2014 DOE Vehicle Technologies Office Annual Merit Review

Energy Technology Data Exchange (ETDEWEB)

None

2014-11-01

The 2014 U.S. Department of Energy (DOE) Fuel Cell Technologies Office (FCTO) and Vehicle Technologies Office (VTO) Annual Merit Review and Peer Evaluation Meeting (AMR) was held June 16-20, 2014, in Washington, DC. The review encompassed all of the work done by the FCTO and the VTO: a total of 295 individual activities were reviewed for VTO, by a total of 179 reviewers. A total of 1,354 individual review responses were received for the VTO technical reviews. The objective of the meeting was to review the accomplishments and plans for VTO over the previous 12 months, and provide an opportunity for industry, government, and academia to give inputs to DOE on the Office with a structured and formal methodology. The meeting also provided attendees with a forum for interaction and technology information transfer.

2013 DOE Vehicle Technologies Office Annual Merit Review

Energy Technology Data Exchange (ETDEWEB)

none,

2013-10-01

The 2013 U.S. Department of Energy (DOE) Fuel Cell Technologies Office (FCTO) and Vehicle Technologies Office (VTO) Annual Merit Review and Peer Evaluation Meeting (AMR) was held May 13-17, 2013, in Crystal City, Virginia. The review encompassed all of the work done by the FCTO and the VTO: a total of 287 individual activities were reviewed for VTO, by a total of 187 reviewers. A total of 1,382 individual review responses were received for the VTO technical reviews. The objective of the meeting was to review the accomplishments and plans for VTO over the previous 12 months, and provide an opportunity for industry, government, and academia to give inputs to DOE on the Office with a structured and formal methodology. The meeting also provided attendees with a forum for interaction and technology information transfer.

SPI Project Criticality Task Force initial review and assessment

International Nuclear Information System (INIS)

McKinley, K.B.; Cannon, J.W.; Marsden, R.S.; Worle, H.A.

1980-03-01

The Slagging Pyrolysis Incinerator (SPI) Facility is being developed to process transuranic waste stored and buried at the Idaho National Engineering Laboratory (INEL) into a chemically inert, physically stable, basalt-like residue acceptable for a Federal Repository. A task force was established by the SPI Project Division to review and assess all aspects of criticality safety for the SPI Facility. This document presents the initial review, evaluations, and recommendations of the task force and includes the following: background information on waste characterization, and criticality control approaches and philosophies, a description of the SPI Facility Waste Processing Building, a review and assessment of potentially relevant codes and regulations; a review and assessment of the present state of criticality and assaying/monitoring studies, and recommendations for changes in and additions to these studies. The review and assessment of potentially relevant codes and regulations indicate that ERDAM 0530, Nuclear Criticality Safety should be the controlling document for criticality safety for the SPI Project. In general, the criticality control approaches and philosophies for the SPI Project comply with this document

SRTC criticality safety technical review: Nuclear Criticality Safety Evaluation 93-04 enriched uranium receipt

International Nuclear Information System (INIS)

Rathbun, R.

1993-01-01

Review of NMP-NCS-930087, open-quotes Nuclear Criticality Safety Evaluation 93-04 Enriched Uranium Receipt (U), July 30, 1993, close quotes was requested of SRTC (Savannah River Technology Center) Applied Physics Group. The NCSE is a criticality assessment to determine the mass limit for Engineered Low Level Trench (ELLT) waste uranium burial. The intent is to bury uranium in pits that would be separated by a specified amount of undisturbed soil. The scope of the technical review, documented in this report, consisted of (1) an independent check of the methods and models employed, (2) independent HRXN/KENO-V.a calculations of alternate configurations, (3) application of ANSI/ANS 8.1, and (4) verification of WSRC Nuclear Criticality Safety Manual procedures. The NCSE under review concludes that a 500 gram limit per burial position is acceptable to ensure the burial site remains in a critically safe configuration for all normal and single credible abnormal conditions. This reviewer agrees with that conclusion

Tank farm nuclear criticality review

International Nuclear Information System (INIS)

Bratzel, D.R.

1996-01-01

The technical basis for the nuclear criticality safety of stored wastes at the Hanford Site Tank Farm Complex was reviewed by a team of senior technical personnel whose expertise covered all appropriate aspects of fissile materials chemistry and physics. The team concluded that the detailed and documented nucleonics-related studies underlying the waste tanks criticality safety basis were sound. The team concluded that, under current plutonium inventories and operating conditions, a nuclear criticality accident is incredible in any of the Hanford single-shell tanks (SST), double-shell tanks (DST), or double-contained receiver tanks (DCRTS) on the Hanford Site

Complex-wide review of DOE`s management of low-level radioactive waste - progress to date

Energy Technology Data Exchange (ETDEWEB)

Letourneau, M.J.

1995-12-31

The Defense Nuclear Facilities Safety Board (DNFSB) Recommendation 94-2 includes a recommendation that the Department of Energy (DOE) conduct a comprehensive, complex-wide review of the low-level waste issue to establish the dimensions of the low-level waste problem and to identify necessary corrective actions to address the safe disposition of past, present, and future volumes. DOE`s Implementation Plan calls for the conduct of a complex-wide review of low-level radioactive waste treatment, storage, and disposal sites to identify environmental, safety, and health vulnerabilities. The complex-wide review focuses on low-level waste disposal facilities through a site evaluation survey, reviews of existing documentation, and onsite observations. Low-level waste treatment and storage facilities will be assessed for their ability to meet waste acceptance criteria for disposal. Results from the complex-wide review will be used to form the basis for an integrated and planned set of actions to correct the identified vulnerabilities and to prompt development of new requirements for managing low-level waste.

SRTC criticality safety technical review of SRT-CMA-930039

International Nuclear Information System (INIS)

Rathbun, R.

1993-01-01

Review of SRT-CMA-930039, ''Nuclear Criticality Safety Evaluation (NCSE): DWPF Melter-Batch 1,'' December 1, 1993, has been performed by the Savannah River Technical Center (SRTC) Applied Physics Group. The NCSE is a criticality assessment of the Melt Cell in the DWPF. Additionally, this pertains only to Batch 1 operation, which differs from batches to follow. Plans for subsequent batch operations call for fissile material in the Salt Cell feed-stream, which necessitates a separate criticality evaluation in the future. The NCSE under review concludes that the process is safe from criticality events, even in the event that all lithium and boron neutron poisons are lost, provided uranium enrichments are less than 40%. Furthermore, if all the lithium and as much as 98% of the boron would be lost, uranium enrichments of 100% would be allowable. After a thorough review of the NCSE, this reviewer agrees with that conclusion. This technical review consisted of: an independent check of the methods and models employed, independent calculations application of ANSI/ANS 8.1, verification of WSRC Nuclear Criticality Safety Manual( 2 ) procedures

The policy challenges of tradable credits: A critical review of eight markets

International Nuclear Information System (INIS)

Sovacool, Benjamin K.

2011-01-01

This article offers a critical review of eight tradable permit markets: water permits at Fox River, Wisconsin; the U.S. leaded gasoline phase-out; sulfur dioxide credits under the U.S. Clean Air Act Amendments of 1990; the Regional Clean Air Incentives Market (RECLAIM) for controlling ozone and acid rain in Southern California; renewable energy credit trading at the regional level in the United States; individual transferrable quotas for fisheries at the national level in New Zealand; carbon credits traded under the European Union-Emissions Trading Scheme; and carbon offsets permitted under the Clean Development Mechanism of the Kyoto Protocol. By 'critical' the article does not fully weigh the costs and benefits of each tradable credit scheme and instead identifies key challenges and problems. By 'review' the author relied exclusively on secondary data from an interdisciplinary review of the academic literature. Rather than performing as economic theory suggests, the article shows that in many cases credit markets are prone to compromises in program design, transaction costs, price volatility, leakage, and environmental degradation. The article concludes by discussing the implications of these problems for those seeking to design more equitable and effective public policies addressing environmental degradation and climate change. - Research Highlights: →This study reviews eight tradable credit markets. →It finds that markets are prone to common problems. →It concludes that tradable permit markets are political instruments as much as they are economic ones.

2012 DOE Vehicle Technologies Program Annual Merit Review

Energy Technology Data Exchange (ETDEWEB)

None

2012-10-26

The 2012 DOE Hydrogen Program and Vehicle Technologies Program Annual Merit Review and Peer Evaluation Meeting was held May 14-18, 2012 in Crystal City, Virginia. The review encompassed all of the work done by the Hydrogen Program and the Vehicle Technologies Program: a total of 309 individual activities were reviewed for Vehicle Technologies, by a total of 189 reviewers. A total of 1,473 individual review responses were received for the technical reviews.

Criticality Potential of Waste Packages Containing DOE SNF Affected by Igneous Intrusion

International Nuclear Information System (INIS)

D.S. Kimball; C.E. Sanders

2006-01-01

The Department of Energy (DOE) is currently preparing an application to submit to the U.S. Nuclear Regulatory Commission for a construction authorization for a monitored geologic repository. The repository will contain spent nuclear fuel (SNF) and defense high-level waste (DHLW) in waste packages placed in underground tunnels, or drifts. The primary objective of this paper is to perform a criticality analysis for waste packages containing DOE SNF affected by a disruptive igneous intrusion event in the emplacement drifts. The waste packages feature one DOE SNF canister placed in the center and surrounded by five High-Level Waste (HLW) glass canisters. The effective neutron multiplication factor (k eff ) is determined for potential configurations of the waste package during and after an intrusive igneous event. Due to the complexity of the potential scenarios following an igneous intrusion, finding conservative and bounding configurations with respect to criticality requires some additional considerations. In particular, the geometry of a slumped and damaged waste package must be examined, drift conditions must be modeled over a range of parameters, and the chemical degradation of DOE SNF and waste package materials must be considered for the expected high temperatures. The secondary intent of this calculation is to present a method for selecting conservative and bounding configurations for a wide range of end conditions

Nutrition in acute pancreatitis: a critical review

NARCIS (Netherlands)

Lodewijkx, Piet J.; Besselink, Marc G.; Witteman, Ben J.; Schepers, Nicolien J.; Gooszen, Hein G.; van Santvoort, Hjalmar C.; Bakker, Olaf J.

Severe acute pancreatitis poses unique nutritional challenges. The optimal nutritional support in patients with severe acute pancreatitis has been a subject of debate for decades. This review provides a critical review of the available literature. According to current literature, enteral nutrition

DOE Hydrogen Program 2004 Annual Merit Review and Peer Evaluation Report

Energy Technology Data Exchange (ETDEWEB)

2004-10-01

This document summarizes the project evaluations and comments from the DOE Hydrogen Program 2004 Annual Program Review. Hydrogen production, delivery and storage; fuel cells; technology validation; safety, codes and standards; and education R&D projects funded by DOE in FY2004 are reviewed.

Radically Reducing the Costs of Panel Critical Reviews According to ISO 14040

DEFF Research Database (Denmark)

Weidema, Bo Pedersen; Christiansen, Kim; Wernet, Gregor

2013-01-01

We suggest a procedure that radically reduces the critical review costs without compromising their thoroughness and overall quality. This procedure has 3 elements: A fixed panel for all reviews, an already critically reviewed background database, and a software-supported review procedure. The pre....... The presentation discusses these elements in the light of the upcoming ISO 14071 on critical review....

2009 DOE Vehicle Technologies Program Annual Merit Review

Energy Technology Data Exchange (ETDEWEB)

none,

2009-10-01

Annual Merit Review and Peer Evaluation Meeting to review the FY2008 accomplishments and FY2009 plans for the Vehicle Technologies Program, and provide an opportunity for industry, government, and academic to give inputs to DOE on the Program with a structured and formal methodology.

Performance assessment review for DOE LLW disposal facilities

International Nuclear Information System (INIS)

Wilhite, Elmer L.

1992-01-01

The United States Department of Energy (US DOE) disposes of low-level radioactive waste in near-surface disposal facilities. Safety of the disposal operations is evaluated for operational safety as well as long-term safety. Operational safety is evaluated based on the perceived level of hazard of the operation and may vary from a simple safety assessment to a safety analysis report. Long-term safety of all low-level waste disposal systems is evaluated through the conduct of a radiological performance assessment. The US DOE has established radiological performance objectives for disposal of low-level waste. They are to protect a member of the general public from receiving over 25 mrem/y, and an inadvertent intruder into the waste from receiving over 100 mrem/y continuous exposure or 500 mrem from a single exposure. For a disposal system to be acceptable, a performance assessment must be prepared which must be technically accurate and provide reasonable assurance that these performance objectives are met. Technical quality of the performance assessments is reviewed by a panel of experts. The panel of experts is used in two ways to assure the technical quality of performance assessment. A preliminary (generally 2 day) review by the panel is employed in the late stages of development to provide guidance on finalizing the performance assessment. The comments from this review are communicated to the personnel responsible for the performance assessment for consideration and incorporation. After finalizing the performance assessment, it is submitted for a formal review. The formal review is accomplished by a much more thorough analysis of the performance assessment over a multi-week time period. The panel then formally reports their recommendations to the US DOE waste management senior staff who make the final determination on acceptability of the performance assessment. A number of lessons have been learned from conducting several preliminary reviews of performance

Proceedings of the 1999 U.S. DOE Hydrogen Program Review

Energy Technology Data Exchange (ETDEWEB)

NREL

2000-08-28

The Proceedings of the 1999 US Department of Energy (DOE) Hydrogen Program Review serve as an important technology reference for the DOE Hydrogen Program. This document contains technical progress reports on 60 research and technology validation projects funded by the DOE Hydrogen Program in Fiscal Year 1999, in support of its mission to make hydrogen a cost-effective energy carrier for utility, building, and transportation applications. Each year, the Program conducts a rigorous review of its portfolio of projects, utilizing teams of experts to provide vital feedback on the progress of research.

Hydrazine reagents as derivatizing agents in environmental analysis--a critical review.

Science.gov (United States)

Vogel, M; Büldt, A; Karst, U

2000-04-01

Hydrazine reagents are a well-known group of derivatizing agents for the determination of aldehydes and ketones in liquid and gaseous samples. Within this article, the most important hydrazine reagents are critically summarized, and their major applications in different fields, including environmental analysis, food chemistry and industrial analysis are introduced. As 2,4-dinitrophenylhydrazine (DNPH) is the basic reagent for several international standard procedures, its properties are discussed in detail. Particular focus is directed on the chemistry of the hydrazine reagents, and chemical interferences are considered. Recent methods for the determination of various oxidants using hydrazine reagents are presented as well. Due to limited space, this review does not cover the related field of carbohydrate analysis, although many chemical aspects are similar.

SRTC criticality technical review: Nuclear Criticality Safety Evaluation 93-18 Uranium Solidification Facility's Waste Handling Facility

International Nuclear Information System (INIS)

Rathbun, R.

1993-01-01

Separate review of NMP-NCS-930058, open-quotes Nuclear Criticality Safety Evaluation 93-18 Uranium Solidification Facility's Waste Handling Facility (U), August 17, 1993,close quotes was requested of SRTC Applied Physics Group. The NCSE is a criticality assessment to determine waste container uranium limits in the Uranium Solidification Facility's Waste Handling Facility. The NCSE under review concludes that the NDA room remains in a critically safe configuration for all normal and single credible abnormal conditions. The ability to make this conclusion is highly dependent on array limitation and inclusion of physical barriers between 2x2x1 arrays of boxes containing materials contaminated with uranium. After a thorough review of the NCSE and independent calculations, this reviewer agrees with that conclusion

A systematic review of critical thinking in nursing education.

Science.gov (United States)

Chan, Zenobia C Y

2013-03-01

This review aimed to explore how critical thinking is perceived in previous studies of nursing education, and analyse the obstacles and strategies in teaching and learning critical thinking mentioned in these studies. Systematic review. This review was based on the following five databases: The British Nursing Index, Ovid Medline, CINAHL, PsycINFO and Scopus. After the screening process and evaluation through using the Critical Appraisal Skills Programme tool, 17 studies were identified that met the inclusion and quality criteria. The studies were read through several times and analysed through thematic synthesis. A total of three themes were developed. The first theme, components for critical thinkers, suggests the abilities and attitudes that critical thinkers should have. The other two themes, influential factors of critical thinking in nursing education, and strategies to promote critical thinking, describe the obstacles and strategies in teaching and learning critical thinking. The 17 studies illustrated that the definition and concept of critical thinking may change from time to time, and hence there is a need to clarify educators' perspective towards critical thinking. There is also a need to evaluate the efficacy of the new strategies mentioned in several selected studies, such as art-based, questioning, cross-cultural nursing experience, and preceptorship. With a better understanding of critical thinking in nursing education, educators and nursing faculty are able to develop better strategies in enhancing critical thinking development in nursing students, in turn preparing them for future clinical practice. Copyright © 2012 Elsevier Ltd. All rights reserved.

Review of standards and guidelines pertinent to DOE's Remedial Action programs

International Nuclear Information System (INIS)

Soldat, J.K.; Denham, D.H.

1985-01-01

A number of radiological standards, guidelines, and dose criteria have been promulgated that may be relevant to the Department of Energy's (DOE) Remedial Action programs. Some of these are being applied to remedial actions undertaken by DOE to ensure that health and safety aspects are adequately addressed. Pacific Northwest Laboratory staff reviewed existing and proposed environmental radiological standards and criteria for their applicability to DOE's Remedial Action Programs. National and international environmental standards and criteria, and studies conducted by other DOE contractors were reviewed. The review indicated that there is a lack of uniformity between the dose guidelines developed by the various agencies. A uniform dose standard is needed for DandD, at least as an upper limit with application of the ALARA philosophy. 33 references, 5 tables

Does oxygen limit thermal tolerance in arthropods? A critical review of current evidence.

Science.gov (United States)

Verberk, Wilco C E P; Overgaard, Johannes; Ern, Rasmus; Bayley, Mark; Wang, Tobias; Boardman, Leigh; Terblanche, John S

2016-02-01

decreases near critical temperatures, a key feature of the OCLTT hypothesis. In air-breathers, only severe hypoxia (arthropods are unlikely to become oxygen limited under normoxia (especially at rest), the oxygen limitation component in OCLTT does not seem to provide sufficient information to explain lethal temperatures. Nevertheless, many animals may simultaneously face hypoxia and thermal extremes and the combination of these potential stressors is particularly relevant for aquatic organisms where hypoxia (and hyperoxia) is more prevalent. In conclusion, whether taxa show oxygen limitation at thermal extremes may be contingent on their capacity to regulate oxygen uptake, which in turn is linked to their respiratory medium (air vs. water). Fruitful directions for future research include testing multiple predictions of OCLTT in the same species. Additionally, we call for greater research efforts towards studying the role of oxygen in thermal limitation of animal performance at less extreme, sub-lethal temperatures, necessitating studies over longer timescales and evaluating whether oxygen becomes limiting for animals to meet energetic demands associated with feeding, digestion and locomotion. Copyright © 2015 The Authors. Published by Elsevier Inc. All rights reserved.

SRTC criticality safety technical review: Nuclear criticality safety evaluation 94-02, uranium solidification facility pencil tank module spacing

International Nuclear Information System (INIS)

Rathbun, R.

1994-01-01

Review of NMP-NCS-94-0087, ''Nuclear Criticality Safety Evaluation 94-02: Uranium Solidification Facility Pencil Tank Module Spacing (U), April 18, 1994,'' was requested of the SRTC Applied Physics Group. The NCSE is a criticality assessment to show that the USF process module spacing, as given in Non-Conformance Report SHM-0045, remains safe for operation. The NCSE under review concludes that the module spacing as given in Non-Conformance Report SHM-0045 remains in a critically safe configuration for all normal and single credible abnormal conditions. After a thorough review of the NCSE, this reviewer agrees with that conclusion

Review of teaching methods and critical thinking skills.

Science.gov (United States)

Kowalczyk, Nina

2011-01-01

Critical information is needed to inform radiation science educators regarding successful critical thinking educational strategies. From an evidence-based research perspective, systematic reviews are identified as the most current and highest level of evidence. Analysis at this high level is crucial in analyzing those teaching methods most appropriate to the development of critical thinking skills. To conduct a systematic literature review to identify teaching methods that demonstrate a positive effect on the development of students' critical thinking skills and to identify how these teaching strategies can best translate to radiologic science educational programs. A comprehensive literature search was conducted resulting in an assessment of 59 full reports. Nineteen of the 59 reports met inclusion criteria and were reviewed based on the level of evidence presented. Inclusion criteria included studies conducted in the past 10 years on sample sizes of 20 or more individuals demonstrating use of specific teaching interventions for 5 to 36 months in postsecondary health-related educational programs. The majority of the research focused on problem-based learning (PBL) requiring standardized small-group activities. Six of the 19 studies focused on PBL and demonstrated significant differences in student critical thinking scores. PBL, as described in the nursing literature, is an effective teaching method that should be used in radiation science education. ©2011 by the American Society of Radiologic Technologists.

An Integrative Review of the Concealed Connection: Nurse Educators' Critical Thinking.

Science.gov (United States)

Raymond, Christy; Profetto-McGrath, Joanne; Myrick, Florence; Strean, William B

2017-11-01

The role of nurse educators in the development of students' critical thinking has been overlooked despite the emphasized need for effective teaching methods. An integrative review was performed to examine both quantitative and qualitative research published from 2000 to 2015 related to nurse educators' critical thinking. Many barriers and facilitators existing on individual, interpersonal, and contextual levels affected nurse educators' critical thinking. Various tools have been used to measure nurse educators' critical thinking. This review also highlighted the continued lack of a consensus definition of critical thinking and the limited presence of conceptual models to guide the use of critical thinking in nursing education. Continued examination of nurse educators' critical thinking is needed, given the limited number of studies that have been completed. Much needs to be explored further, including conceptualizations of critical thinking and confirmation of emerging themes identified in this review. [J Nurs Educ. 2017;56(11):648-654.]. © 2017 Raymond, Profetto-McGrath, Myrick, et al.

Dictionary criticism

DEFF Research Database (Denmark)

Nielsen, Sandro

2018-01-01

Dictionary criticism is part of the lexicographical universe and reviewing of electronic and printed dictionaries is not an exercise in linguistics or in subject fields but an exercise in lexicography. It does not follow from this that dictionary reviews should not be based on a linguistic approach......, but that the linguistic approach is only one of several approaches to dictionary reviewing. Similarly, the linguistic and factual competences of reviewers should not be relegated to an insignificant position in the review process. Moreover, reviewers should define the object of their reviews, the dictionary, as a complex...... information tool with several components and in terms of significant lexicographical features: lexicographical functions, data and structures. This emphasises the fact that dictionaries are much more than mere vessels of linguistic categories, namely lexicographical tools that have been developed to fulfil...

DOE Hydrogen Program: 2005 Annual Merit Review and Peer Evaluation Report

Energy Technology Data Exchange (ETDEWEB)

Chalk, S. G.

2005-09-01

This report summarizes comments from the Peer Review Panel at the FY 2005 DOE Hydrogen Program Annual Merit Review, held on May 23-26, 2005, in Arlington, Virginia. The projects evaluated support the Department of Energy and President Bush's Hydrogen Initiative. The results of this merit review and peer evaluation are major inputs used by DOE to make funding decisions. Project areas include hydrogen production and delivery; hydrogen storage; fuel cells; technology validation; safety, codes and standards; education; and systems analysis.

DOE Hydrogen Program: 2006 Annual Merit Review and Peer Evaluation Report

Energy Technology Data Exchange (ETDEWEB)

Milliken, J.

2006-09-01

This report summarizes comments from the Peer Review Panel at the FY 2006 DOE Hydrogen Program Annual Merit Review, held on May 16-19, 2006, in Arlington, Virginia. The projects evaluated support the Department of Energy and President Bush's Hydrogen Initiative. The results of this merit review and peer evaluation are major inputs used by DOE to make funding decisions. Project areas include hydrogen production and delivery; hydrogen storage; fuel cells; technology validation; safety, codes and standards; education; and systems analysis.

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

International Nuclear Information System (INIS)

Malenfant, R.E.

1991-01-01

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

A critical review of clarifier modelling

DEFF Research Database (Denmark)

Plósz, Benedek; Nopens, Ingmar; Rieger, Leiv

This outline paper aims to provide a critical review of secondary settling tank (SST) modelling approaches used in current wastewater engineering and develop tools not yet applied in practice. We address the development of different tier models and experimental techniques in the field...

DOE Hydrogen Program: 2007 Annual Merit Review and Peer Evaluation Report

Energy Technology Data Exchange (ETDEWEB)

Milliken, J.

2007-09-01

This report summarizes comments from the Peer Review Panel at the FY 2007 DOE Hydrogen Program Annual Merit Review, held on May 14-18, 2007, in Washington, D.C. The projects evaluated support the Department of Energy and President Bush's Hydrogen Initiative. The results of this merit review and peer evaluation are major inputs used by DOE to make funding decisions. Project areas include hydrogen production and delivery; hydrogen storage; fuel cells; technology validation; safety, codes and standards; education; and systems analysis.

Review of Natural Phenomena Hazard (NPH) Assessments for the DOE Hanford Site

Energy Technology Data Exchange (ETDEWEB)

Snow, Robert L.; Ross, Steven B.

2011-09-15

The purpose of this review is to assess the need for updating Natural Phenomena Hazard (NPH) assessments for the DOE's Hanford Site, as required by DOE Order 420.1B Chapter IV, Natural Phenomena Hazards Mitigation, based on significant changes in state-of-the-art NPH assessment methodology or site-specific information. This review is an update and expansion to the September 2010 review of PNNL-19751, Review of Natural Phenomena Hazard (NPH) Assessments for the Hanford 200 Areas (Non-Seismic).

Engineering design guidelines for nuclear criticality safety

International Nuclear Information System (INIS)

Waltz, W.R.

1988-08-01

This document provides general engineering design guidelines specific to nuclear criticality safety for a facility where the potential for a criticality accident exists. The guide is applicable to the design of new SRP/SRL facilities and to major modifications Of existing facilities. The document is intended an: A guide for persons actively engaged in the design process. A resource document for persons charged with design review for adequacy relative to criticality safety. A resource document for facility operating personnel. The guide defines six basic criticality safety design objectives and provides information to assist in accomplishing each objective. The guide in intended to supplement the design requirements relating to criticality safety contained in applicable Department of Energy (DOE) documents. The scope of the guide is limited to engineering design guidelines associated with criticality safety and does not include other areas of the design process, such as: criticality safety analytical methods and modeling, nor requirements for control of the design process

Do consumer critics write differently from professional critics? A genre analysis of online film reviews

NARCIS (Netherlands)

De Jong, I.K.E.; Burgers, C.F.

2013-01-01

Consumers often base their choices to purchase experience goods like movies on online reviews. These reviews can be written by professional critics or by other consumers. However, little is known on the issue how the texts written by these two groups of reviewers differ. To answer this question, we

Review of standards and guidelines pertinent to DOE's remedial action programs

International Nuclear Information System (INIS)

Soldat, J.K.; Denham, D.H.

1984-10-01

A number of radiological standards, guidelines, and dose criteria have been promulgated that may be relevant to the Department of Energy's (DOE) Remedial Action programs. Some of these will be applied to remedial actions undertaken by DOE to ensure that health and safety aspects will be adequately addressed. Pacific Northwest Laboratory staff are reviewing and evaluating existing and proposed environmental radiological standards and criteria for their applicability. National and international environmental standards and criteria, and studies conducted by other DOE contractors are being evaluated. The aim of the review is to identify gaps in these standards and guidelines and to recommend further development as necessary. This paper provides a summary of the standards and guidelines evaluated for applicability to DOE's Remedial Action programs. 33 references, 5 tables

BASELINE DEVELOPMENT USING THE CRITICAL DECISION AND DOE ORDER 413.3 FRAMEWORKS: A CASE STUDY

International Nuclear Information System (INIS)

Darnell, M.L.; Duffy, M.A.; Gantos, N.J.; Zadeh, B.

2003-01-01

From 1943 through 1986, Battelle Memorial Institute performed nuclear research and development on behalf of various Federal government agencies, primarily for the U.S. Department of Energy (DOE) and its predecessor agencies. This work was performed in Battelle's privately owned facilities in Columbus, Ohio, and a research park located at an 11-acre facility 16 miles west of Columbus, in a rural area near the village of West Jefferson, Ohio. Under the Battelle Columbus Laboratories Decommissioning Project (BCLDP), Battelle is now engaged in cleaning up the West Jefferson site on a cost-sharing basis with the DOE. The BCLDP mission is to decontaminate Battelle facilities in a safe, environmentally sound, and cost-effective manner, returning the facilities to a condition suitable for use without radiological restriction. The Columbus Environmental Management Project (CEMP), reporting to the DOE Ohio Field Office, is the DOE organization that is responsible for overseeing the BCLDP. CEMP requested preparation of a technical baseline, suitable for independent validation, establishing the scope, cost, and schedule for completing the project. Concurrent with this request, the DOE Office of Environmental Management issued DOE Order 413.3, Program and Project Management for the Acquisition of Capital Assets, for review and, shortly thereafter, published the first drafts of companion documents titled Program and Project Management Manual and Project Management Practices. These two documents suggest or require the use of a variety of techniques and tools for planning and executing DOE cleanup programs. Accordingly, Battelle successfully developed a project baseline for obtaining approval of Critical Decision 2/3 (CD-2/3) in compliance with the requirements of DOE Order 413.3 and the technical approaches described in the companion documents. This paper addresses three fundamental questions:(1) What were the planned baseline development methodology and its implementation

Critical review of directional neutron survey meters

International Nuclear Information System (INIS)

Balmer, Matthew J.I.; Gamage, Kelum A.A.; Taylor, Graeme C.

2014-01-01

Having been overlooked for many years, research is now starting to take into account the directional distribution of the neutron work place field. The impact of not taking this into account has led to overly conservative estimates of dose in neutron workplace fields. This paper provides a critical review of this existing research into directional survey meters which could improve these estimates of dose. Instruments which could be adapted for use as directional neutron survey meters are also considered within this review. Using Monte-Carlo techniques, two of the most promising existing designs are evaluated; a boron-doped liquid scintillator and a multi-detector directional spectrometer. As an outcome of these simulations, possible adaptations to these instruments are suggested with a view to improving the portability of the instrument. -- Highlights: • We critically review the existing literature into directional survey meters. • Instruments which could be adapted for this purpose are also reviewed. • Investigate the potential of much lighter portable real-time instrument. • Improvements to existing instruments are suggested to improve their design. • Boron-Doped liquid scintillator design is the most promising, but needs further work

CASSATION REVIEW OF ARBITRAL AWARDS: DOES THE LAW ...

African Journals Online (AJOL)

The question, however, is: Does the Ethiopian arbitration law provide for such review of ..... the context of allocating judicial powers among different levels of courts ..... the Model Law envisages court involvement in the following instances.

Proceedings of the 5. DOE review of laboratory programs for women

Energy Technology Data Exchange (ETDEWEB)

NONE

1996-12-31

The Fifth DOE Review of Laboratory Programs for Women was held at Brookhaven National Laboratory, May 6--8, 1996, and was co-sponsored by Princeton Plasma Physics Laboratory. The 1996 Review was organized as a Professional Workshop, that is, there were Invited Talks, plus Oral and Poster Presentations from the participants. These sessions were organized around the Focus Topics selected for the Review. The Focus Topics were: school-lab programs, college programs, positive image of women, cultural audits, employee development, employee mentoring, networking, dependent care, and alternate work schedules. On Monday evening, Toni Joseph gave an informal talk to the participants. She stressed the importance of submitting the Action Items for the respective facilities, and assured them that they would be looked at by the Office of Energy Research. On Tuesday morning, the DOE Points-of-Contact (POC) presented an overview of the past Reviews to give some background on the present DOE Review, and discussed plans for the future. The Review concluded with Focus Sessions, one for each Focus Topic. Each of these sessions was charged with producing a report on the session topic. The Focus Group Reports are included in the Proceedings, along with abstracts to the invited talks, oral presentations and poster presentations.

Added value of FM – a critical review

DEFF Research Database (Denmark)

Jensen, Per Anker; van der Voordt, Theo

2015-01-01

The purpose of this paper is to provide a state of the art of how the topic “Added value of FM” has been treated recently in research and practice. The paper is based on research papers from EFMC 2013 and 2014. The paper provides an overview and a critical review of this research. A main focus...... is to examine to which degree there is a cumulative knowledge building in this field. The paper also summarises findings about value adding management in practice and reflects on implications for research and practice. The critical review shows that some of the papers have a strong foundation in former research...

Inverse Problems in Systems Biology: A Critical Review.

Science.gov (United States)

Guzzi, Rodolfo; Colombo, Teresa; Paci, Paola

2018-01-01

Systems Biology may be assimilated to a symbiotic cyclic interplaying between the forward and inverse problems. Computational models need to be continuously refined through experiments and in turn they help us to make limited experimental resources more efficient. Every time one does an experiment we know that there will be some noise that can disrupt our measurements. Despite the noise certainly is a problem, the inverse problems already involve the inference of missing information, even if the data is entirely reliable. So the addition of a certain limited noise does not fundamentally change the situation but can be used to solve the so-called ill-posed problem, as defined by Hadamard. It can be seen as an extra source of information. Recent studies have shown that complex systems, among others the systems biology, are poorly constrained and ill-conditioned because it is difficult to use experimental data to fully estimate their parameters. For these reasons was born the concept of sloppy models, a sequence of models of increasing complexity that become sloppy in the limit of microscopic accuracy. Furthermore the concept of sloppy models contains also the concept of un-identifiability, because the models are characterized by many parameters that are poorly constrained by experimental data. Then a strategy needs to be designed to infer, analyze, and understand biological systems. The aim of this work is to provide a critical review to the inverse problems in systems biology defining a strategy to determine the minimal set of information needed to overcome the problems arising from dynamic biological models that generally may have many unknown, non-measurable parameters.

