities ranging from about 10{sup {minus}14} to 10{sup {minus}11} m/s (permeabilities of about 10{sup {minus}21} to 10{sup {minus}18} m{sup 2}) have been interpreted from nine tests conducted on five stratigraphic intervals within eleven meters of the WIPP underground excavations. Tests of a pure halite layer showed no measurable permeability. Pore pressures in the stratigraphic intervals range from about 0.5 to 9.3 MPa. An anhydrite interbed (Marker Bed 139) appears to be one or more orders of magnitude more permeable than the surrounding halite. Hydraulic conductivities appear to increase, and pore pressures decrease, with increasing proximity to the excavations. These effects are particularly evident within two to three meters of the excavations. Two tests indicated the presence of apparent zero-flow boundaries about two to three meters from the boreholes. The other tests revealed no apparent boundaries within the radii of influence of the tests, which were calculated to range from about four to thirty-five meters from the test holes. The data are insufficient to determine if brine flow through evaporites results from Darcy-like flow driven by pressure gradients within naturally interconnected porosity or from shear deformation around excavations connecting previously isolated pores, thereby providing pathways for fluids at or near lithostatic pressure to be driven towards the low-pressure excavations. Future testing will be performed at greater distances from the excavations to evaluate hydraulic properties and processes beyond the range of excavation effects.

  8. Anastomotic stenosis of the descending colon caused by barium granuloma formation following barium peritonitis: report of a case.

    Science.gov (United States)

    Kitajima, Toshihiro; Tomizawa, Kenji; Hanaoka, Yutaka; Toda, Shigeo; Matoba, Shuichiro; Kuroyanagi, Hiroya; Oota, Yasunori

    2014-11-01

    Anastomotic stricture reportedly often recurs following barium peritonitis, regardless of whether the anastomotic diameter is initially sufficient. However, the causes of repetitive stricture have not been clarified. We report a case that suggests the pathophysiology of recurrent anastomotic strictures following barium peritonitis. The patient was a 39-year-old Japanese man with idiopathic perforation of the descending colon after undergoing an upper gastrointestinal barium contrast study. After emergency peritoneal lavage and diverting colostomy, created using the perforated region, the patient recovered uneventfully and 3 months later, the colostomy was closed and the perforated colon was resected. However, 7 months after colostomy closure, abdominal distention gradually developed, and colonoscopy revealed an anastomotic stricture. The patient was referred to our hospital where he underwent resection of the anastomotic stricture. The surgical specimen exhibited barium granulomas not only in the subserosa of the entire specimen, but also in the submucosa and lamina propria localized in the anastomotic site. These findings suggest that barium was embedded in the submucosa and lamina propria with manipulation of the stapled anastomosis and that the barium trapped in the anastomotic site caused persistent inflammation, resulting in an anastomotic stricture.

  9. The use of natural language processing on pediatric diagnostic radiology reports in the electronic health record to identify deep venous thrombosis in children.

    Science.gov (United States)

    Gálvez, Jorge A; Pappas, Janine M; Ahumada, Luis; Martin, John N; Simpao, Allan F; Rehman, Mohamed A; Witmer, Char

    2017-10-01

    Venous thromboembolism (VTE) is a potentially life-threatening condition that includes both deep vein thrombosis (DVT) and pulmonary embolism. We sought to improve detection and reporting of children with a new diagnosis of VTE by applying natural language processing (NLP) tools to radiologists' reports. We validated an NLP tool, Reveal NLP (Health Fidelity Inc, San Mateo, CA) and inference rules engine's performance in identifying reports with deep venous thrombosis using a curated set of ultrasound reports. We then configured the NLP tool to scan all available radiology reports on a daily basis for studies that met criteria for VTE between July 1, 2015, and March 31, 2016. The NLP tool and inference rules engine correctly identified 140 out of 144 reports with positive DVT findings and 98 out of 106 negative reports in the validation set. The tool's sensitivity was 97.2% (95% CI 93-99.2%), specificity was 92.5% (95% CI 85.7-96.7%). Subsequently, the NLP tool and inference rules engine processed 6373 radiology reports from 3371 hospital encounters. The NLP tool and inference rules engine identified 178 positive reports and 3193 negative reports with a sensitivity of 82.9% (95% CI 74.8-89.2) and specificity of 97.5% (95% CI 96.9-98). The system functions well as a safety net to screen patients for HA-VTE on a daily basis and offers value as an automated, redundant system. To our knowledge, this is the first pediatric study to apply NLP technology in a prospective manner for HA-VTE identification.

