Experimental design: Case studies of diagnostics optimization for W7-X
International Nuclear Information System (INIS)
Dreier, H.; Dinklage, A.; Fischer, R.; Hartfuss, H.-J.; Hirsch, M.; Kornejew, P.; Pasch, E.; Turkin, Yu.
2005-01-01
The preparation of diagnostics for Wendelstein 7-X is accompanied by diagnostics simulations and optimization. Starting from the physical objectives, the design of diagnostics should incorporate predictive modelling (e.g. transport modelling) and simulations of respective measurements. Although technical constraints are governing design considerations, it appears that several design parameters of different diagnostics can be optimized. However, a general formulation for fusion diagnostics design in terms of optimization is lacking. In this paper, first case studies of Bayesian experimental design aiming at applications on W7-X diagnostics preparation are presented. The information gain of a measurement is formulated as a utility function which is expressed in terms of the Kullback-Leibler divergence. Then, the expected range of data is to be included and the resulting expected utility represents the objective for optimization. Bayesian probability theory gives a framework allowing us for an appropriate formulation of the design problem in terms of probability distribution functions. Results are obtained for the information gain from interferometry and for the design of polychromators for Thomson scattering. For interferometry, studies of the choice of line-of-sights for optimum signal and for the reproduction of gradient positions are presented for circular, elliptical and W7-X geometries. For Thomson scattering, the design of filter transmissions for density and temperature measurements are discussed. (author)
Low activation diagnostic equipment design studies
International Nuclear Information System (INIS)
Hopkins, G.R.; Cheng, E.T.; Fisher, R.K.
1985-01-01
The low activation fusion concept has been applied to the diagnostic equipment in a fusion reactor. The components where fabrication from low activation materials is feasible have been identified. Other systems where higher activation elements are required can have their activation reduced by design approaches which include shielding and operation only in low flux regions of the reactor. Some components will not operate in a high flux so activation is not a major concern. This low activation diagnostic equipment study completes a series of low activation studies where all the components in a fusion power reactor have now been evaluated. It is concluded that a completely low activation fusion reactor is feasible with all components meeting the functional requirements. This provides an environmentally benign energy source with a high confidence level in meeting safety criteria in operation, maintenance and waste disposal
Design of Diagnostics: Case Studies for Wendelstein 7-X
International Nuclear Information System (INIS)
Dreier, H.; Dinklage, A.; Fischer, R.; Hirsch, M.; Kornejew, P.; Pasch, E.
2005-01-01
The set of start-up diagnostics for Wendelstein 7-X is oriented to resolve physical issues of stellarator optimization [1]. The diagnostics philosophy of W7-X aims at extendable set-ups which are to be supplemented along the operation of the device. Planning diagnostics directly lead to the requirement to optimize their respective outcome. In many cases, the optimization is much restricted by technical constraints. But even in those cases, figures of robustness of the chosen design settings are beneficial for the diagnostic strategy. In this paper a framework for diagnostic design is presented employing the Bayesian probability theory. Part of the approach can be regarded as a virtual diagnostic, which describes the future experimental unit including its error statistics and is able to produce artificial data. The virtual diagnostic is fed with mock-up quantities of interest and hence it enables the designer to compare the outcome of the virtual diagnostic with its input. For the design of diagnostics in fusion experiments several figures of merit are possible, depend- ing on the optimization goal. Here physical questions like estimation of the density distribution or the density gradient are possible optimization targets as well as technical issues as the robustness of density measurements, e.g, for controlling purposes. Also the estimation of derived quantities - like gradients needed for modeling of the bootstrap current or of the radial electric field - might be considered to be the goal of a diagnostic design. (Author)
International Nuclear Information System (INIS)
Minowa, Hirotsugu; Gofuku, Akio
2014-01-01
Accidents on industrial plants cause large loss on human, economic, social credibility. In recent, studies of diagnostic methods using techniques of machine learning such as support vector machine is expected to detect the occurrence of abnormality in a plant early and correctly. There were reported that these diagnostic machines has high accuracy to diagnose the operating state of industrial plant under mono abnormality occurrence. But the each diagnostic machine on the multi-agent diagnostic system may misdiagnose similar abnormalities as a same abnormality if abnormalities to diagnose increases. That causes that a single diagnostic machine may show higher diagnostic performance than one of multi-agent diagnostic system because decision-making considering with misdiagnosis is difficult. Therefore, we study the design method for multi-agent diagnostic system to diagnose similar abnormality correctly. This method aimed to realize automatic generation of diagnostic system where the generation process and location of diagnostic machines are optimized to diagnose correctly the similar abnormalities which are evaluated from the similarity of process signals by statistical method. This paper explains our design method and reports the result evaluated our method applied to the process data of the fast-breeder reactor Monju
Study design requirements for RNA sequencing-based breast cancer diagnostics.
Mer, Arvind Singh; Klevebring, Daniel; Grönberg, Henrik; Rantalainen, Mattias
2016-02-01
Sequencing-based molecular characterization of tumors provides information required for individualized cancer treatment. There are well-defined molecular subtypes of breast cancer that provide improved prognostication compared to routine biomarkers. However, molecular subtyping is not yet implemented in routine breast cancer care. Clinical translation is dependent on subtype prediction models providing high sensitivity and specificity. In this study we evaluate sample size and RNA-sequencing read requirements for breast cancer subtyping to facilitate rational design of translational studies. We applied subsampling to ascertain the effect of training sample size and the number of RNA sequencing reads on classification accuracy of molecular subtype and routine biomarker prediction models (unsupervised and supervised). Subtype classification accuracy improved with increasing sample size up to N = 750 (accuracy = 0.93), although with a modest improvement beyond N = 350 (accuracy = 0.92). Prediction of routine biomarkers achieved accuracy of 0.94 (ER) and 0.92 (Her2) at N = 200. Subtype classification improved with RNA-sequencing library size up to 5 million reads. Development of molecular subtyping models for cancer diagnostics requires well-designed studies. Sample size and the number of RNA sequencing reads directly influence accuracy of molecular subtyping. Results in this study provide key information for rational design of translational studies aiming to bring sequencing-based diagnostics to the clinic.
Directory of Open Access Journals (Sweden)
Steven J. Schrodi
2017-01-01
Full Text Available Diagnostic codes within electronic health record systems can vary widely in accuracy. It has been noted that the number of instances of a particular diagnostic code monotonically increases with the accuracy of disease phenotype classification. As a growing number of health system databases become linked with genomic data, it is critically important to understand the effect of this misclassification on the power of genetic association studies. Here, I investigate the impact of this diagnostic code misclassification on the power of genetic association studies with the aim to better inform experimental designs using health informatics data. The trade-off between (i reduced misclassification rates from utilizing additional instances of a diagnostic code per individual and (ii the resulting smaller sample size is explored, and general rules are presented to improve experimental designs.
Transformer engineering design, technology, and diagnostics
Kulkarni, SV
2012-01-01
Transformer Engineering: Design, Technology, and Diagnostics, Second Edition helps you design better transformers, apply advanced numerical field computations more effectively, and tackle operational and maintenance issues. Building on the bestselling Transformer Engineering: Design and Practice, this greatly expanded second edition also emphasizes diagnostic aspects and transformer-system interactions. What's New in This Edition Three new chapters on electromagnetic fields in transformers, transformer-system interactions and modeling, and monitoring and diagnostics An extensively revised chap
Advantages of the nested case-control design in diagnostic research
Directory of Open Access Journals (Sweden)
Hoes Arno W
2008-07-01
Full Text Available Abstract Background Despite its benefits, it is uncommon to apply the nested case-control design in diagnostic research. We aim to show advantages of this design for diagnostic accuracy studies. Methods We used data from a full cross-sectional diagnostic study comprising a cohort of 1295 consecutive patients who were selected on their suspicion of having deep vein thrombosis (DVT. We draw nested case-control samples from the full study population with case:control ratios of 1:1, 1:2, 1:3 and 1:4 (per ratio 100 samples were taken. We calculated diagnostic accuracy estimates for two tests that are used to detect DVT in clinical practice. Results Estimates of diagnostic accuracy in the nested case-control samples were very similar to those in the full study population. For example, for each case:control ratio, the positive predictive value of the D-dimer test was 0.30 in the full study population and 0.30 in the nested case-control samples (median of the 100 samples. As expected, variability of the estimates decreased with increasing sample size. Conclusion Our findings support the view that the nested case-control study is a valid and efficient design for diagnostic studies and should also be (reappraised in current guidelines on diagnostic accuracy research.
ITER diagnostics: Design choices and solutions
International Nuclear Information System (INIS)
Costley, A.E.; Sugie, T.; Vayakis, G.; Malaquias, A.; Walker, C.
2003-01-01
An extensive diagnostic system will be installed on ITER to provide the measurements necessary to control, evaluate and optimise the plasma performance and to study burning plasma physics. Because of the harsh environment, diagnostic system selection and design has to cope with a range of phenomena not previously encountered in diagnostic implementation. In this paper, we describe the key problems encountered and give examples of the solutions that have been developed. A brief description of the scheme developed for integrating multiple systems into individual ports is also included. We conclude with an assessment of overall system performance. (author)
Mechatronics in design of monitoring and diagnostic systems
Energy Technology Data Exchange (ETDEWEB)
Uhl, T.; Barszcz, T. [Univ. of Mining and Metallurgy, Krakow (Poland); Hanc, A. [Energocontrol Ltd., Krakow (Poland)
2003-07-01
Nowadays development of computer engineering in area of hardware and software gives new possibilities of monitoring and diagnostics system design. The paper presents analysis of new possible solutions for design of monitoring and diagnostic systems including; smart sensor design, modular software design and communication modules. New concept of monitoring system based on home page server solution (nano-server) is presented. Smart sensor design concept with embedded hardware for diagnostic application is shown. New software concept for monitoring and diagnostics automation and examples of applications of new design for condition monitoring based on proposed solution are carefully discussed. (orig.)
Confrey, Jere; Maloney, Alan
2015-01-01
Design research studies provide significant opportunities to study new innovations and approaches and how they affect the forms of learning in complex classroom ecologies. This paper reports on a two-week long design research study with twelve 2nd through 4th graders using curricular materials and a tablet-based diagnostic assessment system, both…
Laurin, E; Thakur, K K; Gardner, I A; Hick, P; Moody, N J G; Crane, M S J; Ernst, I
2018-05-01
Design and reporting quality of diagnostic accuracy studies (DAS) are important metrics for assessing utility of tests used in animal and human health. Following standards for designing DAS will assist in appropriate test selection for specific testing purposes and minimize the risk of reporting biased sensitivity and specificity estimates. To examine the benefits of recommending standards, design information from published DAS literature was assessed for 10 finfish, seven mollusc, nine crustacean and two amphibian diseases listed in the 2017 OIE Manual of Diagnostic Tests for Aquatic Animals. Of the 56 DAS identified, 41 were based on field testing, eight on experimental challenge studies and seven on both. Also, we adapted human and terrestrial-animal standards and guidelines for DAS structure for use in aquatic animal diagnostic research. Through this process, we identified and addressed important metrics for consideration at the design phase: study purpose, targeted disease state, selection of appropriate samples and specimens, laboratory analytical methods, statistical methods and data interpretation. These recommended design standards for DAS are presented as a checklist including risk-of-failure points and actions to mitigate bias at each critical step. Adherence to standards when designing DAS will also facilitate future systematic review and meta-analyses of DAS research literature. © 2018 John Wiley & Sons Ltd.
Status of the design of the ITER ECE diagnostic
International Nuclear Information System (INIS)
Taylor, G.; Austin, M. E.; Beno, J. H.; Danani, S.; Ellis, R. F.; Feder, R.; Hesler, J. L.; Hubbard, A. E.; Johnson, D. W.; Kumar, R.; Kumar, S.; Kumar, V.; Ouroua, A.; Pandya, H. K. B.; Phillips, P. E.; Roman, C.; Rowan, W. L.; Udintsev, V.; Vayakis, G.; Walsh, M.; Kubo, S.
2015-01-01
In this study, the baseline design for the ITER electron cyclotron emission (ECE) diagnostic has entered the detailed preliminary design phase. Two plasma views are planned, a radial view and an oblique view that is sensitive to distortions in the electron momentum distribution near the average thermal momentum. Both views provide high spatial resolution electron temperature profiles when the momentum distribution remains Maxwellian. The ECE diagnostic system consists of the front-end optics, including two 1000 K calibration sources, in equatorial port plug EP9, the 70-1000 GHz transmission system from the front-end to the diagnostics hall, and the ECE instrumentation in the diagnostics hall. The baseline ECE instrumentation will include two Michelson interferometers that can simultaneously measure ordinary and extraordinary mode ECE from 70 to 1000 GHz, and two heterodyne radiometer systems, covering 122-230 GHz and 244-355 GHz. Significant design challenges include 1) developing highly-reliable 1000 K calibration sources and the associated shutters/mirrors, 2) providing compliant couplings between the front-end optics and the polarization splitter box that accommodate displacements of the vacuum vessel during plasma operations and bake out, 3) protecting components from damage due to stray ECH radiation and other intense millimeter wave emission and 4) providing the low-loss broadband transmission system
Design and integration of lower ports for ITER diagnostic systems
Energy Technology Data Exchange (ETDEWEB)
Casal, Natalia, E-mail: Natalia.casal@iter.org [ITER Organization, Route de Vinon-sur-Verdon – CS 90 046 – 13067 St Paul Lez Durance Cedex (France); Bertalot, Luciano; Cheng, Hao; Drevon, Jean Marc; Duckworth, Philip; Giacomin, Thibaud; Guirao, Julio; Iglesias, Silvia [ITER Organization, Route de Vinon-sur-Verdon – CS 90 046 – 13067 St Paul Lez Durance Cedex (France); Kochergin, Mikhail [IOFFE Institute, Saint Petersburg (Russian Federation); Martin, Alex [ITER Organization, Route de Vinon-sur-Verdon – CS 90 046 – 13067 St Paul Lez Durance Cedex (France); McCarron, Eddie [Oxford Technologies Ltd., Abingdon (United Kingdom); Mokeev, Alexander [Russian Federation Domestic Agency, Moscow (Russian Federation); Mota, Fernando [CIEMAT, Madrid (Spain); Penot, Christophe; Portales, Mickael [ITER Organization, Route de Vinon-sur-Verdon – CS 90 046 – 13067 St Paul Lez Durance Cedex (France); Kitazawa, Sin-iti [Japanese Domestic Agency, Naka (Japan); Sky, Jack [Oxford Technologies Ltd., Abingdon (United Kingdom); Suarez, Alejandro; Udintsev, Victor; Utin, Yuri [ITER Organization, Route de Vinon-sur-Verdon – CS 90 046 – 13067 St Paul Lez Durance Cedex (France); and others
2015-10-15
Highlights: • Lower port structures are in its conceptual design phase. • Electromagnetic and seismic loads, will dominate all other mechanical loads. • Design allows diagnostics support, neutron shielding while and signals transmission. • Installation and maintenance operations are fully remote handling compatible. - Abstract: All around the ITER vacuum vessel, forty-four ports will provide access to the vacuum vessel for remote handling operations, diagnostic systems, heating, and vacuum systems: 18 upper ports, 17 equatorial ports, and 9 lower ports. Among the lower ports, three of them will be used for the remote handling installation of the ITER divertor. Once the divertor is in place, these ports will host various diagnostic systems mounted in the so-called diagnostic racks. The diagnostic racks must allow the support and cooling of the diagnostics, extraction of the required diagnostic signals, and providing access and maintainability while minimizing the leakage of radiation toward the back of the port where the humans are allowed to enter. A fully integrated inner rack, carrying the near plasma diagnostic components, will be an stainless steel structure, 4.2 m long, with a maximum weight of 10 t. This structure brings water for cooling and baking at maximum temperature of 240 °C and provides connection with gas, vacuum and electric services. Additional racks (placed away from plasma and not requiring cooling) may be required for the support of some particular diagnostic components. The diagnostics racks and its associated ex vessel structures, which are in its conceptual design phase, are being designed to survive the lifetime of ITER of 20 years. This paper presents the current state of development including interfaces, diagnostic integration, operation and maintenance, shielding requirements, remote handling, loads cases and discussion of the main challenges coming from the severe environment and engineering requirements.
Directory of Open Access Journals (Sweden)
van der Wal Gerrit
2009-04-01
Full Text Available Abstract Background Diagnostic error is an important error type since diagnostic adverse events are regularly judged as being preventable and the consequences are considered to be severe. Existing research often focuses on either diagnostic adverse events or on the errors in diagnostic reasoning. Whether and when an incorrect diagnostic process results in adverse outcomes has not been studied extensively. The present paper describes the design of a study that aims to study the relationship between a suboptimal diagnostic process and patient outcomes. In addition, the role of personal and circumstantial factors on the quality of the diagnostic process will be examined. Methods/Design The research questions were addressed using several data sources. First, the differential diagnosis was assessed concurrently to the diagnostic process. Second, the patient records of 248 patients suffering from shortness of breath were reviewed by expert internists in order to reveal suboptimal cognitive acts and (potential consequences for the patient. The suboptimal cognitive acts were discussed with the treating physicians and classified with the taxonomy of unsafe acts. Third, workload, fatigue and work experience were measured during the physicians work. Workload and fatigue were measured during the physicians shift using the NASA tlx questionnaire on a handheld computer. Physicians participating in the study also answered questions about their work experience. Discussion The design used in this study provides insight into the relationship between suboptimal cognitive acts in the diagnostic process and possible consequences for the patient. Suboptimal cognitive acts in the diagnostic process and its causes can be revealed. Additional measurements of workload, fatigue and experience allow examining the influence of these factors on the diagnostic process. In conclusion, the present design provides a method with which insights in weaknesses of the diagnostic
LeRC rail accelerators: test designs and diagnostic techniques
International Nuclear Information System (INIS)
Zana, L.M.; Kerslake, W.R.; Sturman, J.C.; Wang, S.Y.; Terdan, F.F.
1984-01-01
The feasibility of using rail accelerators for various in-space and to-space propulsion applications was investigated. A 1 meter, 24 sq mm bore accelerator was designed with the goal of demonstrating projectile velocities of 15 km/sec using a peak current of 200 kA. A second rail accelerator, 1 meter long with a 156.25 sq mm bore, was designed with clear polycarbonate sidewalls to permit visual observation of the plasma arc. A study of available diagnostic techniques and their application to the rail accelerator is presented. Specific topics of discussion include the use of interferometry and spectroscopy to examine the plasma armature as well as the use of optical sensors to measure rail displacement during acceleration. Standard diagnostics such as current and voltage measurements are also discussed. 15 references
Design and development of AXUV-based soft X-ray diagnostic camera for Aditya Tokamak
International Nuclear Information System (INIS)
Raval, Jayesh V.; Purohit, Shishir; Joisa, Y. Shankara
2015-01-01
The hot tokamak plasma emits Soft X-rays (SXR) in accordance with the temperature and density which are important to be studied. A silicon photo diode array (AXUV16ELG, Opto-diode, USA) based prototype SXR diagnostics is designed and developed for ADITYA tokamak for the study of SXR radial intensity profile, internal disruption (Saw-tooth crash), MHD instabilities. The diagnostic is having an array of 16 detector of millimeter dimension in a linear configuration. Absolute Extreme Ultra Violate (AXUV) detector offers compact size, improved time response with considerably good quantum efficiency in the soft X-ray range (200 eV to 10 keV). The diagnostic is designed in competence with the ADITYA tokamak protocol. The diagnostic design geometry allows detector view the plasma through a slot hole (0.5 cm X 0.05 cm), 10 μm Beryllium foil filter window, cutting off energies below 750 eV. The diagnostic was installed on Aditya vacuum vessel at radial port no 7 enabling the diagnostics to view the core plasma. The spatial resolution designed for diagnostic configuration is 1.3 cm at plasma centre. The signal generated from SXR detector is acquired with a dedicated single board computer based data acquisition system at 50 kHz. The diagnostic took observation for the ohmically heated plasma. The data was then processed to construct spatial and temporal profile of SXR intensity for Aditya plasma. This information was complimentary to the Silicon surface barrier detector (SBD) based array for the same plasma discharge. The cross calibration between the two was considerably satisfactory under the assumptions considered. (author)
Design of a correlation electron cyclotron emission diagnostic for Alcator C-Moda)
Sung, C.; White, A. E.; Irby, J. H.; Leccacorvi, R.; Vieira, R.; Oi, C. Y.; Peebles, W. A.; Nguyen, X.
2012-10-01
A correlation electron cyclotron emission (CECE) diagnostic has been installed in Alcator C-Mod. In order to measure electron temperature fluctuations, this diagnostic uses a spectral decorrelation technique. Constraints obtained with nonlinear gyrokinetic simulations guided the design of the optical system and receiver. The CECE diagnostic is designed to measure temperature fluctuations which have kθ ≤ 4.8 cm-1 (kθρs < 0.5) using a well-focused beam pattern. Because the CECE diagnostic is a dedicated turbulence diagnostic, the optical system is also flexible, which allows for various collimating lenses and antenna to be used. The system overview and the demonstration of its operability as designed are presented in this paper.
Design And Measurement Of Radiation Exposure Rates At An X-Ray Diagnostic Radiological Unit
International Nuclear Information System (INIS)
Tito-Sutjipto
2003-01-01
Every radiation employees suffers radiation exposure risk while doing his job. It is important therefore to investigate the occupational health and safety of radiation employees on its relationship with the design and measurement of radiation exposure rates at an X-ray diagnostic radiological unit in this work, a case study was held on the radiological unit at BP-4 Yogyakarta for patient diagnostics, This research armed to investigate the relationship between the design of radiological unit for X-ray diagnostics and the location of the X-ray machine, based on the distance variable and radiation exposure rate during patient diagnostics. This was performed using radiological unit design data for X-ray diagnostics and the measurement of radiation exposure rates throughout patient diagnostics. The design data can then be used for determining the requirement of primary and secondary shielding materials for radiological unit as well as a calculation basis of radiation exposure rates during patient diagnostics. From the result of the research, it can be concluded that from the occupational health and safety point of view, radiation exposure around the X-ray machines are fairly good, both for the shielding materials in each X-ray room and the radiation exposures received by the workers, because they are far beyond the maximum permittable average limit (16.67 m R/days). (author)
ATA diagnostic beam dump conceptual design
International Nuclear Information System (INIS)
1981-09-01
A diagnostic beam dump, able to withstand 72,000 pulses (10 kA, 50 MeV/pulse) per shift was designed and analyzed. The analysis shows that the conceptual beam dump design consisting of 80 vitreous carbon plate-foam elements is able to withstand the thermal and mechanical stresses generated. X-rays produced by bremsstrahlung are absorbed by a three element copper plate-foam x-ray absorber. Cooling between bursts of electron pulses is provided by pressurized helium
Final design of the generic upper port plug structure for ITER diagnostic systems
Energy Technology Data Exchange (ETDEWEB)
Pak, Sunil, E-mail: paksunil@nfri.re.kr [National Fusion Research Institute, Daejeon (Korea, Republic of); Feder, Russell [Princeton Plasma Physics Laboratory, Princeton, NJ (United States); Giacomin, Thibaud; Guirao, Julio; Iglesias, Silvia; Josseaume, Fabien [ITER Organization, Route de Vinon sur Verdon, 13115 St Paul-lez-Durance (France); Kalish, Michael; Loesser, Douglas [Princeton Plasma Physics Laboratory, Princeton, NJ (United States); Maquet, Philippe [ITER Organization, Route de Vinon sur Verdon, 13115 St Paul-lez-Durance (France); Ordieres, Javier; Panizo, Marcos [NATEC, Ingenieros, Gijón (Spain); Pitcher, Spencer; Portalès, Mickael [ITER Organization, Route de Vinon sur Verdon, 13115 St Paul-lez-Durance (France); Proust, Maxime [CEA, Cadarache, St. Paul-lez-Durance (France); Ronden, Dennis [FOM Institute DIFFER, Nieuwegein (Netherlands); Serikov, Arkady [Karlsruhe Institute of Technology, Eggenstein-Leopoldshafen (Germany); Suarez, Alejandro [ITER Organization, Route de Vinon sur Verdon, 13115 St Paul-lez-Durance (France); Tanchuk, Victor [NIIEFA, St.-Petersburg (Russian Federation); Udintsev, Victor; Vacas, Christian [ITER Organization, Route de Vinon sur Verdon, 13115 St Paul-lez-Durance (France); and others
2016-01-15
The generic upper port plug (GUPP) structure in ITER is a 6 m long metal box which deploys diagnostic components into the vacuum vessel. This structure is commonly used for all the diagnostic upper ports. The final design of the GUPP structure, which has successfully passed the final design review in 2013, is described here. The diagnostic port plug is cantilevered to the vacuum vessel with a heavy payload at the front, so called the diagnostic first wall (DFW) and the diagnostic shield module (DSM). Most of electromagnetic (EM) load (∼80%) occurs in DFW/DSM. Therefore, the mounting design to transfer the EM load from DFW/DSM to the GUPP structure is challenging, which should also comply with thermal expansion and tolerance for assembly and manufacturing. Another key design parameter to be considered is the gap between the port plug and the vacuum vessel port. The gap should be large enough to accommodate the remote handling of the heavy port plug (max. 25 t), the structural deflection due to external loads and machine assembly tolerance. At the same time, the gap should be minimized to stop the neutron streaming according to the ALARA (as low as reasonably achievable) principle. With these design constraints, the GUPP structure should also provide space for diagnostic integration as much as possible. This requirement has led to the single wall structure having the gun-drilled water channels inside the structure. Furthermore, intensive efforts have been made on the manufacturing study including material selection, manufacturing codes and French regulation related to nuclear equipment and safety. All these main design and manufacturing aspects are discussed in this paper, including requirements, interfaces, loads and structural assessment and maintenance.
Design of neutron diagnostic for MTX
International Nuclear Information System (INIS)
Ogawa, Toshihide; Oasa, Kazumi; Hoshino, Katsumichi; Odajima, Kazuo; Maeda, Hikosuke
1990-07-01
A neutron diagnostic system was designed for the Microwave Tokamak Experiment being carried out at the lawrence Livermore National Laboratory. High speed measurements are important to this experiment. Plastic scintillator is used for this fast response detection of neutron. Proportional counters and fission counters are used for the total neutron emission rate measurements. (author)
Directory of Open Access Journals (Sweden)
Roeyers Herbert
2011-04-01
Full Text Available Abstract Background The International Multi-centre ADHD Genetics (IMAGE project with 11 participating centres from 7 European countries and Israel has collected a large behavioural and genetic database for present and future research. Behavioural data were collected from 1068 probands with the combined type of attention deficit/hyperactivity disorder (ADHD-CT and 1446 'unselected' siblings. The aim was to analyse the IMAGE sample with respect to demographic features (gender, age, family status, and recruiting centres and psychopathological characteristics (diagnostic subtype, symptom frequencies, age at symptom detection, and comorbidities. A particular focus was on the effects of the study design and the diagnostic procedure on the homogeneity of the sample in terms of symptom-based behavioural data, and potential consequences for further analyses based on these data. Methods Diagnosis was based on the Parental Account of Childhood Symptoms (PACS interview and the DSM-IV items of the Conners' teacher questionnaire. Demographics of the full sample and the homogeneity of a subsample (all probands were analysed by using robust statistical procedures which were adjusted for unequal sample sizes and skewed distributions. These procedures included multi-way analyses based on trimmed means and winsorised variances as well as bootstrapping. Results Age and proband/sibling ratios differed between participating centres. There was no significant difference in the distribution of gender between centres. There was a significant interaction between age and centre for number of inattentive, but not number of hyperactive symptoms. Higher ADHD symptom frequencies were reported by parents than teachers. The diagnostic symptoms differed from each other in their frequencies. The face-to-face interview was more sensitive than the questionnaire. The differentiation between ADHD-CT probands and unaffected siblings was mainly due to differences in hyperactive
LENUS (Irish Health Repository)
Muller, Ueli C
2011-04-07
Abstract Background The International Multi-centre ADHD Genetics (IMAGE) project with 11 participating centres from 7 European countries and Israel has collected a large behavioural and genetic database for present and future research. Behavioural data were collected from 1068 probands with the combined type of attention deficit\\/hyperactivity disorder (ADHD-CT) and 1446 \\'unselected\\' siblings. The aim was to analyse the IMAGE sample with respect to demographic features (gender, age, family status, and recruiting centres) and psychopathological characteristics (diagnostic subtype, symptom frequencies, age at symptom detection, and comorbidities). A particular focus was on the effects of the study design and the diagnostic procedure on the homogeneity of the sample in terms of symptom-based behavioural data, and potential consequences for further analyses based on these data. Methods Diagnosis was based on the Parental Account of Childhood Symptoms (PACS) interview and the DSM-IV items of the Conners\\' teacher questionnaire. Demographics of the full sample and the homogeneity of a subsample (all probands) were analysed by using robust statistical procedures which were adjusted for unequal sample sizes and skewed distributions. These procedures included multi-way analyses based on trimmed means and winsorised variances as well as bootstrapping. Results Age and proband\\/sibling ratios differed between participating centres. There was no significant difference in the distribution of gender between centres. There was a significant interaction between age and centre for number of inattentive, but not number of hyperactive symptoms. Higher ADHD symptom frequencies were reported by parents than teachers. The diagnostic symptoms differed from each other in their frequencies. The face-to-face interview was more sensitive than the questionnaire. The differentiation between ADHD-CT probands and unaffected siblings was mainly due to differences in hyperactive
DEFF Research Database (Denmark)
Nielsen, Søren Saxmose; Toft, Nils; Gardner, Ian Andrew
2011-01-01
Diagnostic test evaluations (DTEs) for chronic infections are challenging because a protracted incubation period has to be considered in the design of the DTE, and the adverse effects of infection may be widespread and progressive over an animal's entire life. Frequently, the specific purpose......) than originally intended. The objective of this paper is to outline a structured approach to the design and conduct of a DTE for diagnostic tests used for chronic infections in animals, and intended for different purposes. We describe the process from reflections about test purpose and the underlying...... of the test is not formally considered when a test is evaluated. Therefore, the result is often a DTE where test sensitivity and specificity estimates are biased, either because of problems with establishing the true infection status or because the test detects another aspect of the infection (and analyte...
Structure and Computation in Immunoreagent Design: From Diagnostics to Vaccines.
Gourlay, Louise; Peri, Claudio; Bolognesi, Martino; Colombo, Giorgio
2017-12-01
Novel immunological tools for efficient diagnosis and treatment of emerging infections are urgently required. Advances in the diagnostic and vaccine development fields are continuously progressing, with reverse vaccinology and structural vaccinology (SV) methods for antigen identification and structure-based antigen (re)design playing increasingly relevant roles. SV, in particular, is predicted to be the front-runner in the future development of diagnostics and vaccines targeting challenging diseases such as AIDS and cancer. We review state-of-the-art methodologies for structure-based epitope identification and antigen design, with specific applicative examples. We highlight the implications of such methods for the engineering of biomolecules with improved immunological properties, potential diagnostic and/or therapeutic uses, and discuss the perspectives of structure-based rational design for the production of advanced immunoreagents. Copyright © 2017 Elsevier Ltd. All rights reserved.
Empirical evidence of design-related bias in studies of diagnostic tests
Lijmer, J. G.; Mol, B. W.; Heisterkamp, S.; Bonsel, G. J.; Prins, M. H.; van der Meulen, J. H.; Bossuyt, P. M.
1999-01-01
CONTEXT: The literature contains a large number of potential biases in the evaluation of diagnostic tests. Strict application of appropriate methodological criteria would invalidate the clinical application of most study results. OBJECTIVE: To empirically determine the quantitative effect of study
Using Meta-Analysis to Inform the Design of Subsequent Studies of Diagnostic Test Accuracy
Hinchliffe, Sally R.; Crowther, Michael J.; Phillips, Robert S.; Sutton, Alex J.
2013-01-01
An individual diagnostic accuracy study rarely provides enough information to make conclusive recommendations about the accuracy of a diagnostic test; particularly when the study is small. Meta-analysis methods provide a way of combining information from multiple studies, reducing uncertainty in the result and hopefully providing substantial…
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.
Results of an integration study of a diagnostics port plug in ITER
International Nuclear Information System (INIS)
Salasca, Sophie; Cantone, Bruno; Grosman, André; Esposito, Basilio; Moro, Fabio; Morocco, Daniele; Villari, Rosaria; Angelone, Maurizio; Rincon, Esther; Hidalgo, Carlos; Nagy, Daniel; Kocsis, Gabor; Varela, Paulo; Porempovics, Gabor; Perrollaz, Guillaume; Patel, Kunal; Krivchenkov, Yuri; Walsh, Michael
2013-01-01
Highlights: ► An extensive study on the integration of diagnostics in a port plug of ITER has been performed. ► It has shown that the diagnostic performances could not be reached if their number was not decreased. ► A design of Diagnostic Shield Modules has been validated through mechanical and thermal analyses. ► These analyses have confirmed that the highest loads are concentrated in the vicinity of the plasma. -- Abstract: Diagnostics in ITER are mandatory to characterize the parameters of plasma and study its interactions with plasma-facing components. Diagnostics components in the vicinity of the plasma are supported by metallic structures called port plugs. At the tokamak mid-plane, these components are installed in port plugs through intermediate structures called drawers. Apart from hosting the diagnostics, the port plugs act as shielding against neutrons and gammas, in order to limit the nuclear loads in crucial components (such as diagnostics and superconducting coils) as well as the dose levels in the controlled zones of the tokamak. The radiation shielding function of the port plugs is ensured through an optimized mixture of heavy metallic materials and water, forming shielding blocks surrounding the diagnostics and called Diagnostic Shield Modules (DSMs). These DSMs constitute the rear part of the drawers (the front part being composed of the Diagnostic First Wall). This paper presents the main results of a study performed in Europe on the integration of a particular diagnostics port plug, the Equatorial Port Plug 1 (EPP1). The paper first provides the results of the EPP1 diagnostics integration analysis. In a second step it focuses on the design of the EPP1 DSMs and summarizes the major results of a thorough set of analyses aiming at studying the DSMs behaviour under different loads, suggesting recommendations to improve their current design
Design considerations for on-line vibration diagnostic systems
International Nuclear Information System (INIS)
Branagan, L.A.; Schjeibel, J.R.
1989-01-01
The decisions made in the design of a data system for on-line vibration diagnostic system in power plants define how well the system will meet its intended goals. Direct use of the data for performing troubleshooting or developing operating correlations requires an understanding of the subtle impact of the design decisions incorporated in the data system. A data system includes data acquisition, data storage, and data retrieval. Data acquisition includes the selection of sensors, of vibration measurement modes, and of the time stamping format, and the arrangement of data collection cycles. Data storage requires the evaluation of data compression options and of data segregation. Data retrieval design requires an understanding of the data storage and acquisition techniques. Each of these options and design decisions involves compromises, many of which are discussed in this paper. Actual and synthetic data are presented to illustrate these points. The authors' experience with multiple data collection cycles, with frequent monitoring, and with storage by exception suggests that these techniques can be developed into an effective diagnostic system
Designing Cognitively Diagnostic Assessment for Algebraic Content Knowledge and Thinking Skills
Zhang, Zhidong
2018-01-01
This study explored a diagnostic assessment method that emphasized the cognitive process of algebra learning. The study utilized a design and a theory-driven model to examine the content knowledge. Using the theory driven model, the thinking skills of algebra learning was also examined. A Bayesian network model was applied to represent the theory…
Final design of the generic equatorial port plug structure for ITER diagnostic systems
International Nuclear Information System (INIS)
Udintsev, V.S.; Maquet, P.; Alexandrov, E.; Casal, N.; Cuenca, D.; Drevon, J.-M.; Feder, R.; Friconneau, J.P.; Giacomin, T.; Guirao, J.; Iglesias, S.; Josseaume, F.; Levesy, B.; Loesser, D.; Ordieres, J.; Quinn, E.; Pak, S.; Penot, C.; Pitcher, C.S.; Portalès, M.
2015-01-01
The Diagnostic Generic Equatorial Port Plug (GEPP) is designed to be common to all equatorial port-based diagnostic systems. It is designed to survive throughout the lifetime of ITER for 20 years, 30,000 discharges, and 3000 disruptions. The EPP structure dimensions (without Diagnostic First Walls and Diagnostic Shield Modules) are L2.9 × W1.9 × H2.4 m"3. The length of the fully integrated EPP is 3174 mm. The weight of the EPP structure is about 15 t, whereas the total weight of the integrated EPP may be up to 45 t. The EPP structure provides a flexible platform for a variety of diagnostics. The Diagnostic Shield Module assemblies, or drawers, allow a modular approach with respect to diagnostic integration and maintenance. In the nuclear phase of ITER operations, they will be remotely inserted into the EPP structure in the Hot Cell Facility. The port plug structure must also contribute to the nuclear shielding, or plugging, of the port and further contain circulated water to allow cooling during operation and heating during bake-out. The Final Design of the GEPP has been successfully passed in late 2013 and is now heading toward manufacturing. The final design of the GEPP includes interfaces, manufacturing, R&D, operation and maintenance, load cases and analysis of failure modes.
National Ignition Facility subsystem design requirements target diagnostics subsystem SSDR 1.8.3
International Nuclear Information System (INIS)
Lee, D.
1996-01-01
This SSDR establishes the performance, design, development and test requirements for the Target Experimental System's Diagnostic, WBS 1.8. 3. This includes the individual diagnostic components, the Target Diagnostic Data Acquisition System (Target DAS), the diagnostic vacuum system, the timing/fiducial system, and the EMI protection system
Optical design of the TMX Thomson Scattering Diagnostic
International Nuclear Information System (INIS)
Frank, A.M.
1979-01-01
The Thomson Scattering Diagnostic on TMX was built to measure the electron temperature in the plug. The design was based on the 2XII system built by Tom Simonen. Substantial improvements were realized over the original design, these include: (1) improved sensitivity, (2) simultaneous multiple position sampling, (3) multiple pulse capability, (4) achromatic imaging, (5) vacuum alignment capability, (6) high reliability, and (7) built in calibration and performance monitoring
Research at ITER towards DEMO: Specific reactor diagnostic studies to be carried out on ITER
Energy Technology Data Exchange (ETDEWEB)
Krasilnikov, A. V.; Kaschuck, Y. A.; Vershkov, V. A.; Petrov, A. A.; Petrov, V. G.; Tugarinov, S. N. [Institution Project center ITER, Moscow (Russian Federation)
2014-08-21
In ITER diagnostics will operate in the very hard radiation environment of fusion reactor. Extensive technology studies are carried out during development of the ITER diagnostics and procedures of their calibration and remote handling. Results of these studies and practical application of the developed diagnostics on ITER will provide the direct input to DEMO diagnostic development. The list of DEMO measurement requirements and diagnostics will be determined during ITER experiments on the bases of ITER plasma physics results and success of particular diagnostic application in reactor-like ITER plasma. Majority of ITER diagnostic already passed the conceptual design phase and represent the state of the art in fusion plasma diagnostic development. The number of related to DEMO results of ITER diagnostic studies such as design and prototype manufacture of: neutron and γ–ray diagnostics, neutral particle analyzers, optical spectroscopy including first mirror protection and cleaning technics, reflectometry, refractometry, tritium retention measurements etc. are discussed.
Research at ITER towards DEMO: Specific reactor diagnostic studies to be carried out on ITER
Krasilnikov, A. V.; Kaschuck, Y. A.; Vershkov, V. A.; Petrov, A. A.; Petrov, V. G.; Tugarinov, S. N.
2014-08-01
In ITER diagnostics will operate in the very hard radiation environment of fusion reactor. Extensive technology studies are carried out during development of the ITER diagnostics and procedures of their calibration and remote handling. Results of these studies and practical application of the developed diagnostics on ITER will provide the direct input to DEMO diagnostic development. The list of DEMO measurement requirements and diagnostics will be determined during ITER experiments on the bases of ITER plasma physics results and success of particular diagnostic application in reactor-like ITER plasma. Majority of ITER diagnostic already passed the conceptual design phase and represent the state of the art in fusion plasma diagnostic development. The number of related to DEMO results of ITER diagnostic studies such as design and prototype manufacture of: neutron and γ-ray diagnostics, neutral particle analyzers, optical spectroscopy including first mirror protection and cleaning technics, reflectometry, refractometry, tritium retention measurements etc. are discussed.
Research at ITER towards DEMO: Specific reactor diagnostic studies to be carried out on ITER
International Nuclear Information System (INIS)
Krasilnikov, A. V.; Kaschuck, Y. A.; Vershkov, V. A.; Petrov, A. A.; Petrov, V. G.; Tugarinov, S. N.
2014-01-01
In ITER diagnostics will operate in the very hard radiation environment of fusion reactor. Extensive technology studies are carried out during development of the ITER diagnostics and procedures of their calibration and remote handling. Results of these studies and practical application of the developed diagnostics on ITER will provide the direct input to DEMO diagnostic development. The list of DEMO measurement requirements and diagnostics will be determined during ITER experiments on the bases of ITER plasma physics results and success of particular diagnostic application in reactor-like ITER plasma. Majority of ITER diagnostic already passed the conceptual design phase and represent the state of the art in fusion plasma diagnostic development. The number of related to DEMO results of ITER diagnostic studies such as design and prototype manufacture of: neutron and γ–ray diagnostics, neutral particle analyzers, optical spectroscopy including first mirror protection and cleaning technics, reflectometry, refractometry, tritium retention measurements etc. are discussed
Mechanical design of epithermal neutron diagnostic for TFTR
International Nuclear Information System (INIS)
Groo, R.C.
1981-01-01
The mechanical design of the Epithermal Neutron Diagnostic for TFTR is described. This fission detector system measures the time resolution of the neutron flux for folding into the Neutron Activation system and also provides continuous, wide range coverage of all expected fusion reaction rates
International Nuclear Information System (INIS)
Gondrie, M. J. A.; Mali, W. P. Th. M.; Buckens, C. F. M.; Jacobs, P. C. A.; Grobbee, D. E.; Graaf, Y van der
2010-01-01
We describe the rationale for a new study examining the prognostic value of unrequested findings in diagnostic imaging. The deployment of more advanced imaging modalities in routine care means that such findings are being detected with increasing frequency. However, as the prognostic significance of many types of unrequested findings is unknown, the optimal response to such findings remains uncertain and in many cases an overly defensive approach is adopted, to the detriment of patient-care. Additionally, novel and promising image findings that are newly available on many routine scans cannot be used to improve patient care until their prognostic value is properly determined. The PROVIDI study seeks to address these issues using an innovative multi-center case-cohort study design. PROVIDI is to consist of a series of studies investigating specific, selected disease entities and clusters. Computed Tomography images from the participating hospitals are reviewed for unrequested findings. Subsequently, this data is pooled with outcome data from a central population registry. Study populations consist of patients with endpoints relevant to the (group of) disease(s) under study along with a random control sample from the cohort. This innovative design allows PROVIDI to evaluate selected unrequested image findings for their true prognostic value in a series of manageable studies. By incorporating unrequested image findings and outcomes data relevant to patients, truly meaningful conclusions about the prognostic value of unrequested and emerging image findings can be reached and used to improve patient-care.
Hardware design of a microcomputer controlled diagnostic vacuum controller
International Nuclear Information System (INIS)
Marsala, R.J.
1983-01-01
The TFTR diagnostic vacuum controller (DVC) has been designed and built to control and monitor the pumps, valves and gauges which comprise a diagnostic vacuum system. The DVC is a microcomputer based self-contained controller with battery backup which may be controlled manually from front panel controls or remotely via CICADA. The DVC implements all pump and valve sequencing and provides protection against incorrect operation. There are presently two versions of the DVC operating on TFTR and a third version being used on the S-1 machine
Rational design of diagnostic and vaccination strategies for tuberculosis
Directory of Open Access Journals (Sweden)
Sibele Borsuk
Full Text Available The development of diagnostic tests which can readily differentiate between vaccinated and tuberculosis-infected individuals is crucial for the wider utilization of bacillus Calmette-Guérin (BCG as vaccine in humans and animals. BCG_0092 is an antigen that elicits specific delayed type hypersensitivity reactions similar in size and morphological aspects to that elicited by purified protein derivative, in both animals and humans infected with the tubercle bacilli. We carried out bioinformatics analyses of the BCG_0092 and designed a diagnostic test by using the predicted MHC class I epitopes. In addition, we performed a knockout of this gene by homologous recombination in the BCG vaccine strain to allow differentiation of vaccinated from infected individuals. For that, the flanking sequences of the target gene (BCG_0092were cloned into a suicide vector. Spontaneous double crossovers, which result in wild type revertants or knockouts were selected using SacB. BCG_0092 is present only in members of the Mycobacterium tuberculosis complex. Eight predicted MHC class I epitopes with potential for immunological diagnosis were defined, allowing the design of a specific diagnostic test. The strategy used to delete the (BCG_0092 gene from BCG was successful. The knockout genotype was confirmed by PCR and by Southern blot. The mutant BCG strain has the potential of inducing protection against tuberculosis without interfering with the diagnostic test based on the use of selected epitopes from BCG_0092.
A retrospective study of relevant diagnostic procedures in vulvodynia
DEFF Research Database (Denmark)
Petersen, Christina Damsted; Kristensen, Ellids; Lundvall, Lene
2009-01-01
OBJECTIVE: To identify objective clinical signs of vulvodynia and determine specific diagnostic tests for vulvodynia in women referred to a vulvar outpatient clinic for vulval complaints. STUDY DESIGN: A retrospective study was performed of the medical records of 201 consecutive Danish patients s...
Design of a far infrared interferometer diagnostic support structure
International Nuclear Information System (INIS)
Brooksby, C.A.; Rice, B.W.; Peebles, W.A.
1987-10-01
The Far Infrared Interferometer (FIR) diagnostic will operate in the 119 to 400 micron range to measure the plasma electron density on the Microwave Tokamak Experiment (MTX) being set up at LLNL. This diagnostic is a multi-channel system which incorporates a long elliptically shaped beam that passes through the plasma and is imaged onto an array of 14 detectors that are located on a table above the machine. The reference beam is brought around the machine and mixed with the plasma beam onto the detectors. The density is measured by a phase shift between these beams and is, therefore, very sensitive to path length changes between the two beam paths due to motion of the support structure. The design goal for allowable phase shifts caused by changes in the path length due to structure movement is 1/50th of a wavelength (2.4 to 8 microns). The structure needs to maintain this stability during the 0.5 second plasma shot. The structure is approximately 5 meters tall to support the optics table above the machine. In order to reduce the structure motion to the required level the forces acting on it were evaluated. The forces evaluated were eddy currents from the pulsed electromagnetic fields, the ambient ground motion, and the floor movement as the magnets are pulsed. The designs for similar diagnostic interferometers on other tokamaks were also reviewed to evaluate the forces and motions that might cause such small deflections in the support structure. Our structure is somewhat unique in that it is designed for operation in relatively large pulsed magnetic fields (100 to 7000 gauss) arising from the air core transformer of MTX. The design chosen incorporates a very rigid structure with high resistive and non-conductive materials. The choice of materials selected is discussed with reference to their response to expected forces. 14 refs., 10 figs
The design of diagnostic medical facilities using ionizing radiation
International Nuclear Information System (INIS)
1988-03-01
This Code, setting out the general principles of radiological protection as applied to diagnostic radiation facilities in hospitals and clinics, is intended as a guide to architects and to works departments concerned with their design and construction, and with the modification of existing units
Energy Technology Data Exchange (ETDEWEB)
Ross, J. S., E-mail: ross36@llnl.gov; Datte, P.; Divol, L.; Galbraith, J.; Hatch, B.; Landen, O.; Manuel, A. M.; Molander, W.; Moody, J. D.; Swadling, G. [Lawrence Livermore National Laboratory, Livermore, California 94551 (United States); Froula, D. H.; Katz, J. [Laboratory for Laser Energetics, University of Rochester, Rochester, New York 14623 (United States); Glenzer, S. H. [SLAC National Accelerator Laboratory, Menlo Park, California 94025 (United States); Kilkenny, J. [General Atomics, San Diego, California 92186 (United States); Montgomery, D. S. [Los Alamos National Laboratory, Los Alamos, New Mexico 87545 (United States); Weaver, J. [Plasma Physics Division, Naval Research Laboratory, Washington, DC 20375 (United States)
2016-11-15
An optical Thomson scattering diagnostic has been designed for the National Ignition Facility to characterize under-dense plasmas. We report on the design of the system and the expected performance for different target configurations. The diagnostic is designed to spatially and temporally resolve the Thomson scattered light from laser driven targets. The diagnostic will collect scattered light from a 50 × 50 × 200 μm volume. The optical design allows operation with different probe laser wavelengths. A deep-UV probe beam (λ{sub 0} = 210 nm) will be used to Thomson scatter from electron plasma densities of ∼5 × 10{sup 20} cm{sup −3} while a 3ω probe will be used for plasma densities of ∼1 × 10{sup 19} cm{sup −3}. The diagnostic package contains two spectrometers: the first to resolve Thomson scattering from ion acoustic wave fluctuations and the second to resolve scattering from electron plasma wave fluctuations. Expected signal levels relative to background will be presented for typical target configurations (hohlraums and a planar foil).
Lansce Wire Scanning Diagnostics Device Mechanical Design
International Nuclear Information System (INIS)
Rodriguez Esparza, Sergio; Batygin, Yuri K.; Gilpatrick, John D.; Gruchalla, Michael E.; Maestas, Alfred J.; Pillai, Chandra; Raybun, Joseph L.; Sattler, F.D.; Sedillo, James Daniel; Smith, Brian G.
2011-01-01
The Accelerator Operations and Technology Division at Los Alamos National Laboratory operates a linear particle accelerator which utilizes 110 wire scanning diagnostics devices to gain position and intensity information of the proton beam. In the upcoming LANSCE improvements, 51 of these wire scanners are to be replaced with a new design, up-to-date technology and off-the-shelf components. This document outlines the requirements for the mechanical design of the LANSCE wire scanner and presents the recently developed linac wire scanner prototype. Additionally, this document presents the design modifications that have been implemented into the fabrication and assembly of this first linac wire scanner prototype. Also, this document will present the design for the second, third, and fourth wire scanner prototypes being developed. Prototypes 2 and 3 belong to a different section of the particle accelerator and therefore have slightly different design specifications. Prototype 4 is a modification of a previously used wire scanner in our facility. Lastly, the paper concludes with a plan for future work on the wire scanner development.
Lansce Wire Scanning Diagnostics Device Mechanical Design
Energy Technology Data Exchange (ETDEWEB)
Rodriguez Esparza, Sergio [Los Alamos National Laboratory; Batygin, Yuri K. [Los Alamos National Laboratory; Gilpatrick, John D. [Los Alamos National Laboratory; Gruchalla, Michael E. [Los Alamos National Laboratory; Maestas, Alfred J. [Los Alamos National Laboratory; Pillai, Chandra [Los Alamos National Laboratory; Raybun, Joseph L. [Los Alamos National Laboratory; Sattler, F. D. [Los Alamos National Laboratory; Sedillo, James Daniel [Los Alamos National Laboratory; Smith, Brian G. [Los Alamos National Laboratory
2011-01-01
The Accelerator Operations & Technology Division at Los Alamos National Laboratory operates a linear particle accelerator which utilizes 110 wire scanning diagnostics devices to gain position and intensity information of the proton beam. In the upcoming LANSCE improvements, 51 of these wire scanners are to be replaced with a new design, up-to-date technology and off-the-shelf components. This document outlines the requirements for the mechanical design of the LANSCE wire scanner and presents the recently developed linac wire scanner prototype. Additionally, this document presents the design modifications that have been implemented into the fabrication and assembly of this first linac wire scanner prototype. Also, this document will present the design for the second, third, and fourth wire scanner prototypes being developed. Prototypes 2 and 3 belong to a different section of the particle accelerator and therefore have slightly different design specifications. Prototype 4 is a modification of a previously used wire scanner in our facility. Lastly, the paper concludes with a plan for future work on the wire scanner development.
The architecture of diagnostic research
DEFF Research Database (Denmark)
Colli, Agostino; Fraquelli, Mirella; Casazza, Giovanni
2014-01-01
The diagnostic research process can be divided into five phases, designed to establish the clinical utility of a new diagnostic test - the index test. The aim of the present review is to illustrate the study designs that are appropriate for each diagnostic phase, using clinical examples regarding...
Vacuum system design and tritium inventory for the TFTR charge exchange diagnostic
International Nuclear Information System (INIS)
Medley, S.S.
1979-05-01
The charge exchange diagnostic for the TFTR is comprised of two analyzer systems which contain a total of twenty independent mass/energy analyzers and one diagnostic neutral beam tentatively rated at 80 keV, 15 A. The associated vacuum systems were analyzed using the Vacuum System Transient Simulator (VSTS) computer program which models the transient transport of multi-gas species through complex networks of ducts, valves, traps, vacuum pumps, and other related vacuum system components. In addition to providing improved design performance at reduced cost, the analysis yields estimates for the exchange of tritium from the torus to the diagnostic components and of the diagnostic working gases to the torus
The role of risk management in the design of diagnostics for fusion reactors
Energy Technology Data Exchange (ETDEWEB)
Ingesson, L. C. [Fusion for Energy, Josep Pla 2, Torres Diagonal Litoral B3, 08019 Barcelona (Spain); Collaboration: F4E Diagnostic Project Team
2014-08-21
A project-oriented approach is beneficial for the selection and design of viable diagnostics for fusion reactors because of the associated complex physical and organizational environment. The project-oriented approach includes rigorous risk management. The nature and impact of risks related to technical, organizational and commercial aspects in relation to the development of ITER diagnostics under EU responsibility are analyzed. The majority of risks are related to organizational aspects and technical feasibility issues. The experience with ITER is extrapolated to DEMO and beyond. It should not be taken for granted that technical solutions will be found, while a risk analysis of various diagnostic techniques with quantitative assessments undertaken early in the design of DEMO would be beneficial.
International Nuclear Information System (INIS)
Litnovsky, Andrey; Krasikov, Yuri; Kotov, Vladislav; Matveeva, Maria; Panin, Anatoly; Vera, Liliana; Buzi, Luxherta; Neubauer, Olaf; Biel, Wolfgang; Nicolai, Dirk; Mertens, Philippe; Linsmeier, Christian
2015-01-01
Highlights: • Paper is devoted to protection of diagnostic mirrors for ITER. • Modeling predicts suppression of impurity deposition on mirrors by using ducts. • The mirror tube system (Mirror Station) was built to validate the model. • The Mirror Station was exposed in TEXTOR. • The decrease of deposition in cylindrical ducts with fins cannot be confirmed. • All mirrors located in conical ducts preserved their reflectivity. - Abstract: Optical and laser-based diagnostics in ITER will use mirrors to transmit plasma radiation and laser light to the corresponding detectors and cameras. Mirrors will be sputtered by the fast plasma particles and contaminated by impurities leading to the degradation of the reflectivity and hampering the performance of corresponding diagnostics. Dedicated measures were proposed to minimize the impurity deposition comprising the use of shutters and fins inside diagnostic ducts to trap impurities on their way toward the mirror located in the end of these ducts. Modeling results predict at least 7-fold suppression of the deposition for the duct having four fins located at the distance of a half of a diameter from each other. The Mirror Station (MS) was designed to validate modeling predictions and to study the suppression of deposition inside of diagnostic ducts. The MS contained cylindrical and cone-shaped tubes of different lengths with smooth and shaped geometry of ducts. The MS was exposed in the midplane port of TEXTOR for about 3960 s of plasma operation. After exposure, no drastic suppression of deposition was observed in the cylindrical ducts with fins. In the conical tubes no deposition was detected outlining the advantages of a cone form.
Banerjee, Rupak K; Peelukhana, Srikara V; Goswami, Ishan
2014-02-07
The decision to perform intervention on a patient with coronary stenosis is often based on functional diagnostic parameters obtained from pressure and flow measurements using sensor-tipped guidewire at maximal vasodilation (hyperemia). Recently, a rapid exchange Monorail Pressure Sensor catheter of 0.022″ diameter (MPS22), with pressure sensor at distal end has been developed for improved assessment of stenosis severity. The hollow shaft of the MPS22 is designed to slide over any standard 0.014″ guidewire (G14). Hence, influence of MPS22 diameter on coronary diagnostic parameters needs investigation. An in vitro experiment was conducted to replicate physiologic flows in three representative area stenosis (AS): mild (64% AS), intermediate (80% AS), and severe (90% AS), for two arterial diameters, 3mm (N2; more common) and 2.5mm (N1). Influence of MPS22 on diagnostic parameters: fractional flow reserve (FFR) and pressure drop coefficient (CDP) was evaluated both at hyperemic and basal conditions, while comparing it with G14. The FFR values decreased for the MPS22 in comparison to G14, (Mild: 0.87 vs 0.88, Intermediate: 0.68 vs 0.73, Severe: 0.48 vs 0.56) and CDP values increased (Mild: 16 vs 14, Intermediate: 75 vs 56, Severe: 370 vs 182) for N2. Similar trend was observed in the case of N1. The FFR values were found to be well above (mild) and below (intermediate and severe) the diagnostic cut-off of 0.75. Therefore, MPS22 catheter can be used as a possible alternative to G14. Further, irrespective of the MPS22 or G14, basal FFR (FFRb) had overlapping ranges in close proximity for clinically relevant mild and intermediate stenoses that will lead to diagnostic uncertainty under both N1 and N2. However, CDPb had distinct ranges for different stenosis severities and could be a potential diagnostic parameter under basal conditions. Copyright © 2013 Elsevier Ltd. All rights reserved.
Heijer, C.D.J. den; Dongen, M.C.J.M. van; Donker, G.A.; Stobberingh, E.E.
2012-01-01
Background: Diagnostic urinary tract infection (UTI) studies have primarily been performed among female patients. Aim: To create a diagnostic algorithm for male general practice patients suspected of UTI. Design and setting: Surveillance study in the Dutch Sentinel General Practice Network. Method:
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...
Engineering analyses of ITER divertor diagnostic rack design
Energy Technology Data Exchange (ETDEWEB)
Modestov, Victor S., E-mail: modestov@compmechlab.com [St Petersburg State Polytechnical University, 195251 St Petersburg, 29 Polytechnicheskaya (Russian Federation); Nemov, Alexander S.; Borovkov, Aleksey I.; Buslakov, Igor V.; Lukin, Aleksey V. [St Petersburg State Polytechnical University, 195251 St Petersburg, 29 Polytechnicheskaya (Russian Federation); Kochergin, Mikhail M.; Mukhin, Eugene E.; Litvinov, Andrey E.; Koval, Alexandr N. [Ioffe Physico-Technical Institute, 194021 St Petersburg, 26 Polytechnicheskaya (Russian Federation); Andrew, Philip [ITER Organization, Route de Vinon sur Verdon, 13115 Saint Paul Lez Durance (France)
2013-10-15
Highlights: • The approach developed early has been used for the assessment of new design of DTS racks and neutron shield units. • Results of most critical EM and seismic analyses indicate that introduced changes significantly improved the system behaviour under these loads. • However further research is required to finalize the design and check it upon meeting all structural, thermal, seismic, EM and fatigue requirements. -- Abstract: The divertor port racks used as a support structure of the divertor Thomson scattering equipment has been carefully analyzed to be consistent with electromagnetic and seismic loads. It follows from the foregoing simulations that namely these analyses demonstrate critical challenges associated with the structure design. Based on the results of the reference structure [2] a modified design of the diagnostic racks is proposed and updated simulation results are given. The results signify a significant improvement over the previous reference layout and the design will be continued towards finalization.
Kluge, Annette; Grauel, Britta; Burkolter, Dina
2013-03-01
Two studies are presented in which the design of a procedural aid and the impact of an additional decision aid for process control were assessed. In Study 1, a procedural aid was developed that avoids imposing unnecessary extraneous cognitive load on novices when controlling a complex technical system. This newly designed procedural aid positively affected germane load, attention, satisfaction, motivation, knowledge acquisition and diagnostic speed for novel faults. In Study 2, the effect of a decision aid for use before the procedural aid was investigated, which was developed based on an analysis of diagnostic errors committed in Study 1. Results showed that novices were able to diagnose both novel faults and practised faults, and were even faster at diagnosing novel faults. This research contributes to the question of how to optimally support novices in dealing with technical faults in process control. Copyright © 2012 Elsevier Ltd and The Ergonomics Society. All rights reserved.
Design of the electromagnetic fluctuations diagnostic for MFTF-B
International Nuclear Information System (INIS)
House, P.A.; Goerz, D.A.; Martin, R.
1983-01-01
The Electromagnetic Fluctuations (EMF) diagnostic will be used to monitor ion fluctuations which could be unstable in MFTF-B. Each probe assembly includes a high impedance electrostatic probe to measure potential fluctuations, and a group of nested, single turn loops to measure magnetic fluctuations in three directions. Eventually, more probes and loops will be added to each probe assembly for making more detailed measurements. The sensors must lie physically close to the plasma edge and are radially positionable. Also, probes at separate axial locations can be positioned to connect along the same magnetic field line. These probes are similar in concept to the rf probes used on TMX, but the high thermal load for 30-second shots on MFTF-B requires a water-cooled design along with temperature monitors. Each signal channel has a bandwidth of .001 to 150 MHz and is monitored by up to four different data channels which obtain amplitude and frequency information. This paper describes the EMF diagnostic and presents the detailed mechanical and electrical designs
Modular beam diagnostics instrument design for Cyclotrons
International Nuclear Information System (INIS)
Chaddha, N.; Bhole, R.B.; Sahoo, S.; Nandy, P.P.; Pal, S.
2012-01-01
The Cyclotrons at VECC, Kolkata i.e. Room Temperature Cyclotron (RTC) and Superconducting Cyclotron (SCC) comprise of internal and external Beam Diagnostic systems. These systems provide the beam developer with position, intensity, beam profile, a visual impression of the size and shape of ion beam, and operational control over diagnostic components like 3-finger probe, Beam Viewer probe, Deflector probe, Faraday cup, X-Y slit, Beam viewer etc. Automation of these components was initially done using customised modules for individual sub-system. An expansion of this facility and various levels of complexity demand modular design to cater easy modification and upgradation. The overall requirements are analysed and modular cards are developed based on basic functionalities like valve operation, probe/slit/viewer control, position read-out, Interlock, aperture control of beam line and communication. A 32-bit Advanced RISC Machine (ARM) based card with embedded EPICS is chosen as the master controller and FPGA/microcontroller is used for functional modules. The paper gives a comprehensive description of all modules and their integration with the control system. (author)
Update on the status of the ITER ECE diagnostic design
Directory of Open Access Journals (Sweden)
Taylor G.
2017-01-01
Full Text Available Considerable progress has been made on the design of the ITER electron cyclotron emission (ECE diagnostic over the past two years. Radial and oblique views are still included in the design in order to measure distortions in the electron momentum distribution, but the oblique view has been redirected to reduce stray millimeter radiation from the electron cyclotron heating system. A major challenge has been designing the 1000 K calibration sources and remotely activated mirrors located in the ECE diagnostic shield module (DSM in the equatorial port plug #09. These critical systems are being modeled and prototypes are being developed. Providing adequate neutron shielding in the DSM while allowing sufficient space for optical components is also a significant challenge. Four 45-meter long low-loss transmission lines transport the 70–1000 GHz ECE from the DSM to the ECE instrumentation room. Prototype transmission lines are being tested, as are the polarization splitter modules that separate O-mode and X-mode polarized ECE. A highly integrated prototype 200–300 GHz radiometer is being tested on the DIII-D tokamak in the USA. Design activities also include integration of ECE signals into the ITER plasma control system and determining the hardware and software architecture needed to control and calibrate the ECE instruments.
Conceptual design of a divertor Thomson scattering diagnostic for NSTX-U
Energy Technology Data Exchange (ETDEWEB)
McLean, A. G., E-mail: mclean@fusion.gat.com; Soukhanovskii, V. A.; Allen, S. L. [Lawrence Livermore National Laboratory, P.O. Box 808, Livermore, California 94550 (United States); Carlstrom, T. N. [General Atomics, P.O. Box 85608, San Diego, California 92186-5608 (United States); LeBlanc, B. P.; Ono, M.; Stratton, B. C. [Princeton Plasma Physics Laboratory, Princeton, New Jersey 08543 (United States)
2014-11-15
A conceptual design for a divertor Thomson scattering (DTS) diagnostic has been developed for the NSTX-U device to operate in parallel with the existing multipoint Thomson scattering system. Higher projected peak heat flux in NSTX-U will necessitate application of advanced magnetics geometries and divertor detachment. Interpretation and modeling of these divertor scenarios will depend heavily on local measurement of electron temperature, T{sub e}, and density, n{sub e}, which DTS provides in a passive manner. The DTS design for NSTX-U adopts major elements from the successful DIII-D DTS system including 7-channel polychromators measuring T{sub e} to 0.5 eV. If implemented on NSTX-U, the divertor TS system would provide an invaluable diagnostic for the boundary program to characterize the edge plasma.
Conceptual Design of the ITER ECE Diagnostic - An Update
Austin, M. E.; Pandya, H. K. B.; Beno, J.; Bryant, A. D.; Danani, S.; Ellis, R. F.; Feder, R.; Hubbard, A. E.; Kumar, S.; Ouroua, A.; Phillips, P. E.; Rowan, W. L.
2012-09-01
The ITER ECE diagnostic has recently been through a conceptual design review for the entire system including front end optics, transmission line, and back-end instruments. The basic design of two viewing lines, each with a single ellipsoidal mirror focussing into the plasma near the midplane of the typical operating scenarios is agreed upon. The location and design of the hot calibration source and the design of the shutter that directs its radiation to the transmission line are issues that need further investigation. In light of recent measurements and discussion, the design of the broadband transmission line is being revisited and new options contemplated. For the instruments, current systems for millimeter wave radiometers and broad-band spectrometers will be adequate for ITER, but the option for employing new state-of-the-art techniques will be left open.
Final design of thermal diagnostic system in SPIDER ion source
Energy Technology Data Exchange (ETDEWEB)
Brombin, M., E-mail: matteo.brombin@igi.cnr.it; Dalla Palma, M.; Pasqualotto, R.; Pomaro, N. [Consorzio RFX, Corso Stati Uniti 4, I-35127 Padova (Italy)
2016-11-15
The prototype radio frequency source of the ITER heating neutral beams will be first tested in SPIDER test facility to optimize H{sup −} production, cesium dynamics, and overall plasma characteristics. Several diagnostics will allow to fully characterise the beam in terms of uniformity and divergence and the source, besides supporting a safe and controlled operation. In particular, thermal measurements will be used for beam monitoring and system protection. SPIDER will be instrumented with mineral insulated cable thermocouples, both on the grids, on other components of the beam source, and on the rear side of the beam dump water cooled elements. This paper deals with the final design and the technical specification of the thermal sensor diagnostic for SPIDER. In particular the layout of the diagnostic, together with the sensors distribution in the different components, the cables routing and the conditioning and acquisition cubicles are described.
Final design of thermal diagnostic system in SPIDER ion source
International Nuclear Information System (INIS)
Brombin, M.; Dalla Palma, M.; Pasqualotto, R.; Pomaro, N.
2016-01-01
The prototype radio frequency source of the ITER heating neutral beams will be first tested in SPIDER test facility to optimize H"− production, cesium dynamics, and overall plasma characteristics. Several diagnostics will allow to fully characterise the beam in terms of uniformity and divergence and the source, besides supporting a safe and controlled operation. In particular, thermal measurements will be used for beam monitoring and system protection. SPIDER will be instrumented with mineral insulated cable thermocouples, both on the grids, on other components of the beam source, and on the rear side of the beam dump water cooled elements. This paper deals with the final design and the technical specification of the thermal sensor diagnostic for SPIDER. In particular the layout of the diagnostic, together with the sensors distribution in the different components, the cables routing and the conditioning and acquisition cubicles are described.