Plant safety review from mass criticality accident

International Nuclear Information System (INIS)

Susanto, B.G.

2000-01-01

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

Review of DOE Waste Package Program. Semiannual report, October 1984-March 1985. Volume 8

Energy Technology Data Exchange (ETDEWEB)

Davis, M.S. (ed.)

1985-12-01

A large number of technical reports on waste package component performance were reviewed over the last year in support of the NRC`s review of the Department of Energy`s (DOE`s) Environmental Assessment reports. The intent was to assess in some detail the quantity and quality of the DOE data and their relevance to the high-level waste repository site selection process. A representative selection of the reviews is presented for the salt, basalt, and tuff repository projects. Areas for future research have been outlined. 141 refs.

USING POWDERED ACTIVATED CARBON: A CRITICAL REVIEW

Science.gov (United States)

Because the performance of powdered activated carbon (PAC) for uses other than taste and odor control is poorly documented, the purpose of this article is to critically review uses that have been reported (i.e., pesticides and herbicides, synthetic organic chemicals, and trihalom...

Successful intraosseous infusion in the critically ill patient does not require a medullary cavity.

LENUS (Irish Health Repository)

McCarthy, Gerard

2012-02-03

OBJECTIVES: To demonstrate that successful intraosseous infusion in critically ill patients does not require bone that contains a medullary cavity. DESIGN: Infusion of methyl green dye via standard intraosseous needles into bones without medullary cavity-in this case calcaneus and radial styloid-in cadaveric specimens. SETTING: University department of anatomy. PARTICIPANTS: Two adult cadaveric specimens. MAIN OUTCOME MEASURES: Observation of methyl green dye in peripheral veins of the limb in which the intraosseous infusion was performed. RESULTS: Methyl green dye was observed in peripheral veins of the chosen limb in five out of eight intraosseous infusions into bones without medullary cavity-calcaneus and radial styloid. CONCLUSIONS: Successful intraosseous infusion does not always require injection into a bone with a medullary cavity. Practitioners attempting intraosseous access on critically ill patients in the emergency department or prehospital setting need not restrict themselves to such bones. Calcaneus and radial styloid are both an acceptable alternative to traditional recommended sites.

Pediatric Critical Care Telemedicine Program: A Single Institution Review.

Science.gov (United States)

Hernandez, Maria; Hojman, Nayla; Sadorra, Candace; Dharmar, Madan; Nesbitt, Thomas S; Litman, Rebecca; Marcin, James P

2016-01-01

Rural and community emergency departments (EDs) often receive and treat critically ill children despite limited access to pediatric expertise. Increasingly, pediatric critical care programs at children's hospitals are using telemedicine to provide consultations to these EDs with the goal of increasing the quality of care. We conducted a retrospective review of a pediatric critical care telemedicine program at a single university children's hospital. Between the years 2000 and 2014, we reviewed all telemedicine consultations provided to children in rural and community EDs, classified the visits using a comprehensive evidence-based set of chief complaints, and reported the consultations' impact on patient disposition. We also reviewed the total number of pediatric ED visits to calculate the relative frequency with which telemedicine consultations were provided. During the study period, there were 308 consultations provided to acutely ill and/or injured children for a variety of chief complaints, most commonly for respiratory illnesses, acute injury, and neurological conditions. Since inception, the number of consultations has been increasing, as has the number of participating EDs (n = 18). Telemedicine consultations were conducted on 8.6% of seriously ill children, the majority of which resulted in admission to the receiving hospital (n = 150, 49%), with a minority of patients requiring transport to the university children's hospital (n = 103, 33%). This single institutional, university children's hospital-based review demonstrates that a pediatric critical care telemedicine program used to provide consultations to seriously ill children in rural and community EDs is feasible, sustainable, and used relatively infrequently, most typically for the sickest pediatric patients.

English language learning materials a critical review

CERN Document Server

Tomlinson

2010-01-01

This research collection presents a critical review of the materials used for learning English around the world. The first section includes a discussion of materials for specific learners and purposes, such as young learners, self-study, academic writing and general proficiency. The second section presents a detailed study of the materials used in Europe, Asia, North America, South America, Africa and Australia, and critically evaluates their effectiveness in the teaching of English to speakers of other languages. Taking both the teacher's and the learner's needs into consideration, the book m

Evaluation of frother performance in coal flotation: A critical review of existing methodologies

Energy Technology Data Exchange (ETDEWEB)

Bhattacharya, S.; Dey, S. [Indian School for Mines, Dhanbad (India). Dept. for Fuel & Mineral Engineering

2008-07-01

Separation efficiency in flotation depends, to a considerable extent, on the efficiency of the frother used. A successful frother must achieve a delicate balance between froth stability and non-persistency. Ideally, the frother is not supposed to influence the state of the surface of the coal and minerals. In practice, however, interaction does occur between the frother, other reagents, and solid surfaces. Various commercially available frothers can differ slightly or significantly in their influence on the flotation results. Therefore, a plant operator is in a dilemma when it comes to selecting a frother to be used in his plant. This article attempts to critically review the different methodologies, which are available to compare the performance of two or more frothers in order to decide which would best serve the purpose of the plant operator.

A critical review of the Chilean civil nuclear liability regime

International Nuclear Information System (INIS)

Gonzalez Cruz, Francisco Javier; Acevedo Ferrer, Santiago

2013-01-01

This article reviews the Chilean civil nuclear liability regime. The Nuclear Security Act (Law 18.302), enacted in 1984, and the Vienna Convention on Civil Liability for Nuclear Damage, ratified ed by Chile in 1989, are the fundamental laws of the current regime. Although Chile has no nuclear power plants, it is still important to analyze how the Chilean legislation would protect citizens from nuclear damages. This paper does not consider the policy reasons for and against the promotion of atomic energy. Rather, it critically examines the current status of the Chilean nuclear regime. Undoubtedly, if in the future Chile chooses to include nuclear sources in its energy mix, it will not be enough to introduce some isolated legal amendments, but it will be necessary to build a new Chilean Energy Regime which includes nuclear energy. In that scenario, though, it will be useful to know and understand how the current nuclear liability regime works. From this point of view, the reforms this article proposes to the current nuclear liability regime might be helpful to academics and policy makers alike

Proceedings of the 2000 U.S. DOE Hydrogen Program Review

Energy Technology Data Exchange (ETDEWEB)

NREL

2000-11-01

The 2000 US Department of Energy (DOE) Hydrogen Program Review was sponsored by the Office of Power Delivery Systems, Office of Power Technologies, US Department of Energy. The proceedings from this meeting serve as an important technology reference for the DOE Hydrogen Program. This document contains technical progress reports on research and technology validation projects funded by the DOE Hydrogen Program in Fiscal Year 2000. The growth of fuel cell technology will provide a basis for the establishment of the hydrogen option into both transportation and electricity supply markets.

TWTF project criticality task force final review and assessment

International Nuclear Information System (INIS)

McKinley, K.B.; Cannon, J.W.; Wheeler, F.J.; Worle, H.A.

1980-11-01

The Transuranic Waste Treatment Facility (TWTF) is being developed to process transuranic waste, stored and buried at the Idaho National Engineering Laboratory, into a chemically inert, physically stable basalt-like residue acceptable at a federal repository. A task force was assembled by the TWTF Project Division to review and assess all aspects of criticality safety for the TWTF. This document presents the final review, assessments, and recommendations of this task force. The following conclusions were made: Additional criticality studies are needed for the entire envelope of feed compositions and temperature effects. Safe operating k/sub eff/'s need to be determined for process components. Criticality analyses validation experiments may also be required. SRP neutron interrogation should be replaced by DDT neutron interrogation. Accuracy studies need to be performed for the proposed assaying techniques. Time-correlated neutron monitoring needs to be mocked up for process components to prove feasibility and determine accuracy. The criticality control techniques developed for the TWTF conceptual design are in compliance with ERDAM 0530, including the Double Contingency Rule. Detailed procedures and controls need to be developed

The Role and Impact of Critical Review as Perceived by an Implementer

International Nuclear Information System (INIS)

Thegerstroem, Claes; Laarouchi Engstroem, Saida; Olsson, Olle

2006-01-01

The quality and success of a nuclear waste management programme is based on the amalgamation of the interests of a wide number of stakeholders, integration of many different scientific disciplines, and merging of scientific, technical, ethical and social issues. In this process, a broad and structured review of all aspects of the program is necessary and we find the process with submission and review by stakeholders, regulators and government every third year very useful. High-quality critical review of is always a real benefit to the implementer - as it gives the implementer the possibility to see where improvements can be made. However, a close dialogue and a dynamic reviewing process, where questions are raised throughout the process, are essential in order to optimize the quality of the final applications. Naturally, critical review should not be used for pushing specific general research interests or issues that belong to the political arena rather than nuclear waste management itself. Moreover, critical review provides additional insight and promotes confidence by the general public. However, sometimes the public might be confused and have difficulties in judging the importance and relevance of critical comments. The implementer and regulatory authorities have a special duty to provide an overall perspective of safety-related issues. Even if critical review is valuable, the implementer can not only rely on this. The implementers' own internal quality assurance practise, internal review process as well as its overall safety culture is all crucial. Indeed, a successful management of radio-active waste, including operational aspects as well as siting process, starts with the implementers' own wish to perform state-of-the art-work both in terms of technology and overall approach

The Role and Impact of Critical Review as Perceived by an Implementer

Energy Technology Data Exchange (ETDEWEB)

Thegerstroem, Claes; Laarouchi Engstroem, Saida; Olsson, Olle [Swedish Nuclear Fuel and Waste Management Co, Stockholm (Sweden)

2006-09-15

The quality and success of a nuclear waste management programme is based on the amalgamation of the interests of a wide number of stakeholders, integration of many different scientific disciplines, and merging of scientific, technical, ethical and social issues. In this process, a broad and structured review of all aspects of the program is necessary and we find the process with submission and review by stakeholders, regulators and government every third year very useful. High-quality critical review of is always a real benefit to the implementer - as it gives the implementer the possibility to see where improvements can be made. However, a close dialogue and a dynamic reviewing process, where questions are raised throughout the process, are essential in order to optimize the quality of the final applications. Naturally, critical review should not be used for pushing specific general research interests or issues that belong to the political arena rather than nuclear waste management itself. Moreover, critical review provides additional insight and promotes confidence by the general public. However, sometimes the public might be confused and have difficulties in judging the importance and relevance of critical comments. The implementer and regulatory authorities have a special duty to provide an overall perspective of safety-related issues. Even if critical review is valuable, the implementer can not only rely on this. The implementers' own internal quality assurance practise, internal review process as well as its overall safety culture is all crucial. Indeed, a successful management of radio-active waste, including operational aspects as well as siting process, starts with the implementers' own wish to perform state-of-the art-work both in terms of technology and overall approach.

DOE Hydrogen and Fuel Cells Program 2017 Annual Merit Review and Peer Evaluation Report

Energy Technology Data Exchange (ETDEWEB)

None, None

2017-10-16

The fiscal year 2017 U.S. Department of Energy (DOE) Hydrogen and Fuel Cells Program Annual Merit Review and Peer Evaluation Meeting (AMR), in conjunction with DOE's Vehicle Technologies Office AMR, was held from June June 5-9, 2017, in Washington, D.C. This report is a summary of comments by AMR peer reviewers about the hydrogen and fuel cell projects funded by DOE's Office of Energy Efficiency and Renewable Energy.

DOE Hydrogen and Fuel Cells Program 2016 Annual Merit Review and Peer Evaluation Report

Energy Technology Data Exchange (ETDEWEB)

None, None

2016-11-01

The fiscal year 2016 U.S. Department of Energy (DOE) Hydrogen and Fuel Cells Program Annual Merit Review and Peer Evaluation Meeting (AMR), in conjunction with DOE's Vehicle Technologies Office AMR, was held from June 6-10, 2016, in Washington, D.C. This report is a summary of comments by AMR peer reviewers about the hydrogen and fuel cell projects funded by DOE's Office of Energy Efficiency and Renewable Energy.

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

International Nuclear Information System (INIS)

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

1997-01-01

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

Minimum qualifications for nuclear criticality safety professionals

International Nuclear Information System (INIS)

Ketzlach, N.

1990-01-01

A Nuclear Criticality Technology and Safety Training Committee has been established within the U.S. Department of Energy (DOE) Nuclear Criticality Safety and Technology Project to review and, if necessary, develop standards for the training of personnel involved in nuclear criticality safety (NCS). The committee is exploring the need for developing a standard or other mechanism for establishing minimum qualifications for NCS professionals. The development of standards and regulatory guides for nuclear power plant personnel may serve as a guide in developing the minimum qualifications for NCS professionals

A Review on the Linear and Nonlinear Critical Speeds

DEFF Research Database (Denmark)

True, Hans

2013-01-01

In recent years several authors have proposed 'easier numerical methods' to find multiple attractors and the critical speed in railway dynamical problems. Actually, the methods do function in some cases, but they are not safe in the sense that you will calculate the relevant critical parameter...... values with a reasonable accuracy. In some cases the 'easier numerical methods' are really just a gamble. In this presentation the methods will be discussed. For this purpose linearisations of the nonlinear dynamical problem are made. A linearisation of the nonlinear dynamical problem simplifies...... the calculations and may give relevant answers to important questions such as the possibility of resonance phenomena in the designs, but a linearisation is not always allowed, and it does not help to find the critical speed of a railway vehicle. We shall also address the curious fact that the hunting motion...

Use of Intravenous Fat Emulsions in Adult Critically Ill Patients: Does ...

African Journals Online (AJOL)

2017-08-09

Aug 9, 2017 ... estimated to range from 20% to 60%, with approximately ... This literature review focuses on the administration of different lipid emulsions, ... including the ideal method of assessing energy and protein ... published guidelines for lipid intake in critically ill patients ..... In adults, fat accumulation more often ...

Review of DOE's proposal for Crystalline bedrock disposal of radioactive waste, north-central area

International Nuclear Information System (INIS)

Green, J.C.

1986-01-01

The DOE's Region-to-Area Screening Methodology for the Crystalline Repository Project (DOE/CH-1), the Final North-Central Region Geologic Characterization Report (DOE/CH-8(1)), and the Draft Area Recommendation Report for the Crystalline Repository Project (DOE/CH-15), with the associated maps, were reviewed. The review has focused on all general information regarding geologic topics and all site-specific data for DOE sites NC-10 and NC-3. This report contains two parts: (1) a point-by-point critique of perceived errors, omissions, or other shortcomings in each of the three documents; and (2) a discussion of the feasibility of crystalline bedrock as a suitable host medium for high-level radioactive waste

A methodology for performing computer security reviews

International Nuclear Information System (INIS)

Hunteman, W.J.

1991-01-01

DOE Order 5637.1, ''Classified Computer Security,'' requires regular reviews of the computer security activities for an ADP system and for a site. Based on experiences gained in the Los Alamos computer security program through interactions with DOE facilities, we have developed a methodology to aid a site or security officer in performing a comprehensive computer security review. The methodology is designed to aid a reviewer in defining goals of the review (e.g., preparation for inspection), determining security requirements based on DOE policies, determining threats/vulnerabilities based on DOE and local threat guidance, and identifying critical system components to be reviewed. Application of the methodology will result in review procedures and checklists oriented to the review goals, the target system, and DOE policy requirements. The review methodology can be used to prepare for an audit or inspection and as a periodic self-check tool to determine the status of the computer security program for a site or specific ADP system. 1 tab

Activity trackers: a critical review.

Science.gov (United States)

Lee, Jeon; Finkelstein, Joseph

2014-01-01

The wearable consumer health devices can be mainly divided into activity trackers, sleep trackers, and stress management devices. These devices are widely advertised to provide positive effects on the user's daily behaviours and overall heath. However, objective evidence supporting these claims appears to be missing. The goal of this study was to review available evidence pertaining to performance of activity trackers. A comprehensive review of available information has been conducted for seven representative devices and the validity of marketing claims was assessed. The device assessment was based on availability of verified output metrics, theoretical frameworks, systematic evaluation, and FDA clearance. The review identified critical absence of supporting evidence of advertised functions and benefits for the majority of the devices. Six out of seven devices did not provide any information on sensor accuracy and output validity at all. Possible underestimation or overestimation of specific health indicators reported to consumers was not clearly disclosed to the public. Furthermore, significant limitations of these devices which can be categorized into user restrictions, user responsibilities and company disclaimers could not be easily found or comprehended by unsophisticated users and may represent a serious health hazard.

Complex-wide review of DOE's Low-Level Waste Management ES ampersand H vulnerabilities. Volume I. Final report

International Nuclear Information System (INIS)

1996-05-01

The Department of Energy (DOE) conducted a comprehensive complex-wide review of its management of low-level waste (LLW) and the radioactive component of mixed low-level waste (MLLW). This review was conducted in response to a recommendation from the Defense Nuclear Facilities Safety Board (DNFSB) which was established and authorized by Congress to oversee DOE. The DNFSB's recommendation concerning conformance with safety standards at DOE LLW sites was issued on September 8, 1994 and is referred to as Recommendation 94-2. DOE's Implementation Plan for its response to Recommendation 94-2 was submitted to the DNFSB on March 31, 1995. The DNFSB recommended that a complex-wide review of DOE's LLW management be initiated. The goal of the complex-wide review of DOE's LLW management system was to identify both programmatic and physical vulnerabilities that could lead to unnecessary radiation exposure of workers or the public or unnecessary releases of radioactive materials to the environment. Additionally, the DNFSB stated that an objective of the complex-wide review should be to establish the dimensions of the DOE LLW problem and support the identification of corrective actions to address safe disposition of past, present, and future volumes of LLW. The complex-wide review involved an evaluation of LLW management activities at 38 DOE facilities at 36 sites that actively manage LLW and MLLW

Music in Peacebuilding: A Critical Literature Review

Science.gov (United States)

Sandoval, Elaine

2016-01-01

The critical literature review summarizes and appraises studies that have been pursued by music scholars examining the contributions of music to peacebuilding as well as the role of music in violence. These two bodies of literature are rarely brought into dialogue, but I juxtapose them in order to confront the idea of music's exceptionalism as…

Reviewing Literature in Bioethics Research: Increasing Rigour in Non-Systematic Reviews.

Science.gov (United States)

McDougall, Rosalind

2015-09-01

The recent interest in systematic review methods in bioethics has highlighted the need for greater transparency in all literature review processes undertaken in bioethics projects. In this article, I articulate features of a good bioethics literature review that does not aim to be systematic, but rather to capture and analyse the key ideas relevant to a research question. I call this a critical interpretive literature review. I begin by sketching and comparing three different types of literature review conducted in bioethics scholarship. Then, drawing on Dixon-Wood's concept of critical interpretive synthesis, I put forward six features of a good critical interpretive literature review in bioethics: answering a research question, capturing the key ideas relevant to the research question, analysing the literature as a whole, generating theory, not excluding papers based on rigid quality assessment criteria, and reporting the search strategy. © 2015 John Wiley & Sons Ltd.

Critical Discourse Analysis in Literacy Education: A Review of the Literature

Science.gov (United States)

Rogers, Rebecca; Schaenen, Inda

2014-01-01

This article is a critical, integrative literature review of scholarship in literacy studies from 2004 to 2012 that draws on critical discourse analysis (CDA). We discuss key issues, trends, and criticisms in the field. Our methodology was carried out in three stages. First, we searched educational databases to locate literacy-focused CDA…

Beethoven recordings reviewed: a systematic method for mapping the content of music performance criticism.

Science.gov (United States)

Alessandri, Elena; Williamson, Victoria J; Eiholzer, Hubert; Williamon, Aaron

2015-01-01

Critical reviews offer rich data that can be used to investigate how musical experiences are conceptualized by expert listeners. However, these data also present significant challenges in terms of organization, analysis, and interpretation. This study presents a new systematic method for examining written responses to music, tested on a substantial corpus of music criticism. One hundred critical reviews of Beethoven's piano sonata recordings, published in the Gramophone between August 1934 and July 2010, were selected using in-depth data reduction (qualitative/quantitative approach). The texts were then examined using thematic analysis in order to generate a visual descriptive model of expert critical review. This model reveals how the concept of evaluation permeates critical review. It also distinguishes between two types of descriptors. The first characterizes the performance in terms of specific actions or features of the musical sound (musical parameters, technique, and energy); the second appeals to higher-order properties (artistic style, character and emotion, musical structure, communicativeness) or assumed performer qualities (understanding, intentionality, spontaneity, sensibility, control, and care). The new model provides a methodological guide and conceptual basis for future studies of critical review in any genre.

DOE Hydrogen Program: 2010 Annual Merit Review and Peer Evaluation Report

Energy Technology Data Exchange (ETDEWEB)

2010-12-01

This document summarizes the comments provided by peer reviewers on hydrogen and fuel cell projects presented at the FY 2010 U.S. Department of Energy (DOE) Hydrogen Program and Vehicle Technologies Program Annual Merit Review and Peer Evaluation Meeting (AMR), held June 7-11, 2010 in Washington, D.C.

A review of criticality accidents

International Nuclear Information System (INIS)

Stratton, W.R.; Smith, D.R.

1989-03-01

Criticality accidents and the characteristics of prompt power excursions are discussed. Forty-one accidental power transients are reviewed. In each case where available, enough detail is given to help visualize the physical situation, the cause or causes of the accident, the history and characteristics of the transient, the energy release, and the consequences, if any, to personnel and property. Excursions associated with large power reactors are not included in this study, except that some information on the major accident at the Chernobyl reactor in April 1986 is provided in the Appendix. 67 refs., 21 figs., 2 tabs

The Department of Energy's Atmospheric Chemistry Program: A critical review

International Nuclear Information System (INIS)

1991-01-01

In response to a request from the Department of Energy's (DOE) Office of Health and Environmental Research (OHER), the Committee on Atmospheric Chemistry has reviewed OHER's Atmospheric Chemistry Program (ACP). This report contains the committee's evaluation and critique arising from that review. The review process included a two-day symposium held at the National Academy of Sciences on September 25 and 26, 1990, that focused on presenting the ACP's current components, recent scientific accomplishments, and scientific plans. Following the symposium, committee members met in a one-day executive session to formulate and outline this report. In undertaking this review, OHER and ACP management requested that the committee attempt to answer several specific questions involving the program's technical capability and productivity, its leadership and organization, and its future direction. These questions are given in the Appendix. This report represents the committee's response to the questions posed in the Appendix. Chapter I explores the committee's view of the role that atmospheric chemistry could and should assume within the DOE and its prospective National Energy Strategy. Chapter 2 assesses the current ACP, Chapter 3 presents recommendations for revising and strengthening it, and Chapter 4 restates the committee's conclusions and recommendations

PENERAPAN CRITICAL REVIEW ARTIKEL PEMBELAJARAN IPA UNTUK MENINGKATKAN KEMAMPUAN MAHASISWA DALAM MENYUSUN PROPOSAL SKRIPSI

Directory of Open Access Journals (Sweden)

Parmin -

2012-10-01

Full Text Available Penelitian bertujuan untuk meningkatkan kemampuan mahasiswa dalam menyusun proposal skripsi melalui penerapan critical review artikel ilmiah bersumber dari jurnal. Penelitian dirancang dengan metode penelitian tindakan kelas. Hasil penelitian menunjukkan 63% proposal skripsi mahasiswa pada mata kuliah Metodologi Penelitian mendapatkan nilai diatas 80. Berdasarkan hasil yang telah diperoleh dapat disimpulkan penerapan critical review atau kajian kritis terhadap artikel ilmiah dapat meningkatkan kemampuan mahasiswa dalam menyusun proposal penelitian.   The aims of this research is to improve students' ability in developing a proposal thesis by applying critical review of scientific articles come from journals. The research is designed by class action research. The results showed 63% of students thesis proposals on Research Methodology course scored above 80. Based on the results obtained it can be concluded that the application has been critical review or critical study of scientific articles can enhance students' ability in preparing research proposals.

2008 DOE Hydrogen Program Annual Merit Review and Peer Evaluation Report

Energy Technology Data Exchange (ETDEWEB)

none,

2008-06-13

This report summarizes comments from the Peer Review Panel at the 2008 DOE Hydrogen Program Annual Merit Review, held on June 9-13, 2008, in Arlington, Virginia. It covers the program areas of hydrogen production and delivery; hydrogen storage; fuel cells; technology validation; safety, codes, and standards; education; systems analysis; and manufacturing.

REVIEWS OF TOPICAL PROBLEMS: Critical opalescence

Science.gov (United States)

Zubkov, L. A.; Romanov, Vadim P.

1988-04-01

Studies of critical opalescence near phase transitions in different systems are reviewed. The fundamentals of the modern approach to the description of the propagation and scattering of light in media with large nonuniformities are presented. The experimental data on the coefficient of extinction and integrated intensity of the scattered light are analyzed and different models for the correlation function are discussed. Different methods for studying multiple scattering of light and methods for eliminating it from the measured intensity are examined. The kinetic properties of systems in the critical region are examined. Attention is devoted primarily to the experimental data obtained by the methods of correlation spectroscopy and to the comparison of these data with the predictions of different theoretical models. Significant attention is devoted to the study of phase transitions in liquids by the methods of light scattering as well as the problem of propagation and scattering of light in the nematic phase, where fluctuations of the director exhibit the same behavior as at the critical point. In conclusion, phase transformations in micellar solutions, to which a great deal of attention has been devoted in recent years, are studied.

Review of DOE Waste Package Program. Semiannual report, October 1984-March 1985. Volume 8

International Nuclear Information System (INIS)

Davis, M.S.

1985-12-01

A large number of technical reports on waste package component performance were reviewed over the last year in support of the NRC's review of the Department of Energy's (DOE's) Environmental Assessment reports. The intent was to assess in some detail the quantity and quality of the DOE data and their relevance to the high-level waste repository site selection process. A representative selection of the reviews is presented for the salt, basalt, and tuff repository projects. Areas for future research have been outlined. 141 refs

Fission, critical mass and safety-a historical review

International Nuclear Information System (INIS)

Meggitt, Geoff

2006-01-01

Since the discovery of fission, the notion of a chain reaction in a critical mass releasing massive amounts of energy has haunted physicists. The possibility of a bomb or a reactor prompted much of the early work on determining a critical mass, but the need to avoid an accidental critical excursion during processing or transport of fissile material drove much that took place subsequently. Because of the variety of possible situations that might arise, it took some time to develop adequate theoretical tools for criticality safety and the early assessments were based on direct experiment. Some extension of these experiments to closely similar situations proved possible, but it was not until the 1960s that theoretical methods (and computers to run them) developed enough for them to become reliable assessment tools. Validating such theoretical methods remained a concern, but by the end of the century they formed the backbone of criticality safety assessment. This paper traces the evolution of these methods, principally in the UK and USA, and summarises some related work concerned with the nature of criticality accidents and their radiological consequences. It also indicates how the results have been communicated and used in ensuring nuclear safety. (review)

Peer review - Why does it matter for your academic career?

NARCIS (Netherlands)

Kalz, Marco

2012-01-01

Kalz, M. (2012, 8 March). Peer review - Why does it matter for your academic career? Presentation provided in the context of the Young Researchers Special Issue 2012 of the International Journal of Technology-Enhanced Learning (IJTEL).

2010 DOE Hydrogen Program Annual Merit Review and Peer Evaluation Report

Energy Technology Data Exchange (ETDEWEB)

none,

2010-12-01

This report summarizes comments from the Peer Review Panel at the 2010 DOE Hydrogen Program Annual Merit Review, held on June 7-11, 2010, in Washington, DC. It covers the program areas of hydrogen production and delivery; hydrogen storage; fuel cells; manufacturing R&D; technology validation; safety, codes, and standards; education; and systems analysis.

2009 DOE Hydrogen Program Annual Merit Review and Peer Evaluation Report

Energy Technology Data Exchange (ETDEWEB)

Satyapal, S. [Office of Energy Efficiency and Renewable Energy (EERE), Washington, DC (United States)

2009-10-01

This report summarizes comments from the Peer Review Panel at the 2009 DOE Hydrogen Program Annual Merit Review, held on May 18-22, 2009, in Arlington, Virginia. It covers the program areas of hydrogen production and delivery; hydrogen storage; fuel cells; education; safety, codes, and standards; technology validation; systems analysis; and manufacturing R&D.

Report on DOE labs takes aim at cleanup

International Nuclear Information System (INIS)

Anon.

1995-01-01

This article is a review of the Galvin report on the environmental restoration activities at DOE nuclear facilities. The report is highly critical of DOE efforts, calling for a management overhaul and partial privitization of some facilities. Urging that the facilities be more integrated into the environmental management program, the report asserts that the low quality of science and technology in field cleanup work is the most important reason for the limited pace of cleanup activities. Excessive administrative costs were also cited

Proceedings of the 1995 U.S. DOE hydrogen program review, Volume 1

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-09-01

This document containes reports from the proceedings of the 1995 U.S. DOE hydrogen program review. Reports are organized under the topics of systems analysis, utilization, storage, and production. This volume, Volume I, contains the reports concerned with systems analysis and utilization. Individual reports were processed separately for the DOE data bases.

A methodology for performing computer security reviews

International Nuclear Information System (INIS)

Hunteman, W.J.

1991-01-01

This paper reports on DIE Order 5637.1, Classified Computer Security, which requires regular reviews of the computer security activities for an ADP system and for a site. Based on experiences gained in the Los Alamos computer security program through interactions with DOE facilities, the authors have developed a methodology to aid a site or security officer in performing a comprehensive computer security review. The methodology is designed to aid a reviewer in defining goals of the review (e.g., preparation for inspection), determining security requirements based on DOE policies, determining threats/vulnerabilities based on DOE and local threat guidance, and identifying critical system components to be reviewed. Application of the methodology will result in review procedures and checklists oriented to the review goals, the target system, and DOE policy requirements. The review methodology can be used to prepare for an audit or inspection and as a periodic self-check tool to determine the status of the computer security program for a site or specific ADP system

Critical experiment needs and plans of the consolidated fuel reprocessing program

International Nuclear Information System (INIS)

Primm, R.T.

1984-01-01

An integral part of the United States Department of Energy (DOE) plan for the development of breeder reactors is the development of the capability for fuel reprocessing. The Consolidated Fuel Reprocessing Program (CFRP) was established by the DOE to identify and conduct research and development activities in this area. The DOE is currently proposing that a capability to reprocess fast reactor fuel be established in the Fuels and Materials Examination Facility at the Hanford Engineering Development Laboratory. This capability would include conversion of plutonium nitrate to plutonium oxide. The reprocessing line is designated the Breeder Reprocessing Engineering Test (BRET). Criticality safety remains an important critetion in the design of the BRET. The different steps in the reprocessing are reviewed and areas where additional critical experiments are needed have been indentified as also areas where revision or clarification of existing criticality safety standards are desirable

Geothermal Program Review VII: proceedings. DOE Research and Development for the Geothermal Marketplace

Energy Technology Data Exchange (ETDEWEB)

1989-01-01

Each year the Geothermal Technology Division of the US Department of Energy conducts an indepth review of its entire geothermal R and D program. The 2--3 day conference serves several purposes: a status report on current R and D activities, an assessment of progress and problems, a review of management issues, and a technology transfer opportunity between DOE and the US geothermal industry. This year's conference, Program Review 7, was held in San Francisco on March 21--23, 1989. As indicated by its title, ''DOE Research and Development for the Geothermal Marketplace'', Program Review 7 emphasized developing technologies, concepts, and innovations having potential for commercial application in the foreseeable future. Program Review 7 was comprised of eight sessions including an opening session and a special presentation on the ''Role of Geothermal Energy in Minimizing Global Environmental Problems.'' The five technical sessions covered GTD-sponsored R and D in the areas of hydrothermal (two sessions), hot dry rock, geopressured, and magma. Presentations were made by the relevant field researchers, and sessions were chaired by the appropriate DOE Operations Office Geothermal Program Manager. The technical papers and commentary of invited speakers contained in these Proceedings have been compiled in the order in which they were presented at Program Review 7.

Does Digital Scholarship through Online Lectures Affect Student Learning?

Science.gov (United States)

Kinash, Shelley; Knight, Diana; McLean, Matthew

2015-01-01

University lectures are increasingly recorded or reproduced and made available to students online. This paper aggregates and critically reviews the associated literature, thematically organised in response to four questions. In response to the first question--does student attendance decrease when online content is made available--research…

Transforming criticality control methods for EBR-II fuel handling during reactor decommissioning

International Nuclear Information System (INIS)

Eberle, C.S.; Dean, E.M.; Angelo, P.L.

1995-01-01

A review of the Department of Energy (DOE) request to decommission the Experimental Breeder Reactor-II (EBR-II) was conducted in order to develop a scope of work and analysis method for performing the safety review of the facility. Evaluation of the current national standards, DOE orders, EBR-II nuclear safeguards and criticality control practices showed that a decommissioning policy for maintaining criticality safety during a long term fuel transfer process did not exist. The purpose of this research was to provide a technical basis for transforming the reactor from an instrumentation and measurement controlled system to a system that provides both physical constraint and administrative controls to prevent criticality accidents. Essentially, this was done by modifying the reactor core configuration, reactor operations procedures and system instrumentation to meet the safety practices of ANS-8.1-1983. Subcritical limits were determined by applying established liquid metal reactor methods for both the experimental and computational validations

Radio-frequency glow discharge spectrometry: A critical review

International Nuclear Information System (INIS)

Winchester, Michael R.; Payling, Richard

2004-01-01

This paper presents a critical review of analytical radio frequency glow discharge spectrometry (rf-GDS). The historical foundations of rf-GDS are described, and current knowledge of the fundamental physics of analytical rf glow discharges is discussed. Additionally, instrumentation, methodologies, and applications of rf glow discharge optical emission spectrometry (rf-GDOES) and mass spectrometry (rf-GDMS) are reviewed. Although other rf-GDS techniques have appeared [e.g. rf glow discharge atomic absorption spectrophotometry (rf-GDAAS)], the emphasis is placed upon rf-GDOES and rf-GDMS, because they have received by far the most interest from analytical chemical metrologists. This review also provides explanations of some developments that are needed for further progress in the field of analytical rf-GDS

SRTC criticality safety technical review: Phase 1 criticality analysis for the 9972-9975 family of shipping casks: (SRT-CMA-940003)

International Nuclear Information System (INIS)

Rathbun, R.