  10. Analysis of the Astronomy Diagnostic Test

    Science.gov (United States)

    Brogt, Erik; Sabers, Darrell; Prather, Edward E.; Deming, Grace L.; Hufnagel, Beth; Slater, Timothy F.

    2007-01-01

    Seventy undergraduate class sections were examined from the database of Astronomy Diagnostic Test (ADT) results of Deming and Hufnagel to determine if course format correlated with ADT normalized gain scores. Normalized gains were calculated for four different classroom scenarios: lecture, lecture with discussion, lecture with lab, and lecture…

  11. Diagnostic reliability of MMPI-2 computer-based test interpretations.

    Science.gov (United States)

    Pant, Hina; McCabe, Brian J; Deskovitz, Mark A; Weed, Nathan C; Williams, John E

    2014-09-01

    Reflecting the common use of the MMPI-2 to provide diagnostic considerations, computer-based test interpretations (CBTIs) also typically offer diagnostic suggestions. However, these diagnostic suggestions can sometimes be shown to vary widely across different CBTI programs even for identical MMPI-2 profiles. The present study evaluated the diagnostic reliability of 6 commercially available CBTIs using a 20-item Q-sort task developed for this study. Four raters each sorted diagnostic classifications based on these 6 CBTI reports for 20 MMPI-2 profiles. Two questions were addressed. First, do users of CBTIs understand the diagnostic information contained within the reports similarly? Overall, diagnostic sorts of the CBTIs showed moderate inter-interpreter diagnostic reliability (mean r = .56), with sorts for the 1/2/3 profile showing the highest inter-interpreter diagnostic reliability (mean r = .67). Second, do different CBTIs programs vary with respect to diagnostic suggestions? It was found that diagnostic sorts of the CBTIs had a mean inter-CBTI diagnostic reliability of r = .56, indicating moderate but not strong agreement across CBTIs in terms of diagnostic suggestions. The strongest inter-CBTI diagnostic agreement was found for sorts of the 1/2/3 profile CBTIs (mean r = .71). Limitations and future directions are discussed. PsycINFO Database Record (c) 2014 APA, all rights reserved.

  12. Performance of a Machine Learning Classifier of Knee MRI Reports in Two Large Academic Radiology Practices: A Tool to Estimate Diagnostic Yield.

    Science.gov (United States)

    Hassanpour, Saeed; Langlotz, Curtis P; Amrhein, Timothy J; Befera, Nicholas T; Lungren, Matthew P

    2017-04-01

    The purpose of this study is to evaluate the performance of a natural language processing (NLP) system in classifying a database of free-text knee MRI reports at two separate academic radiology practices. An NLP system that uses terms and patterns in manually classified narrative knee MRI reports was constructed. The NLP system was trained and tested on expert-classified knee MRI reports from two major health care organizations. Radiology reports were modeled in the training set as vectors, and a support vector machine framework was used to train the classifier. A separate test set from each organization was used to evaluate the performance of the system. We evaluated the performance of the system both within and across organizations. Standard evaluation metrics, such as accuracy, precision, recall, and F1 score (i.e., the weighted average of the precision and recall), and their respective 95% CIs were used to measure the efficacy of our classification system. The accuracy for radiology reports that belonged to the model's clinically significant concept classes after training data from the same institution was good, yielding an F1 score greater than 90% (95% CI, 84.6-97.3%). Performance of the classifier on cross-institutional application without institution-specific training data yielded F1 scores of 77.6% (95% CI, 69.5-85.7%) and 90.2% (95% CI, 84.5-95.9%) at the two organizations studied. The results show excellent accuracy by the NLP machine learning classifier in classifying free-text knee MRI reports, supporting the institution-independent reproducibility of knee MRI report classification. Furthermore, the machine learning classifier performed well on free-text knee MRI reports from another institution. These data support the feasibility of multiinstitutional classification of radiologic imaging text reports with a single machine learning classifier without requiring institution-specific training data.