M.G.M. Hunink (Myriam); G.P. Krestin (Gabriel)
2002-01-01
textabstractWith current constraints on health care resources and emphasis on value for money, new diagnostic imaging technologies must be assessed and their value demonstrated. The state of the art in the field of diagnostic imaging technology assessment advocates a hierarchical
Broadband notch filter design for millimeter-wave plasma diagnostics
DEFF Research Database (Denmark)
Furtula, Vedran; Michelsen, Poul; Leipold, Frank
2010-01-01
Notch filters are integrated in plasma diagnostic systems to protect millimeter-wave receivers from intensive stray radiation. Here we present a design of a notch filter with a center frequency of 140 GHz, a rejection bandwidth of ∼ 900 MHz, and a typical insertion loss below 2 dB in the passband...... of ±9 GHz. The design is based on a fundamental rectangular waveguide with eight cylindrical cavities coupled by T-junction apertures formed as thin slits. Parameters that affect the notch performance such as physical lengths and conductor materials are discussed. The excited resonance mode...
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....
Mobile point-of-care monitors and diagnostic device design
Karlen, Walter
2014-01-01
PrefaceEditorsContributorsSensors and SystemsInterfacing Diagnostics with Consumer ElectronicsPakorn Preechaburana, Anke Suska, and Daniel FilippiniLab on a CellphoneAhmet F. Coskun, Hongying Zhu, Onur Mudanyali, and Aydogan OzcanThe Phone OximeterChristian Leth PetersenCurrent Technology and Advances in Transepidermal Water Loss SensorsPietro Salvo, Bernardo Melai, Nicola Calisi, and Fabio Di FrancescoPortable High-Frequency Ultrasound Imaging System Design and Hardware Considerations
Diagnostic time in digital pathology: A comparative study on 400 cases
Directory of Open Access Journals (Sweden)
Aleksandar Vodovnik
2016-01-01
Full Text Available Background: Numerous validation studies in digital pathology confirmed its value as a diagnostic tool. However, a longer time to diagnosis than traditional microscopy has been seen as a significant barrier to the routine use of digital pathology. As a part of our validation study, we compared a digital and microscopic diagnostic time in the routine diagnostic setting. Materials and Methods: One senior staff pathologist reported 400 consecutive cases in histology, nongynecological, and fine needle aspiration cytology (20 sessions, 20 cases/session, over 4 weeks. Complex, difficult, and rare cases were excluded from the study to reduce the bias. A primary diagnosis was digital, followed by traditional microscopy, 6 months later, with only request forms available for both. Microscopic slides were scanned at ×20, digital images accessed through the fully integrated laboratory information management system (LIMS and viewed in the image viewer on double 23” displays. A median broadband speed was 299 Mbps. A diagnostic time was measured from the point slides were made available to the point diagnosis was made or additional investigations were deemed necessary, recorded independently in minutes/session and compared. Results: A digital diagnostic time was 1841 and microscopic 1956 min; digital being shorter than microscopic in 13 sessions. Four sessions with shorter microscopic diagnostic time included more cases requiring extensive use of magnifications over ×20. Diagnostic time was similar in three sessions. Conclusions: A diagnostic time in digital pathology can be shorter than traditional microscopy in the routine diagnostic setting, with adequate and stable network speeds, fully integrated LIMS and double displays as default parameters. This also related to better ergonomics, larger viewing field, and absence of physical slide handling, with effects on both diagnostic and nondiagnostic time. Differences with previous studies included a design
Hohenstein, Jess; O'Dell, Dakota; Murnane, Elizabeth L; Lu, Zhengda; Erickson, David; Gay, Geri
2017-11-21
In today's health care environment, increasing costs and inadequate medical resources have created a worldwide need for more affordable diagnostic tools that are also portable, fast, and easy to use. To address this issue, numerous research and commercial efforts have focused on developing rapid diagnostic technologies; however, the efficacy of existing systems has been hindered by usability problems or high production costs, making them infeasible for deployment in at-home, point-of-care (POC), or resource-limited settings. The aim of this study was to create a low-cost optical reader system that integrates with any smart device and accepts any type of rapid diagnostic test strip to provide fast and accurate data collection, sample analysis, and diagnostic result reporting. An iterative design methodology was employed by a multidisciplinary research team to engineer three versions of a portable diagnostic testing device that were evaluated for usability and overall user receptivity. Repeated design critiques and usability studies identified a number of system requirements and considerations (eg, software compatibility, biomatter contamination, and physical footprint) that we worked to incrementally incorporate into successive system variants. Our final design phase culminated in the development of Tidbit, a reader that is compatible with any Wi-Fi-enabled device and test strip format. The Tidbit includes various features that support intuitive operation, including a straightforward test strip insertion point, external indicator lights, concealed electronic components, and an asymmetric shape, which inherently signals correct device orientation. Usability testing of the Tidbit indicates high usability for potential user communities. This study presents the design process, specification, and user reception of the Tidbit, an inexpensive, easy-to-use, portable optical reader for fast, accurate quantification of rapid diagnostic test results. Usability testing suggests
X-ray diffraction diagnostic design for the National Ignition Facility
Ahmed, Maryum F.; House, Allen; Smith, R. F.; Ayers, Jay; Lamb, Zachary S.; Swift, David W.
2013-09-01
This paper describes the design considerations for Target Diffraction In-Situ (TARDIS), an x-ray diffraction diagnostic at the National Ignition Facility. A crystal sample is ramp-compressed to peak pressures between 10 and 30 Mbar and, during a pressure hold period, is probed with quasi-monochromatic x-rays emanating from a backlighter source foil. The crystal spectrography diffraction lines are recorded onto image plates. The crystal sample, filter, and image plates are packaged into one assembly, allowing for accurate and repeatable target to image plate registration. Unconverted laser light impinges upon the device, generating debris, the effects of which have been mitigated. Dimpled blast shields, high strength steel alloy, and high-z tungsten are used to shield and protect the image plates. A tapered opening was designed to provide adequate thickness of shielding materials without blocking the drive beams or x-ray source from reaching the crystal target. The high strength steel unit serves as a mount for the crystal target and x-ray source foil. A tungsten body contains the imaging components. Inside this sub-assembly, there are three image plates: a 160 degree field of view curved plate directly opposite the target opening and two flat plates for the top and bottom. A polycarbonate frame, coated with the appropriate filter material and embedded with registration features for image plate location, is inserted into the diagnostic body. The target assembly is metrologized and then the diagnostic assembly is attached.
International Nuclear Information System (INIS)
Bliss, E.
1996-01-01
This Subsystem Design Requirement document is a development specification that establishes the performance, design, development, and test requirements for the Alignment subsystem (WBS 1.7.1), Beam Diagnostics (WBS 1.7.2), and the Wavefront Control subsystem (WBS 1.7. 3) of the NIF Laser System (WBS 1.3). These three subsystems are collectively referred to as the Beam Control ampersand Laser Diagnostics Subsystem. The NIF is a multi-pass, 192-beam, high-power, neodymium-glass laser that meets requirements set forth in the NIF SDR 002 (Laser System). 3 figs., 3 tabs
Evaluating and comparing imaging techniques: a review and classification of study designs
International Nuclear Information System (INIS)
Freedman, L.S.
1987-01-01
The design of studies to evaluate and compare imaging techniques are reviewed. Thirteen principles for the design of studies of diagnostic accuracy are given. Because of the 'independence principle' these studies are not able directly to evaluate the contribution of a technique to clinical management. For the latter, the 'clinical value' study design is recommended. A classification of study designs is proposed in parallel with the standard classification of clinical trials. Studies of diagnostic accuracy are analogous to Phase II, whereas studies evaluating the contribution to clinical management correspond to the Phase III category. Currently the majority of published studies employ the Phase II design. More emphasis on Phase III studies is required. (author)
Design of a magnetic field alignment diagnostic for the MFTF-B magnet system
International Nuclear Information System (INIS)
Deadrick, F.J.; House, P.A.; Frye, R.W.
1985-01-01
Magnet alignment in tandem mirror fusion machines plays a crucial role in achieving and maintaining plasma confinement. Various visual alignment tools have been described by Post et al. to align the Tara magnet system. We have designed and installed a remotely operated magnetic field alignment (MFA) diagnostic system as a part of the Mirror Fusion Test Facility (MFTF-B). It measures critical magnetic field alignment parameters of the MFTF-B coil set while under full-field operating conditions. The MFA diagnostic employs a pair of low-energy, electron beam guns on a remotely positionable probe to trace and map selected magnetic field lines. An array of precision electrical detector paddles locates the position of the electron beam, and thus the magnetic field line, at several critical points. The measurements provide a means to compute proper compensating currents to correct for mechanical misalignments of the magnets with auxiliary trim coils if necessary. This paper describes both the mechanical and electrical design of the MFA diagnostic hardware
NIF diagnostic damage and design issues
International Nuclear Information System (INIS)
Landen, N.
1999-01-01
The NIF target environment is evaluated with respect to target and diagnostic debris and with respect to instrument survivability in the presence of target debris and radiation. Quantitative estimates are arrived at by extrapolating from Nova and Omega experience using simple scaling arguments. Specifically, we evaluate the closest distance of approach of various components of DIM-based diagnostics such as target mounted pinhole arrays, open detectors, filters, x-ray optics, and spectrometers. We also include constraints on achieving adequate signal-to-noise on x-ray diagnostics. Four of the most important conclusions are as follows: (1) The required full NIF stand-off distance for heavily filtered detectors (e.g. multi-keV x-ray and particle detectors) as determined by concerns of diagnostic debris and diagnostic survivability to debris and radiation is no more than 100 cm. (2) Target mounted pinhole arrays and slits mounted a few cm from chamber center at NIF will survive long enough to record data and should be an acceptable source of shrapnel debris. (3) DIM-based instrument stand-off distances are compatible with achieving the same photon statistics (or better with ongoing improvements in detector resolution and noise) than available with current Nova and Omega SIM- or TIM-based instrumentation. Section II reviews target and diagnostic debris with respect to final optics. Section III reviews debris and radiation with respect to all diagnostic components. The following laser scaling between Nova/Omega and NIF is used throughout unless otherwise specified: laser energy E = 100x, drive duration τ = 6x and hence for a given laser intensity or hohlraum temperature, target size r approximately √(E/τ) = 4x. The 100x increase in E accounts for the fact that many Nova shots were performed with only 20 kJ and all LLNL Omega shots were performed with only 15 kJ
Computer modeling and design of diagnostic workstations and radiology reading rooms
Ratib, Osman M.; Amato, Carlos L.; Balbona, Joseph A.; Boots, Kevin; Valentino, Daniel J.
2000-05-01
We used 3D modeling techniques to design and evaluate the ergonomics of diagnostic workstation and radiology reading room in the planning phase of building a new hospital at UCLA. Given serious space limitations, the challenge was to provide more optimal working environment for radiologists in a crowded and busy environment. A particular attention was given to flexibility, lighting condition and noise reduction in rooms shared by multiple users performing diagnostic tasks as well as regular clinical conferences. Re-engineering workspace ergonomics rely on the integration of new technologies, custom designed cabinets, indirect lighting, sound-absorbent partitioning and geometric arrangement of workstations to allow better privacy while optimizing space occupation. Innovations included adjustable flat monitors, integration of videoconferencing and voice recognition, control monitor and retractable keyboard for optimal space utilization. An overhead compartment protecting the monitors from ambient light is also used as accessory lightbox and rear-view projection screen for conferences.
Conceptual Design of the ITER ECE Diagnostic – An Update
Directory of Open Access Journals (Sweden)
Ouroua A.
2012-09-01
Full Text Available The ITER ECE diagnostic has recently been through a conceptual design review for the entire system including front end optics, transmission line, and back-end instruments. The basic design of two viewing lines, each with a single ellipsoidal mirror focussing into the plasma near the midplane of the typical operating scenarios is agreed upon. The location and design of the hot calibration source and the design of the shutter that directs its radiation to the transmission line are issues that need further investigation. In light of recent measurements and discussion, the design of the broadband transmission line is being revisited and new options contemplated. For the instruments, current systems for millimeter wave radiometers and broad-band spectrometers will be adequate for ITER, but the option for employing new state-of-the-art techniques will be left open.
Leighton, Jacqueline P.; Chu, Man-Wai
2016-01-01
The objective of the present article is to explore differences and similarities between cognitive diagnostic assessment (CDA) and evidence-centered game design (ECgD) in the service of intentional hybridization. Although some testing specialists might argue that both are essentially the same given their origins in principled assessment design and…
Major aspects of the design of a first mirror for the ITER core CXRS diagnostics
International Nuclear Information System (INIS)
Krasikov, Yury; Panin, Anatoly; Biel, Wolfgang; Krimmer, Andreas; Litnovsky, Andrey; Mertens, Philippe; Neubauer, Olaf; Schrader, Michael
2015-01-01
Highlights: • Availability, technological issues, and changes in the ScMo structure to be solved in future. • Developed passively cooled mirror is a workable, flexible, scalable and robust concept. • The generic upper port plug is to be considerable customized. - Abstract: The ITER core charge exchange recombination spectroscopy diagnostics (cCXRS) occupies the vacuum vessel upper port #3 and includes, in its generic version, the following in-vessel components: an optical mirror system, a shutter, the diagnostic first wall and the neutron shielding block. The most vulnerable diagnostic mirror is obviously the first one (M1) directly observing the plasma. The M1 reference option is made of a single crystalline molybdenum (ScMo). The paper indicates major aspects influencing the first mirror design and identifies the most reasonable and reliable concept for cCXRS M1 at present. The applicability of the option presented is determined by many reasons, and especially, by the ITER generic upper port plug and its customization flexibility. The largest dimension of the mirror polished face is ∼300 mm. Such large ScMo workpieces are currently not available on the market. The mirror should be designed as an assembly of several ScMo pieces joined together. The M1 design is supported by multifield thermal, electromagnetic and structural analyses. The performed study confirms the feasibility of the proposed solutions. At the same time, the paper indicates numerous technological issues of the M1 unit to be solved in future.
Major aspects of the design of a first mirror for the ITER core CXRS diagnostics
Energy Technology Data Exchange (ETDEWEB)
Krasikov, Yury, E-mail: y.krasikov@fz-juelich.de; Panin, Anatoly; Biel, Wolfgang; Krimmer, Andreas; Litnovsky, Andrey; Mertens, Philippe; Neubauer, Olaf; Schrader, Michael
2015-10-15
Highlights: • Availability, technological issues, and changes in the ScMo structure to be solved in future. • Developed passively cooled mirror is a workable, flexible, scalable and robust concept. • The generic upper port plug is to be considerable customized. - Abstract: The ITER core charge exchange recombination spectroscopy diagnostics (cCXRS) occupies the vacuum vessel upper port #3 and includes, in its generic version, the following in-vessel components: an optical mirror system, a shutter, the diagnostic first wall and the neutron shielding block. The most vulnerable diagnostic mirror is obviously the first one (M1) directly observing the plasma. The M1 reference option is made of a single crystalline molybdenum (ScMo). The paper indicates major aspects influencing the first mirror design and identifies the most reasonable and reliable concept for cCXRS M1 at present. The applicability of the option presented is determined by many reasons, and especially, by the ITER generic upper port plug and its customization flexibility. The largest dimension of the mirror polished face is ∼300 mm. Such large ScMo workpieces are currently not available on the market. The mirror should be designed as an assembly of several ScMo pieces joined together. The M1 design is supported by multifield thermal, electromagnetic and structural analyses. The performed study confirms the feasibility of the proposed solutions. At the same time, the paper indicates numerous technological issues of the M1 unit to be solved in future.
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.
Towards complete and accurate reporting of studies of diagnostic accuracy: The STARD initiative
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
Conceptual design of neutron diagnostic systems for fusion experimental reactor
International Nuclear Information System (INIS)
Iguchi, T.; Kaneko, J.; Nakazawa, M.
1994-01-01
Neutron measurement in fusion experimental reactors is very important for burning plasma diagnostics and control, monitoring of irradiation effects on device components, neutron source characterization for in-situ engineering tests, etc. A conceptual design of neutron diagnostic systems for an ITER-like fusion experimental reactor has been made, which consists of a neutron yield monitor, a neutron emission profile monitor and a 14-MeV spectrometer. Each of them is based on a unique idea to meet the required performances for full power conditions assumed at ITER operation. Micro-fission chambers of 235 U (and 238 U) placed at several poloidal angles near the first wall are adopted as a promising neutron yield monitor. A collimated long counter system using a 235 U fission chamber and graphite neutron moderators is also proposed to improve the calibration accuracy of absolute neutron yield determination
Beam property studies in the PLS diagnostic beamline
Ko, I S; Seon, D K; Kim, C B; Lee, T Y
1999-01-01
A diagnostic beamline has been operated in the Pohang Light Source (PLS) storage ring for the diagnostics of electron and photon beam properties. It consists of two 1:1 imaging systems: a visible-light imaging system and a soft X-ray imaging system. We have measured the transverse and the longitudinal structures of beams by using a streak camera to obtain a visible image. Accurate transverse beam size have been measured to be 186 mu m horizontally and 43.1 mu m vertically by using soft X-ray images with minimum diffraction errors. The corresponding emittances are 11.7 nm-rad horizontally and 0.59 nm-rad vertically. By comparing the measured data with the design values, we confirmed that the PLS storage ring has reached its designed performance within an error of 3.3 % in the transverse direction.
Studies of neutron measurement methods for fusion plasma diagnostics
International Nuclear Information System (INIS)
Beimer, K.H.
1986-03-01
This thesis comprises several studies mainly devoted to neutron measurement systems for plasma diagnostics at JET (Joint European Torus). An in situ calibration of the U-235 fission chamber detectors located at JET is presented. These detectors are used for measuring the neutron yield from the thermonuclear reactions in the plasma. The energy spectrum of the neutrons from the reactions D(d,n) 3 He has been studied by means of a 3 He spectrometer. Especially, it was found that by measuring the width of the full energy peak in the response spectrum of the 3 He-spectrometer, the deuterium distribution in the deuterium targets used can be estimated. In order to measure different neutron energies it is necessary to obtain a detailed knowledge of the response of the spectrometer. Therefore, the response function to monoenergetic neutrons in the energy range 130-3030 keV was experimentally determined. Some work has been related to a design study of a 14 MeV spectrometer for neutron diagnostics. It is a combined proton-recoil and time-of-flight spectrometer for high resolution measurements. The main parts of it are the collimator, the scattering foil, and the detectors for the recoil protons and the scattered neutrons. The influence of proton straggling in the foil on the resolution and efficiency of the spectrometer has been studied. Furthermore, a three dimensional Monte Carlo code has been written and used for the design of the collimator. (author)
GPs' perspectives on the diagnostic work-up in patients with shoulder pain: a qualitative study.
Ottenheijm, Ramon P G; Hesselmans, Nicolle J J M; Kemper, Anouk; Moser, Albine; de Bie, Rob A; Dinant, Geert-Jan; Cals, Jochen W L
2014-06-01
The diagnostic work-up of patients with shoulder pain in general practice is complex. General practitioners' (GPs) guidelines advise a pragmatic diagnostic work-up in which additional imaging has a limited role. However, diagnostic ultrasounds are increasingly ordered by GPs, which seems to reflect complexity in management of shoulder pain. This study aimed to explore GPs' perspectives on the diagnostic work-up of patients with shoulder pain. This study has a qualitative exploratory design with an inductive approach and was carried out in Dutch general practice. The study population consisted of 18 Dutch GPs who were sampled purposefully with a spread in clinical experience and ordering diagnostic ultrasound. Data were gathered by means of semi-structured interviews and analysed following principles of the constant comparative method. Three main categories with subcategories emerged that captured the diagnostic work-up of shoulder pain: variety in diagnostic classifications [(non-)specific diagnosis and interdisciplinary differences], establishing strategies for diagnostic work-up (use of existing tools and motives to deviate from existing tools), and strategies dealing with diagnostic uncertainties (accepting diagnostic uncertainties, diagnostic imaging tests, and interdisciplinary consultation and referral). Despite the availability of evidence-based shoulder guidelines, GPs experience uncertainties during diagnostic work-up and apply different strategies when dealing with these uncertainties. At some point, GPs as well as patients seem to have a need for a specific diagnosis. Currently, there appears to be little agreement if, or in which phase of shoulder pain, diagnostic ultrasound is useful or indicated. © 2014 John Wiley & Sons, Ltd.
Design of the ITER high-frequency magnetic diagnostic coils
International Nuclear Information System (INIS)
Toussaint, M.; Testa, D.; Baluc, N.; Chavan, R.; Fournier, Y.; Lister, J.B.; Maeder, T.; Marmillod, P.; Sanchez, F.; Stoeck, M.
2011-01-01
This paper is an overview of work carried out on the design of the ITER high-frequency magnetic diagnostic coil (HF sensor). In the first part, the ITER requirements for the HF sensor are presented. In the second part, the ITER reference design of the HF sensor has been assessed and showed some potential weaknesses, which led us to the conclusion that alternative designs could usefully be examined. Several options have been explored, and are presented in the third part: (a) direct laser cutting a metallic tube, (b) stacking of plane windings manufactured from a tungsten plate by electrical discharge machining, (c) coil using the conventional spring manufacture. In the fourth part, sensors using the low temperature co-fired ceramic technology (LTCC) are presented: (d) monolithic 1D magnetic flux sensors based on LTCC technology, and (e) monolithic 3D magnetic flux sensors based on the same LTCC technology. The solution which showed the best results is the monolithic 3D magnetic flux sensor based on LTCC.
International Nuclear Information System (INIS)
Medley, S.S.
1986-01-01
The application of charge exchange analyzers for the measurement of ion temperature in fusion plasma experiments requires a direct connection between the diagnostic and plasma-discharge vacuum chambers. Differential pumping of the gas load from the diagnostic stripping cell operated at > or approx. = 10 -3 Torr is required to maintain the analyzer chamber at a pressure of -6 Torr. The migration of gases between the diagnostic and plasma vacuum chambers must be minimized. In particular, introduction of the analyzer stripping cell gas into the plasma chamber having a base pressure of -8 Torr must be suppressed. The charge exchange diagnostic for the Tokamak Fusion Test Reactor (TFTR) is comprised of two analyzer systems designed to contain a total of 18 independent mass/energy analyzers and one diagnostic neutral beam rated at 80 keV, 15 A. The associated arrays of multiple, interconnected vacuum systems were analyzed using the Vacuum System Transient Simulator (Vsts) computer program which models the transient transport of multigas species through complex networks of ducts, valves, traps, vacuum pumps, and other related vacuum system components. In addition to providing improved design performance at reduced costs, the analysis yields estimates for the exchange of tritium from the torus to the diagnostic components and of the diagnostic working gases to the torus
Design of multitasking and windows software for beam diagnostic system on HIRFL
International Nuclear Information System (INIS)
Nie Zhenpeng; Shen Zhiqing; Xu Xiangyang; Zheng Jianping; Tang Jingyu; Dong Jinmei
2002-01-01
An introduction is given to the design idea and method of multitasking and Windows software for beam diagnostic system on HIRFL. The testing result is presented in the end. The software has many advantages such as powerful function, visual display, high reliability and friendly interface, etc
International Nuclear Information System (INIS)
Pak, Sunil; Ku, Duck Young; Oh, Dong-Keun; Jhang, Hogun; Kim, Duck-Hoi; Cheon, Mun-Seong; Seon, Chang Rae; Lee, Hyeon Gon; Pitcher, Spencer
2011-01-01
Electromagnetic (EM) loads due to eddy current and halo current during plasma disruptions are evaluated for the ITER diagnostic upper port plug. To reduce strong EM loads acting on the port plug fixed to the vacuum vessel like a cantilever beam, three design options have been considered: removal of the diagnostic first wall, slitting of the diagnostic shield module and recess of the port plug. The main focus of the present study is to examine the efficacy of these options in terms of EM loads on the upper port plug. It is found that making slits is more effective than removing the first wall. It is also shown that the upper port plug needs to be recessed to reduce the EM load induced by halo current.
Study of methodology diversification in diagnostics
International Nuclear Information System (INIS)
Suda, Kazunori; Yonekawa, Tsuyoshi; Yoshikawa, Shinji; Hasegawa, Makoto
1999-03-01
There are several research activities to enhance safety and reliability of nuclear power plant operation and maintenance. We are developing a concept of an autonomous operation system where the role of operators is replaced with artificial intelligence. The purpose of the study described in this report is to develop a operator support system in abnormal plant situations. Conventionally, diagnostic modules based on individual methodology such as expert system have been developed and verified. In this report, methodology diversification is considered to integrate diagnostic modules which performance are confirmed using information processing technique. Technical issues to be considered in diagnostic methodology diversification are; 1)reliability of input data, 2)diversification of knowledge models, algorithms and reasoning schemes, 3)mutual complement and robustness. The diagnostic module utilizing the different approaches defined along with strategy of diversification was evaluated using fast breeder plant simulator. As a result, we confirmed that any singular diagnostic module can not meet accuracy criteria for the entire set of anomaly events. In contrast with this, we confirmed that every abnormality could be precisely diagnosed by a mutual combination. In other words, legitimacy of approach selected by strategy of diversification was shown, and methodology diversification attained clear efficiency for abnormal diagnosis. It has been also confirmed that the diversified diagnostic system implemented in this study is able to maintain its accuracy even in case that encountered scale of abnormality is different from reference cases embedded in the knowledge base. (author)
Design Features of the Neutral Particle Diagnostic System for the ITER Tokamak
Petrov, S. Ya.; Afanasyev, V. I.; Melnik, A. D.; Mironov, M. I.; Navolotsky, A. S.; Nesenevich, V. G.; Petrov, M. P.; Chernyshev, F. V.; Kedrov, I. V.; Kuzmin, E. G.; Lyublin, B. V.; Kozlovski, S. S.; Mokeev, A. N.
2017-12-01
The control of the deuterium-tritium (DT) fuel isotopic ratio has to ensure the best performance of the ITER thermonuclear fusion reactor. The diagnostic system described in this paper allows the measurement of this ratio analyzing the hydrogen isotope fluxes (performing neutral particle analysis (NPA)). The development and supply of the NPA diagnostics for ITER was delegated to the Russian Federation. The diagnostics is being developed at the Ioffe Institute. The system consists of two analyzers, viz., LENPA (Low Energy Neutral Particle Analyzer) with 10-200 keV energy range and HENPA (High Energy Neutral Particle Analyzer) with 0.1-4.0MeV energy range. Simultaneous operation of both analyzers in different energy ranges enables researchers to measure the DT fuel ratio both in the central burning plasma (thermonuclear burn zone) and at the edge as well. When developing the diagnostic complex, it was necessary to account for the impact of several factors: high levels of neutron and gamma radiation, the direct vacuum connection to the ITER vessel, implying high tritium containment, strict requirements on reliability of all units and mechanisms, and the limited space available for accommodation of the diagnostic hardware at the ITER tokamak. The paper describes the design of the diagnostic complex and the engineering solutions that make it possible to conduct measurements under tokamak reactor conditions. The proposed engineering solutions provide a safe—with respect to thermal and mechanical loads—common vacuum channel for hydrogen isotope atoms to pass to the analyzers; ensure efficient shielding of the analyzers from the ITER stray magnetic field (up to 1 kG); provide the remote control of the NPA diagnostic complex, in particular, connection/disconnection of the NPA vacuum beamline from the ITER vessel; meet the ITER radiation safety requirements; and ensure measurements of the fuel isotopic ratio under high levels of neutron and gamma radiation.
International Nuclear Information System (INIS)
McKiernan, Sharmaine; Chiarelli, Pauline; Warren-Forward, Helen
2011-01-01
The expansion of diagnostic ultrasound outside of the traditional radiology profession into the physiotherapy profession is occurring. The purpose of this study was to determine if physiotherapists are purchasing diagnostic ultrasound machines, receiving training in the modality and what imaging procedures they are performing. For the design of future training tools, also investigated were the methods of training that physiotherapists might find most beneficial and what content they deem necessary to be covered during such training for the use of diagnostic ultrasound for their profession. An e-mail invitation was sent to physiotherapists throughout Australian who were registered on two databases, asking them to complete a web based survey. The survey was comprised of 18 questions including open and closed items. The data was then categorised into themes in accordance with the purpose of the study. Of the respondents, 39% did not own a diagnostic ultrasound machine, 33% had access to a machine that was owned by their employer and 18% actually owned a machine themselves. Training in diagnostic ultrasound had been received by 61% of the respondents however for 67% of those who had been trained, this training had only lasted for several hours, not days or weeks. For future training in ultrasound the majority of respondents would prefer either a workshop or DVD to cover imaging anatomy, the use of machine controls and scanning the pelvic floor, abdominal muscles and shoulder. From this survey it can be concluded that physiotherapists have an interest in or are using diagnostic ultrasound in their practice. While some form of training is being provided, further training is considered necessary and wanted by the physiotherapists so training tools need to be developed.
Energy Technology Data Exchange (ETDEWEB)
McKiernan, Sharmaine, E-mail: sharmaine.mckiernan@newcastle.edu.a [School of Health Sciences, University of Newcastle, Callaghan, NSW (Australia); Chiarelli, Pauline; Warren-Forward, Helen [School of Health Sciences, University of Newcastle, Callaghan, NSW (Australia)
2011-05-15
The expansion of diagnostic ultrasound outside of the traditional radiology profession into the physiotherapy profession is occurring. The purpose of this study was to determine if physiotherapists are purchasing diagnostic ultrasound machines, receiving training in the modality and what imaging procedures they are performing. For the design of future training tools, also investigated were the methods of training that physiotherapists might find most beneficial and what content they deem necessary to be covered during such training for the use of diagnostic ultrasound for their profession. An e-mail invitation was sent to physiotherapists throughout Australian who were registered on two databases, asking them to complete a web based survey. The survey was comprised of 18 questions including open and closed items. The data was then categorised into themes in accordance with the purpose of the study. Of the respondents, 39% did not own a diagnostic ultrasound machine, 33% had access to a machine that was owned by their employer and 18% actually owned a machine themselves. Training in diagnostic ultrasound had been received by 61% of the respondents however for 67% of those who had been trained, this training had only lasted for several hours, not days or weeks. For future training in ultrasound the majority of respondents would prefer either a workshop or DVD to cover imaging anatomy, the use of machine controls and scanning the pelvic floor, abdominal muscles and shoulder. From this survey it can be concluded that physiotherapists have an interest in or are using diagnostic ultrasound in their practice. While some form of training is being provided, further training is considered necessary and wanted by the physiotherapists so training tools need to be developed.
Diagnostic radiography: A study in distancing
International Nuclear Information System (INIS)
Reeves, Pauline J.; Decker, Sola
2012-01-01
Aims: This article aims to explore the ways in which diagnostic radiographers use distancing as a tool for emotional management in radiography practice. Methods: This review utilises data from oral history interviews undertaken as part of a larger study documenting the oral history of the diagnostic radiography profession in the United Kingdom as recounted by 24 participants. Results: The results are presented as illustrative of various aspects of the role of the diagnostic radiographer including the initial choice of diagnostic radiography as a profession, the endemic use of particular terminology, the nature of the encounter in diagnostic radiography (including that of sectional imaging) and whether the role is really patient-centred. Conclusions: The article concludes by suggesting that distancing from the patient is mediated by the need for physical touch in order to position the patient for radiography and also makes the suggestion that those opting for diagnostic radiography as a career may do so because they want a profession which is more distanced from the patient and that, even where this is not the case initially, individuals are socialised into adopting the ‘feeling rules’ of the profession. The article concludes by outlining potential areas for further research.
CEA engineering studies and integration of the ITER diagnostic port plugs
International Nuclear Information System (INIS)
Doceul, L.; Walker, C.; Ingesson, C.; Ciattaglia, E.; Chappuis, P.; Portafaix, C.; Salasca, S.; Thomas, E.; Tremblay, G.; Bruyere, C.
2007-01-01
Most of the ITER diagnostic system is integrated in port plugs, which are water cooled stainless steel structures inserted into the vacuum-vessel ports. The port plug must perform basic functions such as providing neutron and gamma shielding, supporting the first wall armour and shielding blanket material, closing the vacuum vessel ports, while supporting the diagnostic equipment. CEA has contributed to the engineering activities on the port plugs and has more particularly focused on the design and diagnostic integration in the representative equatorial port plug Eq no. 01. The specific CEA contributions have been the engineering, structural and thermal analysis. These detailed analyses have highlighted some design issues which were worked out through different solutions. This paper contains a description of the engineering activities performed such as: the conceptual design of the Eq no. 01 port plug, the static mechanical calculations, the dynamic calculation to estimate the dynamic amplification factor due to the resonance phenomenon, the thermal assessment under the neutronic load and the seismic response of the port plug inside the vacuum vessel
CEA engineering studies and integration of the ITER diagnostic port plugs
Energy Technology Data Exchange (ETDEWEB)
Doceul, L. [Association Euratom-CEA sur la Fusion Controlee, Centre d' Etudes de Cadarache, F-13108 Saint-Paul-Lez-Durance Cedex (France)], E-mail: louis.doceul@cea.fr; Walker, C. [ITER International Team, Boltzmannstr. 2, D-85748 Garching bei Muenchen (Germany); Ingesson, C.; Ciattaglia, E. [EFDA CSU - Garching, Boltzmannstr. 2, D-85748 Garching bei Muenchen (Germany); Chappuis, P.; Portafaix, C.; Salasca, S.; Thomas, E.; Tremblay, G.; Bruyere, C. [Association Euratom-CEA sur la Fusion Controlee, Centre d' Etudes de Cadarache, F-13108 Saint-Paul-Lez-Durance Cedex (France)
2007-10-15
Most of the ITER diagnostic system is integrated in port plugs, which are water cooled stainless steel structures inserted into the vacuum-vessel ports. The port plug must perform basic functions such as providing neutron and gamma shielding, supporting the first wall armour and shielding blanket material, closing the vacuum vessel ports, while supporting the diagnostic equipment. CEA has contributed to the engineering activities on the port plugs and has more particularly focused on the design and diagnostic integration in the representative equatorial port plug Eq no. 01. The specific CEA contributions have been the engineering, structural and thermal analysis. These detailed analyses have highlighted some design issues which were worked out through different solutions. This paper contains a description of the engineering activities performed such as: the conceptual design of the Eq no. 01 port plug, the static mechanical calculations, the dynamic calculation to estimate the dynamic amplification factor due to the resonance phenomenon, the thermal assessment under the neutronic load and the seismic response of the port plug inside the vacuum vessel.
Elias, Sjoerd G; Kok, Liselotte; Witteman, Ben J M; Goedhard, Jelle G; Romberg-Camps, Mariëlle J L; Muris, Jean W M; de Wit, Niek J; Moons, Karel G M
OBJECTIVE: To validate published diagnostic models for their ability to safely reduce unnecessary endoscopy referrals in primary care patients suspected of significant colorectal disease. STUDY DESIGN AND SETTING: Following a systematic literature search, we independently validated the identified
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...
Electron beam diagnostics study
International Nuclear Information System (INIS)
Garganne, P.
1989-08-01
This paper summarizes the results of a study on beam diagnostics, using carbon wire scanners and optical transition radiation (DTR) monitors. The main consideration consists in the material selection, taking their thermal properties and their effect on the beam into account [fr
DEFF Research Database (Denmark)
Waldorff, Frans Boch; Rishøj, Susanne; Waldemar, Gunhild
2005-01-01
, and 4 (3%) were treated for depression or referred for another condition. A total of 6 patients were lost to follow-up. In the remaining 102 undiagnosed patients the main reasons for not performing a diagnostic evaluation of dementia were patient/relative hesitation (34%), the GP thought that it would......OBJECTIVE: To investigate the rate of diagnostic evaluation of dementia for patients in whom a suspicion of dementia was raised, and to investigate reasons why a diagnostic evaluation was not always being performed. DESIGN: A prospective study among elderly patients aged 65+, and a follow-up study...... of dementia, laboratory-screening tests prescribed by the GPs and referral status after 6 months, and follow-up questionnaire. RESULTS: Of 793 patients a total of 138 patients were identified with possible dementia. Among the identified patients 26 (20%) were referred for further evaluation within 6 months...
Status of the R&D activities to the design of an ITER core CXRS diagnostic system
Energy Technology Data Exchange (ETDEWEB)
Mertens, Philippe, E-mail: ph.mertens@fz-juelich.de [Institute of Energy and Climate Research IEK-4 (Plasma Physics), Forschungszentrum Jülich (FZJ), Trilateral Euregio Cluster, D-52425 Jülich (Germany); Castaño Bardawil, David A. [Institute of Energy and Climate Research IEK-4 (Plasma Physics), Forschungszentrum Jülich (FZJ), Trilateral Euregio Cluster, D-52425 Jülich (Germany); Baross, Tétény [Wigner Research Centre for Physics (Wigner RCP), HU-1121 Budapest (Hungary); Biel, Wolfgang; Friese, Sebastian [Institute of Energy and Climate Research IEK-4 (Plasma Physics), Forschungszentrum Jülich (FZJ), Trilateral Euregio Cluster, D-52425 Jülich (Germany); Hawkes, Nick [Culham Centre for Fusion Energy (CCFE), Culham OX14 3DB (United Kingdom); Jaspers, Roger J.E. [Eindhoven University of Technology (TU/e), PO Box 513, NL-5600 MB Eindhoven (Netherlands); Kotov, Vladislav; Krasikov, Yury; Krimmer, Andreas; Litnovsky, Andrey; Marchuk, Oleksander; Neubauer, Olaf [Institute of Energy and Climate Research IEK-4 (Plasma Physics), Forschungszentrum Jülich (FZJ), Trilateral Euregio Cluster, D-52425 Jülich (Germany); Offermanns, Guido [Zentralinstitut für Engineering, Elektronik und Analytik ZEA-1 (Engineering and Technology), FZJ, Trilateral Euregio Cluster, D-52425 Jülich (Germany); Panin, Anatoly [Institute of Energy and Climate Research IEK-4 (Plasma Physics), Forschungszentrum Jülich (FZJ), Trilateral Euregio Cluster, D-52425 Jülich (Germany); and others
2015-10-15
Highlights: • The CXRS diagnostic for the core plasma of ITER will provide observation of the dedicated diagnostic beam (DNB) over a wide radial range, roughly r/a = 0.7 to 0. • A high performance (étendue × transmission, dynamic range) is expected for the port plug system since the beam attenuation is large and the background light omnipresent. • The design is particularly challenging in view of the ITER environment, especially with respect to the first mirror which faces the plasma. • The current status of development is presented by detailing several sub-systems before a four years design phase under an FPA between F4E and the ITER core CXRS Consortium (IC3). - Abstract: The CXRS (Charge-eXchange Recombination Spectroscopy) diagnostic for the core plasma of ITER will be designed to provide observation of the dedicated diagnostic beam (DNB) over a wide radial range, roughly from a normalised radius r/a = 0.7 to close to the plasma axis. The collected light will be transported through the Upper Port Plug #3 (UPP3) to a bundle of fibres and ultimately to a set of remote spectrometers. The design is particularly challenging in view of the ITER environment of particle, heat and neutron fluxes, temperature cycles, electromagnetic loads, vibrations, expected material degradation and fatigue, constraints against tritium penetration, integration in the plug and limited opportunities for maintenance. Moreover, a high performance (étendue × transmission, dynamic range) is expected for the port plug system since the beam attenuation is large and the background light omnipresent, especially in terms of bremsstrahlung, line radiation and reflections. The present contribution will give an overview of the current status and activities which deal with the core CXRS system, summarising the investigations which have taken place before entering the actual development and design phase.
Design studies for ITER x-ray diagnostics
International Nuclear Information System (INIS)
Hill, K.W.; Bitter, M.; von Goeler, S.; Hsuan, H.
1995-01-01
Concepts for adapting conventional tokamak x-ray diagnostics to the harsh radiation environment of ITER include use of grazing-incidence (GI) x-ray mirrors or man-made Bragg multilayer (ML) elements to remove the x-ray beam from the neutron beam, or use of bundles of glass-capillary x-ray ''light pipes'' embedded in radiation shields to reduce the neutron/gamma-ray fluxes onto the detectors while maintaining usable x-ray throughput. The x-ray optical element with the broadest bandwidth and highest throughput, the GI mirror, can provide adequate lateral deflection (10 cm for a deflected-path length of 8 m) at x-ray energies up to 12, 22, or 30 keV for one, two, or three deflections, respectively. This element can be used with the broad band, high intensity x-ray imaging system (XIS), the pulseheight analysis (PHA) survey spectrometer, or the high resolution Johann x-ray crystal spectrometer (XCS), which is used for ion-temperature measurement. The ML mirrors can isolate the detector from the neutron beam with a single deflection for energies up to 50 keV, but have much narrower bandwidth and lower x-ray power throughput than do the GI mirrors; they are unsuitable for use with the XIS or PHA, but they could be used with the XCS; in particular, these deflectors could be used between ITER and the biological shield to avoid direct plasma neutron streaming through the biological shield. Graded-d ML mirrors have good reflectivity from 20 to 70 keV, but still at grazing angles (<3 mrad). The efficiency at 70 keV for double reflection (10 percent), as required for adequate separation of the x-ray and neutron beams, is high enough for PHA requirements, but not for the XIS. Further optimization may be possible
Diagnostic studies in amyloidosis
Hazenberg, Bouke Pier Cornelis
2007-01-01
In this thesis two diagnostic techniques are studied in amyloidosis. Systemic amyloidosis is characterized by deposition of amyloid fibrils (tiny fibres) throughout the body resulting in damage of vital organs. Amyloid can be detected in a tissue specimen stained with Congo red: red-stained amyloid
Chen, Po-Hao; Botzolakis, Emmanuel; Mohan, Suyash; Bryan, R. N.; Cook, Tessa
2016-03-01
In radiology, diagnostic errors occur either through the failure of detection or incorrect interpretation. Errors are estimated to occur in 30-35% of all exams and contribute to 40-54% of medical malpractice litigations. In this work, we focus on reducing incorrect interpretation of known imaging features. Existing literature categorizes cognitive bias leading a radiologist to an incorrect diagnosis despite having correctly recognized the abnormal imaging features: anchoring bias, framing effect, availability bias, and premature closure. Computational methods make a unique contribution, as they do not exhibit the same cognitive biases as a human. Bayesian networks formalize the diagnostic process. They modify pre-test diagnostic probabilities using clinical and imaging features, arriving at a post-test probability for each possible diagnosis. To translate Bayesian networks to clinical practice, we implemented an entirely web-based open-source software tool. In this tool, the radiologist first selects a network of choice (e.g. basal ganglia). Then, large, clearly labeled buttons displaying salient imaging features are displayed on the screen serving both as a checklist and for input. As the radiologist inputs the value of an extracted imaging feature, the conditional probabilities of each possible diagnosis are updated. The software presents its level of diagnostic discrimination using a Pareto distribution chart, updated with each additional imaging feature. Active collaboration with the clinical radiologist is a feasible approach to software design and leads to design decisions closely coupling the complex mathematics of conditional probability in Bayesian networks with practice.
Shinto, Katsuhiro; Kitajima, Sumio; Kiyama, Satoru; Nishiura, Masaki; Sasao, Mamiko; Sugawara, Hiroshi; Takenaga, Mahoko; Takeuchi, Shu; Wada, Motoi
2005-01-01
For alpha-particle diagnostics in a thermonuclear fusion reactor, neutralization using a fast (~2 MeV) neutral He beam produced by the spontaneous electron detachment of a He- is considered most promising. However, the beam transport of produced fast neutral He has not been studied, because of difficulty for producing high-brightness He- beam. Double-charge-exchange He- sources and simple beam transport systems were developed and their results were reported in the PAC99* and other papers.** To accelerate an intense He- beam and verify the production of the fast neutral He beam, a new test stand has been designed. It consists of a multi-cusp He+
The Design of Diagnostic Medical Facilities where Ionising Radiation is used
International Nuclear Information System (INIS)
Malone, J.; O'Reilly, G.; O'Connor, U.; Gallagher, A.; Sheahan, N.; Fennell, S.
2009-06-01
The original Code of Practice on The Design of Diagnostic Medical Facilities Using Ionising Radiation was first published by the Nuclear Energy Board in 1988. In the intervening years the 'Blue Book' as it became known has served the medical community well as the sector has expanded and modernised and the late Dr Noel Nowlan, then Chief Executive of the Nuclear Energy Board, deserves much credit for initiating this pioneering contribution to radiation safety in Ireland. There have been significant developments since its publication in terms of the underlying radiation protection legislation, regulatory practice as well as developments in new technologies that have given rise to the need for a revision of the Code. This revised Code is based on a comprehensive draft document produced by the Haughton Institute under contract to the RPII and was finalised following extensive consultations with the relevant stakeholders. The revised Code includes a brief review of the current legislative framework and its specific impact on the management of building projects (Chapters 1 and 2), a presentation of the main types of radiological (Chapter 3) and nuclear medicine (Chapter 4) facilities, a treatment of the technical aspects of shielding calculations (Chapter 5) and a discussion of the practical aspects of implementing shielding solutions in a building context (Chapter 6). The primary purpose of the Code is to assist in the design of diagnostic facilities to the highest radiation protection standards in order to ensure the safety of workers and members of the public and the delivery of a safe service to patients. Diagnostic radiology is a dynamic environment and the Code is intended to be used in consultation with the current literature, an experienced Radiation Protection Advisor and a multidisciplinary project team
Molecular Diagnostics for the Study of Hypersonic Flows
2000-04-01
UNCLASSIFIED Defense Technical Information Center Compilation Part Notice ADPO10744 TITLE: Molecular Diagnostics for the Study of Hypersonic Flows...following component part numbers comprise the compilation report: ADP010736 thru ADPO10751 UNCLASSIFIED 5-1 Molecular Diagnostics for the Study of
International Nuclear Information System (INIS)
McCarthy, K. J.; Lopez Fraguas, A.; Balbin, R.
2004-01-01
A diagnostic neutral beam injection system is being developed for the TJ-II stellarator. The principal goal is to increase the signal-to-noise ratio and to provide spatial resolution along the plasma minor radius in Charge Exchange Recombination Spectroscopy and Neutral Particle Analysis diagnostics, while also opening up new opportunities for physics studies. After summarizing the compact diagnostic neutral beam injector system selected as well as the TJ-II vacuum vessel and coil geometry, we address the sensitivity of TJ-II magnetic configurations to the ferromagnetic materials that shield the ion source and neutralizer tubing of the neutral beam injection system using a popular approach in which the field is approximated via magnetic dipole moments, finally, the scientific and design trade-offs made to minimize the impact are discussed. (Author) 24 refs
Radiation shielding for TFTR DT diagnostics
International Nuclear Information System (INIS)
Ku, L.P.; Johnson, D.W.; Liew, S.L.
1994-01-01
The authors illustrate the designs of radiation shielding for the TFTR DT diagnostics using the ACX and TVTS systems as specific examples. The main emphasis here is on the radiation transport analyses carried out in support of the designs. Initial results from the DT operation indicate that the diagnostics have been functioning as anticipated and the shielding designs are satisfactory. The experience accumulated in the shielding design for the TFTR DT diagnostics should be useful and applicable to future devices, such as TPX and ITER, where many similar diagnostic systems are expected to be used
International Nuclear Information System (INIS)
Debono, Josephine C; Poulos, Ann E
2015-01-01
The aim of this study was to first evaluate the quality of studies investigating the diagnostic accuracy of radiographers as mammogram screen-readers and then to develop an adapted tool for determining the quality of screen-reading studies. A literature search was used to identify relevant studies and a quality evaluation tool constructed by combining the criteria for quality of Whiting, Rutjes, Dinnes et al. and Brealey and Westwood. This constructed tool was then applied to the studies and subsequently adapted specifically for use in evaluating quality in studies investigating diagnostic accuracy of screen-readers. Eleven studies were identified and the constructed tool applied to evaluate quality. This evaluation resulted in the identification of quality issues with the studies such as potential for bias, applicability of results, study conduct, reporting of the study and observer characteristics. An assessment of the applicability and relevance of the tool for this area of research resulted in adaptations to the criteria and the development of a tool specifically for evaluating diagnostic accuracy in screen-reading. This tool, with further refinement and rigorous validation can make a significant contribution to promoting well-designed studies in this important area of research and practice
Kasper, Axel; Van Hille, Herbert; Kuk, Sola
2018-02-01
Modern instruments for molecular diagnostics are continuously optimized for diagnostic accuracy, versatility and throughput. The latest progress in LED technology together with tailored optics solutions allows developing highly efficient photonics engines perfectly adapted to the sample under test. Super-bright chip-on-board LED light sources are a key component for such instruments providing maximum luminous intensities in a multitude of narrow spectral bands. In particular the combination of white LEDs with other narrow band LEDs allows achieving optimum efficiency outperforming traditional Xenon light sources in terms of energy consumption, heat dissipation in the system, and switching time between spectral channels. Maximum sensitivity of the diagnostic system can only be achieved with an optimized optics system for the illumination and imaging of the sample. The illumination beam path must be designed for optimum homogeneity across the field while precisely limiting the angular distribution of the excitation light. This is a necessity for avoiding spill-over to the detection beam path and guaranteeing the efficiency of the spectral filtering. The imaging optics must combine high spatial resolution, high light collection efficiency and optimized suppression of excitation light for good signal-to-noise ratio. In order to achieve minimum cross-talk between individual wells in the sample, the optics design must also consider the generation of stray light and the formation of ghost images. We discuss what parameters and limitations have to be considered in an integrated system design approach covering the full path from the light source to the detector.
Diagnostic planning in JT-60 project
International Nuclear Information System (INIS)
Matoba, Tohru; Suzuki, Yasuo; Funahashi, Akimasa; Itagaki, Tokiyoshi
1977-08-01
The diagnostic plans of JT-60 were made along with design of the main machine. Basic requirements of the diagnostic program are (1) multiple measurement of respective plasma parameters, (2) efficient usage of the discharge, (3) capable data acquisition system, (4) high reliability of the diagnostic equipments, and (5) systematic development of new diagnostic techniques. Dimensions of the diagnostic ports were determined in detailed design of the vacuum vessel, anticipating the possible diagnostic methods. The proposed diagnostic systems and the plans are shown in table and figures respectively. Problems in the diagnostics are also described. (auth.)
Engineering design of the ITER Collective Thomson Scattering diagnostic. Contract EFDA 06-1478
DEFF Research Database (Denmark)
Michelsen, Poul; Furtula, Vedran; Korsholm, Søren Bang
This report describes the work done under EFDA contract 06-1478 (EFDA Ref.: TW6-TPDS-DIASUP10). The main part of the work has been focused on: 1) An outline plan for the full development of the CTS diagnostic for ITER, including specifications for future design tasks on the system and R&D tasks...
Plasma diagnostics on large tokamaks
International Nuclear Information System (INIS)
Orlinskij, D.V.; Magyar, G.
1988-01-01
The main tasks of the large tokamaks which are under construction (T-15 and Tore Supra) and of those which have already been built (TFTR, JET, JT-60 and DIII-D) together with their design features which are relevant to plasma diagnostics are briefly discussed. The structural features and principal characteristics of the diagnostic systems being developed or already being used on these devices are also examined. The different diagnostic methods are described according to the physical quantities to be measured: electric and magnetic diagnostics, measurements of electron density, electron temperature, the ion components of the plasma, radiation loss measurements, spectroscopy of impurities, edge diagnostics and study of plasma stability. The main parameters of the various diagnostic systems used on the six large tokamaks are summarized in tables. (author). 351 refs, 44 figs, 22 tabs
Design of a diagnostic residual gas analyzer for the ITER divertor
Energy Technology Data Exchange (ETDEWEB)
Klepper, C.C., E-mail: kleppercc@ornl.gov [Oak Ridge National Laboratory, Oak Ridge, TN 37831-6169 (United States); Biewer, T.M.; Graves, V.B. [Oak Ridge National Laboratory, Oak Ridge, TN 37831-6169 (United States); Andrew, P. [ITER Organisation, Route de Vinon-sur-Verdon, 13067 St. Paul-lez-Durance (France); Lukens, P.C. [US ITER Project Office, 1055 Commerce Park Dr #1, Oak Ridge, TN 37830 (United States); Marcus, C. [Oak Ridge National Laboratory, Oak Ridge, TN 37831-6169 (United States); Shimada, M., E-mail: shimada.michiya@jaea.go.jp [ITER Organisation, Route de Vinon-sur-Verdon, 13067 St. Paul-lez-Durance (France); Hughes, S.; Boussier, B. [ITER Organisation, Route de Vinon-sur-Verdon, 13067 St. Paul-lez-Durance (France); Johnson, D.W. [US ITER Diagnostics Office, Princeton Plasma Physics Laboratory, Princeton, NJ 08540 (United States); Gardner, W.L. [US ITER Project Office, 1055 Commerce Park Dr #1, Oak Ridge, TN 37830 (United States); Hillis, D.L. [Oak Ridge National Laboratory, Oak Ridge, TN 37831-6169 (United States); Vayakis, G.; Walsh, M. [ITER Organisation, Route de Vinon-sur-Verdon, 13067 St. Paul-lez-Durance (France)
2015-10-15
Highlights: • The divertor DRGA for ITER will measure neutral gas composition in the pumping ducts during plasma. • System must respond in timescales relevant to compositional changes in the divertor plasma. • It is shown that times can vary from 1 to 6 s for fuel (H2, D2, T2) up to 50 s for He (fusion reaction ash). • It is shown that present design delivers ∼ 1 s response even via an 8m long sampling pipe sampling. • Response time validated with VacTran{sup ®} over anticipated the 0.1–10 Pa pressure range in the ducts. - Abstract: One of the ITER diagnostics having reached an advanced design stage is a diagnostic RGA for the divertor, i.e. residual gas analysis system for the ITER divertor, which is intended to sample the divertor pumping duct region during the plasma pulse and to have a response time compatible with plasma particle and impurity lifetimes in the divertor region. Main emphasis is placed on helium (He) concentration in the ducts, as well as the relative concentration between the hydrogen isotopes (mainly in the form of diatomic molecules of H, D, and T). Measurement of the concentration of radiative gases, such as neon (Ne) and nitrogen (N{sub 2}), is also intended. Numerical modeling of the gas flow from the sampled region to the cluster of analysis sensors, through a long (∼8 m long, ∼110 mm diameter) sampling pipe originating from a pressure reducing orifice, confirm that the desired response time (∼1 s for He or D{sub 2}) is achieved with the present design.
Technology Issues of Burning Plasma Diagnostics
International Nuclear Information System (INIS)
Kaye, A. S.
2008-01-01
The ITER Tokamak will require many diagnostics both for safe and reliable operation of the machine and for understanding of the physics underlying the performance. The design of these diagnostics raises many challenging technical issues not faced on smaller machines. These arise partly from the increase demands on established diagnostics arising from the increased size, higher magnetic field, large heating power, and in particular the dramatically longer pulse duration of ITER, which make issue such as power loading on first wall components more challenging. The demands on reliability and availability of the machine in order to achieve the objectives within the agreed time schedule also place severe additional demands on the design, quality assurance and maintainability of diagnostics. ITER will produce many orders of magnitude more neutrons than previous Tokamaks and will be a licensed nuclear facility. This has important implications for the traceability, quality assurance and availability of safety critical diagnostics, and for the control of the design and procurement of all diagnostics. The high neutron flux/fluence also constrains the design of diagnostics, which must offer shielding consistent with the allowable dose rates on critical components of the Tokamak, and themselves be tolerant of the radiation level at the diagnostic. This paper presents an overview of the more critical issues for ITER diagnostics
Xpert Design and Diagnostic's (XDD)potassium permanganate in situ chemical oxidation (ISCO) process was evaluated under the EPA Superfund Innovative Technology Evaluation (SITE) Program at the former MEC Building site located in Hudson, New Hampshire. At this site, both soil and ...
Design of point-of-care (POC) microfluidic medical diagnostic devices
Leary, James F.
2018-02-01
Design of inexpensive and portable hand-held microfluidic flow/image cytometry devices for initial medical diagnostics at the point of initial patient contact by emergency medical personnel in the field requires careful design in terms of power/weight requirements to allow for realistic portability as a hand-held, point-of-care medical diagnostics device. True portability also requires small micro-pumps for high-throughput capability. Weight/power requirements dictate use of super-bright LEDs and very small silicon photodiodes or nanophotonic sensors that can be powered by batteries. Signal-to-noise characteristics can be greatly improved by appropriately pulsing the LED excitation sources and sampling and subtracting noise in between excitation pulses. The requirements for basic computing, imaging, GPS and basic telecommunications can be simultaneously met by use of smartphone technologies, which become part of the overall device. Software for a user-interface system, limited real-time computing, real-time imaging, and offline data analysis can be accomplished through multi-platform software development systems that are well-suited to a variety of currently available cellphone technologies which already contain all of these capabilities. Microfluidic cytometry requires judicious use of small sample volumes and appropriate statistical sampling by microfluidic cytometry or imaging for adequate statistical significance to permit real-time (typically medical decisions for patients at the physician's office or real-time decision making in the field. One or two drops of blood obtained by pin-prick should be able to provide statistically meaningful results for use in making real-time medical decisions without the need for blood fractionation, which is not realistic in the field.
Directory of Open Access Journals (Sweden)
Roeyers Herbert
2011-04-01
Full Text Available Abstract Background The International Multi-centre ADHD Genetics (IMAGE project with 11 participating centres from 7 European countries and Israel has collected a large behavioural and genetic database for present and future research. Behavioural data were collected from 1068 probands with ADHD and 1446 unselected siblings. The aim was to describe and analyse questionnaire data and IQ measures from all probands and siblings. In particular, to investigate the influence of age, gender, family status (proband vs. sibling, informant, and centres on sample homogeneity in psychopathological measures. Methods Conners' Questionnaires, Strengths and Difficulties Questionnaires, and Wechsler Intelligence Scores were used to describe the phenotype of the sample. Data were analysed by use of robust statistical multi-way procedures. Results Besides main effects of age, gender, informant, and centre, there were considerable interaction effects on questionnaire data. The larger differences between probands and siblings at home than at school may reflect contrast effects in the parents. Furthermore, there were marked gender by status effects on the ADHD symptom ratings with girls scoring one standard deviation higher than boys in the proband sample but lower than boys in the siblings sample. The multi-centre design is another important source of heterogeneity, particularly in the interaction with the family status. To a large extent the centres differed from each other with regard to differences between proband and sibling scores. Conclusions When ADHD probands are diagnosed by use of fixed symptom counts, the severity of the disorder in the proband sample may markedly differ between boys and girls and across age, particularly in samples with a large age range. A multi-centre design carries the risk of considerable phenotypic differences between centres and, consequently, of additional heterogeneity of the sample even if standardized diagnostic procedures are
LENUS (Irish Health Repository)
Muller, Ueli C
2011-04-07
Abstract Background The International Multi-centre ADHD Genetics (IMAGE) project with 11 participating centres from 7 European countries and Israel has collected a large behavioural and genetic database for present and future research. Behavioural data were collected from 1068 probands with ADHD and 1446 unselected siblings. The aim was to describe and analyse questionnaire data and IQ measures from all probands and siblings. In particular, to investigate the influence of age, gender, family status (proband vs. sibling), informant, and centres on sample homogeneity in psychopathological measures. Methods Conners\\' Questionnaires, Strengths and Difficulties Questionnaires, and Wechsler Intelligence Scores were used to describe the phenotype of the sample. Data were analysed by use of robust statistical multi-way procedures. Results Besides main effects of age, gender, informant, and centre, there were considerable interaction effects on questionnaire data. The larger differences between probands and siblings at home than at school may reflect contrast effects in the parents. Furthermore, there were marked gender by status effects on the ADHD symptom ratings with girls scoring one standard deviation higher than boys in the proband sample but lower than boys in the siblings sample. The multi-centre design is another important source of heterogeneity, particularly in the interaction with the family status. To a large extent the centres differed from each other with regard to differences between proband and sibling scores. Conclusions When ADHD probands are diagnosed by use of fixed symptom counts, the severity of the disorder in the proband sample may markedly differ between boys and girls and across age, particularly in samples with a large age range. A multi-centre design carries the risk of considerable phenotypic differences between centres and, consequently, of additional heterogeneity of the sample even if standardized diagnostic procedures are used. These
Basic design of the beam diagnostic device and proposal of a new electrostatic optical element
Energy Technology Data Exchange (ETDEWEB)
Hanashima, Susumu [Japan Atomic Energy Research Inst., Tokyo (Japan)
2001-02-01
The basic design completed of a beam diagnostic device, which indicates, among others, the phase space regions acceptable by the beams, and density distributions in the phase space as well. The measurement is made using two deflectors and two apertures. (M. Tanaka)
Some aspects of diagnostic systems perspective
International Nuclear Information System (INIS)
Korosec, D.
1998-01-01
The integrity and safety of all nuclear power plant systems and components is guaranteed by the high requirements to quality assurance during all phases of design, fabrication, construction and operation. Many of the countries operating nuclear facilities, introduced advanced, sophisticated diagnostic systems for continuous monitoring safety important process parameters. The licensee should perform an assessment of the existing diagnostic systems, often supplied by the original design, their reliability and the need for the introduction of the additional monitoring/diagnostic systems. The operating experience should be taken into account and the assessment of the further needs. On this field has to be made on the results of PSA studies. In addition to the cost benefit analysis the evaluation of the new diagnostic systems in the light of nuclear safety should be also made. Experience, gained from the utilities, which have already installed this kind of the equipment should be very useful. Introducing new diagnostic systems will require often a safety assessment of the necessary modifications. Licensing process should be based on the existing nuclear legislation with certain additional requirements. (author)
Energy Technology Data Exchange (ETDEWEB)
Lee, Tong Nyong; Kim, Dong Eon; Kim, Dae Sung; Kim, Seong Ho [Pohang University of Science and Technology, Pohang (Korea, Republic of)
1996-09-01
This project has been carried to train people and accumulate the knowledge and techniques related to the measurement of the profiles of ion temperature, toroidal rotation velocity, and fully-stripped ion density in a fusion tokamak plasma by the development of plasma diagnostics using charge exchange recombination (CER) spectroscopy. Daring the 1 st year, the basic study and review on the charge exchange process and the conceptual design and review of the diagnostics have been conducted. In addition, the various atomic data centers around the world have been surveyed and atomic data related to CER have been constructed. The results of this project can be used to the construction and tokamak machine installation of a CER plasma diagnostic to a new superconducting supported by National Fusion Program. 42 refs., 3 tabs., 16 figs. (author)
Directory of Open Access Journals (Sweden)
Chang Yung-Fu
2008-09-01
Full Text Available Abstract Background Microarrays are becoming a very popular tool for microbial detection and diagnostics. Although these diagnostic arrays are much simpler when compared to the traditional transcriptome arrays, due to the high throughput nature of the arrays, the data analysis requirements still form a bottle neck for the widespread use of these diagnostic arrays. Hence we developed a new online data sharing and analysis environment customised for diagnostic arrays. Methods Microbial Diagnostic Array Workstation (MDAW is a database driven application designed in MS Access and front end designed in ASP.NET. Conclusion MDAW is a new resource that is customised for the data analysis requirements for microbial diagnostic arrays.
Design and Development of a Diagnostics Client for a Beam Loss Measurement System at CERN
Angelogiannopoulos, Emmanouil; Jackson, Stephen
The European Organization for Nuclear Research, known as CERN, is one of the biggest research centers in the field of particle physics. Its main function is to provide particle accelerators and other infrastructure needed for high energy physics research. Particles are accelerated through a complex of accelerators and are brought into collision, in order to study the fundamental elements of matter and the forces acting between them. Of course, such complex and expensive machines need control and protection. For that purpose, a variety of different systems -hardware and/or software- is needed. One such system is the Beam Loss Monitoring (BLM) system of an accelerator. This kind of system is designed for measuring beam losses around an accelerator. An appropriate design of the BLM system and an appropriate location of the monitors enable a wide field of very useful beam diagnostics and machine protection possibilities. This thesis focuses on the design and development of a client application, which is realized ...
Engineering design of the ITER Collective Thomson Scattering diagnostic. Contract EFDA 06-1478
International Nuclear Information System (INIS)
Michelsen, P.K.; Furtula, V.; Korsholm, S.B.; Leipold, F.; Meo, F.; Salewski, M.; Bindslev, H.; Lauritzen, B.; Lucas, M.; Nonboel, E.
2009-12-01
This report describes the work done under EFDA contract 06-1478 (EFDA Ref.: TW6-TPDS-DIASUP10). The main part of the work has been focused on: 1) An outline plan for the full development of the CTS diagnostic for ITER, including specifications for future design tasks on the system and R and D tasks on critical components. 2) An engineering design and test in a blanket mock-up of the frontend quasi-optical High Field Side (HFS) antenna system,. 3) Some considerations on the waveguide mounting. 4) Neutronics and thermo-elastic calculations on nuclear and radiative heating of the first mirror required to provide input to the engineering design. 5) An engineering design of the front-end quasi-optical components for the Low Field Side (LFS) system in the port plug. 6) A discussion on possible calibration methods. (author)
Tokamak physics experiment: Diagnostic windows study
International Nuclear Information System (INIS)
Merrigan, M.; Wurden, G.A.
1995-11-01
We detail the study of diagnostic windows and window thermal stress remediation in the long-pulse, high-power Tokamak Physics Experiment (TPX) operation. The operating environment of the TPX diagnostic windows is reviewed, thermal loads on the windows estimated, and cooling requirements for the windows considered. Applicable window-cooling technology from other fields is reviewed and its application to the TPX windows considered. Methods for TPX window thermal conditioning are recommended, with some discussion of potential implementation problems provided. Recommendations for further research and development work to ensure performance of windows in the TPX system are presented
X-ray crystal spectroscopy of JET - a design study
International Nuclear Information System (INIS)
Bateman, J.E.; Hobby, M.G.; Peacock, N.J.
1980-02-01
This study describes the design and specification of a diagnostic system to measure the space- and time-resolved x-ray spectrum from JET discharges with high-resolution crystal spectrometers operating in the wavelength region 1 - 15A. The specification is given in terms of sensitivity, resolving power, detector, and data handling requirements, special attention being given to the problems encountered in interfacing the spectrometer arrays to the torus vacuum system and in their disposition to the machine. Shielding requirements during the active mode are evaluated and a staged diagnostic is proposed to accommodate D - T operation. (U.K.)