1994-01-01

Review of SRT-CMA-940003, ''Phase I Criticality Analysis For The 9972-9975 Family Of Shipping Casks (U). (SRT-CMA-940003).'' January 22, 1994, has been performed by the SRTC Applied Physics Group. The NCSE is a criticality assessment of the 9972-9975 family of shipping casks. This work is a follow-on of a previous criticality safety evaluation, with the differences between this and the previous evaluation are that now wall tolerances are modeled and more sophisticated analytical methods are applied. The NCSE under review concludes that, with one exception, the previously specified plutonium and uranium mass limits for 9972-9975 family of shipping casks do ensure that WSRC Nuclear Criticality Safety Manual requirements (ref. 1) are satisfied. The one exception is that the plutonium mass limit for the 9974 cask had to be reduced from 4.4 to 4.3 kg. In contrast, the 7.5 kg uranium mass limit for the 9974 cask was raised to 14.5 kg, making the uranium mass identical for all casks in this family. This technical review consisted of an independent check of the methods and models employed, application of ANSI/ANS 8.1 and 8.15, and verification of WSRC Nuclear Criticality Safety Manual procedures

Technical review of WSRC-TR-93-614 criticality safety evaluation for disassembly basin sand filter

International Nuclear Information System (INIS)

Reed, R.L.

1994-01-01

The study documented in WSRC-TR-93-614 performed an evaluation of the criticality potential associated with the Disassembly Basin Sand Filter for K and L Areas. The document reviewed incorporated results of calculations documented in the engineering calculation N-CLC-K-00151. Analyses of the contents of disassembly basin sludge has indicated that the sludge contains fissile material in excess of subcritical mass limits as specified in ANSI/ANS standards. Previous studies had determined that the fissile material can not collect into a critical configuration in the basin. Since the sand filter is intended to remove suspended particles from the basin water and could serve as a mechanism to collect the fissile material into a critical configuration, the study examined conditions under which criticality could occur in the sand filter. The study shows that criticality is not considered possible in the sand filter. This review emphasized the technical accuracy and presentation of the evaluation. The evaluation was also examined for the elements required for NCSEs. The review was performed in accordance with the NRTSC technical review requirements and procedures and the E7 Manual technical review requirements. The technical review (per the E7 manual) of the engineering calculation (N-CLC-K-0 1 5 1) was previously performed by this reviewer

Critical factors for EIA implementation: literature review and research options.

Science.gov (United States)

Zhang, Jie; Kørnøv, Lone; Christensen, Per

2013-01-15

After decades of development, the gap between expectations of Environment Impact Assessments (EIA) and their practical performance remains significant. Research has been done to identify the critical factors for an effective implementation of EIA. However, this research, to a large extent, has not been cumulated and analysed comprehensively according to the stages of the EIA process. This paper contributes to the critical review of the literature on EIA implementation and effectiveness by cumulating mainly empirical findings in an implementation theoretical perspective. It focuses on the links between different critical factors and how they relate to different stages in the EIA and thus influence the decision making process. After reviewing 33 refereed journal articles published between 1999 and 2011, we identified 203 notions of critical factors. Of these, 102 related to different stages defined in our comprehensive EIA implementation model, and 101 were identified as general factors related to the whole EIA system. The number of notions of stage factors and general factors is thus about equal. An overlap between stage factors and general factors was found, which demonstrates that critical factors function differently in different cases. The function of the critical factors is complex and it is difficult to determine contingencies and causations. In the sources we examined, there is evidently an imbalance between in-depth empirical research and general knowledge, and the paper offers some suggestions for future research. Copyright © 2012 Elsevier Ltd. All rights reserved.

The use of cultured epithelial autograft in the treatment of major burn injuries: a critical review of the literature.

Science.gov (United States)

Wood, F M; Kolybaba, M L; Allen, P

2006-06-01

The need to achieve rapid wound closure in patients with massive burns and limited skin donor sites led to the investigation of in vitro cellular expansion of keratinocytes. The use of cultured epithelial autografts (CEA) was first reported in the treatment of major burns in 1981. Since that time, support for the use of CEA has varied, ranging from 'a useful agent' to having 'no demonstrable effect on the outcome of extensively burned patients'. This critical review of the literature examines issues associated with the use of CEA and the introduction of the technology into clinical practice. The factors potentially limiting the use of cultured CEA are the time necessary to culture CEA sheets, the reliability of 'take', vulnerability of grafts on the newly healed surface, long-term durability and the cost implications of such treatment. The available literature was located and critically evaluated using the Australian National Health and Medical Research Council Guidelines. In the identified literature, the level of evidence to support the use of CEA in major burn injures is limited and often restricted to case studies and case series with no Level 1 evidence currently available. The main question arising 'Does CEA have a role in the treatment of major burns?' has proven difficult to answer due to the wide variation in both the quality of study design and the findings. At best, the literature review has highlighted areas of concern that have hindered the successful use of CEA. Our review critically evaluates the use of CEA and explores the advances in techniques towards attempting to improve reliable clinical implementation of CEA. The need for higher level research into the use of CEA is emphasised by this review.

Critical Review of Membrane Bioreactor Models

DEFF Research Database (Denmark)

Naessens, W.; Maere, T.; Ratkovich, Nicolas Rios

2012-01-01

Membrane bioreactor technology exists for a couple of decades, but has not yet overwhelmed the market due to some serious drawbacks of which operational cost due to fouling is the major contributor. Knowledge buildup and optimisation for such complex systems can heavily benefit from mathematical...... modelling. In this paper, the vast literature on hydrodynamic and integrated modelling in MBR is critically reviewed. Hydrodynamic models are used at different scales and focus mainly on fouling and only little on system design/optimisation. Integrated models also focus on fouling although the ones...

DOE High Performance Computing Operational Review (HPCOR): Enabling Data-Driven Scientific Discovery at HPC Facilities

Energy Technology Data Exchange (ETDEWEB)

Gerber, Richard; Allcock, William; Beggio, Chris; Campbell, Stuart; Cherry, Andrew; Cholia, Shreyas; Dart, Eli; England, Clay; Fahey, Tim; Foertter, Fernanda; Goldstone, Robin; Hick, Jason; Karelitz, David; Kelly, Kaki; Monroe, Laura; Prabhat,; Skinner, David; White, Julia

2014-10-17

U.S. Department of Energy (DOE) High Performance Computing (HPC) facilities are on the verge of a paradigm shift in the way they deliver systems and services to science and engineering teams. Research projects are producing a wide variety of data at unprecedented scale and level of complexity, with community-specific services that are part of the data collection and analysis workflow. On June 18-19, 2014 representatives from six DOE HPC centers met in Oakland, CA at the DOE High Performance Operational Review (HPCOR) to discuss how they can best provide facilities and services to enable large-scale data-driven scientific discovery at the DOE national laboratories. The report contains findings from that review.

Learning styles and critical thinking relationship in baccalaureate nursing education: a systematic review.

Science.gov (United States)

Andreou, Christos; Papastavrou, Evridiki; Merkouris, Anastasios

2014-03-01

Critical thinking is a desirable competency for contemporary nurses although there are growing concerns supporting a disturbing paucity in its achievement. Learning styles reflect habitual behaviors which determine distinct preferences within learning situations. Evidence suggests that critical thinking could evolve through learning processes. Variances in critical thinking achievement by nursing students might therefore be influenced by individual learning preferences. The concepts "learning styles" and "critical thinking" have been independently examined in the nursing literature. No reviews were found however exploring their association in nursing education. To identify the potential relationships between learning styles and critical thinking in baccalaureate nursing students. Systematic review. Eleven electronic databases were utilized without geographical and time publishing filters. Hand-searching journals and scanning references from retrieved studies were also performed. Databases were searched for descriptive correlational studies which considered the relationship between learning styles and critical thinking in baccalaureate nursing students. The authors independently progressed three stage screening. Retrieved articles were reviewed at title, abstract and full text levels according to predetermined criteria. All included studies were quality appraised using a rating tool for descriptive studies. Six studies were finally included. Findings were grouped under four key themes: predominant learning styles, critical thinking scoring, critical thinking evolution across academic progress and learning styles-critical thinking correlations. Learning styles' diversities, weak critical thinking and inconsistent evolution through academic progress were revealed across studies. Critical thinking differed significantly between learning styles. Commonly accepted models in nursing education were lacking in both learning styles and critical thinking. Within studies

Review of critical factors for SEA implementation

Energy Technology Data Exchange (ETDEWEB)

Zhang Jie, E-mail: jasmine@plan.aau.dk; Christensen, Per; Kornov, Lone

2013-01-15

The implementation process involved in translating Strategic Environmental Assessment (SEA) intention into action is vital to an effective SEA. Many factors influence implementation and thus the effectiveness of an SEA. Empirical studies have identified and documented some factors influencing the implementation of an SEA. This research is fragmented, however, and it is still not clear what are the most critical factors of effective SEA performance, and how these relate to different stages of the implementation process or other contextual circumstances. The paper takes its point of departure in implementation theory. Firstly, we introduce implementation theory, and then use it in practice to establish a more comprehensive model related to the stages in the implementation process. Secondly, we identify the critical factors in order to see how they are related to the different stages of SEA or are more general in character. Finally we map the different critical factors and how they influence the overall results of an SEA. Based on a literature review, we present a comprehensive picture of the critical factors and where they are found in the process. We conclude that most of the critical factors identified are of a more general character influencing the SEA process as such, while only one out of four of these factors relates to the specific stages of the SEA. Based on this mapping we can sketch a picture of the totality of critical factors. In this study 266 notions of critical factors were identified. Seen at the level of notions of critical factors, only 24% of these relate to specific stages while for 76% the critical factors are of a more general nature. These critical factors interact in complex ways and appear in different combinations in different stages of the implementation process so tracing the cause and effect is difficult. The pervasiveness of contextual and general factors also clearly suggests that there is no single way to put SEA into practice. The

Review of critical factors for SEA implementation

International Nuclear Information System (INIS)

Zhang Jie; Christensen, Per; Kørnøv, Lone

2013-01-01

The implementation process involved in translating Strategic Environmental Assessment (SEA) intention into action is vital to an effective SEA. Many factors influence implementation and thus the effectiveness of an SEA. Empirical studies have identified and documented some factors influencing the implementation of an SEA. This research is fragmented, however, and it is still not clear what are the most critical factors of effective SEA performance, and how these relate to different stages of the implementation process or other contextual circumstances. The paper takes its point of departure in implementation theory. Firstly, we introduce implementation theory, and then use it in practice to establish a more comprehensive model related to the stages in the implementation process. Secondly, we identify the critical factors in order to see how they are related to the different stages of SEA or are more general in character. Finally we map the different critical factors and how they influence the overall results of an SEA. Based on a literature review, we present a comprehensive picture of the critical factors and where they are found in the process. We conclude that most of the critical factors identified are of a more general character influencing the SEA process as such, while only one out of four of these factors relates to the specific stages of the SEA. Based on this mapping we can sketch a picture of the totality of critical factors. In this study 266 notions of critical factors were identified. Seen at the level of notions of critical factors, only 24% of these relate to specific stages while for 76% the critical factors are of a more general nature. These critical factors interact in complex ways and appear in different combinations in different stages of the implementation process so tracing the cause and effect is difficult. The pervasiveness of contextual and general factors also clearly suggests that there is no single way to put SEA into practice. The

"Theorizing Teacher Mobility": A Critical Review of Literature

Science.gov (United States)

Vagi, Robert; Pivovarova, Margarita

2017-01-01

In this critical review of literature, we summarize the major theoretical frameworks that have been used to study teacher mobility. In total we identified 40 teacher mobility studies that met our inclusion criteria. We conclude that relatively few theoretical frameworks have been used to study teacher mobility and those that have been used are…

Short- and long-term impact of critical illness on relatives: literature review.

Science.gov (United States)

Paul, Fiona; Rattray, Janice

2008-05-01

This paper is a report of a literature review undertaken to identify the short- and long-term impact of critical illness on relatives. Patients in intensive care can experience physical and psychological consequences, and their relatives may also experience such effects. Although it is recognized that relatives have specific needs, it is not clear whether these needs are always met and whether further support is required, particularly after intensive care. The following databases were searched for the period 1950-2007: Medline, British Nursing Index and Archive, EMBASE, CINAHL, PsycINFO and EMB Reviews--Cochrane Central Register of Clinical Trials. Search terms focused on adult relatives of critically ill adult patients during and after intensive care. Recurrent topics were categorized to structure the review, i.e. 'relatives needs', 'meeting relatives' needs', 'interventions', 'satisfaction', 'psychological outcomes' and 'coping'. Studies have mainly identified relatives' immediate needs using the Critical Care Family Needs Inventory. There are few studies of interventions to meet relatives' needs and the short- and long-term effects of critical illness on relatives. Despite widespread use of the Critical Care Family Needs Inventory, factors such as local or cultural differences may influence relatives' needs. Relatives may also have unidentified needs, and these needs should be explored. Limited research has been carried out into interventions to meet relatives' needs and the effects of critical illness on their well-being, yet some relatives may experience negative psychological consequences far beyond the acute phase of the illness.

Critical appraisal of nonrandomized studies-A review of recommended and commonly used tools.

Science.gov (United States)

Quigley, Joan M; Thompson, Juliette C; Halfpenny, Nicholas J; Scott, David A

2018-02-27

When randomized controlled trial data are limited or unavailable, or to supplement randomized controlled trial evidence, health technology assessment (HTA) agencies may rely on systematic reviews of nonrandomized studies (NRSs) for evidence of the effectiveness of health care interventions. NRS designs may introduce considerable bias into systematic reviews, and several methodologies by which to evaluate this risk of bias are available. This study aimed to identify tools commonly used to assess bias in NRS and determine those recommended by HTA bodies. Appraisal tools used in NRS were identified through a targeted search of systematic reviews (January 2013-March 2017; MEDLINE and EMBASE [OVID SP]). Recommendations for the critical appraisal of NRS by expert review groups and HTA bodies were reviewed. From the 686 studies included in the narrative synthesis, 48 critical appraisal tools were identified. Commonly used tools included the Newcastle-Ottawa Scale, the methodological index for NRS, and bespoke appraisal tools. Neither the Cochrane Handbook nor the Centre for Reviews and Dissemination recommends a particular instrument for the assessment of risk of bias in NRS, although Cochrane has recently developed their own NRS critical appraisal tool. Among HTA bodies, only the Canadian Agency for Drugs and Technologies in Health recommends use of a specific critical appraisal tool-SIGN 50 (for cohort or case-control studies). Several criteria including reporting, external validity, confounding, and power were examined. There is no consensus between HTA groups on the preferred appraisal tool. Reviewers should select from a suite of tools on the basis of the design of studies included in their review. © 2018 John Wiley & Sons, Ltd.

BIOCHAR: PYROGENIC CARBON FOR AGRICULTURAL USE - A CRITICAL REVIEW

Directory of Open Access Journals (Sweden)

Etelvino Henrique Novotny

2015-04-01

Full Text Available Biochar (carbonized biomass for agricultural use has been used worldwide as soil amendment and is a technology of particular interest for Brazil, since its "inspiration" is from the historical Terra Preta de Índios(Amazon Dark Earth, and also because Brazil is the world's largest charcoal producer, generating enormous residue quantities in form of fine charcoal and due to the availability of different residual biomasses, mainly from agroindustry (e.g., sugar-cane bagasse; wood and paper-mill wastes; residues from biofuel industries; sewage sludge etc, that can be used for biochar production, making Brazil a key actor in the international scenario in terms of biochar research and utilization. In the last decade, numerous studies on biochar have been carried out and now a vast literature, and excellent reviews, are available. The objective of this paper is therefore to deliver a critical review with some highlights on biochar research, rather than an exhaustive bibliographic review. To this end, some key points considered critical and relevant were selected and the pertinent literature "condensed", with a view to guide future research, rather than analyze trends of the past.

Impact of the draft DOE Training and Qualification Standard on an established training and qualification program

International Nuclear Information System (INIS)

Taylor, R.G.; Worley, C.A.

1999-01-01

One of the provisions of Defense Nuclear Facilities Safety Board (DNFSB) Recommendation 97-2 was that the US Department of Energy (DOE) hor e llipsis Develop and institute ahor e llipsiscourse in criticality and criticality safety hor e llipsis to serve as the foundation for a program of formal qualification of criticality engineers. In response, a draft DOE standard establishing requirements for a formal qualification program for nuclear criticality safety (NCS) engineers has been prepared and is currently in review. The Oak Ridge Y-12 plant implemented a formal training and qualification program for NCS engineers in 1995. The program complies with existing DOE requirements. The program was developed using a performance-based systematic approach to training and is accomplished through structured mentoring where experienced personnel interact with candidates through various learning exercises. Self-study, exercises, and work under instruction are all utilized. The candidate's performance is evaluated by mentors and oral boards. Competency gained through experience at other sites can also be credited. Technical portions of the program are primarily contained in an initial Engineer-in-Training segment and in subsequent task-specific qualifications. The Engineer-in-Training segment exposes the candidate to fundamental NCS concepts through example problems; ensures the initial compliance training requirements are met; and includes readings from applicable procedures, technical documents, and standards. Upon completion of this initial training, candidates proceed to task qualifications. Tasks are defined NCS activities such as operational reviews, criticality safety evaluations, criticality safety computations, criticality accident alarm system (CAAS) evaluations, support for emergency management, etc. Qualification on a task basis serves to break up training into manageable pieces and expedites qualification of candidates to perform specific production activities. The

Review on modeling and simulation of interdependent critical infrastructure systems

International Nuclear Information System (INIS)

Ouyang, Min

2014-01-01

Modern societies are becoming increasingly dependent on critical infrastructure systems (CISs) to provide essential services that support economic prosperity, governance, and quality of life. These systems are not alone but interdependent at multiple levels to enhance their overall performance. However, recent worldwide events such as the 9/11 terrorist attack, Gulf Coast hurricanes, the Chile and Japanese earthquakes, and even heat waves have highlighted that interdependencies among CISs increase the potential for cascading failures and amplify the impact of both large and small scale initial failures into events of catastrophic proportions. To better understand CISs to support planning, maintenance and emergency decision making, modeling and simulation of interdependencies across CISs has recently become a key field of study. This paper reviews the studies in the field and broadly groups the existing modeling and simulation approaches into six types: empirical approaches, agent based approaches, system dynamics based approaches, economic theory based approaches, network based approaches, and others. Different studies for each type of the approaches are categorized and reviewed in terms of fundamental principles, such as research focus, modeling rationale, and the analysis method, while different types of approaches are further compared according to several criteria, such as the notion of resilience. Finally, this paper offers future research directions and identifies critical challenges in the field. - Highlights: • Modeling approaches on interdependent critical infrastructure systems are reviewed. • I mainly review empirical, agent-based, system-dynamics, economic, network approaches. • Studies by each approach are sorted out in terms of fundamental principles. • Different approaches are further compared with resilience as the main criterion

Nutritional risk assessment in critically ill cancer patients: systematic review

Science.gov (United States)

Fruchtenicht, Ana Valéria Gonçalves; Poziomyck, Aline Kirjner; Kabke, Geórgia Brum; Loss, Sérgio Henrique; Antoniazzi, Jorge Luiz; Steemburgo, Thais; Moreira, Luis Fernando

2015-01-01

Objective To systematically review the main methods for nutritional risk assessment used in critically ill cancer patients and present the methods that better assess risks and predict relevant clinical outcomes in this group of patients, as well as to discuss the pros and cons of these methods according to the current literature. Methods The study consisted of a systematic review based on analysis of manuscripts retrieved from the PubMed, LILACS and SciELO databases by searching for the key words “nutritional risk assessment”, “critically ill” and “cancer”. Results Only 6 (17.7%) of 34 initially retrieved papers met the inclusion criteria and were selected for the review. The main outcomes of these studies were that resting energy expenditure was associated with undernourishment and overfeeding. The high Patient-Generated Subjective Global Assessment score was significantly associated with low food intake, weight loss and malnutrition. In terms of biochemical markers, higher levels of creatinine, albumin and urea were significantly associated with lower mortality. The worst survival was found for patients with worse Eastern Cooperative Oncologic Group - performance status, high Glasgow Prognostic Score, low albumin, high Patient-Generated Subjective Global Assessment score and high alkaline phosphatase levels. Geriatric Nutritional Risk Index values < 87 were significantly associated with mortality. A high Prognostic Inflammatory and Nutritional Index score was associated with abnormal nutritional status in critically ill cancer patients. Among the reviewed studies that examined weight and body mass index alone, no significant clinical outcome was found. Conclusion None of the methods reviewed helped to define risk among these patients. Therefore, assessment by a combination of weight loss and serum measurements, preferably in combination with other methods using scores such as Eastern Cooperative Oncologic Group - performance status, Glasgow Prognostic

Review of WHC criticality safety audit findings for 1970-1981

International Nuclear Information System (INIS)

Rogers, C.A.; Paglieri, J.N.

1984-01-01

At Westinghouse Hanford Company (WHC) all fissionable material handling must meet DOE requirements for safety. This necessitates a program of regular audits by the Safety group to verify compliance with criticality safety limits and controls and to alert facility management to observed discrepancies and potential problems. Audits of fissionable material facilities by Safety are required at least once every 6 months, but in practice are conducted more frequently. This paper summarizes findings from over 400 criticality safety audits conducted by Safety between July 1970 and July 1981 in seven fissionable material facilities to show their types and frequencies of occurrence. All limit violations occurring during this period are summarized, including those found by the operating group. 1 ref., 1 tab

Development of critical digital review procedure

International Nuclear Information System (INIS)

Huang Huiwen; Liao Benching; Tseng Maosheng; Chung Hsianghan; Cheng Tsungchieh; Chen Minghuei

2011-01-01

This paper describes the critical digital review (CDR) procedure, which was developed by Institute of Nuclear Energy Research (INER), and sponsored by Taiwan Power Company (TPC). A preliminary CDR application experience which was performed by INER, is also described in this paper. Currently, CDR becomes one of the policies for digital Instrumentation and Control (I and C) system replacement in TPC. The contents of this CDR procedure include: Scope, Responsibility, Operation Procedure, Operation Flow Chart, CDR review items. The 'CDR Review Items' chapter proposes optional review items, including the comparison of the design change, Software Verification and Validation (SV and V), Failure Mode and Effects Analysis (FMEA), Evaluation of Watchdog Timer, Evaluation of Electromagnetic Compatibility (EMC), Evaluation of Grounding for System/Component, Seismic Evaluation, HFE Evaluation, Witness and Inspection, Lessons Learnt from the Digital I and C Failure Events. Since CDR has become a TPC policy, Chin Shan Nuclear Power Plant (NPP) performed the CDR practice of Automatic Voltage Regulator (AVR) digital I and C replacement, even though the project had been on the half way. The major review items of this CDR were: the comparison of the design change, SV and V, FMEA, Evaluation of Watchdog Timer, Evaluation of Electromagnetic Compatibility (EMC), Evaluation of Grounding for System/ Component, Witness and Inspection, Lessons Learnt from the Digital I and C Failure Events. The experience of the CDR showed the importance of preparation of the documents by the vendor. This means the communication with the vendors for the bid preparation is crucial. (author)

DOE Lab-Wide Review of Fermilab May 19-20, 1987

Energy Technology Data Exchange (ETDEWEB)

Green, Dan [Fermilab

1987-05-01

This book is submitted as a written adjunct to the Annual DOE Lab-Wide Review of Fermilab, scheduled this year for May 19, 20, 1987. In it are described the functions and activities of the various laboratory areas plus statements of plans and goals for the coming year.

PENERAPAN CRITICAL REVIEW ARTIKEL PEMBELAJARAN IPA UNTUK MENINGKATKAN KEMAMPUAN MAHASISWA DALAM MENYUSUN PROPOSAL SKRIPSI

Directory of Open Access Journals (Sweden)

p parmin

2016-02-01

Full Text Available The aims of this research is to improve students’ ability in develop- ing a proposal thesis by applying critical review of scientific articles come from journals. The research is designed by class action research. The results showed 63% of students thesis proposals on Research Methodology course scored above 80. Based on the results obtained it can be concluded that the application has been critical review or critical study of scientific articles can enhance students’ ability in preparing research proposals.

A CRITICAL REVIEW OF THE MODEL MINORITY STEREOTYPE SHIBBOLETH

Directory of Open Access Journals (Sweden)

Nicholas Daniel Hartlep

2012-04-01

Full Text Available The author conducted a thematic review of the literature on the model minority stereotype  (MMS.  MMS  writings  (n  =  246  included  peer-reviewed  and  non-peer-reviewed materials spanning from the 1960s to present. Writings were reviewed if their title included “model minority.”  The purpose  was to review the MMS critically.  Six major themes were found to recurrently appear in the MMS literature. Those themes were the following: (1 critiquing colorblindness, (2 countering meritocracy, (3 demystifying Asian  American  exceptionalism,  (4  uncovering  divide  and  conquer  stratagem,  (5 problematizing Asian American homogenization, and (6 unmasking the “yellow peril” stereotype. Implications for the education of Asian students in America and abroad are shared.

Consumer sleep tracking devices: a critical review.

Science.gov (United States)

Lee, Jeon; Finkelstein, Joseph

2015-01-01

Consumer sleep tracking devices are widely advertised as effective means to monitor and manage sleep quality and to provide positive effects on overall heath. However objective evidence supporting these claims is not always readily available. The goal of this study was to perform a comprehensive review of available information on six representative sleep tracking devices: BodyMedia FIT, Fitbit Flex, Jawbone UP, Basis Band, Innovative Sleep Solutions SleepTracker, and Zeo Sleep Manager Pro. The review was conducted along the following dimensions: output metrics, theoretical frameworks, systematic evaluation, and FDA clearance. The review identified a critical lack of basic information about the devices: five out of six devices provided no supporting information on their sensor accuracy and four out of six devices provided no information on their output metrics accuracy. Only three devices were found to have related peer-reviewed articles. However in these articles wake detection accuracy was revealed to be quite low and to vary widely (BodyMedia, 49.9±3.6%; Fitbit, 19.8%; Zeo, 78.9% to 83.5%). No supporting evidence on how well tracking devices can help mitigate sleep loss and manage sleep disturbances in practical life was provided.

Critical thinking in nursing: Scoping review of the literature.

Science.gov (United States)

Zuriguel Pérez, Esperanza; Lluch Canut, Maria Teresa; Falcó Pegueroles, Anna; Puig Llobet, Montserrat; Moreno Arroyo, Carmen; Roldán Merino, Juan

2015-12-01

This article seeks to analyse the current state of scientific knowledge concerning critical thinking in nursing. The methodology used consisted of a scoping review of the main scientific databases using an applied search strategy. A total of 1518 studies published from January 1999 to June 2013 were identified, of which 90 met the inclusion criteria. The main conclusion drawn is that critical thinking in nursing is experiencing a growing interest in the study of both its concepts and its dimensions, as well as in the development of training strategies to further its development among both students and professionals. Furthermore, the analysis reveals that critical thinking has been investigated principally in the university setting, independent of conceptual models, with a variety of instruments used for its measurement. We recommend (i) the investigation of critical thinking among working professionals, (ii) the designing of evaluative instruments linked to conceptual models and (iii) the identification of strategies to promote critical thinking in the context of providing nursing care. © 2014 Wiley Publishing Asia Pty Ltd.

Haloperidol for delirium in critically ill patients - protocol for a systematic review

DEFF Research Database (Denmark)

Barbateskovic, M; Kraus, S R; Collet, M O

2018-01-01

, relatives, and societies is considerable. The objective of this systematic review was to critically access the evidence of randomised clinical trials on the effects of haloperidol vs. placebo or any other agents for delirium in critically ill patients. METHODS: We will search for randomised clinical trials...... decision makers on the use of or future trials with haloperidol for the management of delirium in critically ill patients....

Critical Review of NOAA's Observation Requirements Process

Science.gov (United States)

LaJoie, M.; Yapur, M.; Vo, T.; Templeton, A.; Bludis, D.

2017-12-01

NOAA's Observing Systems Council (NOSC) maintains a comprehensive database of user observation requirements. The requirements collection process engages NOAA subject matter experts to document and effectively communicate the specific environmental observation measurements (parameters and attributes) needed to produce operational products and pursue research objectives. User observation requirements documented using a structured and standardized manner and framework enables NOAA to assess its needs across organizational lines in an impartial, objective, and transparent manner. This structure provides the foundation for: selecting, designing, developing, acquiring observing technologies, systems and architectures; budget and contract formulation and decision-making; and assessing in a repeatable fashion the productivity, efficiency and optimization of NOAA's observing system enterprise. User observation requirements are captured independently from observing technologies. Therefore, they can be addressed by a variety of current or expected observing capabilities and allow flexibility to be remapped to new and evolving technologies. NOAA's current inventory of user observation requirements were collected over a ten-year period, and there have been many changes in policies, mission priorities, and funding levels during this time. In light of these changes, the NOSC initiated a critical, in-depth review to examine all aspects of user observation requirements and associated processes during 2017. This presentation provides background on the NOAA requirements process, major milestones and outcomes of the critical review, and plans for evolving and connecting observing requirements processes in the next year.

Critical review of directional neutron survey meters

Science.gov (United States)

Balmer, Matthew J. I.; Gamage, Kelum A. A.; Taylor, Graeme C.

2014-01-01

Having been overlooked for many years, research is now starting to take into account the directional distribution of the neutron work place field. The impact of not taking this into account has led to overly conservative estimates of dose in neutron workplace fields. This paper provides a critical review of this existing research into directional survey meters which could improve these estimates of dose. Instruments which could be adapted for use as directional neutron survey meters are also considered within this review. Using Monte-Carlo techniques, two of the most promising existing designs are evaluated; a boron-doped liquid scintillator and a multi-detector directional spectrometer. As an outcome of these simulations, possible adaptations to these instruments are suggested with a view to improving the portability of the instrument.

Critical Review of Directional Neutron Survey Meters

International Nuclear Information System (INIS)

Balmer, M.J.I.; Gamage, K.A.A.; Taylor, G.C.

2013-06-01

Having been overlooked for many years, research is now starting to take into account the directional distribution of the neutron work place field. The impact of not taking this into account has led to overly conservative estimates of dose in neutron workplace fields. This paper provides a critical review of this existing research into directional survey meters which could improve these estimates of dose. Instruments which could be adapted for use as directional neutron survey meters are also considered within this review. Using Monte-Carlo techniques, two of the most promising existing designs are evaluated; a boron-doped liquid scintillator and a multi-detector directional spectrometer. As an outcome of these simulations, possible adaptations to these instruments are suggested with a view to improving the portability of the instrument. (authors)

Rationing critical care medicine: recent studies and current trends.

Science.gov (United States)

Ward, Nicholas S

2005-12-01

This paper reviews the literature on the rationing of critical care resources. Although much has been written about the concept of rationing, there have been few scientific studies as to its prevalence. A recent meta-analysis reviewed all previously published studies on rationing access to intensive care units but little is known about practices within the intensive care unit. Much literature in the past few years has focused on the growing use of critical care resources and projections for the future. Several authors suggest there may be a crisis in financial or personnel resources if some rationing does not take place. Other papers have argued that the methods of rationing critical care previously proposed, such as limiting the care of dying patients or using cost-effectiveness analysis to determine care, may not be effective or viewed as ethical by some. Finally, several recent papers review how critical care is practiced and allocated in India and Asian countries that already practice open rationing in their health care systems. There is currently no published evidence that overt rationing is taking place in critical care medicine. There is growing evidence that in the future, the need for critical care may outstrip financial resources unless some form of rationing takes place. It is also clear from the literature that choosing how to ration critical care will be a difficult task.

A Critical Review of the Literature on Electronic Records ...

African Journals Online (AJOL)

This article provides a critical review of existing articles addressing the management of electronic records in the Eastern and Southern African Regional Branch of the International Council on Archives (ESARBICA) region. The article argues that while the literature in developed countries has come up with practical solutions ...

EPR and Bell's theorem: A critical review

International Nuclear Information System (INIS)

Stapp, H.P.

1991-01-01

The argument of Einstein, Podolsky, and Rosen is reviewed with attention to logical structure and character of assumptions. Bohr's reply is discussed. Bell's contribution is formulated without use of hidden variables, and efforts to equate hidden variables to realism are critically examined. An alternative derivation of nonlocality that makes no use of hidden variables, microrealism, counterfactual definiteness, or any other assumption alien to orthodox quantum thinking is described in detail, with particular attention to the quartet or broken-square question

Summary of Preliminary Criticality Analysis for Peach Bottom Fuel in the DOE Standardized Spent Nuclear Fuel Canister

International Nuclear Information System (INIS)

Henrikson, D.J.