  13. International recommendation for a comprehensive neuropathologic workup of epilepsy surgery brain tissue: A consensus Task Force report from the ILAE Commission on Diagnostic Methods.

    Science.gov (United States)

    Blümcke, Ingmar; Aronica, Eleonora; Miyata, Hajime; Sarnat, Harvey B; Thom, Maria; Roessler, Karl; Rydenhag, Bertil; Jehi, Lara; Krsek, Pavel; Wiebe, Samuel; Spreafico, Roberto

    2016-03-01

    Epilepsy surgery is an effective treatment in many patients with drug-resistant focal epilepsies. An early decision for surgical therapy is facilitated by a magnetic resonance imaging (MRI)-visible brain lesion congruent with the electrophysiologically abnormal brain region. Recent advances in the pathologic diagnosis and classification of epileptogenic brain lesions are helpful for clinical correlation, outcome stratification, and patient management. However, application of international consensus classification systems to common epileptic pathologies (e.g., focal cortical dysplasia [FCD] and hippocampal sclerosis [HS]) necessitates standardized protocols for neuropathologic workup of epilepsy surgery specimens. To this end, the Task Force of Neuropathology from the International League Against Epilepsy (ILAE) Commission on Diagnostic Methods developed a consensus standard operational procedure for tissue inspection, distribution, and processing. The aims are to provide a systematic framework for histopathologic workup, meeting minimal standards and maximizing current and future opportunities for morphofunctional correlations and molecular studies for both clinical care and research. Whenever feasible, anatomically intact surgical specimens are desirable to enable systematic analysis in selective hippocampectomies, temporal lobe resections, and lesional or nonlesional neocortical samples. Correct orientation of sample and the sample's relation to neurophysiologically aberrant sites requires good communication between pathology and neurosurgical teams. Systematic tissue sampling of 5-mm slabs along a defined anatomic axis and application of a limited immunohistochemical panel will ensure a reliable differential diagnosis of main pathologies encountered in epilepsy surgery. Wiley Periodicals, Inc. © 2016 International League Against Epilepsy.

  14. Concepts for the Design of a Diagnostic Device to Detect Malignancies in Human Tissues Final Report CRADA No. TSB-2023-00

    Energy Technology Data Exchange (ETDEWEB)

    DaSilva, L. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Marion, J. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Chase, C. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2017-10-19

    BioLuminate, Inc. planned to develop, produce and market a revolutionary diagnostic device for early breast cancer diagnosis. The device was originally invented by NASA; and exclusively licensed to BioLuminate for commercialization. At the time of the CRADA, eighty-five percent (85%) of all biopsies in the United States were found negative each year. The number of biopsies cost the health care system $23 billio n annually. A multi-sensor probe would allow surgeons to improve breast cancer scre ening and significantly reduce the number of biopsies. BioLuminate was developing an in-vivo system for the detection of cancer using a multi-sensor needle/probe. The first system would be developed for the detection of breast cancer. LLNL, in collaboration with BioLuminate worked toward a detailed concept specification for the prototype multi-sensor needle/probe suitable for breast cancer analysis. BioLuminate in collaboration with LLNL, worked to develop a new version of the needle probe that would be the same size as needles commonly used to draw blood.

  15. Co-existence of Blau syndrome and NAID? Diagnostic challenges associated with presence of multiple pathogenic variants in NOD2 gene: a case report.