Design of a Thomson scattering diagnostic system for VEST
Energy Technology Data Exchange (ETDEWEB)
Kim, Young-Gi [Department of Nuclear Engineering, Seoul National University, Seoul 151-744 (Korea, Republic of); Lee, Jong Ha [National Fusion Research Institute, Gwahangno 113, Daejeon 305-333 (Korea, Republic of); Lee, Jeongwon; An, YoungHwa; Dang, Jeong Jeung; Jo, Jungmin; Lee, HyunYeong; Chung, Kyoung-Jae; Hwang, Y.S. [Department of Nuclear Engineering, Seoul National University, Seoul 151-744 (Korea, Republic of); Na, Yong-Su, E-mail: ysna@snu.ac.kr [Department of Nuclear Engineering, Seoul National University, Seoul 151-744 (Korea, Republic of)
2015-10-15
Highlights: • A Thomson scattering system for Versatile Experiment Spherical Torus is designed. • The system is designed with care for the plasma with a low target electron density. • APD of low dark current and enhanced sensitivity for near infrared has been chosen. • A collecting optics system will provide a sufficient number of photoelectrons. • A designed polychromator is able to measure the electron temperature of 10–1000 eV. - Abstract: A Thomson scattering diagnostic system is designed for Versatile Experiment Spherical Torus (VEST) to measure the spatial profiles of the electron temperature. The system is carefully designed to collect a sufficient number of photoelectrons and to reduce the noise sources, since relatively low electron densities and temperatures are expected in VEST due to the limited power capacity at present. The target electron temperature and the density are 10–200 eV and 5 × 10{sup 18} m{sup −3}, respectively which are extrapolated from the data of triple Langmuir probes measuring the edge plasma parameters at R = 0.75 m by assuming a parabolic density profile. The collecting optics is designed to have a wide-view angle and low cost by using a commercial photographic lens of low f-number and high transmittance optical fiber bundle. The bandwidths of the interference filters in the polychromator are designed for reliable measurements within the target electron temperature range. As a photo detector which is coupled with the filters, an avalanche photodiode (APD) with a low dark current and an adequate quantum efficiency near the laser wavelength is selected for the high signal-to-noise ratio. The number of photons transferred to the polychromator and the number of photoelectrons in the APD are calculated. At the commissioning phase, an oscilloscope with a high sampling rate will be adopted to check the necessity of the noise reduction by multi-shot signal accumulation.
The design of diagnostic imaging and nuclear medicine facilities in a major new teaching hospital
International Nuclear Information System (INIS)
Causer, D.A.
2010-01-01
Full text: The design of the layout and radiation shielding for diagnostic imaging and nuclear medicine facilities in a modern teaching hospital requires the collaboration of persons from a number of professions including architects, engineers, radiologists, nuclear medicine physi cians, medical imaging technologists and medical physicists. This paper discusses the design of such facilities, including PET/CT and T-131 ablation therapy suites for a major new tertiary hospital in Perth. The importance of involving physicists on the planning team from the earliest stages of the design process is stressed, design plans presented, and some of the problems which may present themselves and their solutions are illustrated.
Design of KB complex type microscope for ICF x-ray diagnostics
Xie, Qing; Mu, Baozhong; Li, Yaran; Huang, Qiushi; Wang, Zhanshan; Cao, Zhurong; Dong, Jianjun; Liu, Shenye; Ding, Yongkun
2016-09-01
In the field of target diagnostics for Initial Confinement Fusion experiment, high resolution X-ray imaging system is seriously necessary to record the evolution details of target ablation-front disturbance at different energy points of backlight conditions. Kirkpatrick-Baez mirror is a wide used imaging system to achieve a large efficient field of view with high spatial resolution and energy transmitting capability. In this paper, we designed a novel type of reflective microscope based on Kirkpatrick-Baez structure, and this system can achieve 5μm spatial resolution at 600μm field of view specific energy point in one dimension.
Design of a New Optical System for Alcator C-Mod Motional Stark Effect Diagnostic
International Nuclear Information System (INIS)
Ko, Jinseok; Scott, Steve; Bitter, Manfred; Lerner, Scott
2009-01-01
The motional Stark effect (MSE) diagnostic on Alcator C-Mod uses an in-vessel optical system (five lenses and three mirrors) to relay polarized light to an external polarimeter because port access limitations on Alcator C-Mod preclude a direct view of the diagnostic beam. The system experiences unacceptable, spurious drifts of order several degrees in measured pitch angle over the course of a run day. Recent experiments illuminated the MSE diagnostic with polarized light of fixed orientation as heat was applied to various optical elements. A large change in measured angle was observed as two particular lenses were heated, indicating that thermal-stress-induced birefringence is a likely cause of the spurious variability. Several new optical designs have been evaluated to eliminate the affected in-vessel lenses and to replace the focusing they provide with curved mirrors; however, ray tracing calculations imply that this method is not feasible. A new approach is under consideration that utilizes in situ calibrations with in-vessel reference polarized light sources. 2008 American Institute of Physics.
Potential Child Abuse Screening in Emergency Department; a Diagnostic Accuracy Study
Directory of Open Access Journals (Sweden)
Hossein Dinpanah
2017-01-01
Full Text Available Introduction: Designing a tool that can differentiate those at risk of child abuse with great diagnostic accuracyis of great interest. The present study was designed to evaluate the diagnostic accuracy of Escape instrumentin triage of at risk cases of child abuse presenting to emergency department (ED. Methods: The present diagnosticaccuracy study performed on 6120 of the children under 16 years old presented to ED during 3 years,using convenience sampling. Confirmation by the child abuse team (pediatrician, a socialworker, and a forensicphysician was considered as the gold standard. Screening performance characteristics of Escape were calculatedusing STATA 21. Results: 6120 children with the mean age of 2.19 § 1.12 years were screened (52.7% girls.137 children were suspected victims of child abuse. Based on child abuse team opinion, 35 (0.5% children wereconfirmed victims of child abuse. Sensitivity, specificity, positive and negative likelihood ratio and positive andnegative predictive values of this test with 95% CI were 100 (87.6 – 100, 98.3 (97.9 – 98.6, 25.5 (18.6 – 33.8, 100(99.9 – 100, 0.34 (0.25 – 0.46, and 0 (0 – NAN, respectively. Area under the ROC curve was 99.2 (98.9 – 99.4.Conclusion: It seems that Escape is a suitable screening instrument for detection of at risk cases of child abusepresenting to ED. Based on the results of the present study, the accuracy of this screening tool is 99.2%, which isin the excellent range.
Virtual Diagnostic Sensors Design for an Automated Guided Vehicle
Directory of Open Access Journals (Sweden)
Ralf Stetter
2018-05-01
Full Text Available In recent years, Automated Guided Vehicles (AGVs have been playing an increasingly important role in producing industry and infrastructure and will soon arrive to other areas of human life such as the transportation of goods and people. However, several challenges still aggravate the operation of AGVs, which limit the amount of implementation. One major challenge is the realization of reliable sensors that can capture the different aspects of the state of an AGV as well as its surroundings. One promising approach towards more reliable sensors is the supplementary application of virtual sensors, which are able to generate virtual measurements by using other sources of information such as actuator states and already existing sensors together with appropriate mathematical models. The focus of the research described in this paper is the design of virtual sensors determining forces and torques acting on an AGV. The proposed novel approach is using a quadratic boundedness approach, which makes it possible to include bounded disturbances acting on the AGV. One major advantage of the presented approach is that the use of complex tire models can be avoided. Information from acceleration and yaw rate sensors is processed in order to realize reliable virtual force and torque sensors. The resulting force and torque information can be used for several diagnostic purposes such as fault detection or fault prevention. The presented approach is explained and verified on the basis of an innovative design of an AGV. This innovative design addresses another major challenge for AGVs, which is the limited maneuvering possibilities of many AGV designs. The innovative design allows nearly unlimited maneuvering possibilities but requires reliable sensor data. The application of the approach in the AGV resulted in the insight that the generated estimates are consistent with the longitudinal forces and torques obtained by a proven reference model.
Directory of Open Access Journals (Sweden)
Samuel G Schumacher
Full Text Available Several reviews on the accuracy of Tuberculosis (TB Nucleic Acid Amplification Tests (NAATs have been performed but the evidence on their impact on patient-important outcomes has not been systematically reviewed. Given the recent increase in research evaluating such outcomes and the growing list of TB NAATs that will reach the market over the coming years, there is a need to bring together the existing evidence on impact, rather than accuracy. We aimed to assess the approaches that have been employed to measure the impact of TB NAATs on patient-important outcomes in adults with possible pulmonary TB and/or drug-resistant TB.We first develop a conceptual framework to clarify through which mechanisms the improved technical performance of a novel TB test may lead to improved patient outcomes and outline which designs may be used to measure them. We then systematically review the literature on studies attempting to assess the impact of molecular TB diagnostics on such outcomes and provide a narrative synthesis of designs used, outcomes assessed and risk of bias across different study designs.We found 25 eligible studies that assessed a wide range of outcomes and utilized a variety of experimental and observational study designs. Many potentially strong design options have never been used. We found that much of the available evidence on patient-important outcomes comes from a small number of settings with particular epidemiological and operational context and that confounding, time trends and incomplete outcome data receive insufficient attention.A broader range of designs should be considered when designing studies to assess the impact of TB diagnostics on patient outcomes and more attention needs to be paid to the analysis as concerns about confounding and selection bias become relevant in addition to those on measurement that are of greatest concern in accuracy studies.
Efficient strategies to find diagnostic test accuracy studies in kidney journals.
Rogerson, Thomas E; Ladhani, Maleeka; Mitchell, Ruth; Craig, Jonathan C; Webster, Angela C
2015-08-01
Nephrologists looking for quick answers to diagnostic clinical questions in MEDLINE can use a range of published search strategies or Clinical Query limits to improve the precision of their searches. We aimed to evaluate existing search strategies for finding diagnostic test accuracy studies in nephrology journals. We assessed the accuracy of 14 search strategies for retrieving diagnostic test accuracy studies from three nephrology journals indexed in MEDLINE. Two investigators hand searched the same journals to create a reference set of diagnostic test accuracy studies to compare search strategy results against. We identified 103 diagnostic test accuracy studies, accounting for 2.1% of all studies published. The most specific search strategy was the Narrow Clinical Queries limit (sensitivity: 0.20, 95% CI 0.13-0.29; specificity: 0.99, 95% CI 0.99-0.99). Using the Narrow Clinical Queries limit, a searcher would need to screen three (95% CI 2-6) articles to find one diagnostic study. The most sensitive search strategy was van der Weijden 1999 Extended (sensitivity: 0.95; 95% CI 0.89-0.98; specificity 0.55, 95% CI 0.53-0.56) but required a searcher to screen 24 (95% CI 23-26) articles to find one diagnostic study. Bachmann 2002 was the best balanced search strategy, which was sensitive (0.88, 95% CI 0.81-0.94), but also specific (0.74, 95% CI 0.73-0.75), with a number needed to screen of 15 (95% CI 14-17). Diagnostic studies are infrequently published in nephrology journals. The addition of a strategy for diagnostic studies to a subject search strategy in MEDLINE may reduce the records needed to screen while preserving adequate search sensitivity for routine clinical use. © 2015 Asian Pacific Society of Nephrology.
Woo, Young Sup; Shim, In Hee; Wang, Hee-Ryung; Song, Hoo Rim; Jun, Tae-Youn; Bahk, Won-Myong
2015-03-15
The major aims of this study were to identify factors that may predict the diagnostic conversion from major depressive disorder (MDD) to bipolar disorder (BP) and to evaluate the predictive performance of the bipolar spectrum disorder (BPSD) diagnostic criteria. The medical records of 250 patients with a diagnosis of MDD for at least 5 years were retrospectively reviewed for this study. The diagnostic conversion from MDD to BP was observed in 18.4% of 250 MDD patients, and the diagnostic criteria for BPSD predicted this conversion with high sensitivity (0.870) and specificity (0.917). A family history of BP, antidepressant-induced mania/hypomania, brief major depressive episodes, early age of onset, antidepressant wear-off, and antidepressant resistance were also independent predictors of this conversion. This study was conducted using a retrospective design and did not include structured diagnostic interviews. The diagnostic criteria for BPSD were highly predictive of the conversion from MDD to BP, and conversion was associated with several clinical features of BPSD. Thus, the BPSD diagnostic criteria may be useful for the prediction of bipolar diathesis in MDD patients. Copyright © 2014 Elsevier B.V. All rights reserved.
Energy Technology Data Exchange (ETDEWEB)
Ha, Jun Su; Seong, Poong Hyun [Korea Advanced Institute of Science and Technology, Taejon (Korea, Republic of)
2005-07-01
In literature, there are a lot of studies based on EEG signals during cognitive activities of human-beings but most of them dealt with simple cognitive activities such as transforming letters into Morse code, subtraction, reading, semantic memory search, visual search, memorizing a set of words and so on. In this work, EEG signals were analyzed during complex diagnostic tasks in NPP simulator-based environment. Investigated are the theta, alpha, beta, and gamma band EEG powers during the diagnostic tasks. The experimental design and procedure are represented in section 2 and the results are shown in section 3. Finally some considerations are discussed and the direction for the further work is proposed in section 4.
International Nuclear Information System (INIS)
Ha, Jun Su; Seong, Poong Hyun
2005-01-01
In literature, there are a lot of studies based on EEG signals during cognitive activities of human-beings but most of them dealt with simple cognitive activities such as transforming letters into Morse code, subtraction, reading, semantic memory search, visual search, memorizing a set of words and so on. In this work, EEG signals were analyzed during complex diagnostic tasks in NPP simulator-based environment. Investigated are the theta, alpha, beta, and gamma band EEG powers during the diagnostic tasks. The experimental design and procedure are represented in section 2 and the results are shown in section 3. Finally some considerations are discussed and the direction for the further work is proposed in section 4
The design of the optical Thomson scattering diagnostic for the National Ignition Facility.
Datte, P S; Ross, J S; Froula, D H; Daub, K D; Galbraith, J; Glenzer, S; Hatch, B; Katz, J; Kilkenny, J; Landen, O; Manha, D; Manuel, A M; Molander, W; Montgomery, D; Moody, J; Swadling, G F; Weaver, J
2016-11-01
The National Ignition Facility (NIF) is a 192 laser beam facility designed to support the Stockpile Stewardship, High Energy Density and Inertial Confinement Fusion (ICF) programs. We report on the design of an Optical Thomson Scattering (OTS) diagnostic that has the potential to transform the community's understanding of NIF hohlraum physics by providing first principle, local, time-resolved measurements of under-dense plasma conditions. The system design allows operation with different probe laser wavelengths by manual selection of the appropriate beam splitter and gratings before the shot. A deep-UV probe beam (λ 0 -210 nm) will be used to optimize the scattered signal for plasma densities of 5 × 10 20 electrons/cm 3 while a 3ω probe will be used for experiments investigating lower density plasmas of 1 × 10 19 electrons/cm 3 . We report the phase I design of a two phase design strategy. Phase I includes the OTS telescope, spectrometer, and streak camera; these will be used to assess the background levels at NIF. Phase II will include the design and installation of a probe laser.
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.)
Assessing variability in results in systematic reviews of diagnostic studies
Naaktgeboren, Christiana A; Ochodo, Eleanor A; Van Enst, Wynanda A; de Groot, Joris A H; Hooft, Lotty; Leeflang, Mariska M G; Bossuyt, Patrick M; Moons, Karel G M; Reitsma, Johannes B
2016-01-01
BACKGROUND: To describe approaches used in systematic reviews of diagnostic test accuracy studies for assessing variability in estimates of accuracy between studies and to provide guidance in this area. METHODS: Meta-analyses of diagnostic test accuracy studies published between May and September
The diagnostic and therapeutic impact of MRI: an observational multi-centre study
International Nuclear Information System (INIS)
Hollingworth, William; Todd, Christopher J.; Bell, Matthew I.; Arafat, Qais; Girling, Simon; Karia, Kanti R.; Dixon, Adrian K.
2000-01-01
AIM: To provide information about the diagnostic and therapeutic impact of magnetic resonance imaging (MRI) and to compare the findings across diagnostic groups. MATERIALS AND METHODS: A prospective, observational study of 2017 consecutive referrals for MRI of the head, spine or knee at four imaging centres. Clinicians completed questionnaires before MRI stating initial diagnoses, diagnostic confidence and treatment plans. After imaging, a second questionnaire evaluated clinicians' revised diagnosis and treatment plans in the light of imaging findings. Patients were grouped into nine diagnostic categories for analysis. Comparison between pre- and post-imaging was used to assess the diagnostic and therapeutic impact of MRI. RESULTS: In seven of nine diagnostic groups MRI findings were associated with a diagnostic impact. Diagnoses were revised or discarded following normal MR findings and diagnostic confidence was increased by confirmative MR findings. There was no statistically significant diagnostic impact for suspected pituitary or cerebello-pontine angle lesions. In five of nine diagnostic groups (knee meniscus, knee ligament, multiple sclerosis, lumbar and cervical spine) MRI findings had a clear impact on treatment plans. CONCLUSION: This study demonstrates that in most diagnostic categories, MRI influences diagnosis and treatment. However, experimental studies are needed to prove that these diagnostic and therapeutic impacts lead to improved health. Hollingworth (2000)
The diagnostic and therapeutic impact of MRI: an observational multi-centre study
Energy Technology Data Exchange (ETDEWEB)
Hollingworth, William; Todd, Christopher J.; Bell, Matthew I.; Arafat, Qais; Girling, Simon; Karia, Kanti R.; Dixon, Adrian K
2000-11-01
AIM: To provide information about the diagnostic and therapeutic impact of magnetic resonance imaging (MRI) and to compare the findings across diagnostic groups. MATERIALS AND METHODS: A prospective, observational study of 2017 consecutive referrals for MRI of the head, spine or knee at four imaging centres. Clinicians completed questionnaires before MRI stating initial diagnoses, diagnostic confidence and treatment plans. After imaging, a second questionnaire evaluated clinicians' revised diagnosis and treatment plans in the light of imaging findings. Patients were grouped into nine diagnostic categories for analysis. Comparison between pre- and post-imaging was used to assess the diagnostic and therapeutic impact of MRI. RESULTS: In seven of nine diagnostic groups MRI findings were associated with a diagnostic impact. Diagnoses were revised or discarded following normal MR findings and diagnostic confidence was increased by confirmative MR findings. There was no statistically significant diagnostic impact for suspected pituitary or cerebello-pontine angle lesions. In five of nine diagnostic groups (knee meniscus, knee ligament, multiple sclerosis, lumbar and cervical spine) MRI findings had a clear impact on treatment plans. CONCLUSION: This study demonstrates that in most diagnostic categories, MRI influences diagnosis and treatment. However, experimental studies are needed to prove that these diagnostic and therapeutic impacts lead to improved health. Hollingworth (2000)
Optimized design of shields for diagnostic X rays with NCRP 147 technique
International Nuclear Information System (INIS)
Gama T, G.
2006-01-01
A comparison among the design techniques of shielding for X-ray diagnostic rooms with the NCRP 49 (1976) report technique, AAPM 39 (1993) Y the one of the NCRP 147 (2005) technique. The designs correspond to a room of conventional X-rays, one of fluoroscopy, one of tomography Y one of mammography. In all the cases it demonstrates that the NCRP 49 technique overestimate the shieldings. The causes of the overestimation of the NCRP 49 can be attributed to: a) high values of the work charge that don't consider the spectral fluence of the photons that are present in each room, b) to the differences in the values of the kerma in air without attenuation for the dispersed primary radiation Y of leakage among both reports. (Author)
Design of Data Acquisition and Control System for Indian Test Facility of Diagnostics Neutral Beam
International Nuclear Information System (INIS)
Soni, Jignesh; Tyagi, Himanshu; Yadav, Ratnakar; Rotti, Chandramouli; Bandyopadhyay, Mainak; Bansal, Gourab; Gahluat, Agrajit; Sudhir, Dass; Joshi, Jaydeep; Prasad, Rambilas; Pandya, Kaushal; Shah, Sejal; Parmar, Deepak; Chakraborty, Arun
2015-01-01
Highlights: • More than 900 channels Data Acquisition and Control System. • INTF DACS has been designed based on ITER-PCDH guidelines. • Separate Interlock and Safety system designed based on IEC 61508 standard. • Hardware selected from ITER slow controller and fast controller catalog. • Software framework based on ITER CODAC Core System and LabVIEW software. - Abstract: The Indian Test Facility (INTF) – a negative hydrogen ion based 100 kV, 60 A, 5 Hz modulated NBI system having 3 s ON/20 s OFF duty cycle. Prime objective of the facility is to install a full-scale test bed for the qualification of all Diagnostic Neutral Beam (DNB) parameters, prior to installation in ITER. The automated and safe operation of the INTF will require a reliable and rugged instrumentation and control system which provide control, data acquisition (DAQ), interlock and safety functions, referred as INTF-DACS. The INTF-DACS has been decided to be design based on the ITER CODAC architecture and ITER-PCDH guidelines since the technical understanding of CODAC technology gained from this will later be helpful in development of plant system I&C for DNB. For complete operation of the INTF, approximately 900 numbers of signals are required to be superintending by the DACS. In INTF conventional control loop time required is within the range of 5–100 ms and for DAQ except high-end diagnostics, required sampling rates in range of 5 sample per second (Sps) to 10 kSps; to fulfill these requirements hardware components have been selected from the ITER slow and fast controller catalogs. For high-end diagnostics required sampling rates up to 100 MSps normally in case of certain events, therefore event and burst based DAQ hardware has been finalized. Combined use of CODAC core software (CCS) and NI-LabVIEW has been finalized due to the fact that full required DAQ support is not available in present version of CCS. Interlock system for investment protection of facility and Safety system for
Design of Data Acquisition and Control System for Indian Test Facility of Diagnostics Neutral Beam
Energy Technology Data Exchange (ETDEWEB)
Soni, Jignesh, E-mail: jsoni@ipr.res.in [Institute for Plasma Research, Bhat, Gandhinagar 382 428, Gujarat (India); Tyagi, Himanshu; Yadav, Ratnakar; Rotti, Chandramouli; Bandyopadhyay, Mainak [ITER-India, Institute for Plasma Research, Gandhinagar 380 025, Gujarat (India); Bansal, Gourab; Gahluat, Agrajit [Institute for Plasma Research, Bhat, Gandhinagar 382 428, Gujarat (India); Sudhir, Dass; Joshi, Jaydeep; Prasad, Rambilas [ITER-India, Institute for Plasma Research, Gandhinagar 380 025, Gujarat (India); Pandya, Kaushal [Institute for Plasma Research, Bhat, Gandhinagar 382 428, Gujarat (India); Shah, Sejal; Parmar, Deepak [ITER-India, Institute for Plasma Research, Gandhinagar 380 025, Gujarat (India); Chakraborty, Arun [Institute for Plasma Research, Bhat, Gandhinagar 382 428, Gujarat (India)
2015-10-15
Highlights: • More than 900 channels Data Acquisition and Control System. • INTF DACS has been designed based on ITER-PCDH guidelines. • Separate Interlock and Safety system designed based on IEC 61508 standard. • Hardware selected from ITER slow controller and fast controller catalog. • Software framework based on ITER CODAC Core System and LabVIEW software. - Abstract: The Indian Test Facility (INTF) – a negative hydrogen ion based 100 kV, 60 A, 5 Hz modulated NBI system having 3 s ON/20 s OFF duty cycle. Prime objective of the facility is to install a full-scale test bed for the qualification of all Diagnostic Neutral Beam (DNB) parameters, prior to installation in ITER. The automated and safe operation of the INTF will require a reliable and rugged instrumentation and control system which provide control, data acquisition (DAQ), interlock and safety functions, referred as INTF-DACS. The INTF-DACS has been decided to be design based on the ITER CODAC architecture and ITER-PCDH guidelines since the technical understanding of CODAC technology gained from this will later be helpful in development of plant system I&C for DNB. For complete operation of the INTF, approximately 900 numbers of signals are required to be superintending by the DACS. In INTF conventional control loop time required is within the range of 5–100 ms and for DAQ except high-end diagnostics, required sampling rates in range of 5 sample per second (Sps) to 10 kSps; to fulfill these requirements hardware components have been selected from the ITER slow and fast controller catalogs. For high-end diagnostics required sampling rates up to 100 MSps normally in case of certain events, therefore event and burst based DAQ hardware has been finalized. Combined use of CODAC core software (CCS) and NI-LabVIEW has been finalized due to the fact that full required DAQ support is not available in present version of CCS. Interlock system for investment protection of facility and Safety system for
ITER diagnostics ex-vessel engineering services
Energy Technology Data Exchange (ETDEWEB)
Arumugam, A.P., E-mail: arun.prakash@iter.org; Walker, C.I.; Andrew, P.; Barnsley, R.; Beltran, D.; Bertalot, L.; Dammann, A.; Direz, M.F.; Drevon, J.M.; Encheva, A.; Giacomin, T.; Hourtoule, J.; Kuehn, I.; Lanza, R.; Levesy, B.; Maquet, P.; Patel, K.M.; Patisson, L.; Pitcher, C.S.; Portales, M.; and others
2013-10-15
Highlights: • This paper describes about the ITER diagnostics ex-vessel engineering services. • It describes various diagnostics systems, its location and its environment. • Diagnostics interfaces with other services such as the buildings, HVAC, electrical services, cooling water, vacuum, liquid and gas distribution. • All the interfaces with these services are identified and defined. • Buildings services for diagnostics, such as penetrations, local shielding, embedment and temperature control are discussed. -- Abstract: Extensive diagnostics systems will be installed on the ITER machine to provide the measurements necessary to control, evaluate and optimize plasma performance in ITER and to further the understanding of plasma physics. These include measurements of temperature, density, impurity concentration, and particle and energy confinement times. ITER diagnostic systems extend from the center of the Tokamak to the various diagnostic areas, where they are controlled and acquired data is processed. This mainly includes the areas such as ports, port cells, gallery, diagnostics enclosures and cubicle areas. The diagnostics port plugs encloses the front end of the diagnostic systems and the diagnostics building houses the diagnostics equipment, instrumentation and control cubicles. There are several systems providing services to diagnostics. These mainly include ITER buildings, electrical power services, cooling water services, Heating Ventilation and Air Conditioning (HVAC), vacuum services, liquid and gas distribution services, cable engineering, de-tritiation systems, control cubicles, etc. Requirements of these service systems have to be defined, even though many of the diagnostics are at an early stage of development. It is a real challenge to define and to design diagnostics systems considering the constraints imposed by these service systems. This paper summarizes the provision of these services to the individual diagnostics and diagnostics areas
ITER diagnostics ex-vessel engineering services
International Nuclear Information System (INIS)
Arumugam, A.P.; Walker, C.I.; Andrew, P.; Barnsley, R.; Beltran, D.; Bertalot, L.; Dammann, A.; Direz, M.F.; Drevon, J.M.; Encheva, A.; Giacomin, T.; Hourtoule, J.; Kuehn, I.; Lanza, R.; Levesy, B.; Maquet, P.; Patel, K.M.; Patisson, L.; Pitcher, C.S.; Portales, M.
2013-01-01
Highlights: • This paper describes about the ITER diagnostics ex-vessel engineering services. • It describes various diagnostics systems, its location and its environment. • Diagnostics interfaces with other services such as the buildings, HVAC, electrical services, cooling water, vacuum, liquid and gas distribution. • All the interfaces with these services are identified and defined. • Buildings services for diagnostics, such as penetrations, local shielding, embedment and temperature control are discussed. -- Abstract: Extensive diagnostics systems will be installed on the ITER machine to provide the measurements necessary to control, evaluate and optimize plasma performance in ITER and to further the understanding of plasma physics. These include measurements of temperature, density, impurity concentration, and particle and energy confinement times. ITER diagnostic systems extend from the center of the Tokamak to the various diagnostic areas, where they are controlled and acquired data is processed. This mainly includes the areas such as ports, port cells, gallery, diagnostics enclosures and cubicle areas. The diagnostics port plugs encloses the front end of the diagnostic systems and the diagnostics building houses the diagnostics equipment, instrumentation and control cubicles. There are several systems providing services to diagnostics. These mainly include ITER buildings, electrical power services, cooling water services, Heating Ventilation and Air Conditioning (HVAC), vacuum services, liquid and gas distribution services, cable engineering, de-tritiation systems, control cubicles, etc. Requirements of these service systems have to be defined, even though many of the diagnostics are at an early stage of development. It is a real challenge to define and to design diagnostics systems considering the constraints imposed by these service systems. This paper summarizes the provision of these services to the individual diagnostics and diagnostics areas
Castellanos, Elisabeth; Gel, Bernat; Rosas, Inma; Tornero, Eva; Santín, Sheila; Pluvinet, Raquel; Velasco, Juan; Sumoy, Lauro; Del Valle, Jesús; Perucho, Manuel; Blanco, Ignacio; Navarro, Matilde; Brunet, Joan; Pineda, Marta; Feliubadaló, Lidia; Capellá, Gabi; Lázaro, Conxi; Serra, Eduard
2017-01-04
We wanted to implement an NGS strategy to globally analyze hereditary cancer with diagnostic quality while retaining the same degree of understanding and control we had in pre-NGS strategies. To do this, we developed the I2HCP panel, a custom bait library covering 122 hereditary cancer genes. We improved bait design, tested different NGS platforms and created a clinically driven custom data analysis pipeline. The I2HCP panel was developed using a training set of hereditary colorectal cancer, hereditary breast and ovarian cancer and neurofibromatosis patients and reached an accuracy, analytical sensitivity and specificity greater than 99%, which was maintained in a validation set. I2HCP changed our diagnostic approach, involving clinicians and a genetic diagnostics team from panel design to reporting. The new strategy improved diagnostic sensitivity, solved uncertain clinical diagnoses and identified mutations in new genes. We assessed the genetic variation in the complete set of hereditary cancer genes, revealing a complex variation landscape that coexists with the disease-causing mutation. We developed, validated and implemented a custom NGS-based strategy for hereditary cancer diagnostics that improved our previous workflows. Additionally, the existence of a rich genetic variation in hereditary cancer genes favors the use of this panel to investigate their role in cancer risk.
International Nuclear Information System (INIS)
Isobe, M.; Ogawa, K.; Kobuchi, T.
2015-01-01
The Large Helical Device (LHD) project will step into a next stage, i.e. experiment by using deuterium gases after two years of preparation. A comprehensive set of neutron and γ-ray diagnostics is going to be installed on the LHD towards extension of energetic-particle (EP) physics research in heliotron plasmas. Conceptual design of fusion products diagnostics for the LHD was made in late 1990s. After conclusion of agreements for the LHD deuterium experiment with local government bodies, development of FPs diagnostics has begun lately. Because there are a lot of tasks to do, all Japan fusion neutron and γ-ray diagnostics team has been organized in the collaboration framework of National Institute for Fusion Science. FPs diagnostics system on the LHD will consist of 1) wide dynamic range neutron flux monitor (NFM), 2) neutron activation system (NAS), 3) vertical neutron camera (VNC). In addition to these, we are developing a directional scintillating fiber detector, an artificial diamond detector and a γ-ray scintillation detector for confinement study of MeV ions. A neutron energy spectrometer prototype is also being developed and tested in KSTAR. In this paper, roles of NFM, NAS and VNC and current status of implementation onto the LHD are briefly described. (author)
International Nuclear Information System (INIS)
Adam, Ahmed yusif Abdelrahman
2013-03-01
The purpose of this study is conducted in order to evaluate the application of radiation protection in x-ray rooms design in diagnosis radiology department, evaluate personal monitoring devices, to assess primary scatter and leakage radiation dose, to assess monitoring devices if available, in period from March 2013 to August 2013. The design data included room size, control room size, manufacture of equipment, room surrounding areas, workload of all equipment rooms, type of x-ray equipment, radiation worker's in all hospital, number of patient in each shift, structural material and shielding, K vp and m As used in x-ray room department during examination testing. The results of this study show that there is x-ray room design, the design of x-ray equipment is accepted according to the radiation safety institute team of quality control. Also the study shows that the radiation protection devices are available and in a good condition and enough in number. The study shows that there are not personal monitoring devices and services. the radiological technologist are well trained. Also the study investigation the radiation protection in x-ray room in diagnostic department in Omdurman locality. Finally the study shows that there is compact able to ICRP recommended and National quality control in Sudan Atomic Energy Council exception, Alwedad, Abusied and Blue Nile there are have not control room concludes that there is only in relationship hospital have a window without shield.(Author)
NSTX Diagnostics for Fusion Plasma Science Studies
International Nuclear Information System (INIS)
Kaita, R.; Johnson, D.; Roquemore, L.; Bitter, M.; Levinton, F.; Paoletti, F.; Stutman, D.
2001-01-01
This paper will discuss how plasma science issues are addressed by the diagnostics for the National Spherical Torus Experiment (NSTX), the newest large-scale machine in the magnetic confinement fusion (MCF) program. The development of new schemes for plasma confinement involves the interplay of experimental results and theoretical interpretations. A fundamental requirement, for example, is a determination of the equilibria for these configurations. For MCF, this is well established in the solutions of the Grad-Shafranov equation. While it is simple to state its basis in the balance between the kinetic and magnetic pressures, what they are as functions of space and time are often not easy to obtain. Quantities like the plasma pressure and current density are not directly measurable. They are derived from data that are themselves complex products of more basic parameters. The same difficulties apply to the understanding of plasma instabilities. Not only are the needs for spatial and temporal resolution more stringent, but the wave parameters which characterize the instabilities are difficult to resolve. We will show how solutions to the problems of diagnostic design on NSTX, and the physics insight the data analysis provides, benefits both NSTX and the broader scientific community
A prospective study of the diagnostic utility of sputum Gram stain in pneumonia.
Anevlavis, Stavros; Petroglou, Niki; Tzavaras, Athanasios; Maltezos, Efstratios; Pneumatikos, Ioannis; Froudarakis, Marios; Anevlavis, Eleftherios; Bouros, Demosthenes
2009-08-01
Sputum Gram stain and culture have been said to be unreliable indicators of the microbiological diagnosis of bacterial pneumonia. The etiological diagnosis of pneumonia is surrounded by great degree of uncertainty. This uncertainty should be and can be calculated and incorporated in the diagnosis and treatment. To determine the diagnostic accuracy and diagnostic value of sputum Gram stain in etiological diagnosis and initial selection of antimicrobial therapy of bacterial community acquired pneumonia (CAP). DESIGN-METHOD: Prospective study of 1390 patients with CAP admitted January 2002-June 2008, to our institutions. Of the 1390 patients, 178 (12.8%) fulfilled the criteria for inclusion into this study (good-quality sputa and presence of the same microorganism in blood and sputum cultures which was used as gold standard for assessing the diagnostic accuracy and diagnostic value of sputum Gram stain). The sensitivity of sputum Gram stain was 0.82 for Pneumococcal pneumonia, 0.76 for Staphylococcal pneumonia, 0.79 for Haemophilus influenzae pneumonia and 0.78 for Gram-negative bacilli pneumonia. The specificity of sputum Gram stain was 0.93 for Pneumococcal pneumonia, 0.96 for Staphylococcal pneumonia, 0.96 for H. influenzae pneumonia and 0.95 for Gram-negative bacilli pneumonia. The positive likelihood ratio (LR+) was 11.58 for Pneumococcal pneumonia, 19.38 for Staphylococcal pneumonia, 16.84 for H. influenzae pneumonia, 14.26 for Gram-negative bacilli pneumonia. The negative likelihood ratio (LR-) was 0.20 for Pneumococcal pneumonia, 0.25 for Staphylococcal pneumonia, 0.22 for H. influenzae pneumonia, and 0.23 for Gram-negative bacilli pneumonia. Sputum Gram stain is a dependable diagnostic test for the early etiological diagnosis of bacterial CAP that helps in choosing orthological and appropriate initial antimicrobial therapy.
Diagnostic reasoning strategies and diagnostic success.
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.
Conceptual design of pellet charge eXchange (PCX) diagnostics for stellarator W7-X
International Nuclear Information System (INIS)
Sergeev, Y.Yu; Kuteev, B.V.; Bakhareva, O.A.; Kostrukov, A.Y.; Skokov, V.G.; Petrov, M.P.; Kislyakov, A.I.; Burhenn, R.; Kick, M.
2002-01-01
Pellet Charge eXchange diagnostic using Li pellets has been considered for the W7-X machine. Geometry of the experimental set-up and parameters of both lithium pellet injector (LPI) and neutral particle analyser (NPA) were evaluated. It was shown that this diagnostics can provide very well detectable H 0 signal in the range 50 - 1000 keV generated by RF driven H + minority ions in W7-X. The PCX diagnostics will be able to measure H + energy spectra and density profiles in wide range of W7-X plasma parameters. The proposed NPA can be designed on a basis of the NPA ISEP (Ioffe institute) installed now on JET. A pellet light-gas gun can be used to accelerate Li pellets of 2 - 3 mm in size up to 1 km/s velocities. That provides the required pellet penetration into the plasma core. Due to sticky problems with Li operation, a special technique of loading and keeping the pellets in a charger unit of LPI has to be developed. Development of PCX diagnostics for absolute measurements of the confined minority protons requires improvement of the pellet ablation model used. Knowledge of the cloud dimensions and density distributions of different charge states of ions is of special interest. It is necessary to improve predictions of pellet penetrations in non-Maxwellian plasmas as well. An optical system for measurements of pellet cloud density profiles should be foreseen on W7-X. (orig.)
Diagnostic integration solutions in the ITER first wall
International Nuclear Information System (INIS)
Martínez, Gonzalo; Martin, Alex; Watts, Christopher; Veshchev, Evgeny; Reichle, Roger; Shigin, Pavel; Sabourin, Flavien; Gicquel, Stefan; Mitteau, Raphael; González, Jorge
2015-01-01
Highlights: • This paper describes the current status of the integration efforts to implement diagnostics in the ITER first wall (FW). • Some diagnostics require a plasma facing element attached to the FW, commonly known as a FW diagnostic. Their design must comply not only with their functional requirements but also with the design of the blankets. • An integrated design concept has been developed. It provides a design that respects the requirements of each system. Thermo-mechanical analyses are on-going to confirm that this configuration respects the heat loads limits on the blanket FW. - Abstract: ITER will have about 50 diagnostic systems for machine protection, plasma control and optimization, and understanding the physics of burning plasma. The implementation in the ITER machine is challenging, particularly for the in-vessel diagnostics, region defined between the vacuum vessel and first wall (FW) contours, where space is constrained by the high number of systems. This paper describes the current status of design integration efforts to implement diagnostics in the ITER first wall. These approaches are the basis for detailed optimization and improvement of conceptual interfaces designs between systems.
Diagnostic integration solutions in the ITER first wall
Energy Technology Data Exchange (ETDEWEB)
Martínez, Gonzalo, E-mail: gonzalo.martinez@iter.org [Technical University of Catalonia (UPC), Barcelona-Tech, Barcelona (Spain); Martin, Alex; Watts, Christopher; Veshchev, Evgeny; Reichle, Roger [ITER Organization, Route de Vinon-sur-Verdon, CS 90 046, 13067 St Paul Lez Durance Cedex (France); Shigin, Pavel [ITER Organization, Route de Vinon-sur-Verdon, CS 90 046, 13067 St Paul Lez Durance Cedex (France); National Research Nuclear University (MEPhI), Kashirskoe shosse, 115409 Moscow (Russian Federation); Sabourin, Flavien [ABMI-Groupe, Parc du Relais BatD 201 Route de SEDS, 13127 Vitrolles (France); Gicquel, Stefan; Mitteau, Raphael [ITER Organization, Route de Vinon-sur-Verdon, CS 90 046, 13067 St Paul Lez Durance Cedex (France); González, Jorge [RÜECKER LYPSA, Carretera del Prat, 65, Cornellá de Llobregat (Spain)
2015-10-15
Highlights: • This paper describes the current status of the integration efforts to implement diagnostics in the ITER first wall (FW). • Some diagnostics require a plasma facing element attached to the FW, commonly known as a FW diagnostic. Their design must comply not only with their functional requirements but also with the design of the blankets. • An integrated design concept has been developed. It provides a design that respects the requirements of each system. Thermo-mechanical analyses are on-going to confirm that this configuration respects the heat loads limits on the blanket FW. - Abstract: ITER will have about 50 diagnostic systems for machine protection, plasma control and optimization, and understanding the physics of burning plasma. The implementation in the ITER machine is challenging, particularly for the in-vessel diagnostics, region defined between the vacuum vessel and first wall (FW) contours, where space is constrained by the high number of systems. This paper describes the current status of design integration efforts to implement diagnostics in the ITER first wall. These approaches are the basis for detailed optimization and improvement of conceptual interfaces designs between systems.
Directory of Open Access Journals (Sweden)
Wuisman Piet GWM
2007-09-01
Full Text Available Abstract Background Parkinson's disease (PD is the second most common neurodegenerative disorder. As there is no definitive diagnostic test, its diagnosis is based on clinical criteria. Recently transcranial duplex scanning (TCD of the substantia nigra in the brainstem has been proposed as an instrument to diagnose PD. We and others have found that TCD scanning of substantia nigra duplex is a relatively accurate diagnostic instrument in patients with parkinsonian symptoms. However, all studies on TCD so far have involved well-defined, later-stage PD patients, which will obviously lead to an overestimate of the diagnostic accuracy of TCD. We have therefore set out to conduct a prospective study testing the diagnostic accuracy of TCD in patients with a parkinsonism of unclear origin. Methods/Design We will enrol 250 consecutive patients, who are referred to neurology outpatient clinics of two teaching hospitals, for analysis of clinically unclear parkinsonism. Patients, whose parkinsonism is clearly diagnosable at the first visit, will be excluded from the study. All patients will undergo a TCD of the substantia nigra. As a surrogate gold standard we will use the consensus clinical diagnosis reached by two independent, blinded, movement disorder specialist neurologists after 2 years follow-up. At the time of TCD, patients will also undergo a SPECT scan of the brain. Discussion As this prospective trial enrols only patients with an early-stage parkinsonism, it will yield data on the diagnostic accuracy of TCD that is relevant to daily clinical practice: The neurologist needs a diagnostic tool that provides additional information in patients with a clinically indefinable parkinsonian syndrome. The above described observational longitudinal study was designed to explicitly study this aspect in the diagnostic process. Trial registration (ITRSCC NCT00368199
Design criteria of the bolometer diagnostic for steady-state operation of the W7-X stellaratora
Zhang, D.; Burhenn, R.; König, R.; Giannone, L.; Grodzki, P.A.; Klein, B.; Grosser, K.; Baldzuhn, J.; Ewert, K.; Erckmann, V.; Hirsch, M.; Laqua, H.P.; Oosterbeek, J.W.
2010-01-01
A bolometric diagnostic system with features necessary for steady-state operation in the superconducting stellarator W7-X was designed. During a pulse length of 1800 s with an ECRH (electron cyclotron resonance heating) power of 10 MW, the components suffer not only from a large thermal load but
Development of a Diagnostic Complexity Questionnaire
International Nuclear Information System (INIS)
Collier, Steve
1998-02-01
The HRP human error analysis project has for some time been investigating what makes certain fault scenarios difficult for operators. One line of research has been to develop a questionnaire to measure diagnostic complexity. This report concerns some theoretical and experimental work underpinning the development of the questionnaire. A study of the literature reviewed the factors or components thought to contribute to difficulty in diagnosing and problem-solving. Two experimental studies of complexity were carried out using two versions of a questionnaire based on the review. The studies were simulator based, using scenarios designed to be diagnostically challenging. A factor-analytic approach to the analysis of the study data was suggested in the literature review. This is reported here (together with other analyses) though the factor analysis did not produce so clear results as was hoped. The present analysis found no clear factor structure with the first version of the complexity questionnaire used in experiment I. Partly because of this result, a factor-analytic approach to a second version of the questionnaire used in experiment II was not considered appropriate. A descriptive and qualitative analysis of the two questionnaire studies and a synthesis of the results from them both was promising. There were indications of components of complexity and some indications of what contributes to a personal perception of high or low diagnostic difficulty in fault scenarios. Components adding to diagnostic difficulty were tentatively named 'severity', 'need for co-operation', 'stress' and 'spread of changes'. Components not adding to difficulty were 'directness of indications', 'familiarity' and 'lack of stress'. There was some evidence of different responses to these components in a comparison of rule-based vs. knowledge-based diagnostic scenarios. These findings and experience with analysis techniques will feed into the design of further work on the human error
Challenges of ITER diagnostic electrical services
Energy Technology Data Exchange (ETDEWEB)
Encheva, A., E-mail: anna.encheva@iter.org [ITER Organization, Route de Vinon sur Verdon, 13115 St Paul-Lez-Durance (France); Omran, H. [Oxford Technologies Ltd, 7 Nuffield Way, Abingdon OX14 1RL (United Kingdom); Pérez-Lasala, M. [The European Joint Undertaking for ITER and the Development of Fusion Energy, c/Josep Pla, n° 2, Torres Diagonal Litoral, Edificio B3, 08019 Barcelona (Spain); Alekseev, A. [Efremov Institute, Metallostroy, Doroga na Metallostroy, 3 bld., Saint-Petersburg 196641 (Russian Federation); Arshad, S. [The European Joint Undertaking for ITER and the Development of Fusion Energy, c/Josep Pla, n° 2, Torres Diagonal Litoral, Edificio B3, 08019 Barcelona (Spain); Bede, O. [Oxford Technologies Ltd, 7 Nuffield Way, Abingdon OX14 1RL (United Kingdom); Bender, S. [Efremov Institute, Metallostroy, Doroga na Metallostroy, 3 bld., Saint-Petersburg 196641 (Russian Federation); Bertalot, L.; Direz, M.-F.; Drevon, J.-M.; Jakhar, S.; Kaschuk, Y.; Komarov, V.; Lebarbier, R. [ITER Organization, Route de Vinon sur Verdon, 13115 St Paul-Lez-Durance (France); Lucca, F. [L.T. Calcoli SaS, Piazza Prinetti 26/B, 23807 Merate (Italy); Macklin, B.; Maquet, P. [ITER Organization, Route de Vinon sur Verdon, 13115 St Paul-Lez-Durance (France); Marin, A. [L.T. Calcoli SaS, Piazza Prinetti 26/B, 23807 Merate (Italy); Martin, A. [ITER Organization, Route de Vinon sur Verdon, 13115 St Paul-Lez-Durance (France); Mills, S. [Oxford Technologies Ltd, 7 Nuffield Way, Abingdon OX14 1RL (United Kingdom); and others
2013-10-15
Highlights: • A brief description of all major components part of diagnostic electrical services has been given. • The integration challenges have been presented. • Design assumptions and requirements for the components have been described. • The design of the conduit/loom and the relevant analysis has been highlighted. -- Abstract: Diagnostic electrical services provide the electrical infrastructure to serve diagnostic components installed on the ITER tokamak. This infrastructure is composed of cables, connectors, cable tails, looms, conduits and feedthroughs. The diagnostic services offer as well a shelter for various instrumentations – vacuum vessel (VV), blanket and divertor. The diagnostic sensors are located on the inner and outer VV wall, on blanket shield modules, divertor cassettes and in port plugs. They require electrical cabling to extract the measurement and, in some cases, to supply electrical power to the sensors. These cables run from the sensors to feedthroughs on the VV and the port interspace or cryostat. The design and integration of all components that are part of diagnostic electrical services is an important engineering activity that is being challenged by the multiple requirements and constraints which have to be satisfied while at the same time delivering the required diagnostic performance. The positioning of the components must correlate not only with their functional specifications but also with the design of the major ITER components. This is a particular challenge because not all systems have reached the same level of design maturity. This paper outlines the engineering challenges of ITER diagnostics electrical services. The environmental conditions inside the VV will have an important impact. Leading risks to these components include poor electrical contact at connectors, the effects of exposure to nuclear irradiation, such as material transmutation, heating, and generation of spurious electrical signals etc., failure due to
Millimeter-wave receiver design for plasma diagnostics
DEFF Research Database (Denmark)
Leipold, Frank; Hansen, S. K.; Jacobsen, Asger Schou
2016-01-01
Scattered millimeter waves entering from the collective Thomson scattering diagnostic at ASDEX Upgrade fusion device are generally elliptically polarized. In order to convert the millimeter waves to linearly polarized waves (required for the detector), birefringent window assemblies (sapphire) ha...
Polarizer design for millimeter-wave plasma diagnostics
DEFF Research Database (Denmark)
Leipold, Frank; Salewski, Mirko; Jacobsen, Asger Schou
2013-01-01
Radiation from magnetized plasmas is in general elliptically polarized. In order to convert the elliptical polarization to linear polarization, mirrors with grooved surfaces are currently employed in our collective Thomson scattering diagnostic at ASDEX Upgrade. If these mirrors can be substituted...
A clinicopathological study of various oral cancer diagnostic techniques
Directory of Open Access Journals (Sweden)
G Ulaganathan
2017-01-01
Full Text Available Oral cancer is one of the most commonly occurring malignant tumors in the head and neck regions with high incident rate and mortality rate in the developed countries than in the developing countries. Generally, the survival rate of cancer patients may increase when diagnosed at early stage, followed by prompt treatment and therapy. Recently, cancer diagnosis and therapy design for a specific cancer patient have been performed with the advanced computer-aided techniques. The responses of the cancer therapy could be continuously monitored to ensure the effectiveness of the treatment process that hardly requires diagnostic result as quick as possible to improve the quality and patient care. This paper gives an overview of oral cancer occurrence, different types, and various diagnostic techniques. In addition, a brief introduction is given to various stages of immunoanalysis including tissue image preparation, whole slide imaging, and microscopic image analysis.
MFTF-B plasma-diagnostic system
International Nuclear Information System (INIS)
Throop, A.L.; Goerz, D.A.; Thomas, S.R.
1981-01-01
This paper describes the current design status of the plasma diagnostic system for MFTF-B. In this paper we describe the system requirement changes which have occurred as a result of the funded rescoping of the original MFTF facility into MFTF-B. We outline the diagnostic instruments which are currently planned, and present an overview of the diagnostic system
Andersen, Lisa M. J.; Naswall, Katharina; Manouilenko, Irina; Nylander, Lena; Edgar, Johan; Ritvo, Riva Ariella; Ritvo, Edward; Bejerot, Susanne
2011-01-01
There is a paucity of diagnostic instruments for adults with autism spectrum disorder (ASD). This study evaluates the psychometric properties of the Swedish version of the Ritvo Autism and Asperger Diagnostic Scale-Revised (RAADS-R), an 80-item self-rating scale designed to assist clinicians diagnosing ASD in adults. It was administered to 75…
Target diagnostic system for the National Ignition Facility (NIF)
International Nuclear Information System (INIS)
Leeper, R.J.; Chandler, G.A.; Cooper, G.W.; Derzon, M.S.
1996-01-01
A review of recent progress on the design of a diagnostic system proposed for ignition target experiments on the National Ignition Facility (NIF) will be presented. This diagnostic package contains an extensive suite of optical, x-ray, gamma-ray, and neutron diagnostics that enable measurements of the performance of both direct and indirect driven NIF targets. The philosophy used in designing all of the diagnostics in the set has emphasized redundant and independent measurement of fundamental physical quantities relevant to the operation of the NIF target. A unique feature of these diagnostics is that they are being designed to be capable of operating, in the high radiation, EMP, and debris backgrounds expected on the NIF facility. The diagnostic system proposed can be categorized into three broad areas: laser characterization, hohlraum characterization, and capsule performance diagnostics. The operating principles of a representative instrument from each class of diagnostic employed in this package will be summarized and illustrated with data obtained in recent prototype diagnostic tests
Diagnostic accuracy of the Eurotest for dementia: a naturalistic, multicenter phase II study
Directory of Open Access Journals (Sweden)
Frank Ana
2006-04-01
Full Text Available Abstract Background Available screening tests for dementia are of limited usefulness because they are influenced by the patient's culture and educational level. The Eurotest, an instrument based on the knowledge and handling of money, was designed to overcome these limitations. The objective of this study was to evaluate the diagnostic accuracy of the Eurotest in identifying dementia in customary clinical practice. Methods A cross-sectional, multi-center, naturalistic phase II study was conducted. The Eurotest was administered to consecutive patients, older than 60 years, in general neurology clinics. The patients' condition was classified as dementia or no dementia according to DSM-IV diagnostic criteria. We calculated sensitivity (Sn, specificity (Sp and area under the ROC curves (aROC with 95% confidence intervals. The influence of social and educational factors on scores was evaluated with multiple linear regression analysis, and the influence of these factors on diagnostic accuracy was evaluated with logistic regression. Results Sixteen neurologists recruited a total of 516 participants: 101 with dementia, 380 without dementia, and 35 who were excluded. Of the 481 participants who took the Eurotest, 38.7% were totally or functionally illiterate and 45.5% had received no formal education. Mean time needed to administer the test was 8.2+/-2.0 minutes. The best cut-off point was 20/21, with Sn = 0.91 (0.84–0.96, Sp = 0.82 (0.77–0.85, and aROC = 0.93 (0.91–0.95. Neither the scores on the Eurotest nor its diagnostic accuracy were influenced by social or educational factors. Conclusion This naturalistic and pragmatic study shows that the Eurotest is a rapid, simple and useful screening instrument, which is free from educational influences, and has appropriate internal and external validity.
ECE diagnostics for RTO/RC ITER
International Nuclear Information System (INIS)
Vayakis, G.; Bartlett, D.V.; Costley, A.E.
2001-01-01
This paper presents the current status of the Electron Cyclotron Emission (ECE) diagnostic on the Reduced Technical Objectives/Reduced Cost International Thermonuclear Experimental Reactor (RTO/RC ITER). It discusses the implications of the new machine design on the measurement requirements, the ability of the diagnostic technique to meet these, and the changes in the implementation imposed by the new layout. Finally, it outlines the physics studies, design and R and D work required prior to the detailed design and construction of the diagnostic. Key results are: (i) that the localisation of the measurement is similar to that in ITER-FDR (40-100 mm in X-mode, 60-200 mm in O-mode for the reference scenario), so that the relative spatial resolution degrades in this, smaller, machine, and (ii) the expected effect of transport barriers on the temperature profile in the high temperature region will be poorly resolved, because the effect of the temperature gradient on the outboard side is to degrade the resolution to (∼250 mm in X-mode, ∼350 mm in O-mode). Nevertheless ECE will be able to make a unique and useful contribution to the RTO/RC ITER measurement set
Design of laser-aided diagnostics for the negative hydrogen ion source SPIDER
International Nuclear Information System (INIS)
Pasqualotto, R
2012-01-01
ITER nuclear fusion experiment requires additional heating via neutral beams by means of two injectors, delivering 16.5 MW each, up to one hour. This power level results from the neutralization of negative deuterium ions generated by an RF source and accelerated to 1 MeV. Such specifications have never been simultaneously achieved so far and therefore a test facility is being constructed at Consorzio RFX, to demonstrate the feasibility of a prototype neutral beam injector. The facility will host two experimental devices: SPIDER, a 100 kV negative hydrogen/deuterium RF source, full size prototype of the ITER source, and MITICA, a prototype of the full ITER injector. SPIDER will be devoted to optimize the extracted negative ion current density and its spatial uniformity and to minimize the co-extracted electron current. Negative hydrogen is mainly produced by conversion of hydrogen particles at the cesium coated surface of the plasma grid. The interplay of these two species is fundamental to understand and optimize the source performance. Two laser-aided diagnostics play an important role in measuring the negative hydrogen and cesium density: cavity ring down spectroscopy and laser absorption spectroscopy. Cavity ring down spectroscopy will use the photo-detachment process to measure the absolute line-of-sight integrated negative ion density in the extraction region of the source. Laser absorption spectroscopy will be employed to measure the line integrated neutral cesium density, allowing to study the cesium distribution in the source volume, during both the plasma and the vacuum phases. In this paper, the design of the laser-aided diagnostic systems on SPIDER is presented, supported by a review of results obtained in other operating experiments.
Design of HELIOS beam diagnostics
International Nuclear Information System (INIS)
Seagrave, J.D.; Bigio, I.J.; Jackson, S.V.; Laird, A.M.
1979-01-01
Verification of satisfactory operation of the HELIOS eight-beam laser system requires measurement of many parameters of each beam on each shot. Fifty-joule samples of each of the eight 1250-J, subnanosecond 34-cm-diameter beams of the HELIOS system are diverted to a gallery of eight folded telescopes and beamsplit to provide diagnostic measurements. Total pulse energy, and prepulse and postlase energy of each beam are measured; pulse shape details and a wavelength spectrum of a selected beam from each shot are measured; and provision is made for retropulse measurement and optical quality monitoring. All data are recorded digitally in a local screen room, with control and communication through a fiberoptic link to the main HELIOS computer
Sá, Luísa; Teixeira, Andreia Sofia Costa; Tavares, Fernando; Costa-Santos, Cristina; Couto, Luciana; Costa-Pereira, Altamiro; Hespanhol, Alberto Pinto; Santos, Paulo
2017-01-01
Objectives To characterise the test ordering pattern in Northern Portugal and to investigate the influence of context-related factors, analysing the test ordered at the level of geographical groups of family physicians and at the level of different healthcare organisations. Design Cross-sectional study. Setting Northern Primary Health Care, Portugal. Participants Records about diagnostic and laboratory tests ordered from 2035 family physicians working at the Northern Regional Health Administration, who served approximately 3.5 million Portuguese patients, in 2014. Outcomes To determine the 20 most ordered diagnostic and laboratory tests in the Northern Regional Health Administration; to identify the presence and extent of variations in the 20 most ordered diagnostic and laboratory tests between the Groups of Primary Care Centres and between health units; and to study factors that may explain these variations. Results The 20 most ordered diagnostic and laboratory tests almost entirely comprise laboratory tests and account for 70.9% of the total tests requested. We can trace a major pattern of test ordering for haemogram, glucose, lipid profile, creatinine and urinalysis. There was a significant difference (P<0.001) in test orders for all tests between Groups of Primary Care Centres and for all tests, except glycated haemoglobin (P=0.06), between health units. Generally, the Personalised Healthcare Units ordered more than Family Health Units. Conclusions The results from this study show that the most commonly ordered tests in Portugal are laboratory tests, that there is a tendency for overtesting and that there is a large variability in diagnostic and laboratory test ordering in different geographical and organisational Portuguese primary care practices, suggesting that there may be considerable potential for the rationalisation of test ordering. The existence of Family Health Units seems to be a strong determinant in decreasing test ordering by Portuguese family
Development of JT-60 diagnostics system
International Nuclear Information System (INIS)
Suzuki, Yasuo
1988-01-01
The various kinds of plasma diagnostics have been developed and utilized in the JT-60 experiments. The features of JT-60 diagnostics system and the historical proceeding of the development are described in this paper. Taking account of the design consideration, JT-60 diagnostics system is sorted out into eight groups, which include six diagnostics systems, the data processing system and diagnostics supporting system. The all devices in the JT-60 diagnostics system were instrumented on schedule in the end of the fiscal year of 1985 and have contributed to JT-60 experiments. (author)
Directory of Open Access Journals (Sweden)
Jan Christopher Cwik
2016-11-01
Full Text Available This study examines the utility of checklists in attaining more accurate diagnoses in the context of diagnostic decision-making for mental disorders. The study also aimed to replicate results from a meta-analysis indicating that there is no association between patients’ gender and misdiagnoses. To this end, 475 psychotherapists were asked to judge three case vignettes describing patients with Major Depressive Disorder, Generalized Anxiety Disorder, and Borderline Personality Disorder. Therapists were randomly assigned to experimental conditions in a 2 (diagnostic method: with using diagnostic checklists vs. without using diagnostic checklists x 2 (gender: male vs. female case vignettes between-subjects design. Multinomial logistic and linear regression analyses were used to examine the association between the usage of diagnostic checklists as well as patients’ gender and diagnostic decisions.The results showed that when checklists were used, fewer incorrect co-morbid diagnoses were made, but clinicians were less likely to diagnose MDD even when the criteria were met. Additionally, checklists improved therapists’ confidence with diagnostic decisions, but were not associated with estimations of patients’ characteristics. As expected, there were no significant associations between gender and diagnostic decisions.
Cwik, Jan C; Papen, Fabienne; Lemke, Jan-Erik; Margraf, Jürgen
2016-01-01
This study examines the utility of checklists in attaining more accurate diagnoses in the context of diagnostic decision-making for mental disorders. The study also aimed to replicate results from a meta-analysis indicating that there is no association between patients' gender and misdiagnoses. To this end, 475 psychotherapists were asked to judge three case vignettes describing patients with Major Depressive Disorder (MDD), Generalized Anxiety Disorder, and Borderline Personality Disorder. Therapists were randomly assigned to experimental conditions in a 2 (diagnostic method: with using diagnostic checklists vs. without using diagnostic checklists) × 2 (gender: male vs. female case vignettes) between-subjects design. Multinomial logistic and linear regression analyses were used to examine the association between the usage of diagnostic checklists as well as patients' gender and diagnostic decisions. The results showed that when checklists were used, fewer incorrect co-morbid diagnoses were made, but clinicians were less likely to diagnose MDD even when the criteria were met. Additionally, checklists improved therapists' confidence with diagnostic decisions, but were not associated with estimations of patients' characteristics. As expected, there were no significant associations between gender and diagnostic decisions.
The ITER bolometer diagnostic: Status and plans
International Nuclear Information System (INIS)
Meister, H.; Giannone, L.; Horton, L. D.; Raupp, G.; Zeidner, W.; Grunda, G.; Kalvin, S.; Fischer, U.; Serikov, A.; Stickel, S.; Reichle, R.
2008-01-01
A consortium consisting of four EURATOM Associations has been set up to develop the project plan for the full development of the ITER bolometer diagnostic and to continue urgent R and D activities. An overview of the current status is given, including detector development, line-of-sight optimization, performance analysis as well as the design of the diagnostic components and their integration in ITER. This is complemented by the presentation of plans for future activities required to successfully implement the bolometer diagnostic, ranging from the detector development over diagnostic design and prototype testing to RH tools for calibration.
The ITER bolometer diagnostic: Status and plansa)
Meister, H.; Giannone, L.; Horton, L. D.; Raupp, G.; Zeidner, W.; Grunda, G.; Kalvin, S.; Fischer, U.; Serikov, A.; Stickel, S.; Reichle, R.
2008-10-01
A consortium consisting of four EURATOM Associations has been set up to develop the project plan for the full development of the ITER bolometer diagnostic and to continue urgent R&D activities. An overview of the current status is given, including detector development, line-of-sight optimization, performance analysis as well as the design of the diagnostic components and their integration in ITER. This is complemented by the presentation of plans for future activities required to successfully implement the bolometer diagnostic, ranging from the detector development over diagnostic design and prototype testing to RH tools for calibration.
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
Studies on the diagnostic accuracy of lymphography
International Nuclear Information System (INIS)
Luening, M.; Stargardt, A.; Abet, L.
1979-01-01
Contradictory reports in the literature on the reliability of lymphography stimulated the authors to test the diagnostic accuracy, employing methods which are approximately analogous to practice, using carcinoma of the cervix as the model on which the study was carried out. Using 21 observers it was found that there was no correlation between their experience and on-target accuracy of the diagnosis. Good observers obtained an accuracy of 85% with good proportions between sensitivity in the recognition of detail, specificity and readiness to arrive at a decision on the basis of discriminatory ability. With the help of the concept of the ROC curves, the position taken up by the observers in respect of diagnostic decisions, and a complex manner of assessing the various characteristic factors determining diagnostic accuracy, are demonstrated. This form of test, which permits manipulation of different variants of diagnosis, is recommended, among other things, for performance control at the end of training and continuing education courses in other fields of x-ray diagnosis as well. (orig.) [de
Nuclear diagnostics in support of ICF experiments
International Nuclear Information System (INIS)
Moran, M.J.; Hall, J.
1996-01-01
As the yields of Inertial Confinement Fusion (ICF) experiments increase to NIF levels new diagnostic techniques for studying details of fusion burn behavior will become feasible. The new techniques will provide improved measurements of fusion burn temperature and history. Improved temperature measurements might be achieved with magnetic spectroscopy of fusion neutrons. High-bandwidth fusion reaction history will be measured with fusion-specific γ-ray diagnostics. Additional energy-resolved γ-ray might be able to study a selection of specific behaviors during fusion burn. Present ICF yields greater than 10 13 neutrons are sufficient to demonstrate the basic methods that underlie the new techniques. As ICF yields increase, the diagnostics designs adjusted accordingly in order to provide clear and specific data on fusion burn performance
Liu, Xiao-Qi; Peng, Dan-Hong; Wang, Yan-Ping; Xie, Rong; Chen, Xin-Lin; Yu, Chun-Quan; Li, Xian-Tao
2018-05-03
Phlegm and blood stasis syndrome (PBSS) is one of the main syndromes in coronary heart disease (CHD). Syndromes of Chinese medicine (CM) are lack of quantitative and easyimplementation diagnosis standards. To quantify and standardize the diagnosis of PBSS, scales are usually applied. To evaluate the diagnostic accuracy of CM diagnosis scale of PBSS in CHD. Six hundred patients with stable angina pectoris of CHD, 300 in case group and 300 in control group, will be recruited from 5 hospitals across China. Diagnosis from 2 experts will be considered as the "gold standard". The study design consists of 2 phases: pilot test is used to evaluate the reliability and validity, and diagnostic test is used to assess the diagnostic accuracy of the scale, including sensitivity, specififi city, likelihood ratio and area under the receiver operator characteristic (ROC) curve. This study will evaluate the diagnostic accuracy of CM diagnosis scale of PBSS in CHD. The consensus of 2 experts may not be ideal as a "gold standard", and itself still requires further study. (No. ChiCTR-OOC-15006599).
NEURAL NETWORK SYSTEM FOR DIAGNOSTICS OF AVIATION DESIGNATION PRODUCTS
Directory of Open Access Journals (Sweden)
В. Єременко
2011-02-01
Full Text Available In the article for solving the classification problem of the technical state of the object, proposed to use a hybrid neural network with a Kohonen layer and multilayer perceptron. The information-measuring system can be used for standardless diagnostics, cluster analysis and to classify the products which made from composite materials. The advantage of this architecture is flexibility, high performance, ability to use different methods for collecting diagnostic information about unit under test, high reliability of information processing
ASIC design of a digital fuzzy system on chip for medical diagnostic applications.
Roy Chowdhury, Shubhajit; Roy, Aniruddha; Saha, Hiranmay
2011-04-01
The paper presents the ASIC design of a digital fuzzy logic circuit for medical diagnostic applications. The system on chip under consideration uses fuzzifier, memory and defuzzifier for fuzzifying the patient data, storing the membership function values and defuzzifying the membership function values to get the output decision. The proposed circuit uses triangular trapezoidal membership functions for fuzzification patients' data. For minimizing the transistor count, the proposed circuit uses 3T XOR gates and 8T adders for its design. The entire work has been carried out using TSMC 0.35 µm CMOS process. Post layout TSPICE simulation of the whole circuit indicates a delay of 31.27 ns and the average power dissipation of the system on chip is 123.49 mW which indicates a less delay and less power dissipation than the comparable embedded systems reported earlier.
Diagnostic grand rounds: A new teaching concept to train diagnostic reasoning
International Nuclear Information System (INIS)
Stieger, Stefan; Praschinger, Andrea; Kletter, Kurt; Kainberger, Franz
2011-01-01
Introduction: Diagnostic reasoning is a core skill in teaching and learning in undergraduate curricula. Diagnostic grand rounds (DGRs) as a subform of grand rounds are intended to train the students' skills in the selection of appropriate tests and in the interpretation of test results. The aim of this study was to test DGRs for their ability to improve diagnostic reasoning by using a pre-post-test design. Methods: During one winter term, all 398 fifth-year students (36.1% male, 63.9% female) solved 23 clinical cases presented in 8 DGRs. In an online questionnaire, a Diagnostic Thinking Inventory (DTI) with 41 items was evaluated for flexibility in thinking and structure of knowledge in memory. Results were correlated with those from a summative multiple-choice knowledge test and of the learning objectives in a logbook. Results: The students' DTI scores in the post-test were significantly higher than those reported in the pre-test. DTI scores at either testing time did not correlate with medical knowledge as assessed by a multiple-choice knowledge test. Abilities acquired during clinical clerkships as documented in a logbook could only account for a small proportion of the increase in the flexibility subscale score. This effect still remained significant after accounting for potential confounders. Conclusion: Establishing DGRs proofed to be an effective way of successfully improving both students' diagnostic reasoning and the ability to select the appropriate test method in routine clinical practice.