1999-01-01

The Department of Energy's (DOE's) National Spent Nuclear Fuel Program is developing a standardized set of canisters for DOE spent nuclear fuel (SNF). These canisters will be used for DOE SNF handling, interim storage, transportation, and disposal in the national repository. Several fuels are being examined in conjunction with the DOE SNF canisters. This report summarizes the preliminary criticality safety analysis that addresses general fissile loading limits for Peach Bottom graphite fuel in the DOE SNF canister. The canister is considered both alone and inside the 5-HLW/DOE Long Spent Fuel Co-disposal Waste Package, and in intact and degraded conditions. Results are appropriate for a single DOE SNF canister. Specific facilities, equipment, canister internal structures, and scenarios for handling, storage, and transportation have not yet been defined and are not evaluated in this analysis. The analysis assumes that the DOE SNF canister is designed so that it maintains reasonable geometric integrity. Parameters important to the results are the canister outer diameter, inner diameter, and wall thickness. These parameters are assumed to have nominal dimensions of 45.7-cm (18.0-in.), 43.815-cm (17.25-in), and 0.953-cm (0.375-in.), respectively. Based on the analysis results, the recommended fissile loading for the DOE SNF canister is 13 Peach Bottom fuel elements if no internal steel is present, and 15 Peach Bottom fuel elements if credit is taken for internal steel

Antidiabetic plant-derived nutraceuticals: a critical review.

Science.gov (United States)

Naveen, Jayapal; Baskaran, Vallikannan

2018-06-01

Diabetes mellitus (DM) is one of the major health problems in the world, especially amongst the urban population. Chemically synthesized drugs used to decrease the ill effects of DM and its secondary complications cause adverse side effects, viz., weight gain, gastrointestinal disturbances, and heart failure. Currently, various other approaches, viz., diet control, physical exercise and use of antidiabetic plant-derived molecules/foods are advocated to manage DM, as they are economical with fewer or no side effects. This review mainly focuses on antidiabetic plants, chemically characterized plant molecules and plant-based foods in the treatment of DM. Very little science-based evidence is available on the mechanism of action of plant-derived food molecules on the DM targets. Critical DM targets include α-amylase, α-glucosidase, DPP-IV, aldose reductase, PPAR-γ, AMP kinase and GLUT4. In-depth studies carried out on a few of those targets with specific mechanisms of action are addressed in this review. This review may help future researchers in identifying a right plant molecule to treat DM or to develop food formulations for DM management.

Peer-to-Peer Teaching in Higher Education: A Critical Literature Review

Science.gov (United States)

Stigmar, Martin

2016-01-01

The aim of my critical literature review is to identify studies where students are engaged as partners in teaching in higher education and to analyze how tutors and tutees benefit from peer teaching. Thirty studies were included for review. Thirteen countries are represented and two thirds of the studies conducted in the United States of America…

Motivation Measures in Sport: A Critical Review and Bibliometric Analysis

OpenAIRE

Clancy, Rachel B.; Herring, Matthew P.; Campbell, Mark J.

2017-01-01

Motivation is widely-researched, in both sport psychology and other fields. As rigorous measurement is essential to understanding this latent construct, a critical appraisal of measurement instruments is needed. Thus, the purpose of this review was to evaluate the six most highly cited motivation measures in sport. Peer-reviewed articles published prior to August 2016 were searched to identify the six most highly cited motivation questionnaires in sport: Sport Motivation Scale (SMS), Intrinsi...

Automatic Generation and Ranking of Questions for Critical Review

Science.gov (United States)

Liu, Ming; Calvo, Rafael A.; Rus, Vasile

2014-01-01

Critical review skill is one important aspect of academic writing. Generic trigger questions have been widely used to support this activity. When students have a concrete topic in mind, trigger questions are less effective if they are too general. This article presents a learning-to-rank based system which automatically generates specific trigger…

A critical review on tablet disintegration.

Science.gov (United States)

Quodbach, Julian; Kleinebudde, Peter

2016-09-01

Tablet disintegration is an important factor for drug release and can be modified with excipients called tablet disintegrants. Tablet disintegrants act via different mechanisms and the efficacy of these excipients is influenced by various factors. In this review, the existing literature on tablet disintegration is critically reviewed. Potential disintegration mechanisms, as well as impact factors on the disintegration process will be discussed based on experimental evidence. Search terms for Scopus and Web of Science included "tablet disintegration", "mechanism tablet disintegration", "superdisintegrants", "disintegrants", "swelling force", "disintegration force", "disintegration mechanisms", as well as brand names of commonly applied superdisintegrants. References of identified papers were screened as well. Experimental data supports swelling and shape recovery as main mechanisms of action of disintegrants. Other tablet excipients and different manufacturing techniques greatly influence the disintegration process. The use of different excipients, experimental setups and manufacturing techniques, as well as the demand for original research led to a distinct patchwork of knowledge. Broader, more systematic approaches are necessary not only to structure the past but also future findings.

School Uniforms: A Critical Review of the Literature. From Inquiry to Practice.

Science.gov (United States)

Brunsma, David L.

The debate surrounding the effectiveness of school-uniform policies, as well as discussions concerning when and how to implement them, is rooted in anecdote. This review summarizes anecdotal literature on which the current debate is based and critically reviews the empirical literature, including theoretical underpinnings, findings, and…

Remediation of uranium mill tailings wastes in Australia: a critical review

International Nuclear Information System (INIS)

Mudd, G.M.

2000-01-01

Australia has been an active participant in the global uranium mining industry since its inception in the 1940s. By the late 1950s five major mining and milling projects were operating, several small mines supplied custom ores. All of these projects were closed by the early 1960s, except for Rum Jungle which continued under government subsidy. Most sites have had lasting Environmental impacts. The advances in nuclear power in the 1960s saw increasing demand for uranium and Australia again explored with remarkable success in the Northern Territory, South Australia and Western Australia. After several government inquiries in the 1970s, Ranger, Nabarlek and Olympic Dam were operating by the mid 1980s. The principal risks from uranium mill tailings wastes arise from their radioactive nature and often their chemical toxicities. A critical review of the rehabilitation of abandoned uranium mines and mill tailings as a comparison for current projects is presented. It is concluded that the management of uranium mill tailings wastes is a complex task, requiring a sound multi-disciplinary approach. The problems include groundwater contamination, erosion, radon emanation and gamma radiation. evidence to data from the remediation of old and modern sites does not demonstrate effective long-term closure and safety

Challenges and Potential Solutions – Individualised Antibiotic Dosing at the Bedside for Critically Ill Patients: a structured review

Science.gov (United States)

Roberts, Jason A.; Aziz, Mohd Hafiz Abdul; Lipman, Jeffrey; Mouton, Johan W.; Vinks, Alexander A.; Felton, Timothy W.; Hope, William W.; Farkas, Andras; Neely, Michael N.; Schentag, Jerome J.; Drusano, George; Frey, Otto R.; Theuretzbacher, Ursula; Kuti, Joseph L.

2014-01-01

Summary Infections in critically ill patients are associated with persistently poor clinical outcomes. These patients have severely altered and variable antibiotic pharmacokinetics and are infected by less susceptible pathogens. Antibiotic dosing that does not account for these features is likely to result in sub-optimal outcomes. In this paper, we review the patient- and pathogen-related challenges that contribute to inadequate antibiotic dosing and discuss how a process for individualised antibiotic therapy, that increases the accuracy of dosing, can be implemented to further optimise care for the critically ill patient. The process for optimised antibiotic dosing firstly requires determination of the physiological derangements in the patient that can alter antibiotic concentrations including altered fluid status, microvascular failure, serum albumin concentrations as well as altered renal and hepatic function. Secondly, knowledge of the susceptibility of the infecting pathogen should be determined through liaison with the microbiology laboratory. The patient and pathogen challenges can then be solved by combining susceptibility data with measured antibiotic concentration data (where possible) into a clinical dosing software. Such software uses pharmacokinetic-pharmacodynamic (PK/PD) models from critically ill patients to accurately predict the dosing requirements for the individual patient with the aim of optimising antibiotic exposure and maximising effectiveness. PMID:24768475

A Review of Accident Modelling Approaches for Complex Critical Sociotechnical Systems

National Research Council Canada - National Science Library

Qureshi, Zahid H

2008-01-01

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

Alfven wave. DOE Critical Review Series

International Nuclear Information System (INIS)

Hasegawa, A.; Uberoi, C.

1982-01-01

This monograph deals with the properties of Alfven waves and with their application to fusion. The book is divided into 7 chapters dealing with linear properties in homogeneous and inhomogeneous plasmas. Absorption is treated by means of kinetic theory. Instabilities and nonlinear processes are treated in Chapters 1 to 6, and the closing chapter is devoted to theory and experiments in plasma heating by Alfven waves

A Decade of Critical Information Literacy: A Review of the Literature

Directory of Open Access Journals (Sweden)

Eamon Tewell

2015-06-01

Full Text Available As information literacy continues in its centrality to many academic libraries’ missions, a line of inquiry has developed in response to ACRL’s charge to develop information literate citizens. The literature of critical information literacy questions widely held assumptions about information literacy and considers in what ways librarians may encourage students to engage with and act upon information’s complex and inherently political nature. This review explores the research into critical information literacy, including critical pedagogy and critiques of information literacy, in order to provide an entry point for this emerging and challenging approach to information literacy.

Complex-wide review of DOE's management of low-level radioactive waste - progress to date

International Nuclear Information System (INIS)

Letourneau, M.J.

1995-01-01

The Defense Nuclear Facilities Safety Board (DNFSB) Recommendation 94-2 includes a recommendation that the Department of Energy (DOE) conduct a comprehensive, complex-wide review of the low-level waste issue to establish the dimensions of the low-level waste problem and to identify necessary corrective actions to address the safe disposition of past, present, and future volumes. DOE's Implementation Plan calls for the conduct of a complex-wide review of low-level radioactive waste treatment, storage, and disposal sites to identify environmental, safety, and health vulnerabilities. The complex-wide review focuses on low-level waste disposal facilities through a site evaluation survey, reviews of existing documentation, and onsite observations. Low-level waste treatment and storage facilities will be assessed for their ability to meet waste acceptance criteria for disposal. Results from the complex-wide review will be used to form the basis for an integrated and planned set of actions to correct the identified vulnerabilities and to prompt development of new requirements for managing low-level waste

Review of Sandia National Laboratories - Albuquerque New Mexico DOE/DP Critical Skills Development Progrmas FY04.

Energy Technology Data Exchange (ETDEWEB)

Gorman, Anna K; Wilson, Dominique; CLARK, KATHERINE

2005-09-01

Sandia National Laboratories has developed a portfolio of programs to address the critical skills needs of the DP labs, as identified by the 1999 Chiles Commission Report. The goals are to attract and retain the best and the brightest students and transition them into Sandia - and DP Complex - employees. The US Department of Energy/Defense Programs University Partnerships funded ten laboratory critical skills development programs in FY04. This report provides a qualitative and quantitative evaluation of these programs and their status. 3

A Critical Review of Recent Literature on Populism

Directory of Open Access Journals (Sweden)

John Abromeit

2017-12-01

Full Text Available This is a review article of the following five recent studies on populism: 1 Ruth Wodak’s The Politics of Fear: What Right-Wing Populist Discourses Mean (Sage, 2015; 2 Benjamin Moffitt’s The Global Rise of Populism: Performance, Political Style and Representation (Stanford University Press, 2016; 3 Cas Mudde and Cristóbal Rovira Kaltwasser’s Populism: A Very Short Introduction (Oxford University Press, 2017; 4 Jan-Werner Müller’s What is Populism? (University of Pennsylvania Press, 2016; and 5 John B. Judis’ The Populist Explosion: How the Great Recession Transformed American and European Politics (Columbia Global Reports, 2016. The review argues for a return to early Frankfurt School Critical Theory to address some of the shortcomings of these studies.

A Critical Review of Low Back Pain Guidelines.

Science.gov (United States)

Chetty, Laran

2017-09-01

Low back pain (LBP) remains one of the most common and challenging musculoskeletal conditions encountered by health care professionals and is a leading cause of absenteeism. Clinical guidelines are often considered best evidence in health care. The aim of this critical review was to assess the quality and recommendations of LBP guidelines using the Appraisal of Guidelines Research and Evaluation (AGREE) instrument. Electronic databases were used to identify LBP guidelines published between 2000 and 2015. Nine guidelines were selected for review from a total of 17. Only five guidelines effectively addressed the AGREE scoring. On the basis of the appraisal and domain scores, only four guidelines were strongly recommended. Improved translation of research evidence from guidelines to clinical practice is needed.

Does Cardiopulmonary Resuscitation Cause Rib Fractures in Children? A Systematic Review

Science.gov (United States)

Maguire, Sabine; Mann, Mala; John, Nia; Ellaway, Bev; Sibert, Jo R.; Kemp, Alison M.

2006-01-01

Background: There is a diagnostic dilemma when a child presents with rib fractures after cardiopulmonary resuscitation (CPR) where child abuse is suspected as the cause of collapse. We have performed a systematic review to establish the evidence base for the following questions: (i) Does cardiopulmonary resuscitation cause rib fractures in…

The Social Determinants of Refugee Mental Health in the Post-Migration Context: A Critical Review.

Science.gov (United States)

Hynie, Michaela

2018-05-01

With the global increase in the number of refugees and asylum seekers, mental health professionals have become more aware of the need to understand and respond to the mental health needs of forced migrants. This critical review summarizes the findings of recent systematic reviews and primary research on the impact of post-migration conditions on mental disorders and PTSD among refugees and asylum seekers. Historically, the focus of mental health research and interventions with these populations has been on the impact of pre-migration trauma. Pre-migration trauma does predict mental disorders and PTSD, but the post-migration context can be an equally powerful determinant of mental health. Moreover, post-migration factors may moderate the ability of refugees to recover from pre-migration trauma. The importance of post-migration stressors to refugee mental health suggests the need for therapeutic interventions with psychosocial elements that address the broader conditions of refugee and asylum seekers' lives. However, there are few studies of multimodal interventions with refugees, and even fewer with control conditions that allow for conclusions about their effectiveness. These findings are interpreted using a social determinants of health framework that connects the risk and protective factors in the material and social conditions of refugees' post-migration lives to broader social, economic and political factors.

Learning from critical case reviews: emergent themes and their impact on practice.

Science.gov (United States)

Crofts, Linda

2006-12-01

This paper describes the process of conducting critical case reviews as part of a leadership programme for critical care. Forty-five cases were reviewed over 2 years in five different hospitals and permission was sought from local research ethics committees and research and development committees for the discussions to be treated as research data. Typically the cases presented were patients with complex needs whose trajectory of care had not gone smoothly. Key themes to emerge from the case reviews were: The case reviews themselves were: Communication failures between professional groups, between professional themselves, between staff and families, between wards and departments and between different hospitals. Documentation was also often less than satisfactory. Teams often had problems in working together as a team and different professionals often had different expectations of other members of the team. Individual action may compensate for weaknesses in formal clinical risk system. The case reviews themselves were showcases of the difficulties the health service faces every day and the challenges of communicating effectively. The case reviews provided an effective medium to both resolve those difficulties and model a means through which teams could effectively manage and communicate patient care issues. Furthermore their strength as a learning tool was attributed to team learning as a powerful catalyst for change.

Psychosocial Interventions for Women with HIV/AIDS: A Critical Review

Science.gov (United States)

Hernandez, Julieta P.; Macgowan, Mark J.

2015-01-01

Objective: Recent research on psychosocial interventions addressing the well-being of women with HIV/AIDS has brought new options for practitioners. This study critically reviews the treatment features, methodological quality, and efficacy of these interventions. Methods: A comprehensive search between 2000 and 2011 identified 19 studies employing…

The effect of chronotherapy on delirium in critical care - a systematic review.

Science.gov (United States)

Luther, Roseanne; McLeod, Anne

2017-05-15

Delirium is highly prevalent within critical care and is linked to adverse clinical outcomes, increased mortality and impaired quality of life. Development of delirium is thought to be caused by multiple risk factors, including disruption of the circadian rhythm. Chronotherapeutic interventions, such as light therapy, music and use of eye shades, have been suggested as an option to improve circadian rhythm within intensive care units. This review aims to answer the question: Can chronotherapy reduce the prevalence of delirium in adult patients in critical care? This study is a systematic review of quantitative studies. Six major electronic databases were searched, and a hand search was undertaken using selected key search terms. Research quality was assessed using the critical appraisal skills programme tools. The studies were critically appraised by both authors independently, and data were extracted. Four themes addressing the research question were identified and critically evaluated. Six primary research articles that investigated different methods of chronotherapy were identified, and the results suggest that multi-component non-pharmacological interventions are the most effective for reducing the prevalence of delirium in critical care. The melatonergic agonist Ramelteon demonstrated statistically significant reductions in delirium; however, the reliability of the results in answering the review question was limited by the research design. The use of bright light therapy (BLT) and dynamic light application had mixed results, with issues with the research design and outcomes measured limiting the validity of the findings. Multi-component non-pharmacological interventions, such as noise and light control, can reduce delirium in critical care, whereas other interventions, such as BLT, have mixed outcomes. Melatonin, as a drug, may be a useful alternative to sedative-hypnotics. Chronotherapy can reduce the incidence of delirium within critical care, although

Bruxism and prosthetic treatment: a critical review.

Science.gov (United States)

Johansson, Anders; Omar, Ridwaan; Carlsson, Gunnar E

2011-07-01

Based on the findings from available research on bruxism and prosthetic treatment published in the dental literature, an attempt was made to draw conclusions about the existence of a possible relationship between the two, and its clinical relevance. MEDLINE/PubMed searches were conducted using the terms 'bruxism' and 'prosthetic treatment', as well as combinations of these and related terms. The few studies judged to be relevant were critically reviewed, in addition to papers found during an additional manual search of reference lists within selected articles. Bruxism is a common parafunctional habit, occurring both during sleep and wakefulness. Usually it causes few serious effects, but can do so in some patients. The etiology is multifactorial. There is no known treatment to stop bruxism, including prosthetic treatment. The role of bruxism in the process of tooth wear is unclear, but it is not considered a major cause. As informed by the present critical review, the relationship between bruxism and prosthetic treatment is one that relates mainly to the effect of the former on the latter. Bruxism may be included among the risk factors, and is associated with increased mechanical and/or technical complications in prosthodontic rehabilitation, although it seems not to affect implant survival. When prosthetic intervention is indicated in a patient with bruxism, efforts should be made to reduce the effects of likely heavy occlusal loading on all the components that contribute to prosthetic structural integrity. Failure to do so may indicate earlier failure than is the norm. Copyright © 2011 Japan Prosthodontic Society. Published by Elsevier Ltd. All rights reserved.

Not the Sum of Its Parts: A Critical Review of the MacDonald Triad.

Science.gov (United States)

Parfitt, Charlotte Hannah; Alleyne, Emma

2018-01-01

The MacDonald triad posits that animal cruelty, fire setting, and bed wetting in childhood is indicative of later aggressive and violent behavior in adults. Researchers refer to this phenomenon as a precursor to later antisocial behaviors including serial and sexual murder; while practitioners cite the triad in clinical formulations and risk assessments. However, there is yet to be a critical review and consolidation of the literature that establishes whether there is empirical support. This article explores the validity of the triad. We conducted a narrative review of the relevant studies examining the MacDonald triad and its individual constituents. There is evidence that any one of the triad behaviors could predict future violent offending, but it is very rare to find all three behaviors together as predictors. Thus, the empirical research on the MacDonald triad does not fully substantiate its premise. Rather, it would appear that the triad, or its individual constituents, is better used as an indicator of dysfunctional home environments, or poor coping skills in children. Future research is needed with robust and rigorous methodologies (e.g., adequate control groups, longitudinal designs) to fully establish the MacDonald triad's validity. Finally, further consideration is needed as to whether the triad behaviors are more indicative of other problematic outcomes (e.g., maladaptive coping to life stressors).

Glucose monitoring as a guide to diabetes management. Critical subject review.

OpenAIRE

Koch, B.

1996-01-01

PURPOSE: To encourage a balanced approach to blood glucose monitoring in diabetes by a critical review of the history, power and cost of glucose testing. DATA SOURCES: The Cambridge Data Base was searched and was supplemented by a random review of other relevant sources, including textbooks, company pamphlets, and laboratory manuals. STUDY SELECTION: Keywords used were "glucosuria diagnosis," "blood glucose self-monitoring," "glycosylated hemoglobin," and "fructosamine" for the 10-year period...

Outcome measures for adult critical care: a systematic review.

Science.gov (United States)

Hayes, J A; Black, N A; Jenkinson, C; Young, J D; Rowan, K M; Daly, K; Ridley, S

2000-01-01

1. To identify generic and disease specific measures of impairment, functional status and health-related quality of life that have been used in adult critical care (intensive and high-dependency care) survivors. 2. To review the validity, reliability and responsiveness of the measures in adult critical care survivors. 3. To consider the implications for future policy and to make recommendations for further methodological research. 4. To review what is currently known of the outcome of adult critical care. Searches of electronic databases (MEDLINE, EMBASE, CINAHL, PsycLIT, The Cochrane Library and SIGLE) from 1970 to August 1998. Manual searches of five journals (1985-98) not indexed in electronic databases and relevant conference proceedings (1993-98). Reference lists of six existing reviews, plus snowballing from reference lists of all relevant articles identified. Randomised trials, non-randomised trials (cohort studies) and case series that included data on outcomes after discharge from adult (16 years and over) critical care. If reported, the following data were extracted from each paper: patient characteristics (age, gender, severity of illness, diagnostic category) number of patients eligible for study, follow-up period, number of deaths before follow-up, number and proportion of survivors included in follow-up method of presentation of outcome data - proportion normal as defined by reference values, or aggregate value (e.g. mean or median), or aggregate values plus an indication of variance (e.g. standard deviation or inter-quartile range). Evidence for three measurement properties was sought for each outcome measure that had been used in at least two studies - their validity, reliability and responsiveness in adult critical care. If the authors did not report these aspects explicitly, an attempt was made to use the data provided to provide these measurement properties. For measures that were used in at least ten studies, information on actual reported

Management of language discordance in clinical nursing practice--A critical review.

Science.gov (United States)

Probst, Sebastian; Imhof, Lorenz

2016-05-01

Language plays an essential role in the provision of nursing care, since successful communication is a vital prerequisite to being able to provide appropriate nursing care efficiently and effectively. It is not known what kinds of interventions are effective in overcoming language discordance in nursing practice. This critical review aimed to examine the interventions that are most successfully used to overcome language discordance in nursing. A critical review of the literature was performed and 24 relevant research papers were included. A search was carried out between January 2004 and September 2014 in MEDLINE, Cochrane Database of Systematic Reviews, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Psychinfo, Germanistic online, Pragmatis and Linguistic & Language Behaviour Abstracts (LLBA). Both authors independently screened the titles (n=299), abstracts and full texts to decide which articles should be chosen. The inclusion criteria were: (1) articles examine the problem of language discordance in various health care settings and (2) articles published in English, German, French or Italian. Articles were included irrespective of their design. Data were analysed using the Critical Appraisal Skills Program Tool (CASP). In total, 24 publications met the inclusion criteria. Most of the studies (n=20) were focused on the nursing intervention of using an interpreter and three were describing the nursing assessment. The study designs of the included studies were mainly non-experimental studies, qualitative studies or reviews. The only suggested intervention described in the articles is the use of ad-hoc or professional interpreters for communicating with patients who do not speak the local language. Health care institutions should provide more strategies for clinical practice to overcome language discordance. Copyright © 2015 Elsevier Inc. All rights reserved.

Blood parasites of penguins: a critical review.

Science.gov (United States)

Vanstreels, Ralph Eric Thijl; Braga, Érika Martins; Catão-Dias, José Luiz

2016-07-01

Blood parasites are considered some of the most significant pathogens for the conservation of penguins, due to the considerable morbidity and mortality they have been shown to produce in captive and wild populations of these birds. Parasites known to occur in the blood of penguins include haemosporidian protozoans (Plasmodium, Leucocytozoon, Haemoproteus), piroplamid protozoans (Babesia), kinetoplastid protozoans (Trypanosoma), spirochete bacteria (Borrelia) and nematode microfilariae. This review provides a critical and comprehensive assessment of the current knowledge on these parasites, providing an overview of their biology, host and geographic distribution, epidemiology, pathology and implications for public health and conservation.

Radiopharmaceuticals drug interactions: a critical review

International Nuclear Information System (INIS)

Santos-Oliveira, Ralph; Smith, Sheila W.; Carneiro-Leao, Ana Maria A.

2008-01-01

Radiopharmaceuticals play a critical role in modern medicine primarily for diagnostic purposes, but also for monitoring disease progression and response to treatment. As the use of image has been increased, so has the use of prescription medications. These trends increase the risk of interactions between medications and radiopharmaceuticals. These interactions which have an impact on image by competing with the radiopharmaceutical for binding sites for example can lead to false negative results. Drugs that accelerate the metabolism of the radiopharmaceutical can have a positive impact (i.e. speeding its clearance) or, if repeating image is needed, a negative impact. In some cases, for example in cardiac image among patients taking doxirubacin, these interactions may have a therapeutic benefit. The incidence of drug-radiopharmaceuticals adverse reactions is unknown, since they may not be reported or even recognized. Here, we compiled the medical literature, using the criteria of a systematic review established by the Cochrane Collaboration, on pharmaceutical-drug interactions to provide a summary of documented interactions by organ system and radiopharmaceuticals. The purpose is to provide a reference on drug interactions that could inform the nuclear medicine staff in their daily routine. Efforts to increase adverse event reporting, and ideally consolidate reports worldwide, can provide a critically needed resource for prevention of drug-radiopharmaceuticals interactions. (author)

Standardizing the evaluation of scientific and academic performance in neurosurgery--critical review of the "h" index and its variants.

Science.gov (United States)

Aoun, Salah G; Bendok, Bernard R; Rahme, Rudy J; Dacey, Ralph G; Batjer, H Hunt

2013-11-01

Assessing the academic impact and output of scientists and physicians is essential to the academic promotion process and has largely depended on peer review. The inherent subjectivity of peer review, however, has led to an interest to incorporate objective measures into more established methods of academic assessment and promotion. Journal impact factor has been used to add objectivity to the process but this index alone does not capture all aspects of academic impact and achievement. The "h" index and its variants have been designed to compensate for these shortcomings, and have been successfully used in the fields of physics, mathematics, and biology, and more recently in medicine. Leaders in academic neurosurgery should be aware of the advantages offered by each of these indices, as well as of their individual shortcomings, to be able to efficiently use them to refine the peer-review process. This review critically analyzes indices that are currently available to evaluate the academic impact of scientists and physicians. These indices include the total citation count, the total number of papers, the impact factor, as well as the "h" index with eight of its most common variants. The analysis focuses on their use in the field of academic neurosurgery, and discusses means to implement them in current review processes. Copyright © 2013 Elsevier Inc. All rights reserved.

A systematic review on critical thinking in medical education.

Science.gov (United States)

Chan, Zenobia C Y

2016-04-18

Critical thinking is the ability to raise discriminating questions in an attempt to search for better ideas, a deeper understanding and better solutions relating to a given issue. This systematic review provides a summary of efforts that have been made to enhance and assess critical thinking in medical education. Nine databases [Ovid MEDLINE(R), AMED, Academic Search Premier, ERIC, CINAHL, Web of Science, JSTOR, SCOPUS and PsycINFO] were searched to identify journal articles published from the start of each database to October 2012. A total of 41 articles published from 1981 to 2012 were categorised into two main themes: (i) evaluation of current education on critical thinking and (ii) development of new strategies about critical thinking. Under each theme, the teaching strategies, assessment tools, uses of multimedia and stakeholders were analysed. While a majority of studies developed teaching strategies and multimedia tools, a further examination of their quality and variety could yield some insights. The articles on assessment placed a greater focus on learning outcomes than on learning processes. It is expected that more research will be conducted on teacher development and students' voices.

A Review of Critical Conditions for the Onset of Nonlinear Fluid Flow in Rock Fractures

Directory of Open Access Journals (Sweden)

Liyuan Yu

2017-01-01

Full Text Available Selecting appropriate governing equations for fluid flow in fractured rock masses is of special importance for estimating the permeability of rock fracture networks. When the flow velocity is small, the flow is in the linear regime and obeys the cubic law, whereas when the flow velocity is large, the flow is in the nonlinear regime and should be simulated by solving the complex Navier-Stokes equations. The critical conditions such as critical Reynolds number and critical hydraulic gradient are commonly defined in the previous works to quantify the onset of nonlinear fluid flow. This study reviews the simplifications of governing equations from the Navier-Stokes equations, Stokes equation, and Reynold equation to the cubic law and reviews the evolutions of critical Reynolds number and critical hydraulic gradient for fluid flow in rock fractures and fracture networks, considering the influences of shear displacement, normal stress and/or confining pressure, fracture surface roughness, aperture, and number of intersections. This review provides a reference for the engineers and hydrogeologists especially the beginners to thoroughly understand the nonlinear flow regimes/mechanisms within complex fractured rock masses.

Review of oxidation rates of DOE spent nuclear fuel : Part 1 : nuclear fuel

International Nuclear Information System (INIS)

Hilton, B.A.

2000-01-01

The long-term performance of Department of Energy (DOE) spent nuclear fuel (SNF) in a mined geologic disposal system depends highly on fuel oxidation and subsequent radionuclide release. The oxidation rates of nuclear fuels are reviewed in this two-volume report to provide a baseline for comparison with release rate data and technical rationale for predicting general corrosion behavior of DOE SNF. The oxidation rates of nuclear fuels in the DOE SNF inventory were organized according to metallic, Part 1, and non-metallic, Part 2, spent nuclear fuels. This Part 1 of the report reviews the oxidation behavior of three fuel types prototypic of metallic fuel in the DOE SNF inventory: uranium metal, uranium alloys and aluminum-based dispersion fuels. The oxidation rates of these fuels were evaluated in oxygen, water vapor, and water. The water data were limited to pure water corrosion as this represents baseline corrosion kinetics. Since the oxidation processes and kinetics discussed in this report are limited to pure water, they are not directly applicable to corrosion rates of SNF in water chemistry that is significantly different (such as may occur in the repository). Linear kinetics adequately described the oxidation rates of metallic fuels in long-term corrosion. Temperature dependent oxidation rates were determined by linear regression analysis of the literature data. As expected the reaction rates of metallic fuels dramatically increase with temperature. The uranium metal and metal alloys have stronger temperature dependence than the aluminum dispersion fuels. The uranium metal/water reaction exhibited the highest oxidation rate of the metallic fuel types and environments that were reviewed. Consequently, the corrosion properties of all DOE SNF may be conservatively modeled as uranium metal, which is representative of spent N-Reactor fuel. The reaction rate in anoxic, saturated water vapor was essentially the same as the water reaction rate. The long-term intrinsic

Endogenous IgG hypogammaglobulinaemia in critically ill adults with sepsis: systematic review and meta-analysis.

Science.gov (United States)

Shankar-Hari, Manu; Culshaw, Nicholas; Post, Benjamin; Tamayo, Eduardo; Andaluz-Ojeda, David; Bermejo-Martín, Jesús F; Dietz, Sebastian; Werdan, Karl; Beale, Richard; Spencer, Jo; Singer, Mervyn

2015-08-01

Plasma immunoglobulin concentrations are acutely altered in critically ill patients with sepsis. However, the association between immunoglobulin levels on the day of sepsis diagnosis and subsequent mortality is inconsistent. Systematic review of studies that report immunoglobulin measurements and mortality among adults with sepsis managed in a critical care setting. Fixed and random effect meta-analyses were conducted using low IgG levels as primary exposure and acute mortality as the primary outcome. Both variables were used as defined in individual studies. The prevalence of a low immunoglobulin G (IgG) concentration on the day of sepsis diagnosis was variable [58.3% (IQR 38.4-65.5%)]. Three cut-off points (6.1, 6.5 and 8.7 g/L) were used to define the lower limit of IgG concentrations in the included studies. A subnormal IgG level on the day of sepsis diagnosis was not associated with an increased risk of death in adult patients with severe sepsis and/or septic shock by both fixed and random effect meta-analysis (OR [95% CI] 1.32 [0.93-1.87] and 1.48 [0.78-2.81], respectively). This systematic review identifies studies of limited quality reporting heterogeneous sepsis cohorts with varying lower limits of normal for IgG. Although our data suggest that a subnormal IgG measurement on the day of sepsis diagnosis does not identify a subgroup of patients with a higher risk of death, further studies are needed to confirm or refute this finding, and whether optimal cut-offs and time windows can be defined for IgG measurement. This would determine whether patients receiving intravenous immunoglobulin therapy for sepsis could be stratified using IgG levels.

A missing ethical competency? A review of critical reflection in health promotion.

Science.gov (United States)

Tretheway, Rebecca; Taylor, Jane; O'Hara, Lily; Percival, Nikki

2015-12-01

There is increasing emphasis in the health promotion literature on the ethical imperative for the profession to move towards critical practice. A key challenge for health promotion is that critical practice appears both under-developed and under-practiced. This is evident in the omission of critical reflection from Australian and international competencies for health promotion practitioners. A narrative literature review was undertaken to explore the current use of critical reflection in health promotion. Critical reflection models relevant to health promotion were identified and critiqued. There was a dearth of literature on critical reflection within health promotion, despite recognition of its potential to support critical practice. The discipline of critical social work provided literature on the use, effect and outcome of critical reflection in practice. The interdisciplinary critical reflection model was identified as the model most applicable to health promotion. Underpinned by critical theory, this model emphasises both critical and ethical practice. Critical reflection is a core competency for health promotion practitioners to address the ethical imperative to move towards critical practice. There is a need to explore the application of a critical reflection model in health promotion to determine how it may support critical and ethical practice. So what? If health promotion is to meet its ethical responsibilities, then critical reflection needs to be articulated as a core health promotion competency and a model for its application in health promotion developed.