    Science.gov (United States)

    Dziedzic, Magdalena; Marjańska, Agata; Bąbol-Pokora, Katarzyna; Urbańczyk, Anna; Grześk, Elżbieta; Młynarski, Wojciech; Kołtan, Sylwia

    2017-07-27

    Pediatric autoinflammatory diseases are rare and still poorly understood conditions resulting from defective genetic control of innate immune system, inter alia from anomalies of NOD2 gene. The product of this gene is Nod2 protein, taking part in maintenance of immune homeostasis. Clinical form of resultant autoinflammatory condition depends on NOD2 genotype; usually patients with NOD2 defects present with Blau syndrome, NOD2-associated autoinflammatory disease (NAID) or Crohn's disease. We present the case of a 7-year-old girl with co-existing symptoms of two rare diseases, Blau syndrome and NAID. Overlapping manifestations of two syndromes raised a significant diagnostic challenge, until next-generation molecular test (NGS) identified presence of three pathogenic variants of NOD2 gene: P268S, IVS8 +158 , 1007 fs, and established the ultimate diagnosis. Presence of multiple genetical abnormalities resulted in an ambiguous clinical presentation with overlapping symptoms of Blau syndrome and NAID. Final diagnosis of autoinflammatory disease opened new therapeutic possibilities, including the use of biological treatments.

  16. Accuracy and calibration of integrated radiation output indicators in diagnostic radiology: A report of the AAPM Imaging Physics Committee Task Group 190

    International Nuclear Information System (INIS)

    Lin, Pei-Jan P.; Schueler, Beth A.; Balter, Stephen; Strauss, Keith J.; Wunderle, Kevin A.; LaFrance, M. Terry; Kim, Don-Soo; Behrman, Richard H.; Shepard, S. Jeff; Bercha, Ishtiaq H.

    2015-01-01

    Due to the proliferation of disciplines employing fluoroscopy as their primary imaging tool and the prolonged extensive use of fluoroscopy in interventional and cardiovascular angiography procedures, “dose-area-product” (DAP) meters were installed to monitor and record the radiation dose delivered to patients. In some cases, the radiation dose or the output value is calculated, rather than measured, using the pertinent radiological parameters and geometrical information. The AAPM Task Group 190 (TG-190) was established to evaluate the accuracy of the DAP meter in 2008. Since then, the term “DAP-meter” has been revised to air kerma-area product (KAP) meter. The charge of TG 190 (Accuracy and Calibration of Integrated Radiation Output Indicators in Diagnostic Radiology) has also been realigned to investigate the “Accuracy and Calibration of Integrated Radiation Output Indicators” which is reflected in the title of the task group, to include situations where the KAP may be acquired with or without the presence of a physical “meter.” To accomplish this goal, validation test protocols were developed to compare the displayed radiation output value to an external measurement. These test protocols were applied to a number of clinical systems to collect information on the accuracy of dose display values in the field

  17. Accuracy and calibration of integrated radiation output indicators in diagnostic radiology: A report of the AAPM Imaging Physics Committee Task Group 190

    Energy Technology Data Exchange (ETDEWEB)

    Lin, Pei-Jan P., E-mail: Pei-Jan.Lin@vcuhealth.org [Virginia Commonwealth University Medical Center, Richmond, Virginia 23298 (United States); Schueler, Beth A. [Mayo Clinic, Rochester, Minnesota 55905 (United States); Balter, Stephen [Columbia University Medical Center, New York, New York 10032 (United States); Strauss, Keith J. [Children’s Hospital Medical Center, Cincinnati, Ohio 45229 (United States); Wunderle, Kevin A. [Cleveland Clinic Foundation, Cleveland, Ohio 44195 (United States); LaFrance, M. Terry [Baystate Health Systems, Inc., Springfield, Massachusetts 01199 (United States); Kim, Don-Soo [Children’s Hospital Boston, Boston, Massachusetts 02115 (United States); Behrman, Richard H. [Boston University Medical Center, Boston, Massachusetts 02118 (United States); Shepard, S. Jeff [University of Texas MD Anderson Cancer Center, Houston, Texas 77096 (United States); Bercha, Ishtiaq H. [Children’s Hospital Colorado, Aurora, Colorado 80045 (United States)