Diagnostic grand rounds: A new teaching concept to train diagnostic reasoning
Energy Technology Data Exchange (ETDEWEB)
Stieger, Stefan, E-mail: stefan.stieger@univie.ac.at [Department of Basic Psychological Research, School of Psychology, University of Vienna, Liebiggasse 5, A-1010 Vienna (Austria); Praschinger, Andrea, E-mail: andrea.praschinger@meduniwien.ac.at [Core Unit for Medical Education (BEMAW), Medical University of Vienna, Spitalgasse 23, BT87, P.O. 10, A-1097 Vienna (Austria); Kletter, Kurt, E-mail: kurt.kletter@meduniwien.ac.at [Department of Nuclear Medicine, General Hospital of Vienna, Waehringer Guertel 18-20, A-1090 Vienna (Austria); Kainberger, Franz, E-mail: franz.kainberger@meduniwien.ac.at [Department of Radiology, General Hospital of Vienna, Waehringer Guertel 18-20, A-1090 Vienna (Austria)
2011-06-15
Introduction: Diagnostic reasoning is a core skill in teaching and learning in undergraduate curricula. Diagnostic grand rounds (DGRs) as a subform of grand rounds are intended to train the students' skills in the selection of appropriate tests and in the interpretation of test results. The aim of this study was to test DGRs for their ability to improve diagnostic reasoning by using a pre-post-test design. Methods: During one winter term, all 398 fifth-year students (36.1% male, 63.9% female) solved 23 clinical cases presented in 8 DGRs. In an online questionnaire, a Diagnostic Thinking Inventory (DTI) with 41 items was evaluated for flexibility in thinking and structure of knowledge in memory. Results were correlated with those from a summative multiple-choice knowledge test and of the learning objectives in a logbook. Results: The students' DTI scores in the post-test were significantly higher than those reported in the pre-test. DTI scores at either testing time did not correlate with medical knowledge as assessed by a multiple-choice knowledge test. Abilities acquired during clinical clerkships as documented in a logbook could only account for a small proportion of the increase in the flexibility subscale score. This effect still remained significant after accounting for potential confounders. Conclusion: Establishing DGRs proofed to be an effective way of successfully improving both students' diagnostic reasoning and the ability to select the appropriate test method in routine clinical practice.
PSYCHOLOGICAL DIAGNOSTICS OF STUDENTS ADAPTATION TO UNIVERSITY STUDIES
Directory of Open Access Journals (Sweden)
Olga A. Molokova
2015-01-01
Full Text Available Aim. The solution version of one of problems of psychology andpedagogical escort of students at the initial stage of their adaptation to training in higher education institution is stated in the study. Such maintenance obligatory includes diagnostics of a psychological state of pupils that in a traditional state demands considerable expenses by as teachers’ and first-year students’ forces and time. Possibility of elimination of this shortcoming is presented.Methods. The methods involve the modified Sklyayn’s technique which description is presented in K. Rogers’s works; the technique of the personal differential definition; the technique of definition of the psychological satisfaction in various vital spheres. Students’ relation to the research was found out during anonymous poll.Results. It is shown that, despite the positive relation to psychological researches from the majority of respondents, there is a problem of the obvious or latent unwillingness of some first-year students to participate in surveys and test work caused by work content and its duration. The alternative to tiresome measurements of indicators of adaptation of pupils to training in higher education institution is presented – the express diagnostics reduce time of monitoring and allow teachers to get students interested. Comparison of the results received at use of Sklyayn’s technique and a technique «Personal differential» shows that they investigate the same phenomenon at nonverbal and verbal levels: correlation of persons’ «real self» and «ideal self». However, if creation of verbal formulations of the person relation to what he/she is, and to what he/she wants to be, can cause difficulties by the examinee, the nonverbal diagnostics turned to subconsciousness, is not only simpler, but also reflects a psychological state of the person more precisely.Scientific novelty. Modification of the technique by Sklyayn is proposed; it
Zhang, Wenjun; Wang, Ming L.; Khalili, Sammy
2016-01-01
Abstract We live in exciting times for a new generation of biomarkers being enabled by advances in the design and use of biomaterials for medical and clinical applications, from nano- to macro-materials, and protein to tissue. Key challenges arise, however, due to both scientific complexity and compatibility of the interface of biology and engineered materials. The linking of mechanisms across scales by using a materials science approach to provide structure–process–property relations characterizes the emerging field of ‘materiomics,’ which offers enormous promise to provide the hitherto missing tools for biomaterial development for clinical diagnostics and the next generation biomarker applications towards personal health monitoring. Put in other words, the emerging field of materiomics represents an essentially systematic approach to the investigation of biological material systems, integrating natural functions and processes with traditional materials science perspectives. Here we outline how materiomics provides a game-changing technology platform for disruptive innovation in biomaterial science to enable the design of tailored and functional biomaterials—particularly, the design and screening of DNA aptamers for targeting biomarkers related to oral diseases and oral health monitoring. Rigorous and complementary computational modeling and experimental techniques will provide an efficient means to develop new clinical technologies in silico, greatly accelerating the translation of materiomics-driven oral health diagnostics from concept to practice in the clinic. PMID:26760957
Agarwal, Rahul; Cao, Yuan; Hoffmeier, Klaus; Krezdorn, Nicolas; Jost, Lukas; Meisel, Alejandro Rodriguez; Jüngling, Ruth; Dituri, Francesco; Mancarella, Serena; Rotter, Björn; Winter, Peter; Giannelli, Gianluigi
2017-06-08
The aim of this study was to design a road map for personalizing cancer therapy in hepatocellular carcinoma (HCC) by using molecular pattern diagnostics. As an exploratory study, we investigated molecular patterns of tissues of two tumors from individual HCC patients, which in previous experiments had shown contrasting reactions to the phase 2 transforming growth factor beta receptor 1 inhibitor galunisertib. Cancer-driving molecular patterns encompass - inter alias - altered transcription profiles and somatic mutations in coding regions differentiating tumors from their respective peritumoral tissues and from each other. Massive analysis of cDNA ends and all-exome sequencing demonstrate a highly divergent transcriptional and mutational landscape, respectively, for the two tumors, that offers potential explanations for the tumors contrasting responses to galunisertib. Molecular pattern diagnostics (MPDs) suggest alternative, individual-tumor-specific therapies, which in both cases deviate from the standard sorafenib treatment and from each other. Suggested personalized therapies use kinase inhibitors and immune-focused drugs as well as low-toxicity natural compounds identified using an advanced bioinformatics routine included in the MPD protocol. The MPD pipeline we describe here for the prediction of suitable drugs for treatment of two contrasting HCCs may serve as a blueprint for the design of therapies for various types of cancer.
Tissue microarray design and construction for scientific, industrial and diagnostic use
Directory of Open Access Journals (Sweden)
Daniela Pilla
2012-01-01
Full Text Available Context: In 2013 the high throughput technology known as Tissue Micro Array (TMA will be fifteen years old. Its elements (design, construction and analysis are intuitive and the core histopathology technique is unsophisticated, which may be a reason why has eluded a rigorous scientific scrutiny. The source of errors, particularly in specimen identification and how to control for it is unreported. Formal validation of the accuracy of segmenting (also known as de-arraying hundreds of samples, pairing with the sample data is lacking. Aims: We wanted to address these issues in order to bring the technique to recognized standards of quality in TMA use for research, diagnostics and industrial purposes. Results: We systematically addressed the sources of error and used barcode-driven data input throughout the whole process including matching the design with a TMA virtual image and segmenting that image back to individual cases, together with the associated data. In addition we demonstrate on mathematical grounds that a TMA design, when superimposed onto the corresponding whole slide image, validates on each and every sample the correspondence between the image and patient′s data. Conclusions: High throughput use of the TMA technology is a safe and efficient method for research, diagnosis and industrial use if all sources of errors are identified and addressed.
Diagnostic interval and mortality in colorectal cancer
DEFF Research Database (Denmark)
Tørring, Marie Louise; Frydenberg, Morten; Hamilton, William
2012-01-01
Objective To test the theory of a U-shaped association between time from the first presentation of symptoms in primary care to the diagnosis (the diagnostic interval) and mortality after diagnosis of colorectal cancer (CRC). Study Design and Setting Three population-based studies in Denmark...
Three principles to define the success of a diagnostic study could be identified
DEFF Research Database (Denmark)
Vach, Werner; Gerke, Oke; Høilund-Carlsen, Poul Flemming
2012-01-01
of a diagnostic study on a single binary test and investigation of common statistical approaches in relation to these criteria. RESULTS: Three criteria for defining the overall success of a diagnostic study could be identified: a strong criterion, a liberal criterion, and a weak criterion. The strong criterion...... can be implemented by comparing the lower bounds of the confidence intervals for sensitivity and specificity with prespecified target values, as is typically done in many diagnostic studies. The liberal criterion allows a clinically meaningful compensation between sensitivity and specificity and can...... be implemented in different ways. If the liberal criterion is applied instead of the strong criterion, this can lead to a substantial reduction in the sample size required for a diagnostic study. The weak criterion is not very adequate for defining the success of a diagnostic study. CONCLUSION: When planning...
Relating faults in diagnostic reasoning with diagnostic errors and patient harm.
Zwaan, L.; Thijs, A.; Wagner, C.; Wal, G. van der; Timmermans, D.R.M.
2012-01-01
Purpose: The relationship between faults in diagnostic reasoning, diagnostic errors, and patient harm has hardly been studied. This study examined suboptimal cognitive acts (SCAs; i.e., faults in diagnostic reasoning), related them to the occurrence of diagnostic errors and patient harm, and studied
X-ray diagnostics in non-specialized conditions
International Nuclear Information System (INIS)
Vasil’yev, A Y; Lyubimenko, V A; Potrakhov, Y N; Potrakhov, N N; Bessonov, V B; Klonov, V V; Larionov, I A; Gryaznov, A Y; Zhamova, K K
2017-01-01
The results of research in the development of X-ray diagnostic equipment in non-specialized conditions are described. The design of the first domestic digital X-ray diagnostic complex for neonatology in portable design is presented. Examples of X-ray images obtained “at home” from a patient are given. (paper)
Plasma diagnostics for the compact ignition tokamak
International Nuclear Information System (INIS)
Medley, S.S.; Young, K.M.
1988-06-01
The primary mission of the Compact Ignition Tokamak (CIT) is to study the physics of alpha-particle heating in an ignited D-T plasma. A burn time of about 10 /tau//sub E/ is projected in a divertor configuration with baseline machine design parameters of R=2.10 m, 1=0.65 m, b=1.30 m, I/sub p/=11 MA, B/sub T/=10 T and 10-20 MW of auxiliary rf heating. Plasma temperatures and density are expected to reach T/sub e/(O) /approximately/20 keV, T/sub i/(O) /approximately/30 keV, and n/sub e/(O) /approximately/ 1 /times/ 10 21 m/sup /minus/3/. The combined effects of restricted port access to the plasma, the presence of severe neutron and gamma radiation backgrounds, and the necessity for remote of in-cell components create challenging design problems for all of the conventional diagnostic associated with tokamak operations. In addition, new techniques must be developed to diagnose the evolution in space, time, and energy of the confined alpha distribution as well as potential plasma instabilities driven by collective alpha-particle effects. The design effort for CIT diagnostics is presently in the conceptual phase with activity being focused on the selection of a viable diagnostic set and the identification of essential research and development projects to support this process. A review of these design issues and other aspects impacting the selection of diagnostic techniques for the CIT experiment will be presented. 28 refs., 10 figs., 2 tabs
International Nuclear Information System (INIS)
Schueler, Sabine; Walther, Stefan; Schuetz, Georg M.; Schlattmann, Peter; Dewey, Marc
2013-01-01
To evaluate the methodological quality of diagnostic accuracy studies on coronary computed tomography (CT) angiography using the QUADAS (Quality Assessment of Diagnostic Accuracy Studies included in systematic reviews) tool. Each QUADAS item was individually defined to adapt it to the special requirements of studies on coronary CT angiography. Two independent investigators analysed 118 studies using 12 QUADAS items. Meta-regression and pooled analyses were performed to identify possible effects of methodological quality items on estimates of diagnostic accuracy. The overall methodological quality of coronary CT studies was merely moderate. They fulfilled a median of 7.5 out of 12 items. Only 9 of the 118 studies fulfilled more than 75 % of possible QUADAS items. One QUADAS item (''Uninterpretable Results'') showed a significant influence (P = 0.02) on estimates of diagnostic accuracy with ''no fulfilment'' increasing specificity from 86 to 90 %. Furthermore, pooled analysis revealed that each QUADAS item that is not fulfilled has the potential to change estimates of diagnostic accuracy. The methodological quality of studies investigating the diagnostic accuracy of non-invasive coronary CT is only moderate and was found to affect the sensitivity and specificity. An improvement is highly desirable because good methodology is crucial for adequately assessing imaging technologies. (orig.)
Energy Technology Data Exchange (ETDEWEB)
Schueler, Sabine; Walther, Stefan; Schuetz, Georg M. [Humboldt-Universitaet zu Berlin, Freie Universitaet Berlin, Charite Medical School, Department of Radiology, Berlin (Germany); Schlattmann, Peter [University Hospital of Friedrich Schiller University Jena, Department of Medical Statistics, Informatics, and Documentation, Jena (Germany); Dewey, Marc [Humboldt-Universitaet zu Berlin, Freie Universitaet Berlin, Charite Medical School, Department of Radiology, Berlin (Germany); Charite, Institut fuer Radiologie, Berlin (Germany)
2013-06-15
To evaluate the methodological quality of diagnostic accuracy studies on coronary computed tomography (CT) angiography using the QUADAS (Quality Assessment of Diagnostic Accuracy Studies included in systematic reviews) tool. Each QUADAS item was individually defined to adapt it to the special requirements of studies on coronary CT angiography. Two independent investigators analysed 118 studies using 12 QUADAS items. Meta-regression and pooled analyses were performed to identify possible effects of methodological quality items on estimates of diagnostic accuracy. The overall methodological quality of coronary CT studies was merely moderate. They fulfilled a median of 7.5 out of 12 items. Only 9 of the 118 studies fulfilled more than 75 % of possible QUADAS items. One QUADAS item (''Uninterpretable Results'') showed a significant influence (P = 0.02) on estimates of diagnostic accuracy with ''no fulfilment'' increasing specificity from 86 to 90 %. Furthermore, pooled analysis revealed that each QUADAS item that is not fulfilled has the potential to change estimates of diagnostic accuracy. The methodological quality of studies investigating the diagnostic accuracy of non-invasive coronary CT is only moderate and was found to affect the sensitivity and specificity. An improvement is highly desirable because good methodology is crucial for adequately assessing imaging technologies. (orig.)
Opto-Mechanical Design of FIR Diagnostic System for C-2W
Beall, Michael; Deng, B. H.; Settles, G.; Rouillard, M.; Schroeder, J.; Gota, H.; Thompson, M.; Snitchler, G.; Ziaei, S.; the TAE Team
2016-10-01
The goal of the C-2W far-infrared (FIR) diagnostic system is to provide highly accurate, simultaneous polarimetry and interferometry information about the generation, equilibrium and time evolution of the advanced beam-driven field-reversed configuration (FRC). Thorough spatial coverage of the confinement vessel will be provided by a set of 14 chords at the central plane, with half of the chords tilted at a 15°angle to provide additional polarimetry information. Due to the very low (<.5°) Faraday rotation expected in the field-reversed plasma, the system has a design goal of .25 μm maximum allowable vibration over the lifetime of the shot. Due to large eddy-current forces from simulation of magnetic-field ramp-up, a non-metallic canvas phenolic material has been selected for the primary breadboards, which are mounted on a rigid, sand-filled support structure. Given the size of the structure and the magnetic impact, the support structure does not use pneumatic or mechanical isolation. Dynamic vibration analysis with Ansys, based on measurements of local ground vibration and simulations of magnetic forces, predicts that the system will meet the design goal.
Design advances of the Core Plasma Thomson Scattering diagnostic for ITER.
Czech Academy of Sciences Publication Activity Database
Scannell, R.; Maslov, M.; Naylor, G.; O’Gorman, T.; Kempenaars, M.; Carr, M.; Bílková, Petra; Böhm, Petr; Giudicotti, L.; Pasqualotto, R.; Bassan, M.; Vayakis, G.; Walsh, M.; Huxford, R.
2017-01-01
Roč. 12, November (2017), č. článku C11010. ISSN 1748-0221. [International Symposium on Laser-Aided Plasma Diagnostics (LAPD2017) /18./. Prague, 24.09.2017-28.09.2017] Institutional support: RVO:61389021 Keywords : Nuclear instruments and methods for hot plasma diagnostics * Plasma diagnostics - interferometry * spectroscopy and imaging Subject RIV: BL - Plasma and Gas Discharge Physics OBOR OECD: 2.11 Other engineering and technologies Impact factor: 1.220, year: 2016 http://iopscience.iop.org/article/10.1088/1748-0221/12/11/C11010/pdf
Cohen, Luchino
Immune functions are altered during space flights. Latent virus reactivation, reduction in the number of immune cells, decreased cell activation and increased sensitivity of astronauts to infections following their return on Earth demonstrate that the immune system is less efficient during space flight. The causes of this immune deficiency are not fully understood and this dysfunction during long-term missions could result in the appearance of opportunistic infections or a decrease in the immuno-surveillance mechanisms that eradicate cancer cells. Therefore, the immune functions of astronauts will have to be monitored continuously during long-term missions in space, using miniature and semi-automated diagnostic systems. The objectives of this project are to study the causes of space-related immunodeficiency, to develop countermeasures to maintain an optimal immune function and to improve our capacity to detect infectious diseases during space missions through the monitoring of astronauts' immune system. In order to achieve these objectives, an Immune Function Diagnostic System (IFDS) will be designed to perform a set of immunological assays on board spacecrafts or on planet-bound bases. Through flow cytometric assays and molecular biology analyses, this diagnostic system could improve medical surveillance of astronauts and could be used to test countermeasures aimed at preventing immune deficiency during space missions. The capacity of the instrument to assess cellular fluorescence and to quantify the presence of soluble molecules in biological samples would support advanced molecular studies in space life sciences. Finally, such diagnostic system could also be used on Earth in remote areas or in mobile hospitals following natural disasters to fight against infectious diseases and other pathologies.
Experimental Investigation on Admittance-Based Piezoelectric Sensor Diagnostic Process
Energy Technology Data Exchange (ETDEWEB)
Jo, Hyejin; Park, Tongil; Park, Gyuhae [Chonnam National University, Gwangju (Korea, Republic of)
2015-01-15
Structural health monitoring (SHM) techniques based on the use of active-sensing piezoelectric (PZT) materials have received considerable attention. The validation of the PZT functionality during SHM operation is critical to successfully implementing a reliable SHM system. In this study, we investigated several parameters that affect the admittance-based sensor diagnostic process. We experimentally identified the temperature dependency of the active-sensor diagnostic process. We found that the admittance-based sensor diagnostic process can differentiate the adhesion conditions of bonding materials that are used to install a PZT on a structure, which is important when designing a sensor diagnostic process for an SHM system.
Swadling, G F; Ross, J S; Datte, P; Moody, J; Divol, L; Jones, O; Landen, O
2016-11-01
An Optical Thomson Scattering (OTS) diagnostic is currently being developed for the National Ignition Facility (NIF) at Lawrence Livermore National Laboratory. This diagnostic is designed to make measurements of the hohlraum plasma parameters, such as the electron temperature and the density, during inertial confinement fusion (ICF) experiments. NIF ICF experiments present a very challenging environment for optical measurements; by their very nature, hohlraums produce intense soft x-ray emission, which can cause "blanking" (radiation induced opacity) of the radiation facing optical components. The soft x-ray fluence at the surface of the OTS blast shield, 60 cm from the hohlraum, is estimated to be ∼8 J cm -2 . This is significantly above the expected threshold for the onset of "blanking" effects. A novel xenon plasma x-ray shield is proposed to protect the blast shield from x-rays and mitigate "blanking." Estimates suggest that an areal density of 10 19 cm -2 Xe atoms will be sufficient to absorb 99.5% of the soft x-ray flux. Two potential designs for this shield are presented.
Design of portable ultraminiature flow cytometers for medical diagnostics
Leary, James F.
2018-02-01
Design of portable microfluidic flow/image cytometry devices for measurements in the field (e.g. initial medical diagnostics) requires careful design in terms of power requirements and weight to allow for realistic portability. True portability with high-throughput microfluidic systems also requires sampling systems without the need for sheath hydrodynamic focusing both to avoid the need for sheath fluid and to enable higher volumes of actual sample, rather than sheath/sample combinations. Weight/power requirements dictate use of super-bright LEDs with top-hat excitation beam architectures and very small silicon photodiodes or nanophotonic sensors that can both be powered by small batteries. Signal-to-noise characteristics can be greatly improved by appropriately pulsing the LED excitation sources and sampling and subtracting noise in between excitation pulses. Microfluidic cytometry also requires judicious use of small sample volumes and appropriate statistical sampling by microfluidic cytometry or imaging for adequate statistical significance to permit real-time (typically in less than 15 minutes) initial medical decisions for patients in the field. This is not something conventional cytometry traditionally worries about, but is very important for development of small, portable microfluidic devices with small-volume throughputs. It also provides a more reasonable alternative to conventional tubes of blood when sampling geriatric and newborn patients for whom a conventional peripheral blood draw can be problematical. Instead one or two drops of blood obtained by pin-prick should be able to provide statistically meaningful results for use in making real-time medical decisions without the need for blood fractionation, which is not realistic in the doctor's office or field.
den Heijer, Casper DJ; van Dongen, Martien CJM; Donker, Gé A; Stobberingh, Ellen E
2012-01-01
Background Diagnostic urinary tract infection (UTI) studies have primarily been performed among female patients. Aim To create a diagnostic algorithm for male general practice patients suspected of UTI. Design and setting Surveillance study in the Dutch Sentinel General Practice Network. Method Clinical information and dipstick results were collected from 603 patients. Algorithm-predicted care was compared with care as usual in terms of sensitivity (antibiotic recommended when UTI was confirmed) and specificity (no antibiotic recommended when no UTI was observed). Results Complete information was available from 490/603 (81%) males, of whom 66% (321/490) had a UTI. A diagnostic algorithm recommending antimicrobial prescription in the case of a positive nitrite test or a positive leukocyte esterase test in males aged ≥60 years, had a positive predictive value (PPV) of 83% (95% confidence interval [CI] = 78 to 87) and a negative predictive value (NPV) of 60% (95% CI = 52 to 66), respectively (area under the ROC curve: 0.78, 95% CI = 0.74 to 0.82). When both dipstick results were positive in males aged ≥60 years, PPV increased to 90% (95% CI = 83 to 94), whereas NPV was highest in males Sensitivity and specificity of predicted UTI care and usual care did not differ (75% versus 79%, P = 0.30, and 70% versus 63%, P = 0.17, respectively). Conclusion UTI care provided to Dutch male GP patients is as accurate as predicted care from a diagnostic algorithm. The studied clinical information and dipstick tests are useful for ruling in UTI in males, but have limited value in ruling out this diagnosis. PMID:23211182
Studies of RF sheaths and diagnostics on IShTAR
Energy Technology Data Exchange (ETDEWEB)
Crombé, K., E-mail: Kristel.Crombe@UGent.be [Department of Applied Physics, Ghent University, Ghent (Belgium); LPP-ERM/KMS, Royal Military Academy, Brussels (Belgium); Devaux, S.; Faudot, E.; Heuraux, S.; Moritz, J. [YIJL, UMR7198 CNRS-Université de Lorraine, Nancy (France); D’Inca, R.; Faugel, H.; Fünfgelder, H.; Jacquot, J.; Ochoukov, R. [Max-Planck-Institut für Plasmaphysik, Garching (Germany); Louche, F.; Tripsky, M.; Van Eester, D.; Wauters, T. [LPP-ERM/KMS, Royal Military Academy, Brussels (Belgium); Noterdaeme, J.-M. [Department of Applied Physics, Ghent University, Ghent (Belgium); Max-Planck-Institut für Plasmaphysik, Garching (Germany)
2015-12-10
IShTAR (Ion cyclotron Sheath Test ARrangement) is a linear magnetised plasma test facility for RF sheaths studies at the Max-Planck-Institut für Plasmaphysik in Garching. In contrast to a tokamak, a test stand provides more liberty to impose the parameters and gives better access for the instrumentation and antennas. The project will support the development of diagnostic methods for characterising RF sheaths and validate and improve theoretical predictions. The cylindrical vacuum vessel has a diameter of 1 m and is 1.1 m long. The plasma is created by an external cylindrical plasma source equipped with a helical antenna that has been designed to excite the m=1 helicon mode. In inductive mode, plasma densities and electron temperatures have been characterised with a planar Langmuir probe as a function of gas pressure and input RF power. A 2D array of RF compensated Langmuir probes and a spectrometer are planned. A single strap RF antenna has been designed; the plasma-facing surface is aligned to the cylindrical plasma to ease the modelling. The probes will allow direct measurements of plasma density profiles in front of the RF antenna, and thus a detailed study of the density modifications induced by RF sheaths, which influences the coupling. The RF antenna frequency has been chosen to study different plasma wave interactions: the accessible plasma density range includes an evanescent and propagative behaviour of slow or fast waves, and allows the study of the effect of the lower hybrid resonance layer.
Electromagnetic analysis of ITER diagnostic equatorial port plugs during plasma disruptions
International Nuclear Information System (INIS)
Zhai, Y.; Feder, R.; Brooks, A.; Ulrickson, M.; Pitcher, C.S.; Loesser, G.D.
2013-01-01
Highlights: ► Disruption loads on ITER diagnostic equatorial port plugs are extracted. ► Upward major disruption produces the largest radial moment and radial force on diagnostic first walls and diagnostic shield modules. ► Large eddy currents on supporting rails, keys and water pipes are observed during disruption. -- Abstract: ITER diagnostic port plugs perform many functions including structural support of diagnostic systems under high electromagnetic loads while allowing for diagnostic access to the plasma. The design of diagnostic equatorial port plugs (EPP) are largely driven by electromagnetic loads and associate responses of EPP structure during plasma disruptions and VDEs. This paper summarizes results of transient electromagnetic analysis using Opera 3d in support of the design activities for ITER diagnostic EPP. A complete distribution of disruption loads on the diagnostic first walls (DFWs), diagnostic shield modules (DSMs) and the EPP structure, as well as impact on the system design integration due to electrical contact among various EPP structural components are discussed
Mazurek, Micah O; Lu, Frances; Symecko, Heather; Butter, Eric; Bing, Nicole M; Hundley, Rachel J; Poulsen, Marie; Kanne, Stephen M; Macklin, Eric A; Handen, Benjamin L
2017-09-01
The transition from DSM-IV to DSM-5 criteria for autism spectrum disorder (ASD) sparked considerable concern about the potential implications of these changes. This study was designed to address limitations of prior studies by prospectively examining the concordance of DSM-IV and final DSM-5 criteria on a consecutive sample of 439 children referred for autism diagnostic evaluations. Concordance and discordance were assessed using a consistent diagnostic battery. DSM-5 criteria demonstrated excellent overall specificity and good sensitivity relative to DSM-IV criteria. Sensitivity and specificity were strongest for children meeting DSM-IV criteria for autistic disorder, but poor for those meeting criteria for Asperger's disorder and pervasive developmental disorder. Higher IQ, older age, female sex, and less pronounced ASD symptoms were associated with greater discordance.
Study of the performance of diagnostic radiology instruments during calibration
International Nuclear Information System (INIS)
Freitas, Rodrigo N. de; Vivolo, Vitor; Potiens, Maria da Penha A.
2008-01-01
Full text: The instruments used in diagnostic radiology measurements represent 8 % of the tested instruments by the calibration laboratory of IPEN annually (approximately 1600 in 2007). Considering that the calibration of this kind of instrument is performed biannually it is possible to conclude that almost 300 instruments are being used to measure the air kerma in diagnostic radiology clinics to determine the in beam values (in front of the patient), attenuated measurements (behind the patient) and scattered radiation. This work presents the results of the calibration of the instruments used in mammography, computed tomography, dental and conventional diagnostic radiology dosimetry, performed during the period of 2005 to 2007. Their performances during the calibrations measurements were evaluated. Although at the calibration laboratory there are three available series of radiation quality to this type of calibration (RQR, N and M, according to standards IEC 61267 and ISO 4037-1.), the applications can be assorted (general radiology, computed tomography, mammography, radiation protection and fluoroscopy). Depending on its design and behaviour , one kind of instrument can be used for one or more type of applications. The instruments normally used for diagnostic radiology measurements are ionization chambers with volumes varying from 3 to 1800 cm 3 , and can be cylindrical, spherical or plane parallel plates kind. They usually are sensitive to photon particles, with energies greater than 15 keV and can be used up to 1200 keV. In this work they were tested in X radiation fields from 25 to 150 kV, in specific qualities depending on the utilization of the instrument. The calibration results of 390 instruments received from 2005 to 2007 were analyzed. About 20 instruments were not able to be calibrated due to bad functioning. The calibration coefficients obtained were between 0.88 and 1.24. The uncertainties were always less than ± 3.6% to instruments used in scattered
Study of an extrapolation chamber in a standard diagnostic radiology beam by Monte Carlo simulation
International Nuclear Information System (INIS)
Vedovato, Uly Pita; Silva, Rayre Janaina Vieira; Neves, Lucio Pereira; Santos, William S.; Perini, Ana Paula; Belinato, Walmir
2016-01-01
In this work, we studied the influence of the components of an extrapolation ionization chamber in its response. This study was undertaken using the MCNP-5 Monte Carlo code, and the standard diagnostic radiology quality for direct beams (RQR5). Using tally F6 and 2.1 x 10"9 simulated histories, the results showed that the chamber design and material not alter significantly the energy deposited in its sensitive volume. The collecting electrode and support board were the components with more influence on the chamber response. (author)
Assessing Disease Class-Specific Diagnostic Ability: A Practical Adaptive Test Approach.
Papa, Frank J.; Schumacker, Randall E.
Measures of the robustness of disease class-specific diagnostic concepts could play a central role in training programs designed to assure the development of diagnostic competence. In the pilot study, the authors used disease/sign-symptom conditional probability estimates, Monte Carlo procedures, and artificial intelligence (AI) tools to create…
High speed photography diagnostics in laser-plasma interaction experiments
International Nuclear Information System (INIS)
Andre, M.L.
1988-01-01
The authors report on their effort in the development of techniques involved in laser-plasma experiments. This includes not only laser technology but also diagnostics studies and targets design and fabrication. Among the different kind of diagnostics currently used are high speed streak cameras, fast oscilloscopes and detectors sensitive in the i.r., visible, the u.v. region and the x-rays. In this presentation the authors describe the three high power lasers which are still in operation (P 102, OctAL and PHEBUS) and the main diagnostics used to characterize the plasma
International Nuclear Information System (INIS)
Aweidah, L.; Robinson, J.; Cumming, S.; Lewis, S.
2016-01-01
Introduction and Objective: Imaging obese patients poses a number of challenges for diagnostic radiographers through positioning, radiation exposure, communication and care. Furthermore, the increasing prevalence of obesity in Australian society ensures these imaging challenges are more frequent however little is known about this area. This study aims to explore the attitudes and perceptions of diagnostic radiographers toward imaging obese patients through a mixed methods study. Methods: Ethics approval was granted to interview and survey diagnostic radiographers about their attitudes and perceptions of imaging obese patients. Twelve diagnostic radiographers who are designated clinical educators (DR CEs) took part in a 30–45 min semi-structured interview as well as a 20 min computer-based Weight Implicit Association Test (Weight-IAT) and self-report questionnaire of explicit attitudes. An additional 25 experienced Diagnostic Radiographers who were associate supervisors completed the Weight-IAT/explicit questionnaire only. Results: Thematic analysis of the interviews revealed that DR CEs adopted an image-focussed or patient-focussed approach to obese patients. Key themes with a negative bias included blame, tolerance and insecurity of skill. Positively associated key themes were empathy and experience in radiography. The sample overall showed a significant negative implicit weight bias (P = 0.016) as measured by the Weight-IAT and there was no evidence of negative explicit attitudes. Conclusion: Australian diagnostic radiographers in this study exhibited significant negative implicit weight bias, with interview results highlighting attitudes of blame and frustration towards obese patients. DR CEs were more likely to be focussed on image acquisition rather than patient considerations, with fewer responses related to empathy and equity. - Highlights: • Mixed-methods study combining qualitative interviews and implicit–explicit bias towards imaging obese
Malaria Laboratory Diagnostic Performance: Case studies of two ...
African Journals Online (AJOL)
Advantages of rapid diagnostic tests when compared with microscopy are simple to perform, fast, low ... The study was conducted to establish the performance of laboratory diagnosis of malaria in local Malawi .... Government of Malawi.
International Nuclear Information System (INIS)
Tan, S.S.; Oppe, M.; Zoet-Nugteren, S.K.; Niezen, R.A.; Kofflard, M.J.M.; Ten Cate, F.J.; Roijen, L. Hakkaart-van
2009-01-01
Objective: The primary aim of the present study was to calculate the actual costs of four diagnostic tests for the detection of coronary artery disease in the Netherlands using a microcosting methodology. As a secondary objective, the cost effectiveness of eight diagnostic strategies was examined, using microcosting and reimbursement fees subsequently as the cost estimate. Design: A multicenter, retrospective cost analysis from a hospital perspective. Setting: The study was conducted in three general hospitals in the Netherlands for 2006. Interventions: Exercise electrocardiography (exECG), stress echocardiography (sECHO), single-photon emission computed tomography (SPECT) and coronary angiography (CA). Results: The actual costs of exECG, sECHO, SPECT and CA were Euro 33, 216, 614 and 1300 respectively. For all diagnostic tests, labour and indirect cost components (overheads and capital) together accounted for over 75% of the total costs. Consumables played a relatively important role in SPECT (14%). Hotel and nutrition were only applicable to SPECT and CA. Diagnostic services were solely performed for CA, but their costs were negligible (2%). Using microcosting estimates, exECG-sECHO-SPECT-CA was the most and CA the least cost effective strategy ( Euro 397 and 1302 per accurately diagnosed patient). Using reimbursement fees, exECG-sECHO-CA was most and SPECT-CA least cost effective ( Euro 147 and 567 per accurately diagnosed patient). Conclusions: The use of microcosting estimates instead of reimbursement fees led to different conclusions regarding the relative cost effectiveness of alternative strategies.
Reliability studies of diagnostic methods in Indian traditional Ayurveda medicine: An overview
Kurande, Vrinda Hitendra; Waagepetersen, Rasmus; Toft, Egon; Prasad, Ramjee
2013-01-01
Recently, a need to develop supportive new scientific evidence for contemporary Ayurveda has emerged. One of the research objectives is an assessment of the reliability of diagnoses and treatment. Reliability is a quantitative measure of consistency. It is a crucial issue in classification (such as prakriti classification), method development (pulse diagnosis), quality assurance for diagnosis and treatment and in the conduct of clinical studies. Several reliability studies are conducted in western medicine. The investigation of the reliability of traditional Chinese, Japanese and Sasang medicine diagnoses is in the formative stage. However, reliability studies in Ayurveda are in the preliminary stage. In this paper, examples are provided to illustrate relevant concepts of reliability studies of diagnostic methods and their implication in practice, education, and training. An introduction to reliability estimates and different study designs and statistical analysis is given for future studies in Ayurveda. PMID:23930037
Beam Instrumentation and Diagnostics
Strehl, Peter
2006-01-01
This treatise covers all aspects of the design and the daily operations of a beam diagnostic system for a large particle accelerator. A very interdisciplinary field, it involves contributions from physicists, electrical and mechanical engineers and computer experts alike so as to satisfy the ever-increasing demands for beam parameter variability for a vast range of operation modi and particles. The author draws upon 40 years of research and work, most of them spent as the head of the beam diagnostics group at GSI. He has illustrated the more theoretical aspects with many real-life examples that will provide beam instrumentation designers with ideas and tools for their work.
Directory of Open Access Journals (Sweden)
Shigang Zhang
2015-10-01
Full Text Available Sequential fault diagnosis is an approach that realizes fault isolation by executing the optimal test step by step. The strategy used, i.e., the sequential diagnostic strategy, has great influence on diagnostic accuracy and cost. Optimal sequential diagnostic strategy generation is an important step in the process of diagnosis system construction, which has been studied extensively in the literature. However, previous algorithms either are designed for single mode systems or do not consider test placement cost. They are not suitable to solve the sequential diagnostic strategy generation problem considering test placement cost for multimode systems. Therefore, this problem is studied in this paper. A formulation is presented. Two algorithms are proposed, one of which is realized by system transformation and the other is newly designed. Extensive simulations are carried out to test the effectiveness of the algorithms. A real-world system is also presented. All the results show that both of them have the ability to solve the diagnostic strategy generation problem, and they have different characteristics.
Zhang, Shigang; Song, Lijun; Zhang, Wei; Hu, Zheng; Yang, Yongmin
2015-01-01
Sequential fault diagnosis is an approach that realizes fault isolation by executing the optimal test step by step. The strategy used, i.e., the sequential diagnostic strategy, has great influence on diagnostic accuracy and cost. Optimal sequential diagnostic strategy generation is an important step in the process of diagnosis system construction, which has been studied extensively in the literature. However, previous algorithms either are designed for single mode systems or do not consider test placement cost. They are not suitable to solve the sequential diagnostic strategy generation problem considering test placement cost for multimode systems. Therefore, this problem is studied in this paper. A formulation is presented. Two algorithms are proposed, one of which is realized by system transformation and the other is newly designed. Extensive simulations are carried out to test the effectiveness of the algorithms. A real-world system is also presented. All the results show that both of them have the ability to solve the diagnostic strategy generation problem, and they have different characteristics. PMID:26457709
Design criteria of the bolometer diagnostic for steady-state operation of the W7-X stellarator
International Nuclear Information System (INIS)
Zhang, D.; Burhenn, R.; Koenig, R.; Giannone, L.; Grodzki, P. A.; Klein, B.; Grosser, K.; Baldzuhn, J.; Ewert, K.; Erckmann, V.; Hirsch, M.; Laqua, H. P.; Oosterbeek, J. W.
2010-01-01
A bolometric diagnostic system with features necessary for steady-state operation in the superconducting stellarator W7-X was designed. During a pulse length of 1800 s with an ECRH (electron cyclotron resonance heating) power of 10 MW, the components suffer not only from a large thermal load but also from stray radiation of the nonabsorbed isotropic microwaves. This paper gives an overview of the technical problems encountered during the design work and the solutions to individual problems to meet the special requirements in W7-X, e.g., component thermal protection, detector offset thermal drift suppression, as well as a microwave shielding technique.
Design criteria of the bolometer diagnostic for steady-state operation of the W7-X stellaratora)
Zhang, D.; Burhenn, R.; Koenig, R.; Giannone, L.; Grodzki, P. A.; Klein, B.; Grosser, K.; Baldzuhn, J.; Ewert, K.; Erckmann, V.; Hirsch, M.; Laqua, H. P.; Oosterbeek, J. W.
2010-10-01
A bolometric diagnostic system with features necessary for steady-state operation in the superconducting stellarator W7-X was designed. During a pulse length of 1800 s with an ECRH (electron cyclotron resonance heating) power of 10 MW, the components suffer not only from a large thermal load but also from stray radiation of the nonabsorbed isotropic microwaves. This paper gives an overview of the technical problems encountered during the design work and the solutions to individual problems to meet the special requirements in W7-X, e.g., component thermal protection, detector offset thermal drift suppression, as well as a microwave shielding technique.
Directory of Open Access Journals (Sweden)
Bossuyt Patrick MM
2010-10-01
Full Text Available Abstract Background In patients with clinically suspected appendicitis, imaging is needed to substantiate the clinical diagnosis. Imaging accuracy of ultrasonography (US is suboptimal, while the most accurate technique (CT is associated with cancer related deaths through exposure to ionizing radiation. MRI is a potential replacement, without associated ionizing radiation and no need for contrast medium administration. If MRI is proven to be sufficiently accurate, it could be introduced in the diagnostic pathway of patients with suspected appendicitis, increasing diagnostic accuracy and improving clinical outcomes, without the risk of radiation induced cancer or iodinated contrast medium-related drawbacks. The multicenter OPTIMAP study was designed to estimate the diagnostic accuracy of MRI in patients with suspected acute appendicitis in the general population. Methods/Design Eligible for this study are consecutive patients presenting with clinically suspected appendicitis at the emergency department in six centers. All patients will undergo imaging according to the Dutch guideline for acute appendicitis: initial ultrasonography in all and subsequent CT whenever US does not confirm acute appendicitis. Then MRI is performed in all patients, but the results are not used for patient management. A final diagnosis assigned by an expert panel, based on all available information including 3-months follow-up, except MRI findings, is used as the reference standard in estimating accuracy. We will calculate the sensitivity, specificity, predictive values and inter-observer agreement of MRI, and aim to include 230 patients. Patient acceptance and total imaging costs will also be evaluated. Discussion If MRI is found to be sufficiently accurate, it could replace CT in some or all patients. This will limit or obviate the ionizing radiation exposure associated risk of cancer induction and contrast medium induced nephropathy with CT, preventing the burden and
Quality of dementia diagnostic evaluation for ethnic minority patients: a nationwide study
DEFF Research Database (Denmark)
Nielsen, T Rune; Andersen, Birgitte Bo; Kastrup, Marianne
2011-01-01
Background/Aims: Diagnostic evaluation of dementia for ethnic minority patients may be challenging. This study aimed to evaluate the quality of diagnostic evaluation of dementia for patients from ethnic minorities in Denmark. Methods: The Danish national hospital registers were used to identify p......: There are significant ethnic disparities in the quality of diagnostic evaluations and outcome of dementia in the secondary healthcare sector....
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)
Integration of the ITER diagnostic plant systems with CODAC
International Nuclear Information System (INIS)
Simrock, S.; Barnsley, R.; Bertalot, L.; Hansalia, C.; Klotz, W.D.; Makijarvi, P.; Reichle, R.; Vayakis, G.; Yonekawa, I.; Walker, C.; Wallander, A.; Walsh, M.; Winter, A.
2011-01-01
ITER requires extensive diagnostic systems in order to meet the requirements for machine operation, protection, plasma control and physics studies. The realization of these systems is a major challenge not only because of the harsh environment and the nuclear requirements but also with respect to Instrumentation and Control (I and C) of all the 59 diagnostics plants. The Plant Systems I and C are mostly 'in-kind', i.e. procured by the seven ITER Domestic Agencies (DAs), while the Central I and C Systems are 'in-fund', i.e. procured by ITER Organization (IO). Standardization of Plant Systems I and C is of primary importance and has been one of the highest priority tasks of CODAC. The standards are published in the Plant Control Design Handbook (PCDH) which will be followed to ensure a homogeneous design, guarantee high availability and simplify maintenance and support future upgrades. Most important for a successful commissioning and operation of the ITER facility are the concepts of interfacing the diagnostics plant systems with CODAC and the standards for instrumentation and control which must be followed all contributing parties. In this paper, we will elaborate on the concepts of interfacing the diagnostics plant systems with CODAC and the standards that must be followed for the design.
Design of new Thomson scattering diagnostic system on COMPASS tokamak
Czech Academy of Sciences Publication Activity Database
Bílková, Petra; Aftanas, Milan; Böhm, Petr; Weinzettl, Vladimír; Šesták, David; Melich, Radek; Stöckel, Jan; Scannell, R.; Walsh, M.
2010-01-01
Roč. 623, č. 2 (2010), s. 656-659 ISSN 0168-9002. [International Conference on Frontiers in Diagnostic Technologies/1st./. Frascati, 25.11.2009-27.11.2009] R&D Projects: GA ČR GA202/09/1467; GA ČR GD202/08/H057 Institutional research plan: CEZ:AV0Z20430508 Keywords : Thomson scattering * Laser diagnostic * Electron temperature * Electron density Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 1.142, year: 2010 www.elsevier.com/locate/nima
Energy Technology Data Exchange (ETDEWEB)
Swadling, G. F.; Ross, J. S.; Datte, P.; Moody, J.; Divol, L.; Jones, O.; Landen, O. [Lawrence Livermore National Laboratory, Livermore, California 94550 (United States)
2016-11-15
An Optical Thomson Scattering (OTS) diagnostic is currently being developed for the National Ignition Facility (NIF) at Lawrence Livermore National Laboratory. This diagnostic is designed to make measurements of the hohlraum plasma parameters, such as the electron temperature and the density, during inertial confinement fusion (ICF) experiments. NIF ICF experiments present a very challenging environment for optical measurements; by their very nature, hohlraums produce intense soft x-ray emission, which can cause “blanking” (radiation induced opacity) of the radiation facing optical components. The soft x-ray fluence at the surface of the OTS blast shield, 60 cm from the hohlraum, is estimated to be ∼8 J cm{sup −2}. This is significantly above the expected threshold for the onset of “blanking” effects. A novel xenon plasma x-ray shield is proposed to protect the blast shield from x-rays and mitigate “blanking.” Estimates suggest that an areal density of 10{sup 19} cm{sup −2} Xe atoms will be sufficient to absorb 99.5% of the soft x-ray flux. Two potential designs for this shield are presented.
ITER diagnostic system: Vacuum interface
Energy Technology Data Exchange (ETDEWEB)
Patel, K.M., E-mail: Kaushal.Patel@iter.org [ITER Organization, Route de Vinon sur Verdon, 13115 St Paul-Lez-Durance (France); Udintsev, V.S.; Hughes, S.; Walker, C.I.; Andrew, P.; Barnsley, R.; Bertalot, L. [ITER Organization, Route de Vinon sur Verdon, 13115 St Paul-Lez-Durance (France); Drevon, J.M. [Bertin Technologies, BP 22, 13762 Aix-en Provence cedex 3 (France); Encheva, A. [ITER Organization, Route de Vinon sur Verdon, 13115 St Paul-Lez-Durance (France); Kashchuk, Y. [Institution “PROJECT CENTER ITER”, 1, Akademika Kurchatova pl., Moscow (Russian Federation); Maquet, Ph. [Bertin Technologies, BP 22, 13762 Aix-en Provence cedex 3 (France); Pearce, R.; Taylor, N.; Vayakis, G.; Walsh, M.J. [ITER Organization, Route de Vinon sur Verdon, 13115 St Paul-Lez-Durance (France)
2013-10-15
Diagnostics play an essential role for the successful operation of the ITER tokamak. They provide the means to observe control and to measure plasma during the operation of ITER tokamak. The components of the diagnostic system in the ITER tokamak will be installed in the vacuum vessel, in the cryostat, in the upper, equatorial and divertor ports, in the divertor cassettes and racks, as well as in various buildings. Diagnostic components that are placed in a high radiation environment are expected to operate for the life of ITER. There are approx. 45 diagnostic systems located on ITER. Some diagnostics incorporate direct or independently pumped extensions to maintain their necessary vacuum conditions. They require a base pressure less than 10{sup −7} Pa, irrespective of plasma operation, and a leak rate of less than 10{sup −10} Pa m{sup 3} s{sup −1}. In all the cases it is essential to maintain the ITER closed fuel cycle. These directly coupled diagnostic systems are an integral part of the ITER vacuum containment and are therefore subject to the same design requirements for tritium and active gas confinement, for all normal and accidental conditions. All the diagnostics, whether or not pumped, incorporate penetration of the vacuum boundary (i.e. window assembly, vacuum feedthrough etc.) and demountable joints. Monitored guard volumes are provided for all elements of the vacuum boundary that are judged to be vulnerable by virtue of their construction, material, load specification etc. Standard arrangements are made for their construction and for the monitoring, evacuating and leak testing of these volumes. Diagnostic systems are incorporated at more than 20 ports on ITER. This paper will describe typical and particular arrangements of pumped diagnostic and monitored guard volume. The status of the diagnostic vacuum systems, which are at the start of their detailed design, will be outlined and the specific features of the vacuum systems in ports and extensions
ITER diagnostic system: Vacuum interface
International Nuclear Information System (INIS)
Patel, K.M.; Udintsev, V.S.; Hughes, S.; Walker, C.I.; Andrew, P.; Barnsley, R.; Bertalot, L.; Drevon, J.M.; Encheva, A.; Kashchuk, Y.; Maquet, Ph.; Pearce, R.; Taylor, N.; Vayakis, G.; Walsh, M.J.
2013-01-01
Diagnostics play an essential role for the successful operation of the ITER tokamak. They provide the means to observe control and to measure plasma during the operation of ITER tokamak. The components of the diagnostic system in the ITER tokamak will be installed in the vacuum vessel, in the cryostat, in the upper, equatorial and divertor ports, in the divertor cassettes and racks, as well as in various buildings. Diagnostic components that are placed in a high radiation environment are expected to operate for the life of ITER. There are approx. 45 diagnostic systems located on ITER. Some diagnostics incorporate direct or independently pumped extensions to maintain their necessary vacuum conditions. They require a base pressure less than 10 −7 Pa, irrespective of plasma operation, and a leak rate of less than 10 −10 Pa m 3 s −1 . In all the cases it is essential to maintain the ITER closed fuel cycle. These directly coupled diagnostic systems are an integral part of the ITER vacuum containment and are therefore subject to the same design requirements for tritium and active gas confinement, for all normal and accidental conditions. All the diagnostics, whether or not pumped, incorporate penetration of the vacuum boundary (i.e. window assembly, vacuum feedthrough etc.) and demountable joints. Monitored guard volumes are provided for all elements of the vacuum boundary that are judged to be vulnerable by virtue of their construction, material, load specification etc. Standard arrangements are made for their construction and for the monitoring, evacuating and leak testing of these volumes. Diagnostic systems are incorporated at more than 20 ports on ITER. This paper will describe typical and particular arrangements of pumped diagnostic and monitored guard volume. The status of the diagnostic vacuum systems, which are at the start of their detailed design, will be outlined and the specific features of the vacuum systems in ports and extensions will be described
Process and overview of diagnostics integration in ITER ports
International Nuclear Information System (INIS)
Drevon, J.M.; Walsh, M.; Andrew, P.; Barnsley, R.; Bertalot, L.; Bock, M. de; Bora, D.; Bouhamou, R.; Direz, M.F.; Encheva, A.; Fang, T.; Feder, R.; Giacomin, T.; Hellermann, M. von; Jakhar, S.; Johnson, D.; Kaschuk, Y.; Kusama, Y.; Lee, H.G.; Levesy, B.
2013-01-01
Highlights: ► An overview of the Port Integration hardware for tenant system hosting inside ITER diagnostics ports is given. ► The main challenges for diagnostic port integration engineering are presented. ► The actions taken for a common modular approach and a coordinated design are detailed. -- Abstract: ITER will have a set of 45 diagnostics to ensure controlled operation. Many of them are integrated in the ITER ports. This paper addresses the integration process of the diagnostic systems and the approach taken to enable coordinated progress. An overview of the Port Integration hardware introduces the various structures needed for hosting tenant systems inside ITER diagnostics ports. The responsibilities of the different parties involved (ITER Organization and the Domestic Agencies) are outlined. The main challenges for diagnostic port integration engineering are summarized. The plan for a common approach to design and manufacture of the supporting structures, in particular the Port Plug is detailed. A coordinated design including common components and a common approach for neutronic analyses is proposed. One particular port, the equatorial port 11, is used to illustrate the approach
Quality of reporting of diagnostic accuracy studies
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
Directory of Open Access Journals (Sweden)
Vickers Andrew J
2008-11-01
Full Text Available Abstract Background A common feature of diagnostic research is that results for a diagnostic gold standard are available primarily for patients who are positive for the test under investigation. Data from such studies are subject to what has been termed "verification bias". We evaluated statistical methods for verification bias correction when there are few false negatives. Methods A simulation study was conducted of a screening study subject to verification bias. We compared estimates of the area-under-the-curve (AUC corrected for verification bias varying both the rate and mechanism of verification. Results In a single simulated data set, varying false negatives from 0 to 4 led to verification bias corrected AUCs ranging from 0.550 to 0.852. Excess variation associated with low numbers of false negatives was confirmed in simulation studies and by analyses of published studies that incorporated verification bias correction. The 2.5th – 97.5th centile range constituted as much as 60% of the possible range of AUCs for some simulations. Conclusion Screening programs are designed such that there are few false negatives. Standard statistical methods for verification bias correction are inadequate in this circumstance.
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
International Nuclear Information System (INIS)
Anon.
1993-01-01
This chapter describes the historic development of diagnostic equipment for radiology. The problems associated with fluoroscope design are detailed and the current uses of updated technology, particularly digitization, are considered. Numerous historical photographs are included. 13 refs
Impact of neutron and gamma radiation on the design of NIF diagnostics and target-bay systems
Energy Technology Data Exchange (ETDEWEB)
Eder, D.C.; Song, P.M.; Latkowski, J.F.; Reyes, S.; O' Brien, D.W.; Lee, F.D.; Young, B.K.; Koch, J.A.; Moran, M.J.; Watts, P.W.; Kimbrough, J.R.; Ng, E.W.; Landen, O.L.; MacGowan, B.J. [Lawrence Livermore National Lab., Livermore, CA (United States)
2006-06-15
The design of a wide range of components in and near the target bay of the National Ignition Facility (NIF) must allow for significant radiation from neutrons and gammas. Detailed 3-dimensional Monte Carlo simulations are critical to determine neutron and gamma fluxes for all target-bay components to allow optimization of location and auxiliary shielding. Demonstration of ignition poses unique challenges because of the large range (about 3 orders of magnitude) in the yield for any given attempt at ignition. Some diagnostics will provide data independent of yield, while others will provide data for lower yields and only survive high yields with little or no damage. In addition, for a given yield there is a more than 10 orders of magnitude range in neutron and gamma fluxes depending on location in the facility. For example, sensitive components in the diagnostic mezzanines and switchyards require auxiliary shielding for high-yield shots even though they are greater than 17 meters from target chamber center (TCC) and shielded by the 2 m-thick target-bay wall. In contrast, there are components 0.2 to 2 m from TCC with little or no shielding. For these components, particular attention is being made to use low-activation material because of the extremely high neutron loading levels. Many of the components closest to target center are designed to be single use to reduce worker dose from having to refurbish highly activated components. The cryogenic target positioner is an example where activation and ease of component replacement is an important part of the design. We are developing a design process for all target-bay systems that will assure reliable operation for the full range of planned yields. (authors)
Impact of neutron and gamma radiation on the design of NIF diagnostics and target-bay systems
Eder, D. C.; Song, P. M.; Latkowski, J. F.; Reyes, S.; O'Brien, D. W.; Lee, F. D.; Young, B. K.; Koch, J. A.; Moran, M. J.; Watts, P. W.; Kimbrough, J. R.; Ng, E. W.; Landen, O. L.; MacGowan, B. J.
2006-06-01
The design of a wide range of components in and near the target bay of the National Ignition Facility (NIF) must allow for significant radiation from neutrons and gammas. Detailed 3D Monte Carlo simulations are critical to determine neutron and gamma fluxes for all target-bay components to allow optimization of location and auxiliary shielding. Demonstration of ignition poses unique challenges because of the large range (˜ 3 orders of magnitude) in the yield for any given attempt at ignition. Some diagnostics will provide data independent of yield, while others will provide data for lower yields and only survive high yields with little or no damage. In addition, for a given yield there is a more than 10 orders of magnitude range in neutron and gamma fluxes depending on location in the facility. For example, sensitive components in the diagnostic mezzanines and switchyards require auxiliary shielding for high-yield shots even though they are greater than 17 meters from target chamber center (TCC) and shielded by the 2 m-thick target-bay wall. In contrast, there are components 0.2 to 2 m from TCC with little or no shielding. For these components, particular attention is being made to use low-activation material because of the extremely high neutron loading levels. Many of the components closest to target center are designed to be single use to reduce worker dose from having to refurbish highly activated components. The cryogenic target positioner is an example where activation and ease of component replacement is an important part of the design. We are developing a design process for all target-bay systems that will assure reliable operation for the full range of planned yields.
Design in Four Diagnostic Language Assessments
Cumming, Alister
2015-01-01
The studies documented in the four articles in this special issue uniquely exemplify principles of design-based research as follows: by taking innovative approaches to significant problems in the contexts of real educational practices; by addressing fundamental pedagogical and policy issues related to language, learning, and teaching; and, in the…
DEFF Research Database (Denmark)
Adegboye, Amanda Ra; Anderssen, Sigmund A; Froberg, Karsten
2011-01-01
Objective To define the optimal cut-off for low aerobic fitness and to evaluate its accuracy to predict clustering of risk factors for cardiovascular disease in children and adolescents. Design Study of diagnostic accuracy using a cross-sectional database. Setting European Youth Heart Study...... would be expected by chance (AUC >0.5) for all cut-offs. Conclusions Aerobic fitness is easy to measure, and is an accurate tool for screening children with clustering of cardiovascular risk factors. Promoting physical activity in children with aerobic fitness level lower than the suggested cut...
Time-resolving electron temperature diagnostic for ALCATOR C
International Nuclear Information System (INIS)
Fairfax, S.A.
1984-05-01
A diagnostic that provides time-resolved central electron temperatures has been designed, built, and tested on the ALCATOR C Tokamak. The diagnostic uses an array of fixed-wavelength x-ray crystal monochromators to sample the x-ray continuum and determine the absolute electron temperature. The resolution and central energy of each channel were chosen to exclude any contributions from impurity line radiation. This document describes the need for such a diagnostic, the design methodology, and the results with typical ALCATOR C plasmas. Sawtooth (m = 1) temperature oscillations were observed after pellet fueling of the plasma. This is the first time that such oscillations have been observed with an x-ray temperature diagnostic
Nuclear power plant diagnostics study at the Midland training simulator
International Nuclear Information System (INIS)
Reifman, J.; Rank, P.; Lee, J.C.
1991-01-01
Training simulators provide a real world environment for testing advanced diagnostic and control systems as an aid to nuclear power plant operators. The simulators not only duplicate the hardware din the actual control room, allowing for analysis of man-machine interface, but also represent the dynamic behavior of the reference plant in real-time, in a realistic manner. Training simulators provide the means to representing the reference plant operations in a wide range of operation conditions including off-normal and emergency conditions. Transient events with very low probability of occurrence can then be represented and used to test the capabilities of advanced diagnostic and control systems. For these reasons, full-scope operator training simulators have been used as a test bed for a number of advanced diagnostic concepts. The University of Michigan and Consumers Power Company have been collaborating in a program devoted to the development and study of advanced concepts for automatic diagnostics and control of nuclear power plants. The program has been focused on the use of the full-scope operator training Midland Nuclear Power Plant Unit 2 (MNP-2) Simulator for development, testing, and verification of advanced diagnostics concepts. In their current efforts, the authors have developed two artificial intelligent (AI) diagnostic concepts that have been applied to the MNP-2 Simulator: the systematic generation and updating of a rule-based knowledge system for nuclear power plant diagnostics and a nonlinear parameter estimation algorithm called the simulation filter. The simulation filter algorithm is used with the MNP-2 Simulator to improve the simulation of the Three Mile Island Unit 2 (TMI-2) accident. 11 refs., 4 figs
Microfluidic technology for molecular diagnostics.
Robinson, Tom; Dittrich, Petra S
2013-01-01
Molecular diagnostics have helped to improve the lives of millions of patients worldwide by allowing clinicians to diagnose patients earlier as well as providing better ongoing therapies. Point-of-care (POC) testing can bring these laboratory-based techniques to the patient in a home setting or to remote settings in the developing world. However, despite substantial progress in the field, there still remain many challenges. Progress in molecular diagnostics has benefitted greatly from microfluidic technology. This chapter aims to summarise the more recent advances in microfluidic-based molecular diagnostics. Sections include an introduction to microfluidic technology, the challenges of molecular diagnostics, how microfluidic advances are working to solve these issues, some alternative design approaches, and detection within these systems.
The design of magnetic diagnostics for reconstructing of NCSX stellarator equilibria
International Nuclear Information System (INIS)
Lazarus, E.A.; Pomphrey, N.
2005-01-01
In previous work we have demonstrated that NCSX (National Compact Stellarator Experiment) will require active control of the helical and poloidal field coils in order to remain on a stable trajectory to high beta while retaining quasi-axisymmetry. We require a set of magnetic diagnostics that will be sensitive to changes in the equilibrium that represent departures from such a trajectory. That is, we will need to control features of the plasma boundary shape to a specification; that specification itself will vary with the current and pressure profiles. We need to determine a satisfactory set of magnetic sensors for this task To address this we have postulated a diagnostic set of 443 sensors that we believe is overly complete. A data base of ∼2500 free-boundary equilibria is created with variation of coil currents, plasma pressure and toroidal current profiles, plasma size, total pressure and total current. The signals expected on this array of diagnostics are calculated using a response function formalism. These are used in a linear regression to predict the magnetic field on a smallest vacuum surface that encompasses all the equilibria in the database. We have extended a standard 'variable selection' method of multivariate statistics to determine a complete ranking of the sensors. The ranking scheme is based on properties of the null space of the matrix of diagnostic signals for all equilibria in the database. Subsets are chosen according to this ranking and we judge adequacy by our ability to reconstruct the equilibrium with STELLOPT. While the ability to reconstruct the equilibrium in free boundary does not yield information on optimal control algorithms, it does show whether a particular set of sensors contains the necessary information to allow control of the plasma. Results will be reported. It is yet to be determined just how much information about the profiles can be known from external measurements. We will present results of a study that addresses this
Directory of Open Access Journals (Sweden)
Matthieu de Stampa
2010-02-01
Full Text Available Background: Sustaining integrated care is difficult, in large part because of problems encountered securing the participation of health care and social service professionals and, in particular, general practitioners (GPs. Purpose: To present an innovative bottom-up and pragmatic strategy used to implement a new integrated care model in France for community-dwelling elderly people with complex needs. Results: In the first step, a diagnostic study was conducted with face-to-face interviews to gather data on current practices from a sample of health and social stakeholders working with elderly people. In the second step, an integrated care model called Coordination Personnes Agées (COPA was designed by the same major stakeholders in order to define its detailed characteristics based on the local context. In the third step, the model was implemented in two phases: adoption and maintenance. This strategy was carried out by a continuous and flexible leadership throughout the process, initially with a mixed leadership (clinician and researcher followed by a double one (clinician and managers of services in the implementation phase. Conclusion: The implementation of this bottom-up and pragmatic strategy relied on establishing a collaborative dynamic among health and social stakeholders. This enhanced their involvement throughout the implementation phase, particularly among the GPs, and allowed them to support the change practices and services arrangements
The radiologic technologists' health study in South Korea: study design and baseline results.
Lee, Won Jin; Ha, Mina; Hwang, Seung-sik; Lee, Kyoung-Mu; Jin, Young-Woo; Jeong, Meeseon; Jun, Jae Kwan; Cha, Eun Shil; Ko, Yousun; Choi, Kyung-Hwa; Lee, Jung-Eun
2015-08-01
To describe the study design, methods, and baseline results of a prospective cohort of radiologic technologists which we have initiated in South Korea. The cohort participants were enrolled through a self-administered questionnaire survey administered from April 2012 to May 2013. Survey data were linked with radiation dosimetry, a cancer registry, and health insurance data by personal identification numbers. A nationwide representative survey was also conducted using a stratified random sampling design with face-to-face interviews. A total of 12,387 radiologic technologists were enrolled, which accounted for approximately 63% of all diagnostic radiologic technologists working in South Korea. For nationwide survey, 585 workers were interviewed using the detailed questionnaire, and buccal cells were also collected by scraping the inside of the cheek. The majority of study subjects were under 50-year-old and male workers. The average annual effective dose of radiation declined both men (from 2.75 to 1.43 mSv) and women (from 1.34 to 0.95 mSv) over the period of 1996-2011. A total of 99 cancers (66 cancers in men and 33 in women) were reported from 1992 to 2010. The standardized incidence ratio of all cancer combined was significantly lower in men (SIR = 0.75, 95% CI 0.58-0.96) than general population, but the ratios for thyroid cancer were significantly higher than expected among both men and women. This cohort provides comprehensive information on work activities and health status of diagnostic radiologic technologists. In addition, the nationwide representative sample provides unique opportunities compared with previous radiologic technologist studies.
The radiologic technologists' health study in South Korea. Study design and baseline results
International Nuclear Information System (INIS)
Lee, Won Jin; Ha, Mina; Hwang, Seung-sik
2015-01-01
To describe the study design, methods, and baseline results of a prospective cohort of radiologic technologists which we have initiated in South Korea. The cohort participants were enrolled through a self-administered questionnaire survey administered from April 2012 to May 2013. Survey data were linked with radiation dosimetry, a cancer registry, and health insurance data by personal identification numbers. A nationwide representative survey was also conducted using a stratified random sampling design with face-to-face interviews. A total of 12,387 radiologic technologists were enrolled, which accounted for approximately 63 % of all diagnostic radiologic technologists working in South Korea. For nationwide survey, 585 workers were interviewed using the detailed questionnaire, and buccal cells were also collected by scraping the inside of the cheek. The majority of study subjects were under 50-year-old and male workers. The average annual effective dose of radiation declined both men (from 2.75 to 1.43 mSv) and women (from 1.34 to 0.95 mSv) over the period of 1996-2011. A total of 99 cancers (66 cancers in men and 33 in women) were reported from 1992 to 2010. The standardized incidence ratio of all cancer combined was significantly lower in men (SIR = 0.75, 95 % CI 0.58-0.96) than general population, but the ratios for thyroid cancer were significantly higher than expected among both men and women. This cohort provides comprehensive information on work activities and health status of diagnostic radiologic technologists. In addition, the nationwide representative sample provides unique opportunities compared with previous radiologic technologist studies.
CIT diagnostic computer interface studies
International Nuclear Information System (INIS)
Rauch, W.; Hayes, S.; Lowrance, J.; Oliaro, G.; Sauthoff, N.; Sichta, P.; Stark, W.