Green Adsorbents for Wastewaters: A Critical Review

Directory of Open Access Journals (Sweden)

George Z. Kyzas

2014-01-01

Full Text Available One of the most serious environmental problems is the existence of hazardous and toxic pollutants in industrial wastewaters. The major hindrance is the simultaneous existence of many/different types of pollutants as (i dyes; (ii heavy metals; (iii phenols; (iv pesticides and (v pharmaceuticals. Adsorption is considered to be one of the most promising techniques for wastewater treatment over the last decades. The economic crisis of the 2000s led researchers to turn their interest in adsorbent materials with lower cost. In this review article, a new term will be introduced, which is called “green adsorption”. Under this term, it is meant the low-cost materials originated from: (i agricultural sources and by-products (fruits, vegetables, foods; (ii agricultural residues and wastes; (iii low-cost sources from which most complex adsorbents will be produced (i.e., activated carbons after pyrolysis of agricultural sources. These “green adsorbents” are expected to be inferior (regarding their adsorption capacity to the super-adsorbents of previous literature (complex materials as modified chitosans, activated carbons, structurally-complex inorganic composite materials etc., but their cost-potential makes them competitive. This review is a critical approach to green adsorption, discussing many different (maybe in some occasions doubtful topics such as: (i adsorption capacity; (ii kinetic modeling (given the ultimate target to scale up the batch experimental data to fixed-bed column calculations for designing/optimizing commercial processes and (iii critical techno-economical data of green adsorption processes in order to scale-up experiments (from lab to industry with economic analysis and perspectives of the use of green adsorbents.

Green Adsorbents for Wastewaters: A Critical Review

Science.gov (United States)

Kyzas, George Z.; Kostoglou, Margaritis

2014-01-01

One of the most serious environmental problems is the existence of hazardous and toxic pollutants in industrial wastewaters. The major hindrance is the simultaneous existence of many/different types of pollutants as (i) dyes; (ii) heavy metals; (iii) phenols; (iv) pesticides and (v) pharmaceuticals. Adsorption is considered to be one of the most promising techniques for wastewater treatment over the last decades. The economic crisis of the 2000s led researchers to turn their interest in adsorbent materials with lower cost. In this review article, a new term will be introduced, which is called “green adsorption”. Under this term, it is meant the low-cost materials originated from: (i) agricultural sources and by-products (fruits, vegetables, foods); (ii) agricultural residues and wastes; (iii) low-cost sources from which most complex adsorbents will be produced (i.e., activated carbons after pyrolysis of agricultural sources). These “green adsorbents” are expected to be inferior (regarding their adsorption capacity) to the super-adsorbents of previous literature (complex materials as modified chitosans, activated carbons, structurally-complex inorganic composite materials etc.), but their cost-potential makes them competitive. This review is a critical approach to green adsorption, discussing many different (maybe in some occasions doubtful) topics such as: (i) adsorption capacity; (ii) kinetic modeling (given the ultimate target to scale up the batch experimental data to fixed-bed column calculations for designing/optimizing commercial processes) and (iii) critical techno-economical data of green adsorption processes in order to scale-up experiments (from lab to industry) with economic analysis and perspectives of the use of green adsorbents. PMID:28788460

Performance assessment review guide for DOE low-level radioactive waste disposal facilities

International Nuclear Information System (INIS)

Dodge, R.L.; Hansen, W.R.; Kennedy, W.E. Jr.; Layton, D.W.; Lee, D.W.; Maheras, S.T.; Neuder, S.M.; Wilhite, E.L.; Curl, R.U.; Grahn, K.F.; Heath, B.A.; Turner, K.H.

1991-10-01

This report was prepared under the direction of the Performance Assessment Peer Review Panel. The intent is to help Department of Energy sites prepare performance assessments that meet the Panel's expectations in terms of detail, quality, content, and consistency. Information on the Panel review process and philosophy are provided, as well as important technical issues that will be focused on during a review. This guidance is not intended to provide a detailed review plan as in NUREG-1200, Standard Review Plan for Review of a License Application for a Low-Level Radioactive Waste Disposal Facility (January 1988). The focus and intent of the Panel's reviews differ significantly from a regulatory review. The review of a performance assessment by the Panel uses the collective professional judgment of the members to ascertain that the approach taken the methodology used, the assumptions made, etc., are technically sound and adequately justified. The results of the Panel's review will be used by Department of Energy Headquarters in determining compliance with the requirements of DOE Order 5820.2A, ''Radioactive Waste Management.''

Does College Teach Critical Thinking? A Meta-Analysis

Science.gov (United States)

Huber, Christopher R.; Kuncel, Nathan R.

2016-01-01

Educators view critical thinking as an essential skill, yet it remains unclear how effectively it is being taught in college. This meta-analysis synthesizes research on gains in critical thinking skills and attitudinal dispositions over various time frames in college. The results suggest that both critical thinking skills and dispositions improve…

2015 DOE Hydrogen and Fuel Cells Program Annual Merit Review and Peer Evaluation Report

Energy Technology Data Exchange (ETDEWEB)

none,

2015-10-01

This report summarizes comments from the Peer Review Panel at the 2015 DOE Hydrogen and Fuel Cells Program Annual Merit Review, held on June 8-12, 2015, in Arlington, Virginia. It covers the program areas of hydrogen production and delivery; hydrogen storage; fuel cells; manufacturing R&D; technology validation; safety, codes, and standards; market transformation; and systems analysis.

2011 DOE Hydrogen and Fuel Cells Program Annual Merit Review and Peer Evaluation Report

Energy Technology Data Exchange (ETDEWEB)

none,

2011-09-01

This report summarizes comments from the Peer Review Panel at the 2011 DOE Hydrogen and Fuel Cells Program Annual Merit Review, held on May 9-13, 2011, in Arlington, Virginia. It covers the program areas of hydrogen production and delivery; hydrogen storage; fuel cells; manufacturing R&D; technology validation; safety, codes, and standards; education; market transformation; and systems analysis.

2013 DOE Hydrogen and Fuel Cells Program Annual Merit Review and Peer Evaluation Report

Energy Technology Data Exchange (ETDEWEB)

none,

2013-10-01

This report summarizes comments from the Peer Review Panel at the 2013 DOE Hydrogen and Fuel Cells Program Annual Merit Review, held on May 13-17, 2013, in Arlington, Virginia. It covers the program areas of hydrogen production and delivery; hydrogen storage; fuel cells; manufacturing R&D; technology validation; safety, codes, and standards; market transformation; and systems analysis.

2014 DOE Hydrogen and Fuel Cells Program Annual Merit Review and Peer Evaluation Report

Energy Technology Data Exchange (ETDEWEB)

none,

2014-10-01

This report summarizes comments from the Peer Review Panel at the 2014 DOE Hydrogen and Fuel Cells Program Annual Merit Review, held on June 16-20, 2014, in Washington, DC. It covers the program areas of hydrogen production and delivery; hydrogen storage; fuel cells; manufacturing R&D; technology validation; safety, codes, and standards; market transformation; and systems analysis.

2012 DOE Hydrogen and Fuel Cells Program Annual Merit Review and Peer Evaluation Report

Energy Technology Data Exchange (ETDEWEB)

none,

2012-09-01

This report summarizes comments from the Peer Review Panel at the 2012 DOE Hydrogen and Fuel Cells Program Annual Merit Review, held on May 14-18, 2012, in Arlington, Virginia. It covers the program areas of hydrogen production and delivery; hydrogen storage; fuel cells; manufacturing R&D; technology validation; safety, codes, and standards; education; market transformation; and systems analysis.

Critical review of the epidemiological literature on occupational exposure to perchloroethylene and cancer.

Science.gov (United States)

Mundt, Kenneth A; Birk, Thomas; Burch, Margaret T

2003-09-01

Of an estimated 500,000 workers in the USA potentially exposed to perchloroethylene (PCE), the largest share is employed in the dry-cleaning industry. PCE, a non-flammable solvent, has commercial applications as a chemical intermediate, metal degreaser and, since the 1950s, primary solvent in the dry-cleaning industry. The International Agency for Research on Cancer (IARC) currently finds sufficient evidence to designate PCE as carcinogenic in animals, with limited evidence in humans. With regard to occupational exposure through dry-cleaning, PCE is considered to be possibly carcinogenic to humans. This review was conducted to assess the current epidemiological literature on PCE and specific cancers. A comprehensive search was conducted to identify all available epidemiological literature pertaining to the carcinogenic effects of PCE. Forty-four papers that provided reasonable data on up to 17 cancer sites were critically reviewed in the context of the available background literature for each cancer site and were assessed on the basis of specified methodological and scientific quality criteria. While all the epidemiological studies selected for review investigated similar exposure-health outcome relationships, there was a broad diversity of proxy measurements of exposure to PCE, as well as numerous specific cancer outcomes of interest. The widespread lack of valid exposure measurements or other adequate indicators of potential for exposure were consistent limitations. We found no evidence of an association between breast, prostate, skin or brain cancer and exposure to PCE. A relationship between PCE and cancer of the following sites was considered unlikely: oral cavity, liver, pancreas, cervix lung. Scientific evidence was inadequate for laryngeal, kidney, esophageal and bladder cancers. The current epidemiological evidence does not support a conclusion that occupational exposure to PCE is a risk factor for cancer of any specific site. Priority areas in which

The effectiveness of concept mapping on development of critical thinking in nursing education: A systematic review and meta-analysis.

Science.gov (United States)

Yue, Meng; Zhang, Meng; Zhang, Chunmei; Jin, Changde

2017-05-01

As an essential skill in daily clinical nursing practice, critical thinking ability has been an important objective in nursing education. Concept mapping enables nursing students connect new information to existing knowledge and integrates interdisciplinary knowledge. However, there is a lack of evidence related to critical thinking ability and concept mapping in nursing education. The purpose of this systematic review and meta-analysis was to assess the effect of concept mapping in developing critical thinking in nursing education. This systematic review was reported in line with Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). A search was conducted in PubMed, Web of science, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), Cumulative Index to Nursing and Allied Health (CINAHL) and China National Knowledge Infrastructure (CNKI). Randomized controlled trials (RCT) comparing concept mapping and traditional teaching method were retrieved. Data were collected by two reviewers according to the data extraction tables. The methodological quality of included studies was assessed by other two reviewers. The results of meta-analysis were presented using mean difference (MD). Thirteen trials were summarized in the systematic review and eleven trials were included in the meta-analysis. The pooled effect size showed that, comparing with traditional methods, concept mapping could improve subjects' critical thinking ability measured by California Critical Thinking Disposition Inventory (CCTDI), California Critical Thinking Skill Test (CCTST) and Critical Thinking Scale (CTS). The subgroup analyses showed that concept mapping improved the score of all subscales. The result of this review indicated that concept mapping could affect the critical thinking affective dispositions and critical thinking cognitive skills. Further high quality research using uniform evaluation is required. Copyright © 2017 Elsevier Ltd. All rights reserved.

A critical review of the literature on early rehabilitation of patients with post-traumatic amnesia in acute care

DEFF Research Database (Denmark)

Langhorn, Leanne; Sorensen, Jens C; Pedersen, Preben U

2010-01-01

A critical review of the literature on early rehabilitation of patients with post-traumatic amnesia in acute care......A critical review of the literature on early rehabilitation of patients with post-traumatic amnesia in acute care...

16th DOE nuclear air cleaning conference: proceedings

International Nuclear Information System (INIS)

First, M.W.

1981-02-01

Major topics discussed during the Sixteenth DOE Nuclear Air Cleaning Conference were: waste treatment, including volume reduction and storage; system and component response to stress and accident conditions; Three Mile Island accident; iodine adsorption; treatment and storage of noble gas: treatment of offgases from chemical processing; aerosol; behavior; containment venting; laboratory and in-place filter-testing methods; and particulate filtration. Volume I of the Proceedings has 49 papers from the following sessions; HEPA filter test methods; noble gas separation; air cleaning system design; containment venting; iodine adsorption; reprocessing offgas cleaning; critical review; filtration; filter testing; and aerosols. Volume II contains 44 papers from the sessions on: nuclear waste treatment; critical review; noble gas treatment; carbon-14 and tritium; air cleaning system response to stress; nuclear standards and safety; round table; open end; and air cleaning technology at Three Mile Island. Abstracts are provided for all of these papers

16th DOE nuclear air cleaning conference: proceedings

International Nuclear Information System (INIS)

First, M.W.

1981-02-01

Major topics discussed during the Sixteenth DOE Nuclear Air Cleaning Conference were: waste treatment, including volume reduction and storage; system and component response to stress and accident conditions; Three Mile Island accident; iodine adsorption; treatment and storage of noble gas; treatment of offgases from chemical processing; aerosol behavior; containment venting; laboratory and in-place filter-testing methods; and particulate filtration. Volume I of the Proceedings has 49 papers from the following sessions: HEPA filter test methods; noble gas separation; air cleaning system design; containment venting; iodine adsorption; reprocessing offgas cleaning; critical review; filtration, filter testing, and aerosols. Volume II contains 44 papers from the sessions on: nuclear waste treatment; critical review; noble gas treatment; carbon-14 and tritium; air cleaning system response to stress; nuclear standards and safety; round table; open end; and air cleaning technology at Three Mile Island. Abstracts are provided for all of these papers

Critical thinking dispositions of nursing students in Asian and non-Asian countries: a literature review.

Science.gov (United States)

Salsali, Mahvash; Tajvidi, Mansooreh; Ghiyasvandian, Shahrzad

2013-09-26

Critical thinking disposition represents an inclination of a person to use possessed skills in relation to critical thinking. The trend of critical thinking has been described as inner motivation to solve problems and make decisions by thinking. In nursing as a practical profession, the concept of critical thinking dispositions is important component in helping to manage complex health situations and to deal with patient issues effectively. Willingness to think critically is a prerequisite for safe and subtly performance. The results of studies show critical thinking dispositions of nursing students in Asian countries are different from non-Asian countries. Aim of this literature review was to compare critical thinking dispositions of nursing students in Asian and non-Asian countries. Literature review was done in English and Persian databases. The results showed of the 795 articles published in English and Persian language that studied critical thinking, 73 ones studied critical thinking skills and dispositions in nursing education, and relationship between teaching methods and critical thinking skills and dispositions in nursing education of different countries. Fifteen of seventy three articles assessed critical thinking dispositions in nursing students. Limited studies showed that the Asian nursing students had mostly undermining score of the critical thinking dispositions, while non-Asian countries tend to positive scores. The reasons for these differences could be due to issues such as environmental, educational methods and cultural differences. However, future studies should measure critical thinking disposition by discipline-based tools.

Critical Thinking Dispositions of Nursing Students in Asian and Non-Asian Countries: A Literature Review

Science.gov (United States)

Salsali, Mahvash; Tajvidi, Mansooreh; Ghiyasvandian, Shahrzad

2013-01-01

Critical thinking disposition represents an inclination of a person to use possessed skills in relation to critical thinking. The trend of critical thinking has been described as inner motivation to solve problems and make decisions by thinking. In nursing as a practical profession, the concept of critical thinking dispositions is important component in helping to manage complex health situations and to deal with patient issues effectively. Willingness to think critically is a prerequisite for safe and subtly performance. The results of studies show critical thinking dispositions of nursing students in Asian countries are different from non-Asian countries. Aim of this literature review was to compare critical thinking dispositions of nursing students in Asian and non-Asian countries. Literature review was done in English and Persian databases. The results showed of the 795 articles published in English and Persian language that studied critical thinking, 73 ones studied critical thinking skills and dispositions in nursing education, and relationship between teaching methods and critical thinking skills and dispositions in nursing education of different countries. Fifteen of seventy three articles assessed critical thinking dispositions in nursing students. Limited studies showed that the Asian nursing students had mostly undermining score of the critical thinking dispositions, while non-Asian countries tend to positive scores. The reasons for these differences could be due to issues such as environmental, educational methods and cultural differences. However, future studies should measure critical thinking disposition by discipline-based tools. PMID:24171885

DOE FreedomCAR and vehicle technologies program advanced power electronic and electrical machines annual review report

Energy Technology Data Exchange (ETDEWEB)

Olszewski, Mitch [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

2006-10-11

This report is a summary of the Review Panel at the FY06 DOE FreedomCAR and Vehicle Technologies (FCVT) Annual Review of Advanced Power Electronics and Electric Machine (APEEM) research activities held on August 15-17, 2006.

A Review of Vitamin D Deficiency in the Critical Care Population

Directory of Open Access Journals (Sweden)

Kelly Massey

2014-01-01

Full Text Available It is well documented that a large percentage of the general population is either vitamin D insufficient or deficient. Vitamin D deficiency adversely affects bone health. More recently, it has been reported that vitamin D is an important component in immune function and glycemic control Substantial data exist that demonstrate an association between vitamin D insufficiency/deficiency and mortality/clinical outcomes of critically ill patients. The larger clinical trials addressing this association have demonstrated an increased odds ratio for mortality in both vitamin D insufficient and deficient patients when compared to those with sufficient vitamin D. There is also some evidence that vitamin D status worsens during critical illness without supplementation of this vitamin. Supplementation of vitamin D during critical illness of patients with vitamin D deficiency has been studied, but not in great detail. Daily supplementation of the recommended dietary allowance (RDA of vitamin D does very little to improve the 25(OHD serum concentrations in the critically ill patients with vitamin D insufficiency or deficiency. There is some evidence that high-dose therapy of vitamin D improves the depressed serum concentrations of this vitamin; however, there are no clinical outcome data available yet. The association between vitamin D insufficiency or deficiency and clinical outcome in the critically ill appears to be important. Supplementation of vitamin D will increase the serum concentrations of this vitamin; however the optimal dose needs to be identified along with an assessment of clinical outcome.

The interrelation between hypothyroidism and glaucoma: a critical review and meta-analyses.

Science.gov (United States)

Thvilum, Marianne; Brandt, Frans; Brix, Thomas Heiberg; Hegedüs, Laszlo

2017-12-01

Data on the association between hypothyroidism and glaucoma are conflicting. We sought to shed light on this by conducting a critical review and meta-analyses. The meta-analyses were conducted in adherence with the widely accepted MOOSE guidelines. Using the Medical Subject Heading (MeSH) terms: hypothyroidism, myxoedema and glaucoma or intraocular pressure, case-control studies, cohort studies and cross-sectional studies were identified (PubMed) and reviewed. Using meta-analysis, the relative risk (RR) of coexistence of glaucoma and hypothyroidism was calculated. Based on the literature search, thirteen studies fulfilled the inclusion criteria and could be categorized into two groups based on the exposure. The designs of the studies varied considerably, and there was heterogeneity related to lack of power, weak phenotype classifications and length of follow-up. Eight studies had glaucoma (5757 patients) as exposure and hypothyroidism as outcome. Among these, we found a non-significantly increased risk of hypothyroidism associated with glaucoma (RR 1.65; 95% confidence interval [CI]: 0.97-2.82). Based on five studies (168 006 patients) with hypothyroidism as exposure and glaucoma as outcome, we found the risk of glaucoma to be significantly increased (RR 1.33; 95% CI: 1.13-1.58). Based on these meta-analyses, there seems to be an association between hypothyroidism and glaucoma, which does not seem to be the case between glaucoma and hypothyroidism. However, larger scale studies with better phenotype classification, longer follow-up and taking comorbidity and other biases into consideration are needed to address a potential causal relationship. © 2017 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

Entropy in the Critical Zone: A Comprehensive Review

Directory of Open Access Journals (Sweden)

Juan Quijano

2014-06-01

Full Text Available Thermodynamic entropy was initially proposed by Clausius in 1865. Since then it has been implemented in the analysis of different systems, and is seen as a promising concept to understand the evolution of open systems in non-equilibrium conditions. Information entropy was proposed by Shannon in 1948, and has become an important concept to measure information in different systems. Both thermodynamic entropy and information entropy have been extensively applied in different fields related to the Critical Zone, such as hydrology, ecology, pedology, and geomorphology. In this study, we review the most important applications of these concepts in those fields, including how they are calculated, and how they have been utilized to analyze different processes. We then synthesize the link between thermodynamic and information entropies in the light of energy dissipation and organizational patterns, and discuss how this link may be used to enhance the understanding of the Critical Zone.

Online counseling: a narrative and critical review of the literature.

Science.gov (United States)

Richards, Derek; Viganó, Noemi

2013-09-01

This article aimed to critically review the literature on online counseling. Database and hand-searches were made using search terms and eligibility criteria, yielding a total of 123 studies. The review begins with what characterizes online counseling. Outcome and process research in online counseling is reviewed. Features and cyberbehaviors of online counseling such as anonymity and disinhibition, convenience, time-delay, the loss of social signaling, and writing behavior in cyberspace are discussed. Ethical behavior, professional training, client suitability, and clients' and therapists' attitudes and experiences of online counseling are reviewed. A growing body of knowledge to date is positive in showing that online counseling can have a similar impact and is capable of replicating the facilitative conditions as face-to-face encounters. A need remains for stronger empirical evidence to establish efficacy and effectiveness and to understand better the unique mediating and facilitative variables. © 2013 Wiley Periodicals, Inc.

A critical review of the nursing shortage in Malaysia.

Science.gov (United States)

Barnett, T; Namasivayam, P; Narudin, D A A

2010-03-01

This paper describes and critically reviews steps taken to address the nursing workforce shortage in Malaysia. To address the shortage and to build health care capacity, Malaysia has more than doubled its nursing workforce over the past decade, primarily through an increase in the domestic supply of new graduates. Government reports, policy documents and ministerial statements were sourced from the Ministry of Health Malaysia website and reviewed and analysed in the context of the scholarly literature published about the health care workforce in Malaysia and more generally about the global nursing shortage. An escalation in student numbers and the unprecedented number of new graduates entering the workforce has been associated with other impacts that have been responded to symptomatically rather than through workplace reform. Whilst growing the domestic supply of nurses is a critical key strategy to address workforce shortages, steps should also be taken to address structural and other problems of the workplace to support both new graduates and the retention of more experienced staff. Nursing shortages should not be tackled by increasing the supply of new graduates alone. The creation of a safe and supportive work environment is important to the long-term success of current measures taken to grow the workforce and retain nurses within the Malaysian health care system.

Tablet Use in Schools: A Critical Review of the Evidence for Learning Outcomes

Science.gov (United States)

Haßler, B.; Major, L.; Hennessy, S.

2016-01-01

The increased popularity of tablets in general has led to uptake in education. We critically review the literature reporting use of tablets by primary and secondary school children across the curriculum, with a particular emphasis on learning outcomes. The systematic review methodology was used, and our literature search resulted in 33 relevant…

Critical Discourse Analysis in Education: A Review of the Literature, 2004 to 2012

Science.gov (United States)

Rogers, Rebecca; Schaenen, Inda; Schott, Christopher; O'Brien, Kathryn; Trigos-Carrillo, Lina; Starkey, Kim; Chasteen, Cynthia Carter

2016-01-01

This article reviews critical discourse analysis scholarship in education research from 2004 to 2012. Our methodology was carried out in three stages. First, we searched educational databases. Second, we completed an analytic review template for each article and encoded these data into a digital spreadsheet to assess macro-trends in the field.…

A critical review on physical factors and functional characteristics that may explain a sex/gender difference in work-related neck/shoulder disorders.

Science.gov (United States)

Côté, Julie N

2012-01-01

The objective of this paper is to critically review recent literature on physical and functional sex/gender (s/g) differences, with focus on physical determinants associated with neck/shoulder musculoskeletal injuries. It is well known that there are s/g differences in anthropometrical and functional body characteristics (e.g. size and strength). However, s/g differences may be wrongly attributed if data analysis does not include appropriate corrections (e.g. by strength for endurance). Recent literature on motor control shows that there may indeed be s/g differences in muscle coordination and movement strategies during upper limb tasks that are not currently explained by methodological inadequacies. Moreover, recent studies have shown differences between men and women in sensory hypersensitivity characteristics associated with neck/shoulder injuries. Taken together, the literature points to the importance of accounting for possible s/g differences at all levels of the biopsychosocial system in order to better understand sex- and gender-specific issues relevant to workplace health. This article critically reviews recent literature and a conceptual model highlighting s/g differences in physical and functional characteristics related to neck/shoulder musculoskeletal disorders (NSMSD). Findings have implications on understanding how personal factors may affect NSMSD risk. With better understanding, practitioners can make more appropriate decisions to prevent work-related NSMSD.

Healthcare avoidance: a critical review.

Science.gov (United States)

Byrne, Sharon K

2008-01-01

The purpose of this study is to provide a critical review and synthesis of theoretical and research literature documenting the impact of avoidance on healthcare behaviors, identify the factors that influence healthcare avoidance and delay in the adult population, and propose a direction for future research. The Theory of Reasoned Action, Theory of Planned Behavior, Theory of Care-Seeking Behavior, the Transtheoretical Model, and the Behavioral Model of Health Services Use/Utilization are utilized to elaborate on the context within which individual intention to engage in healthcare behaviors occurs. Research literature on the concept of healthcare avoidance obtained by using computerized searches of CINAHL, MEDLINE, PSYCH INFO, and HAPI databases, from 1995 to 2007, were reviewed. Studies were organized by professional disciplines. Healthcare avoidance is a common and highly variable experience. Multiple administrative, demographic, personal, and provider factors are related to healthcare avoidance, for example, distrust of providers and/or the science community, health beliefs, insurance status, or socioeconomic/income level. Although the concept is recognized by multiple disciplines, limited research studies address its impact on healthcare decision making. More systematic research is needed to determine correlates of healthcare avoidance. Such studies will help investigators identify patients at risk for avoidant behaviors and provide the basis for health-promoting interventions. Methodological challenges include identification of characteristics of individuals and environments that hinder healthcare behaviors, as well as, the complexity of measuring healthcare avoidance. Studies need to systematically explore the influence of avoidance behaviors on specific healthcare populations at risk.

Nuclear security. Improving correction of security deficiencies at DOE's weapons facilities

International Nuclear Information System (INIS)

Wells, James E.; Cannon, Doris E.; Fenzel, William F.; Lightner, Kenneth E. Jr.; Curtis, Lois J.; DuBois, Julia A.; Brown, Gail W.; Trujillo, Charles S.; Tumler, Pamela K.

1992-11-01

The US nuclear weapons research, development, and production are conducted at 10 DOE nuclear weapons facilities by contractors under the guidance and oversight of 9 DOE field offices. Because these facilities house special nuclear materials used in making nuclear weapons and nuclear weapons components, DOE administers a security program to protect (1) against theft, sabotage, espionage, terrorism, or other risks to national security and (2) the safety and health of DOE employees and the public. DOE spends almost $1 billion a year on this security program. DOE administers the security program through periodic inspections that evaluate and monitor the effectiveness of facilities' safeguards and security. Security inspections identify deficiencies, instances of noncompliance with safeguards and security requirements or poor performance of the systems being evaluated, that must be corrected to maintain adequate security. The contractors and DOE share responsibility for correcting deficiencies. Contractors, in correcting deficiencies, must comply with several DOE orders. The contractors' performances were not adequate in conducting four of the eight procedures considered necessary in meeting DOE's deficiency correction requirements. For 19 of the 20 deficiency cases we reviewed, contractors could not demonstrate that they had conducted three critical deficiency analyses (root cause, risk assessment, and cost-benefit) required by DOE. Additionally, the contractors did not always adequately verify that corrective actions taken were appropriate, effective, and complete. The contractors performed the remaining four procedures (reviewing deficiencies for duplication, entering deficiencies into a data base, tracking the status of deficiencies, and preparing and implementing a corrective action plan) adequately in all 20 cases. DOE's oversight of the corrective action process could be improved in three areas. The computerized systems used to track the status of security

A critical review of regional economic integration in China

OpenAIRE

Wang RUI

2015-01-01

Under the circumstances of economic globalization, regional economic integration has become the mainstream of current economic development for each country, so China has to pay more attention to it. The critical review on regional economic integration in China can lay a certain foundation and provide experience for the in-depth research. Main contents of regional economic integration are refined according to the previous studies and realities, including the integration of regional economic re...

A Cross-Industry Review of B2B Critical Success Factors.

Science.gov (United States)

Eid, Riyad; Trueman, Myfanwy; Ahmed, Abdel Moneim

2002-01-01

Presents a comprehensive review of B2B (business-to- business) international Internet marketing and identifies 21 critical success factors in five categories: marketing strategy, including management support, strategic goals, and collaboration; Web site factors, including Web site design; global factors, including multilanguage sites and cultural…

Does Foot Massage Relieve Acute Postoperative Pain? A Literature Review

Directory of Open Access Journals (Sweden)

Chanif Chanif

2013-01-01

Full Text Available Purpose: This study aimed to examine the current state of knowledge regarding foot massageto determine if foot massage has an effect on relieving acute postoperative pain.Method: The following questions were used to guide this review: How does pain occur?What is the pain management modalities used in relieving acute postoperative pain? Does footmassage relieve acute postoperative pain? A comprehensive systematic search of publishedliterature and journal articles from Science Direct, CINAHL, PubMed, ProQuest and fromrelevant textbooks was conducted. The universal case entry website, Google-scholar was usedas well. The following keywords were used: foot massage, pain management, andpostoperative pain. Eight studies on foot massage and more than thirty related articles werereviewed.Result: Postoperative pain is caused by tissue damage that induces release of chemicalmediators from the surgical wound. The four processes of pain are transduction, transmission,perception and modulation. Pain medication is the goal standard for acute postoperative painrelief. In addition, foot massage is a modality that can be used in relieving acute postoperativepain. Massage stimulates large nerve fibers and dermatome layers which contain tactile andpressure receptors. The receptors subsequently transmit the nerve impulse to the centralnervous system. The gate control system in the dorsal horn is activated through the inhibitoryinterneuron, thus closing the gate. Subsequently, the brain does not receive the pain message.Eight reviewed studies demonstrated that foot massage relieves acute postoperative pain.However, there were some methodological limitations of these studies.Conclusion: It is recommended to examine the effect of foot massage on acute postoperativepain with high homogenous samples using various duration of massage and range of time forpain measurement at different settings.Key words: foot massage, pain management and postoperative pain.

Research Review: A Critical Review of Studies on the Developmental Trajectories of Antisocial Behavior in Females

Science.gov (United States)

Fontaine, Nathalie; Carbonneau, Rene; Vitaro, Frank; Barker, Edward D.; Tremblay, Richard E.

2009-01-01

Background: Knowledge on the onset and the development of antisocial behavior in females is limited, because most of the research in this domain is based on males. Methods: We critically reviewed 46 empirical studies that examined developmental trajectories of antisocial behavior in females, notably to help determine whether or not an…

Functions of the Materials Review Board

International Nuclear Information System (INIS)

Steindler, M.J.; Seefeldt, W.B.

1984-01-01

The DOE has established a centralized organization for the assembly and critical review of materials data that are important to the process of licensing a nuclear waste repository. The MRB serves as an independent reviewing body, somewhat similar to standards organizations, that examines test methods and materials data. To a large extent, the criteria used in these reviews are codified, and the review process is highly visible and extensively documented. Approval of test methods or materials data for publication in the Nuclear Waste Materials handbook requires successful completion of three separate reviews that are sufficiently rigorous, yet in accord with the provisions of the NRC licensing approach, so that the resulting documents can be used by DOE with assurance that scientific scrutiny by others will affirm the conclusions of the MRB. The credibility of the review process is reflected in the credibility of the conclusions drawn from the data, thereby allowing the licensing of the repository to proceed expeditiously. 10 references

Proceedings of the 1995 U.S. DOE hydrogen program review. Volume II

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-09-01

The 1995 US DOE Hydrogen Program Review was held April 18-21, 1995 in Coral Gables, FL. Volume II of the Proceedings contains 8 papers presented under the subject of hydrogen storage and 17 papers presented on hydrogen production. Selected papers are indexed separately for inclusion in the Energy Science and Technology Database.

Critical review: medical students' motivation after failure.

Science.gov (United States)

Holland, Chris

2016-08-01

About 10 % of students in each years' entrants to medical school will encounter academic failure at some stage in their programme. The usual approach to supporting these students is to offer them short term remedial study programmes that often enhance approaches to study that are orientated towards avoiding failure. In this critical review I will summarise the current theories about student motivation that are most relevant to this group of students and describe how they are enhanced or not by various contextual factors that medical students experience during their programme. I will conclude by suggesting ways in which support programmes for students who have encountered academic failure might be better designed and researched in the future.

A critical review of advance directives in Germany: attitudes, use and healthcare professionals’ compliance

NARCIS (Netherlands)

Evans, N.; Bausewein, C.; Meñaca, A.; Andrew, E.V.W.; Higginson, I.J.; Harding, R.; Pool, R.; Gysels, M.

2012-01-01

Objective Recent legal changes in Germany make non-compliance with advance directives (ADs) a criminal offence. This article assesses the evidence on attitudes towards, use of, and physician compliance with ADs in Germany. Methods Critical review: studies on ADs, identified from a systematic review

Strategies used for the promotion of critical thinking in nursing undergraduate education: A systematic review.