    2015-12-15

    Due to the proliferation of disciplines employing fluoroscopy as their primary imaging tool and the prolonged extensive use of fluoroscopy in interventional and cardiovascular angiography procedures, “dose-area-product” (DAP) meters were installed to monitor and record the radiation dose delivered to patients. In some cases, the radiation dose or the output value is calculated, rather than measured, using the pertinent radiological parameters and geometrical information. The AAPM Task Group 190 (TG-190) was established to evaluate the accuracy of the DAP meter in 2008. Since then, the term “DAP-meter” has been revised to air kerma-area product (KAP) meter. The charge of TG 190 (Accuracy and Calibration of Integrated Radiation Output Indicators in Diagnostic Radiology) has also been realigned to investigate the “Accuracy and Calibration of Integrated Radiation Output Indicators” which is reflected in the title of the task group, to include situations where the KAP may be acquired with or without the presence of a physical “meter.” To accomplish this goal, validation test protocols were developed to compare the displayed radiation output value to an external measurement. These test protocols were applied to a number of clinical systems to collect information on the accuracy of dose display values in the field.

  18. Case Study: Converting Paper-based Case Report Forms to an Electronic Format (e-CRF) with ACASI Self-Report Integration.

    Science.gov (United States)

    Mierzwa, Stan; Souidi, Samir; Akello, Carolyne; Etima, Juliane; Ssebagala, Richard; Nolan, Monica; Kabwigu, Samuel; Nakablito, Clemensia

    2017-01-01

    This paper will discuss the integration of electronic Case Report Forms (e-CRFs) into an already existing Android-based Audio Computer-Assisted Self-Interview (ACASI) software solution that was developed for a public health project in Kampala, Uganda, the technical outcome results, and lessons learned that may be useful to other projects requiring or considering such a technology solution. The developed product can function without a connection to the Internet and allows for synchronizing collected data once connectivity is possible. Previously, only paper-based CRFs were utilized at the Uganda project site. A subset or select group of CRFs were targeted for integration with ACASI in order to test feasibility and success. Survey volume, error rate, and acceptance of the system, as well as the operational and technical design of the solution, will be discussed.

  19. Factors affecting patient dose in diagnostic radiology

    International Nuclear Information System (INIS)

    Poletti, J.L.

    1994-03-01

    The report, Factors Affecting Patient Dose in Diagnostic Radiology is divided into three main sections. Part one is introductory and covers the basic principles of x-ray production and image formation. It includes discussion of x-ray generators and x-ray tubes, radiation properties and units, specification and measurement of x-ray beams, methods of patient dose measurement, radiation effects, radiation protection philosophy and finally the essentials of imaging systems. Part two examines factors affecting the x-ray output of x-ray machines and the characteristics of x-ray beams. These include the influence of heat ratings, kVp, waveform, exposure timer, filtration, focus-film distance, beam intensity distribution, x-ray tube age and focal spot size. Part three examines x-ray machine, equipment and patient factors which affect the dose received by individual patients. The factors considered include justification of examinations, choice of examination method, film/screen combinations, kVp, mAs, focus-film distance, collimation and field size, exposure time, projection, scatter, generator calibration errors, waveform, filtration, film processing and patient size. The patient dose implications of fluoroscopy systems, CT scanners, special procedures and mammography are also discussed. The report concludes with a brief discussion of patient dose levels in New Zealand and dose optimisation. 104 refs., 32 figs., 27 tabs

  20. Molecular Diagnostic Tests for Microsporidia

    Directory of Open Access Journals (Sweden)

    Kaya Ghosh

    2009-01-01

    Full Text Available The Microsporidia are a ubiquitous group of eukaryotic obligate intracellular parasites which were recognized over 100 years ago with the description of Nosema bombycis, a parasite of silkworms. It is now appreciated that these organisms are related to the Fungi. Microsporidia infect all major animal groups most often as gastrointestinal pathogens; however they have been reported from every tissue and organ, and their spores are common in environmental sources such as ditch water. Several different genera of these organisms infect humans, but the majority of infections are due to either Enterocytozoon bieneusi or Encephalitozoon species. These pathogens can be difficult to diagnose, but significant progress has been made in the last decade in the development of molecular diagnostic reagents for these organisms. This report reviews the molecular diagnostic tests that have been described for the identification of the microsporidia that infect humans.