1987-01-01
This paper presents the on-going work performed in proposing instrumentation equipment and communications networks for the Diagnostic Data Acquisition and Diagnostic Instrumentation and Control System for the Compact Ignition Torus (CIT), which will begin operation in 1993. Consideration is given to the system criteria and requirements and their influence on the appropriate application of instrumentation and communication technologies to the system. This paper concentrates on the investigation of the bus communication technologies as they apply to the CIT data acquisition system. It compares CAMAC, VME, and FASTBUS as standards for data acquisition. The paper describes the connectivity between VAX equipment and CAMAC and VME instrumentation systems. Instrumentation and communication functionality and performance levels are presented as factors important to the overall data acquisition system performance
International Nuclear Information System (INIS)
Tyagi, Himanshu; Soni, Jignesh; Yadav, Ratnakar; Bandyopadhyay, Mainak; Rotti, Chandramouli; Gahlaut, Agrajit; Joshi, Jaydeep; Parmar, Deepak; Bansal, Gourab; Pandya, Kaushal; Chakraborty, Arun
2016-01-01
Highlights: • Indian Test Facility being built to characterize DNB for ITER delivery. • Interlock system required to safeguard the investment incurred in building the facility and protecting ITER deliverable components. • Interlock levels upto 3IL-3 identified. • Safety instrumented system for occupational safety being designed. Safety I&C functions of SIL-2 identified. • The systems are based on ITER PIS and PSS design guidelines. - Abstract: Indian Test Facility (INTF) is being built in Institute For Plasma Research to characterize Diagnostic Neutral Beam in co-operation with ITER Organization. INTF is a complex system which consists of several plant systems like beam source, gas feed, vacuum, cryogenics, high voltage power supplies, high power RF generators, mechanical systems and diagnostics systems. Out of these, several INTF components are ITER deliverable, that is, beam source, beam line components and power supplies. To ensure successful operation of INTF involving integrated operation of all the constituent plant systems a matured Data Acquisition and Control System (DACS) is required. The INTF DACS is based on CODAC platform following on PCDH (Plant Control Design Handbook) guidelines. The experimental phases involve application of HV power supplies (100 KV) and High RF power (∼800 KW) which will produce energetic beam of maximum power 6MW within the facility for longer durations. Hence the entire facility will be exposed tohigh heat fluxes and RF radiations. To ensure investment protection and to provide occupational safety for working personnel a matured Safety and Interlock system is required for INTF. The Safety and Interlock systems are high-reliability I&C systems devoted completely to the specific functions. These systems will be separate from the conventional DACS of INTF which will handle the conventional control and acquisition functions. Both, the Safety and Interlock systems are based on IEC 61511 and IEC 61508 standards as
Energy Technology Data Exchange (ETDEWEB)
Tyagi, Himanshu, E-mail: htyagi@iter-india.org [ITER-India, Institute For Plasma Research, Bhat, Gandhinagar, Gujarat (India); Soni, Jignesh [Institute For Plasma Research, Bhat, Gandhinagar, Gujarat (India); Yadav, Ratnakar; Bandyopadhyay, Mainak; Rotti, Chandramouli [ITER-India, Institute For Plasma Research, Bhat, Gandhinagar, Gujarat (India); Gahlaut, Agrajit [Institute For Plasma Research, Bhat, Gandhinagar, Gujarat (India); Joshi, Jaydeep; Parmar, Deepak [ITER-India, Institute For Plasma Research, Bhat, Gandhinagar, Gujarat (India); Bansal, Gourab; Pandya, Kaushal; Chakraborty, Arun [Institute For Plasma Research, Bhat, Gandhinagar, Gujarat (India)
2016-11-15
Highlights: • Indian Test Facility being built to characterize DNB for ITER delivery. • Interlock system required to safeguard the investment incurred in building the facility and protecting ITER deliverable components. • Interlock levels upto 3IL-3 identified. • Safety instrumented system for occupational safety being designed. Safety I&C functions of SIL-2 identified. • The systems are based on ITER PIS and PSS design guidelines. - Abstract: Indian Test Facility (INTF) is being built in Institute For Plasma Research to characterize Diagnostic Neutral Beam in co-operation with ITER Organization. INTF is a complex system which consists of several plant systems like beam source, gas feed, vacuum, cryogenics, high voltage power supplies, high power RF generators, mechanical systems and diagnostics systems. Out of these, several INTF components are ITER deliverable, that is, beam source, beam line components and power supplies. To ensure successful operation of INTF involving integrated operation of all the constituent plant systems a matured Data Acquisition and Control System (DACS) is required. The INTF DACS is based on CODAC platform following on PCDH (Plant Control Design Handbook) guidelines. The experimental phases involve application of HV power supplies (100 KV) and High RF power (∼800 KW) which will produce energetic beam of maximum power 6MW within the facility for longer durations. Hence the entire facility will be exposed tohigh heat fluxes and RF radiations. To ensure investment protection and to provide occupational safety for working personnel a matured Safety and Interlock system is required for INTF. The Safety and Interlock systems are high-reliability I&C systems devoted completely to the specific functions. These systems will be separate from the conventional DACS of INTF which will handle the conventional control and acquisition functions. Both, the Safety and Interlock systems are based on IEC 61511 and IEC 61508 standards as
The engineering of JET diagnostics
International Nuclear Information System (INIS)
Walker, C.I.; Dillon, S.F.; Hammond, N.P.; Hancock, C.J.; Lam, N.; McCarron, E.J.; Prior, P.C.S.; Reid, J.; Sanders, S.; Tellier, X.; Tiscornia, A.J.; Whitfield, G.A.H.; Wilson, C.H.; Wilson, D.J.
1995-01-01
There are some 62 identifiably different diagnostic systems on JET. 22 were installed new at the last, Pumped Divertor, shutdown and a further 22 which were modified, upgraded or repositioned. This paper describes some of the engineering aspects peculiar to the renewed diagnostic systems, reviews their construction and installation and gives an overview of the design of presently installed diagnostic equipment at the Torus. Examples are considered that illustrate the breakdown into a categorisation based on their installation method. This is useful for discussion of many of the associated engineering problems of method and quality control of manufacture, vulnerability, access for installation and maintenance and ultimately system safety and reliability. The function and measured plasma parameter of specific diagnostics is covered in other papers and is not attempted here, neither is a full catalogue of Diagnostics on JET. (orig.)
Directory of Open Access Journals (Sweden)
Rezvyy Grigory
2008-04-01
Full Text Available Abstract Background A general education in psychiatry does not necessary lead to good diagnostic skills. Specific training programs in diagnostic coding are established to facilitate implementation of ICD-10 coding practices. However, studies comparing the impact of these two different educational approaches on diagnostic skills are lacking. The aim of the current study was to find out if a specific training program in diagnostic coding improves the diagnostic skills better than a general education program, and if a national bias in diagnostic patterns can be minimised by a specific training in diagnostic coding. Methods A pre post design study with two groups was carried in the county of Archangels, Russia. The control group (39 psychiatrists took the required course (general educational program, while the intervention group (45 psychiatrists were given a specific training in diagnostic coding. Their diagnostic skills before and after education were assessed using 12 written case-vignettes selected from the entire spectrum of psychiatric disorders. Results There was a significant improvement in diagnostic skills in both the intervention group and the control group. However, the intervention group improved significantly more than did the control group. The national bias was partly corrected in the intervention group but not to the same degree in the control group. When analyzing both groups together, among the background factors only the current working place impacted the outcome of the intervention. Conclusion Establishing an internationally accepted diagnosis seems to be a special skill that requires specific training and needs to be an explicit part of the professional educational activities of psychiatrists. It does not appear that that skill is honed without specific training. The issue of national diagnostic biases should be taken into account in comparative cross-cultural studies of almost any character. The mechanisms of such biases are
Engineering activities on the ITER representative diagnostic equatorial port plug
International Nuclear Information System (INIS)
Meunier, L.; Doceul, L.; Salasca, S.; Martins, J.-P.; Jullien, F.; Dechelle, Christian; Bidaud, Pierre; Pilard, Vincent; Terra, Alexis; Ogea, Mathieu; Ciattaglia, Emanuela; Walker, Christopher
2009-01-01
Most of ITER diagnostic systems are integrated in port plugs, which are water cooled stainless steel structures inserted into the vacuum vessel ports. The port plug must provide basic functions such as neutron and gamma shielding, supporting the first wall armour (BSM), closing the vacuum vessel ports, while supporting the diagnostic equipments. ITER diagnostic port plug must resist a severe environment like high temperature due to neutron interaction with the structures and high electromechanical loading during disruptions events. CEA has contributed to the design and integration tasks in the frame of the representative equatorial port plug EQ no. 01, in particular on the engineering, structural and thermal finite element analysis. These detailed analyses have highlighted some design issues which were worked out through different solutions. This paper contains a description of the engineering activities performed such as: -The static mechanical calculations of the top plate closure system under disruption load. -The static mechanical calculations of the BSM attachment to the port plug. These two first studies led to design changes proposals which significantly improved the behaviour of the structures but also showed that the safety margin with respect to design limits is quite low. -The design of a Diagnostic Shield Module (DSM) integrated inside the port plug and a proposition of attachment scheme, with respect to disruption loads. The manufacturing of the DSM has been taken into account, as well as diagnostic integration inside the structure and maintenance aspects. -The thermal assessment of the port plug under neutronic load during normal operation, with the optimization of the cooling system. The maximum temperature calculated in normal operation has been reduced from 900 deg. C to less than 400 deg. C in the front plate; and the cooling arrangement at the back of the port plug has been simplified without important temperature increase.
Engineering activities on the ITER representative diagnostic equatorial port plug
Energy Technology Data Exchange (ETDEWEB)
Meunier, L. [Association Euratom CEA, CEA/DSM/IRFM (France)], E-mail: lmeunier@cea.fr; Doceul, L.; Salasca, S.; Martins, J.-P.; Jullien, F.; Dechelle, Christian; Bidaud, Pierre; Pilard, Vincent; Terra, Alexis; Ogea, Mathieu [Association Euratom CEA, CEA/DSM/IRFM (France); Ciattaglia, Emanuela [EFDA CSU, Garching (Germany); Walker, Christopher [ITER International Organisation (France)
2009-06-15
Most of ITER diagnostic systems are integrated in port plugs, which are water cooled stainless steel structures inserted into the vacuum vessel ports. The port plug must provide basic functions such as neutron and gamma shielding, supporting the first wall armour (BSM), closing the vacuum vessel ports, while supporting the diagnostic equipments. ITER diagnostic port plug must resist a severe environment like high temperature due to neutron interaction with the structures and high electromechanical loading during disruptions events. CEA has contributed to the design and integration tasks in the frame of the representative equatorial port plug EQ no. 01, in particular on the engineering, structural and thermal finite element analysis. These detailed analyses have highlighted some design issues which were worked out through different solutions. This paper contains a description of the engineering activities performed such as: -The static mechanical calculations of the top plate closure system under disruption load. -The static mechanical calculations of the BSM attachment to the port plug. These two first studies led to design changes proposals which significantly improved the behaviour of the structures but also showed that the safety margin with respect to design limits is quite low. -The design of a Diagnostic Shield Module (DSM) integrated inside the port plug and a proposition of attachment scheme, with respect to disruption loads. The manufacturing of the DSM has been taken into account, as well as diagnostic integration inside the structure and maintenance aspects. -The thermal assessment of the port plug under neutronic load during normal operation, with the optimization of the cooling system. The maximum temperature calculated in normal operation has been reduced from 900 deg. C to less than 400 deg. C in the front plate; and the cooling arrangement at the back of the port plug has been simplified without important temperature increase.
Bell, J J; Bauer, J D; Capra, S; Pulle, R C
2014-03-01
Differences in malnutrition diagnostic measures impact malnutrition prevalence and outcomes data in hip fracture. This study investigated the concurrent and predictive validity of commonly reported malnutrition diagnostic measures in patients admitted to a metropolitan hospital acute hip fracture unit. A prospective, consecutive level II diagnostic accuracy study (n=142; 8 exclusions) including the International Classification of Disease, 10th Revision, Australian Modification (ICD10-AM) protein-energy malnutrition criteria, a body mass index (BMI) Patients were predominantly elderly (median age 83.5, range 50-100 years), female (68%), multimorbid (median five comorbidities), with 15% 4-month mortality. Malnutrition prevalence was lowest when assessed by BMI (13%), followed by MNA-SF (27%), ICD10-AM (48%), albumin (53%) and geriatrician assessment (55%). Agreement between measures was highest between ICD10-AM and geriatrician assessment (κ=0.61) followed by ICD10-AM and MNA-SF measures (κ=0.34). ICD10-AM diagnosed malnutrition was the only measure associated with 48-h mobilisation (35.0 vs 55.3%; P=0.018). Reduced likelihood of home discharge was predicted by ICD-10-AM (20.6 vs 57.1%; P=0.001) and MNA-SF (18.8 vs 47.8%; P=0.035). Bivariate analysis demonstrated ICD10-AM (relative risk (RR)1.2; 1.05-1.42) and MNA-SF (RR1.2; 1.0-1.5) predicted 4-month mortality. When adjusted for age, usual place of residency, comorbidities and time to surgery only ICD-10AM criteria predicted mortality (odds ratio 3.59; 1.10-11.77). Albumin, BMI and geriatrician assessment demonstrated limited concurrent and predictive validity. Malnutrition prevalence in hip fracture varies substantially depending on the diagnostic measure applied. ICD-10AM criteria or the MNA-SF should be considered for the diagnosis of protein-energy malnutrition in frail, multi-morbid hip fracture inpatients.
Nuclear aspects of diagnostics in RTO/RC ITER
International Nuclear Information System (INIS)
Walker, C.I.; Yamamoto, S.; Costley, A.; Kock, L. de; Ebisawa, K.; Janeschitz, G.; Khripunov, V.; Martin, E.; Vayakis, G.
2000-01-01
ITER (international thermonuclear experimental reactor) will be the first fusion device where the design of the plasma diagnostic systems will make extensive use of the materials and techniques developed in the nuclear technology field. The designs have to satisfy stringent requirements for tritium confinement, nuclear shielding and vacuum integrity. This paper introduces the requirements for diagnostics in the ITER long pulse, burning plasma environment, and addresses the impact of the reactor environment on the diagnostics and ancillary equipment. These systems necessarily require access to the plasma or first wall, which generally conflicts with the requirements of the basic machine. Holes are required through the first wall, primary shielding, containment boundaries and biological shielding. Components have a limited life and require maintenance. This paper describes the effect of the radiation environment on diagnostic design at different locations. Ex-vessel and in-vessel remote handling, hot cell refurbishment and tritium confinement are also described
Using qualitative research to inform development of a diagnostic algorithm for UTI in children.
de Salis, Isabel; Whiting, Penny; Sterne, Jonathan A C; Hay, Alastair D
2013-06-01
Diagnostic and prognostic algorithms can help reduce clinical uncertainty. The selection of candidate symptoms and signs to be measured in case report forms (CRFs) for potential inclusion in diagnostic algorithms needs to be comprehensive, clearly formulated and relevant for end users. To investigate whether qualitative methods could assist in designing CRFs in research developing diagnostic algorithms. Specifically, the study sought to establish whether qualitative methods could have assisted in designing the CRF for the Health Technology Association funded Diagnosis of Urinary Tract infection in Young children (DUTY) study, which will develop a diagnostic algorithm to improve recognition of urinary tract infection (UTI) in children aged children in primary care and a Children's Emergency Department. We elicited features that clinicians believed useful in diagnosing UTI and compared these for presence or absence and terminology with the DUTY CRF. Despite much agreement between clinicians' accounts and the DUTY CRFs, we identified a small number of potentially important symptoms and signs not included in the CRF and some included items that could have been reworded to improve understanding and final data analysis. This study uniquely demonstrates the role of qualitative methods in the design and content of CRFs used for developing diagnostic (and prognostic) algorithms. Research groups developing such algorithms should consider using qualitative methods to inform the selection and wording of candidate symptoms and signs.
Directory of Open Access Journals (Sweden)
Jakobsen Klaus D
2007-08-01
Full Text Available Abstract Background Diagnostic stability and illness course of chronic non-organic psychoses are complex phenomena and only few risk factors or predictors are known that can be used reliably. This study investigates the diagnostic stability during the entire course of illness in patients with non-organic psychoses and attempts to identify non-psychopathological risk factors or predictors. Method 100 patients with functional psychosis were initially characterised using the Operational Criteria Checklist for Psychotic Illness and Affective Illness (OPCRIT, medical records and health registers. To study the stability of diagnoses (i.e. shifts per time, we used registry data to define four measures of diagnostic variation that were subsequently examined in relation to four possible measures of time (i.e. observation periods or hospitalisation events. Afterwards, we identified putative co-variables and predictors of the best measures of diagnostic stability. Results All four measures of diagnostic variation are very strongly associated with numbers-of-hospitalisations and less so with duration-of-illness, duration-of-hospitalisation and with year-of-first-admission. The four measures of diagnostic variation corrected for numbers-of-hospitalisations were therefore used to study the diagnostic stability. Conventional predictors of illness course – e.g. age-of-onset and premorbid-functioning – are not significantly associated with stability. Only somatic-comorbidity is significantly associated with two measures of stability, while family-history-of-psychiatric-illness and global-assessment-of-functioning (GAF scale score show a trend. However, the traditional variables age-of-first-admission, civil-status, first-diagnosis-being-schizophrenia and somatic-comorbidity are able to explain two-fifth of the variation in numbers-of-hospitalisations. Conclusion Diagnostic stability is closely linked with the contact between patient and the healthcare system
Diagnostics in the hostile environments of a prototype fusion reactor
International Nuclear Information System (INIS)
Osher, J.E.
1982-01-01
Various facets of a thermonuclear type plasma that will likely require special considerations or hardening of applied diagnostic instrumentation are reviewed. The discussion will include both on-line diagnostic instrumentation requirements for satisfactory operation and considerations to reduce integrated radiation damage sufficiently for a reasonable diagnostic lifetime. Several new diagnostics aimed specifically at measurements of the plasma characteristics most appropriate to a thermonculear reactor type plasma are discussed. This will include instrumentation needed to make quantitative energy flow measurements during long term operation with the expected high input power sources, and locally very high wall power loadings. The second part of this lecture will broaden diagnostics to include materials damage measurements needed for engineering design studies. This will include needed diagnostic instrumentation to assess first wall damage, sputtering erosion at walls (and high power beam dumps), and radiation damage to components such as insulators
Calibration issues for neutron diagnostics
International Nuclear Information System (INIS)
Sadler, G.J.; Adams, J.M.; Barnes, C.W.
1997-01-01
The performance of diagnostic systems are limited by their weakest constituents, including their calibration issues. Neutron diagnostics are notorious for problems encountered while determining their absolute calibrations, due mainly to the nature of the neutron transport problem. In order to facilitate the determination of an accurate and precise calibration, the diagnostic design should be such as to minimize the scattered neutron flux. ITER will use a comprehensive set of neutron diagnostics--comprising radial and vertical neutron cameras, neutron spectrometers, a neutron activation system and internal and external fission chambers--to provide accurate measurements of fusion power and power densities as a function of time. The calibration of such an important diagnostic system merits careful consideration. Some thoughts have already been given to this subject during the conceptual design phase in relation to the time-integrated neutron activation and time-dependent neutron yield monitors. However, no overall calibration strategy has been worked out so far. This paper represents a first attempt to address this vital issue. Experience gained from present large tokamaks (JET, TFTR and JT60U) and proposals for ITER are reviewed. The need to use a 14-MeV neutron generator as opposed to radioactive sources for in-situ calibration of D-T diagnostics will be stressed. It is clear that the overall absolute determination of fusion power will have to rely on a combination of nuclear measuring techniques, for which the provision of accurate and independent calibrations will constitute an ongoing process as ITER moves from one phase of operation to the next
Energy Technology Data Exchange (ETDEWEB)
Gray, Phillip N., E-mail: pgray@ambrygen.com; Dunlop, Charles L.M.; Elliott, Aaron M. [Ambry Genetics, 15 Argonaut, Aliso Viejo, CA 92656 (United States)
2015-07-17
The molecular characterization of tumors using next generation sequencing (NGS) is an emerging diagnostic tool that is quickly becoming an integral part of clinical decision making. Cancer genomic profiling involves significant challenges including DNA quality and quantity, tumor heterogeneity, and the need to detect a wide variety of complex genetic mutations. Most available comprehensive diagnostic tests rely on primer based amplification or probe based capture methods coupled with NGS to detect hotspot mutation sites or whole regions implicated in disease. These tumor panels utilize highly customized bioinformatics pipelines to perform the difficult task of accurately calling cancer relevant alterations such as single nucleotide variations, small indels or large genomic alterations from the NGS data. In this review, we will discuss the challenges of solid tumor assay design/analysis and report a case study that highlights the need to include complementary technologies (i.e., arrays) and germline analysis in tumor testing to reliably identify copy number alterations and actionable variants.
School Psychologist Diagnostic Decision-Making: A Pilot Study
Barnard-Brak, Lucy; Stevens, Tara; Robinson, Eric; Holt, Ann
2013-01-01
The current study examined the diagnostic decision-making of school psychologists as a function of a student's disability and academic performance with three research questions using a randomly-selected sample of school psychologists from the state of Texas. Results from the first research question indicated that school psychologists significantly…
Advanced diagnostics for laser plasma interaction studies and some recent experiments
International Nuclear Information System (INIS)
Chaurasia, S.; Munda, D.S.; Dhareshwar, L.J.
2008-10-01
The complete characterization of Laser plasma interaction studies related to inertial confinement fusion laser and Equation of state (EOS) studies needs many diagnostics to explain the several physical phenomena occurring simultaneously in the laser produced plasma. This involves many on ion emission are important to understand physical phenomena which are responsible for generation of laser plasma as well as its interaction with an intense laser. In this report we describe the development of various x-ray diagnostics which are used in determining temporal, spatial and spectral properties of x-rays radiated from laser produced plasma. Diagnostics which have been used in experiments for investigation of laser-produced plasma as a source of ions are also described. Techniques using an optical streak camera and VISAR which are being used in the Equation of States (EOS) studies of various materials, which are important for material science, astrophysics as well as ICF is described in details. (author)
Far infrared fusion plasma diagnostics
Energy Technology Data Exchange (ETDEWEB)
Luhmann, N.C. Jr.; Peebles, W.A.
1990-01-01
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.
Imtiaz, Azeem; Lees, Jonathan; Choi, Heungjae; Joshi, Lovleen Tina
2015-01-01
© 2015 IEEE. This paper presents a novel technique for designing a microwave power delivery system targeted at compact and portable microwave-assisted diagnostic healthcare applications to help tackle the growing problem of anti-microbial resistance. The arrangement comprises a purpose-built cylindrical cavity resonator within which, the bacterial samples are exposed, driven by a high-efficiency 10-W GaN amplifier, critically coupled via a simple, adjustable internal loop antenna. The experim...
Design and implementation of a Macintosh-CAMAC based system for neutral beam diagnostics
International Nuclear Information System (INIS)
Wight, J.; Hong, R.M.; Phillips, J.C.; Lee, R.L.; Colleraine, A.P.; Kim, J.
1989-12-01
An automated personal computer based CAMAC data acquisition system is being implemented on the DIII-D neutral beamlines for certain diagnostics. The waterflow calorimetry (WFC) diagnostic is the first system to be upgraded. It includes data acquisition by a Macintosh II computer containing a National Instruments IEEE-488 card, and running their LabView software. Macintosh to CAMAC communications are carried out through an IEEE-488 crate controller. The Doppler shift spectroscopy, residual gas analysis, and armor tile infrared image diagnostics will be modified in similar ways. To reduce the demand for Macintosh CPU time, the extensive serial high-way data activity is performed by means of a new Kinetic Systems 3982 List sequencing Crate Controller dedicated to these operations. A simple Local Area Network file server is used to store data from all diagnostics together, and in a format readable by a standard commercial database. This reduces the problem of redundant data storage and allows simpler inter-diagnostic analysis. 3 refs., 4 figs
Remote Control of TJ-II Diagnostics
International Nuclear Information System (INIS)
Lopez Sanchez, A.; Vega, J.; Montoro, A.; Encabo, J.
2001-01-01
The present paper is about the design and development of ten remote control diagnostic systems used in the study of plasma fusion in the TJ-II device installed at CIEMAT. This development goes from the definition of sensors and devices necessary in carrying out these remote controls, to its assembly, wiring, development of electronic circuits inserted between sensors and PLC, development of programs for these PLC, connections and administration of the real time automation network, and later development of the necessary programs via the appropriate software tools for web access through a navigator to a specific web page, allowing visual and real time access over the auxiliary systems that make up all the diagnostics. (Author)
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
A study of diagnostic imaging in pancreatic trauma
International Nuclear Information System (INIS)
Hirota, Masashi; Kanazumi, Naohito; Kato, Koichi; Eguchi, Takehiko; Kobayashi, Hironobu; Suzuki, Yuichi; Kimura, Jiro; Ishii, Masataka
2002-01-01
Pancreatic trauma treatment depends on pancreatic ductal injury. We examined the usefulness and problems of diagnostic imaging, such as enhanced CT, ERP, and CT after ERP, in pancreatic trauma. Subjects were 12 patients with pancreatic trauma treated in our hospital between April 1993 and March 2000. Enhanced CT was performed in 6 patients undergoing diagnostic imagings and ERP in 4 of the 6. Overall diagnostic accuracy of pancreatic ductal injury in enhanced CT was 16.7% and accuracy in ERP with CT after ERP was 100%. Intraoperative diagnosis of main pancreatic ductal injury was difficult in 1 of 2 patients in whom ERP failed. The importance of preoperative diagnostic imaging is thus clear. We expect that MRCP, recently evaluated in pancreatic disease diagnosis, will become a new pancreatic trauma modality. (author)
Osmic, F; Gyorgy, A; Kerschbaum, A; Repovz, M; Schwarz, S; Neustadt, W; Burtin, G
2012-01-01
The MedAustron centre is a synchrotron based accelerator complex for cancer treatment and clinical and non-clinical research with protons and light ions, currently under construction in Wiener Neustadt, Austria. The accelerator complex is based on the CERN-PIMMS study [1] and its technical implementation by the Italian CNAO foundation in Pavia [2]. The MedAustron beam diagnostics system is based on sixteen different monitor types (153 devices in total) and will allow measuring all relevant beam parameters from the source to the irradiation rooms. The monitors will have to cope with large intensities and energy ranges. Currently, one ion source, the low energy beam transfer line and the RFQ are being commissioned in the Injector Test Stand (ITS) at CERN. This paper gives an overview of all beam monitors foreseen for the MedAustron accelerator, elaborates some of the design choices and reports the first beam commissioning results from the ITS.
Design and engineering of optical diagnostics for COMPASS
Czech Academy of Sciences Publication Activity Database
Šesták, David; Weinzettl, Vladimír; Bílková, Petra; Böhm, Petr; Aftanas, Milan; Naydenkova, Diana; Stöckel, Jan; Ďuran, Ivan; Walsh, M.J.
2009-01-01
Roč. 84, 7-11 (2009), s. 1755-1758 ISSN 0920-3796. [Symposium on Fusion Technology(SOFT-25) /25th./. Rostock, 15.09.2008-19.09.2008] R&D Projects: GA ČR GD202/08/H057 Institutional research plan: CEZ:AV0Z20430508 Keywords : COMPASS * tokamak * optical diagnostic * Thomson scattering Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 1.122, year: 2009
A recoverable gas-cell diagnostic for the National Ignition Facility
Energy Technology Data Exchange (ETDEWEB)
Ratkiewicz, A., E-mail: ratkiewicz1@llnl.gov; Berzak Hopkins, L.; Bleuel, D. L.; Cassata, W. S.; Velsko, C. A.; Yeamans, C. B. [Lawrence Livermore National Laboratory, Livermore, California 95440 (United States); Bernstein, L. A.; Bibber, K. van; Goldblum, B. L. [University of California, Berkeley, California 94720 (United States); Siem, S. [University of Oslo, N-0316 Oslo (Norway); Wiedeking, M. [iThemba LABS, Somerset West 7129 (South Africa)
2016-11-15
The high-fluence neutron spectrum produced by the National Ignition Facility (NIF) provides an opportunity to measure the activation of materials by fast-spectrum neutrons. A new large-volume gas-cell diagnostic has been designed and qualified to measure the activation of gaseous substances at the NIF. This in-chamber diagnostic is recoverable, reusable and has been successfully fielded. Data from the qualification of the diagnostic have been used to benchmark an Monte Carlo N-Particle Transport Code simulation describing the downscattered neutron spectrum seen by the gas cell. We present early results from the use of this diagnostic to measure the activation of {sup nat}Xe and discuss future work to study the strength of interactions between plasma and nuclei.
A recoverable gas-cell diagnostic for the National Ignition Facility.
Ratkiewicz, A; Berzak Hopkins, L; Bleuel, D L; Bernstein, L A; van Bibber, K; Cassata, W S; Goldblum, B L; Siem, S; Velsko, C A; Wiedeking, M; Yeamans, C B
2016-11-01
The high-fluence neutron spectrum produced by the National Ignition Facility (NIF) provides an opportunity to measure the activation of materials by fast-spectrum neutrons. A new large-volume gas-cell diagnostic has been designed and qualified to measure the activation of gaseous substances at the NIF. This in-chamber diagnostic is recoverable, reusable and has been successfully fielded. Data from the qualification of the diagnostic have been used to benchmark an Monte Carlo N-Particle Transport Code simulation describing the downscattered neutron spectrum seen by the gas cell. We present early results from the use of this diagnostic to measure the activation of nat Xe and discuss future work to study the strength of interactions between plasma and nuclei.
The radiologic technologists' health study in South Korea. Study design and baseline results
Energy Technology Data Exchange (ETDEWEB)
Lee, Won Jin [Korea Univ. College of Medicine, Seoul (Korea, Republic of). Dept. of Preventive Medicine; Ha, Mina [Dankook Univ. College of Medicine, Cheonan (Korea, Republic of). Dept. of Preventive Medicine; Hwang, Seung-sik [Inha Univ. School of Medicine, Incheon (Korea, Republic of). Dept. of Social and Preventive Medicine; and others
2015-08-15
To describe the study design, methods, and baseline results of a prospective cohort of radiologic technologists which we have initiated in South Korea. The cohort participants were enrolled through a self-administered questionnaire survey administered from April 2012 to May 2013. Survey data were linked with radiation dosimetry, a cancer registry, and health insurance data by personal identification numbers. A nationwide representative survey was also conducted using a stratified random sampling design with face-to-face interviews. A total of 12,387 radiologic technologists were enrolled, which accounted for approximately 63 % of all diagnostic radiologic technologists working in South Korea. For nationwide survey, 585 workers were interviewed using the detailed questionnaire, and buccal cells were also collected by scraping the inside of the cheek. The majority of study subjects were under 50-year-old and male workers. The average annual effective dose of radiation declined both men (from 2.75 to 1.43 mSv) and women (from 1.34 to 0.95 mSv) over the period of 1996-2011. A total of 99 cancers (66 cancers in men and 33 in women) were reported from 1992 to 2010. The standardized incidence ratio of all cancer combined was significantly lower in men (SIR = 0.75, 95 % CI 0.58-0.96) than general population, but the ratios for thyroid cancer were significantly higher than expected among both men and women. This cohort provides comprehensive information on work activities and health status of diagnostic radiologic technologists. In addition, the nationwide representative sample provides unique opportunities compared with previous radiologic technologist studies.
Next-generation confirmatory disease diagnostics
Lin, Robert; Gerver, Rachel; Karns, Kelly; Apori, Akwasi A.; Denisin, Aleksandra K.; Herr, Amy E.
2014-06-01
Microfluidic tools are advancing capabilities in screening diagnostics for use in near-patient settings. Here, we review three case studies to illustrate the flexibility and analytical power offered by microanalytical tools. We first overview a near-patient tool for detection of protein markers found in cerebrospinal fluid (CSF), as a means to identify the presence of cerebrospinal fluid in nasal mucous - an indication that CSF is leaking into the nasal cavity. Microfluidic design allowed integration of several up-stream preparatory steps and rapid, specific completion of the human CSF protein assay. Second, we overview a tear fluid based assay for lactoferrin, a protein produced in the lacrimal gland, then secreted into tear fluid. Tear Lf is a putative biomarker for primary SS. A critical contribution of this and related work being measurement of Lf, even in light of well-known and significant matrix interactions and losses during the tear fluid collection and preparation. Lastly, we review a microfluidic barcode platform that enables rapid measurement of multiple infectious disease biomarkers in human sera. The assay presents a new approach to multiplexed biomarker detection, yet in a simple straight microchannel - thus providing a streamlined, simplified microanalytical platform, as is relevant to robust operation in diagnostic settings. We view microfluidic design and analytical chemistry as the basis for emerging, sophisticated assays that will advance not just screening diagnostic technology, but confirmatory assays, sample preparation and handling, and thus introduction and utilization of new biomarkers and assay formats.
Design of a receiver operating characteristic (ROC) study of 10:1 lossy image compression
Collins, Cary A.; Lane, David; Frank, Mark S.; Hardy, Michael E.; Haynor, David R.; Smith, Donald V.; Parker, James E.; Bender, Gregory N.; Kim, Yongmin
1994-04-01
The digital archiving system at Madigan Army Medical Center (MAMC) uses a 10:1 lossy data compression algorithm for most forms of computed radiography. A systematic study on the potential effect of lossy image compression on patient care has been initiated with a series of studies focused on specific diagnostic tasks. The studies are based upon the receiver operating characteristic (ROC) method of analysis for diagnostic systems. The null hypothesis is that observer performance with approximately 10:1 compressed and decompressed images is not different from using original, uncompressed images for detecting subtle pathologic findings seen on computed radiographs of bone, chest, or abdomen, when viewed on a high-resolution monitor. Our design involves collecting cases from eight pathologic categories. Truth is determined by committee using confirmatory studies performed during routine clinical practice whenever possible. Software has been developed to aid in case collection and to allow reading of the cases for the study using stand-alone Siemens Litebox workstations. Data analysis uses two methods, ROC analysis and free-response ROC (FROC) methods. This study will be one of the largest ROC/FROC studies of its kind and could benefit clinical radiology practice using PACS technology. The study design and results from a pilot FROC study are presented.
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
Calibration issues for neutron diagnostics
International Nuclear Information System (INIS)
Sadler, G.J.; Adams, J.M.; Barnes, C.W.
1997-10-01
In order for ITER to meet its operational and programmatic goals, it will be necessary to measure a wide range of plasma parameters. Some of the required parameters e.g., neutron yield, fusion power and power density, ion temperature profile in the core plasma, and characteristics of confined and escaping alpha particle populations are best measured by fusion product diagnostic techniques. To make these measurements, ITER will have dedicated diagnostic systems, including radial and vertical neutron cameras, neutron and gamma ray spectrometers, internal and external fission chambers, a neutron activation system, and diagnostics for confined and escaping alpha particles. Engineering integration of many of these systems is in progress, and other systems are under investigation. This paper summarizes the present state of design of fusion product diagnostic systems for ITER and discusses expected measurement capability
In-service diagnostics of pumping facilities
International Nuclear Information System (INIS)
Jaros, I.
1987-01-01
The potential is discussed of technical diagnostics in increasing operating reliability of pumping facilities of conventional and nuclear power plants, and in rationalizing the system of their maintenance. Attention is focused on the selection of diagnostic parameters in which the so-called subjective expert methodology is applied, and on the diagnostic system design. At this stage, the construction of the respective facility and the analysis of the failure rate of its individual assemblies should be considered. The selection of diagnostic means directly depends on the selection of diagnostic parameters and is conditional on other factors, such as availability, cost, technical service, and operator's training. Briefly characterized are Czechoslovak standards assessing the mechanical condition of rotary machines from the measurement of the effective value of the rate of their oscillations. (Z.M.)
Directory of Open Access Journals (Sweden)
Umut Arslan
2014-09-01
Full Text Available Background: Several methods are available to evaluate the performance of the tests when the purpose of the diagnostic test is to discriminate between two possible disease states. However multi-class diagnostic problems frequently appear in many areas of medical science. Hence, there is a need for methods which will enable us to characterize the accuracy of diagnostic tests when there are more than two possible disease states. Aims: To show that two information theory measures, information content (IC and proportional reduction in diagnostic uncertainty (PRDU, can be used for the evaluation of the performance of diagnostic tests for multi-class diagnostic problems that may appear in different areas of medical science. Study Design: Diagnostic accuracy study. Methods: Sixty freshly extracted permanent human molar and premolar teeth suspected to have occlusal caries lesions were selected for the study and were assessed by two experienced examiners. Each examiner performed two evaluations. Histological examination was used as the gold standard. The scores of the histological examination were defined as sound (n=11, enamel caries (n=22 and dentin caries (n=27. Diagnostic performance of i visual inspection, ii radiography, iii laser fluorescence (LF and iv micro-computed tomography (M-CT caries detection methods was evaluated by calculating IC and PRDU. Results: Micro-computed tomography examination was the best method among the diagnostic techniques for the diagnosis of occlusal caries in terms of both IC and PRDU. M-CT examination supplied the maximum diagnostic information about the diagnosis of occlusal caries in the first (IC: 1.056; p<0.05, (PRDU: 70.5% and second evaluation (IC: 1.105; p<0.05, (PRDU: 73.8% for the first examiner. M-CT examination was the best method among the diagnostic techniques for the second examiner in both the first (IC:1.105; p<0.05, (PRDU:73.8% and second evaluation (IC:1.061; p<0.05, (PRDU:70.8%. IC and PRDU were
NPP Mochovce units 1 and 2 diagnostic systems
International Nuclear Information System (INIS)
Heidenreich, S.
1997-01-01
In this paper the diagnostic systems (leak detection monitoring, vibration monitoring, lose parts monitoring, fatigue monitoring) of NPP Mochovce units 1 and 2 are presented. All of the designed diagnostic systems are personal computer based systems
MODIFIED ALVARADO SCORING AS A DIAGNOSTIC TOOL IN ACUTE APPENDICITIS- A PROSPECTIVE STUDY
Directory of Open Access Journals (Sweden)
V. K. Arun Kumar
2017-02-01
Full Text Available BACKGROUND Acute Appendicitis commonest community-acquired intra-abdominal infections. Acute appendicitis and its associated complications are significant source of morbidity and sometimes mortality. The Modified Alvarado Scoring System (MASS has been reported to be a cheap and quick diagnostic tool in patients with acute appendicitis. Diagnostic accuracy have been observed if the scores were applied to various populations and clinical settings. The purpose of this study was to evaluate the diagnostic value of Modified Alvarado Scoring System in patients with acute appendicitis in our setting. The aim of the study is to evaluate the efficacy of the modified Alvarado score as a diagnostic tool in Acute Appendicitis, as the diagnosis of appendicitis depends on the onset of symptoms and the subjective interpretation of the physical examination. MATERIALS AND METHODS This was a prospective study carried out in Pondicherry Institute of Medical Science during the period of November 2013 to May 2015. This study was done on 50 patients diagnosed with Acute Appendicitis and admitted in General Surgery. RESULTS In this study, there were a total of 50 patients who were taken up for surgery based on clinical and radiological diagnosis. Our study demonstrates that modified Alvarado score applied to all adult patients of acute appendicitis in adults with a sensitivity of 60% and a specificity of 40% only. Showing it wasn’t efficient in diagnosing acute appendicitis. The positive predictive value shown by our study was 80% which is marginally lower than that explained in literature which reports 87.5%. Negative appendicectomy rate in this study is 12%. CONCLUSION Alvarado score is a non-invasive, safe diagnostic procedure, which is simple, fast reliable and repeatable; it can be used in all conditions, without expensive and complicated supportive diagnostic methods. Alvarado score increases the diagnostic certainty of clinical examination in diagnosis of
Gerke, Oke; Poulsen, Mads H; Høilund-Carlsen, Poul Flemming
2015-01-01
Diagnostic studies of accuracy targeting sensitivity and specificity are commonly done in a paired design in which all modalities are applied in each patient, whereas cost-effectiveness and cost-utility analyses are usually assessed either directly alongside to or indirectly by means of stochastic modeling based on larger randomized controlled trials (RCTs). However the conduct of RCTs is hampered in an environment such as ours, in which technology is rapidly evolving. As such, there is a relatively limited number of RCTs. Therefore, we investigated as to which extent paired diagnostic studies of accuracy can be also used to shed light on economic implications when considering a new diagnostic test. We propose a simple decision tree model-based cost-utility analysis of a diagnostic test when compared to the current standard procedure and exemplify this approach with published data from lymph node staging of prostate cancer. Average procedure costs were taken from the Danish Diagnosis Related Groups Tariff in 2013 and life expectancy was estimated for an ideal 60 year old patient based on prostate cancer stage and prostatectomy or radiation and chemotherapy. Quality-adjusted life-years (QALYs) were deduced from the literature, and an incremental cost-effectiveness ratio (ICER) was used to compare lymph node dissection with respective histopathological examination (reference standard) and (18)F-fluoromethylcholine positron emission tomography/computed tomography (FCH-PET/CT). Lower bounds of sensitivity and specificity of FCH-PET/CT were established at which the replacement of the reference standard by FCH-PET/CT comes with a trade-off between worse effectiveness and lower costs. Compared to the reference standard in a diagnostic accuracy study, any imperfections in accuracy of a diagnostic test imply that replacing the reference standard generates a loss in effectiveness and utility. We conclude that diagnostic studies of accuracy can be put to a more extensive use
How does a change in the control room design affect diagnostic strategies in nuclear power plants?
International Nuclear Information System (INIS)
Kim, Dong Young; Kim, Jonghyun
2014-01-01
Recently, main control rooms have been considerably changed by modern computer techniques. Some of the features that distinguish digital control rooms from conventional, analog rooms in nuclear power plants include advanced alarm systems, graphic information display systems, computerized procedure systems, and soft control. These features can bring changes in operator tasks, changing the characteristics of tasks or creating new tasks for operators. It is especially expected that these features may bring out changes in the operator's diagnostic tasks and strategies in a digital control room as compared with an analog control room. This study investigates the differences in the operator's diagnostic tasks and strategies in analog and digital control rooms. This study also attempts to evaluate how new systems in a digital control room affect diagnostic strategies. Three different approaches, which are complementary, are used to identify diagnostic strategies in the digital control room and in the analog control room: (1) observation in the simulator, (2) interview with operators, and (3) a literature review. The results show that the digital control room introduces new diagnosis strategies compared with the analog control room while also changing the characteristics of the strategies, mostly by gaining more support from the computerized system. (author)
High-performance pickups for beam diagnostics. Design, analysis, characterization and implementation
International Nuclear Information System (INIS)
Angelovski, Aleksandar
2015-01-01
This work introduces the design, analysis, characterization and implementation of high-performance pickups for two beam diagnostic instruments, a Bunch Arrival-time Monitor (BAM) and an Energy Beam Position Monitor (EBPM) at the European XFEL. As a part of the BAM the cone-shaped pickups are proposed along with the corresponding RF-frontend. The designed pickups deliver a beam induced signal with a slope steepness of around 400 mV/ps and a bandwidth of 40 GHz. These signal characteristics are well inside the design requirements, i.e., a slope steepness of 300 mV/ps and more than ten times better compared to the signal from the state-of-the-art pickups. The pickups are installed and commissioned at three accelerator facilities, FLASH at DESY, the quasi-CW SRF accelerator ELBE at the Helmholtz-Zentrum Dresden-Rossendorf and the SwissFEL injector test facility at Paul Scherrer Institute. The obtained measurement results from the installed pickups are in good agreement with the simulations. A comparison between the signal measurements with the cone-shaped pickup and the state-of-the-art is performed at ELBE showing an improvement by a factor of ten. The potential of the pickups for sub-10 fs arrival-time measurements for bunch charges of 20 pC is demonstrated at ELBE and at SwissFEL injector test facility. The introduced coneshaped pickups are the first commercially available pickups with a bandwidth of up to 40 GHz. For the EBPM, a modular pickup structure with two types of planar pickups, microstrip transmission line and grounded coplanar waveguide with perpendicular connectors is investigated. The transition region between the connector and the line is optimized for two substrate materials, alumina and glass with a reflection coefficient better than -20 dB up to 6 GHz.
Design of practical alignment device in KSTAR Thomson diagnostic
Energy Technology Data Exchange (ETDEWEB)
Lee, J. H., E-mail: jhlee@nfri.re.kr [National Fusion Research Institute, Daejeon (Korea, Republic of); University of Science and Technology (UST), Daejeon (Korea, Republic of); Lee, S. H. [National Fusion Research Institute, Daejeon (Korea, Republic of); Yamada, I. [National Institute for Fusion Science, Toki (Japan)
2016-11-15
The precise alignment of the laser path and collection optics in Thomson scattering measurements is essential for accurately determining electron temperature and density in tokamak experiments. For the last five years, during the development stage, the KSTAR tokamak’s Thomson diagnostic system has had alignment fibers installed in its optical collection modules, but these lacked a proper alignment detection system. In order to address these difficulties, an alignment verifying detection device between lasers and an object field of collection optics is developed. The alignment detection device utilizes two types of filters: a narrow laser band wavelength for laser, and a broad wavelength filter for Thomson scattering signal. Four such alignment detection devices have been successfully developed for the KSTAR Thomson scattering system in this year, and these will be tested in KSTAR experiments in 2016. In this paper, we present the newly developed alignment detection device for KSTAR’s Thomson scattering diagnostics.
Diagnostics for studies of novel laser ion acceleration mechanisms
Energy Technology Data Exchange (ETDEWEB)
Senje, Lovisa; Aurand, Bastian; Wahlström, Claes-Göran [Department of Physics, Lund University, P. O. Box 118, S-221 00 Lund (Sweden); Yeung, Mark; Kuschel, Stephan; Rödel, Christian [Helmholtz-Institut Jena, D-07743 Jena (Germany); Wagner, Florian; Roth, Markus [Technische Universität Darmstadt, D-64289 Darmstadt (Germany); Li, Kun; Neumayer, Paul [ExtreMe Matter Institut, D-64291 Darmstadt (Germany); Dromey, Brendan; Jung, Daniel [Department of Physics and Astronomy, Queen' s University, Belfast BT7 1NN (United Kingdom); Bagnoud, Vincent [Helmholtz-Institut Jena, D-07743 Jena (Germany); GSI Helmholtzzentrum für Schwerionenforschung GmbH, D-64291 Darmstadt (Germany); Zepf, Matthew [Helmholtz-Institut Jena, D-07743 Jena (Germany); Department of Physics and Astronomy, Queen' s University, Belfast BT7 1NN (United Kingdom); Kuehl, Thomas [ExtreMe Matter Institut, D-64291 Darmstadt (Germany); GSI Helmholtzzentrum für Schwerionenforschung GmbH, D-64291 Darmstadt (Germany); Universität Mainz, D-55099 Mainz (Germany)
2014-11-15
Diagnostic for investigating and distinguishing different laser ion acceleration mechanisms has been developed and successfully tested. An ion separation wide angle spectrometer can simultaneously investigate three important aspects of the laser plasma interaction: (1) acquire angularly resolved energy spectra for two ion species, (2) obtain ion energy spectra for multiple species, separated according to their charge to mass ratio, along selected axes, and (3) collect laser radiation reflected from and transmitted through the target and propagating in the same direction as the ion beam. Thus, the presented diagnostic constitutes a highly adaptable tool for accurately studying novel acceleration mechanisms in terms of their angular energy distribution, conversion efficiency, and plasma density evolution.
Diagnostics for studies of novel laser ion acceleration mechanisms
International Nuclear Information System (INIS)
Senje, Lovisa; Aurand, Bastian; Wahlström, Claes-Göran; Yeung, Mark; Kuschel, Stephan; Rödel, Christian; Wagner, Florian; Roth, Markus; Li, Kun; Neumayer, Paul; Dromey, Brendan; Jung, Daniel; Bagnoud, Vincent; Zepf, Matthew; Kuehl, Thomas
2014-01-01
Diagnostic for investigating and distinguishing different laser ion acceleration mechanisms has been developed and successfully tested. An ion separation wide angle spectrometer can simultaneously investigate three important aspects of the laser plasma interaction: (1) acquire angularly resolved energy spectra for two ion species, (2) obtain ion energy spectra for multiple species, separated according to their charge to mass ratio, along selected axes, and (3) collect laser radiation reflected from and transmitted through the target and propagating in the same direction as the ion beam. Thus, the presented diagnostic constitutes a highly adaptable tool for accurately studying novel acceleration mechanisms in terms of their angular energy distribution, conversion efficiency, and plasma density evolution
Identification of factors associated with diagnostic error in primary care.
Minué, Sergio; Bermúdez-Tamayo, Clara; Fernández, Alberto; Martín-Martín, José Jesús; Benítez, Vivian; Melguizo, Miguel; Caro, Araceli; Orgaz, María José; Prados, Miguel Angel; Díaz, José Enrique; Montoro, Rafael
2014-05-12
Missed, delayed or incorrect diagnoses are considered to be diagnostic errors. The aim of this paper is to describe the methodology of a study to analyse cognitive aspects of the process by which primary care (PC) physicians diagnose dyspnoea. It examines the possible links between the use of heuristics, suboptimal cognitive acts and diagnostic errors, using Reason's taxonomy of human error (slips, lapses, mistakes and violations). The influence of situational factors (professional experience, perceived overwork and fatigue) is also analysed. Cohort study of new episodes of dyspnoea in patients receiving care from family physicians and residents at PC centres in Granada (Spain). With an initial expected diagnostic error rate of 20%, and a sampling error of 3%, 384 episodes of dyspnoea are calculated to be required. In addition to filling out the electronic medical record of the patients attended, each physician fills out 2 specially designed questionnaires about the diagnostic process performed in each case of dyspnoea. The first questionnaire includes questions on the physician's initial diagnostic impression, the 3 most likely diagnoses (in order of likelihood), and the diagnosis reached after the initial medical history and physical examination. It also includes items on the physicians' perceived overwork and fatigue during patient care. The second questionnaire records the confirmed diagnosis once it is reached. The complete diagnostic process is peer-reviewed to identify and classify the diagnostic errors. The possible use of heuristics of representativeness, availability, and anchoring and adjustment in each diagnostic process is also analysed. Each audit is reviewed with the physician responsible for the diagnostic process. Finally, logistic regression models are used to determine if there are differences in the diagnostic error variables based on the heuristics identified. This work sets out a new approach to studying the diagnostic decision-making process
Irradiation effects on plasma diagnostic components
International Nuclear Information System (INIS)
Nishitani, Takeo; Iida, Toshiyuki; Ikeda, Yujiro
1998-10-01
One of the most important issues to develop the diagnostics for the experimental thermonuclear reactor such as ITER is the irradiation effects on the diagnostics components. Typical neutron flux and fluence on the first wall are 1 MW/m 2 and 1 MWa/m 2 , respectively for ITER. In such radiation condition, most of the present diagnostics could not survive so that those will be planed to be installed far from the vacuum vessel. However, some diagnostics sensors such as bolometers and magnetic probes still have to be install inside vessel. And many transmission components for lights, wave and electric signals are inevitable even inside vessel. As a part of this R and D program of the ITER Engineering Design Activities (EDA), we carried out the irradiation tests on the basic materials of the transmission components and in-vessel diagnostics sensors in order to identify radiation hardened materials that can be used for diagnostic systems. (J.P.N.)
Irradiation effects on plasma diagnostic components
Energy Technology Data Exchange (ETDEWEB)
Nishitani, Takeo [ed.] [Japan Atomic Energy Research Inst., Naka, Ibaraki (Japan). Naka Fusion Research Establishment; Iida, Toshiyuki; Ikeda, Yujiro [and others
1998-10-01
One of the most important issues to develop the diagnostics for the experimental thermonuclear reactor such as ITER is the irradiation effects on the diagnostics components. Typical neutron flux and fluence on the first wall are 1 MW/m{sup 2} and 1 MWa/m{sup 2}, respectively for ITER. In such radiation condition, most of the present diagnostics could not survive so that those will be planed to be installed far from the vacuum vessel. However, some diagnostics sensors such as bolometers and magnetic probes still have to be install inside vessel. And many transmission components for lights, wave and electric signals are inevitable even inside vessel. As a part of this R and D program of the ITER Engineering Design Activities (EDA), we carried out the irradiation tests on the basic materials of the transmission components and in-vessel diagnostics sensors in order to identify radiation hardened materials that can be used for diagnostic systems. (J.P.N.)
Pruijssers, Addy; van Meijel, Berno; Maaskant, Marian; Keeman, Noortje; van Achterberg, Theo
2016-07-01
People with intellectual disabilities often have a multitude of concurrent problems due to the combination of cognitive impairments, psychiatric disorders (particularly anxiety) and related challenging behaviours. Diagnoses in people with intellectual disabilities are complicated. This study evaluates the quality of the diagnoses and treatment plans after using a guideline that was developed to support professionals in their diagnostic tasks. A comparative multiple case study with an experimental and control condition, applying deductive analyses of diagnoses and treatment plans. The analyses revealed that the number of diagnostic statements and planned treatment actions in the experimental group was significantly larger and more differentiated than in the control condition. In the control group, consequential harm and protective factors were hardly mentioned in diagnoses and treatment plans. Working with the 'Diagnostic Guideline for Anxiety and CB' leads to improved diagnoses and treatment plans compared with care as usual. © 2015 John Wiley & Sons Ltd.
Deposition Diagnostics for Next-step Devices
International Nuclear Information System (INIS)
Skinner, C.H.; Roquemore, A.L.; Bader, A.; Wampler, W.R.
2004-01-01
The scale-up of deposition in next-step devices such as ITER will pose new diagnostic challenges. Codeposition of hydrogen with carbon needs to be characterized and understood in the initial hydrogen phase in order to mitigate tritium retention and qualify carbon plasma facing components for DT operations. Plasma facing diagnostic mirrors will experience deposition that is expected to rapidly degrade their reflectivity, posing a new challenge to diagnostic design. Some eroded particles will collect as dust on interior surfaces and the quantity of dust will be strictly regulated for safety reasons - however diagnostics of in-vessel dust are lacking. We report results from two diagnostics that relate to these issues. Measurements of deposition on NSTX with 4 Hz time resolution have been made using a quartz microbalance in a configuration that mimics that of a typical diagnostic mirror. Often deposition was observed immediately following the discharge suggesting that diagnostic shutters should be closed as soon as possible after the time period of interest. Material loss was observed following a few discharges. A novel diagnostic to detect surface particles on remote surfaces was commissioned on NSTX
The next organizational challenge: finding and addressing diagnostic error.
Graber, Mark L; Trowbridge, Robert; Myers, Jennifer S; Umscheid, Craig A; Strull, William; Kanter, Michael H
2014-03-01
Although health care organizations (HCOs) are intensely focused on improving the safety of health care, efforts to date have almost exclusively targeted treatment-related issues. The literature confirms that the approaches HCOs use to identify adverse medical events are not effective in finding diagnostic errors, so the initial challenge is to identify cases of diagnostic error. WHY HEALTH CARE ORGANIZATIONS NEED TO GET INVOLVED: HCOs are preoccupied with many quality- and safety-related operational and clinical issues, including performance measures. The case for paying attention to diagnostic errors, however, is based on the following four points: (1) diagnostic errors are common and harmful, (2) high-quality health care requires high-quality diagnosis, (3) diagnostic errors are costly, and (4) HCOs are well positioned to lead the way in reducing diagnostic error. FINDING DIAGNOSTIC ERRORS: Current approaches to identifying diagnostic errors, such as occurrence screens, incident reports, autopsy, and peer review, were not designed to detect diagnostic issues (or problems of omission in general) and/or rely on voluntary reporting. The realization that the existing tools are inadequate has spurred efforts to identify novel tools that could be used to discover diagnostic errors or breakdowns in the diagnostic process that are associated with errors. New approaches--Maine Medical Center's case-finding of diagnostic errors by facilitating direct reports from physicians and Kaiser Permanente's electronic health record--based reports that detect process breakdowns in the followup of abnormal findings--are described in case studies. By raising awareness and implementing targeted programs that address diagnostic error, HCOs may begin to play an important role in addressing the problem of diagnostic error.
Fuzzy based method for project planning of the infrastructure design for the diagnostic in ITER
International Nuclear Information System (INIS)
Piros, Attila; Veres, Gábor
2013-01-01
The long-term design projects need special preparation before the start of the execution. This preparation usually includes the drawing of the network diagram for the whole procedure. This diagram includes the time estimation of the individual subtasks and gives us information about the predicted dates of the milestones. The calculated critical path in this network characterizes a specific design project concerning to its duration very well. Several methods are available to support this step of preparation. This paper describes a new method to map the structure of the design process and clarify the milestones and predict the dates of these milestones. The method is based on the PERT (Project Evaluation and Review Technique) network but as a novelty it applies fuzzy logic to find out the concerning times in this graph. With the application of the fuzzy logic the handling of the different kinds of design uncertainties becomes feasible. Many kinds of design uncertainties exist from the possible electric blackout up to the illness of an engineer. In many cases these uncertainties are related with human errors and described with linguistic expressions. The fuzzy logic enables to transform these ambiguous expressions into numeric values for further mathematical evaluation. The method is introduced in the planning of the design project of the infrastructure for the diagnostic systems of ITER. The method not only helps the project in the planning phase, but it will be a powerful tool in mathematical modeling and monitoring of the project execution
Fuzzy based method for project planning of the infrastructure design for the diagnostic in ITER
Energy Technology Data Exchange (ETDEWEB)
Piros, Attila, E-mail: attila.piros@gt3.bme.hu [Department of Machine and Product Design, Budapest University of Technology and Economics, Budapest (Hungary); Veres, Gábor [Department of Plasma Physics, Wigner Research Centre for Physics, Hungarian Academy of Sciences, Budapest (Hungary)
2013-10-15
The long-term design projects need special preparation before the start of the execution. This preparation usually includes the drawing of the network diagram for the whole procedure. This diagram includes the time estimation of the individual subtasks and gives us information about the predicted dates of the milestones. The calculated critical path in this network characterizes a specific design project concerning to its duration very well. Several methods are available to support this step of preparation. This paper describes a new method to map the structure of the design process and clarify the milestones and predict the dates of these milestones. The method is based on the PERT (Project Evaluation and Review Technique) network but as a novelty it applies fuzzy logic to find out the concerning times in this graph. With the application of the fuzzy logic the handling of the different kinds of design uncertainties becomes feasible. Many kinds of design uncertainties exist from the possible electric blackout up to the illness of an engineer. In many cases these uncertainties are related with human errors and described with linguistic expressions. The fuzzy logic enables to transform these ambiguous expressions into numeric values for further mathematical evaluation. The method is introduced in the planning of the design project of the infrastructure for the diagnostic systems of ITER. The method not only helps the project in the planning phase, but it will be a powerful tool in mathematical modeling and monitoring of the project execution.
Conceptual design study of quasi-steady state fusion experimental reactor (FER-Q), part 2
International Nuclear Information System (INIS)
1985-12-01
Since 1980 the design study has been conducted at JAERI for the Fusion Experimental Reactor (FER) which has been proposed to be the next machine to JT-60 in the Japanese long term program of fusion reactor development. Starting from 1984 FER design is being reviewed and redesigned. This report is a part of the interim report which describes the results obtained in the review and redesign activities in FY 1984. The results of the following design items are included: heating/current drive system, plasma position control, power supply, diagnostics, neutronics, blanket test module, repair and maintenance and safety. (author)
Awareness of Diagnostic Error among Japanese Residents: a Nationwide Study.
Nishizaki, Yuji; Shinozaki, Tomohiro; Kinoshita, Kensuke; Shimizu, Taro; Tokuda, Yasuharu
2018-04-01
Residents' understanding of diagnostic error may differ between countries. We sought to explore the relationship between diagnostic error knowledge and self-study, clinical knowledge, and experience. Our nationwide study involved postgraduate year 1 and 2 (PGY-1 and -2) Japanese residents. The Diagnostic Error Knowledge Assessment Test (D-KAT) and General Medicine In-Training Examination (GM-ITE) were administered at the end of the 2014 academic year. D-KAT scores were compared with the benchmark scores of US residents. Associations between D-KAT score and gender, PGY, emergency department (ED) rotations per month, mean number of inpatients handled at any given time, and mean daily minutes of self-study were also analyzed, both with and without adjusting for GM-ITE scores. Student's t test was used for comparisons with linear mixed models and structural equation models (SEM) to explore associations with D-KAT or GM-ITE scores. The mean D-KAT score among Japanese PGY-2 residents was significantly lower than that of their US PGY-2 counterparts (6.2 vs. 8.3, p ITE scores correlated with ED rotations (≥6 rotations: 2.14; 0.16-4.13; p = 0.03), inpatient caseloads (5-9 patients: 1.79; 0.82-2.76; p ITE scores (ß = 0.37, 95% CI: 0.34-0.41) and indirectly associated with ED rotations (ß = 0.06, 95% CI: 0.02-0.10), inpatient caseload (ß = 0.04, 95% CI: 0.003-0.08), and average daily minutes of study (ß = 0.13, 95% CI: 0.09-0.17). Knowledge regarding diagnostic error among Japanese residents was poor compared with that among US residents. D-KAT scores correlated strongly with GM-ITE scores, and the latter scores were positively associated with a greater number of ED rotations, larger caseload (though only up to 15 patients), and more time spent studying.
Statistical physics of medical diagnostics: Study of a probabilistic model.
Mashaghi, Alireza; Ramezanpour, Abolfazl
2018-03-01
We study a diagnostic strategy which is based on the anticipation of the diagnostic process by simulation of the dynamical process starting from the initial findings. We show that such a strategy could result in more accurate diagnoses compared to a strategy that is solely based on the direct implications of the initial observations. We demonstrate this by employing the mean-field approximation of statistical physics to compute the posterior disease probabilities for a given subset of observed signs (symptoms) in a probabilistic model of signs and diseases. A Monte Carlo optimization algorithm is then used to maximize an objective function of the sequence of observations, which favors the more decisive observations resulting in more polarized disease probabilities. We see how the observed signs change the nature of the macroscopic (Gibbs) states of the sign and disease probability distributions. The structure of these macroscopic states in the configuration space of the variables affects the quality of any approximate inference algorithm (so the diagnostic performance) which tries to estimate the sign-disease marginal probabilities. In particular, we find that the simulation (or extrapolation) of the diagnostic process is helpful when the disease landscape is not trivial and the system undergoes a phase transition to an ordered phase.
Statistical physics of medical diagnostics: Study of a probabilistic model
Mashaghi, Alireza; Ramezanpour, Abolfazl
2018-03-01
We study a diagnostic strategy which is based on the anticipation of the diagnostic process by simulation of the dynamical process starting from the initial findings. We show that such a strategy could result in more accurate diagnoses compared to a strategy that is solely based on the direct implications of the initial observations. We demonstrate this by employing the mean-field approximation of statistical physics to compute the posterior disease probabilities for a given subset of observed signs (symptoms) in a probabilistic model of signs and diseases. A Monte Carlo optimization algorithm is then used to maximize an objective function of the sequence of observations, which favors the more decisive observations resulting in more polarized disease probabilities. We see how the observed signs change the nature of the macroscopic (Gibbs) states of the sign and disease probability distributions. The structure of these macroscopic states in the configuration space of the variables affects the quality of any approximate inference algorithm (so the diagnostic performance) which tries to estimate the sign-disease marginal probabilities. In particular, we find that the simulation (or extrapolation) of the diagnostic process is helpful when the disease landscape is not trivial and the system undergoes a phase transition to an ordered phase.
Modeling Complex Workflow in Molecular Diagnostics
Gomah, Mohamed E.; Turley, James P.; Lu, Huimin; Jones, Dan
2010-01-01
One of the hurdles to achieving personalized medicine has been implementing the laboratory processes for performing and reporting complex molecular tests. The rapidly changing test rosters and complex analysis platforms in molecular diagnostics have meant that many clinical laboratories still use labor-intensive manual processing and testing without the level of automation seen in high-volume chemistry and hematology testing. We provide here a discussion of design requirements and the results of implementation of a suite of lab management tools that incorporate the many elements required for use of molecular diagnostics in personalized medicine, particularly in cancer. These applications provide the functionality required for sample accessioning and tracking, material generation, and testing that are particular to the evolving needs of individualized molecular diagnostics. On implementation, the applications described here resulted in improvements in the turn-around time for reporting of more complex molecular test sets, and significant changes in the workflow. Therefore, careful mapping of workflow can permit design of software applications that simplify even the complex demands of specialized molecular testing. By incorporating design features for order review, software tools can permit a more personalized approach to sample handling and test selection without compromising efficiency. PMID:20007844
Diagnostics design for steady-state operation of the Wendelstein 7-X stellarator
Energy Technology Data Exchange (ETDEWEB)
Koenig, R.; Baldzuhn, J.; Biedermann, C.; Burhenn, R.; Bozhenkov, S.; Cantarini, J.; Dreier, H.; Endler, M.; Hartfuss, H.-J.; Hildebrandt, D.; Hirsch, M.; Jakubowski, M.; Kornejev, P.; Krychowiak, M.; Laqua, H. P.; Laux, M.; Pasch, E.; Richert, T.; Schneider, W.; Svensson, J. [Max-Planck-Institute fuer Plasmaphysik, EURATOM Association, Greifswald D-1749 (Germany); and others
2010-10-15
The status of the diagnostic developments for the quasistationary operable stellarator Wendelstein 7-X (maximum pulse length of 30 min at 10 MW ECRH heating at 140 GHz) will be reported on. Significant emphasis is being given to the issue of ECRH stray radiation shielding of in-vessel diagnostic components, which will be critical at high density operation requiring O2 and OXB heating.
PVT Degradation Studies: Acoustic Diagnostics
Energy Technology Data Exchange (ETDEWEB)
Dib, Gerges [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Tucker, Brian J. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Kouzes, Richard T. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Smith, Philip J. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)
2017-04-01
Under certain environmental conditions, polyvinyl toluene (PVT) plastic scintillator has been observed to undergo internal fogging. This document reports on a study of acoustic techniques to determine whether they can provide a diagnostic for the fogging of PVT. Different ultrasound techniques were employed for detecting the level of internal fogging in PVT, including wave velocity measurements, attenuation, nonlinear acoustics, and acoustic microscopy. The results indicate that there are linear relations between the wave velocity and wave attenuation with the level of internal fogging. The effects of fogging on ultrasound wave attenuation is further verified by acoustic microscopy imaging, where regions with fog in the specimen demonstration higher levels of attenuation compared to clear regions. Results from the nonlinear ultrasound measurements were inconclusive due to high sensitivities to transducer coupling and fixture variabilities.
Diagnostic needs for fluctuations and transport studies
International Nuclear Information System (INIS)
Carreras, B.A.
1992-01-01
The identification of fundamental transport mechanisms in magnetically confined plasmas is a critical issue for the magnetic fusion program. Recent progress in understanding fluctuations and transport is well correlated with the development and use of new diagnostics, but there a great deal of information is still missing. Some of the required measurements are well beyond our present diagnostic capabilities, but some are within reach and could answer critical questions in this area of research. Some of these critical issues are discussed
Directory of Open Access Journals (Sweden)
Dethloff Manuel
2017-09-01
Full Text Available For the development of a novel, user-friendly and low cost point-of-care diagnostic device for the detection of disease specific biomarker a flow optimised design of the test system has to be investigated. The resulting test system is characterised by a reduced execution period, a reduction of execution steps and an integrated waste management. Based on previous results, the current study focused on the design implementation of the fluidic requirements, e. g. tightness, inside the test device. With the help of fluid flow simulations (CFD – computational fluid dynamics the flow behaviour inside the test device was analysed for different designs and arrangements. Prototypes generated from additive manufacturing technologies (PolyJet modeling are used for validating the simulation results and further experimental tests.
Design of x-ray diagnostic beam line for a synchrotron radiation source and measurement results
Energy Technology Data Exchange (ETDEWEB)
Garg, Akash Deep, E-mail: akash-deep@rrcat.gov.in; Karnewar, A.K.; Ojha, A.; Shrivastava, B.B.; Holikatti, A.C.; Puntambekar, T.A.; Navathe, C.P.
2014-08-01
Indus-2 is a 2.5 GeV synchrotron radiation source (SRS) operational at the Raja Ramanna Centre for Advanced Technology (RRCAT) in India. We have designed, developed and commissioned x-ray diagnostic beam line (X-DBL) at the Indus-2. It is based on pinhole array imaging (8–18 keV). We have derived new equations for online measurements of source position and emission angle with pinhole array optics. Measured values are compared with the measurements at an independent x-ray beam position monitor (staggered pair blade monitor) installed in the X-DBL. The measured values are close to the theoretical expected values within ±12 µm (or ±1.5 μrad) for sufficiently wide range of the beam movements. So, beside the beam size and the beam emittance, online information for the vertical position and angle is also used in the orbit steering. In this paper, the various design considerations of the X-DBL and online measurement results are presented.