Science.gov (United States)

Carvalho, Diana P S R P; Azevedo, Isabelle C; Cruz, Giovanna K P; Mafra, Gabriela A C; Rego, Anna L C; Vitor, Allyne F; Santos, Viviane E P; Cogo, Ana L P; Ferreira Júnior, Marcos A

2017-10-01

Identifying the strategies used to promote critical thinking (CT) during undergraduate education in nursing courses. Systematic review. Five electronic databases were searched without language, publication time or geographic filters. A systematic review of the literature. Including experimental studies that considered at least one teaching strategy to promote critical thinking of undergraduate students in Nursing courses. The search for studies occurred in three phases: title and summary review, complete text and implementation of a clinical form of selection according to predetermined criteria. All included studies were assessed for quality through a classification tool for experimental studies. Six studies were selected. The results were grouped into three key themes: an evaluation of the quality of the selected studies, characterization of the studies and the strategies used to promote critical thinking. All selected studies were in English, with significant conceptual similarity of Critical Thinking and dominance in choosing the approached theme during strategies in clinical nursing education with an emphasis on the nursing process. The most widely used teaching intervention was Problem-Based Learning. Nursing education mediated by strategies that stimulate CT is considered a positive difference in undergraduate curriculums. Copyright © 2017 Elsevier Ltd. All rights reserved.

Taking Critical Ontology Seriously

DEFF Research Database (Denmark)

Wigger, Angela; Horn, Laura

2017-01-01

To be ‘critical’ has become fashionable among social scientists in various disciplines. Only a few decades ago, the prefix ‘critical’ was almost automatically associated with Western Marxism and in particular the Frankfurt School. Today, the term critical is no longer limited to a single...... theoretical approach, but pertains to a vast range of approaches, including feminist, reflexive, postcolonial, postmodern or poststructuralist studies, and studies committed to a post-positivist epistemology more generally. But what does critical social science actually mean? Which implications does critical...... a primer on a few core dimensions of critical social science and its central premises. It discusses first what critical social science is not, and clarifies key differences between what is commonly referred to as ‘mainstream’ and ‘critical’ social science perspectives. It addresses the role of normative...

A Critical Review of Instructional Design Process of Distance Learning System

Science.gov (United States)

Chaudry, Muhammad Ajmal; ur-Rahman, Fazal

2010-01-01

Instructional design refers to planning, development, delivery and evaluation of instructional system. It is an applied field of study aiming at the application of descriptive research outcomes in regular instructional settings. The present study was designed to critically review the process of instructional design at Allama Iqbal Open University…

International entrepreneurship research in emerging economies : A critical review and research agenda

NARCIS (Netherlands)

Kiss, A.N.; Danis, W.D.; Cavusgil, S.T.

This article systematically reviews and critically examines international entrepreneurship research in emerging economies (IEEE research), and articulates its importance, timeliness and relevance in consideration of the growing influence of emerging markets in the global economy. A systematic

The U.S. Department of Energy SARP review training program

International Nuclear Information System (INIS)

Mauck, C.J.

1988-01-01

In support of its radioactive material packaging certification program, the U.S. Department of Energy (DOE) has established a special training workshop. The purpose of the two-week workshop is to develop skills in reviewing Safety Analysis Reports for Packagings (SARPs) and performing confirmatory analyses. The workshop, conducted by the Lawrence Livermore National Laboratory (LLNL) for DOE, is divided into two parts: methods of review and methods of analysis. The sessions covering methods of review are based on the DOE document, ''Packaging Review Guide for Reviewing Safety Analysis Reports for Packagings'' (PRG). The sessions cover relevant DOE Orders and all areas of review in the applicable Nuclear Regulatory Commission (NRC) Regulatory Guides. The technical areas addressed include structural and thermal behavior, materials, shielding, criticality, and containment. The course sessions on methods of analysis provide hands-on experience in the use of calculational methods and codes for reviewing SARPs. Analytical techniques and computer codes are discussed and sample problems are worked. Homework is assigned each night and over the included weekend; at the conclusion, a comprehensive take-home examination is given requiring six to ten hours to complete

Public key infrastructure for DOE security research

Energy Technology Data Exchange (ETDEWEB)

Aiken, R.; Foster, I.; Johnston, W.E. [and others

1997-06-01

This document summarizes the Department of Energy`s Second Joint Energy Research/Defence Programs Security Research Workshop. The workshop, built on the results of the first Joint Workshop which reviewed security requirements represented in a range of mission-critical ER and DP applications, discussed commonalties and differences in ER/DP requirements and approaches, and identified an integrated common set of security research priorities. One significant conclusion of the first workshop was that progress in a broad spectrum of DOE-relevant security problems and applications could best be addressed through public-key cryptography based systems, and therefore depended upon the existence of a robust, broadly deployed public-key infrastructure. Hence, public-key infrastructure ({open_quotes}PKI{close_quotes}) was adopted as a primary focus for the second workshop. The Second Joint Workshop covered a range of DOE security research and deployment efforts, as well as summaries of the state of the art in various areas relating to public-key technologies. Key findings were that a broad range of DOE applications can benefit from security architectures and technologies built on a robust, flexible, widely deployed public-key infrastructure; that there exists a collection of specific requirements for missing or undeveloped PKI functionality, together with a preliminary assessment of how these requirements can be met; that, while commercial developments can be expected to provide many relevant security technologies, there are important capabilities that commercial developments will not address, due to the unique scale, performance, diversity, distributed nature, and sensitivity of DOE applications; that DOE should encourage and support research activities intended to increase understanding of security technology requirements, and to develop critical components not forthcoming from other sources in a timely manner.

A review of costing methodologies in critical care studies.

Science.gov (United States)

Pines, Jesse M; Fager, Samuel S; Milzman, David P

2002-09-01

Clinical decision making in critical care has traditionally been based on clinical outcome measures such as mortality and morbidity. Over the past few decades, however, increasing competition in the health care marketplace has made it necessary to consider costs when making clinical and managerial decisions in critical care. Sophisticated costing methodologies have been developed to aid this decision-making process. We performed a narrative review of published costing studies in critical care during the past 6 years. A total of 282 articles were found, of which 68 met our search criteria. They involved a mean of 508 patients (range, 20-13,907). A total of 92.6% of the studies (63 of 68) used traditional cost analysis, whereas the remaining 7.4% (5 of 68) used cost-effectiveness analysis. None (0 of 68) used cost-benefit analysis or cost-utility analysis. A total of 36.7% (25 of 68) used hospital charges as a surrogate for actual costs. Of the 43 articles that actually counted costs, 37.2% (16 of 43) counted physician costs, 27.9% (12 of 43) counted facility costs, 34.9% (15 of 43) counted nursing costs, 9.3% (4 of 43) counted societal costs, and 90.7% (39 of 43) counted laboratory, equipment, and pharmacy costs. Our conclusion is that despite considerable progress in costing methodologies, critical care studies have not adequately implemented these techniques. Given the importance of financial implications in medicine, it would be prudent for critical care studies to use these more advanced techniques. Copyright 2002, Elsevier Science (USA). All rights reserved.

An integrated review of the correlation between critical thinking ability and clinical decision-making in nursing.

Science.gov (United States)

Lee, Daphne Sk; Abdullah, Khatijah Lim; Subramanian, Pathmawathi; Bachmann, Robert Thomas; Ong, Swee Leong

2017-12-01

To explore whether there is a correlation between critical thinking ability and clinical decision-making among nurses. Critical thinking is currently considered as an essential component of nurses' professional judgement and clinical decision-making. If confirmed, nursing curricula may be revised emphasising on critical thinking with the expectation to improve clinical decision-making and thus better health care. Integrated literature review. The integrative review was carried out after a comprehensive literature search using electronic databases Ovid, EBESCO MEDLINE, EBESCO CINAHL, PROQuest and Internet search engine Google Scholar. Two hundred and 22 articles from January 1980 to end of 2015 were retrieved. All studies evaluating the relationship between critical thinking and clinical decision-making, published in English language with nurses or nursing students as the study population, were included. No qualitative studies were found investigating the relationship between critical thinking and clinical decision-making, while 10 quantitative studies met the inclusion criteria and were further evaluated using the Quality Assessment and Validity Tool. As a result, one study was excluded due to a low-quality score, with the remaining nine accepted for this review. Four of nine studies established a positive relationship between critical thinking and clinical decision-making. Another five studies did not demonstrate a significant correlation. The lack of refinement in studies' design and instrumentation were arguably the main reasons for the inconsistent results. Research studies yielded contradictory results as regard to the relationship between critical thinking and clinical decision-making; therefore, the evidence is not convincing. Future quantitative studies should have representative sample size, use critical thinking measurement tools related to the healthcare sector and evaluate the predisposition of test takers towards their willingness and ability to think

Exploring the Group Prenatal Care Model: A Critical Review of the Literature

Science.gov (United States)

Thielen, Kathleen

2012-01-01

Few studies have compared perinatal outcomes between individual prenatal care and group prenatal care. A critical review of research articles that were published between 1998 and 2009 and involved participants of individual and group prenatal care was conducted. Two middle range theories, Pender’s health promotion model and Swanson’s theory of caring, were blended to enhance conceptualization of the relationship between pregnant women and the group prenatal care model. Among the 17 research studies that met inclusion criteria for this critical review, five examined gestational age and birth weight with researchers reporting longer gestations and higher birth weights in infants born to mothers participating in group prenatal care, especially in the preterm birth population. Current evidence demonstrates that nurse educators and leaders should promote group prenatal care as a potential method of improving perinatal outcomes within the pregnant population. PMID:23997549

Measuring culture: a critical review of acculturation and health in Asian immigrant populations.

Science.gov (United States)

Salant, Talya; Lauderdale, Diane S

2003-07-01

The number of studies examining how acculturation affects the health of Asian immigrants has increased in recent years. The proliferation of studies reflects the growing size and heterogeneity of Asian immigrant populations in the United States, Canada, Australia, New Zealand, and the United Kingdom. This paper compares various approaches to acculturation within the health literature on Asian immigrants by reviewing the literature in three-health domains (1) mental health (2) physical health and (3) health services use. The review critically examines the conceptualizations and measures of acculturation in these three domains and presents major findings. We observe that measurement difficulties posed by the experiences of heterogeneous Asian groups compound theoretical and disciplinary disparities between acculturation instruments. The extent to which conceptual and methodological critiques of acculturation studies in Hispanic populations apply to studies of Asian populations is also discussed. The critical review thus provides insights into the diverse ways that the relationship between culture and health is measured in this complicated and growing literature.

Nevada Nuclear Waste Storage Investigations. FY 1979 peer review summaries and related documentation

International Nuclear Information System (INIS)

1980-06-01

The NNWSI FY 1979 Project Plan (NVO-196-9) describes the accomplishment plan and objectives of the FY 1979 investigations. Three critical tasks and one critical subtask were selected by Project management for in-depth external peer review at meetings held at the DOE/NV in Las Vegas. The four technical peer review meetings held during FY 1979 were conducted to obtain an external assessment of the sufficiency and quality of the four selected critical investigative segments of the NNWSI. Peer reviewers representing appropriate fields of expertise were invited to attend each meeting. Within about two weeks of each meeting, the invited reviewers summarized their impressions of the technical activities presented to them and transmitted their summaries and recommendations to DOE/NV by letter. This document is a compilation, according to the individual meetings, of all correspondence between reviewers and Project personnel that is relevant to the technical activities of the NNWSI. The section for each meeting briefly summarizes the major activities of the NNWSI being reviewed and the effects of the reviewers comments and recommendations on Project planning. Each section also includes a list of the invited peer reviewers, a meeting agenda, and a copy of all technical correspondence relating to the review meeting. General impressions of the overall peer review process and improvements to be incorporated into future peer review activities are discussed in the next section as an introduction to the four subsequent sections which are devoted to the individual FY 1979 peer reviews

Iatrogenic Opioid Withdrawal in Critically Ill Patients: A Review of Assessment Tools and Management.

Science.gov (United States)

Chiu, Ada W; Contreras, Sofia; Mehta, Sangeeta; Korman, Jennifer; Perreault, Marc M; Williamson, David R; Burry, Lisa D

2017-12-01

To (1) provide an overview of the epidemiology, clinical presentation, and risk factors of iatrogenic opioid withdrawal in critically ill patients and (2) conduct a literature review of assessment and management of iatrogenic opioid withdrawal in critically ill patients. We searched MEDLINE (1946-June 2017), EMBASE (1974-June 2017), and CINAHL (1982-June 2017) with the terms opioid withdrawal, opioid, opiate, critical care, critically ill, assessment tool, scale, taper, weaning, and management. Reference list of identified literature was searched for additional references as well as www.clinicaltrials.gov . We restricted articles to those in English and dealing with humans. We identified 2 validated pediatric critically ill opioid withdrawal assessment tools: (1) Withdrawal Assessment Tool-Version 1 (WAT-1) and (2) Sophia Observation Withdrawal Symptoms Scale (SOS). Neither tool differentiated between opioid and benzodiazepine withdrawal. WAT-1 was evaluated in critically ill adults but not found to be valid. No other adult tool was identified. For management, we identified 5 randomized controlled trials, 2 prospective studies, and 2 systematic reviews. Most studies were small and only 2 studies utilized a validated assessment tool. Enteral methadone, α-2 agonists, and protocolized weaning were studied. We identified 2 validated assessment tools for pediatric intensive care unit patients; no valid tool for adults. Management strategies tested in small trials included methadone, α-2 agonists, and protocolized sedation/weaning. We challenge researchers to create validated tools assessing specifically for opioid withdrawal in critically ill children and adults to direct management.

Critical Review of rate constants for reacitons of hydrated electrons

International Nuclear Information System (INIS)

Buxton, G.V.; Greenstock, C.L.; Phillips Helman, W.; Ross, A.B.

1988-01-01

Kinetic data for the radicals Hx and xOH in aqueous solution,and the corresponding radical anions, xO - and e/sub =/, have been critically reviewed. Reactions of the radicals in aqueous solution have been studied by pulse radiolysis, flash photolysis and other methods. Rate constants for over 3500 reaction are tabulated, including reaction with molecules, ions and other radicals derived from inorganic and organic solutes

Knowledge Management : Review of the Critical Success Factors and Development of a Conceptual Classification Model

NARCIS (Netherlands)

Sedighi, M.; Zand, F.

2012-01-01

Knowledge management is a critical issue in today's business world. Knowledge is considered as one of the most strategic resources of the firm and sources of competitive advantage. This research provides a comprehensive review of the literature on the Critical Success Factors (CSFs) and identifies

Rationing in health systems: A critical review.

Science.gov (United States)

Keliddar, Iman; Mosadeghrad, Ali Mohammad; Jafari-Sirizi, Mehdi

2017-01-01

Background: It is difficult to provide health care services to all those in need of such services due to limited resources and unlimited demands. Thus, priority setting and rationing have to be applied. This study aimed at critically examining the concept of rationing in health sector and identifying its purposes, influencing factors, mechanisms, and outcomes. Methods: The critical interpretive synthesis methodology was used in this study. PubMed, Cochrane, and Proquest databases were searched using the related key words to find related documents published between 1970 and 2015. In total, 161 published reports were reviewed and included in the study. Thematic content analysis was applied for data analysis. Results: Health services rationing means restricting the access of some people to useful or potentially useful health services due to budgetary limitation. The inherent features of the health market and health services, limited resources, and unlimited needs necessitate health services rationing. Rationing can be applied in 4 levels: health care policy- makers, health care managers, health care providers, and patients. Health care rationing can be accomplished through fixed budget, benefit package, payment mechanisms, queuing, copayments, and deductibles. Conclusion: This paper enriched our understanding of health services rationing and its mechanisms at various levels and contributed to the literature by broadly conceptualizing health services rationing.

Does gender influence outcomes in critically ill patients?

OpenAIRE

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

2012-01-01

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

A Review of Criticality Accidents 2000 Revision

Energy Technology Data Exchange (ETDEWEB)

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

2000-05-01

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

A Review of Criticality Accidents 2000 Revision

International Nuclear Information System (INIS)

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

2000-01-01

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

Proceedings of the 1998 U.S. DOE Hydrogen Program Review: Volume 2

Energy Technology Data Exchange (ETDEWEB)

NONE

1998-08-01

This document contains technical progress reports on 42 research projects funded by the DOE Hydrogen Program in Fiscal Year 1998, in support of its mission to make hydrogen a cost-effective energy carrier for utility, building, and transportation applications. Each year, the Program conducts a rigorous review of its portfolio of projects, utilizing teams of experts to provide vital feedback on the progress of research. These proceedings serve as an important technology reference for the DOE Hydrogen Program. The papers in Volume 2 are arranged under the following topical sections: Storage and separation systems; Thermal systems; and Transportation systems. Selected papers have been indexed separately for inclusion in the Energy Science and Technology Database.

Industry-University SBIR NDT Projects — A Critical Assessment

Science.gov (United States)

Reinhart, Eugene R.

2007-03-01

The Small Business Innovative Research (SBIR) program, funded by various United States government agencies (DOD, DOE, NSF, etc.), provides funds for Research and Development (R&D) of nondestructive testing (NDT) techniques and equipment, thereby supplying valuable money for NDT development by small businesses and stimulating cooperative university programs. A review and critical assessment of the SBIR program as related to NDT is presented and should provide insight into reasons for or against pursuing this source of R&D funding.

Integration of Mobile Health Technology in the Treatment of Chronic Pain: A Critical Review.

Science.gov (United States)

Sundararaman, Lalitha V; Edwards, Robert R; Ross, Edgar L; Jamison, Robert N

This article provides a critical overview and best-evidence synthesis of the use of mobile health (mHealth) technology among persons with chronic pain and their health care providers and examines the future benefits and barriers of implementing mHealth technology in clinical care. We critically review articles about electronic pain diaries, pain assessment programs, text messaging, and smartphone pain apps for management of persons with pain. Also presented are findings on the utility of activity trackers and use of telehealth to deliver cognitive behavioral therapy. Finally, barriers, study gaps, and future challenges of incorporating mobile technology for chronic pain are discussed. Although the future of mHealth technology and telemedicine in clinical practice is promising, this critical review highlights the need for rigorous studies to establish an association of the use of mHealth technology with improved quality of life, functional autonomy, and decreased hospital use.

Does good critical thinking equal effective decision-making among critical care nurses? A cross-sectional survey.

Science.gov (United States)

Ludin, Salizar Mohamed

2018-02-01

A critical thinker may not necessarily be a good decision-maker, but critical care nurses are expected to utilise outstanding critical thinking skills in making complex clinical judgements. Studies have shown that critical care nurses' decisions focus mainly on doing rather than reflecting. To date, the link between critical care nurses' critical thinking and decision-making has not been examined closely in Malaysia. To understand whether critical care nurses' critical thinking disposition affects their clinical decision-making skills. This was a cross-sectional study in which Malay and English translations of the Short Form-Critical Thinking Disposition Inventory-Chinese Version (SF-CTDI-CV) and the Clinical Decision-making Nursing Scale (CDMNS) were used to collect data from 113 nurses working in seven critical care units of a tertiary hospital on the east coast of Malaysia. Participants were recruited through purposive sampling in October 2015. Critical care nurses perceived both their critical thinking disposition and decision-making skills to be high, with a total score of 71.5 and a mean of 48.55 for the SF-CTDI-CV, and a total score of 161 and a mean of 119.77 for the CDMNS. One-way ANOVA test results showed that while age, gender, ethnicity, education level and working experience factors significantly impacted critical thinking (pnurses' critical thinking and clinical decision-making (r=0.637, p=0.001). While this small-scale study has shown a relationship exists between critical care nurses' critical thinking disposition and clinical decision-making in one hospital, further investigation using the same measurement tools is needed into this relationship in diverse clinical contexts and with greater numbers of participants. Critical care nurses' perceived high level of critical thinking and decision-making also needs further investigation. Copyright © 2017 Elsevier Ltd. All rights reserved.

On critical reflection : A review of Mezirow’s theory and its operationalization

NARCIS (Netherlands)

Lundgren, H.; Poell, R.F.

2016-01-01

In this article, we review empirical studies that research critical reflection based on Mezirow’s definition. The concepts of content, process, and premise reflection have often been cited, and operationalizing Mezirow’s high-level transformative learning theory and its components has been the

Critical analysis of the Hanford spent nuclear fuel project activity based cost estimate

Energy Technology Data Exchange (ETDEWEB)

Warren, R.N.

1998-09-29

In 1997, the SNFP developed a baseline change request (BCR) and submitted it to DOE-RL for approval. The schedule was formally evaluated to have a 19% probability of success [Williams, 1998]. In December 1997, DOE-RL Manager John Wagoner approved the BCR contingent upon a subsequent independent review of the new baseline. The SNFP took several actions during the first quarter of 1998 to prepare for the independent review. The project developed the Estimating Requirements and Implementation Guide [DESH, 1998] and trained cost account managers (CAMS) and other personnel involved in the estimating process in activity-based cost (ABC) estimating techniques. The SNFP then applied ABC estimating techniques to develop the basis for the December Baseline (DB) and documented that basis in Basis of Estimate (BOE) books. These BOEs were provided to DOE in April 1998. DOE commissioned Professional Analysis, Inc. (PAI) to perform a critical analysis (CA) of the DB. PAI`s review formally began on April 13. PAI performed the CA, provided three sets of findings to the SNFP contractor, and initiated reconciliation meetings. During the course of PAI`s review, DOE directed the SNFP to develop a new baseline with a higher probability of success. The contractor transmitted the new baseline, which is referred to as the High Probability Baseline (HPB), to DOE on April 15, 1998 [Williams, 1998]. The HPB was estimated to approach a 90% confidence level on the start of fuel movement [Williams, 1998]. This high probability resulted in an increased cost and a schedule extension. To implement the new baseline, the contractor initiated 26 BCRs with supporting BOES. PAI`s scope was revised on April 28 to add reviewing the HPB and the associated BCRs and BOES.

Review of studies on criticality safety evaluation and criticality experiment methods

International Nuclear Information System (INIS)

Naito, Yoshitaka; Yamamoto, Toshihiro; Misawa, Tsuyoshi; Yamane, Yuichi

2013-01-01

Since the early 1960s, many studies on criticality safety evaluation have been conducted in Japan. Computer code systems were developed initially by employing finite difference methods, and more recently by using Monte Carlo methods. Criticality experiments have also been carried out in many laboratories in Japan as well as overseas. By effectively using these study results, the Japanese Criticality Safety Handbook was published in 1988, almost the intermediate point of the last 50 years. An increased interest has been shown in criticality safety studies, and a Working Party on Nuclear Criticality Safety (WPNCS) was set up by the Nuclear Science Committee of Organisation Economic Co-operation and Development in 1997. WPNCS has several task forces in charge of each of the International Criticality Safety Benchmark Evaluation Program (ICSBEP), Subcritical Measurement, Experimental Needs, Burn-up Credit Studies and Minimum Critical Values. Criticality safety studies in Japan have been carried out in cooperation with WPNCS. This paper describes criticality safety study activities in Japan along with the contents of the Japanese Criticality Safety Handbook and the tasks of WPNCS. (author)

Sensorimotor cortex as a critical component of an 'extended' mirror neuron system: Does it solve the development, correspondence, and control problems in mirroring?

Directory of Open Access Journals (Sweden)

Pineda Jaime A

2008-10-01

Full Text Available Abstract A core assumption of how humans understand and infer the intentions and beliefs of others is the existence of a functional self-other distinction. At least two neural systems have been proposed to manage such a critical distinction. One system, part of the classic motor system, is specialized for the preparation and execution of motor actions that are self realized and voluntary, while the other appears primarily involved in capturing and understanding the actions of non-self or others. The latter system, of which the mirror neuron system is part, is the canonical action 'resonance' system in the brain that has evolved to share many of the same circuits involved in motor control. Mirroring or 'shared circuit systems' are assumed to be involved in resonating, imitating, and/or simulating the actions of others. A number of researchers have proposed that shared representations of motor actions may form a foundational cornerstone for higher order social processes, such as motor learning, action understanding, imitation, perspective taking, understanding facial emotions, and empathy. However, mirroring systems that evolve from the classic motor system present at least three problems: a development, a correspondence, and a control problem. Developmentally, the question is how does a mirroring system arise? How do humans acquire the ability to simulate through mapping observed onto executed actions? Are mirror neurons innate and therefore genetically programmed? To what extent is learning necessary? In terms of the correspondence problem, the question is how does the observer agent know what the observed agent's resonance activation pattern is? How does the matching of motor activation patterns occur? Finally, in terms of the control problem, the issue is how to efficiently control a mirroring system when it is turned on automatically through observation? Or, as others have stated the problem more succinctly: "Why don't we imitate all the time

Sensorimotor cortex as a critical component of an 'extended' mirror neuron system: Does it solve the development, correspondence, and control problems in mirroring?

Science.gov (United States)

Pineda, Jaime A

2008-01-01

A core assumption of how humans understand and infer the intentions and beliefs of others is the existence of a functional self-other distinction. At least two neural systems have been proposed to manage such a critical distinction. One system, part of the classic motor system, is specialized for the preparation and execution of motor actions that are self realized and voluntary, while the other appears primarily involved in capturing and understanding the actions of non-self or others. The latter system, of which the mirror neuron system is part, is the canonical action 'resonance' system in the brain that has evolved to share many of the same circuits involved in motor control. Mirroring or 'shared circuit systems' are assumed to be involved in resonating, imitating, and/or simulating the actions of others. A number of researchers have proposed that shared representations of motor actions may form a foundational cornerstone for higher order social processes, such as motor learning, action understanding, imitation, perspective taking, understanding facial emotions, and empathy. However, mirroring systems that evolve from the classic motor system present at least three problems: a development, a correspondence, and a control problem. Developmentally, the question is how does a mirroring system arise? How do humans acquire the ability to simulate through mapping observed onto executed actions? Are mirror neurons innate and therefore genetically programmed? To what extent is learning necessary? In terms of the correspondence problem, the question is how does the observer agent know what the observed agent's resonance activation pattern is? How does the matching of motor activation patterns occur? Finally, in terms of the control problem, the issue is how to efficiently control a mirroring system when it is turned on automatically through observation? Or, as others have stated the problem more succinctly: "Why don't we imitate all the time?" In this review, we argue

Silver (Ag) Transport Mechanisms in TRISO coated particles: A Critical Review

Energy Technology Data Exchange (ETDEWEB)

I J van Rooyen; J H Neethling; J A A Engelbrecht; P M van Rooyen; G Strydom

2012-10-01

Transport of 110mAg in the intact SiC layer of TRISO coated particles has been studied for approximately 30 years without arriving at a satisfactory explanation of the transport mechanism. In this paper the possible mechanisms postulated in previous experimental studies, both in-reactor and out-of reactor research environment studies are critically reviewed and of particular interest are relevance to very high temperature gas reactor operating and accident conditions. Among the factors thought to influence Ag transport are grain boundary stoichiometry, SiC grain size and shape, the presence of free silicon, nano-cracks, thermal decomposition, palladium attack, transmutation products, layer thinning and coated particle shape. Additionally new insight to nature and location of fission products has been gained via recent post irradiation electron microscopy examination of TRISO coated particles from the DOE’s fuel development program. The combined effect of critical review and new analyses indicates a direction for investigating possible the Ag transport mechanism including the confidence level with which these mechanisms may be experimentally verified.

Computerized tomography and schizophrenia: critical review of the literature

International Nuclear Information System (INIS)

Krakauer Huebner, C.V.; Gattaz, W.F.

1988-01-01

A critical review of the literature regarding structural brain abnormalities in Schizophrenia is presented. It is reported that the prevalence and the localization of the abnormalities vary widely among studies. These differences might stem from samples heterogeneity, from the choice of the computer tomographic (CT) parameter to be investigated and from the use of different criteria for defining abnormalities. It seems established that at least one subgroup of Schizophrenia patients shows mild or moderate brain atrophy, in spite of some contradictory findings. (M.A.C.)

A critical review of the neuroimaging literature on synesthesia.

Directory of Open Access Journals (Sweden)

Jean-Michel eHupé

2015-03-01

Full Text Available Synesthesia refers to additional sensations experienced by some people for specific stimulations, such as the systematic arbitrary association of colors to letters for the most studied type. Here we review all the studies (based mostly on functional and structural MRI that have searched for the neural correlates of this subjective experience, as well as structural differences related to synesthesia. Most differences claimed for synesthetes are unsupported, due mainly to low statistical power, statistical errors and methodological limitations. Our critical review therefore casts some doubts on whether any neural correlate of the synesthetic experience has been established yet. Rather than being a neurological condition (i.e., a structural or functional brain anomaly, synesthesia could be reconsidered as a special kind of childhood memory, whose signature in the brain may be out of reach with present brain imaging techniques.

The Reasons Requirement in International Investment Arbitration: Critical Case Studies (book review)

DEFF Research Database (Denmark)

Tang, Yi Shin

2008-01-01

3. In the article, the Researcher reviews the work of Professors Guillermo A. Alvarez and W. Michael Reisman from Yale Law School, regarding the mechanisms of international investment arbitration and their importance for developing countries. The article provides a critical perspective on the aut...

Physical rehabilitation interventions for adult patients during critical illness: an overview of systematic reviews

Science.gov (United States)

Connolly, Bronwen; O'Neill, Brenda; Salisbury, Lisa; Blackwood, Bronagh

2016-01-01

Background Physical rehabilitation interventions aim to ameliorate the effects of critical illness-associated muscle dysfunction in survivors. We conducted an overview of systematic reviews (SR) evaluating the effect of these interventions across the continuum of recovery. Methods Six electronic databases (Cochrane Library, CENTRAL, DARE, Medline, Embase, and Cinahl) were searched. Two review authors independently screened articles for eligibility and conducted data extraction and quality appraisal. Reporting quality was assessed and the Grading of Recommendations Assessment, Development and Evaluation approach applied to summarise overall quality of evidence. Results Five eligible SR were included in this overview, of which three included meta-analyses. Reporting quality of the reviews was judged as medium to high. Two reviews reported moderate-to-high quality evidence of the beneficial effects of physical therapy commencing during intensive care unit (ICU) admission in improving critical illness polyneuropathy/myopathy, quality of life, mortality and healthcare utilisation. These interventions included early mobilisation, cycle ergometry and electrical muscle stimulation. Two reviews reported very low to low quality evidence of the beneficial effects of electrical muscle stimulation delivered in the ICU for improving muscle strength, muscle structure and critical illness polyneuropathy/myopathy. One review reported that due to a lack of good quality randomised controlled trials and inconsistency in measuring outcomes, there was insufficient evidence to support beneficial effects from physical rehabilitation delivered post-ICU discharge. Conclusions Patients derive short-term benefits from physical rehabilitation delivered during ICU admission. Further robust trials of electrical muscle stimulation in the ICU and rehabilitation delivered following ICU discharge are needed to determine the long-term impact on patient care. This overview provides recommendations for

Openness in Adoption: What We Know So Far--A Critical Review of the Literature

Science.gov (United States)

Wolfgram, Susan M.

2008-01-01

What are the factors that keep adoptive parents and birth parents connected and sustain their kinship relationships over time? This is the central research question critically reviewed across studies dating from 1987 to 2000. A preliminary review of the literature revealed 15 to 20 studies within this 13-year scope limited to the perspective of…

Review of criticality safety benchmark data of plutonium solution in ICSBEP handbook

International Nuclear Information System (INIS)

Yamamoto, Toshihiro; Miyoshi, Yoshinori; Okubo, Kiyoshi

2003-01-01

The criticality data of plutonium solutions published in the ICSBEP Handbook were reviewed. Criticality data for lower plutonium concentration and higher 240 Pu content, which correspond to a reprocessing process condition, are very scarce and hence the criticality data in this area are desired. While the calculated k eff 's with ENDF/B-V show the dependence of the plutonium concentration, the dependence has been corrected in JENDL-3.3 because of energy distribution of the capture cross section of 239 Pu. Based on the generalized perturbation theory, the sensitivity coefficient of k eff with respect to fission and capture cross section in plutonium solutions were obtained. In a plutonium solution with a lower concentration, cross sections in the thermal energy less than 0.1 eV have significant effects on the criticality. On the other hand, the criticality of higher concentration plutonium solutions is mostly dominated by cross sections in the energy range larger than 0.1 eV. Regarding the effect of 240 Pu on criticality, the capture cross section 240 Pu around the resonance peak near 1 eV is dominant regardless of the concentration. (author)

A critical review of "internet addiction" criteria with suggestions for the future

NARCIS (Netherlands)

A.J. van Rooij (Antonius); N. Prause (Nicole)

2014-01-01

textabstractAims: In the last 5 years a deluge of articles on the topic of Internet addiction (IA) has proposed many candidate symptoms as evidence of this proposed disease. We critically reviewed the current approach to the measurement and identification of this new excessive behavior syndrome.

Wind turbines and health: a critical review of the scientific literature.

Science.gov (United States)

McCunney, Robert J; Mundt, Kenneth A; Colby, W David; Dobie, Robert; Kaliski, Kenneth; Blais, Mark

2014-11-01

This review examines the literature related to health effects of wind turbines. We reviewed literature related to sound measurements near turbines, epidemiological and experimental studies, and factors associated with annoyance. (1) Infrasound sound near wind turbines does not exceed audibility thresholds. (2) Epidemiological studies have shown associations between living near wind turbines and annoyance. (3) Infrasound and low-frequency sound do not present unique health risks. (4) Annoyance seems more strongly related to individual characteristics than noise from turbines. Further areas of inquiry include enhanced noise characterization, analysis of predicted noise values contrasted with measured levels postinstallation, longitudinal assessments of health pre- and postinstallation, experimental studies in which subjects are "blinded" to the presence or absence of infrasound, and enhanced measurement techniques to evaluate annoyance.

How does burnout affect physician productivity? A systematic literature review

Science.gov (United States)

2014-01-01

Background Interest in the well-being of physicians has increased because of their contributions to the healthcare system quality. There is growing recognition that physicians are exposed to workplace factors that increase the risk of work stress. Long-term exposure to high work stress can result in burnout. Reports from around the world suggest that about one-third to one-half of physicians experience burnout. Understanding the outcomes associated with burnout is critical to understanding its affects on the healthcare system. Productivity outcomes are among those that could have the most immediate effects on the healthcare system. This systematic literature review is one of the first to explore the evidence for the types of physician productivity outcomes associated with physician burnout. It answers the question, “How does burnout affect physician productivity?” Methods A systematic search was performed of: Medline Current, Medline in process, PsycInfo, Embase and Web of Science. The search period covered 2002 to 2012. The searches identified articles about practicing physicians working in civilian settings. Articles that primarily looked only at residents or medical students were excluded. Productivity was captured by hours worked, patients seen, sick leave, leaving the profession, retirement, workload and presenteeism. Studies also were excluded if: (1) the study sample was not comprised of at least 50% physicians, (2) the study did not examine the relationship between burnout and productivity or (3) a validated measure of burnout was not used. Results The search identified 870 unique citations; 5 met the inclusion/exclusion criteria. This review indicates that globally there is recognition of the potential impact of physician burnout on productivity. Productivity was examined using: number of sick leave days, work ability, intent to either continue practicing or change jobs. The majority of the studies indicate there is a negative relationship between

How does burnout affect physician productivity? A systematic literature review.

Science.gov (United States)

Dewa, Carolyn S; Loong, Desmond; Bonato, Sarah; Thanh, Nguyen Xuan; Jacobs, Philip

2014-07-28

Interest in the well-being of physicians has increased because of their contributions to the healthcare system quality. There is growing recognition that physicians are exposed to workplace factors that increase the risk of work stress. Long-term exposure to high work stress can result in burnout. Reports from around the world suggest that about one-third to one-half of physicians experience burnout. Understanding the outcomes associated with burnout is critical to understanding its affects on the healthcare system. Productivity outcomes are among those that could have the most immediate effects on the healthcare system. This systematic literature review is one of the first to explore the evidence for the types of physician productivity outcomes associated with physician burnout. It answers the question, "How does burnout affect physician productivity?" A systematic search was performed of: Medline Current, Medline in process, PsycInfo, Embase and Web of Science. The search period covered 2002 to 2012. The searches identified articles about practicing physicians working in civilian settings. Articles that primarily looked only at residents or medical students were excluded. Productivity was captured by hours worked, patients seen, sick leave, leaving the profession, retirement, workload and presenteeism. Studies also were excluded if: (1) the study sample was not comprised of at least 50% physicians, (2) the study did not examine the relationship between burnout and productivity or (3) a validated measure of burnout was not used. The search identified 870 unique citations; 5 met the inclusion/exclusion criteria. This review indicates that globally there is recognition of the potential impact of physician burnout on productivity. Productivity was examined using: number of sick leave days, work ability, intent to either continue practicing or change jobs. The majority of the studies indicate there is a negative relationship between burnout and productivity. However

What is bizarre in bizarre delusions? A critical review

DEFF Research Database (Denmark)

Cermolacce, Michel René Joseph; Jensen, Lars Meldgaard Sass; Parnas, J

2010-01-01

or incomprehensible. Then, we provide a critical review of contemporary studies on the reliability of BD and their methodological and conceptual limitations. Current approaches have focused intensely on BD's reliability and have defined BD strictly in terms of delusional content--mainly in terms of the physical...... to delusional contents alone and requires taking into account the subjective side of BD (how altered experience manifests itself) as well as the conditions of intersubjective encounter (how BD are expressed to and experienced by the clinician). The notion of "bizarreness" in schizophrenia is not purely...

Teaching Critical Thinking Skills in Higher Education: A Review of the Literature

Science.gov (United States)

Behar-Horenstein, Linda S.; Niu, Lian

2011-01-01

The authors reviewed 42 empirical studies of teaching of critical thinking skills in postsecondary education published between 1994 and 2009. The instructional intervention, test measure, and research design of the studies were analyzed. Study results suggest that: (1) the same instructional interventions can lead to different results, depending…

Explaining Differences in Age at Autism Spectrum Disorder Diagnosis: A Critical Review

Science.gov (United States)

Daniels, Amy M.; Mandell, David S.

2014-01-01

The diagnosis of autism is often delayed, which translates into a missed opportunity to provide treatment during a critical developmental period. This study reviews studies that assessed factors associated with age at autism spectrum disorder diagnosis and provides recommendations on future research, programs, and policies to improve early…

Timing of the initiation of parenteral nutrition in critically ill children.

Science.gov (United States)

Jimenez, Lissette; Mehta, Nilesh M; Duggan, Christopher P

2017-05-01

To review the current literature evaluating clinical outcomes of early and delayed parenteral nutrition initiation among critically ill children. Nutritional management remains an important aspect of care among the critically ill, with enteral nutrition generally preferred. However, inability to advance enteral feeds to caloric goals and contraindications to enteral nutrition often leads to reliance on parenteral nutrition. The timing of parenteral nutrition initiation is varied among critically ill children, and derives from an assessment of nutritional status, energy requirements, and physiologic differences between adults and children, including higher nutrient needs and lower body reserves. A recent randomized control study among critically ill children suggests improved clinical outcomes with avoiding initiation of parenteral nutrition on day 1 of admission to the pediatric ICU. Although there is no consensus on the optimal timing of parenteral nutrition initiation among critically ill children, recent literature does not support the immediate initiation of parenteral nutrition on pediatric ICU admission. A common theme in the reviewed literature highlights the importance of accurate assessment of nutritional status and energy expenditure in deciding when to initiate parenteral nutrition. As with all medical interventions, the initiation of parenteral nutrition should be considered in light of the known benefits of judiciously provided nutritional support with the known risks of artificial, parenteral feeding.

Social science research of HIV in Vietnam: A critical review and future directions

OpenAIRE

Dao, Amy; Hirsch, Jennifer; Giang, Le Minh; Parker, Richard G.

2013-01-01

Social science research, with theoretical and methodological tools that are well suited to capture the complexities of Vietnam’s rapidly changing social and political context, could contribute important insights that would enhance the response to Vietnam’s growing HIV epidemic. The present paper reviews the published, peer-reviewed English-language social science literature on HIV in Vietnam in order to identify critical theoretical and substantive gaps and lay the groundwork for future resea...

Wackenhut Services, Incorporated: Report from the DOE Voluntary Protection Program onsite review, August 10--14, 1998

Energy Technology Data Exchange (ETDEWEB)

NONE

1999-05-01

This report summarizes the Department of Energy Voluntary Protection Program (DOE-VPP) Review Team`s findings from the five-day onsite evaluation of Wackenhut Services, Inc. (WSI) at Savannah River Site (SRS), conducted August 10-14, 1998. The site was evaluated against the program requirements contained in US Department of Energy Voluntary Protection Program, Part 1: Program Elements to determine its success in implementing the five DOE-VPP tenets. The Team determined that WSI has met in varying degrees, all the tenets of the DOE-VPP. In every case, WSI programs and procedures exceed the level or degree necessary for compliance with existing standards, DOE Orders, and guidelines. In addition, WSI has systematically integrated their occupational safety and health (OSH) program into management and work practices at all levels. WSI`s efforts toward implementing the five major DOE-VPP tenets are summarized.

Wackenhut Services, Incorporated: Report from the DOE Voluntary Protection Program onsite review, August 10-14, 1998

International Nuclear Information System (INIS)

1999-05-01

This report summarizes the Department of Energy Voluntary Protection Program (DOE-VPP) Review Team's findings from the five-day onsite evaluation of Wackenhut Services, Inc. (WSI) at Savannah River Site (SRS), conducted August 10-14, 1998. The site was evaluated against the program requirements contained in US Department of Energy Voluntary Protection Program, Part 1: Program Elements to determine its success in implementing the five DOE-VPP tenets. The Team determined that WSI has met in varying degrees, all the tenets of the DOE-VPP. In every case, WSI programs and procedures exceed the level or degree necessary for compliance with existing standards, DOE Orders, and guidelines. In addition, WSI has systematically integrated their occupational safety and health (OSH) program into management and work practices at all levels. WSI's efforts toward implementing the five major DOE-VPP tenets are summarized

A critical review of simulation-based medical education research: 2003-2009.

Science.gov (United States)

McGaghie, William C; Issenberg, S Barry; Petrusa, Emil R; Scalese, Ross J

2010-01-01

This article reviews and critically evaluates historical and contemporary research on simulation-based medical education (SBME). It also presents and discusses 12 features and best practices of SBME that teachers should know in order to use medical simulation technology to maximum educational benefit. This qualitative synthesis of SBME research and scholarship was carried out in two stages. Firstly, we summarised the results of three SBME research reviews covering the years 1969-2003. Secondly, we performed a selective, critical review of SBME research and scholarship published during 2003-2009. The historical and contemporary research synthesis is reported to inform the medical education community about 12 features and best practices of SBME: (i) feedback; (ii) deliberate practice; (iii) curriculum integration; (iv) outcome measurement; (v) simulation fidelity; (vi) skill acquisition and maintenance; (vii) mastery learning; (viii) transfer to practice; (ix) team training; (x) high-stakes testing; (xi) instructor training, and (xii) educational and professional context. Each of these is discussed in the light of available evidence. The scientific quality of contemporary SBME research is much improved compared with the historical record. Development of and research into SBME have grown and matured over the past 40 years on substantive and methodological grounds. We believe the impact and educational utility of SBME are likely to increase in the future. More thematic programmes of research are needed. Simulation-based medical education is a complex service intervention that needs to be planned and practised with attention to organisational contexts.

A critical review of objective personality inventories with sex offenders.

Science.gov (United States)

Davis, Karen M; Archer, Robert P

2010-12-01

This review provides a critical analysis of the ability of multiscale inventories to distinguish between sex offender and nonoffender control groups, as well as to discriminate sex offenders from other types of offenders. In addition to expanding upon previous reviews that examined the utility of the Minnesota Multiphasic Personality Inventory (MMPI) with this population (e.g., Levin & Stava, 1987), the current review included studies that utilized other multiscale inventories commonly used in forensic practice (i.e., MMPI-2, Millon Clinical Multiaxial Inventory-III [MCMI-III], Personality Assessment Inventory) and, when possible, provides effect sizes to evaluate group differences. Based on the review, the various forms of the MMPI and MCMI are clearly the most widely used instruments in sex offender populations. The MMPI Pd scale has shown moderate to large effect sizes when distinguishing between sex offender and nonsex offender groups, but this relationship may be reflective of antisocial behavior in general rather than traits specific to sex offenders. Recommendations to standardize future research classification strategies and more effectively utilize these instruments when assessing sex offenders are also provided. © 2010 Wiley Periodicals, Inc.

School effectiveness research: a review of criticisms and some proposals to address them.

Directory of Open Access Journals (Sweden)

Andres Sandoval-Hernandez

2008-03-01

Full Text Available Based on Lakato’s notion of research programmes, the paper analyses the structure of the School Effectiveness Research (SER programme and reviews the main criticisms that have arisen, stressing those regarding its objectivity and theoretical limitations. Then, some proposals are made to address these criticisms, namely: to adopt a critical realist approach to the study of SE and an Abductive Theory of Scientific Method that lead to the development of sound theory in the field. Based on this analysis the paper concludes that, in terms of Lakatos, a movement towards a new research programme is needed in order to ensure that the main objectives originally set for SER can be eventually reached.

Anticonvulsant pharmacotherapy for generalized and localized vulvodynia : a critical review of the literature

NARCIS (Netherlands)

Spoelstra, Symen K.; Borg, Charmaine; Schultz, Willibrord C. M. Weijmar

Anticonvulsant therapy has occasionally been recommended to treat vulvodynia. However, convincing evidence to support this therapeutic option is lacking. The goal of this study was to critically review studies published on the effectiveness of anticonvulsants for the treatment of vulvodynia.

CSER 96-014: criticality safety of project W-151, 241-AZ-101 retrieval system process test

Energy Technology Data Exchange (ETDEWEB)

Vail, T.S., Fluor Daniel Hanford

1997-02-06

This Criticality Safety Evaluation Report (CSER) documents a review of the criticality safety implications of a process test to be performed in tank 241-AZ-101 (101-AZ). The process test will determine the effectiveness of the retrieval system for mobilization of solids and the practicality of the system for future use in the underground storage tanks at Hanford. The scope of the CSER extends only to the testing and operation of the mixer pumps and does not include the transfer of waste from the tank. Justification is provided that a nuclear criticality is extremely unlikely, if not impossible, in this tank.

Photodesorption: a critical review

International Nuclear Information System (INIS)

Lichtman, D.; Shapira, Y.

1975-01-01

A critical review of the literature in the field of photodesorption is presented. Material is covered through December 1975. Although it is impossible to include every paper ever published which is in some way related to photodesorption, it is felt that the material covered is sufficiently complete to permit reasonable conclusions to be reached. The literature naturally falls into two basic categories, namely, papers involved with metal substrates and those involved with semiconductor substrates. Since the effects on these two kinds of surfaces are very different, they are each considered in separate sections. Photodesorption from metals seems to be an extremely inefficient process if it occurs at all. That is, cross sections are equal to or less than 10 -23 cm 2 . The reason for this extremely low cross section is not yet well understood. Photodesorption from semiconductors seems to be a very efficient process with cross sections as high as 10 -17 cm 2 . On most substrates studied, e.g. ZnO, TiO 2 , CdS, the chrome oxide surface of stainless steel, etc., impurity carbon atoms play a very significant role. On all these materials, the single or dominant process involves chemisorption of molecular oxygen onto the impurity carbon surface atoms. Electrons are captured from the conduction band to produce a chemisorbed CO 2 - complex. The application of band gap and higher energy radiation produces electron-hole pairs. Some of the photogenerated holes migrate to the surface where they combine with the negative ion complex. The resulting physisorbed CO 2 is then thermally desorbed

A Critical Review on the Concept of Social Technology

Directory of Open Access Journals (Sweden)

Bettina Leibetseder

2013-08-01

Full Text Available Purpose—A critical analysis of the term social technology from a social science point of view.Design/Methodology/Approach—Review of the term “social technology” from a social science point of perspective in connection to the study of governmentality and power in a Foucauldian way.Findings—The article covers the perspective that social technology provides social science knowledge for a purpose. Such a notion allows an in depth debate about the meaning of social order in modern societies. Establishing distinctive techniques now forms the basis of the modern state and governance. Social technology forms the basis of governmental decisions; it allows for a use of social theories and methods for a purpose in politics and introduces a specific conception of power between the individual and public powers. Therefore, it alters government in three ways: It provides expert power to define solutions for social problems based on social science knowledge. It transforms government. Social technology exemplifies a support system for an ordered method of the way of government, it allows for the conduct of others and self based on scientific expertise. It can define new areas of problems in need of a change of government.Research limitations/implications—Consequently, social technology requests a critical analysis using a governmental approach. Such an approach focuses on problems on the governed subject and how governing works and why it has evolved in that way towards the subject and what kind of ideas and thinking lies within the discourse.Research type—general review.

Disposal criticality analysis for aluminum-based DOE fuels

International Nuclear Information System (INIS)

Davis, J.W.; Gottlieb, P.

1997-11-01

This paper describes the disposal criticality analysis for canisters containing aluminum-based Department of Energy fuels from research reactors. Different canisters were designed for disposal of highly enriched uranium (HEU) and medium enriched uranium (MEU) fuel. In addition to the standard criticality concerns in storage and transportation, such as flooding, the disposal criticality analysis must consider the degradation of the fuel and components within the waste package. Massachusetts Institute of Technology (MIT) U-Al fuel with 93.5% enriched uranium and Oak Ridge Research Reactor (ORR) U-Si-Al fuel with 21% enriched uranium are representative of the HEU and MEU fuel inventories, respectively. Conceptual canister designs with 64 MIT assemblies (16/layer, 4 layers) or 40 ORR assemblies (10/layer, 4 layers) were developed for these fuel types. Borated stainless steel plates were incorporated into a stainless steel internal basket structure within a 439 mm OD, 15 mm thick XM-19 canister shell. The Codisposal waste package contains 5 HLW canisters (represented by 5 Defense Waste Processing Facility canisters from the Savannah River Site) with the fuel canister placed in the center. It is concluded that without the presence of a fairly insoluble neutron absorber, the long-term action of infiltrating water can lead to a small, but significant, probability of criticality for both the HEU and MEU fuels. The use of 1.5kg of Gd distributed throughout the MIT fuel and the use of carbon steels for the structural basket or 1.1 kg of Gd distributed in the ORR fuel will reduce the probability of criticality to virtually zero for both fuels

Who should be responsible for supporting individuals with mental health problems? A critical literature review.

Science.gov (United States)

Pope, Megan A; Malla, Ashok K; Iyer, Srividya N

2018-05-01

Individuals with mental health problems have many support needs that are often inadequately met; however, perceptions of who should be responsible for meeting these needs have been largely unexplored. Varying perceptions may influence whether, how, and to what extent relevant stakeholders support individuals with mental health problems. To critically evaluate the literature to determine who different stakeholders believe should be responsible for supporting individuals with mental health problems, what factors shape these perceptions, and how they relate to one another. A critical literature review was undertaken. Following an extensive literature search, the conceptual contributions of relevant works were critically evaluated. A concept map was created to build a conceptual framework of the topic. Views of individual versus societal responsibility for need provision and health; the morality of caring; and attributions of responsibility for mental illness offered valuable understandings of the review questions. Creating a concept map revealed that various interrelated factors may influence perceptions of responsibility. Varying perceptions of who should be responsible for supporting individuals with mental health problems may contribute to unmet support needs among this group. Our critical review helps build a much-needed conceptual framework of factors influencing perceptions of responsibility. Such a framework is essential as these views iteratively shape and reflect the complex divisions of mental healthcare roles and responsibilities. Understanding these perceptions can help define relevant stakeholders' roles more clearly, which can improve mental health services and strengthen stakeholder accountability.

Transgender Stigma and Health: A Critical Review of Stigma Determinants, Mechanisms, and Interventions

Science.gov (United States)

White Hughto, Jaclyn M.; Reisner, Sari L.; Pachankis, John E.

2015-01-01

Rationale Transgender people in the United States experience widespread prejudice, discrimination, violence, and other forms of stigma. Objective This critical review aims to integrate the literature on stigma towards transgender people in the US. Results This review demonstrates that transgender stigma limits opportunities and access to resources in a number of critical domains (e.g., employment, healthcare), persistently affecting the physical and mental health of transgender people. The applied social ecological model employed here elucidates that transgender stigma operates at multiple levels (i.e., individual, interpersonal, structural) to impact health. Stigma prevention and coping interventions hold promise for reducing stigma and its adverse health-related effects in transgender populations. Conclusion Additional research is needed to document the causal relationship between stigma and adverse health as well as the mediators and moderators of stigma in US transgender populations. Multi-level interventions to prevent stigma towards transgender people are warranted. PMID:26599625

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

International Nuclear Information System (INIS)

Watanabe, Norio; Tamaki, Hitoshi

2000-04-01

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

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

Energy Technology Data Exchange (ETDEWEB)

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

2000-04-01

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

A Year of Progress: NASA's Space Launch System Approaches Critical Design Review

Science.gov (United States)

Askins, Bruce; Robinson, Kimberly

2015-01-01

NASA's Space Launch System (SLS) made significant progress on the manufacturing floor and on the test stand in 2014 and positioned itself for a successful Critical Design Review in mid-2015. SLS, the world's only exploration-class heavy lift rocket, has the capability to dramatically increase the mass and volume of human and robotic exploration. Additionally, it will decrease overall mission risk, increase safety, and simplify ground and mission operations - all significant considerations for crewed missions and unique high-value national payloads. Development now is focused on configuration with 70 metric tons (t) of payload to low Earth orbit (LEO), more than double the payload of the retired Space Shuttle program or current operational vehicles. This "Block 1" design will launch NASA's Orion Multi-Purpose Crew Vehicle (MPCV) on an uncrewed flight beyond the Moon and back and the first crewed flight around the Moon. The current design has a direct evolutionary path to a vehicle with a 130t lift capability that offers even more flexibility to reduce planetary trip times, simplify payload design cycles, and provide new capabilities such as planetary sample returns. Every major element of SLS has successfully completed its Critical Design Review and now has hardware in production or testing. In fact, the SLS MPCV-to-Stage-Adapter (MSA) flew successfully on the Exploration Flight Test (EFT) 1 launch of a Delta IV and Orion spacecraft in December 2014. The SLS Program is currently working toward vehicle Critical Design Review in mid-2015. This paper will discuss these and other technical and programmatic successes and challenges over the past year and provide a preview of work ahead before the first flight of this new capability.

A critical review of classical bouncing cosmologies

Energy Technology Data Exchange (ETDEWEB)

Battefeld, Diana, E-mail: dbattefe@astro.physik.uni-goettingen.de [Institut for Astrophysics, University of Goettingen, Friedrich-Hund Platz 1, D-37077 (Germany); Peter, Patrick, E-mail: peter@iap.fr [Institut d’Astrophysique de Paris, UMR 7095-CNRS, Université Pierre et Marie Curie, 98 bis boulevard Arago, 75014 Paris (France)

2015-04-01

Given the proliferation of bouncing models in recent years, we gather and critically assess these proposals in a comprehensive review. The PLANCK data shows an unmistakably red, quasi scale-invariant, purely adiabatic primordial power spectrum and no primary non-Gaussianities. While these observations are consistent with inflationary predictions, bouncing cosmologies aspire to provide an alternative framework to explain them. Such models face many problems, both of the purely theoretical kind, such as the necessity of violating the NEC and instabilities, and at the cosmological application level, as exemplified by the possible presence of shear. We provide a pedagogical introduction to these problems and also assess the fitness of different proposals with respect to the data. For example, many models predict a slightly blue spectrum and must be fine-tuned to generate a red spectral index; as a side effect, large non-Gaussianities often result. We highlight several promising attempts to violate the NEC without introducing dangerous instabilities at the classical and/or quantum level. If primordial gravitational waves are observed, certain bouncing cosmologies, such as the cyclic scenario, are in trouble, while others remain valid. We conclude that, while most bouncing cosmologies are far from providing an alternative to the inflationary paradigm, a handful of interesting proposals have surfaced, which warrant further research. The constraints and lessons learned as laid out in this review might guide future research.

Historical and Critical Review on Biophysical Economics

Science.gov (United States)

Adigüzel, Yekbun

2016-07-01

Biophysical economics is initiated with the long history of the relation of economics with ecological basis and biophysical perspectives of the physiocrats. It inherently has social, economic, biological, environmental, natural, physical, and scientific grounds. Biological entities in economy like the resources, consumers, populations, and parts of production systems, etc. could all be dealt by biophysical economics. Considering this wide scope, current work is a “biophysical economics at a glance” rather than a comprehensive review of the full range of topics that may just be adequately covered in a book-length work. However, the sense of its wide range of applications is aimed to be provided to the reader in this work. Here, modern approaches and biophysical growth theory are presented after the long history and an overview of the concepts in biophysical economics. Examples of the recent studies are provided at the end with discussions. This review is also related to the work by Cleveland, “Biophysical Economics: From Physiocracy to Ecological Economics and Industrial Ecology” [C. J. Cleveland, in Advances in Bioeconomics and Sustainability: Essay in Honor of Nicholas Gerogescu-Roegen, eds. J. Gowdy and K. Mayumi (Edward Elgar Publishing, Cheltenham, England, 1999), pp. 125-154.]. Relevant parts include critics and comments on the presented concepts in a parallelized fashion with the Cleveland’s work.

A review of the current state-of-the-art methodology for handling bias and uncertainty in performing criticality safety evaluations. Final report

International Nuclear Information System (INIS)

Disney, R.K.

1994-10-01

The methodology for handling bias and uncertainty when calculational methods are used in criticality safety evaluations (CSE's) is a rapidly evolving technology. The changes in the methodology are driven by a number of factors. One factor responsible for changes in the methodology for handling bias and uncertainty in CSE's within the overview of the US Department of Energy (DOE) is a shift in the overview function from a ''site'' perception to a more uniform or ''national'' perception. Other causes for change or improvement in the methodology for handling calculational bias and uncertainty are; (1) an increased demand for benchmark criticals data to expand the area (range) of applicability of existing data, (2) a demand for new data to supplement existing benchmark criticals data, (3) the increased reliance on (or need for) computational benchmarks which supplement (or replace) experimental measurements in critical assemblies, and (4) an increased demand for benchmark data applicable to the expanded range of conditions and configurations encountered in DOE site restoration and remediation

Feasibility and reliability of frailty assessment in the critically ill: a systematic review.

Science.gov (United States)

Pugh, Richard J; Ellison, Amy; Pye, Kate; Subbe, Christian P; Thorpe, Chris M; Lone, Nazir I; Clegg, Andrew

2018-02-26

For healthcare systems, an ageing population poses challenges in the delivery of equitable and effective care. Frailty assessment has the potential to improve care in the intensive care setting, but applying assessment tools in critical illness may be problematic. The aim of this systematic review was to evaluate evidence for the feasibility and reliability of frailty assessment in critical care. Our primary search was conducted in Medline, Medline In-process, EMBASE, CINAHL, PsycINFO, AMED, Cochrane Database of Systematic Reviews, and Web of Science (January 2001 to October 2017). We included observational studies reporting data on feasibility and reliability of frailty assessment in the critical care setting in patients 16 years and older. Feasibility was assessed in terms of timing of evaluation, the background, training and expertise required for assessors, and reliance upon proxy input. Reliability was assessed in terms of inter-rater reliability. Data from 11 study publications are included, representing 8 study cohorts and 7761 patients. Proxy involvement in frailty assessment ranged from 58 to 100%. Feasibility data were not well-reported overall, but the exclusion rate due to lack of proxy availability ranged from 0 to 45%, the highest rate observed where family involvement was mandatory and the assessment tool relatively complex (frailty index, FI). Conventional elements of frailty phenotype (FP) assessment required modification prior to use in two studies. Clinical staff tended to use a simple judgement-based tool, the clinical frailty scale (CFS). Inter-rater reliability was reported in one study using the CFS and although a good level of agreement was observed between clinician assessments, this was a small and single-centre study. Though of unproven reliability in the critically ill, CFS was the tool used most widely by critical care clinical staff. Conventional FP assessment required modification for general application in critical care, and an FI

Critical Viewing and Participatory Democracy.

Science.gov (United States)

Cohen, Jodi R.

1994-01-01

Illustrates ways that the work of some communication scholars with resistant, oppositional, and critical audiences does not, however, endorse active public life. Attempts to realign the language of critical viewing with the goals of participatory democracy by suggesting qualities of critical viewing that are conducive to achieving and maintaining…

Overview of the DOE packaging certification process

Energy Technology Data Exchange (ETDEWEB)

Liu, Y.Y.; Carlson, R.D. [Argonne National Lab., IL (United States); Carlson, R.W. [Lawrence Livermore National Lab., CA (United States); Kapoor, A. [USDOE, Washington, DC (United States)

1995-12-31

This paper gives an overview of the DOE packaging certification process, which is implemented by the Office of Facility Safety Analysis, under the Assistance Secretary for Environment, Safety and Health, for packagings that are not used for weapons and weapons components, nor for naval nuclear propulsion. The overview will emphasize Type B packagings and the Safety Analysis Report for Packaging (SARP) review that parallels the NRC packaging review. Other important elements in the DOE packaging certification program, such as training, methods development, data bases, and technical assistance, are also emphasized, because they have contributed significantly to the improvement of the certification process since DOE consolidated its packaging certification function in 1985. The paper finishes with a discussion of the roles and functions of the DOE Packaging Safety Review Steering Committee, which is chartered to address issues and concerns of interest to the DOE packaging and transportation safety community. Two articles related to DOE packaging certification were published earlier on the SARP review procedures and the DOE Packaging Review Guide. These articles may be consulted for additional information.

Martin Marietta Energy Systems Nuclear Criticality Safety Improvement Program

International Nuclear Information System (INIS)

Speas, I.G.

1987-01-01

This report addresses questions raised by criticality safety violation at several DOE plants. Two charts are included that define the severity and reporting requirements for the six levels of accidents. A summary is given of all reported criticality incident at the DOE plants involved. The report concludes with Martin Marietta's Nuclear Criticality Safety Policy Statement

Contending Claims to Causality: A Critical Review of Mediation Research in HRD

Science.gov (United States)

Ghosh, Rajashi; Jacobson, Seth

2016-01-01

Purpose: The purpose of this paper is to conduct a critical review of the mediation studies published in the field of Human Resource Development (HRD) to discern if the study designs, the nature of data collection and the choice of statistical methods justify the causal claims made in those studies. Design/methodology/approach: This paper conducts…

Impact of occupational issues on DOE's environmental restoration program

International Nuclear Information System (INIS)

Siegel, M.R.; Lesperance, A.M.; Smith, D.

1992-01-01

The U.S. Department of Energy (DOE) is in the midst of a 30-yr, multi-billion-dollar environmental restoration program for most of the facilities included in its nuclear weapons complex. Long-term planning efforts are under way to identify strategies and approaches for carrying out this extraordinarily complicated task. The DOE has already entered into interagency agreements with the U.S. Environmental Protection Agency and states for many of its environmental restoration sites. These agreements set legally enforceable deadlines for cleanup activities at these sites. In addition, DOE has made other commitments to Congress and the public regarding its environmental restoration schedule. Thousands of workers will be directly involved in environmental restoration activities at DOE sites. Cleanup activity will be carried out in environments involving potential exposure to highly toxic chemical substances and radionuclides. It is inevitable that occupational safety and health (OSH) issues will become both critical and highly visible to DOE. The OSH issues associated with cleanup activities will likely attract the attention of workers, unions, the media, regulators, and the public. This paper reviews three case studies describing OSH activities in DOE's environmental restoration program. These case studies will help alert DOE officials to ways that various OSH issues should be considered when planning environmental restoration activities. This activity is being coordinated with other DOE work to identify occupational requirements that are applicable to DOE cleanup work

Early enteral nutrition in critically ill patients with hemodynamic instability: an evidence-based review and practical advice.

Science.gov (United States)

Yang, Shuofei; Wu, Xingjiang; Yu, Wenkui; Li, Jieshou

2014-02-01

Early enteral nutrition (EEN) in critically ill patients is associated with significant benefit as well as elevated risk of complications. Concomitant use of EEN with vasopressors has been associated with nonocclusive bowel necrosis in critically ill patients with hemodynamic instability. The decision when to initiate enteral nutrition in hemodynamically unstable patients that require vasoactive substances remains a clinical dilemma. This review summarizes the effect of EEN and vasoactive agents on gastrointestinal blood flow and perfusion in critically ill patients, based on current evidence. Animal and clinical data involving simultaneous administration of EEN and vasoactive agents for hemodynamic instability are reviewed, and the factors related to the safety and effectiveness of EEN support in this patient population are analyzed. Moreover, practical recommendations are provided. Additional randomized clinical trials are warranted to provide cutting-edge evidence-based guidance about this issue for practitioners of critical care.

The chemistry and behaviour of antimony in the soil environment with comparisons to arsenic: A critical review

International Nuclear Information System (INIS)

Wilson, Susan C.; Lockwood, Peter V.; Ashley, Paul M.; Tighe, Matthew

2010-01-01

This article provides a critical review of the environmental chemistry of inorganic antimony (Sb) in soils, comparing and contrasting findings with those of arsenic (As). Characteristics of the Sb soil system are reviewed, with an emphasis on speciation, sorption and phase associations, identifying differences between Sb and As behaviour. Knowledge gaps in environmentally relevant Sb data for soils are identified and discussed in terms of the limitations this imposes on understanding the fate, behaviour and risks associated with Sb in environmental soil systems, with particular reference to mobility and bioavailability. - A critical and comparative review of Sb and As chemistry and associations in soil systems identifies research directions needed for better understanding of risks.

Technical review of US Department of Energy draft area recommendation report for the crystalline repository project

International Nuclear Information System (INIS)

1986-04-01

Foth and Van Dyke and Associates Inc. was retained by the Stockbridge-Munsee Community to evaluate the DOE's screening process for selection of candidate areas in crystalline rock terranes, and critically review the geologic and environmental factors utilized by the DOE in selecting the NC-3 area as a potentially acceptable site (PAS). We have reviewed the DOE's Draft Area Recommendation Report (ARR) issued in January 1986, and prepared our comments. In addition, geologic and environmental data pertaining to the Stockbridge-Munsee community and vicinity that was not included in the Draft ARR is presented. 24 refs., 7 figs., 4 tabs

Pre-treatment risk stratification of prostate cancer patients: A critical review.

Science.gov (United States)

Rodrigues, George; Warde, Padraig; Pickles, Tom; Crook, Juanita; Brundage, Michael; Souhami, Luis; Lukka, Himu

2012-04-01

The use of accepted prostate cancer risk stratification groups based on prostate-specific antigen, T stage and Gleason score assists in therapeutic treatment decision-making, clinical trial design and outcome reporting. The utility of integrating novel prognostic factors into an updated risk stratification schema is an area of current debate. The purpose of this work is to critically review the available literature on novel pre-treatment prognostic factors and alternative prostate cancer risk stratification schema to assess the feasibility and need for changes to existing risk stratification systems. A systematic literature search was conducted to identify original research publications and review articles on prognostic factors and risk stratification in prostate cancer. Search terms included risk stratification, risk assessment, prostate cancer or neoplasms, and prognostic factors. Abstracted information was assessed to draw conclusions regarding the potential utility of changes to existing risk stratification schema. The critical review identified three specific clinically relevant potential changes to the most commonly used three-group risk stratification system: (1) the creation of a very-low risk category; (2) the splitting of intermediate-risk into a low- and high-intermediate risk groups; and (3) the clarification of the interface between intermediate- and high-risk disease. Novel pathological factors regarding high-grade cancer, subtypes of Gleason score 7 and percentage biopsy cores positive were also identified as potentially important risk-stratification factors. Multiple studies of prognostic factors have been performed to create currently utilized prostate cancer risk stratification systems. We propose potential changes to existing systems.