Diagnostic development for current density profile control at KSTAR
Energy Technology Data Exchange (ETDEWEB)
Ko, J., E-mail: jinseok@nfri.re.kr [National Fusion Research Institute, Daejeon 34133 (Korea, Republic of); University of Science and Technology, Daejeon 34113 (Korea, Republic of); Chung, J. [National Fusion Research Institute, Daejeon 34133 (Korea, Republic of); Messmer, M.C.C. [Department of Applied Physics, Eindhoven University of Technology, Eindhoven (Netherlands)
2016-11-01
Highlights: • The motional Stark effect (MSE) diagnostic installed at KSTAR. • Engineering challenges and solutions on the design and fabrication of the front optics housing and filter modules. • Characterization of the bandpass filters and the responses to polarized light. - Abstract: The current density profile diagnostics are critical for the control of the steady-state burning plasma operations. A multi-channel motional Stark effect (MSE) diagnostic system has been implemented for the measurements of the internal magnetic field structures that constrain the magnetic equilibrium reconstruction to accurately produce the tokamak safety factor and current density profiles for the Korea Superconducting Tokamak Advanced Research (KSTAR). This work presents the design and fabrication of the front optics and the filter modules and the calibration activities for the MSE diagnostic at KSTAR.
Diagnostics for induction accelerators
International Nuclear Information System (INIS)
Fessenden, T.J.
1996-04-01
The induction accelerator was conceived by N. C. Christofilos and first realized as the Astron accelerator that operated at LLNL from the early 1960's to the end of 1975. This accelerator generated electron beams at energies near 6 MeV with typical currents of 600 Amperes in 400 ns pulses. The Advanced Test Accelerator (ATA) built at Livermore's Site 300 produced 10,000 Ampere beams with pulse widths of 70 ns at energies approaching 50 MeV. Several other electron and ion induction accelerators have been fabricated at LLNL and LBNL. This paper reviews the principal diagnostics developed through efforts by scientists at both laboratories for measuring the current, position, energy, and emittance of beams generated by these high current, short pulse accelerators. Many of these diagnostics are closely related to those developed for other accelerators. However, the very fast and intense current pulses often require special diagnostic techniques and considerations. The physics and design of the more unique diagnostics developed for electron induction accelerators are presented and discussed in detail
Overinterpretation and misreporting of diagnostic accuracy studies: evidence of "spin".
Ochodo, Eleanor A; de Haan, Margriet C; Reitsma, Johannes B; Hooft, Lotty; Bossuyt, Patrick M; Leeflang, Mariska M G
2013-05-01
To estimate the frequency of distorted presentation and overinterpretation of results in diagnostic accuracy studies. MEDLINE was searched for diagnostic accuracy studies published between January and June 2010 in journals with an impact factor of 4 or higher. Articles included were primary studies of the accuracy of one or more tests in which the results were compared with a clinical reference standard. Two authors scored each article independently by using a pretested data-extraction form to identify actual overinterpretation and practices that facilitate overinterpretation, such as incomplete reporting of study methods or the use of inappropriate methods (potential overinterpretation). The frequency of overinterpretation was estimated in all studies and in a subgroup of imaging studies. Of the 126 articles, 39 (31%; 95% confidence interval [CI]: 23, 39) contained a form of actual overinterpretation, including 29 (23%; 95% CI: 16, 30) with an overly optimistic abstract, 10 (8%; 96% CI: 3%, 13%) with a discrepancy between the study aim and conclusion, and eight with conclusions based on selected subgroups. In our analysis of potential overinterpretation, authors of 89% (95% CI: 83%, 94%) of the studies did not include a sample size calculation, 88% (95% CI: 82%, 94%) did not state a test hypothesis, and 57% (95% CI: 48%, 66%) did not report CIs of accuracy measurements. In 43% (95% CI: 34%, 52%) of studies, authors were unclear about the intended role of the test, and in 3% (95% CI: 0%, 6%) they used inappropriate statistical tests. A subgroup analysis of imaging studies showed 16 (30%; 95% CI: 17%, 43%) and 53 (100%; 95% CI: 92%, 100%) contained forms of actual and potential overinterpretation, respectively. Overinterpretation and misreporting of results in diagnostic accuracy studies is frequent in journals with high impact factors. http://radiology.rsna.org/lookup/suppl/doi:10.1148/radiol.12120527/-/DC1. © RSNA, 2013.
Feasibility Study on a Neutral Beam Diagnostic Injector for TJ-II
Energy Technology Data Exchange (ETDEWEB)
McCarthy, K. J.; Balbin, R.; Lopez-Fraguas, A.
2003-07-01
A diagnostic neutral beam system is proposed for the TJ-II stellarator. The main goal of installing such a system in TJ-II is to increase the signal to noise ratio and provide spatial resolution in diagnostic systems based on Charge Exchange Recombination Spectroscopy and Neutral Particle Analysis, while also opening up new opportunities for physics studies in this magnetically confined plasma device. After outlining the unique characteristics of the TJ-II and reviewing available diagnostic injector systems, the compact system selected for TJ-II is presented together with estimates of the resulting increased signal levels Finally other important aspects are discussed, in particular its location and orientation, as well as possible solutions to avoid perturbing the TJ-II magnetic configurations in the heliac device. (Author) 31 refs.
Feasibility Study on a Neutral Beam Diagnostic Injector for TJ-II
International Nuclear Information System (INIS)
McCarthy, K. J.; Balbin, R.; Lopez-Fraguas, A.
2003-01-01
A diagnostic neutral beam system is proposed for the TJ-II stellarator. The main goal of installing such a system in TJ-II is to increase the signal to noise ratio and provide spatial resolution in diagnostic systems based on Charge Exchange Recombination Spectroscopy and Neutral Particle Analysis, while also opening up new opportunities for physics studies in this magnetically confined plasma device. After outlining the unique characteristics of the TJ-II and reviewing available diagnostic injector systems, the compact system selected for TJ-II is presented together with estimates of the resulting increased signal levels Finally other important aspects are discussed, in particular its location and orientation, as well as possible solutions to avoid perturbing the TJ-II magnetic configurations in the heliac device. (Author) 31 refs
Harden, R Norman; Bruehl, Stephen; Perez, Roberto S G M; Birklein, Frank; Marinus, Johan; Maihofner, Christian; Lubenow, Timothy; Buvanendran, Asokumar; Mackey, Sean; Graciosa, Joseph; Mogilevski, Mila; Ramsden, Christopher; Chont, Melissa; Vatine, Jean-Jacques
2010-08-01
Current IASP diagnostic criteria for CRPS have low specificity, potentially leading to overdiagnosis. This validation study compared current IASP diagnostic criteria for CRPS to proposed new diagnostic criteria (the "Budapest Criteria") regarding diagnostic accuracy. Structured evaluations of CRPS-related signs and symptoms were conducted in 113 CRPS-I and 47 non-CRPS neuropathic pain patients. Discriminating between diagnostic groups based on presence of signs or symptoms meeting IASP criteria showed high diagnostic sensitivity (1.00), but poor specificity (0.41), replicating prior work. In comparison, the Budapest clinical criteria retained the exceptional sensitivity of the IASP criteria (0.99), but greatly improved upon the specificity (0.68). As designed, the Budapest research criteria resulted in the highest specificity (0.79), again replicating prior work. Analyses indicated that inclusion of four distinct CRPS components in the Budapest Criteria contributed to enhanced specificity. Overall, results corroborate the validity of the Budapest Criteria and suggest they improve upon existing IASP diagnostic criteria for CRPS. Copyright (c) 2010 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.
It's time to change perspective! New diagnostic tools for lateral elbow pain.
Arrigoni, P; Cucchi, D; Menon, A; Randelli, P
2017-12-01
The presence of intra-articular findings that may complement the extra-articular pathology in lateral epicondilytis has been suggested, and a role for minor instability of the elbow as part of the causative process of this disease has been postulated. This study was designed to describe two new clinical tests, aimed at detecting intra-articular pathology in patients affected by recalcitrant lateral epicondylitis and investigate their diagnostic performance. Ten patients suffering of atraumatic lateral elbow pain unresponsive to conservative treatment were considered in this study. Two clinical tests were developed and administrated prior to arthroscopy: Supination and Antero-Lateral pain Test (SALT); Posterior Elbow Pain by Palpation-Extension of the Radiocapitellar joint (PEPPER). Sensitivity, specificity, predictive values and accuracy of SALT and PEPPER as diagnostic tests for seven intra-articular findings were calculated. In 90% of the patients, at least one test was positive. All patients with signs of lateral ligamentous patholaxity or intra-articular abnormal findings had a positive response to at least one of the two tests. SALT proved to have a high sensitivity but a low specificity and is accurate in detecting the presence of intra-articular abnormal findings, especially synovitis. PEPPER test was sensible, specific and accurate in the detection of radial head chondropathy. Two new diagnostic tests (SALT and PEPPER) were specifically designed to evoke pain from intra-articular structures. These tests could be a valid support in the diagnostic algorithm of recalcitrant lateral elbow pain. Positive findings may be indicative of a minor instability of the lateral elbow condition. Diagnostic study, development of diagnostic criteria on basis of consecutive patients, level II.
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
Irritable bowel syndrome--prognosis and diagnostic safety. A 5-year follow-up study
DEFF Research Database (Denmark)
Svendsen, Jesper Hastrup; Munck, L K; Andersen, J R
1985-01-01
The irritable bowel syndrome is the commonest diagnosis in gastroenterological clinics, although diagnostic criteria and investigatory programs vary. To elucidate the diagnostic safety and prognosis of the syndrome, a retrospective study was conducted. One hundred and twelve consecutive patients...... with irritable bowel syndrome as the final and only abdominal diagnosis in the period 1977-79 were followed up in 1984. Seventeen patients died during the follow-up period; two of these were considered diagnostic failures (chronic pancreatitis and pancreatic cancer). Of the remaining 95 patients, 93 were...
International Nuclear Information System (INIS)
Rienecker, F.; Kobierecki, M.; Ozarski, R.; Seppala, L.; Manes, K.; Merritt, B.
1977-01-01
In the laser fusion program at Lawrence Livermore Laboratory, no target experiment is complete unless it is complemented by careful measurements of the laser pulse that irradiates the target. For this purpose, an incident beam diagnostics (IBD) package has been designed for the Shiva laser. The package will furnish data on items such as the total energy and the focusable energy out of the laser chain, and the spatial and temporal energy and power distribution at the target plane. Understanding laser-plasma interactions requires knowledge of the amount of 1.06 μm light energy that is scattered in various directions from the target. The light energy that is scattered toward the beam focusing lens is analyzed by a reflected beam diagnostic (RBD) package containing a calorimeter, a multiple image camera and a TV camera. This paper describes the detailed design and operation of the IBD and RBD packages as tools to align spatial filters and targets, as well as to diagnose the laser beams and target reflectivity
Energy Technology Data Exchange (ETDEWEB)
Shimada, Y.; Sayama, H.; Suzuki, K. [Okayama Univ. (Japan). Dept. of Industrial and Mechanical Engineering
1997-08-15
Recently, a fault diagnostic expert system was prosperously developed as an objective of chemical plants and nuclear power plants. In this paper, a fault diagnostic method using modularized knowledge was proposed, a fault diagnostic system was constructed for an experimental plant, and the effectiveness of this method was clarified by carrying out a fault diagnostic experiment. The characteristics of the proposed fault diagnostic system were as follows: The necessary knowledge for diagnosing faults was made into each process element. Based on this method, the revision and addition of a knowledge base could be carried out in each element, and the design change of a plant could be flexibly corresponded by only changing the related part of the process flow graph. The estimated results were stored into the working memory, not only faults of an element in which faults resulted could be estimated, but also the fault propagating path could be clarified. 8 refs., 6 figs., 3 tabs.
Laméris, Wytze; van Randen, Adrienne; Dijkgraaf, Marcel G. W.; Bossuyt, Patrick M. M.; Stoker, Jaap; Boermeester, Marja A.
2007-01-01
ABSTRACT: BACKGROUND: The acute abdomen is a frequent entity at the Emergency Department (ED), which usually needs rapid and accurate diagnostic work-up. Diagnostic work-up with imaging can consist of plain X-ray, ultrasonography (US), computed tomography (CT) and even diagnostic laparoscopy.
Advance in study of intelligent diagnostic method for nuclear power plant
International Nuclear Information System (INIS)
Zhou Gang; Yang Li
2008-01-01
The advance of research on the application of three types of intelligent diagnostic approach based on neural network (ANN), fuzzy logic and expert system to the operation status monitoring and fault diagnosis of nuclear power plant (NPP) was reviewed. The research status and characters on status monitoring and fault diagnosis approaches based on neural network, fuzzy logic and expert system for nuclear power plant were analyzed. The development trend of applied research on intelligent diagnostic approaches for nuclear power plant was explored. The analysis results show that the research achievements on intelligent diagnostic approaches based on fuzzy logic and expert system for nuclear power plant are not much relatively. The research of intelligent diagnostic approaches for nuclear power plant concentrate on the aspect of operation status monitoring and fault diagnosis based on neural networks for nuclear power plant. The advancing tendency of intelligent diagnostic approaches for nuclear power plant is the combination of various intelligent diagnostic approaches, the combination of neural network diagnostic approaches and other diagnostic approaches as well as multiple neural network diagnostic approaches. (authors)
Studies on WWER core diagnostics
International Nuclear Information System (INIS)
Lunin, G.L.; Mitin, V.I.; Bulavin, V.V.
1987-01-01
The reliability and safety of nuclear power plants have decisive meaning under the situation that nuclear power generation steadily increases, and among various measures aiming at ensuring the reliability and safety in the operation of nuclear power plants, the countermeasures for protecting reactor core, main process equipment and high pressure circuits from damage have the important role, and the monitoring of condition and the organization of forecast, which are carried out continuously or periodically during the operation of nuclear power stations using the diagnostic expert system specially developed for the purpose, are included in them. Such monitoring enables the early detection of mechanical damage, increase of vibration, defects caused during operation and so on in reactor cores and primary and secondary circuits, and the continuous watching of defect developments. Also boiling in a core is detected, the place of abnormality occurrence is identified, and the intensity and characteristics of boiling are determined, thus the occurrence of dangerous condition is prevented. The developments of an in-core monitoring system and noise diagnostic systems are reported. (Kako, I.)
Directory of Open Access Journals (Sweden)
Guy Froyen
Full Text Available The inevitable switch from standard molecular methods to next-generation sequencing for the molecular profiling of tumors is challenging for most diagnostic laboratories. However, fixed validation criteria for diagnostic accreditation are not in place because of the great variability in methods and aims. Here, we describe the validation of a custom panel of hotspots in 24 genes for the detection of somatic mutations in non-small cell lung carcinoma, colorectal carcinoma and malignant melanoma starting from FFPE sections, using 14, 36 and 5 cases, respectively. The targeted hotspots were selected for their present or future clinical relevance in solid tumor types. The target regions were enriched with the TruSeq approach starting from limited amounts of DNA. Cost effective sequencing of 12 pooled libraries was done using a micro flow cell on the MiSeq and subsequent data analysis with MiSeqReporter and VariantStudio. The entire workflow was diagnostically validated showing a robust performance with maximal sensitivity and specificity using as thresholds a variant allele frequency >5% and a minimal amplicon coverage of 300. We implemented this method through the analysis of 150 routine diagnostic samples and identified clinically relevant mutations in 16 genes including KRAS (32%, TP53 (32%, BRAF (12%, APC (11%, EGFR (8% and NRAS (5%. Importantly, the highest success rate was obtained when using also the low quality DNA samples. In conclusion, we provide a workflow for the validation of targeted NGS by a custom-designed pan-solid tumor panel in a molecular diagnostic lab and demonstrate its robustness in a clinical setting.
The neutron imaging diagnostic at NIF (invited).
Merrill, F E; Bower, D; Buckles, R; Clark, D D; Danly, C R; Drury, O B; Dzenitis, J M; Fatherley, V E; Fittinghoff, D N; Gallegos, R; Grim, G P; Guler, N; Loomis, E N; Lutz, S; Malone, R M; Martinson, D D; Mares, D; Morley, D J; Morgan, G L; Oertel, J A; Tregillis, I L; Volegov, P L; Weiss, P B; Wilde, C H; Wilson, D C
2012-10-01
A neutron imaging diagnostic has recently been commissioned at the National Ignition Facility (NIF). This new system is an important diagnostic tool for inertial fusion studies at the NIF for measuring the size and shape of the burning DT plasma during the ignition stage of Inertial Confinement Fusion (ICF) implosions. The imaging technique utilizes a pinhole neutron aperture, placed between the neutron source and a neutron detector. The detection system measures the two dimensional distribution of neutrons passing through the pinhole. This diagnostic has been designed to collect two images at two times. The long flight path for this diagnostic, 28 m, results in a chromatic separation of the neutrons, allowing the independently timed images to measure the source distribution for two neutron energies. Typically the first image measures the distribution of the 14 MeV neutrons and the second image of the 6-12 MeV neutrons. The combination of these two images has provided data on the size and shape of the burning plasma within the compressed capsule, as well as a measure of the quantity and spatial distribution of the cold fuel surrounding this core.
The neutron imaging diagnostic at NIF (invited)
Energy Technology Data Exchange (ETDEWEB)
Merrill, F. E.; Clark, D. D.; Danly, C. R.; Drury, O. B.; Fatherley, V. E.; Gallegos, R.; Grim, G. P.; Guler, N.; Loomis, E. N.; Martinson, D. D.; Mares, D.; Morley, D. J.; Morgan, G. L.; Oertel, J. A.; Tregillis, I. L.; Volegov, P. L.; Wilde, C. H.; Wilson, D. C. [Los Alamos National Laboratory, Los Alamos, New Mexico 87544 (United States); Bower, D.; Dzenitis, J. M. [Livermore National Laboratory, Livermore, California 94550 (United States); and others
2012-10-15
A neutron imaging diagnostic has recently been commissioned at the National Ignition Facility (NIF). This new system is an important diagnostic tool for inertial fusion studies at the NIF for measuring the size and shape of the burning DT plasma during the ignition stage of Inertial Confinement Fusion (ICF) implosions. The imaging technique utilizes a pinhole neutron aperture, placed between the neutron source and a neutron detector. The detection system measures the two dimensional distribution of neutrons passing through the pinhole. This diagnostic has been designed to collect two images at two times. The long flight path for this diagnostic, 28 m, results in a chromatic separation of the neutrons, allowing the independently timed images to measure the source distribution for two neutron energies. Typically the first image measures the distribution of the 14 MeV neutrons and the second image of the 6-12 MeV neutrons. The combination of these two images has provided data on the size and shape of the burning plasma within the compressed capsule, as well as a measure of the quantity and spatial distribution of the cold fuel surrounding this core.
Microfluidic point-of-care diagnostics for resource-poor environments
Laksanasopin, Tassaneewan; Chin, Curtis D.; Moore, Hannah; Wang, Jennifer; Cheung, Yuk Kee; Sia, Samuel K.
2009-05-01
Point-of-care (POC) diagnostics have tremendous potential to improve human health in remote and resource-poor settings. However, the design criteria for diagnostic tests appropriate in settings with limited infrastructure are unique and challenging. Here we present a custom optical reader which quantifies silver absorbance from heterogeneous immunoassays. The reader is simple and low-cost and suited for POC diagnostics.
Dutta, Dipankar
2016-02-09
The diagnosis of Transient Ischaemic Attack (TIA) can be difficult and 50-60% of patients seen in TIA clinics turn out to be mimics. Many of these mimics have high ABCD2 scores and fill urgent TIA clinic slots inappropriately. A TIA diagnostic tool may help non-specialists make the diagnosis with greater accuracy and improve TIA clinic triage. The only available diagnostic score (Dawson et al) is limited in scope and not widely used. The Diagnosis of TIA (DOT) Score is a new and internally validated web and mobile app based diagnostic tool which encompasses both brain and retinal TIA. The score was derived retrospectively from a single centre TIA clinic database using stepwise logistic regression by backwards elimination to find the best model. An optimum cutpoint was obtained for the score. The derivation and validation cohorts were separate samples drawn from the years 2010/12 and 2013 respectively. Receiver Operating Characteristic (ROC) curves and area under the curve (AUC) were calculated and the diagnostic accuracy of DOT was compared to the Dawson score. A web and smartphone calculator were designed subsequently. The derivation cohort had 879 patients and the validation cohort 525. The final model had seventeen predictors and had an AUC of 0.91 (95% CI: 0.89-0.93). When tested on the validation cohort, the AUC for DOTS was 0.89 (0.86-0.92) while that of the Dawson score was 0.77 (0.73-0.81). The sensitivity and specificity of the DOT score were 89% (CI: 84%-93%) and 76% (70%-81%) respectively while those of the Dawson score were 83% (78%-88%) and 51% (45%-57%). Other diagnostic accuracy measures (DOT vs. Dawson) include positive predictive values (75% vs. 58%), negative predictive values (89% vs. 79%), positive likelihood ratios (3.67 vs. 1.70) and negative likelihood ratios (0.15 vs. 0.32). The DOT score shows promise as a diagnostic tool for TIA and requires independent external validation before it can be widely used. It could potentially improve the
A Self-Diagnostic System for the M6 Accelerometer
Flanagan, Patrick M.; Lekki, John
2001-01-01
The design of a Self-Diagnostic (SD) accelerometer system for the Space Shuttle Main Engine is presented. This retrofit system connects diagnostic electronic hardware and software to the current M6 accelerometer system. This paper discusses the general operation of the M6 accelerometer SD system and procedures for developing and evaluating the SD system. Signal processing techniques using M6 accelerometer diagnostic data are explained. Test results include diagnostic data responding to changing ambient temperature, mounting torque and base mounting impedance.
High-Intensity Laser Diagnostics for OMEGA EP
International Nuclear Information System (INIS)
Bromage, J.; Zuegel, J.D.; Bahk, S.-W.; Vickery, D.S.; Waxer, L.J.; Irwin, D.; Bagnoud, V.; Boni, R.; Moore, M.D.; Junquist, R.; Stoeckl, C.
2006-01-01
OMEGA EP is a new high-energy petawatt laser system under construction at the University of Rochester's Laboratory for Laser Energetics. This paper describes our designs for two diagnostics critical to OMEGA EP's mission. The focal-spot diagnostic (FSD) is responsible for characterizing the focal spot of OMEGA EP's off-axis parabolic mirror at full energy. The ultrafast temporal diagnostic (UTD) is responsible for characterizing pulse shapes of full-energy target shots ranging in width from <1 to 100 ps as well as setting the desired pulse width before the shot. These diagnostics will enable, for the first time, complete spatial and temporal characterization of the focus of a high-energy petawatt laser at full energy
Identification of factors associated with diagnostic error in primary care
2014-01-01
Background Missed, delayed or incorrect diagnoses are considered to be diagnostic errors. The aim of this paper is to describe the methodology of a study to analyse cognitive aspects of the process by which primary care (PC) physicians diagnose dyspnoea. It examines the possible links between the use of heuristics, suboptimal cognitive acts and diagnostic errors, using Reason’s taxonomy of human error (slips, lapses, mistakes and violations). The influence of situational factors (professional experience, perceived overwork and fatigue) is also analysed. Methods Cohort study of new episodes of dyspnoea in patients receiving care from family physicians and residents at PC centres in Granada (Spain). With an initial expected diagnostic error rate of 20%, and a sampling error of 3%, 384 episodes of dyspnoea are calculated to be required. In addition to filling out the electronic medical record of the patients attended, each physician fills out 2 specially designed questionnaires about the diagnostic process performed in each case of dyspnoea. The first questionnaire includes questions on the physician’s initial diagnostic impression, the 3 most likely diagnoses (in order of likelihood), and the diagnosis reached after the initial medical history and physical examination. It also includes items on the physicians’ perceived overwork and fatigue during patient care. The second questionnaire records the confirmed diagnosis once it is reached. The complete diagnostic process is peer-reviewed to identify and classify the diagnostic errors. The possible use of heuristics of representativeness, availability, and anchoring and adjustment in each diagnostic process is also analysed. Each audit is reviewed with the physician responsible for the diagnostic process. Finally, logistic regression models are used to determine if there are differences in the diagnostic error variables based on the heuristics identified. Discussion This work sets out a new approach to studying the
Development of ITER diagnostics: Neutronic analysis and radiation hardness
Energy Technology Data Exchange (ETDEWEB)
Vukolov, Konstantin, E-mail: vukolov_KY@nrcki.ru; Borisov, Andrey; Deryabina, Natalya; Orlovskiy, Ilya
2015-10-15
Highlights: • Problems of ITER diagnostics caused by neutron radiation from hot DT plasma considered. • Careful neutronic analysis is necessary for ITER diagnostics development. • Effective nuclear shielding for ITER diagnostics in the 11th equatorial port plug proposed. • Requirements for study of radiation hardness of diagnostic elements defined. • Results of optical glasses irradiation tests in a fission reactor given. - Abstract: The paper is dedicated to the problems of ITER diagnostics caused by effects of radiation from hot DT plasma. An effective nuclear shielding must be arranged in diagnostic port plugs to meet the nuclear safety requirements and to provide reliable operation of the diagnostics. This task can be solved with the help of neutronic analysis of the diagnostics environment within the port plugs at the design stage. Problems of neutronic calculations are demonstrated for the 11th equatorial port plug. The numerical simulation includes the calculations of neutron fluxes in the port-plug and in the interspace. Options for nuclear shielding, such as tungsten collimator, boron carbide and water moderators, stainless steel and lead screens are considered. Data on neutron fluxes along diagnostic labyrinths allow to define radiation hardness requirements for the diagnostic components and to specify their materials. Options for windows and lenses materials for optical diagnostics are described. The results of irradiation of flint and silica glasses in nuclear reactor have shown that silica KU-1 and KS-4V retain transparency in visible range after neutron fluence of 10{sup 17} cm{sup −2}. Flints required for achromatic objectives have much less radiation hardness about 5 × 10{sup 14} n/cm{sup 2}.
Zwaan, L.; Thijs, A.; Wagner, C.; Wal, G. van der; Timmermans, D.R.M.
2009-01-01
Background: Diagnostic error is an important error type since diagnostic adverse events are regularly judged as being preventable and the consequences are considered to be severe. Existing research often focuses on either diagnostic adverse events or on the errors in diagnostic reasoning. Whether
Zwaan, L.; Thijs, A.; Wagner, C.; Wal, van der G.; Timmermans, D.R.M.
2009-01-01
BACKGROUND: Diagnostic error is an important error type since diagnostic adverse events are regularly judged as being preventable and the consequences are considered to be severe. Existing research often focuses on either diagnostic adverse events or on the errors in diagnostic reasoning. Whether
Intelligent Diagnostic Assistant for Complicated Skin Diseases through C5's Algorithm.
Jeddi, Fatemeh Rangraz; Arabfard, Masoud; Kermany, Zahra Arab
2017-09-01
Intelligent Diagnostic Assistant can be used for complicated diagnosis of skin diseases, which are among the most common causes of disability. The aim of this study was to design and implement a computerized intelligent diagnostic assistant for complicated skin diseases through C5's Algorithm. An applied-developmental study was done in 2015. Knowledge base was developed based on interviews with dermatologists through questionnaires and checklists. Knowledge representation was obtained from the train data in the database using Excel Microsoft Office. Clementine Software and C5's Algorithms were applied to draw the decision tree. Analysis of test accuracy was performed based on rules extracted using inference chains. The rules extracted from the decision tree were entered into the CLIPS programming environment and the intelligent diagnostic assistant was designed then. The rules were defined using forward chaining inference technique and were entered into Clips programming environment as RULE. The accuracy and error rates obtained in the training phase from the decision tree were 99.56% and 0.44%, respectively. The accuracy of the decision tree was 98% and the error was 2% in the test phase. Intelligent diagnostic assistant can be used as a reliable system with high accuracy, sensitivity, specificity, and agreement.
Lee, Roy E; Henricks, Walter H; Sirintrapun, Sahussapont J
2016-03-01
Molecular diagnostic testing presents new challenges to information management that are yet to be sufficiently addressed by currently available information systems for the molecular laboratory. These challenges relate to unique aspects of molecular genetic testing: molecular test ordering, informed consent issues, diverse specimen types that encompass the full breadth of specimens handled by traditional anatomic and clinical pathology information systems, data structures and data elements specific to molecular testing, varied testing workflows and protocols, diverse instrument outputs, unique needs and requirements of molecular test reporting, and nuances related to the dissemination of molecular pathology test reports. By satisfactorily addressing these needs in molecular test data management, a laboratory information system designed for the unique needs of molecular diagnostics presents a compelling reason to migrate away from the current paper and spreadsheet information management that many molecular laboratories currently use. This paper reviews the issues and challenges of information management in the molecular diagnostics laboratory.
Towards diagnostics for a fusion reactor
International Nuclear Information System (INIS)
Costley, A. E.
2009-01-01
The requirements for measurements on modern tokamak fusion plasmas are outlined, and the techniques and systems used to make the measurements, usually referred to as 'diagnostics', are introduced. The basics of three particular diagnostics - magnetics, neutron systems and a laser based optical system - are outlined as examples of modern diagnostic systems, and the implementation of these diagnostics on a current tokamak (JET) are described. The next major step in magnetic confinement fusion is the construction and operation of the International Thermonuclear Experimental Reactor (ITER), which is a joint project of China, Europe, Japan, India, Korea, the Russian Federation, and the United States. Construction has begun in Cadarache, France. It is expected that ITER will operate at the 500 MW level. Because of the harsh environment in the vacuum vessel where many diagnostic components are located, the development of diagnostics for ITER is a major challenge - arguably the most difficult challenge ever undertaken in the field of diagnostics. The main elements in the diagnostic step are outlined using the three chosen techniques as examples. Finally, the step beyond ITER to a demonstration reactor, DEMO, that is expected to produce several GWs of fusion power is considered and the impact on diagnostics outlined. It is shown that the applicability and development steps needed for the individual diagnostics techniques will differ. The challenges for DEMO diagnostics are substantial and a dedicated effort should be made to find and develop new techniques, and especially techniques appropriate to the DEMO environment. It is argued that the limitations and difficulties in diagnostics should be a consideration in the optimization and designs of DEMO. (author)
[Digital learning object for diagnostic reasoning in nursing applied to the integumentary system].
da Costa, Cecília Passos Vaz; Luz, Maria Helena Barros Araújo
2015-12-01
To describe the creation of a digital learning object for diagnostic reasoning in nursing applied to the integumentary system at a public university of Piaui. A methodological study applied to technological production based on the pedagogical framework of problem-based learning. The methodology for creating the learning object observed the stages of analysis, design, development, implementation and evaluation recommended for contextualized instructional design. The revised taxonomy of Bloom was used to list the educational goals. The four modules of the developed learning object were inserted into the educational platform Moodle. The theoretical assumptions allowed the design of an important online resource that promotes effective learning in the scope of nursing education. This study should add value to nursing teaching practices through the use of digital learning objects for teaching diagnostic reasoning applied to skin and skin appendages.
Gender incongruence: a comparative study using ICD-10 and DSM-5 diagnostic criteria.
Soll, Bianca M; Robles-García, Rebeca; Brandelli-Costa, Angelo; Mori, Daniel; Mueller, Andressa; Vaitses-Fontanari, Anna M; Cardoso-da-Silva, Dhiordan; Schwarz, Karine; Abel-Schneider, Maiko; Saadeh, Alexandre; Lobato, Maria-Inês-Rodrigues
2018-01-01
To compare the presence of criteria listed in the DSM-5 and ICD-10 diagnostic manuals in a Brazilian sample of transgender persons seeking health services specifically for physical transition. This multicenter cross-sectional study included a sample of 103 subjects who sought services for gender identity disorder in two main reference centers in Brazil. The method involved a structured interview encompassing the diagnostic criteria in the two manuals. The results revealed that despite theoretical disagreement about the criteria, the manuals overlap regarding diagnosis confirmation; the DSM-5 was more inclusive (97.1%) than the ICD-10 (93.2%) in this population. Although there is no consensus on diagnostic criteria on transgenderism in the diversity of social and cultural contexts, more comprehensive diagnostic criteria are evolving due to society's increasing inclusivity.
1980-03-01
Hydrogen has a large Raman cross section and simple CARS spectrum making it an ideal thermometric species. It also has the advantage at this time that the...modes of operation have been considered. Hydrogen appears to be an ideal thermometric species for CARS diagnostics at high pressures. The large...low thermal conductivity in the host material. Yttrium aluminum garnet (YAG), on the other hand, has a good thermal conductivity and therefore when
CAD-Based Shielding Analysis for ITER Port Diagnostics
Directory of Open Access Journals (Sweden)
Serikov Arkady
2017-01-01
Full Text Available Radiation shielding analysis conducted in support of design development of the contemporary diagnostic systems integrated inside the ITER ports is relied on the use of CAD models. This paper presents the CAD-based MCNP Monte Carlo radiation transport and activation analyses for the Diagnostic Upper and Equatorial Port Plugs (UPP #3 and EPP #8, #17. The creation process of the complicated 3D MCNP models of the diagnostics systems was substantially accelerated by application of the CAD-to-MCNP converter programs MCAM and McCad. High performance computing resources of the Helios supercomputer allowed to speed-up the MCNP parallel transport calculations with the MPI/OpenMP interface. The found shielding solutions could be universal, reducing ports R&D costs. The shield block behind the Tritium and Deposit Monitor (TDM optical box was added to study its influence on Shut-Down Dose Rate (SDDR in Port Interspace (PI of EPP#17. Influence of neutron streaming along the Lost Alpha Monitor (LAM on the neutron energy spectra calculated in the Tangential Neutron Spectrometer (TNS of EPP#8. For the UPP#3 with Charge eXchange Recombination Spectroscopy (CXRS-core, an excessive neutron streaming along the CXRS shutter, which should be prevented in further design iteration.
CAD-Based Shielding Analysis for ITER Port Diagnostics
Serikov, Arkady; Fischer, Ulrich; Anthoine, David; Bertalot, Luciano; De Bock, Maartin; O'Connor, Richard; Juarez, Rafael; Krasilnikov, Vitaly
2017-09-01
Radiation shielding analysis conducted in support of design development of the contemporary diagnostic systems integrated inside the ITER ports is relied on the use of CAD models. This paper presents the CAD-based MCNP Monte Carlo radiation transport and activation analyses for the Diagnostic Upper and Equatorial Port Plugs (UPP #3 and EPP #8, #17). The creation process of the complicated 3D MCNP models of the diagnostics systems was substantially accelerated by application of the CAD-to-MCNP converter programs MCAM and McCad. High performance computing resources of the Helios supercomputer allowed to speed-up the MCNP parallel transport calculations with the MPI/OpenMP interface. The found shielding solutions could be universal, reducing ports R&D costs. The shield block behind the Tritium and Deposit Monitor (TDM) optical box was added to study its influence on Shut-Down Dose Rate (SDDR) in Port Interspace (PI) of EPP#17. Influence of neutron streaming along the Lost Alpha Monitor (LAM) on the neutron energy spectra calculated in the Tangential Neutron Spectrometer (TNS) of EPP#8. For the UPP#3 with Charge eXchange Recombination Spectroscopy (CXRS-core), an excessive neutron streaming along the CXRS shutter, which should be prevented in further design iteration.
Uncertainty during breast diagnostic evaluation: state of the science.
Montgomery, Mariann
2010-01-01
To present the state of the science on uncertainty in relationship to the experiences of women undergoing diagnostic evaluation for suspected breast cancer. Published articles from Medline, CINAHL, PubMED, and PsycINFO from 1983-2008 using the following key words: breast biopsy, mammography, uncertainty, reframing, inner strength, and disruption. Fifty research studies were examined with all reporting the presence of anxiety persisting throughout the diagnostic evaluation until certitude is achieved through the establishment of a definitive diagnosis. Indirect determinants of uncertainty for women undergoing breast diagnostic evaluation include measures of anxiety, depression, social support, emotional responses, defense mechanisms, and the psychological impact of events. Understanding and influencing the uncertainty experience have been suggested to be key in relieving psychosocial distress and positively influencing future screening behaviors. Several studies examine correlational relationships among anxiety, selection of coping methods, and demographic factors that influence uncertainty. A gap exists in the literature with regard to the relationship of inner strength and uncertainty. Nurses can be invaluable in assisting women in coping with the uncertainty experience by providing positive communication and support. Nursing interventions should be designed and tested for their effects on uncertainty experienced by women undergoing a breast diagnostic evaluation.
Diagnostic Crossover in Anorexia Nervosa and Bulimia Nervosa: Implications for DSM-V
Eddy, Kamryn T.; Dorer, David J.; Franko, Debra L.; Tahilani, Kavita; Thompson-Brenner, Heather; Herzog, David B.
2011-01-01
Objective The Diagnostic and Statistical Manual of Mental Disorders (DSM) is designed primarily as a clinical tool. Yet high rates of diagnostic “crossover” among the anorexia nervosa subtypes and bulimia nervosa may reflect problems with the validity of the current diagnostic schema, thereby limiting its clinical utility. This study was designed to examine diagnostic crossover longitudinally in anorexia nervosa and bulimia nervosa to inform the validity of the DSM-IV-TR eating disorders classification system. Method A total of 216 women with a diagnosis of anorexia nervosa or bulimia nervosa were followed for 7 years; weekly eating disorder symptom data collected using the Eating Disorder Longitudinal Interval Follow-Up Examination allowed for diagnoses to be made throughout the follow-up period. Results Over 7 years, the majority of women with anorexia nervosa experienced diagnostic crossover: more than half crossed between the restricting and binge eating/purging anorexia nervosa subtypes over time; one-third crossed over to bulimia nervosa but were likely to relapse into anorexia nervosa. Women with bulimia nervosa were unlikely to cross over to anorexia nervosa. Conclusions These findings support the longitudinal distinction of anorexia nervosa and bulimia nervosa but do not support the anorexia nervosa subtyping schema. PMID:18198267
DEMO diagnostics and burn control
Energy Technology Data Exchange (ETDEWEB)
Biel, Wolfgang, E-mail: w.biel@fz-juelich.de [Institute of Energy and Climate Research, Forschungszentrum Jülich GmbH, Jülich (Germany); Department of Applied Physics, Ghent University (Belgium); Baar, Marco de [FOM-Institute DIFFER, Nieuwegein (Netherlands); Eindhoven University of Technology (Netherlands); Dinklage, Andreas [Max-Planck-Institut für Plasmaphysik, Greifswald (Germany); Felici, Federico [Eindhoven University of Technology (Netherlands); König, Ralf [Max-Planck-Institut für Plasmaphysik, Greifswald (Germany); Meister, Hans; Treutterer, Wolfgang [Max-Planck-Institut für Plasmaphysik, Garching (Germany); Wenninger, Ronald [Max-Planck-Institut für Plasmaphysik, Garching (Germany); EFDA Power Plant Physics and Technology, Garching (Germany)
2015-10-15
Highlights: • An initial concept for the DEMO diagnostic and control system is presented. • A preliminary list of control functions and candidate diagnostics is developed. • Challenges regarding disruptions, power exhaust and radiation control are highlighted. • The need for introducing realistic control margins is emphasized. • On outline of the future R&D plan is presented. - Abstract: The development of the control system for a tokamak demonstration fusion reactor (DEMO) faces unprecedented challenges. First, the requirements for control reliability and accuracy are more stringent than on existing fusion devices: any loss of plasma control on DEMO may result in a disruption which could damage the inner wall of the machine, while operating the device with larger margins against the operational limits would lead to a reduction of the electrical output power. Second, the performance of DEMO control is limited by space restrictions for the implementation of components (optimization of the tritium breeding rate), by lifetime issues for the front-end parts (neutron and gamma radiation, erosion and deposition acting on all components) and by slow, weak and indirect action of the available actuators (plasma shaping, heating and fuelling). The European DEMO conceptual design studies include the development of a reliable control system, since the details of the achievable plasma scenario and the machine design may depend on the actual performance of the control system. In the first phase of development, an initial understanding of the prime choices of diagnostic methods applicable to DEMO, implementation and performance issues, the interrelation with the plasma scenario definition, and the planning of necessary future R&D have been obtained.
International Nuclear Information System (INIS)
Lopez Bejerano, G.; Sed, L.J.
2001-01-01
The worldwide use of Nuclear Medicine diagnostic procedures and the tendency to its increment, infers an important exposure of the population to ionising radiation; it has motivated that the IAEA in the International Basic Safety Standards (BSS), emits recommendations for the establishment of guidance levels of activities administered to the patients in diagnostic procedures. Taking into account the above-mentioned and that in Cuba there exist 20 departments of Nuclear Medicine that in the majority possess equipment with more than 20 years of operation, which influences directly the medical exposure. A survey was designed and applied in 10 of these departments. The survey evaluates the compliance with the BSS requirements, and specifically, the activities administered to the patients in Nuclear Medicine diagnostic procedures are analysed. In the present work the obtained preliminary results of the statistical analysis carried out on the activity values used in Nuclear Medicine departments are presented, and comparisons made for a proposal of guidance levels for the national practice, which is compared with those recommended internationally. (author)
Engineering issues on the diagnostic port integration in ITER upper port 18
Energy Technology Data Exchange (ETDEWEB)
Pak, Sunil, E-mail: paksunil@nfri.re.kr [National Fusion Research Institute, Gwahak-ro, Yuseong-gu, Daejeon (Korea, Republic of); Bertalot, Luciano [ITER Organization, Route de Vinon sur Verdon, 13115 St Paul-lez-Durance (France); Cheon, Mun Seong [National Fusion Research Institute, Gwahak-ro, Yuseong-gu, Daejeon (Korea, Republic of); Giacomin, Thibaud [ITER Organization, Route de Vinon sur Verdon, 13115 St Paul-lez-Durance (France); Heemskerk, Cock J.M.; Koning, Jarich F. [Heemskerk Innovative Technology, Merelhof 2, 2172 HZ Sassenheim (Netherlands); Lee, Hyeon Gon [National Fusion Research Institute, Gwahak-ro, Yuseong-gu, Daejeon (Korea, Republic of); Nemtcev, Grigorii [Institution “PROJECT CENTER ITER”, Akademika Kurchatova sq., Moscow (Russian Federation); Ronden, Dennis M.S. [FOM Institute DIFFER, P.O. Box 1207, 3430 BE Nieuwegein (Netherlands); Seon, Chang Rae [National Fusion Research Institute, Gwahak-ro, Yuseong-gu, Daejeon (Korea, Republic of); Udintsev, Victor; Yukhnov, Nikolay [ITER Organization, Route de Vinon sur Verdon, 13115 St Paul-lez-Durance (France); Zvonkov, Alexander [Institution “PROJECT CENTER ITER”, Akademika Kurchatova sq., Moscow (Russian Federation)
2016-11-01
Highlights: • Diagnostic port integration in the upper port 18 of ITER is presented in order to house the three diagnostic systems. • Issue on the neutron shielding in the upper port 18 is addressed and the shut-down dose rate in the interspace is summarized. • The maintenance strategy in the upper port 18 is described. - Abstract: The upper port #18 (UP18) in ITER hosts three diagnostic systems: the neutron activation system, the Vacuum Ultra-Violet spectrometer system, and the vertical neutron camera. These diagnostics are integrated into three infrastructures in the port: the upper port plug, interspace support structure and port cell support structure. The port integration in UP18 is at the preliminary design stage and the current design of the infrastructure as well as the diagnostic integration is described here. The engineering issues related to neutron shielding and maintenance are addressed and the design approach is suggested.
Directory of Open Access Journals (Sweden)
Handels Ron LH
2012-08-01
Full Text Available Abstract Background New research criteria for the diagnosis of Alzheimer’s disease (AD have recently been developed to enable an early diagnosis of AD pathophysiology by relying on emerging biomarkers. To enable efficient allocation of health care resources, evidence is needed to support decision makers on the adoption of emerging biomarkers in clinical practice. The research goals are to 1 assess the diagnostic test accuracy of current clinical diagnostic work-up and emerging biomarkers in MRI, PET and CSF, 2 perform a cost-consequence analysis and 3 assess long-term cost-effectiveness by an economic model. Methods/design In a cohort design 241 consecutive patients suspected of having a primary neurodegenerative disease are approached in four academic memory clinics and followed for two years. Clinical data and data on quality of life, costs and emerging biomarkers are gathered. Diagnostic test accuracy is determined by relating the clinical practice and new research criteria diagnoses to a reference diagnosis. The clinical practice diagnosis at baseline is reflected by a consensus procedure among experts using clinical information only (no biomarkers. The diagnosis based on the new research criteria is reflected by decision rules that combine clinical and biomarker information. The reference diagnosis is determined by a consensus procedure among experts based on clinical information on the course of symptoms over a two-year time period. A decision analytic model is built combining available evidence from different resources among which (accuracy results from the study, literature and expert opinion to assess long-term cost-effectiveness of the emerging biomarkers. Discussion Several other multi-centre trials study the relative value of new biomarkers for early evaluation of AD and related disorders. The uniqueness of this study is the assessment of resource utilization and quality of life to enable an economic evaluation. The study results
Gear noise, vibration, and diagnostic studies at NASA Lewis Research Center
Zakrajsek, J. J.; Oswald, F. B.; Townsend, D. P.; Coy, J. J.
1990-01-01
The NASA Lewis Research Center and the U.S. Army Aviation Systems Command are involved in a joint research program to advance the technology of rotorcraft transmissions. This program consists of analytical as well as experimental efforts to achieve the overall goals of reducing weight, noise, and vibration, while increasing life and reliability. Recent analytical activities are highlighted in the areas of gear noise, vibration, and diagnostics performed in-house and through NASA and U.S. Army sponsored grants and contracts. These activities include studies of gear tooth profiles to reduce transmission error and vibration as well as gear housing and rotordynamic modeling to reduce structural vibration and transmission and noise radiation, and basic research into current gear failure diagnostic methodologies. Results of these activities are presented along with an overview of near-term research plans in the gear noise, vibration, and diagnostics area.
Diagnostics for induction accelerators
International Nuclear Information System (INIS)
Fessenden, T.J.
1997-01-01
The induction accelerator was conceived by N. C. Christofilos and first realized as the Astron accelerator that operated at Lawrence Livermore National Laboratory (LLNL) from the early 1960s to the end of 1975. This accelerator generated electron beams at energies near 6 MeV with typical currents of 600 Amperes in 400-ns pulses. The Advanced Test Accelerator (ATA) built at Livermore close-quote s Site 300 produced 10,000-Ampere beams with pulse widths of 70 ns at energies approaching 50 MeV. Several other electron and ion induction accelerators have been fabricated at LLNL and Lawrence Berkeley National Laboratory (LBNL). This paper reviews the principal diagnostics developed through efforts by scientists at both laboratories for measuring the current, position, energy, and emittance of beams generated by these high-current, short-pulse accelerators. Many of these diagnostics are closely related to those developed for other accelerators. However, the very fast and intense current pulses often require special diagnostic techniques and considerations. The physics and design of the more unique diagnostics developed for electron induction accelerators are presented and discussed in detail. copyright 1997 American Institute of Physics
Laser diagnodent: a comparative study with other diagnostic techniques
International Nuclear Information System (INIS)
Godinho, Reugma Rego
2002-01-01
An evaluation of the Diagnodent equipment (Kavo Company, Germany) for the occlusal caries detection was dane through the comparison with other conventional diagnostic techniques, such as visual inspection, intra-oral micro camera and digital X-ray. The effectiveness of the equipment in the detection of hidden caries and its viability as a diagnosis method for caries in their initial stage was also studied. Fifty eight permanent molars and premolars teeth from patients with age between 6 and 30 years were studied. The obtained results indicated that the conventional methods employed for the caries diagnosis are unable to detect the carious lesion in its initial stage. The Diagnodent equipment has this capability to detect caries presenting a flawless surface, specially the hidden caries, allowing the dentist to decide between a preventive ar a conservative procedure. The main advantage of the Diagnodent is to be an objective method, compared to the visual and radiographic ones, that are dependent on the professional interpretation. The Diagnodent is, therefore, a promising alternative as an objective and standardized diagnosis method for the final diagnostic. (author)
DEFF Research Database (Denmark)
Jahn, H; Mathiesen, F K; Neckelmann, K
1997-01-01
, and diagnostic aids are desirable to reduce the negative appendicectomy rate. Diagnostic US performed poorly as a routine procedure. Application of an up to date scoring system might be of some help to patients with a high or low probability of acute appendicitis, but any conclusion about its clinical......OBJECTIVE: To evaluate the diagnostic accuracy of clinical judgment and diagnostic ultrasonography (US) used routinely and to create a scoring system to aid diagnosis. DESIGN: Prospective, double-blind study. SETTING: University hospital, Denmark. SUBJECTS: 222 Consecutive patients suspected...... of having acute appendicitis admitted between 0800 and midnight from June 1990 to June 1992. INTERVENTIONS: 148 Patients (67%) underwent appendicectomy and the remaining 74 patients were observed. 193 Patients (87%) had a diagnostic US examination. 21 Predictive variables were collected prospectively...
Radiation effects in IFMIF Li target diagnostic systems
International Nuclear Information System (INIS)
Molla, J.; Vila, R.; Shikama, T.; Horiike, H.; Simakov, S.; Ciotti, M.; Ibarra, A.
2009-01-01
Diagnostics for the lithium target will be crucial for the operation of IFMIF. Several parameters as the lithium temperature, target thickness or wave pattern must be monitored during operation. Radiation effects may produce malfunctioning in any of these diagnostics due to the exposure to high radiation fields. The main diagnostic systems proposed for the operation of IFMIF are reviewed in this paper from the point of view of radiation damage. The main tools for the assessment of the performance of these diagnostics are the neutronics calculations by using specialised codes and the information accumulated during the last decades on the radiation effects in functional materials, components and diagnostics for ITER. This analysis allows to conclude that the design of some of the diagnostic systems must be revised to assure the high availability required for the target system.
The study of practices in planed diagnostic medical exposure
International Nuclear Information System (INIS)
Popescu, Irina-Anca; Perju, Nicoleta Ana-Maria; Cobzeanu, Camelia
2011-01-01
The exposure of population to ionizing radiations in medical diagnostic purposes represents a planed exposure procedure, medically justified, having a direct impact on patient health state. A justification of exposure, with a result that can confirm a clinical diagnostic, implies further important steps in treatment decisions. Optimization in patients radiological protection is the result of observing the reference levels recommendations, which maintains a reasonable individual exposure to ionizing radiation in medical purpose. In this paper we investigated the justification of 4189 exposures of patients who underwent planed diagnostic medical investigation over 36 months in a radiological unit. The most frequent investigation concerned the spinal column in 38.3% of total exposures-mainly at lumbar level (63.0% and 24.1%, respectively of total number of exposures), followed by limb bones (20.6%) and thorax (26.9%). Justification of practices included: rheumatic pains in 45.8% of exposures followed by traumatic injuries (20.6%), pleural and pulmonary pathology (19.3%), malignant processes (12.3%), ear-nose-throat investigations (1.1%) and car accidents (0.9%). The females over 40 years old were the group with the highest number of medical exposures, with 54.5% of total practices. This study revealed that the number of medical exposures justification is almost equal with non-justified examinations, confirming a not so good correlation between clinical diagnostic and the required radiological investigation. The percentages of justified versus non-justified practices indicated by specialist physicians and general practitioners were slightly equal - 59.3% vs. 40.7%, 56.9% vs. 43.1%, respectively. The analysis of data concluded that either specialist/general physicians must evaluate more rigorously the patients and all clinical signs in order to reduce as reasonable as possible the non-justified medical exposures to ionizing radiations, and thus to avoid financial and
High-intensity laser diagnostics for OMEGA EP
Energy Technology Data Exchange (ETDEWEB)
Bromage, J.; Zuegel, J.D.; Bahk, S.W.; Vickery, D.S.; Waxer, L.J.; Irwin, D.; Bagnoud, V.; Boni, R.; Moore, M.D.; Jungquist, R.; Stoeckl, C. [Rochester Univ., Lab. for Laser Energetics, NY (United States)
2006-06-15
OMEGA EP (Extended Performance) is a new high-energy peta-watt laser system under construction at the University of Rochester's Laboratory for Laser Energetics. This paper describes our designs for two diagnostics critical to OMEGA EP's mission. The focal-spot diagnostic (FSD) is responsible for characterizing the focal spot of OMEGA EP's off-axis parabolic mirror at full energy. The ultrafast temporal diagnostic (UTD) is responsible for characterizing pulse shapes of full-energy target shots ranging in width from < 1 to 100 ps as well as setting the desired pulse width before the shot. These diagnostics will enable, for the first time, complete spatial and temporal characterization of the focus of a high-energy peta-watt laser at full energy. (authors)
High-intensity laser diagnostics for OMEGA EP
International Nuclear Information System (INIS)
Bromage, J.; Zuegel, J.D.; Bahk, S.W.; Vickery, D.S.; Waxer, L.J.; Irwin, D.; Bagnoud, V.; Boni, R.; Moore, M.D.; Jungquist, R.; Stoeckl, C.
2006-01-01
OMEGA EP (Extended Performance) is a new high-energy peta-watt laser system under construction at the University of Rochester's Laboratory for Laser Energetics. This paper describes our designs for two diagnostics critical to OMEGA EP's mission. The focal-spot diagnostic (FSD) is responsible for characterizing the focal spot of OMEGA EP's off-axis parabolic mirror at full energy. The ultrafast temporal diagnostic (UTD) is responsible for characterizing pulse shapes of full-energy target shots ranging in width from < 1 to 100 ps as well as setting the desired pulse width before the shot. These diagnostics will enable, for the first time, complete spatial and temporal characterization of the focus of a high-energy peta-watt laser at full energy. (authors)
Sheeran, Paul S; Luois, Samantha; Dayton, Paul A; Matsunaga, Terry O
2011-09-06
Recent efforts in the area of acoustic droplet vaporization with the objective of designing extravascular ultrasound contrast agents has led to the development of stabilized, lipid-encapsulated nanodroplets of the highly volatile compound decafluorobutane (DFB). We developed two methods of generating DFB droplets, the first of which involves condensing DFB gas (boiling point from -1.1 to -2 °C) followed by extrusion with a lipid formulation in HEPES buffer. Acoustic droplet vaporization of micrometer-sized lipid-coated droplets at diagnostic ultrasound frequencies and mechanical indices were confirmed optically. In our second formulation methodology, we demonstrate the formulation of submicrometer-sized lipid-coated nanodroplets based upon condensation of preformed microbubbles containing DFB. The droplets are routinely in the 200-300 nm range and yield microbubbles on the order of 1-5 μm once vaporized, consistent with ideal gas law expansion predictions. The simple and effective nature of this methodology allows for the development of a variety of different formulations that can be used for imaging, drug and gene delivery, and therapy. This study is the first to our knowledge to demonstrate both a method of generating ADV agents by microbubble condensation and formulation of primarily submicrometer droplets of decafluorobutane that remain stable at physiological temperatures. Finally, activation of DFB nanodroplets is demonstrated using pressures within the FDA guidelines for diagnostic imaging, which may minimize the potential for bioeffects in humans. This methodology offers a new means of developing extravascular contrast agents for diagnostic and therapeutic applications. © 2011 American Chemical Society
An Artificial Intelligence Approach for Gears Diagnostics in AUVs.
Marichal, Graciliano Nicolás; Del Castillo, María Lourdes; López, Jesús; Padrón, Isidro; Artés, Mariano
2016-04-12
In this paper, an intelligent scheme for detecting incipient defects in spur gears is presented. In fact, the study has been undertaken to determine these defects in a single propeller system of a small-sized unmanned helicopter. It is important to remark that although the study focused on this particular system, the obtained results could be extended to other systems known as AUVs (Autonomous Unmanned Vehicles), where the usage of polymer gears in the vehicle transmission is frequent. Few studies have been carried out on these kinds of gears. In this paper, an experimental platform has been adapted for the study and several samples have been prepared. Moreover, several vibration signals have been measured and their time-frequency characteristics have been taken as inputs to the diagnostic system. In fact, a diagnostic system based on an artificial intelligence strategy has been devised. Furthermore, techniques based on several paradigms of the Artificial Intelligence (Neural Networks, Fuzzy systems and Genetic Algorithms) have been applied altogether in order to design an efficient fault diagnostic system. A hybrid Genetic Neuro-Fuzzy system has been developed, where it is possible, at the final stage of the learning process, to express the fault diagnostic system as a set of fuzzy rules. Several trials have been carried out and satisfactory results have been achieved.
An Artificial Intelligence Approach for Gears Diagnostics in AUVs
Directory of Open Access Journals (Sweden)
Graciliano Nicolás Marichal
2016-04-01
Full Text Available In this paper, an intelligent scheme for detecting incipient defects in spur gears is presented. In fact, the study has been undertaken to determine these defects in a single propeller system of a small-sized unmanned helicopter. It is important to remark that although the study focused on this particular system, the obtained results could be extended to other systems known as AUVs (Autonomous Unmanned Vehicles, where the usage of polymer gears in the vehicle transmission is frequent. Few studies have been carried out on these kinds of gears. In this paper, an experimental platform has been adapted for the study and several samples have been prepared. Moreover, several vibration signals have been measured and their time-frequency characteristics have been taken as inputs to the diagnostic system. In fact, a diagnostic system based on an artificial intelligence strategy has been devised. Furthermore, techniques based on several paradigms of the Artificial Intelligence (Neural Networks, Fuzzy systems and Genetic Algorithms have been applied altogether in order to design an efficient fault diagnostic system. A hybrid Genetic Neuro-Fuzzy system has been developed, where it is possible, at the final stage of the learning process, to express the fault diagnostic system as a set of fuzzy rules. Several trials have been carried out and satisfactory results have been achieved.
Multispectral Video-Microscope Modified for Skin Diagnostics
Directory of Open Access Journals (Sweden)
Rubins U.
2014-12-01
Full Text Available Commercial DinoLite AD413 digital microscope was modified for skin diagnostics purposes. The original LED ring (4 white and 4 ultraviolet light emitters of microscope was replaced by a custom-designed 16-LED ring module consisting of four LED groups (450, 545, 660 and 940 nm, and an onboard LED controller with USB hub was added. The video acquisition and LED switching are performed using custom-designed Matlab software which provides real-time spectral analysis of multi-spectral images and calculation of skin chromophore optical density. The developed multispectral video-microscope is mainly meant for diagnostics of skin malformations, e.g. skin cancerous lesions.
Sahlgren, C.M.; Meinander, A.; Zhang, H.; Cheng, F.; Preis, Maren; Xu, C.; Salminen, T.A.; Toivola, D.M.; Abankwa, D.; Rosling, A.; Karaman, D.Ş.; Salo-Ahen, O.M.H.; Österbacka, R.; Eriksson, J.E.; Willför, S.; Petre, I.; Peltonen, J.; Leino, R.; Johnson, M.; Rosenholm, J.; Sandler, N.
2017-01-01
Approaches to increase the efficiency in developing drugs and diagnostics tools, including new drug delivery and diagnostic technologies, are needed for improved diagnosis and treatment of major diseases and health problems such as cancer, inflammatory diseases, chronic wounds, and antibiotic
Effects of radiation exposure from radiopharmaceuticals used in diagnostic studies
International Nuclear Information System (INIS)
Witcofski, R.L.
1981-01-01
In the United States about 90 percent of man-made radiation exposure to the general population is from the use of radiation in diagnostic medicine. Although the doses of radiation from these procedures to individuals are generally quite small, large numbers of people are exposed. Estimates of the radiation doses associated with such use in the healing arts are approximately 15 million person-rem to the general population from diagnostic x ray and 3.3 million person-rem from the diagnostic use of radiopharmaceuticals. The purpose of this paper is to present what is known about the possible effects of radiation from diagnostic radiopharmaceuticals
Gilmore, Mark; Hsu, Scott
2015-11-01
The goal of the Plasma Liner eXperiment PLX-alpha at Los Alamos National Laboratory is to establish the viability of creating a spherically imploding plasma liner for MIF and HED applications, using a spherical array of supersonic plasma jets launched by innovative contoured-gap coaxial plasma guns. PLX- α experiments will focus in particular on establishing the ram pressure and uniformity scalings of partial and fully spherical plasma liners. In order to characterize these parameters experimentally, a suite of diagnostics is planned, including multi-camera fast imaging, a 16-channel visible interferometer (upgraded from 8 channels) with reconfigurable, fiber-coupled front end, and visible and VUV high-resolution and survey spectroscopy. Tomographic reconstruction and data fusion techniques will be used in conjunction with interferometry, imaging, and synthetic diagnostics from modeling to characterize liner uniformity in 3D. Diagnostic and data analysis design, implementation, and status will be presented. Supported by the Advanced Research Projects Agency - Energy - U.S. Department of Energy.
Rational diagnostic studies of hyperthyroidism - can they be rationalized
International Nuclear Information System (INIS)
Schuemichen, C.; Bernhard, G.; Aurnhammer, R.
1983-01-01
The value of various diagnostic tests for recognizing hyperthyroidism was assessed in 285 patients. The prevalence of hyperthyroidism was 33% altogether: 21.8% diffuse hyperthyroidism (Graves' disease and disseminated autonomy) and 11.2% autonomous adenoma. A negative TRH-test was found in 29.5% of the euthyroid patients, 11.4% in patients younger and 40.7% in patients older than 50 years. In one patient with thyrotoxicosis the TRH-test was positive in the beginning. In 29% of the patients with diffuse hyperthyroidism and in 50% of the patients with hyperthyroid autonomous adenoma only one hormone level was elevated (T 3 , T 4 or FT 4 ). The radioioine test contributed primarily to the final diagnosis in 1.6% of diffuse hyperthyroidism and in 6.2% of hyperthyroid autonomous adenoma. Because of its high sensitivity the TRH-test remains the basic test in the diagnosis of thyrotoxicosis. The diagnostic value of T 3 and FT 4 is equivalent with slight advantages of FT 4 . In order to lower costs, the total T 4 measurements can, and the radioiodine test has to be, omitted. However, it ought to be kept in mind that if only the TRH test and T 3 and FT 4 are included in the diagnostic study, the final diagnosis is not substantiated adequately in one third of the patients with thyrotoxicosis. (orig.) [de
Design Decisions in Developing Learning Trajectories-Based Assessments in Mathematics: A Case Study
Penuel, William R.; Confrey, Jere; Maloney, Alan; Rupp, André A.
2014-01-01
This article analyzes the design decisions of a team developing diagnostic assessments for a learning trajectory focused on rational number reasoning. The analysis focuses on the design rationale for key decisions about how to develop the cognitive assessments and related validity arguments within a fluid state and national policy context. The…
Digital learning object for diagnostic reasoning in nursing applied to the integumentary system
Directory of Open Access Journals (Sweden)
Cecília Passos Vaz da Costa
Full Text Available Objective: To describe the creation of a digital learning object for diagnostic reasoning in nursing applied to the integumentary system at a public university of Piaui. Method: A methodological study applied to technological production based on the pedagogical framework of problem-based learning. The methodology for creating the learning object observed the stages of analysis, design, development, implementation and evaluation recommended for contextualized instructional design. The revised taxonomy of Bloom was used to list the educational goals. Results: The four modules of the developed learning object were inserted into the educational platform Moodle. The theoretical assumptions allowed the design of an important online resource that promotes effective learning in the scope of nursing education. Conclusion: This study should add value to nursing teaching practices through the use of digital learning objects for teaching diagnostic reasoning applied to skin and skin appendages.
Optical fibres for fusion plasma diagnostics systems
International Nuclear Information System (INIS)
Brichard, B.
2005-01-01
The condition to achieve and maintain the ignition of a thermonuclear fusion plasma ignition calls for the construction of a large scale fusion reactor, namely ITER. This reactor is designed to deliver an average fusion power of 500 MW. The burning of fusion plasma at such high power level will release a tremendous amount of energy in the form of particle fluxes and ionising radiation. This energy release, primarily absorbed by the plasma facing components, can significantly degrade the performances of the plasma diagnostic equipment surrounding the machine. To ensure a correct operation of the Tokamak we need to develop highly radiation-resistance devices. In plasma diagnostic systems, optical fibre is viewed as a convenient tool to transport light from the plasma edge to the diagnostic area. Radiation affects the optical performances of the fibre mainly by the occurrence of radiation-induced absorption and luminescence. Both effects degrade the light signal used for plasma diagnostic. SCK-CEN is currently assessing radiation-resistant glasses for optical fibres and is developing the associated qualification procedure. The main objectives of this study were to increase the lifetime of optical components in high radiation background and to develop a radiation resistance optical fibre capable to operate in the radiation background of ITER
Yu, Jing; Wang, Zhao-Juan; Chen, Long-Hua; Dong, Wen-Zhu
2017-02-01
The aim of this study was to ascertain the diagnostic value of serum squamous cell carcinoma antigen (SCCA) and SCCA-IgM for hepatocellular carcinoma (HCC). After a comprehensive search of PubMed and Web of Science databases, we identified eligible studies on the diagnostic value serum SCCAs for HCC. The quality of the eligible studies was assessed using the revised Quality Assessment for Studies of Diagnostic Accuracy (QUADAS-2) tool. The overall diagnostic value of SCCAs for HCC was pooled using a bivariate model. Twelve studies were included in this systematic review and meta-analysis. The pooled sensitivities for SCCA and SCCA-IgM were 0.61 (95% confidence interval [CI], 0.37-0.81) and 0.70 (95% CI, 0.55-0.82), respectively. The corresponding specificities were 0.80 (95% CI, 0.52-0.94) and 0.62 (95% CI, 0.51-0.72), respectively. The areas under summary receiver operating characteristic (sROC) curves for SCCA and SCCA-IgM were 0.76 (95% CI, 0.72-0.80) and 0.70 (95% CI, 0.66-0.74), respectively. Major design deficiencies of the included studies were two-gate design and partial verification bias. Therefore, we concluded that both serum SCCA and SCCA-IgM have a fair diagnostic value for HCC.
Search strategies to identify diagnostic accuracy studies in MEDLINE and EMBASE
Beynon, Rebecca; Leeflang, Mariska M. G.; McDonald, Steve; Eisinga, Anne; Mitchell, Ruth L.; Whiting, Penny; Glanville, Julie M.
2013-01-01
A systematic and extensive search for as many eligible studies as possible is essential in any systematic review. When searching for diagnostic test accuracy (DTA) studies in bibliographic databases, it is recommended that terms for disease (target condition) are combined with terms for the
Development of global data warehouse for beam diagnostics at SSRF
International Nuclear Information System (INIS)
Lai Longwei; Leng Yongbin; Yan Yingbing; Chen Zhichu
2015-01-01
The beam diagnostic system is adequate during the daily operation and machine study at the Shanghai Synchrotron Radiation Facility (SSRF). Without the effective event detecting mechanism, it is difficult to dump and analyze abnormal phenomena such as the global orbital disturbance, the malfunction of the BPM and the noise of the DCCT. The global beam diagnostic data warehouse was built in order to monitor the status of the accelerator and the beam instruments. The data warehouse was designed as a Soft IOC hosted on an independent server. Once abnormal phenomena happen it will be triggered and will store the relevant data for further analysis. The results show that the data warehouse can detect abnormal phenomena of the machine and the beam diagnostic system effectively, and can be used for calculating confidential indicators of the beam instruments. It provides an efficient tool for the improvement of the beam diagnostic system and accelerator. (authors)
Beam diagnostic elements at the Laboratorio Nazionale del Sud
International Nuclear Information System (INIS)
Calabretta, L.; Cuttone, G.; Raia, G.
1988-01-01
The choice of the main beam diagnostic elements at the LNS has to take into account the future installation of the Milan Superconducting Cyclotron and its matching to the MP tandem in Catania. A diagnostic box, consisting of a home-made beam profile monitor, a pair of slits and a Faraday cup, has been designed according to these particular requirements. The main features of these diagnostic elements and preliminary results are described. (orig.)
Design of Malaria Diagnostic Criteria for the Sysmex XE-2100 Hematology Analyzer
Campuzano-Zuluaga, Germán; Álvarez-Sánchez, Gonzalo; Escobar-Gallo, Gloria Elcy; Valencia-Zuluaga, Luz Marina; Ríos-Orrego, Alexandra Marcela; Pabón-Vidal, Adriana; Miranda-Arboleda, Andrés Felipe; Blair-Trujillo, Silvia; Campuzano-Maya, Germán
2010-01-01
Thick film, the standard diagnostic procedure for malaria, is not always ordered promptly. A failsafe diagnostic strategy using an XE-2100 analyzer is proposed, and for this strategy, malaria diagnostic models for the XE-2100 were developed and tested for accuracy. Two hundred eighty-one samples were distributed into Plasmodium vivax, P. falciparum, and acute febrile syndrome groups for model construction. Model validation was performed using 60% of malaria cases and a composite control group of samples from AFS and healthy participants from endemic and non-endemic regions. For P. vivax, two observer-dependent models (accuracy = 95.3–96.9%), one non–observer-dependent model using built-in variables (accuracy = 94.7%), and one non–observer-dependent model using new and built-in variables (accuracy = 96.8%) were developed. For P. falciparum, two non–observer-dependent models (accuracies = 85% and 89%) were developed. These models could be used by health personnel or be integrated as a malaria alarm for the XE-2100 to prompt early malaria microscopic diagnosis. PMID:20207864
Mbonye, Anthony K; Magnussen, Pascal; Chandler, Clare I R; Hansen, Kristian S; Lal, Sham; Cundill, Bonnie; Lynch, Caroline A; Clarke, Siân E
2014-07-29
An intervention was designed to introduce rapid diagnostics tests for malaria (mRDTs) into registered drug shops in Uganda to encourage rational and appropriate treatment of malaria with artemisinin-based combination therapy (ACT). We conducted participatory training of drug shop vendors and implemented supporting interventions to orientate local communities (patients) and the public sector (health facility staff and district officials) to the behavioral changes in diagnosis, treatment and referral being introduced in drug shops. The intervention was designed to be evaluated through a cluster randomized trial. In this paper, we present detailed design, implementation and evaluation experiences in order to help inform future studies of a complex nature. Three preparatory studies (formative, baseline and willingness-to-pay) were conducted to explore perceptions on diagnosis and treatment of malaria at drug shops, and affordable prices for mRDTs and ACTs in order to inform the design of the intervention and implementation modalities. The intervention required careful design with the intention to be acceptable, sustainable and effective. Critical components of intervention were: community sensitization and creating awareness, training of drug shop vendors to diagnose malaria with mRDTs, treat and refer customers to formal health facilities, giving pre-referral rectal artesunate and improved record-keeping. The primary outcome was the proportion of patients receiving appropriately-targeted treatment with ACT, evaluated against microscopy on a research blood slide. Introducing mRDTs in drug shops may seem simple, but our experience of intervention design, conduct and evaluation showed this to be a complex process requiring multiple interventions and evaluation components drawing from a combination of epidemiological, social science and health economics methodologies. The trial was conducted in phases sequenced such that each benefited from the other. The main challenges
ATA diagnostic data handling system: an overview
International Nuclear Information System (INIS)
Chambers, F.W.; Kallman, J.; McDonald, J.; Slominski, M.
1984-01-01
The functions to be performed by the ATA diagnostic data handling system are discussed. The capabilities of the present data acquisition system (System 0) are presented. The goals for the next generation acquisition system (System 1), currently under design, are discussed. Facilities on the Octopus system for data handling are reviewed. Finally, we discuss what has been learned about diagnostics and computer based data handling during the past year
Chapter 7: Diagnostics [Progress in the ITER Physics Basis (PIPB)
International Nuclear Information System (INIS)
Donne, A.J.H.; Costley, A.E.; Barnsley, R.
2007-01-01
In order to support the operation of ITER and the planned experimental programme an extensive set of plasma and first wall measurements will be required. The number and type of required measurements will be similar to those made on the present-day large tokamaks while the specification 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 and 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 the plasma parameters needed to support the basic and advanced operation (including active control) of the device, machine protection and also those needed to support the physics programme. Once the requirements are defined, the appropriate (combination of) diagnostic techniques can be selected and their implementation onto the tokamak can be developed. The selected list of diagnostics is an important guideline for identifying dedicated research and development needs in the area of ITER diagnostics. This paper gives a comprehensive overview of recent progress in the field of ITER diagnostics with emphasis on the implementation issues. After a discussion of the measurement requirements for plasma parameters in ITER and their justifications, recent progress in the field of
International Nuclear Information System (INIS)
Daly, Corinne; Urbach, David R.; Stukel, Thérèse A.; Nathan, Paul C.; Deitel, Wayne; Paszat, Lawrence F.; Wilton, Andrew S.; Baxter, Nancy N.
2015-01-01
Survivors of young adult malignancies are at risk of accumulated exposures to radiation from repetitive diagnostic imaging. We designed a population-based cohort study to describe patterns of diagnostic imaging and cumulative diagnostic radiation exposure among survivors of young adult cancer during a survivorship time period where surveillance imaging is not typically warranted. Young adults aged 20–44 diagnosed with invasive malignancy in Ontario from 1992–1999 who lived at least 5 years from diagnosis were identified using the Ontario Cancer Registry and matched 5 to 1 to randomly selected cancer-free persons. We determined receipt of 5 modalities of diagnostic imaging and associated radiation dose received by survivors and controls from years 5–15 after diagnosis or matched referent date through administrative data. Matched pairs were censored six months prior to evidence of recurrence. 20,911 survivors and 104,524 controls had a median of 13.5 years observation. Survivors received all modalities of diagnostic imaging at significantly higher rates than controls. Survivors received CT at a 3.49-fold higher rate (95 % Confidence Interval [CI]:3.37, 3.62) than controls in years 5 to 15 after diagnosis. Survivors received a mean radiation dose of 26 miliSieverts solely from diagnostic imaging in the same time period, a 4.57-fold higher dose than matched controls (95 % CI: 4.39, 4.81). Long-term survivors of young adult cancer have a markedly higher rate of diagnostic imaging over time than matched controls, imaging associated with substantial radiation exposure, during a time period when surveillance is not routinely recommended. The online version of this article (doi:10.1186/s12885-015-1578-1) contains supplementary material, which is available to authorized users
Progress in diagnostics of the COMPASS tokamak.
Czech Academy of Sciences Publication Activity Database
Weinzettl, Vladimír; Adámek, Jiří; Berta, Miklós; Bílková, Petra; Bogár, Ondrej; Böhm, Petr; Cavalier, Jordan; Dejarnac, Renaud; Dimitrova, Miglena; Ficker, Ondřej; Fridrich, David; Grover, Ondřej; Háček, Pavel; Havlíček, Josef; Havránek, Aleš; Horáček, Jan; Hron, Martin; Imríšek, Martin; Komm, Michael; Kovařík, Karel; Krbec, Jaroslav; Markovič, Tomáš; Matveeva, Ekaterina; Mitošinková, Klára; Mlynář, Jan; Naydenkova, Diana; Pánek, Radomír; Papřok, Richard; Peterka, Matěj; Podolník, Aleš; Seidl, Jakub; Šos, Miroslav; Stöckel, Jan; Tomeš, Matěj; Varavin, Mykyta; Varju, Jozef; Vlainic, Milos; Vondráček, Petr; Zajac, Jaromír; Žáček, František; Stano, M.; Anda, G.; Dunai, D.; Krizsanóczi, T.; Refy, D.; Zoletnik, S.; Silva, A.; Gomes, R.; Pereira, T.; Popov, Tsv.; Sarychev, D.; Ermak, G.P.; Zebrowski, J.; Jakubowski, M.; Rabinski, M.; Malinowski, K.; Nanobashvili, S.; Spolaore, M.; Vianello, N.; Gauthier, E.; Gunn, J. P.; Devitre, A.
2017-01-01
Roč. 12, December (2017), č. článku C12015. ISSN 1748-0221. [European Conference on Plasma Diagnostics (ECPD2017)/2./. Bordeaux, 18.04.2017-21.04.2017] R&D Projects: GA MŠk(CZ) LM2015045; GA ČR(CZ) GA15-10723S; GA ČR(CZ) GA16-25074S; GA ČR(CZ) GA14-35260S Institutional support: RVO:61389021 Keywords : Detector design and construction technologies and materials * Nuclear instruments and methods for hot plasma diagnostics * Plasma diagnostics - interferometry,spectroscopy and imaging * Plasma diagnostics - probes Subject RIV: BL - Plasma and Gas Discharge Physics OBOR OECD: 2.11 Other engineering and technologies Impact factor: 1.220, year: 2016 http://iopscience.iop.org/article/10.1088/1748-0221/12/12/C12015/pdf
Directory of Open Access Journals (Sweden)
Mostafa Alavi-Moghaddam
2017-01-01
Full Text Available Introduction: In cases with potential diagnosis of ischemic chest pain, screening high risk patients for adverse outcomes would be very helpful. The present study was designed aiming to determine the diagnostic accuracy of thrombolysis in myocardial infarction (TIMI score in Patients with potential diagnosis of ischemic chest pain.Method: This diagnostic accuracy study was designed to evaluate the screening performance characteristics of TIMI score in predicting 30-day outcomes of mortality, myocardial infarction (MI, and need for revascularization in patients presenting to ED with complaint of typical chest pain and diagnosis of unstable angina or Non-ST elevation MI.Results: 901 patients with the mean age of 58.17 ± 15.00 years (19-90 were studied (52.9% male. Mean TIMI score of the studied patients was 0.97 ± 0.93 (0-5 and the highest frequency of the score belonged to 0 to 2 with 37.2%, 35.3%, and 21.4%, respectively. In total, 170 (18.8% patients experienced the outcomes evaluated in this study. Total sensitivity, specificity, positive and negative predictive value, and positive and negative likelihood ratio of TIMI score were 20 (95% CI: 17 – 24, 99 (95% CI: 97 – 100, 98 (95% CI: 93 – 100, 42 (95% CI: 39 – 46, 58 (95% CI: 14 – 229, and 1.3 (95% CI: 1.2 – 1.4, respectively. Area under the ROC curve of this system for prediction of 30-day mortality, MI, and need for revascularization were 0.51 (95% CI: 0.47 – 0.55, 0.58 (95% CI: 0.54 – 0.62 and 0.56 (95% CI: 0.52 – 0.60, respectively.Conclusion: Based on the findings of the present study, it seems that TIMI score has a high specificity in predicting 30-day adverse outcomes of mortality, MI, and need for revascularization following acute coronary syndrome. However, since its sensitivity, negative predictive value, and negative likelihood ratio are low, it cannot be used as a proper screening tool for ruling out low risk patients in ED.
Design of the PST: A Diagnostic for 1-D Imaging of Fast Z-Pinch Power Emissions
International Nuclear Information System (INIS)
Rochau, Gregory A.; Derzon, Mark S.; Chandler, Gordon A.; Lazier, Steven Earl
2000-01-01
Fast Z-pinch technology developed on the Z machine at Sandia National Laboratories can produce up to 230 TW of thermal x-ray power for applications in inertial confinement fusion (ICF) and weapons physics experiments. During implosion, these Z-pinches develop Rayleigh-Taylor (R-T) instabilities which are very difficult to diagnose and which functionally diminish the overall pinch quality. The Power-Space-Time (PST) instrument is a newly configured diagnostic for measuring the pinch power as a function of both space and time in a Z-pinch. Placing the diagnostic at 90 degrees from the Z-pinch axis, the PST provides a new capability in collecting experimental data on R-T characteristics for making meaningful comparisons to magneto-hydrodynamic computer models. This paper is a summary of the PST diagnostic design. By slit-imaging the Z-pinch x-ray emissions onto a linear scintillator/fiber-optic array coupled to a streak camera system, the PST can achieve ∼100 microm spatial resolution and ∼1.3 ns time resolution. Calculations indicate that a 20 microm thick scintillating detection element filtered by 1,000 angstrom of Al is theoretically linear in response to Plankian x-ray distributions corresponding to plasma temperatures from 40 eV to 150 eV, By calibrating this detection element to x-ray energies up to 5,000 eV, the PST can provide pinch power as a function of height and time in a Z-pinch for temperatures ranging from ∼40 eV to ∼400 eV. With these system pm-meters, the PST can provide data for an experimental determination of the R-T mode number, amplitude, and growth rate during the late-time pinch implosion
The proposed Diagnostic Instrumentation and Analysis Laboratory, Mississippi State University
Energy Technology Data Exchange (ETDEWEB)
NONE
1994-11-01
The Department of Energy (DOE) proposes to authorize Mississippi State University (MSU) to proceed with the detailed design, construction and equipping of the proposed Diagnostic Instrumentation and Analysis Laboratory (DIAL). DOE grant funds are available to the University for the limited purpose of performing preliminary studies, including analysis necessary to conduct this environmental assessment. The proposed facility would be located in the Mississippi Research and Technology Park, adjacent to the Mississippi Agriculture and Forestry Experiment Station campus in Starkville, Mississippi. Total project cost is estimated at $7,953,600. This proposed laboratory would be designed to conduct research into combustion devices related to waste management and environmental restoration that is of importance to industry and government. The proposed facility`s role would be to develop diagnostic instrumentation capabilities in the area of combustion and related processes.
Chen, Yong; Liu, Yulun; Ning, Jing; Cormier, Janice; Chu, Haitao
2014-01-01
Systematic reviews of diagnostic tests often involve a mixture of case-control and cohort studies. The standard methods for evaluating diagnostic accuracy only focus on sensitivity and specificity and ignore the information on disease prevalence contained in cohort studies. Consequently, such methods cannot provide estimates of measures related to disease prevalence, such as population averaged or overall positive and negative predictive values, which reflect the clinical utility of a diagnostic test. In this paper, we propose a hybrid approach that jointly models the disease prevalence along with the diagnostic test sensitivity and specificity in cohort studies, and the sensitivity and specificity in case-control studies. In order to overcome the potential computational difficulties in the standard full likelihood inference of the proposed hybrid model, we propose an alternative inference procedure based on the composite likelihood. Such composite likelihood based inference does not suffer computational problems and maintains high relative efficiency. In addition, it is more robust to model mis-specifications compared to the standard full likelihood inference. We apply our approach to a review of the performance of contemporary diagnostic imaging modalities for detecting metastases in patients with melanoma. PMID:25897179
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
Ghanizadeh, Ahmad
2013-01-01
There is no empirical literature about the American Psychiatry Association proposed new diagnostic criteria for attention deficit hyperactivity disorder (ADHD). This study examined the agreement between ADHD diagnosis derived from Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), and DSM-V diagnostic criteria. It also reports sensitivity, specificity, and agreement for ADHD diagnosis. A clinical sample of 246 children and adolescents were interviewed face to face using both ADHD diagnostic criteria for DSM-V and DSM-IV by interviewing clinician. Comorbid psychiatric disorders were screened using DSM-IV criteria. The rate of ADHD diagnosis using DSM-V was significantly higher than the rate detected by using DSM-IV diagnostic criteria. The sensitivity of DSM-V diagnostic criteria was 100%, while its specificity was 71.1%. The kappa agreement between DSM-IV and DSM-V was 0.75. In addition, positive predictive value was 85.1%. All the four newly added symptoms to ADHD diagnostic criteria are statistically more common in the children with ADHD than those in the comparison group. However, these symptoms are also very common in the children without ADHD. It is expected that the rate of ADHD would increase using the proposed ADHD DSM-V criteria. Moreover, the newly added symptoms have a low specificity for ADHD diagnosis. Copyright © 2013 Elsevier Inc. All rights reserved.
Diagnostic evaluation of dementia in general practice in Denmark. A national survey
DEFF Research Database (Denmark)
Waldorff, Frans Boch; Møller, S
2001-01-01
OBJECTIVE: To examine GPs' self-reported basic diagnostic evaluation of dementia according to the recommendations in multidisciplinary consensus guidelines and to analyse explanatory factors for GP performance. DESIGN: Postal questionnaire study, spring 1998. SETTING: General practice in Denmark...
International Nuclear Information System (INIS)
Dreier, H.; Dinklage, A.; Hirsch, M.; Kornejew, P.; Fischer, R.
2008-01-01
For the optimisation of the beam line configuration of the multi-channel interferometer at the Wendelstein 7-X stellarator the probabilistic approach of Bayesian experimental design (BED) is applied. Parameters of physical interest are directly implemented as design criteria. The quality of the design is analysed according to its expected information gain (expected utility) about the parameters of interest, which enables one to compare different diagnostic configurations quantitatively. The focus of this work lies on the comparison of different technical approaches for the interferometer diagnostic. Different physical problems (high confinement regimes, neoclassical predictions) and their effect on the density distribution are applied as optimisation goals. The influence of the port system and the in-vessel components (retro-reflectors) is discussed. For this, the design was done with and without technical restrictions, the resulting expected utilities are compared and analysed. Furthermore, the impact of an additional beamline at a different toroidal position (congruent to the Thomson scattering diagnostic) is examined
Software architecture and design of the web services facilitating climate model diagnostic analysis
Pan, L.; Lee, S.; Zhang, J.; Tang, B.; Zhai, C.; Jiang, J. H.; Wang, W.; Bao, Q.; Qi, M.; Kubar, T. L.; Teixeira, J.
2015-12-01
Climate model diagnostic analysis is a computationally- and data-intensive task because it involves multiple numerical model outputs and satellite observation data that can both be high resolution. We have built an online tool that facilitates this process. The tool is called Climate Model Diagnostic Analyzer (CMDA). It employs the web service technology and provides a web-based user interface. The benefits of these choices include: (1) No installation of any software other than a browser, hence it is platform compatable; (2) Co-location of computation and big data on the server side, and small results and plots to be downloaded on the client side, hence high data efficiency; (3) multi-threaded implementation to achieve parallel performance on multi-core servers; and (4) cloud deployment so each user has a dedicated virtual machine. In this presentation, we will focus on the computer science aspects of this tool, namely the architectural design, the infrastructure of the web services, the implementation of the web-based user interface, the mechanism of provenance collection, the approach to virtualization, and the Amazon Cloud deployment. As an example, We will describe our methodology to transform an existing science application code into a web service using a Python wrapper interface and Python web service frameworks (i.e., Flask, Gunicorn, and Tornado). Another example is the use of Docker, a light-weight virtualization container, to distribute and deploy CMDA onto an Amazon EC2 instance. Our tool of CMDA has been successfully used in the 2014 Summer School hosted by the JPL Center for Climate Science. Students had positive feedbacks in general and we will report their comments. An enhanced version of CMDA with several new features, some requested by the 2014 students, will be used in the 2015 Summer School soon.
Multi-probe ionization chamber system for nuclear-generated plasma diagnostics
International Nuclear Information System (INIS)
Choi, W.Y.; Ellis, W.H.
1990-01-01
This paper reports on the pulsed ionization chamber (PIC) plasma diagnostic system used in studies of nuclear seeded plasma kinetics upgraded to increase the capabilities and extend the range of plasma parameter measurements to higher densities and temperatures. The PIC plasma diagnostic chamber has been provided with additional measurement features in the form of conductivity and Langmuir probes, while the overall experimental system has been fully automated, with computerized control, measurement, data acquisition and analysis by means of IEEE-488 (GPIB) bus control and data transfer protocols using a Macintosh series microcomputer. The design and use of a simple TTL switching system enables remote switching among the various GPIB instruments comprising the multi-probe plasma diagnostic system using software, without the need for a microprocessor. The new system will be used to extend the present study of nuclear generated plasma in He, Ar, Xe, fissionable UF 6 and other fluorine containing gases
Vrancken, A.F.J.E.; Kalmijn, S.; Buskens, E.; Franssen, H.; Wokke, J.H.J.; Notermans, N.C.
2006-01-01
Background: Extensive investigations are often performed to reveal the cause of chronic polyneuropathy. It is not known whether a restrictive diagnostic guideline improves cost efficiency without loss of diagnostic reliability. Methods: In a prospective multicentre study, a comparison was made
Diagnostics for Linear Models With Functional Responses
Xu, Hongquan; Shen, Qing
2005-01-01
Linear models where the response is a function and the predictors are vectors are useful in analyzing data from designed experiments and other situations with functional observations. Residual analysis and diagnostics are considered for such models. Studentized residuals are defined and their properties are studied. Chi-square quantile-quantile plots are proposed to check the assumption of Gaussian error process and outliers. Jackknife residuals and an associated test are proposed to det...
National NIF Diagnostic Program Interim Management Plan
International Nuclear Information System (INIS)
Warner, B
2002-01-01
The National Ignition Facility (NIF) has the mission of supporting Stockpile Stewardship and Basic Science research in high-energy-density plasmas. To execute those missions, the facility must provide diagnostic instrumentation capable of observing and resolving in time events and radiation emissions characteristic of the plasmas of interest. The diagnostic instrumentation must conform to high standards of operability and reliability within the NIF environment. These exacting standards, together with the facility mission of supporting a diverse user base, has led to the need for a central organization charged with delivering diagnostic capability to the NIF. The National NIF Diagnostics Program (NNDP) has been set up under the aegis of the NIF Director to provide that organization authority and accountability to the wide user community for NIF. The funds necessary to perform the work of developing diagnostics for NIF will be allocated from the National NIF Diagnostics Program to the participating laboratories and organizations. The participating laboratories and organizations will design, build, and commission the diagnostics for NIF. Restricted availability of funding has had an adverse impact, unforeseen at the time of the original decision to projectize NIF Core Diagnostics Systems and Cryogenic Target Handing Systems, on the planning and initiation of these efforts. The purpose of this document is to provide an interim project management plan describing the organizational structure and management processes currently in place for NIF Core Diagnostics Systems. Preparation of a Program Execution Plan for NIF Core Diagnostics Systems has been initiated and a current draft is provided as Attachment 1 to this document. The National NIF Diagnostics Program Interim Management Plan provides a summary of primary design criteria and functional requirements, current organizational structure, tracking and reporting procedures, and current planning estimates of project scope
International Nuclear Information System (INIS)
Masoudifar, M.; AghaAmini, M.
2001-01-01
Today the fault diagnostic of the rotating machinery based on the vibration analysis is an effective method in designing predictive maintenance programs. In this method, vibration level of the turbines is monitored and if it is higher than the allowable limit, vibrational data will be analyzed and the growing faults will be detected. But because of the high complexity of the system monitoring, the interpretation of the measured data is more difficult. Therefore, design of the fault diagnostic expert systems by using the expert's technical experiences and knowledge; seem to be the best solution. In this paper,at first several common faults in turbines are studied and the how applying the neural networks to interpret the vibrational data for fault diagnostic is explained
Possin, Katherine L; Chester, Serana K; Laluz, Victor; Bostrom, Alan; Rosen, Howard J; Miller, Bruce L; Kramer, Joel H
2012-09-01
On tests of design fluency, an examinee draws as many different designs as possible in a specified time limit while avoiding repetition. The neuroanatomical substrates and diagnostic group differences of design fluency repetition errors and total correct scores were examined in 110 individuals diagnosed with dementia, 53 with mild cognitive impairment (MCI), and 37 neurologically healthy controls. The errors correlated significantly with volumes in the right and left orbitofrontal cortex (OFC), the right and left superior frontal gyrus, the right inferior frontal gyrus, and the right striatum, but did not correlate with volumes in any parietal or temporal lobe regions. Regression analyses indicated that the lateral OFC may be particularly crucial for preventing these errors, even after excluding patients with behavioral variant frontotemporal dementia (bvFTD) from the analysis. Total correct correlated more diffusely with volumes in the right and left frontal and parietal cortex, the right temporal cortex, and the right striatum and thalamus. Patients diagnosed with bvFTD made significantly more repetition errors than patients diagnosed with MCI, Alzheimer's disease, semantic dementia, progressive supranuclear palsy, or corticobasal syndrome. In contrast, total correct design scores did not differentiate the dementia patients. These results highlight the frontal-anatomic specificity of design fluency repetitions. In addition, the results indicate that the propensity to make these errors supports the diagnosis of bvFTD. (JINS, 2012, 18, 1-11).
2017 Laser Diagnostics in Combustion GRC/GRS
2017-10-06
scientists and engineers . The goal of GRC was to bring together scientists and engineers with a strong interest in laser-based combustion diagnostics to...processes. The GRS, held the weekend before the GRC, was organized to bring together emerging leaders in the field at an early stage in their careers ...coupled multi-scale combustion processes. The GRC on Laser Diagnostics in Combustion was designed to bring together scientists and engineers working at
Vrancken, A. F. J. E.; Kalmijn, S.; Buskens, E.; Franssen, H.; Vermeulen, M.; Wokke, J. H. J.; Notermans, N. C.
2006-01-01
Extensive investigations are often performed to reveal the cause of chronic polyneuropathy. It is not known whether a restrictive diagnostic guideline improves cost efficiency without loss of diagnostic reliability. In a prospective multicentre study, a comparison was made between the workup in
ITER diagnostics: Maintenance and commissioning in the hot cell test bed
International Nuclear Information System (INIS)
Walker, C.I.; Barnsley, R.; Costley, A.E.; Gottfried, R.; Haist, B.; Itami, K.; Kondoh, T.; Loesser, G.D.; Palmer, J.; Sugie, T.; Tesini, A.; Vayakis, G.
2005-01-01
In-vessel diagnostic equipment in ITER integrated in six equatorial and 12 upper ports, 16 divertor cassettes and five lower ports is designed to be removed in modules and then repaired, tested and commissioned in the same location at the ITER hot cell. The repair requirements and tests on these components are described along with design features that facilitate repair. The testing establishes the repair strategy, qualifies the refurbishment work and finally checks the mechanical and diagnostic function before the return of the modules. At the hot cell, a dummy port is provided for tests of mechanical and vacuum integrity as well as commissioning of the diagnostic equipment. The scope of the hot cell maintenance and commissioning activities is summarised and an overview of the integration of the diagnostic equipment is given
Acute abdomen. Diagnostic radiology according to principal signs
International Nuclear Information System (INIS)
Krestin, G.P.
1994-01-01
The acute abdomen is a frequent and very often dangerous syndrome which requires sophisticated diagnostic evaluation. A decisive factor determining the following case history is efficient and exact diagnosis, calling for experienced clinical and diagnostic experts for efficient application of available methods, and correct interpretation of findings. The book offers: 1. Practice-oriented diagnostic strategies, based on 13 principal signs and constellations derived from clinical experience, presented in each chapter as a combination of - suitable differential diagnostic procedures and methods,- exhaustive description of the clinical signs and diagnostic findings specific of the various symptoms,- algorithmic presentations. 2. A special chapter on the pediatric acute abdomen. 3. The most important findings shown in more than 250 original pictures. 4. A graphical design and presentation of the information which permits quick access to the important content. (orig./CB) [de
Sieck, Paul; Woodruff, Simon; Stuber, James; Romero-Talamas, Carlos; Rivera, William; You, Setthivoine; Card, Alexander
2015-11-01
Additive manufacturing (or 3D printing) is now becoming sufficiently accurate with a large range of materials for use in printing sensors needed universally in fusion energy research. Decreasing production cost and significantly lowering design time of energy subsystems would realize significant cost reduction for standard diagnostics commonly obtained through research grants. There is now a well-established set of plasma diagnostics, but these expensive since they are often highly complex and require customization, sometimes pace the project. Additive manufacturing (3D printing) is developing rapidly, including open source designs. Basic components can be printed for (in some cases) less than 1/100th costs of conventional manufacturing. We have examined the impact that AM can have on plasma diagnostic cost by taking 15 separate diagnostics through an engineering design using Conventional Manufacturing (CM) techniques to determine costs of components and labor costs associated with getting the diagnostic to work as intended. With that information in hand, we set about optimizing the design to exploit the benefits of AM. Work performed under DOE Contract DE-SC0011858.
Molecular Beacons in Diagnostics
Tyagi, Sanjay; Kramer, Fred Russell
2012-01-01
Recent technical advances have begun to realize the potential of molecular beacons to test for diverse infections in clinical diagnostic laboratories. These include the ability to test for, and quantify, multiple pathogens in the same clinical sample, and to detect antibiotic resistant strains within hours. The design principles of molecular beacons have also spawned a variety of allied technologies.
Remote handling installation of diagnostics in the JET Tokamak
Energy Technology Data Exchange (ETDEWEB)
Allan, P., E-mail: Peter.Allan@ccfe.ac.uk [JET-EFDA, Culham Science Centre, Abingdon OX14 3DB (United Kingdom); CCFE, Culham Science Centre, Abingdon OX14 3DB (United Kingdom); Loving, A.B. [JET-EFDA, Culham Science Centre, Abingdon OX14 3DB (United Kingdom); CCFE, Culham Science Centre, Abingdon OX14 3DB (United Kingdom); Omran, H. [JET-EFDA, Culham Science Centre, Abingdon OX14 3DB (United Kingdom); Oxford Technologies Ltd, 7 Nuffield Way, Abingdon OX14 1RJ (United Kingdom); Collins, S.; Thomas, J. [JET-EFDA, Culham Science Centre, Abingdon OX14 3DB (United Kingdom); CCFE, Culham Science Centre, Abingdon OX14 3DB (United Kingdom); Parsloe, A.; Merrigan, I. [JET-EFDA, Culham Science Centre, Abingdon OX14 3DB (United Kingdom); British Nuclear Services, Culham Science Centre, Abingdon OX14 3DB (United Kingdom); Hassall, I. [JET-EFDA, Culham Science Centre, Abingdon OX14 3DB (United Kingdom); Oxford Technologies Ltd, 7 Nuffield Way, Abingdon OX14 1RJ (United Kingdom)
2011-10-15
The requirement for an upgrade of the diagnostics for the JET ITER Like Wall (ILW) while maintaining personnel exposure to contamination as low as reasonably practicable or ALARP, has necessitated the development of a bespoke set of diagnostic components. These components, by virtue of their design and location, require a versatile yet comprehensive suite of remote handling tools to undertake their in-vessel installation. The installation of the various diagnostic components is covered in multiple tasks. Each task requires careful assessment and design of tools that can successfully interface with the components and comply with the handling and installation requirements. With remote maintenance a requirement, the looms/conduits were designed to be modular with connections which are electrically connected when the module is fitted or conversely disconnected when removed. The shape of each complex and often bulky component is verified during the design phase, to ensure that it can be delivered and installed to its specified location in the torus. This is done by matching the kinematic capabilities of the remote handling system and the path of the component through the torus by using a state of the art virtual reality system.
Reibnegger, Gilbert
2013-10-21
Usual evaluation tools for diagnostic tests such as, sensitivity/specificity and ROC analyses, are designed for the discrimination between two diagnostic categories, using dichotomous test results. Information theoretical quantities such as mutual information allow in depth-analysis of more complex discrimination problems, including continuous test results, but are rarely used in clinical chemistry. This paper provides a primer on useful information theoretical concepts with a strong focus on typical diagnostic scenarios. Information theoretical concepts are shortly explained. Mathematica CDF documents are provided which compute entropies and mutual information as function of pretest probabilities and the distribution of test results among the categories, and allow interactive exploration of the behavior of these quantities in comparison with more conventional diagnostic measures. Using data from a previously published study, the application of information theory to practical diagnostic problems involving up to 4×4 -contingency tables is demonstrated. Information theoretical concepts are particularly useful for diagnostic problems requiring more than the usual binary classification. Quantitative test results can be properly analyzed, and in contrast to popular concepts such as ROC analysis, the effects of variations of pre-test probabilities of the diagnostic categories can be explicitly taken into account. © 2013 Elsevier B.V. All rights reserved.
Willingness to pay for diagnostic technologies: a review of the contingent valuation literature.
Lin, Pei-Jung; Cangelosi, Michael J; Lee, David W; Neumann, Peter J
2013-01-01
To understand how people value information from diagnostic technologies, we reviewed and analyzed published willingness-to-pay (WTP) studies on the topic. We searched PubMed for English-language articles related to WTP for diagnostic laboratory tests published from 1985 through 2011. We characterized methodological differences across studies, examined individual- and technology-level factors associated with WTP, and summarized median WTP values across different diagnostic tests. We identified 66 relevant WTP studies. Half focused on oncology, while others analyzed infectious diseases (n = 11, 16.1%) and obstetric or gynecological conditions (n = 8, 11.7%), among others. Most laboratory tests included in studies were biological samples/genetic testing (n = 44, 61.1%) or imaging tests (n = 23, 31.9%). Approximately one third of the analyses (n = 20, 30.3%) used discrete-choice questions to elicit WTP values. Higher income, education, disease severity, perceived disease risk, family history, and more accurate tests were in general associated with higher WTP values for diagnostic information. Of the 44 studies with median WTP values available, most reported a median WTP value below $100. The median WTP value for colon or colorectal cancer screening ranged from below $100 to over $1000. The contingent valuation literature in diagnostics has grown rapidly, and suggests that many respondents place considerable value on diagnostic information. There exists, however, great variation in studies with respect to the type of technologies and diseases assessed, respondent characteristics, and study methodology. The perceived value of diagnostic technologies is also influenced by the study design and elicitation methods. Copyright © 2013 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.
Sepulveda, Esteban; Franco, José G; Trzepacz, Paula T; Gaviria, Ana M; Meagher, David J; Palma, José; Viñuelas, Eva; Grau, Imma; Vilella, Elisabet; de Pablo, Joan
2016-05-26
reliable. Using our CA-defined, phenomenologically-based delirium designations as the reference standard, we found performance discordance among four diagnostic systems when tested in subjects where comorbid dementia was prevalent. The most complex diagnostic systems have higher accuracy and the newer DSM-5 have higher reliability. Our novel phenomenological approach to designing a delirium reference standard may be preferred to guide revisions of diagnostic systems in the future.
An empirical operationalization study of DSM-IV diagnostic criteria for premature ejaculation
Waldinger, M. D.; Hengeveld, M. W.; Zwinderman, A. H.; Olivier, B.
1998-01-01
The DSM-IV diagnostic criteria for premature ejaculation remain to be investigated by a clinical study. A prospective study was therefore conducted to investigate the DSM-IV definition and to provide an empirical operationalization of premature ejaculation. In this study 140 men suffering from
Energy Technology Data Exchange (ETDEWEB)
Greza, H. [WTI Wissenschaftlich-Technische Ingenieurberatung GmbH, Juelich (Germany); Neubauer, O.; Wolters, J. [Forschungszentrum Juelich GmbH (Germany)
2009-07-01
In the frame of the research project ITER (international thermonuclear experimental reactor) the plasma state is monitored using the plasma core diagnostics CXRS (charge exchange recombination spectroscopy).The authors describe the thermal and mechanical design of the first mirror of the CXRS diagnostics. The components of the first mirror are exposed to high heat and neutron irradiation. The surface temperature will be 300 to 400 deg C. The misalignment tolerance is plus or minus 0.1 degree. The maximum mechanical stresses in the mirror have to be minimized. The design calculations use the finite element code ANSYS. The results indicate that the heat input from the plasma can be removed by the coolant flow. Further calculation shave to concern the brazed joints between mirror and cooling block.
Energy Technology Data Exchange (ETDEWEB)
Greza, H.; Knauff, R. [Wissenschaftlich-Technische Ingenieurberatung GmbH (WTI), Juelich (Germany); Neubauer, O.; Wolters, J.; Offermanns, G.; Biel, W. [Forschungszentrum Juelich GmbH (Germany)
2011-07-01
In the frame of the research project ITER (international thermonuclear experimental reactor) the plasma state is monitored using the plasma core diagnostics CXRS (charge exchange recombination spectroscopy).The authors describe the thermal and mechanical design of the first mirror of the CXRS diagnostics. The components of the first mirror are exposed to high heat and neutron irradiation. The surface temperature will be 300 to 400 deg C. The misalignment tolerance is plus or minus 0.1 degree. The maximum mechanical stresses in the mirror have to be minimized. The design calculations use the finite element code ANSYS. The results indicate that the heat input from the plasma can be removed by the coolant flow. Further calculation shave to concern the brazed joints between mirror and cooling block.
Commissioning results of the APS storage ring diagnostics systems
International Nuclear Information System (INIS)
Lumpkin, A.H.
1996-01-01
Initial commissionings of the Advanced Photon Source (APS) 7-GeV storage ring and its diagnostics systems have been done. Early studies involved single-bunch measurements for beam transverse size (σ x ∼ 150 μm, σ y ∼ 50 μm), current, injection losses, and bunch length. The diagnostics have been used in studies related to the detection of an extra contribution to beam jitter at ∼ 6.5 Hz frequency; observation of bunch lengthening (σ ∼ 30 to 60 ps) with single-bunch current; observation of an induced vertical, head-tail instability; and detection of a small orbit change with insertion device gap position. More recently, operations at 100-mA stored-beam current, the baseline design goal, have been achieved with the support of beam characterizations
Technical Analysis of the Slosson-Diagnostic Math Screener (S-DMS)
Erford, Bradley T.; Klein, Lauren
2007-01-01
The Slosson-Diagnostic Math Screener (S-DMS) was designed to help identify students in Grades 1 to 8 at risk for mathematics failure. Internal consistency, test-retest reliability, item analysis, decision efficiency, convergent validity, and factorial validity of all five levels of the S-DMS were studied using 20 independent samples of students…
SNS Diagnostics Timing Integration
Long, Cary D; Murphy, Darryl J; Pogge, James; 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 Windows XP Embedded for its OS and LabVIEW as its programming language. Coordinating timing among the various diagnostics instruments with the generation of the beam pulse is a challenging task that we have chosen to divide into three phases. First, timing was derived from VME based systems. In the second phase, described in this paper, timing pulses are generated by an in house designed PCI timing card installed in ten diagnostics PCs. Using fan-out modules, enough triggers were generated for all instruments. This paper describes how the Timing NAD (Network Attached Device) was rapidly developed using our NAD template, LabVIEW's PCI driver wizard, and LabVIEW Channel Access library. The NAD...
Design of a Gamma Reaction History Diagnostic for the National Ignition Facility
International Nuclear Information System (INIS)
Malone, R.M.; Cox, B.C.; Frogget, B.C.; Kaufman, M.I.; Tunnell, T.W.; Herrmann, H.W.; Evans, S.C.; Mack, J.M; Young, C.S.; Stoeffl, W.
2009-01-01
Gas Cherenkov detectors have been used to convert fusion gammas into photons to achieve gamma reaction history (GRH) measurements. These gas detectors include a converter, pressurized gas volume, relay optics, and a photon detector. A novel design for the National Ignition Facility (NIF) using 90 o Off-Axis Parabolic mirrors efficiently collects signal from fusion gammas with 8-ps time dispersion.1 Fusion gammas are converted to Compton electrons, which generate broadband Cherenkov light (our response is from 250 to 700 nm) in a pressurized gas cell. This light is relayed into a high-speed detector using three parabolic mirrors. The detector optics collect light from a 125-mm-diameter by 600-mm-long interchangeable gas (CO2 or SF6) volume. Because light is collected from source locations throughout the gas volume, the detector is positioned at the stop position rather than at an image position. The stop diameter and its position are independent of the light-generation locations along the gas cell. This design incorporates a fixed time delay that allows the detector to recover from prompt radiation. Optical ray tracings demonstrate how light can be collected from different angled trajectories of the Compton electrons as they traverse the gas volume. A Monte Carlo model of the conversion process from gammas to Cherenkov photons is used to generate photon trajectories. The collection efficiencies for different gamma energies are evaluated. At NIF, a cluster of four channels will allow for increased dynamic range, as well as different gamma energy thresholds. This GRH design is compared to a gas Cherenkov detector that utilizes a Cassegrain reflector now used at the OMEGA laser facility. 1. R. M. Malone, H. W. Herrmann, W. Stoeffl, J. M. Mack, C. S. Young, 'Gamma bang time/reaction history diagnostics for the National Ignition Facility using 90 o off-axis parabolic mirrors', Rev. Sci. Instrum. 79, 10E532 (2008)
Diagnostic accuracy of dual-energy computed tomography in patients with gout: A meta-analysis.
Lee, Young Ho; Song, Gwan Gyu
2017-08-01
This study aimed to evaluate the diagnostic performance of dual-energy computed tomography (DECT) for patients with gout. We searched the Medline, Embase, and Cochrane Library databases, and performed a meta-analysis on the diagnostic accuracy of DECT in patients with gout. A total of eight studies including 510 patients with gout and 268 controls (patients with non-gout inflammatory arthritis) were available for the meta-analysis. The pooled sensitivity and specificity of DECT were 84.7% (95% confidence interval [CI]: 81.3-87.7) and 93.7% (93.0-96.3), respectively. The positive likelihood ratio, negative likelihood ratio, and diagnostic odds ratio were 9.882 (6.122-15.95), 0.163 (0.097-0.272), and 78.10 (31.14-195.84), respectively. The area under the curve of DECT was 0.956 and the Q * index was 0.889, indicating a high diagnostic accuracy. Some between-study heterogeneity was found in the meta-analyses. However, there was no evidence of a threshold effect (Spearman correlation coefficient = 0.419; p = 0.035). In addition, meta-regression showed that the sample size, study design, and diagnostic criteria were not sources of heterogeneity, and subgroup meta-analyses did not change the overall diagnostic accuracy. Our meta-analysis of published studies demonstrates that DECT has a high diagnostic accuracy and plays an important role in the diagnosis of gout. Copyright © 2017 Elsevier Inc. All rights reserved.
Beam control and diagnostic functions in the NIF transport spatial filter
International Nuclear Information System (INIS)
Holdener, F.R.; Ables, E.; Bliss, E.S.
1996-10-01
Beam control and diagnostic systems are required to align the National Ignition Facility (NIF) laser prior to a shot as well as to provide diagnostics on 192 beam lines at shot time. A design that allows each beam's large spatial filter lenses to also serve as objective lenses for beam control and diagnostic sensor packages helps to accomplish the task at a reasonable cost. However, this approach also causes a high concentration of small optics near the pinhole plane of the transport spatial filter (TSF) at the output of each beam. This paper describes the optomechanical design in and near the central vacuum vessel of the TSF
Design studies and sensor tests for the beam calorimeter of the ILC detector
International Nuclear Information System (INIS)
Kuznetsova, E.
2007-03-01
The International Linear Collider (ILC) is being designed to explore particle physics at the TeV scale. The design of the Very Forward Region of the ILC detector is considered in the presented work. The Beam Calorimeter - one of two electromagnetic calorimeters situated there - is the subject of this thesis. The Beam Calorimeter has to provide a good hermeticity for high energy electrons, positrons and photons down to very low polar angles, serve for fast beam diagnostics and shield the inner part of the detector from backscattered beamstrahlung remnants and synchrotron radiation. As a possible technology for the Beam Calorimeter a diamond-tungsten sandwich calorimeter is considered. Detailed simulation studies are done in order to explore the suitability of the considered design for the Beam Calorimeter objectives. Detection efficiency, energy and angular resolution for electromagnetic showers are studied. At the simulation level the diamondtungsten design is shown to match the requirements on the Beam Calorimeter performance. Studies of polycrystalline chemical vapour deposition (pCVD) diamond as a sensor material for the Beam Calorimeter are done to explore the properties of the material. Results of the measurements performed with pCVD diamond samples produced by different manufacturers are presented. (orig.)
Design studies and sensor tests for the beam calorimeter of the ILC detector
Energy Technology Data Exchange (ETDEWEB)
Kuznetsova, E.
2007-03-15
The International Linear Collider (ILC) is being designed to explore particle physics at the TeV scale. The design of the Very Forward Region of the ILC detector is considered in the presented work. The Beam Calorimeter - one of two electromagnetic calorimeters situated there - is the subject of this thesis. The Beam Calorimeter has to provide a good hermeticity for high energy electrons, positrons and photons down to very low polar angles, serve for fast beam diagnostics and shield the inner part of the detector from backscattered beamstrahlung remnants and synchrotron radiation. As a possible technology for the Beam Calorimeter a diamond-tungsten sandwich calorimeter is considered. Detailed simulation studies are done in order to explore the suitability of the considered design for the Beam Calorimeter objectives. Detection efficiency, energy and angular resolution for electromagnetic showers are studied. At the simulation level the diamondtungsten design is shown to match the requirements on the Beam Calorimeter performance. Studies of polycrystalline chemical vapour deposition (pCVD) diamond as a sensor material for the Beam Calorimeter are done to explore the properties of the material. Results of the measurements performed with pCVD diamond samples produced by different manufacturers are presented. (orig.)
Uhran, M. L.; Youngblood, W. W.; Georgekutty, T.; Fiske, M. R.; Wear, W. O.
1986-01-01
Taking advantage of the microgravity environment of space NASA has initiated the preliminary design of a permanently manned space station that will support technological advances in process science and stimulate the development of new and improved materials having applications across the commercial spectrum. Previous studies have been performed to define from the researcher's perspective, the requirements for laboratory equipment to accommodate microgravity experiments on the space station. Functional requirements for the identified experimental apparatus and support equipment were determined. From these hardware requirements, several items were selected for concept designs and subsequent formulation of development plans. This report documents the concept designs and development plans for two items of experiment apparatus - the Combustion Tunnel and the Advanced Modular Furnace, and two items of support equipment the Laser Diagnostic System and the Integrated Electronics Laboratory. For each concept design, key technology developments were identified that are required to enable or enhance the development of the respective hardware.
Guldbrandt, Louise Mahncke; Fenger-Grøn, Morten; Rasmussen, Torben Riis; Jensen, Henry; Vedsted, Peter
2015-01-22
Lung cancer stage at diagnosis predicts possible curative treatment. In Denmark and the UK, lung cancer patients have lower survival rates than citizens in most other European countries, which may partly be explained by a comparatively longer diagnostic interval in these two countries. In Denmark, a pathway was introduced in 2008 allowing general practitioners (GPs) to refer patients suspected of having lung cancer directly to fast-track diagnostics. However, symptom presentation of lung cancer in general practice is known to be diverse and complex, and systematic knowledge of the routes to diagnosis is needed to enable earlier lung cancer diagnosis in Denmark. This study aims to describe the routes to diagnosis, the diagnostic activity preceding diagnosis and the diagnostic intervals for lung cancer in the Danish setting. We conducted a national registry-based cohort study on 971 consecutive incident lung cancer patients in 2010 using data from national registries and GP questionnaires. GPs were involved in 68.3% of cancer patients' diagnostic pathways, and 27.4% of lung cancer patients were referred from the GP to fast-track diagnostic work-up. A minimum of one X-ray was performed in 85.6% of all cases before diagnosis. Patients referred through a fast-track route more often had diagnostic X-rays (66.0%) than patients who did not go through fast-track (49.4%). Overall, 33.6% of all patients had two or more X-rays performed during the 90 days before diagnosis. Patients whose symptoms were interpreted as non-alarm symptoms or who were not referred to fast-track were more likely to experience a long diagnostic interval than patients whose symptoms were interpreted as alarm symptoms or who were referred to fast-track. Lung cancer patients followed several diagnostic pathways. The existing fast-track pathway must be supplemented to ensure earlier detection of lung cancer. The high incidence of multiple X-rays warrants a continued effort to develop more accurate lung
Preliminary Calculations of Shutdown Dose Rate for the CTS Diagnostics System
DEFF Research Database (Denmark)
Klinkby, Esben Bryndt; Nonbøl, Erik; Lauritzen, Bent
2015-01-01
DTU and IST 2 are partners in the design of a collective Thomson Scattering (CTS) diagnostics for ITER through a contract with F4E. The CTS diagnostic utilizes probing radiation of ~60 GHz emitted into the plasma and, using a mirror, collects the scattered radiation by an array of receivers. Having...... on supplying input which affect the system design. Examples include: - Heatloads on plasma facing mirrors and preliminary stress and thermal analysis - Port plug cooling requirements and it's dependence on system design (in particular blanket cut-out) - Shutdown dose-rate calculations (relative analysis...
Time-resolved x-ray diagnostics
International Nuclear Information System (INIS)
Lyons, P.B.
1981-01-01
Techniques for time-resolved x-ray diagnostics will be reviewed with emphasis on systems utilizing x-ray diodes or scintillators. System design concerns for high-bandwidth (> 1 GHz) diagnostics will be emphasized. The limitations of a coaxial cable system and a technique for equalizing to improve bandwidth of such a system will be reviewed. Characteristics of new multi-GHz amplifiers will be presented. An example of a complete operational system on the Los Alamos Helios laser will be presented which has a bandwidth near 3 GHz over 38 m of coax. The system includes the cable, an amplifier, an oscilloscope, and a digital camera readout
NOVA integrated alignment/diagnostic sensors
International Nuclear Information System (INIS)
1978-01-01
Under Contract 3772003 to the Lawrence Livermore Laboratory, Aerojet ElectroSystems Company has investigated a number of alignment system design topics for the NOVA and SHIVA upgrade lasers. Prior reports dealt with the Main Beam Alignment System, and with Multipass Amplifier Alignment Concepts. This report, which completes the contract, examines ways in which the Return Beam Diagnostic (RBD) package and Incident Beam Diagnostic (IBD) packages may be reconfigured to a more integrated package. In particular, the report shows that the RBD optics may be directly integrated in the Pointing Focus and Centering (PFC) sensor, and that the IBD optics may use the same basic common configuration as the PFC/RBD package
Remote network control plasma diagnostic system for Tokamak T-10
International Nuclear Information System (INIS)
Troynov, V I; Zimin, A M; Krupin, V A; Notkin, G E; Nurgaliev, M R
2016-01-01
The parameters of molecular plasma in closed magnetic trap is studied in this paper. Using the system of molecular diagnostics, which was designed by the authors on the «Tokamak T-10» facility, the radiation of hydrogen isotopes at the plasma edge is investigated. The scheme of optical radiation registration within visible spectrum is described. For visualization, identification and processing of registered molecular spectra a new software is developed using MatLab environment. The software also includes electronic atlas of electronic-vibrational-rotational transitions for molecules of protium and deuterium. To register radiation from limiter cross-section a network control system is designed using the means of the Internet/Intranet. Remote control system diagram and methods are given. The examples of web-interfaces for working out equipment control scenarios and viewing of results are provided. After test run in Intranet, the remote diagnostic system will be accessible through Internet. (paper)
DEFF Research Database (Denmark)
Wieneke, Heinrich; Spencker, Sebastian; Svendsen, Jesper Hastrup
2010-01-01
Implantable cardioverter-defibrillator (ICD) therapy is effective in primary and secondary prevention for patients who are at high risk of sudden cardiac death. However, the current risk stratification of patients who may benefit from this therapy is unsatisfactory. Single nucleotide polymorphism...... pathways will be investigated. As it is a diagnostic study, DISCOVERY will also investigate the impact of long-term device diagnostic data on the management of patients suffering from chronic cardiac disease as well as medical decisions made regarding their treatment.......Implantable cardioverter-defibrillator (ICD) therapy is effective in primary and secondary prevention for patients who are at high risk of sudden cardiac death. However, the current risk stratification of patients who may benefit from this therapy is unsatisfactory. Single nucleotide polymorphisms...... modulate the risk for arrhythmias and sudden cardiac death, and identification of common variants could help to better identify patients at risk. The DISCOVERY study is an interventional, longitudinal, prospective, multi-centre diagnostic study that will enrol 1287 patients in approximately 80 European...
Beam diagnostics and control for SLC
International Nuclear Information System (INIS)
Ross, M.C.
1987-01-01
Construction of the SLAC Linear Collider has posed some new problems in beam diagnostic device design. Typical beam sizes are small when compared with conventional storage rings, orbit tolerances are tighter and the pulsed nature of the machine means that signal to noise enhancement by averaging is not always possible. Thus the diagnostics must have high resolution, high absolute accuracy and must deliver data from a single puls. In practice the required performance level depends on the function and dynamics of a given region in the collider. In this paper, the authors review the major beam diagnostic system and then discuss the global data acquisition schemes. Because space is limited each system is described only in a very cursory fashion. More details may be found in the cited papers
Residual heat removal system diagnostic advisor
International Nuclear Information System (INIS)
Tripp, L.
1991-01-01
This paper reports on the Residual Heat Removal System (RHRS) Diagnostic Advisor which is an expert system designed to alert the operators to abnormal conditions that exits in the RHRS and offer advice about the cause of the abnormal conditions. The Advisor uses a combination of rule-based and model-based diagnostic techniques to perform its functions. This diagnostic approach leads to a deeper understanding of the RHRS by the Advisor and consequently makes it more robust to unexpected conditions. The main window of the interactive graphic display is a schematic diagram of the RHRS piping system. When a conclusion about a failed component can be reached, the operator can bring up windows that describe the failure mode of the component and a brief explanation about how the Advisor arrived at its conclusion
Los Alamos contribution to target diagnostics on the National Ignition Facility
Energy Technology Data Exchange (ETDEWEB)
Mack, J.M.; Baker, D.A.; Caldwell, S.E. [and others
1994-07-01
The National Ignition Facility (NIF) will have a large suite of sophisticated target diagnostics. This will allow thoroughly diagnosed experiments to be performed both at the ignition and pre-ignition levels. As part of the national effort Los Alamos National Laboratory will design, construct and implement a number of diagnostics for the NIF. This paper describes Los Alamos contributions to the ``phase I diagnostics.`` Phase I represents the most fundamental and basic measurement systems that will form the core for most work on the NIF. The Los Alamos effort falls into four categories: moderate to hard X-ray (time resolved imaging neutron spectroscopy- primarily with neutron time of flight devices; burn diagnostics utilizing gamma ray measurements; testing measurement concepts on the TRIDENT laser system at Los Alamos. Because of the high blast, debris and radiation environment, the design of high resolution X-ray imaging systems present significant challenges. Systems with close target proximity require special protection and methods for such protection is described. The system design specifications based on expected target performance parameters is also described. Diagnosis of nuclear yield and burn will be crucial to the NIF operation. Nuclear reaction diagnosis utilizing both neutron and gamma ray detection is discussed. The Los Alamos TRIDENT laser system will be used extensively for the development of new measurement concepts and diagnostic instrumentation. Some its potential roles in the development of diagnostics for NIF are given.
Los Alamos contribution to target diagnostics on the National Ignition Facility
International Nuclear Information System (INIS)
Mack, J.M.; Baker, D.A.; Caldwell, S.E.
1994-01-01
The National Ignition Facility (NIF) will have a large suite of sophisticated target diagnostics. This will allow thoroughly diagnosed experiments to be performed both at the ignition and pre-ignition levels. As part of the national effort Los Alamos National Laboratory will design, construct and implement a number of diagnostics for the NIF. This paper describes Los Alamos contributions to the ''phase I diagnostics.'' Phase I represents the most fundamental and basic measurement systems that will form the core for most work on the NIF. The Los Alamos effort falls into four categories: moderate to hard X-ray (time resolved imaging neutron spectroscopy- primarily with neutron time of flight devices; burn diagnostics utilizing gamma ray measurements; testing measurement concepts on the TRIDENT laser system at Los Alamos. Because of the high blast, debris and radiation environment, the design of high resolution X-ray imaging systems present significant challenges. Systems with close target proximity require special protection and methods for such protection is described. The system design specifications based on expected target performance parameters is also described. Diagnosis of nuclear yield and burn will be crucial to the NIF operation. Nuclear reaction diagnosis utilizing both neutron and gamma ray detection is discussed. The Los Alamos TRIDENT laser system will be used extensively for the development of new measurement concepts and diagnostic instrumentation. Some its potential roles in the development of diagnostics for NIF are given
Gu, C; Rao, D C
2001-01-01
Because simplistic designs will lead to prohibitively large sample sizes, the optimization of genetic study designs is critical for successfully mapping genes for complex diseases. Creative designs are necessary for detecting and amplifying the usually weak signals for complex traits. Two important outcomes of a study design--power and resolution--are implicitly tied together by the principle of uncertainty. Overemphasis on either one may lead to suboptimal designs. To achieve optimality for a particular study, therefore, practical measures such as cost-effectiveness must be used to strike a balance between power and resolution. In this light, the myriad of factors involved in study design can be checked for their effects on the ultimate outcomes, and the popular existing designs can be sorted into building blocks that may be useful for particular situations. It is hoped that imaginative construction of novel designs using such building blocks will lead to enhanced efficiency in finding genes for complex human traits.
Diagnostic accuracy of temporomandibular disorder pain tests: a multicenter study
Visscher, C.M.; Naeije, M.; de Laat, A.; Michelotti, A.; Nilner, M.; Craane, B.; Ekberg, E.; Farella, M.; Lobbezoo, F.
2009-01-01
AIMS: To estimate the diagnostic accuracy of the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) clinical examination and of the dynamic/static tests for the recognition of TMD pain. Since the diagnosis of TMD pain is especially complicated in persistent orofacial pain
[Critical reading of articles about diagnostic tests (part I): Are the results of the study valid?].
Arana, E
2015-01-01
In the era of evidence-based medicine, one of the most important skills a radiologist should have is the ability to analyze the diagnostic literature critically. This tutorial aims to present guidelines for determining whether primary diagnostic articles are valid for clinical practice. The following elements should be evaluated: whether the study can be applied to clinical practice, whether the technique was compared to the reference test, whether an appropriate spectrum of patients was included, whether expectation bias and verification bias were limited, the reproducibility of the study, the practical consequences of the study, the confidence intervals for the parameters analyzed, the normal range for continuous variables, and the placement of the test in the context of other diagnostic tests. We use elementary practical examples to illustrate how to select and interpret the literature on diagnostic imaging and specific references to provide more details. Copyright © 2014 SERAM. Published by Elsevier España, S.L.U. All rights reserved.
Neutronics analysis for integration of ITER diagnostics port EP10
Energy Technology Data Exchange (ETDEWEB)
Colling, Bethany, E-mail: bethany.colling@ccfe.ac.uk [Culham Centre for Fusion Energy, Culham Science Centre, Abingdon, Oxon OX14 3DB (United Kingdom); Department of Engineering, Lancaster University, Lancashire LA1 4YR (United Kingdom); Eade, Tim [Culham Centre for Fusion Energy, Culham Science Centre, Abingdon, Oxon OX14 3DB (United Kingdom); Joyce, Malcolm J. [Department of Engineering, Lancaster University, Lancashire LA1 4YR (United Kingdom); Pampin, Raul; Seyvet, Fabien [Fusion for Energy, Josep Pla 2, Torres Diagonal Litoral B3, 08019 Barcelona (Spain); Turner, Andrew [Culham Centre for Fusion Energy, Culham Science Centre, Abingdon, Oxon OX14 3DB (United Kingdom); Udintsev, Victor [ITER Organization, Route de Vinon-sur-Verdon, CS 90 046, 13067 St. Paul Lez Durance Cedex (France)
2016-11-01
Shutdown dose rate calculations have been performed on an integrated ITER C-lite neutronics model with equatorial port 10. A ‘fully shielded’ configuration, optimised for a given set of diagnostic designs (i.e. shielding in all available space within the port plug drawers), results in a shutdown dose rate in the port interspace, from the activation of materials comprising equatorial port 10, in excess of 2000 μSv/h. Achieving dose rates of 100 μSv/h or less, as required in areas where hands-on maintenance can be performed, in the port interspace region will be challenging. A combination of methods will need to be implemented, such as reducing mass and/or the use of reduced activation steel in the port interspace, optimisation of the diagnostic designs and shielding of the port interspace floor. Further analysis is required to test these options and the ongoing design optimisation of the EP10 diagnostic systems.
A second beam-diagnostic beamline for the advanced light source
International Nuclear Information System (INIS)
Sannibale, Fernando; Baum, Dennis; Kelez, Nicholas; Scarvie, Tom; Holldack, Karsten
2003-01-01
A second beamline, BL 7.2, completely dedicated to beam diagnostics is being installed at the Advanced Light Source (ALS). The design has been optimized for the measurement of the momentum spread and emittance of the stored beam in combination with the existing diagnostic beamline, BL 3.1. A detailed analysis of the experimental error has allowed the definition of the system parameters. The obtained requirements found a good matching with a simple and reliable system based on the detection of X-ray synchrotron radiation (SR) through a pinhole system. The actual beamline, which also includes a port for visible and infrared SR as well as an X-ray beam position monitor (BPM), is mainly based on the design of two similar diagnostic beamlines at BESSY II. This approach allowed a significant saving in time, cost and engineering effort. The design criteria, including a summary of the experimental error analysis, as well as a brief description of the beamline are presented
Negative symptom domain prevalence across diagnostic boundaries: The relevance of diagnostic shifts.
Lyne, John; Renwick, Laoise; O'Donoghue, Brian; Kinsella, Anthony; Malone, Kevin; Turner, Niall; O'Callaghan, Eadbhard; Clarke, Mary
2015-08-30
Negative symptoms are included in diagnostic manuals as part of criteria for schizophrenia spectrum psychoses only, however some studies have found their presence in other diagnoses. This study sought to clarify negative symptom domain prevalence across diagnostic categories, while investigating whether negative symptoms predicted diagnostic shift over time. Scale for the Assessment of Negative Symptoms (SANS) data were collected at first presentation in 197 individuals presenting with first episode psychosis and again at one year follow-up assessment. Negative symptoms were highest among individuals with schizophrenia and among those whose diagnosis shifted from non-schizophrenia spectrum at baseline to schizophrenia spectrum at follow-up. In a non-schizophrenia spectrum group negative symptoms at baseline were not a significant predictor of diagnostic shift to schizophrenia spectrum diagnoses. The study suggests negative symptoms can present among individuals with non-schizophrenia spectrum diagnoses, although this is most relevant for individuals following diagnostic shift from non-schizophrenia spectrum to schizophrenia spectrum diagnoses. The findings support introduction of a negative symptom dimension when describing a range of psychotic illnesses, and indicate that further research investigating the evolution of negative symptoms in non-schizophrenia diagnoses is needed. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.
Diagnostic value of alpha-fetoprotein in liver cancer
International Nuclear Information System (INIS)
Pervez, T.; Anwar, S.M.
2001-01-01
Objective: To determine diagnostic value of alpha-fetoproteins (alpha-FP) in liver cancer. Design: Prospective study. Place and duration of study: Department of clinical oncology services Hospital Lahore, during the period from February 1998 to February 2001. Subjects and Methods: Among 200 persons studied, 100 presented with liver mass, jaundice and other symptoms directing toward liver pathology, later confirmed histopathologically, as suffering from hepatocellular carcinoma (HCC) while the other 100 healthy subject came to the department for blood donation and were HBs Ag pasitive on blood screening. All these subjects under went blood test for alpha-FP. This tumor marker was analyzed by using enzyme immunoassay-based kit. Results: The alpha-FP positivity was statistically evaluated. In HCC this test was statistically significant with p value of <0.001. In this study sensitivity of alpha-FP was 72% specificity 89%, positive predictive value 86.7% and negative predictive value of 76.1%. Conclusion: This study showed that alpha-FP was a useful diagnostic tool in the diagnosis of HCC. (author)
Theoretical studies of flash x-ray diagnostics for fuel motion experiments
International Nuclear Information System (INIS)
Halbleib, J.A. Sr.; Phillips, A.R.
1975-09-01
The results of preliminary theoretical studies concerning the possible employment of short-pulse, high-current field emission diodes as sources for the flash x-ray diagnostics of fuel-pin motion are reported. The predicted thick-target photon environments are obtained from state-of-the-art coupled electron/photon transport models. Through qualitative figures of merit these environments are used to study the importance of source current and voltage. For a selected experimental configuration a comparison is made between the absolute flash x-ray imaging signals predicted for these environments and Monte Carlo/analytic calculations of absolute fission-gamma backgrounds. These preliminary data suggest that field emission sources operating at voltages in the 1-to 5-MeV range and at currents of the order of 100-kA or greater may be adequate diagnostic sources for test-pin configurations as complex as a full LMFBR subassembly
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.
Optical beam diagnostics on PEP
International Nuclear Information System (INIS)
Sabersky, A.P.
1981-02-01
In designing the PEP optical diagnostics we have been able to build on the experience gained with SPEAR. Most of the problems at SPEAR could be traced to the optical diagnostic system being inside the tunnel. A machine shutdown is required for any maintenance or modification. This implies that in order to make such an instrument successful, a large engineering effort must be mounted to ensure 100% operation at startup. The functions that do not work at startup may never be made to work; this has happened at several machines. Experimental setups are likewise risky and time consuming. A point which has been borne out in both SPEAR and PEP is that the mechanical part of the instrument, the special vacuum chamber, the optical mounts, the alignment and adjustments, require approximately 60% of the effort and cost of the optical diagnostics. It is far better to economize on detectors and electronics than on mechanical and optical essentials
Laser Diagnostics for Reacting Flows
2010-01-11
the high-temperature kinetics of n-heptane pyrolysis . The two-wavelength temperature and vapor concentration diagnostic designed for n- dodecane was...features ranging from 1338 nm to 1469 nm and one laser tuned to a CO2 transition near 1997 nm were combined onto a single mode optical fiber ( Corning
Indications and new diagnostic techniques in micturating cystourethrographic studies
International Nuclear Information System (INIS)
Schuster, W.; Bruenger, J.
1978-01-01
Urological radiographic procedures on children are of great importance. The frequency of examinations is comparable to the number of Gl tract studies. In diagnosing chronically recurrent urinary tract infections, micturating cystourethrography is a valuable addition to excretory urography. Indications and performance of micturating cystourethrography at juvenile age are described. All measures reducing radiation exposure must be taken into consideration. New technological devices grant improved diagnostic information with a minimal radiation exposure for patients. (orig.) [de
Directory of Open Access Journals (Sweden)
Umut Arslan
2013-06-01
Full Text Available Background: In order to determine the presence or absence of a certain disease, multiple diagnostic tests may be necessary. Performance of these tests can be sequentially evaluated. Aims: The aim of the study is to determine the contribution of the test in each step, in reducing diagnostic uncertainty when multiple tests are sequentially used for the diagnosis. Study Design: Diagnostic accuracy study Methods: Radiographs of seventy-three patients of the Department of Dento-Maxillofacial Radiology of Hacettepe University Faculty of Dentistry were assessed. Panoramic (PAN, full mouth intraoral (FM, and bitewing (BW radiographs were used for the diagnosis of proximal caries in the maxillary and mandibular molar regions. Diagnostic performance of radiography was sequentially evaluated by using the reduction in diagnostic uncertainty. Results: FM provided maximum diagnostic information for ruling in potential in the maxillary and mandibular molar regions in the first step. FM provided more diagnostic information than BW radiographs for ruling in the mandibular region in the second step. In the mandibular region, BW radiographs provided more diagnostic information than FM for ruling out in the first step. Conclusion: The presented method in this study provides the clinicians with a solution for the decision of the sequential selection of diagnostic tests for the correct diagnosis of the presence or absence of a certain disease.
Assessing the utility of diagnostic criteria: a multisite study on gender identity disorder.
Paap, Muirne C S; Kreukels, Baudewijntje P C; Cohen-Kettenis, Peggy T; Richter-Appelt, Hertha; de Cuypere, Griet; Haraldsen, Ira R
2011-01-01
Studies involving patients with gender identity disorder (GID) are inconsistent with regard to outcomes and often difficult to compare because of the vague descriptions of the diagnostic process. A multisite study is needed to scrutinize the utility and generality of different aspects of the diagnostic criteria for GID. To investigate the way in which the diagnosis-specific Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision criteria for GID were used to reach a psychiatric diagnosis in four European countries: the Netherlands (Amsterdam), Norway (Oslo), Germany (Hamburg), and Belgium (Ghent). The main goal was to compare item (symptom) characteristics across countries. The current study included all new applicants to the four GID clinics who were seen between January 2007 and March 2009, were at least 16 years of age at their first visit, and had completed the diagnostic assessment (N = 214, mean age = 32 ± 12.2 years). Mokken scale analysis, a form of Nonparametric Item Response Theory (NIRT) was performed. Operationalization and quantification of the core criteria A and B resulted in a 23-item score sheet that was filled out by the participating clinicians after they had made a diagnosis. We found that, when ordering the 23 items according to their means for each country separately, the rank ordering was similar among the four countries for 21 of the items. Furthermore, only one scale emerged, which combined criteria A and B when all data were analyzed together. Our results indicate that patients' symptoms were interpreted in a similar fashion in all four countries. However, we did not find support for the treatment of A and B as two separate criteria. We recommend the use of NIRT in future studies, especially in studies with small sample sizes and/or with data that show a poor fit to parametric IRT models. © 2010 International Society for Sexual Medicine.
Kamp-Becker, Inge; Ghahreman, Mardjan; Heinzel-Gutenbrunner, Monika; Peters, Mira; Remschmidt, Helmut; Becker, Katja
2013-01-01
The Autism Diagnostic Observation Schedule (ADOS) is a semi-structured, standardized assessment designed for use in diagnostic evaluation of individuals with suspected autism spectrum disorder (ASD). The ADOS has been effective in categorizing children who definitely have autism or not, but has lower specificity and sometimes sensitivity for…
Diagnostic accuracy of slit skin smears in leprosy
International Nuclear Information System (INIS)
Naveed, T.; Shaikh, Z.
2015-01-01
To determine the diagnostic accuracy of slit skin smears in clinically suspected patients of leprosy using histopathology as gold standard. Study Design: Validation study Place and Duration of Study: Study was carried out at Rawalpindi Leprosy Hospital, Dermatology Department Military Hospital (MH) and Armed Forces Institute of Pathology (AFIP), Rawalpindi from 18th August 2012 to 18 Feb 2013. Methods: Appropriate technical and ethical approval for the study and patient consent were obtained. All suspected patients of leprosy of any age and either gender having typical hypo-aesthetic or anesthetic, erythematous or hypo-pigmented scaly skin lesions on any part of body were included in this study. All patients who have already received treatment for leprosy, patients with pure neural leprosy, patient not giving their consent for skin biopsy and patients with lepra reactions were excluded from this study. Forty eight patients fulfilling the inclusion criteria were included in the study. Sample size had been calculated by using WHO sample size calculator taking confidence level 95%, absolute precision required 14% and anticipated population proportion 40%. Non-probability consecutive sampling technique was used to collect sample. Results: The results of the study revealed that out of 48 clinically suspected patients of leprosy skin biopsy confirmed the diagnosis in 34 patients (70.8%) and the slit skin smear had diagnostic accuracy of 68.75% with sensitivity 55.8% and specificity and positive predictive value of 100%. Conclusion: Study suggested that although slit skin smears are rapid and inexpensive method of diagnosis but their diagnostic accuracy is low. (author)
Fastbus diagnostic program (Version 1.1)
International Nuclear Information System (INIS)
Acton, P.D.; Clarke, P.E.L.; McKemey, A.K.
1990-07-01
The Fastbus Diagnostic Program (FDP) described here is a program designed primarily for module engineering purposes. It provides simple DCL type access to atomic Fastbus operations from the keyboard, without necessitating any lengthy setup of parameters. The commands are designed to cater for the practical needs of an engineer working on, say a prototype module, and requiring fast single line entry, with only a minimum set of required arguments. (author)
Design of an electromagnetic accelerator for turbulent hydrodynamic mix studies
Susoeff, A. R.; Hawke, R. S.; Morrison, J. J.; Dimonte, G.; Remington, B. A.
1993-12-01
An electromagnetic accelerator in the form of a linear electric motor (LEM) has been designed to achieve controlled acceleration profiles of a carriage containing hydrodynamically unstable fluids for the investigation of the development of turbulent mix. The Rayleigh-Taylor instability is investigated by accelerating two dissimilar density fluids using the LEM to achieve a wide variety of acceleration and deceleration profiles. The acceleration profiles are achieved by independent control of rail and augmentation currents. A variety of acceleration-time profiles are possible including: (1) constant, (2) impulsive and (3) shaped. The LEM and support structure are a robust design in order to withstand high loads with deflections and to mitigate operational vibration. Vibration of the carriage during acceleration could create artifacts in the data which would interfere with the intended study of the Rayleigh-Taylor instability. The design allows clear access for diagnostic techniques such as laser induced fluorescence radiography, shadowgraphs and particle imaging velocimetry. Electromagnetic modeling codes were used to optimize the rail and augmentation coil positions within the support structure framework. Results of contemporary studies for non-arcing sliding contact of solid armatures are used for the design of the driving armature and the dynamic electromagnetic braking system. A 0.6MJ electrolytic capacitor bank is used for energy storage to drive the LEM. This report will discuss a LEM design which will accelerate masses of up to 3kg to a maximum of about 3000g(sub o), where g(sub o) is accelerated due to gravity.
FEL components and diagnostics
International Nuclear Information System (INIS)
Carr, R.
1997-01-01
FEL hardware includes undulators, alignment systems, electron beam diagnostics, and mechanical and vacuum systems. While most FEL close-quote s employ conventional undulators, there is some interest in novel types, particularly where conventional designs cannot be used, as at very short periods and high fields. For these areas, superconducting technology is indicated. The most serious issue facing long FEL undulators is that of alignment; mechanical techniques may not be accurate enough, and beam-based strategies must be considered. To maintain alignment and control the electron trajectory, beam position monitors with micron precision are required. Beam size monitors are also required to assure control of emittance. The talks given in the working group sessions touch on undulators, alignment, and electron beam diagnostics, and they are summarized here. copyright 1997 American Institute of Physics
Evidence-based diagnostics: adult septic arthritis.
Carpenter, Christopher R; Schuur, Jeremiah D; Everett, Worth W; Pines, Jesse M
2011-08-01
Acutely swollen or painful joints are common complaints in the emergency department (ED). Septic arthritis in adults is a challenging diagnosis, but prompt differentiation of a bacterial etiology is crucial to minimize morbidity and mortality. The objective was to perform a systematic review describing the diagnostic characteristics of history, physical examination, and bedside laboratory tests for nongonococcal septic arthritis. A secondary objective was to quantify test and treatment thresholds using derived estimates of sensitivity and specificity, as well as best-evidence diagnostic and treatment risks and anticipated benefits from appropriate therapy. Two electronic search engines (PUBMED and EMBASE) were used in conjunction with a selected bibliography and scientific abstract hand search. Inclusion criteria included adult trials of patients presenting with monoarticular complaints if they reported sufficient detail to reconstruct partial or complete 2 × 2 contingency tables for experimental diagnostic test characteristics using an acceptable criterion standard. Evidence was rated by two investigators using the Quality Assessment Tool for Diagnostic Accuracy Studies (QUADAS). When more than one similarly designed trial existed for a diagnostic test, meta-analysis was conducted using a random effects model. Interval likelihood ratios (LRs) were computed when possible. To illustrate one method to quantify theoretical points in the probability of disease whereby clinicians might cease testing altogether and either withhold treatment (test threshold) or initiate definitive therapy in lieu of further diagnostics (treatment threshold), an interactive spreadsheet was designed and sample calculations were provided based on research estimates of diagnostic accuracy, diagnostic risk, and therapeutic risk/benefits. The prevalence of nongonococcal septic arthritis in ED patients with a single acutely painful joint is approximately 27% (95% confidence interval [CI] = 17
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.)
Protection study of a diagnostic system for electron beam at the output of an accelerator
International Nuclear Information System (INIS)
Rahmani, Kaouther; Yaacoubi, Imen
2009-01-01
The aim of this work is the determination of the conception of a protection system dedicated to protect a diagnostic system in the CNSTN. According to this study, the suitable material for the protection against the electrons in the plexiglas and the supermalloy to protect the future diagnostic system against the magnetic field. (Author)
Broeze, Kimiko A.; Opmeer, Brent C.; Bachmann, Lucas M.; Broekmans, Frank J.; Bossuyt, Patrick M. M.; Coppus, Sjors F. P. J.; Johnson, Neil P.; Khan, Khalid S.; ter Riet, Gerben; van der Veen, Fulco; van Wely, Madelon; Mol, Ben W. J.
2009-01-01
ABSTRACT: BACKGROUND: In clinical practice a diagnosis is based on a combination of clinical history, physical examination and additional diagnostic tests. At present, studies on diagnostic research often report the accuracy of tests without taking into account the information already known from
Spontaneous Raman Scattering Diagnostics: Applications in Practical Combustion Systems. Chapter 5
Kojima, Jun; Viet-Nguyen, Quang; Lackner, Maximilian (Editor); Winter, Franz (Editor); Agarwal, Avinash (Editor)
2010-01-01
In this chapter, the recent advancements and practical aspects of laser SRS diagnostics have been reviewed wi til regards to applications in practical combustion systems. Clearly, SRS represents a theoretically and experimentally mature diagnostic technology that has become an essential tool for multiscalar measurements in turbulent combustion at elevated pressures. Today, time-, space-, spectrally, and even polarization-resolved S RS diagnostics is at hand, with aid from recent innovations in theoretical and technological developments on electro-optical or electromechanical devices. Whilst a linear increase in SRS signals can be expected in high-pressure systems (this is perhaps one of the most important advantages for using SRS in high-pressure systems), there are practical (often severe) restrictions associated with pressurized vessels, due mainly to the limited degree of optical access. This narrows ti,e available choice of diagnostics that can be employed at any given time. Point-wise SRS diagnostics provides the highest accuracy on the chemical species and temperature measurements, and will continue to remain a vital approach for the study in such harsh environments. The practical design considerations and hands-on set-up guide for SRS diagnostics provided in this chapter are rarely presented elsewhere. Although the second-harmonic Nd:YAG pulsed laser (532 nm), combined with pulse-stretching optics or the recently introduced White Cell-based laser, seems to be the most favored excitation source of choice by the research community, UV excitation will undoubtedly continue to be used on many occasions, and especially in sooting flames. Detection methods may be divided into ICCD-based nanosecond-gate detection or a rotary-chopper electromechanical shutter-based CCD array detection, and the levels of background flame emission in individual cases would determine this critical design choice. Here, a process of Raman signal calibration based on ti,e crosstalk matrix
2012 HIV Diagnostics Conference: the molecular diagnostics perspective.
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.
Data formats design of laser irradiation experiments in view of data analysis
International Nuclear Information System (INIS)
Su Chunxiao; Yu Xiaoqi; Yang Cunbang; Guo Su; Chen Hongsu
2002-01-01
The designing rules of new data file formats of laser irradiation experiments are introduced. Object-oriented programs are designed in studying experimental data of the laser facilities. The new format data files are combinations of the experiment data and diagnostic configuration data, which are applied in data processing and analysis. The edit of diagnostic configuration data in data acquisition program is also described
Diagnostic test of predicted height model in Indonesian elderly: a study in an urban area
Directory of Open Access Journals (Sweden)
Fatmah Fatmah
2010-08-01
Full Text Available Aim In an anthropometric assessment, elderly are frequently unable to measure their height due to mobility and skeletal deformities. An alternative is to use a surrogate value of stature from arm span, knee height, and sitting height. The equations developed for predicting height in Indonesian elderly using these three predictors. The equations put in the nutritional assessment card (NSA of older people. Before the card which is the first new technology in Indonesia will be applied in the community, it should be tested. The study aimed was to conduct diagnostic test of predicted height model in the card compared to actual height.Methods Model validation towards 400 healthy elderly conducted in Jakarta City with cross-sectional design. The study was the second validation test of the model besides Depok City representing semi urban area which was undertaken as the first study.Result Male elderly had higher mean age, height, weight, arm span, knee height, and sitting height as compared to female elderly. The highest correlation between knee height and standing height was similar in women (r = 0.80; P < 0.001 and men (r = 0.78; P < 0.001, and followed by arm span and sitting height. Knee height had the lowest difference with standing height in men (3.13 cm and women (2.79 cm. Knee height had the biggest sensitivity (92.2%, and the highest specificity on sitting height (91.2%.Conclusion Stature prediction equation based on knee-height, arm span, and sitting height are applicable for nutritional status assessment in Indonesian elderly. (Med J Indones 2010;19:199-204Key words: diagnostic test, elderly, predicted height model
Development of a magnetic diagnostic suitable for the ITER radiation environment
International Nuclear Information System (INIS)
Moreau, P.; Le-Luyer, A.; Malard, P.; Pastor, P.; Fournier, Y.; Lister, J. B.; Moret, J. M.; Testa, D.; Toussaint, M.; Chitarin, G.; Delogu, R.; Galo, A.; Peruzzo, S.; Romero, J.; Vila, R.; Brichard, B.; Bolshakova, I.; Duran, I.; Encheva, A.; Vayakis, G.
2009-01-01
Magnetic diagnostics of the ITER tokamak must fulfill demanding specifications, because their accuracy and reliability affects margins to the machine engineering limits and therefore operational flexibility. This paper describes the challenging issues related to the implementation of the magnetic diagnostics in a tokamak environment. We focus on nuclear radiations as they can significantly affect the measurement through Radiation Induced Electromotive Force (RIEMF) or Thermally Induced Electromotive Force (TIEMF). Thermal modeling of magnetic sensors and associated design studies are also reported as the thermal gradient in the sensors must be reduced to avoid TIEMF. Alternative magnetic sensors such as fiber optic current sensors (FOCS) or steady state magnetic field sensors are also discussed because they serve as a backup to the usual inductive magnetic measurements. We conclude by a brief review of the development needs for magnetic diagnostics. (authors)
Growth studies of CVD-MBE by in-situ diagnostics
Maracas, George N.; Steimle, Timothy C.
1992-10-01
This is the final technical report for the three year DARPA-URI program 'Growth Studies of CVD-MBE by in-situ Diagnostics'. The goals of the program were to develop non-invasive, real time epitaxial growth monitoring techniques and combine them to gain an understanding of processes that occur during MBE growth from gas sources. We have adapted these techniques to a commercially designed gas source MBE system (Vacuum Generators Inc.) to facilitate technology transfer out of the laboratory into industrial environments. The in-situ measurement techniques of spectroscopic ellipsometry (SE) and laser induced fluorescence (LIF) have been successfully implemented to monitor the optical and chemical properties of the growing epitaxial film and the gas phase reactants. The ellipsometer was jointly developed with the J. Woolam Co. and has become a commercial product. The temperature dependence of group 3 and 5 desorption from GaAs and InP has been measured as well as the incident effusion cell fluxes. The temporal evolution of the growth has also been measured both by SE and LIF to show the smoothing of heterojunction surfaces during growth interruption. Complicated microcavity optical device structures have been monitored by ellipsometry in real time to improve device quality. This data has been coupled with the structural information obtained from reflection high energy electron diffraction (RHEED) to understand the growth processes in binary and ternary bulk 3-5 semiconductors and heterojunctions.
Status of the CNESM diagnostic for SPIDER
International Nuclear Information System (INIS)
Muraro, A.; Croci, G.; Albani, G.; Cazzaniga, C.; Claps, G.; Cavenago, M.; Grosso, G.; Palma, M. Dalla; Fincato, M.; Murtas, F.; Pasqualotto, R.; Cippo, E. Perelli; Rebai, M.; Tollin, M.; Tardocchi, M.; Gorini, G.
2015-01-01
Highlights: • We have finished the design of the detector box of the CNESM diagnostic for SPIDER. • We have constructed the GEM detector of the CNESM detector for SPIDER. • We have tested the detector under fast neutron irradiation. - Abstract: The ITER neutral beam test facility under construction in Padova will host two experimental devices: SPIDER, a 100 kV negative H/D RF source, and MITICA, a full scale, 1 MeV deuterium beam injector. A detection system called close-contact neutron emission surface mapping (CNESM) is under development with the aim to resolve the horizontal beam intensity profile in MITICA and one of the eight beamlet groups in SPIDER, with a spatial resolution of 1.5 and 2.5 cm respectively. This is achieved by the evaluation of the map of the neutron emission due to interaction of the deuterium beam with the deuterons implanted in the beam dump surface. CNESM uses nGEM detectors, i.e. GEM detectors equipped with a cathode that also serves as neutron–proton converter foil. The diagnostic will be placed right behind the SPIDER and MITICA beam dump, i.e. in an UHV environment, but the nGEM detectors need to operate at atmospheric pressure: in order to maintain the detector at atmospheric pressure, a vacuum sealed box, that will be mounted inside the vacuum, has been designed. The box design was driven by the need to minimize the neutron attenuation and the distance between the beam dump surface and the detector active area. This paper presents the status of the CNESM diagnostic describing the design of the detector, the design of the sealed box and reporting the results obtained with the first full-size prototype under fast neutron irradiation.
Experimental and numerical studies on liquid wicking into filter papers for paper-based diagnostics
International Nuclear Information System (INIS)
Liu, Zhi; Hu, Jie; Zhao, Yimeng; Qu, Zhiguo; Xu, Feng
2015-01-01
Paper-based diagnostics have shown promising potential applications in human disease surveillance and food safety analysis at the point-of-care (POC). The liquid wicking behavior in diagnostic fibrous paper plays an important role in development of paper-based diagnostics. In the current study, we performed experimental and numerical research on the liquid wicking height and mass with three width strips into filter paper. The effective porosity could be conveniently measured in the light of the linear correlation between wicking height and mass by the experimental system. A modified model with considering evaporation effect was proposed to predict wicking height and mass. The predicted wicking height and mass using the evaporation model was much closer to the experimental data compared with the model without evaporation. The wicking speed initially decreased significantly and then maintained at a constant value at lower level. The evaporation effect tends to reduce the wicking flow speed. More wicking mass could be obtained at larger strip width but the corresponding reagent loss became significant. The proposed model with evaporation paved a way to understanding the fundamental of fluid flow in diagnostic paper and was essential to provide meaningful and useful reference for the research and development of paper-based diagnostics devices. - Highlights: • A model with considering evaporation was proposed to predict wicking height and mass. • Flow characteristics of filter paper were experimentally and theoretically studied. • Effective porosity could be conveniently measured by the experimental platform. • The evaporation effect tended to reduce the wicking flow speed
Compounding diagnostic delays: a qualitative study of point-of-care testing in South Africa.
Engel, Nora; Davids, Malika; Blankvoort, Nadine; Pai, Nitika Pant; Dheda, Keertan; Pai, Madhukar
2015-04-01
Successful point-of-care (POC) testing (completion of test-and-treat cycle in one patient encounter) has immense potential to reduce diagnostic and treatment delays, and improve patient and public health outcomes. We explored what tests are done and how in public/private, rural/urban hospitals and clinics in South Africa and whether they can ensure successful POC testing. This qualitative research study examined POC testing across major diseases in Cape Town, Durban and Eastern Cape. We conducted 101 semi-structured interviews and seven focus group discussions with doctors, nurses, community health workers, patients, laboratory technicians, policymakers, hospital managers and diagnostic manufacturers. In South Africa, diagnostics are characterised by a centralised system. Most tests conducted on the spot can be made to work successfully as POC tests. The majority of public/private clinics and smaller hospitals send samples via couriers to centralised laboratories and retrieve results the same way, via internet, fax or phone. The main challenge to POC testing lies in transporting samples and results, while delays risk patient loss from diagnostic/treatment pathways. Strategies to deal with associated delays create new problems, such as artificially prolonged turnaround times, strains on human resources and quality of testing, compounding additional diagnostic and treatment delays. For POC testing to succeed, particular characteristics of diagnostic ecosystems and adaptations of professional practices to overcome associated challenges must be taken into account. © 2014 John Wiley & Sons Ltd.
UWGSP6: a diagnostic radiology workstation of the future
Milton, Stuart W.; Han, Sang; Choi, Hyung-Sik; Kim, Yongmin
1993-06-01
The Univ. of Washington's Image Computing Systems Lab. (ICSL) has been involved in research into the development of a series of PACS workstations since the middle 1980's. The most recent research, a joint UW-IBM project, attempted to create a diagnostic radiology workstation using an IBM RISC System 6000 (RS6000) computer workstation and the X-Window system. While the results are encouraging, there are inherent limitations in the workstation hardware which prevent it from providing an acceptable level of functionality for diagnostic radiology. Realizing the RS6000 workstation's limitations, a parallel effort was initiated to design a workstation, UWGSP6 (Univ. of Washington Graphics System Processor #6), that provides the required functionality. This paper documents the design of UWGSP6, which not only addresses the requirements for a diagnostic radiology workstation in terms of display resolution, response time, etc., but also includes the processing performance necessary to support key functions needed in the implementation of algorithms for computer-aided diagnosis. The paper includes a description of the workstation architecture, and specifically its image processing subsystem. Verification of the design through hardware simulation is then discussed, and finally, performance of selected algorithms based on detailed simulation is provided.
International Nuclear Information System (INIS)
Melamed, N.T.; Taylor, L.H.
1983-01-01
The primary challenge in the design of an Inertial Confinement Fusion (ICF) power reactor is to make the first wall survive the frequent explosions of the pellets. Westinghouse has proposed a dry wall design consisting of steel tubes coated with tantalum. This report describes the design of a test chamber and two diagnostic procedures for experimentally determining the reliability of the Westinghouse design. The test chamber simulates the x-ray and ion pulse irradiation of the wall due to a pellet explosion. The diagnostics consist of remote temperature sensing and surface deformation measurements. The chamber and diagnostics can also be used to test other first-wall designs
Phenomenology of Schizophrenia and the Representativeness of Modern Diagnostic Criteria.
Kendler, Kenneth S
2016-10-01
symptoms/signs and current diagnostic systems highlights the limitations of clinical evaluations and research studies that restrict the diagnostic assessments to current diagnostic criteria. We should not confuse our DSM diagnostic criteria with the disorders that they were designed to index.
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.
Diagnostic delay experienced among gynecological cancer patients: a nationwide survey in Denmark
DEFF Research Database (Denmark)
Robinson, Kirstine M; Ottesen, Bent; Christensen, Karl Bang
2009-01-01
OBJECTIVE: To examine diagnostic delay among gynecological cancer patients. DESIGN: Nationwide study. SETTING: The cohort comprised all women receiving their first treatment for cervical, endometrial, or ovarian cancer between 1 October 2006 and 1 December 2007 in four of the five centers...... for gynecological cancer surgery in Denmark. SAMPLE: Of the 911 women alive, 648 participated, resulting in a response rate of 71.1%; of these, 30.1% were diagnosed with cervical cancer, 31.0% with endometrial cancer, and 38.9% with ovarian cancer. METHODS: Questionnaire survey. MAIN OUTCOME MEASURES: Diagnostic...... experiencing very long delays. Ovarian cancer patients experienced significantly shorter delays compared with other gynecological cancer patients in all parts of the health care system. CONCLUSIONS: Delays occur in all parts of the diagnostic process, suggesting that a multifaceted approach should be adopted...
How to appraise a diagnostic test
Directory of Open Access Journals (Sweden)
Ramanitharan Manikandan
2011-01-01
Full Text Available Urologists frequently encounter problems in making a clinical diagnosis whose resolution requires the use of diagnostic tests. With an ever increasing choice of investigations being available, the urologist often has to decide which diagnostic test(s will best resolve the patient′s diagnostic problem. In this article, we aim to help the urologist understand how to critically appraise studies on diagnostic tests and make a rational choice. This article presents the guiding principles in scientifically assessing studies on diagnostic tests by proposing a clinical scenario. The authors describe a standardized protocol to assess the validity of the test and its relevance to the clinical problem that can help the urologist in decision making. The three important issues to be considered when evaluating the validity of the study are to identify how the study population was chosen, how the test was performed and whether there is a comparison to the gold standard test so as to confirm or refute the diagnosis. Then, the urologist would need to know the probability of the test in providing the correct diagnosis in an individual patient in order to decide about its utility in solving the diagnostic dilemma. By performing the steps described in this article, the urologist would be able to critically appraise diagnostic studies and draw meaningful conclusions about the investigations in terms of validity, results and its applicability to the patient′s problem. This would provide a scientific basis for using diagnostic tests for improving patient care.
Directory of Open Access Journals (Sweden)
Andrew J. Larner
2014-07-01
Full Text Available Background/Aims: Many cognitive screening instruments (CSI are available to clinicians to assess cognitive function. The optimal method comparing the diagnostic utility of such tests is uncertain. The effect size (Cohen's d, calculated as the difference of the means of two groups divided by the weighted pooled standard deviations of these groups, may permit such comparisons. Methods: Datasets from five pragmatic diagnostic accuracy studies, which examined the Mini-Mental State Examination (MMSE, the Mini-Mental Parkinson (MMP, the Six-Item Cognitive Impairment Test (6CIT, the Montreal Cognitive Assessment (MoCA, the Test Your Memory test (TYM, and the Addenbrooke's Cognitive Examination-Revised (ACE-R, were analysed to calculate the effect size (Cohen's d for the diagnosis of dementia versus no dementia and for the diagnosis of mild cognitive impairment versus no dementia (subjective memory impairment. Results: The effect sizes for dementia versus no dementia diagnosis were large for all six CSI examined (range 1.59-1.87. For the diagnosis of mild cognitive impairment versus no dementia, the effect sizes ranged from medium to large (range 0.48-1.45, with MoCA having the largest effect size. Conclusion: The calculation of the effect size (Cohen's d in diagnostic accuracy studies is straightforward. The routine incorporation of effect size calculations into diagnostic accuracy studies merits consideration in order to facilitate the comparison of the relative value of CSI.
Plasma diagnostic reflectometry
International Nuclear Information System (INIS)
Cohen, B.I.; Afeyan, B.B.; Garrison, J.C.; Kaiser, T.B.; Luhmann, N.C. Jr.; Domier, C.W.; Chou, A.E.; Baang, S.
1996-01-01
Theoretical and experimental studies of plasma diagnostic reflectometry have been undertaken as a collaborative research project between the Lawrence Livermore National Laboratory (LLNL) and the University of California Department of Applied Science Plasma Diagnostics Group under the auspices of the Laboratory Directed Research and Development Program at LLNL. Theoretical analyses have explored the basic principles of reflectometry to understand its limitations, to address specific gaps in the understanding of reflectometry measurements in laboratory experiments, and to explore extensions of reflectometry such as ultra-short-pulse reflectometry. The theory has supported basic laboratory reflectometry experiments where reflectometry measurements can be corroborated by independent diagnostic measurements
Serum and urine metabolomics study reveals a distinct diagnostic model for cancer cachexia
Yang, Quan‐Jun; Zhao, Jiang‐Rong; Hao, Juan; Li, Bin; Huo, Yan; Han, Yong‐Long; Wan, Li‐Li; Li, Jie; Huang, Jinlu; Lu, Jin
2017-01-01
Abstract Background Cachexia is a multifactorial metabolic syndrome with high morbidity and mortality in patients with advanced cancer. The diagnosis of cancer cachexia depends on objective measures of clinical symptoms and a history of weight loss, which lag behind disease progression and have limited utility for the early diagnosis of cancer cachexia. In this study, we performed a nuclear magnetic resonance‐based metabolomics analysis to reveal the metabolic profile of cancer cachexia and establish a diagnostic model. Methods Eighty‐four cancer cachexia patients, 33 pre‐cachectic patients, 105 weight‐stable cancer patients, and 74 healthy controls were included in the training and validation sets. Comparative analysis was used to elucidate the distinct metabolites of cancer cachexia, while metabolic pathway analysis was employed to elucidate reprogramming pathways. Random forest, logistic regression, and receiver operating characteristic analyses were used to select and validate the biomarker metabolites and establish a diagnostic model. Results Forty‐six cancer cachexia patients, 22 pre‐cachectic patients, 68 weight‐stable cancer patients, and 48 healthy controls were included in the training set, and 38 cancer cachexia patients, 11 pre‐cachectic patients, 37 weight‐stable cancer patients, and 26 healthy controls were included in the validation set. All four groups were age‐matched and sex‐matched in the training set. Metabolomics analysis showed a clear separation of the four groups. Overall, 45 metabolites and 18 metabolic pathways were associated with cancer cachexia. Using random forest analysis, 15 of these metabolites were identified as highly discriminating between disease states. Logistic regression and receiver operating characteristic analyses were used to create a distinct diagnostic model with an area under the curve of 0.991 based on three metabolites. The diagnostic equation was Logit(P) = −400.53 – 481.88
Development of beam diagnostic devices for characterizing electron guns
International Nuclear Information System (INIS)
Bhattacharjee, D.; Tiwari, R.; Jayaprakash, D.; Mishra, R.L.; Sarukte, H.; Waghmare, A.; Thakur, N.; Dixit, K.P.
2015-01-01
The electron guns for the DC accelerators and RF Linacs are designed and developed at EBC/APPD/BARC, Kharghar. These electron guns need to be characterized for its design and performance. Two test benches were developed for characterizing the electron guns. Various beam diagnostic devices for measuring beam currents and beam sizes were developed. Conical faraday cup, segmented faraday cup, slit scanning bellows movement arrangement, multi-plate beam size measurement setup, multi- wire beam size measurement setup, Aluminum foil puncture assembly etc. were developed and used. The paper presents the in-house development of various beam diagnostics for characterizing electron guns and their use. (author)
Weeds as agricultural constraint in Benin: results of a diagnostic study
Vissoh, P.V.; Gbèhounou, G.; Ahanchedé, A.; Kuyper, T.W.; Röling, N.G.
2004-01-01
Weeds are an emerging constraint on crop production, as a result of population pressure and more intensive use of cultivated land. A diagnostic study was carried out from June through August 2002 in the five agro-ecological zones of Benin (1) to identify the relative importance of weeds among major
Nonneutral plasma diagnostic commissioning for the ALPHA Antihydrogen experiment
Konewko, S.; Friesen, T.; Tharp, T. D.; Alpha Collaboration
2017-10-01
The ALPHA experiment at CERN creates antihydrogen by mixing antiproton and positron plasmas. Diagnostic measurements of the precursor plasmas are performed using a diagnostic suite, colloquially known as the ``stick.'' This stick has a variety of sensors and is able to move to various heights to align the desired diagnostic with the beamline. A cylindrical electrode, a faraday cup, an electron gun, and a microchannel-plate detector (MCP) are regularly used to control and diagnose plasmas in ALPHA. We have designed, built, and tested a new, upgraded stick which includes measurement capabilities in both beamline directions.
MFTF plasma diagnostics data acquisition system
International Nuclear Information System (INIS)
Davis, G.E.; Coffield, F.E.
1979-01-01
The initial goal of the Data Acquisition System (DAS) is to control 11 instruments chosen as the startup diagnostic set and to collect, process, and display the data that these instruments produce. These instruments are described in a paper by Stan Thomas, et. al. entitled ''MFTF Plasma Diagnostics System.'' The DAS must be modular and flexible enough to allow upgrades in the quantity of data taken by an instrument, and also to allow new instruments to be added to the system. This is particularly necessary to support a research project where needs and requirements may change rapidly as a result of experimental findings. Typically, the startup configuration of the diagnostic instruments will contain only a fraction of the planned detectors, and produce approximately one half the data that the expanded version is designed to generate. Expansion of the system will occur in fiscal year 1982
Diagnostic system for primary circuits of pressurized-water reactors
International Nuclear Information System (INIS)
Liska, J.; Majer, J.
1983-01-01
The diagnostic system monitors the reactor, the main circulating pipe, the main circulating pump, the main shut-off valve, the steam generator and the pressurizer. Diagnostic signals are obtained from the sensors designed for operation measurements and from sensors for special diagnostic purposes. The following operations are carried out: detection of dangerous dynamic stress of components, detection of damage to functional surfaces of components, detection of occurrence and propagation of defects in component materials, detection of loose particles and foreign bodies, detection of coolant leakage, detection of coolant boiling in the core and detection of impermissible non-homogeneities of fields of physical quantities in the core. The diagnostic system comprises: monitoring, classification of properly investigated effects, periodical tracing and long-term tracing. The operational diagnostics system developed by the SKODA Concern consists of a vibration monitoring system, a spectral analysis system and a central evaluation system. (M.D.)
Ergonomic design and evaluation of a diagnostic ultrasound transducer holder.
Ghasemi, Mohamad Sadegh; Hosseinzadeh, Payam; Zamani, Farhad; Ahmadpoor, Hossein; Dehghan, Naser
2017-12-01
Work-related musculoskeletal disorders (WMSDs) are injuries and disorders that affect the body's movement and musculoskeletal system. Awkward postures represent one of the major ergonomic risk factors that cause WMSDs among sonographers while working with an ultrasound transducer. This study aimed to design and evaluate a new holder for the ultrasound transducer. In the first phase a new holder was designed for the transducer, considering design principles. Evaluation of the new holder was then carried out by electrogoniometry and a locally perceived discomfort (LPD) scale. The application of design principles to the new holder resulted in an improvement of wrist posture and comfort. Wrist angles in extension, flexion, radial deviation and ulnar deviation were lower with utilization of the new holder. The severity of discomfort based on the LPD method in the two modes of work with and without the new holder was reported with values of 1.3 and 1.8, respectively (p ergonomics design principles was effective in minimizing wrist deviation and increasing comfort while working with the new holder.
Mechanical considerations for MFTF-B plasma-diagnostic system
International Nuclear Information System (INIS)
Thomas, S.R. Jr.; Wells, C.W.
1981-01-01
The reconfiguration of MFTF to a tandem mirror machine with thermal barriers has caused a significant expansion in the physical scope of plasma diagnostics. From a mechanical perspective, it complicates the plasma access, system interfaces, growth and environmental considerations. Conceptual designs characterize the general scope of the design and fabrication which remains to be done
Integration of ITER in-vessel diagnostic components in the vacuum vessel
International Nuclear Information System (INIS)
Encheva, A.; Bertalot, L.; Macklin, B.; Vayakis, G.; Walker, C.
2009-01-01
The integration of ITER in-vessel diagnostic components is an important engineering activity. The positioning of the diagnostic components must correlate not only with their functional specifications but also with the design of the major parts of ITER torus, in particular the vacuum vessel, blanket modules, blanket manifolds, divertor, and port plugs, some of which are not yet finally designed. Moreover, the recently introduced Edge Localised Mode (ELM)/Vertical Stability (VS) coils mounted on the vacuum vessel inner wall call for not only more than a simple review of the engineering design settled down for several years now, but also for a change in the in-vessel distribution of the diagnostic components and their full impact has yet to be determined. Meanwhile, the procurement arrangement (a document defining roles and responsibilities of ITER Organization and Domestic Agency(s) (DAs) for each in-kind procurement including technical scope of work, quality assurance requirements, schedule, administrative matters) for the vacuum vessel must be finalized. These make the interface process even more challenging in terms of meeting the vacuum vessel (VV) procurement arrangement's deadline. The process of planning the installation of all the ITER diagnostics and integrating their installation into the ITER Integrated Project Schedule (IPS) is now underway. This paper covers the progress made recently on updating and issuing the interfaces of the in-vessel diagnostic components with the vacuum vessel, outlines the requirements for their attachment and summarises the installation sequence.
Verdon, François; Junod, Michel; Herzig, Lilli; Vaucher, Paul; Burnand, Bernard; Bischoff, Thomas; Pécoud, Alain; Favrat, Bernard
2010-02-21
The intuitive early diagnostic guess could play an important role in reaching a final diagnosis. However, no study to date has attempted to quantify the importance of general practitioners' (GPs) ability to correctly appraise the origin of chest pain within the first minutes of an encounter. The validation study was nested in a multicentre cohort study with a one year follow-up and included 626 successive patients who presented with chest pain and were attended by 58 GPs in Western Switzerland. The early diagnostic guess was assessed prior to a patient's history being taken by a GP and was then compared to a diagnosis of chest pain observed over the next year. Using summary measures clustered at the GP's level, the early diagnostic guess was confirmed by further investigation in 51.0% (CI 95%; 49.4% to 52.5%) of patients presenting with chest pain. The early diagnostic guess was more accurate in patients with a life threatening illness (65.4%; CI 95% 64.5% to 66.3%) and in patients who did not feel anxious (62.9%; CI 95% 62.5% to 63.3%). The predictive abilities of an early diagnostic guess were consistent among GPs. The GPs early diagnostic guess was correct in one out of two patients presenting with chest pain. The probability of a correct guess was higher in patients with a life-threatening illness and in patients not feeling anxious about their pain.
Directory of Open Access Journals (Sweden)
Bischoff Thomas
2010-02-01
Full Text Available Abstract Background The intuitive early diagnostic guess could play an important role in reaching a final diagnosis. However, no study to date has attempted to quantify the importance of general practitioners' (GPs ability to correctly appraise the origin of chest pain within the first minutes of an encounter. Methods The validation study was nested in a multicentre cohort study with a one year follow-up and included 626 successive patients who presented with chest pain and were attended by 58 GPs in Western Switzerland. The early diagnostic guess was assessed prior to a patient's history being taken by a GP and was then compared to a diagnosis of chest pain observed over the next year. Results Using summary measures clustered at the GP's level, the early diagnostic guess was confirmed by further investigation in 51.0% (CI 95%; 49.4% to 52.5% of patients presenting with chest pain. The early diagnostic guess was more accurate in patients with a life threatening illness (65.4%; CI 95% 64.5% to 66.3% and in patients who did not feel anxious (62.9%; CI 95% 62.5% to 63.3%. The predictive abilities of an early diagnostic guess were consistent among GPs. Conclusions The GPs early diagnostic guess was correct in one out of two patients presenting with chest pain. The probability of a correct guess was higher in patients with a life-threatening illness and in patients not feeling anxious about their pain.
Physics R and D in support of ITER/BPX diagnostic development
International Nuclear Information System (INIS)
Donne, A.J.H.; Boivin, R.; Costley, A.E.
2003-01-01
The development of diagnostics for a next step burning plasma experiment (BPX) is a major challenge. Within the International Tokamak Physics Activity (ITPA), one Topical Group (TG) specialises in diagnostics and aims to support the development and design of the needed systems. Several diagnostics issues have been identified as 'high priority' and form the focus of current work of the TG. The core of this paper is a presentation and discussion of recent progress in the field of these high priority research topics. Moreover, the status of the recently initiated International Diagnostic Database will be briefly described. (author)
Dentistry 4. X-ray diagnostics
International Nuclear Information System (INIS)
2014-01-01
DIN pocketbook 267/4 gives an overview of the normative requirements of the new X-Ray and Radiation Protection Ordinance, which has been in effect since 1 November 2011. This DIN pocketbook is intended for anyone charged with professional responsibility for the use of ionizing radiation in dentistry, operators and users of x-ray devices, radiation protection officers, accredited experts, manufacturers as well as for anyone with an interest in radiation protection or optimal radiological diagnostics. It contains standards relating to the following areas: acceptance and constancy testing; devices for evaluating findings (monitors, film viewing devices), films, printers; archiving, designating, labelling. Adherence to the standards makes it possible to avoid distractive artefacts in x-ray images and optimise the quality of x-ray diagnostics in dentistry.
Evaluation of radiation protection in nuclear medicine diagnostic procedures
International Nuclear Information System (INIS)
Mohammed, Ezzeldien Mohammed Nour
2013-05-01
This study conducted to evaluate the radiation protection in nuclear medicine diagnostic procedures in four nuclear medicine departments in Sudan. The evaluated procedures followed in these departments were in accordance with the standards, International Recommendations and code of practice for radiation protection in nuclear medicine. The evolution included the optimum design for diagnostic nuclear medicine departments, dealing with radioactive sources, quality assurance and quality control, training and responsibilities for radiation worker taking into account economic factors in Sudan. Evaluation of radiation protection procedures in diagnostic investigations was carried out by taken direct measurements of dose rate and the contamination level in some areas where radiation sources, radiation workers and public are involved. Designated questionnaires covered thirteen areas of radiation protection based on inspection check list for nuclear medicine prepared by the International Atomic Energy Agency (IAEA) and American Association of Physicist in Medicine (AAPM) were used in the evaluation. This questionnaire has been Filled by Radiation Protection Officer (RPO), nuclear medicine technologist, nuclear medicine specialist in the nuclear medicine departments. Four hospitals, two governmental hospital and two private hospitals, have been assisted, the assessment shows that although the diagnostic nuclear medicine department in Sudan are not applying a fully safety and radiation protection procedures, but the level of radiation dose and the contamination level were found within acceptable limits. The private hospital D scored the higher level of protection (85.25%) while the governmental hospital C scored the lower level of protection (59.02%). Finally, this study stated some recommendations that if implemented could improve the level of radiation protection in nuclear medicine department. One of the most important recommendations is that a proper radiation protection
Development of PETAL diagnostics: PETAPhys project
Raffestin, D.; Boutoux, G.; Baggio, J.; Batani, D.; Blanchot, N.; Bretheau, D.; Hulin, S.; D'Humieres, E.; Granet, F.; Longhi, Th.; Meyer, Ch.; Moreno, Q.; Nuter, R.; Rault, J.; Tikhonchuk, V.; Universite de Bordeaux/Celia Team; CEA. DAM/Cesta Team
2017-10-01
Beginning of autumn 2017, PETAL, a Petawatt laser beam, will be operated for experiments on the LMJ facility at the CEA/ Cesta research center. The PETAPhys project provides a support to the qualification phase of the PETAL laser operation. Within the PETAPhys project, we are developing two simple and robust diagnostics permitting both to characterize the focal spot of the PETAL beam and to measure the hard X-ray spectrum at each shot. The first diagnostic consists in optical imaging of the PETAL beam focal spot in the spectral range of the second and third harmonic radiation emitted from the target. The second diagnostic is a hard X-ray dosimeter consisting in a stack of imaging plates (IP) and filters, either placed inside a re-entrant tube or inserted close to target. Numerical simulations as well as experiments on small scale facilities have been performed to design these diagnostics. If available, preliminary results from PETAL experiments will be discussed. We acknowledge the financial support from the French National Research Agency (ANR) in the framework of ``the investments for the future'' Programme IdEx Bordeaux-LAPHIA (ANR-10-IDEX-03-02).
STARD 2015: An Updated List of Essential Items for Reporting Diagnostic Accuracy Studies
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
Noise diagnostics research at the Institute for Electric Power Research
International Nuclear Information System (INIS)
Voeroess, L.
1983-01-01
The main goal of recent research is the designing of a diagnostic system for the Paks nuclear power plant. It includes the designing of measuring cascades for measuring mechanical vibrations caused by flow and pressure fluctuations in the primary coolant circuit, the arrangement of measuring cascades for measuring turbine bearing vibrations in the secondary coolant circuit, and the development, manufacturing and commissioning of a central data acquisition and processing unit for the whole diagnostic system. Simultaneously computer models are developed for improving the interpretation. Moreover, it is planned to develop methods for estimating residual lifetime and the status of plant components. (author)
International Nuclear Information System (INIS)
Marinoni, A.
2009-10-01
therefore also well suited to investigate inhomogeneous spatial regions, where the need for an excellent spatial resolution is greatest. Additionally, it was also designed as translatable to broaden the region of study, which can extend up to the magnetic axis, in selected configurations. The translatable design combined with the flexibility of TCV in terms of plasma positioning in the vacuum vessel allows the phase contrast system to measure fluctuations across virtually the whole plasma minor radius. The diagnostic is sensitive both to radial and poloidal wave numbers, depending on the configuration. A parallel project to the development and installation of the phase contrast imaging system was the installation of a prototype Doppler reflectometer operating in a homodyne configuration, both in X and in O mode polarization. The reflectometer was operated parasitically to assess its performance which proved to be excellent; it is now routinely available on TCV. The theoretical part of the thesis consisted of extensive modeling of the effect of plasma shape, in particular triangularity, on turbulent transport by means of linear and nonlinear gyrokinetic simulations. This was motivated by experiments on TCV that had shown a dramatic improvement in confinement, up to a factor of two, in inverting the sign of the triangularity from positive to negative. Negative triangularity was indeed found to have a stabilizing influence on ion scale instabilities, specifically on the so called trapped electron mode (TEM). Simulations were carried out on actual TCV shots and the variation of the heat flux with triangularity calculated by the nonlinear simulations is in fair agreement with the experimental results. Linear simulations and a simple analytical model explain, in agreement with nonlinear runs, the resulting stabilization as a result of a rather complex modification of the toroidal precessional drift of trapped particles exerted by negative triangularity. (author)
Diagnostics Plan for the National Compact Stellarator Experiment
International Nuclear Information System (INIS)
D. Johnson; T. Brown; H. Neilson; G. Schilling; H. Takahashi; M. Zarnstorff; M. Cole; E. Lazarus; and M. Fenstermacher
2002-01-01
The National Compact Stellarator Experiment (NCSX) is a stellarator-tokamak hybrid seeking to combine the good confinement, high beta and moderate aspect ratio of the tokamak with the quasi-steady-state operation and good stability properties of the stellarator. A preliminary list of measurement requirements, intended to satisfy the needs of the phased research plan, provides the basis for a full complement of plasma diagnostics. It is important to consider this full set, even at this early stage, to assess the adequacy of the stellarator design for diagnostic port access. The 3-D nature of the plasma is a measurement challenge, as is the necessity for high spatial resolution to assess the quality of magnetic surfaces. Other diagnostic requirements include the need for re-entrant views that penetrate the cryostat, for a convenient e-beam probe for field line mapping, and for a diagnostic neutral beam for active spectroscopy
Development of new diagnostics for WEST
International Nuclear Information System (INIS)
Lotte, P.; Moreau, P.; Gil, C.
2015-01-01
WEST, the upgraded superconducting tokamak Tore Supra, will be an international experimental platform aimed to support ITER Physics program. The main objective of WEST is to provide relevant plasma conditions for validating plasma facing component (PFC) technology, in particular the actively cooled Tungsten divertor monoblocks, and also assessing high heat flux and high fluence plasma wall interactions with Tungsten in order to prepare ITER divertor operation. In parallel, WEST will also open new experimental opportunities for developing integrated H mode operation and exploring steady state scenarios in a metallic environment. In order to fulfil the Scientific Program of WEST, new diagnostics have been developed in addition to the already existing diagnostics of Tore Supra, modified and improved during the shutdown. For the PFC technology validation program, new tools have been implemented, like a full infrared survey of the PFC, a new calorimetry system, local temperature measurements (thermocouple and Bragg grating optical fiber), and several sets of Langmuir probes. For the analysis of long pulse H mode operation, new plasma diagnostics will be implemented, among which the Visible Spectroscopy diagnostic for W sources and transport studies, the Soft-Xray diagnostic based on gas electron multiplier detectors for transport and MHD studies, the X-ray imaging crystal spectroscopy diagnostic with advanced solid state detector properties for ion temperature, ion density and plasma rotation velocity measurements, and the ECE Imaging diagnostic for MHD and turbulence studies. Most of these new diagnostics are developed with the participation of French Universities or through international collaborations. This paper focuses on the description of these four plasma diagnostics. (author)
Psychologists' diagnostic processes during a diagnostic interview
Groenier, Marleen; Beerthuis, Vos R.J.; Pieters, Julius Marie; Witteman, C.L.M.; Witteman, Cilia L.M.; Swinkels, Jan A.
2011-01-01
In mental health care, psychologists assess clients’ complaints, analyze underlying problems, and identify causes for these problems, to make treatment decisions. We present a study on psychologists’ diagnostic processes, in which a mixed-method approach was employed. We aimed to identify a common
Kim, So Hyun; Thurm, Audrey; Shumway, Stacy; Lord, Catherine
2013-01-01
Using two independent datasets provided by National Institute of Health funded consortia, the Collaborative Programs for Excellence in Autism and Studies to Advance Autism Research and Treatment (n = 641) and the National Institute of Mental Health (n = 167), diagnostic validity and factor structure of the new Autism Diagnostic Interview (ADI-R)…
Owen, Rhiannon K; Cooper, Nicola J; Quinn, Terence J; Lees, Rosalind; Sutton, Alex J
2018-07-01
Network meta-analyses (NMA) have extensively been used to compare the effectiveness of multiple interventions for health care policy and decision-making. However, methods for evaluating the performance of multiple diagnostic tests are less established. In a decision-making context, we are often interested in comparing and ranking the performance of multiple diagnostic tests, at varying levels of test thresholds, in one simultaneous analysis. Motivated by an example of cognitive impairment diagnosis following stroke, we synthesized data from 13 studies assessing the efficiency of two diagnostic tests: Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA), at two test thresholds: MMSE accounting for the correlations between multiple test accuracy measures from the same study. We developed and successfully fitted a model comparing multiple tests/threshold combinations while imposing threshold constraints. Using this model, we found that MoCA at threshold decision making. Copyright © 2018 The Authors. Published by Elsevier Inc. All rights reserved.
Directory of Open Access Journals (Sweden)
E. de Vries
2013-01-01
Full Text Available Abstract. Members of the European Society for Immunodeficiencies (ESID and other colleagues have updated themulti-stage expert-opinion-based diagnostic protocol for non-immunologists incorporating newly defined primary immunodeficiency diseases (PIDs. The protocol presented here aims to increase the awareness of PIDs among doctors working in different fields. Prompt identification of PID is important for prognosis, but this may not be an easy task. The protocol therefore starts from the clinical presentation of the patient. Because PIDs may present at all ages, this protocol is aimed at both adult and paediatric physicians. The multi-stage design allows cost-effective screening for PID of the large number of potential cases in the early phases, with more expensive tests reserved for definitive classification in collaboration with a specialist in the field of immunodeficiency at a later stage.
Bossé, Janine T; Li, Yanwen; Sárközi, Rita; Gottschalk, Marcelo; Angen, Øystein; Nedbalcova, Katerina; Rycroft, Andrew N; Fodor, László; Langford, Paul R
2017-03-01
Actinobacillus pleuropneumoniae causes pleuropneumonia, an economically significant lung disease of pigs. Recently, isolates of A. pleuropneumoniae that were serologically distinct from the previously characterized 15 serovars were described, and a proposal was put forward that they comprised a new serovar, serovar 16. Here we used whole-genome sequencing of the proposed serovar 16 reference strain A-85/14 to confirm the presence of a unique capsular polysaccharide biosynthetic locus. For molecular diagnostics, primers were designed from the capsule locus of strain A-85/14, and a PCR was formulated that differentiated serovar 16 isolates from all 15 known serovars and other common respiratory pathogenic/commensal bacteria of pigs. Analysis of the capsule locus of strain A-85/14 combined with the previous serological data show the existence of a sixteenth serovar-designated serovar 16-of A. pleuropneumoniae . Copyright © 2017 Bossé et al.
Directory of Open Access Journals (Sweden)
Lázzari Julio O.
1998-01-01
Full Text Available An electrocardiographic recording method with an associated reading guide, designed for epidemiological studies on Chagas' disease, was tested to assess its diagnostic reproducibility. Six cardiologists from five countries each read 100 electrocardiographic (ECG tracings, including 30 from chronic chagasic patients, then reread them after an interval of 6 months. The readings were blind, with the tracings numbered randomly for the first reading and renumbered randomly for the second reading. The physicians, all experienced in interpreting ECGs from chagasic patients, followed printed instructions for reading the tracings. Reproducibility of the readings was evaluated using the kappa (k index for concordance. The results showed a high degree of interobserver concordance with respect to the diagnosis of normal vs. abnormal tracings (k = 0.66; SE 0.02. While the interpretations of some categories of ECG abnormalities were highly reproducible, others, especially those having a low prevalence, showed lower levels of concordance. Intraobserver concordance was uniformly higher than interobserver concordance. The findings of this study justify the use by specialists of the recording of readings method proposed for epidemiological studies on Chagas' disease, but warrant caution in the interpretation of some categories of electrocardiographic alterations.
Directory of Open Access Journals (Sweden)
Julio O. Lázzari
1998-11-01
Full Text Available An electrocardiographic recording method with an associated reading guide, designed for epidemiological studies on Chagas' disease, was tested to assess its diagnostic reproducibility. Six cardiologists from five countries each read 100 electrocardiographic (ECG tracings, including 30 from chronic chagasic patients, then reread them after an interval of 6 months. The readings were blind, with the tracings numbered randomly for the first reading and renumbered randomly for the second reading. The physicians, all experienced in interpreting ECGs from chagasic patients, followed printed instructions for reading the tracings. Reproducibility of the readings was evaluated using the kappa (k index for concordance. The results showed a high degree of interobserver concordance with respect to the diagnosis of normal vs. abnormal tracings (k = 0.66; SE 0.02. While the interpretations of some categories of ECG abnormalities were highly reproducible, others, especially those having a low prevalence, showed lower levels of concordance. Intraobserver concordance was uniformly higher than interobserver concordance. The findings of this study justify the use by specialists of the recording of readings method proposed for epidemiological studies on Chagas' disease, but warrant caution in the interpretation of some categories of electrocardiographic alterations.
Diagnostic accuracy of lymphoma established by fine-needle aspiration cytological biopsy
Delyuzar; Amir, Z.; Suryadi, D.
2018-03-01
Based on Globocan data in 2012, it is estimated that about 14,495 Indonesians suffer from lymphoma, both Hodgkin’s lymphoma, and non-Hodgkin’s lymphoma. Some areas of specialization still doubt the accuracy of cytology diagnosis of fine needle aspiration biopsy.This study is a diagnostic test with a cross sectional analytic design to see how the cytology diagnostic accuracy of fine needle aspiration aspirate in lymphoma. It was in Department of Anatomical Pathology Faculty of Medicine USU, Haji Adam Malik Hospital, Dr.Pirngadi hospital, or private clinic in Medan. Peripheral cytology technique biopsy of fine needle aspiration on lymph node subsequently stained with Giemsa, when the cytology of lymphoma is obtained and confirmed by histopathologic examination. Cytology and histopathologic examination will be tested by Diagnostic Test and assessed for its sensitivity and specificity. The diagnostic of lymphoma cytology provides 93.33% sensitivity and 92.31% specificity when confirmed by histopathological examination. Positive predictive value and negative predictive value of 96.55% and 85.71% respectively. In conclusion, the cytology of fine needle aspiration biopsy is accurate enough to be used as a diagnostic tool, so it is advisable to establish a lymphoma diagnosis to perform a needle aspiration biopsy examination.
Assessing the Utility of Diagnostic Criteria: A Multisite Study on Gender Identity Disorder
Paap, M.C.S.; Kreukels, B.P.C.; Cohen-Kettenis, P.T.; Richter-Appelt, H.; De Cuypere, G.; Haraldsen, I.R.
2011-01-01
Studies involving patients with gender identity disorder (GID) are inconsistent with regard to outcomes and often difficult to compare because of the vague descriptions of the diagnostic process. A multisite study is needed to scrutinize the utility and generality of different aspects of the
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
Andreeva, I V; Kozlov, S N; Korolev, S V; Belikov, A N; Grinev, A V; Evstaf'ev, V V; Kirpicheva, N N; Serdiutskaia, M V; Stetsiuk, O U; Fokin, A A; Khrianin, A A
2012-01-01
The aim of the study was to estimate the diagnostic and treatment patterns in the management of acute nongonococcal urethritis (NGU) in males in some cities of Russia. Retrospective cross-sectional study was conducted in 2009 in 5 centers of 4 cities in the Central Part of Russia (Kaluga, Pskov, Smolensk - 2 centres and Tula). The data on the diagnostic and treatment approaches to the management of NGU in male subjects >16 years old were collected and analyzed with the use of specially designed case report forms. 556 cases of acute urethritis were analyzed during the study. The diagnosis of NGU was confirmed in 401 cases. The average age of the patients was 29.8 years (16-68 years). The following diagnostic methods were used in 95% of the cases: urethral smear microscopy (314/82.4%), C. trachomatis - PCR (113/29.7%), ELISA (155/40.7%); T. vaginalis - PCR (106/27.8%); U. urealyricum and M. hominis, respectively - bacteriology (140/36.7% and 126/33.1%), PCR (110/28.9% and 108/28.3%); M. genitalium - PCR (110/28.9%). The treatment patterns included antimicrobials AMs alone in 60.3, and AMs + non-AMs in 37.8% of the cases. The most frequently prescribed AMs were azithromycin (27.5%), fluconazole (16.4%), doxycycline (13.6%), metronidazole (11.2%), ofloxacine (7.3%), ceftriaxone (4.4%), josamycin (4.2). According to the results use of the standard methods for NGU diagnosis was rather rare. The use of PCR for atypical pathogens was the following: C. trachomatis 29.7%, U. urealyticum 36.7%, M. hominis 28.9%, M. genitalium 28.3%. Doubtful culture methods were used for detection of U. urealyticum and M. hominis (36.7% and 33.1%). The AMs treatment in some cases was not in compliance with the up-to-date practical guidelines for STD and NGU.
Synthetic biology devices for in vitro and in vivo diagnostics.
Slomovic, Shimyn; Pardee, Keith; Collins, James J
2015-11-24
There is a growing need to enhance our capabilities in medical and environmental diagnostics. Synthetic biologists have begun to focus their biomolecular engineering approaches toward this goal, offering promising results that could lead to the development of new classes of inexpensive, rapidly deployable diagnostics. Many conventional diagnostics rely on antibody-based platforms that, although exquisitely sensitive, are slow and costly to generate and cannot readily confront rapidly emerging pathogens or be applied to orphan diseases. Synthetic biology, with its rational and short design-to-production cycles, has the potential to overcome many of these limitations. Synthetic biology devices, such as engineered gene circuits, bring new capabilities to molecular diagnostics, expanding the molecular detection palette, creating dynamic sensors, and untethering reactions from laboratory equipment. The field is also beginning to move toward in vivo diagnostics, which could provide near real-time surveillance of multiple pathological conditions. Here, we describe current efforts in synthetic biology, focusing on the translation of promising technologies into pragmatic diagnostic tools and platforms.
DEFF Research Database (Denmark)
Vavere, Andrea L; Simon, Gregory G; George, Richard T
2013-01-01
Multidetector coronary computed tomography angiography (CTA) is a promising modality for widespread clinical application because of its noninvasive nature and high diagnostic accuracy as found in previous studies using 64 to 320 simultaneous detector rows. It is, however, limited in its ability...... to detect myocardial ischemia. In this article, we describe the design of the CORE320 study ("Combined coronary atherosclerosis and myocardial perfusion evaluation using 320 detector row computed tomography"). This prospective, multicenter, multinational study is unique in that it is designed to assess...... the diagnostic performance of combined 320-row CTA and myocardial CT perfusion imaging (CTP) in comparison with the combination of invasive coronary angiography and single-photon emission computed tomography myocardial perfusion imaging (SPECT-MPI). The trial is being performed at 16 medical centers located in 8...
Diagnostic accuracy of physical examination tests of the ankle/foot complex: a systematic review.
Schwieterman, Braun; Haas, Deniele; Columber, Kirby; Knupp, Darren; Cook, Chad
2013-08-01
Orthopedic special tests of the ankle/foot complex are routinely used during the physical examination process in order to help diagnose ankle/lower leg pathologies. The purpose of this systematic review was to investigate the diagnostic accuracy of ankle/lower leg special tests. A search of the current literature was conducted using PubMed, CINAHL, SPORTDiscus, ProQuest Nursing and Allied Health Sources, Scopus, and Cochrane Library. Studies were eligible if they included the following: 1) a diagnostic clinical test of musculoskeletal pathology in the ankle/foot complex, 2) description of the clinical test or tests, 3) a report of the diagnostic accuracy of the clinical test (e.g. sensitivity and specificity), and 4) an acceptable reference standard for comparison. The quality of included studies was determined by two independent reviewers using the Quality Assessment of Diagnostic Accuracy Studies 2 (QUADAS-2) tool. Nine diagnostic accuracy studies met the inclusion criteria for this systematic review; analyzing a total of 16 special tests of the ankle/foot complex. After assessment using the QUADAS-2, only one study had low risk of bias and low concerns regarding applicability. Most ankle/lower leg orthopedic special tests are confirmatory in nature and are best utilized at the end of the physical examination. Most of the studies included in this systematic review demonstrate notable biases, which suggest that results and recommendations in this review should be taken as a guide rather than an outright standard. There is need for future research with more stringent study design criteria so that more accurate diagnostic power of ankle/lower leg special tests can be determined. 3a.
Tsui, Chi-Yan; Treagust, David
2010-05-01
While genetics has remained as one key topic in school science, it continues to be conceptually and linguistically difficult for students with the concomitant debates as to what should be taught in the age of biotechnology. This article documents the development and implementation of a two-tier multiple-choice instrument for diagnosing grades 10 and 12 students' understanding of genetics in terms of reasoning. The pretest and posttest forms of the diagnostic instrument were used alongside other methods in evaluating students' understanding of genetics in a case-based qualitative study on teaching and learning with multiple representations in three Western Australian secondary schools. Previous studies have shown that a two-tier diagnostic instrument is useful in probing students' understanding or misunderstanding of scientific concepts and ideas. The diagnostic instrument in this study was designed and then progressively refined, improved, and implemented to evaluate student understanding of genetics in three case schools. The final version of the instrument had Cronbach's alpha reliability of 0.75 and 0.64, respectively, for its pretest and the posttest forms when it was administered to a group of grade 12 students (n = 17). This two-tier diagnostic instrument complemented other qualitative data collection methods in this research in generating a more holistic picture of student conceptual learning of genetics in terms of scientific reasoning. Implications of the findings of this study using the diagnostic instrument are discussed.
Godiva IV and Juliet Diagnostics CED-1, Rev. 1 (IER-176)
Energy Technology Data Exchange (ETDEWEB)
Scorby, J C; Myers, W L
2012-04-11
The Juliet experiment is currently in preliminary design (IER-128). This experiment will utilize a suite of diagnostics to measure the physical state of the device (temperature, surface motion, stress, etc.) and the total and time rate of change of neutron and gamma fluxes. A variety of potential diagnostics has been proposed in this CED-1 report. Based on schedule and funding, a subset of diagnostics will be selected for testing using the Godiva IV pulsed reactor as a source of neutrons and gammas. The diagnostics development and testing will occur over a two year period (FY12-13) culminating in a final set of diagnostics to be fielded for he Juliet experiment currently proposed for execution in FY15.
Development of Laser-Induced Fluorescence Diagnostic for the Paul Trap Simulator Experiment
Chung, Moses; Efthimion, Philip; Gilson, Erik P; Majeski, Richard; Startsev, Edward
2005-01-01
The Paul Trap Simulator Experiment (PTSX) is a cylindrical Paul trap whose purpose is to simulate the nonlinear dynamics of intense charged particle beam propagation in alternating-gradient magnetic transport systems. For the in-situ measurement of the transverse ion density profile in the PTSX device, which is essential for the study of beam mismatch and halo particle production, a laser-induced fluorescence diagnostic system is being developed. Instead of cesium, which has been used in the initial phase of the PTSX experiment, barium has been selected as the preferred ion for the laser-induced fluorescence diagnostic. The installation of the barium ion source and the characterization of the tunable dye laser system are discussed. The design of the collection optics with an intensified CCD camera system is also discussed. Finally, initial test results using the laser-induced fluorescence diagnostic will be presented.
Mechanical Design of the NSTX High-k Scattering Diagnostic
International Nuclear Information System (INIS)
Feder, R.; Mazzucato, E.; Munsat, T.; Park, H.; Smith, D.R.; Ellis, R.; Labik, G.; Priniski, C.
2005-01-01
The NSTX High-k Scattering Diagnostic measures small-scale density fluctuations by the heterodyne detection of waves scattered from a millimeter wave probe beam at 280 GHz and λ = 1.07 mm. To enable this measurement, major alterations were made to the NSTX vacuum vessel and Neutral Beam armor. Close collaboration between the PPPL physics and engineering staff resulted in a flexible system with steerable launch and detection optics that can position the scattering volume either near the magnetic axis (ρ ∼ .1) or near the edge (ρ ∼ .8). 150 feet of carefully aligned corrugated waveguide was installed for injection of the probe beam and collection of the scattered signal in to the detection electronics
Mechanical Design of the NSTX High-k Scattering Diagnostic
Energy Technology Data Exchange (ETDEWEB)
Feder, R.; Mazzucato, E.; Munsat, T.; Park, H,; Smith, D. R.; Ellis, R.; Labik, G.; Priniski, C.
2005-09-26
The NSTX High-k Scattering Diagnostic measures small-scale density fluctuations by the heterodyne detection of waves scattered from a millimeter wave probe beam at 280 GHz and {lambda}=1.07 mm. To enable this measurement, major alterations were made to the NSTX vacuum vessel and Neutral Beam armor. Close collaboration between the PPPL physics and engineering staff resulted in a flexible system with steerable launch and detection optics that can position the scattering volume either near the magnetic axis ({rho} {approx} .1) or near the edge ({rho} {approx} .8). 150 feet of carefully aligned corrugated waveguide was installed for injection of the probe beam and collection of the scattered signal in to the detection electronics.
Directory of Open Access Journals (Sweden)
Luísa Sá
Full Text Available Physicians' ability to make cost-effective decisions has been shown to be affected by their knowledge of health care costs. This study assessed whether Portuguese family physicians are aware of the costs of the most frequently prescribed diagnostic and laboratory tests.A cross-sectional study was conducted in a representative sample of Portuguese family physicians, using computer-assisted telephone interviews for data collection. A Likert scale was used to assess physician's level of agreement with four statements about health care costs. Family physicians were also asked to estimate the costs of diagnostic and laboratory tests. Each physician's cost estimate was compared with the true cost and the absolute error was calculated.One-quarter (24%; 95% confidence interval: 23%-25% of all cost estimates were accurate to within 25% of the true cost, with 55% (95% IC: 53-56 overestimating and 21% (95% IC: 20-22 underestimating the true actual cost. The majority (76% of family physicians thought they did not have or were uncertain as to whether they had adequate knowledge of diagnostic and laboratory test costs, and only 7% reported receiving adequate education. The majority of the family physicians (82% said that they had adequate access to information about the diagnostic and laboratory test costs. Thirty-three percent thought that costs did not influence their decision to order tests, while 27% were uncertain.Portuguese family physicians have limited awareness of diagnostic and laboratory test costs, and our results demonstrate a need for improved education in this area. Further research should focus on identifying whether interventions in cost knowledge actually change ordering behavior, in identifying optimal methods to disseminate cost information, and on improving the cost-effectiveness of care.
Sá, Luísa; Costa-Santos, Cristina; Teixeira, Andreia; Couto, Luciana; Costa-Pereira, Altamiro; Hespanhol, Alberto; Santos, Paulo; Martins, Carlos
2015-01-01
Background Physicians’ ability to make cost-effective decisions has been shown to be affected by their knowledge of health care costs. This study assessed whether Portuguese family physicians are aware of the costs of the most frequently prescribed diagnostic and laboratory tests. Methods A cross-sectional study was conducted in a representative sample of Portuguese family physicians, using computer-assisted telephone interviews for data collection. A Likert scale was used to assess physician’s level of agreement with four statements about health care costs. Family physicians were also asked to estimate the costs of diagnostic and laboratory tests. Each physician’s cost estimate was compared with the true cost and the absolute error was calculated. Results One-quarter (24%; 95% confidence interval: 23%–25%) of all cost estimates were accurate to within 25% of the true cost, with 55% (95% IC: 53–56) overestimating and 21% (95% IC: 20–22) underestimating the true actual cost. The majority (76%) of family physicians thought they did not have or were uncertain as to whether they had adequate knowledge of diagnostic and laboratory test costs, and only 7% reported receiving adequate education. The majority of the family physicians (82%) said that they had adequate access to information about the diagnostic and laboratory test costs. Thirty-three percent thought that costs did not influence their decision to order tests, while 27% were uncertain. Conclusions Portuguese family physicians have limited awareness of diagnostic and laboratory test costs, and our results demonstrate a need for improved education in this area. Further research should focus on identifying whether interventions in cost knowledge actually change ordering behavior, in identifying optimal methods to disseminate cost information, and on improving the cost-effectiveness of care. PMID:26356625