A critical scoping review of external uses of comfrey (Symphytum spp.).

Science.gov (United States)

Frost, R; MacPherson, H; O'Meara, S

2013-12-01

External preparations of the herb comfrey (most commonly Symphytum officinale L.) are widely available for over-the-counter, practitioner and healthcare professional usage. Traditional practice suggests comfrey can be used to treat musculoskeletal disorders, wounds and various other conditions; however a full and critical coverage of the evidence base has not yet been undertaken. A critical scoping review was undertaken. Six bibliographic databases, 10 grey literature databases and nine trials registers were searched plus reference lists of included studies and a descriptive overview of comfrey. Randomised or non-randomised clinical trials assessing the external use of comfrey for any indication were included and methodological and reporting quality were assessed. Observational studies were included only in the assessment of adverse events. Studies were grouped and summarised according to the type of indication treated. Of 1348 identified records, 64 full texts were screened for inclusion and 26 were included in the review - 13 RCTs, 5 non-randomised controlled trials and 8 observational studies evaluating treatments for ankle distortion, back pain, abrasion wounds, venous leg ulcers and osteoarthritis. The majority of included trials had an overall unclear risk of bias due to poor quality of reporting. Few adverse events were reported. Individual clinical trials showed evidence of benefit for ankle distortion, back pain, abrasion wounds and osteoarthritis. Topical application appears to be safe but further rigorous assessment is needed. Systematic reviews focussing on particular indications may clarify the treatment effect and safety of external comfrey preparations. Copyright © 2013 Elsevier Ltd. All rights reserved.

Transgender stigma and health: A critical review of stigma determinants, mechanisms, and interventions.

Science.gov (United States)

White Hughto, Jaclyn M; Reisner, Sari L; Pachankis, John E

2015-12-01

Transgender people in the United States experience widespread prejudice, discrimination, violence, and other forms of stigma. This critical review aims to integrate the literature on stigma towards transgender people in the U.S. This review demonstrates that transgender stigma limits opportunities and access to resources in a number of critical domains (e.g., employment, healthcare), persistently affecting the physical and mental health of transgender people. The applied social ecological model employed here elucidates that transgender stigma operates at multiple levels (i.e., individual, interpersonal, structural) to impact health. Stigma prevention and coping interventions hold promise for reducing stigma and its adverse health-related effects in transgender populations. Additional research is needed to document the causal relationship between stigma and adverse health as well as the mediators and moderators of stigma in US transgender populations. Multi-level interventions to prevent stigma towards transgender people are warranted. Copyright © 2015 Elsevier Ltd. All rights reserved.

A critical review of simulation-based mastery learning with translational outcomes.

Science.gov (United States)

McGaghie, William C; Issenberg, Saul B; Barsuk, Jeffrey H; Wayne, Diane B

2014-04-01

This article has two objectives. Firstly, we critically review simulation-based mastery learning (SBML) research in medical education, evaluate its implementation and immediate results, and document measured downstream translational outcomes in terms of improved patient care practices, better patient outcomes and collateral effects. Secondly, we briefly address implementation science and its importance in the dissemination of innovations in medical education and health care. This is a qualitative synthesis of SBML with translational (T) science research reports spanning a period of 7 years (2006-2013). We use the 'critical review' approach proposed by Norman and Eva to synthesise findings from 23 medical education studies that employ the mastery learning model and measure downstream translational outcomes. Research in SBML in medical education has addressed a range of interpersonal and technical skills. Measured outcomes have been achieved in educational laboratories (T1), and as improved patient care practices (T2), patient outcomes (T3) and collateral effects (T4). Simulation-based mastery learning in medical education can produce downstream results. Such results derive from integrated education and health services research programmes that are thematic, sustained and cumulative. The new discipline of implementation science holds promise to explain why medical education innovations are adopted slowly and how to accelerate innovation dissemination. © 2014 John Wiley & Sons Ltd.

Life Cycle Assessment Application to the Wine Sector: A Critical Review

Directory of Open Access Journals (Sweden)

Carmen Ferrara

2018-02-01

Full Text Available Life Cycle Assessment (LCA is a powerful tool that allows evaluation of the environmental performances of a product, service or process considering the whole life cycle or a part of it. In the wine sector, the application of LCA has grown significantly in recent years and several studies have been carried out about this topic that are similar to other research fields. Nowadays, LCA is an important and acknowledged environmental assessment tool but its application to the wine sector is still in a developing phase. For this reason, the present study proposes a critical review of papers dealing with both the wine sector and LCA. The critical review points out that the main wine hotspots are the viticulture phase (mainly due to fuel, fertilizer and pesticides consumption and the wine primary packaging production (due to glass bottles. Furthermore, the papers taken into consideration have a wide variability in the system boundaries definition as well as a shortage of availability of original and site-specific inventory data. Such key factors are sensitive aspects that have a huge influence on the results of a study and they are also affected by a wide variability: these issues need further scientific contribution through future studies.

Critical dynamics in associative memory networks

Directory of Open Access Journals (Sweden)

Maximilian eUhlig

2013-07-01

Full Text Available Critical behavior in neural networks is characterized by scale-free avalanche size distributions and can be explained by self-regulatory mechanisms. Theoretical and experimental evidence indicates that information storage capacity reaches its maximum in the critical regime. We study the effect of structural connectivity formed by Hebbian learning on the criticality of network dynamics. The network endowed with Hebbian learning only does not allow for simultaneous information storage and criticality. However, the critical regime is can be stabilized by short-term synaptic dynamics in the form of synaptic depression and facilitation or, alternatively, by homeostatic adaptation of the synaptic weights. We show that a heterogeneous distribution of maximal synaptic strengths does not preclude criticality if the Hebbian learning is alternated with periods of critical dynamics recovery. We discuss the relevance of these findings for the flexibility of memory in aging and with respect to the recent theory of synaptic plasticity.

Knowledge mobilisation in healthcare: a critical review of health sector and generic management literature.

Science.gov (United States)

Ferlie, Ewan; Crilly, Tessa; Jashapara, Ashok; Peckham, Anna

2012-04-01

The health policy domain has displayed increasing interest in questions of knowledge management and knowledge mobilisation within healthcare organisations. We analyse here the findings of a critical review of generic management and health-related literatures, covering the period 2000-2008. Using 29 pre-selected journals, supplemented by a search of selected electronic databases, we map twelve substantive domains classified into four broad groups: taxonomic and philosophical (e.g. different types of knowledge); theoretical discourse (e.g. critical organisational studies); disciplinary fields (e.g. organisational learning and Information Systems/Information Technology); and organisational processes and structures (e.g. organisational form). We explore cross-overs and gaps between these traditionally separate literature streams. We found that health sector literature has absorbed some generic concepts, notably Communities of Practice, but has not yet deployed the performance-oriented perspective of the Resource Based View (RBV) of the Firm. The generic literature uses healthcare sites to develop critical analyses of power and control in knowledge management, rooted in neo-Marxist/labour process and Foucauldian approaches. The review generates three theoretically grounded statements to inform future enquiry, by: (a) importing the RBV stream; (b) developing the critical organisational studies perspective further; and (c) exploring the theoretical argument that networks and other alternative organisational forms facilitate knowledge sharing. Copyright © 2012 Elsevier Ltd. All rights reserved.

A critical review on the scaling theory of dispersion

Science.gov (United States)

Zech, Alraune; Mai, Juliane; Attinger, Sabine; Dietrich, Peter; Teutsch, Georg; Fiori, Aldo; Rubin, Yoram

2014-05-01

The phenomenon of dispersive mixing of solutes in aquifers is subject of research since decades. The characterization of dispersivity at a particular field site is a prerequisite to predict the movement and spreading of a contaminant plume. Experimental investigations have shown, that field-scale dispersivities vary over orders of magnitude, which apparently depends on the scale of measurement. Gelhar et al. [1992] and Schulze-Makuch [2005] have reviewed a large number of transport experiments reported in the literature. Based on that data Schulze-Makuch [2005] performed a trend analysis of longitudinal dispersivity, fostering the empirical relationship of a power law between dispersivities and the scale of measurement without an upper bound. The goal of our study is to critically revisit not only the data used for the trend analysis but the power-law scale dependence of longitudinal dispersivity (e.g. Neuman [1990], Xu and Eckstein [1995]). Our particular focus is on the reported dispersivities of large amount (larger than 100m) and large measurement scales (in the order of kilometers). We aim to evaluate current theories of transport against a critical "mass" of field experiments and to bracket the conditions of their applicability. We further aim to evaluate the adequacy of the field sampling techniques that were employed from the perspective of more than 30 years development in modeling and field characterization. Given the tremendous progress in field data acquisition techniques and new insights gained, it is reasonable to expect that interpretations of past experiments may be flawed due to the limitations or inadequacy of field sampling techniques. Gelhar, L.W., C. Welty, and K.R. Rehfeldt, 1992, A critical review of data on field-scale dispersion in aquifers, Water Resources Research 28, No. 7: 1955-1974. Schulze-Makuch, D., 2005, Longitudinal dispersivity data and implications for scaling behavior, Ground Water, Vol. 43, No. 3, 443-456. Neuman, S.P., 1990

Abbreviated report of the critical analysis of the spent nuclear fuel project's activity-based cost estimate

International Nuclear Information System (INIS)

Warren, R.N.

1998-01-01

In 1997, the SNFP developed a baseline change request (BCR) and submitted it to DOE-RL for approval. The schedule was formally evaluated to have a 19% probability of success [Williams, 1998]. In December 1997, DOE-RL Manager John Wagoner approved the BCR contingent upon a subsequent independent review of the new baseline. The SNFP took several actions during the first quarter of 1998 to prepare for the independent review. The project developed the Estimating Requirements and Implementation Guide [DESH, 1998] and trained cost account managers (CAMS) and other personnel involved in the estimating process in activity-based cost (ABC) estimating techniques. The SNFP then applied ABC estimating techniques to develop the basis for the December Baseline (DB) and documented that basis in Basis of Estimate (BOE) books. These BOEs were provided to DOE in April 1998. DOE commissioned Professional Analysis, Inc. (PAI) to perform a critical analysis (CA) of the DB. PAI's review formally began on April 13. PAI performed the CA, provided three sets of findings to the SNFP contractor, and initiated reconciliation meetings. During the course of PAI's review, DOE directed the SNFP to develop a new baseline with a higher probability of success. The contractor transmitted the new baseline, which is referred to as the High Probability Baseline (HPB), to DOE on April 15, 1998 [Williams, 1998]. The HPB was estimated to approach a 90% confidence level on the start of fuel movement [Williams, 1998]. This high probability resulted in an increased cost and a schedule extension. To implement the new baseline, the contractor initiated 26 BCRs with supporting BOES. PAI's scope was revised on April 28 to add reviewing the HPB and the associated BCRs and BOES

Formative Review of the Critical Television Viewing Skills Curriculum for Secondary Schools. Volume I: Final Report. Volume II: Teacher's Guide: Reviewers' Suggested Revisions.

Science.gov (United States)

Wheeler, Patricia; And Others

This formative review of a project designed to help high school students become more discriminating television viewers (1) presents a description of the curriculum designed during the project to foster critical television viewing in teenagers, (2) outlines the major tasks involved in the formative review of the curriculum, and (3) presents and…

Developments in solar still desalination systems: A critical review

KAUST Repository

Ayoub, George M.

2012-10-01

Solar still desalination uses a sustainable and pollution-free source to produce high-quality water. The main limitation is low productivity and this has been the focus of intensive research. A major concern while increasing productivity is to maintain economic feasibility and simplicity. The authors present a critical review of the research work conducted on solar stills development. Studies addressing each parameter of concern are grouped together and results compared. Novelty in design and newly introduced features are presented. Modeling efforts of flow circulation within the still and methods to estimate internal heat transfer coefficients are discussed and future research needs are outlined. © 2012 Taylor & Francis Group, LLC.

Measuring tele-ICU impact: does it optimize quality outcomes for the critically ill patient?

Science.gov (United States)

Goran, Susan F

2012-04-01

To determine the relationship between tele-ICU (intensive care unit) implementations and improvement in quality measures and patient outcomes. Tele-ICUs were designed to leverage scarce critical-care experts and promised to improve patient quality. Abstracts and peer-reviewed articles were reviewed to identify the associations between tele-ICU programmes and clinical outcomes, cost savings, and customer satisfaction. Few peer-reviewed studies are available and many variables in each study limit the ability to associate study conclusions to the overall tele-ICU programme. Further research is required to explore the impact of the tele-ICU on patient/family satisfaction. Research findings are highly dependent upon the level of ICU acceptance. The tele-ICU, in collaboration with the ICU team, can be a valuable tool for the enhancement of quality goals although the ability to demonstrate cost savings is extremely complex. Studies clearly indicate that tele-ICU nursing vigilance can enhance patient safety by preventing potential patient harm. Nursing managers and leaders play a vital part in optimizing the quality role of the tele-ICU through supportive modelling and the maximization of ICU integration. © 2012 Blackwell Publishing Ltd.

Critical Factors of E-Learning Adoption and Acceptance in Pakistan: A Literature Review

Directory of Open Access Journals (Sweden)

F. Kanwal

2017-08-01

Full Text Available This review paper examines the prior studies on critical factors of e-learning adoption in Pakistan. The search terms identified 40 papers reporting 25 conceptual and qualitative and 15 quantitative evidence about the e-learning adoption and critical factors that may influence the adoption of e-learning in Pakistan. The findings revealed that modern paradigm shift requires the in-depth analysis of government policies, institutional and management role, students and faculty attitude, social norms, cultural values as well as technological advancement. These factors may directly or indirectly affect the intention of students towards e-learning adoption. The lack of quantitative evidences illustrate that policy makers, practitioners and researchers need to pay attention for further research of identifying and analyzing the critical factors which enhances the e-learning adoption in Pakistan.

Complex-wide review of DOE's Low-Level Waste Management ES ampersand H vulnerabilities. Volume II. Final report

International Nuclear Information System (INIS)

1996-05-01

Volume I of this report presents a summary of DOE's complex-wide review of its low-level waste management system, including the assessment scope and methodology, site-specific and complex-wide vulnerabilities, and DOE's conclusions and recommendations. Volume II presents a more detailed discussion of the assessment methodology and evaluation instruments developed by the Assessment Working Group for identifying site-specific vulnerabilities, categorizing and classifying vulnerabilities, and identifying and analyzing complex-wide vulnerabilities. Attachments A and B of this volume contain, respectively, the Site Evaluation Survey and the Vulnerability Assessment Form used in those processes. Volume III contains the site-specific assessment reports for the 36 sites (38 facilities) assessed in the complex-wide review from which the complex-wide vulnerabilities were drawn

Some notes on critical appraisal of prevalence studies: Comment on: "The development of a critical appraisal tool for use in systematic reviews addressing questions of prevalence".

Science.gov (United States)

Harder, Thomas

2014-10-01

Decisions in healthcare should be based on information obtained according to the principles of Evidence-Based Medicine (EBM). An increasing number of systematic reviews are published which summarize the results of prevalence studies. Interpretation of the results of these reviews should be accompanied by an appraisal of the methodological quality of the included data and studies. The critical appraisal tool for prevalence studies developed and tested by Munn et al. comprises 10 items and aims at targeting all kinds of prevalence studies. This comment discusses the pros and cons of different designs of quality appraisal tools and highlights their importance for systematic reviews of prevalence studies. Beyond piloting, which has been performed in the study by Munn et al., it is suggested here that the validity of the tool should be tested, including reproducibility and inter-rater reliability. It is concluded that studies as the one by Munn et al. will help to establish a critical understanding of methodological quality and will support the use of systematic reviews of non-intervention studies for health policy making.

Critical review of the literature on the corrosion of copper by water

International Nuclear Information System (INIS)

King, Fraser

2010-12-01

The conventional belief that copper is thermodynamically stable in oxygen-free water has been questioned by a research group from the Royal Inst. of Technology, Stockholm lead by Dr. Gunnar Hultquist. A critical review of the literature both in support of the proposed mechanism and that which argues against it has been conducted. The critical review has been supported by supplementary analyses, with particular focus on the scientific validity of the reported observations and their significance for the corrosion of a copper canister. It is found that: - the scientific evidence in support of the suggestion that water oxidises copper is not conclusive and there are many aspects which are unclear and contradictory, - despite a number of attempts, no other researchers have been able to reproduce the observations of Hultquist and co-workers, - even if correct, the mechanism is not important for copper canisters in a repository, both because of differences in the environmental conditions and because, even if corrosion did occur by this mechanism, it would quickly stop, and - there is no adverse impact on the lifetime of copper canisters due to this proposed, but unproven, mechanism

Critical review of the literature on the corrosion of copper by water

Energy Technology Data Exchange (ETDEWEB)

King, Fraser (Integrity Corrosion Consulting Limited (Canada))

2010-12-15

The conventional belief that copper is thermodynamically stable in oxygen-free water has been questioned by a research group from the Royal Inst. of Technology, Stockholm lead by Dr. Gunnar Hultquist. A critical review of the literature both in support of the proposed mechanism and that which argues against it has been conducted. The critical review has been supported by supplementary analyses, with particular focus on the scientific validity of the reported observations and their significance for the corrosion of a copper canister. It is found that: - the scientific evidence in support of the suggestion that water oxidises copper is not conclusive and there are many aspects which are unclear and contradictory, - despite a number of attempts, no other researchers have been able to reproduce the observations of Hultquist and co-workers, - even if correct, the mechanism is not important for copper canisters in a repository, both because of differences in the environmental conditions and because, even if corrosion did occur by this mechanism, it would quickly stop, and - there is no adverse impact on the lifetime of copper canisters due to this proposed, but unproven, mechanism

Pre-shipment preparations at the Savannah River Site - WSRC's technical basis to support DOE's approval to ship

International Nuclear Information System (INIS)

Thomas, Jay E.; Bickley, Donald W.; Conatser, E. Ray

2000-01-01

In the first four years of the Foreign Research Reactor (FRR) Spent Nuclear Fuel (SNF) Return Program following resumption of the SNF return program with the DOE-EIS ROD in May 1996, 13 shipments involving 77 casks with over 2,600 assemblies have been safely received and stored at the Savannah River Site (SRS). Each fuel type has gone through a rigorous pre-shipment preparation process that includes fuel characterization, criticality safety reviews, and operational reviews, culminating in the Department of Energy's (DOE's) authorization to ship. Ideally, the authorization to ship process should begin two years in advance of the fuel receipt with an agreement between the Department of Energy - Head Quarters (DOE-HQ) and the research reactor government on the conditions and protocol for the spent nuclear fuel return, with a target of DOE shipment authorization at least two months before facility loading. A visit by representatives from the Department of Energy - Savannah River (DOE-SR) and Westinghouse Savannah River Company (WSRC), DOE's Management and Operations (M and O) Contractor for the SRS, to the research reactor facility is then scheduled for the purpose of finalizing contractual arrangements (DOE-SR), facility assessments, and initial fuel inspections. An extensive effort is initiated at this time to characterize the fuel in a standard format as identified in the Appendix A attachment to the contract. The Appendix A must be finalized in an accurate and timely manner because it serves as the base reference document for WSRC and other involved stakeholders such as the cask owners and the competent authorities throughout the approval process. With the approval of the Appendix A, criticality safety reviews are initiated to evaluate the unloading and storage configurations. Operational reviews are conducted to allow for necessary adaptation of fuel handling facilities, procedures, and training. WSRC has proceduralized this process, 'Certification to Receive and

A review of shear wave splitting in the crack-critical crust

Science.gov (United States)

Crampin, Stuart; Chastin, Sebastien

2003-10-01

Over the last 15 years, it has become established that crack-induced stress-aligned shear wave splitting, with azimuthal anisotropy, is an inherent characteristic of almost all rocks in the crust. This means that most in situ rocks are pervaded by fluid-saturated microcracks and consequently are highly compliant. The evolution of such stress-aligned fluid-saturated grain-boundary cracks and pore throats in response to changing conditions can be calculated, in some cases with great accuracy, using anisotropic poro-elasticity (APE). APE is tightly constrained with no free parameters, yet dynamic modelling with APE currently matches a wide range of phenomena concerning anisotropy, stress, shear waves and cracks. In particular, APE has allowed the anisotropic response of a reservoir to injection to be calculated (predicted with hindsight), and the time and magnitude of an earthquake to be correctly stress-forecast. The reason for this calculability and predictability is that the microcracks in the crust are so closely spaced that they form critical systems. This crack-critical crust leads to a new style of geophysics that has profound implications for almost all aspects of pre-fracturing deformation of the crust and for solid-earth geophysics and geology. We review past, present and speculate about the future of shear wave splitting in the crack-critical crust. Shear wave splitting is seen to be a dynamic measure of the deformation of the rock mass. There is some good news and some bad news for conventional geophysics. Many accepted phenomena are no longer valid at high spatial and temporal resolution. A major effect is that the detailed crack geometry changes with time and varies from place to place in response to very small previously negligible changes. However, at least in some circumstances, the behaviour of the rock in the highly complex inhomogeneous Earth may be calculated and the response predicted, opening the way to possible control by feedback. The need is

Book Review: Critical Condition: Replacing Critical Thinking with Creativity by Patrick Finn

OpenAIRE

Matthews, Jodie

2016-01-01

In Critical Condition: Replacing Critical Thinking with Creativity, Patrick Finn expands upon his 2011 TEDx Talk, ‘Loving Communication’, to suggest that critical thinking implies disapproval and unnecessary judgement originating from a particular mode of Classical thought. Jodie Matthews argues that Finn’s discussion is dependent upon a crudely drawn straw man and neglects to consider thinking critically as a necessary corollary, rather than antithesis, to thinking creatively.

Microfinance institutions' failure to address poverty: A narrative critical literature review

OpenAIRE

Guðjónsson, Sigurður

2017-01-01

This critical literature review begins by giving a short introduction to the microfinance industry. Microfinance institutions (MFIs) are explained and an account is given of their dual performance goals of financial performance (‘financial sustainability’) and social performance (‘outreach’). While MFIs’ social performance is directly aimed at poverty reduction, it is noteworthy that often they fail to address poverty (i.e., they fail to deliver outreach). The aim of the paper is to answer th...

Relevance of collagen piezoelectricity to "Wolff's Law": a critical review.

Science.gov (United States)

Ahn, Andrew C; Grodzinsky, Alan J

2009-09-01

According to "Wolff's Law", bone is deposited and reinforced at areas of greatest stress. From a clinical perspective, this "law" is supported by the strong association between bone density and physical activity. From a mechanistic standpoint, however, the law presents a challenge to scientists seeking to understand how osteocytes and osteoblasts sense the mechanical load. In the 1960s, collagen piezoelectricity was invoked as a potential mechanism by which osteocytes could detect areas of greater stress but piezoelectricity diminished in importance as more compelling mechanisms, such as streaming potential, were identified. In addition, accumulating evidence for the role of fluid-related shear stress in osteocyte's mechanosensory function has made piezoelectricity seemingly more obsolete in bone physiology. This review critically evaluates the role of collagen piezoelectricity (if any) in Wolff's Law--specifically, the evidence regarding its involvement in strain-generated potentials, existing alternate mechanisms, the present understanding of bone mechanosensation, and whether piezoelectricity serves an influential role within the context of this newly proposed mechanism. In addition to reviewing the literature, this review generates several hypotheses and proposes future research to fully address the relevance of piezoelectricity in bone physiology.

Developing critical practitioners: A review of teaching methods in the Bachelor of Radiography and Medical Imaging

International Nuclear Information System (INIS)

Mc Inerney, J.; Baird, M.

2016-01-01

Background: The capacity to apply critical thinking clinically is no longer an option for radiographers. Radiographers are obliged by their registration board to embrace a contemporary and integrated conceptualisation of competence, including the capacity to think critically and reflectively to resolve clinical challenges. The study examines the complexity of critical thinking, identifies the skill set and personal traits necessary to enact it practically. Methods: Third and final year radiography students' perceptions of three teaching approaches used within the undergraduate course were explored using peer reviewed survey instruments. Thematic analysis and descriptive analyses were applied to the data to make sense of the responses. Conclusions: Students are exhibiting the capacity to formulate, evaluate and revise their own work practices through critical thinking. Educational activities that have been proven effective in empowering students with the skills necessary to meet professional standards and the personal traits required to enact them should be prioritised in curricula. The study has shown that establishment of an audit trail for the educational activities in use within radiography programs can facilitate the acquisition of evidence-based and reflective practice skills amongst students. An assessment of student's perceptions of the learning activities they engage with is an important step on this trail, though a before and after measure could be applied. - Highlights: • Examines the concept of critical thinking including the personal traits required to enact it. • Reviews three teaching activities aimed at teaching critical thinking. • Assesses student perceptions of the activities in facilitating critical thinking skills. • Students who acquire critical thinking skills can undergo transformative learning. • Establishing an audit trail can ensure teaching activities are having desired effect.

Instrumented Measurement of Balance and Postural Control in Individuals with Lower Limb Amputation: A Critical Review

Science.gov (United States)

Jayakaran, Prasath; Johnson, Gillian M.; Sullivan, S. John; Nitz, Jennifer C.

2012-01-01

Measurement of balance and postural performance that underpins activities of daily living is important in the rehabilitation of individuals with a lower limb amputation (LLA), and there are a number of methods and strategies available for this purpose. To provide an evidence-based choice of approach, this review aims to critically review the tasks…

Notes on critical care-review of seminal management and leadership papers in the United Kingdom.

Science.gov (United States)

Coombs, Maureen

2009-06-01

Review of recent critical care provision reveals substantial changes in clinical unit operating, and policy drivers influencing international critical care delivery. Practitioners who have worked in healthcare environments over this time, will have witnessed substantial shifts in healthcare policy, changes in professional body guidance and greater service evaluation have impacted on critical care management and leadership. This paper offers a personal perspective on seminal management and leadership papers published in the critical care literature over the past decade. Presenting a range of national and international work that utilise diverse approaches, ten key papers are highlighted that have impacted in the United Kingdom setting. Through this, the influence of the modernisation agenda, the increasing significance of outcome studies, and the need for flexible, interdependent practice emerges. A key message to surface from this paper is the need for all in critical care to engage with, and understand the wider implications of management and leadership change for critical care delivery.

The state of Danish nursing ethnographic research: flowering, nurtured or malnurtured - a critical review.

Science.gov (United States)

Uhrenfeldt, Lisbeth; Martinsen, Bente; Jørgensen, Lene Bastrup; Sørensen, Erik Elgaard

2018-03-01

Nursing was established in Denmark as a scholarly tradition in the late nineteen eighties, and ethnography was a preferred method. No critical review has yet summarised accomplishments and gaps and pointing at directions for the future methodological development and research herein. This review critically examines the current state of the use of ethnographic methodology in the body of knowledge from Danish nursing scholars. We performed a systematic literature search in relevant databases from 2003 to 2016. The studies included were critically appraised by all authors for methodological robustness using the ten-item instrument QARI from Joanna Briggs Institute. Two hundred and eight studies met our inclusion criteria and 45 papers were included; the critical appraisal gave evidence of studies with certain robustness, except for the first question concerning the congruity between the papers philosophical perspective and methodology and the seventh question concerning reflections about the influence of the researcher on the study and vice versa. In most studies (n = 34), study aims and arguments for selecting ethnographic research are presented. Additionally, method sections in many studies illustrated that ethnographical methodology is nurtured by references such as Hammersley and Atkinson or Spradley. Evidence exists that Danish nursing scholars' body of knowledge nurtures the ethnographic methodology mainly by the same few authors; however, whether this is an expression of a deliberate strategy or malnutrition in the form of lack of knowledge of other methodological options appears yet unanswered. © 2017 Nordic College of Caring Science.

The “Austrian School of Critical Political Economy”? A Review of Thomas Allmer’s Book “Towards a Critical Theory of Surveillance in Informational Capitalism”

Directory of Open Access Journals (Sweden)

Jernej Amon Prodnik

2012-10-01

Full Text Available This article is a review of Thomas Allmer’s book “Towards a Critical Theory of Surveillance in Informational Capitalism”. The book was published in 2012 by the publishing house Peter Lang (in Frankfurt am Main, Berlin, New York, Oxford […]. In the start of the article the author also poses the question whether there is a new school of thought emerging, namely the “Austrian School of Critical Political Economy”.

Spondylolysis: a critical review

Science.gov (United States)

Standaert, C; Herring, S

2000-01-01

Aim—To provide an understanding of the current concepts in the natural history, pathophysiology, diagnosis, and treatment of spondylolysis based on the available medical literature. Methods—Articles were selected for review by the following methods: (a) MEDLINE searches with review of abstracts to select relevant articles; (b) review of multiple textbooks considered likely to contain information on spondylolysis; (c) review of references in articles identified by (a) and (b). Over 125 articles were ultimately reviewed fully. Publications were selected for inclusion in this article on the basis of perceived scientific and historical merit, particularly as thought to be relevant to achieving the stated purpose of this review. As no controlled clinical trials were identified, this could not be used as an inclusion criterion. Conclusions—Isthmic spondylolysis is considered to represent a fatigue fracture of the pars interarticularis of the neural arch. There is a relatively high incidence of radiographically identified spondylolysis in the general population, but the vast majority of these lesions probably occur without associated symptoms. Symptomatic pars lesions appear to be particularly a clinical problem in adolescents, especially adolescent athletes. The optimal diagnostic and treatment algorithms are not well identified in the current literature. Multiple imaging studies may have a role in the diagnosis of a pars lesion, and treatment seems likely to require at least relative rest and physical rehabilitation with consideration of bracing or, rarely, surgical intervention depending on the clinical context. Key Words: spondylolysis; spondylolisthesis; spine; back; neural arch; pars interarticularis PMID:11131228

Palliative Care in Critical Care Settings: A Systematic Review of Communication-Based Competencies Essential for Patient and Family Satisfaction.

Science.gov (United States)

Schram, Andrew W; Hougham, Gavin W; Meltzer, David O; Ruhnke, Gregory W

2017-11-01

There is an emerging literature on the physician competencies most meaningful to patients and their families. However, there has been no systematic review on physician competency domains outside direct clinical care most important for patient- and family-centered outcomes in critical care settings at the end of life (EOL). Physician competencies are an essential component of palliative care (PC) provided at the EOL, but the literature on those competencies relevant for patient and family satisfaction is limited. A systematic review of this important topic can inform future research and assist in curricular development. Review of qualitative and quantitative empirical studies of the impact of physician competencies on patient- and family-reported outcomes conducted in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines for systematic reviews. The data sources used were PubMed, MEDLINE, Web of Science, and Google Scholar. Fifteen studies (5 qualitative and 10 quantitative) meeting inclusion and exclusion criteria were identified. The competencies identified as critical for the delivery of high-quality PC in critical care settings are prognostication, conflict mediation, empathic communication, and family-centered aspects of care, the latter being the competency most frequently acknowledged in the literature identified. Prognostication, conflict mediation, empathic communication, and family-centered aspects of care are the most important identified competencies for patient- and family-centered PC in critical care settings. Incorporation of education on these competencies is likely to improve patient and family satisfaction with EOL care.

A literature review of comfort in the paediatric critical care patient.

Science.gov (United States)

Bosch-Alcaraz, Alejandro; Falcó-Pegueroles, Anna; Jordan, Iolanda

2018-03-08

To investigate the meaning of comfort and to contextualise it within the framework of paediatric critical care. The concept of comfort is closely linked to care in all health contexts. However, in specific settings such as the paediatric critical care unit, it takes on particular importance. A literature review was conducted. A literature search was performed of articles in English and Spanish in international health science databases, from 1992-March 2017, applying the quality standards established by the PRISMA methodology and the Joanna Briggs Institute. A total of 1,203 publications were identified in the databases. Finally, 59 articles which met the inclusion criteria were entered in this literature review. Almost all were descriptive studies written in English and published in Europe. The concept of comfort was defined as the immediate condition of being strengthened through having the three types of needs (relief, ease and transcendence) addressed in the four contexts of experience (physical, psychospiritual, social and environmental). Only two valid and reliable tools for assessing comfort were found: the Comfort Scale and the Comfort Behavior Scale. Comfort is subjective and difficult to assess. It has four facets: physical, emotional, social and environmental. High levels of noise and light are the inputs that cause the most discomfort. Comfort is a holistic, universal concept and an important component of quality nursing care. © 2018 John Wiley & Sons Ltd.

Electron beam processing of fresh produce - A critical review

Science.gov (United States)

Pillai, Suresh D.; Shayanfar, Shima

2018-02-01

To meet the increasing global demand for fresh produce, robust processing methods that ensures both the safety and quality of fresh produce are needed. Since fresh produce cannot withstand thermal processing conditions, most of common safety interventions used in other foods are ineffective. Electron beam (eBeam) is a non-thermal technology that can be used to extend the shelf life and ensure the microbiological safety of fresh produce. There have been studies documenting the application of eBeam to ensure both safety and quality in fresh produce, however, there are still unexplored areas that still need further research. This is a critical review on the current literature on the application of eBeam technology for fresh produce.

The social and psychological impact of endometriosis on women's lives: a critical narrative review

OpenAIRE

Culley, Lorraine; Law, Caroline; Hudson, Nicky; Denny, E.; Mitchell, H.; Baumgarten, M.; Raine-Fenning, N.

2013-01-01

The attached file is a pre – copy – editing, author produced PDF of an article accepted for publication in Human Reproduction Update following peer review. The definitive publisher – authenticated version (Culley, L, Law, C, Hudson, N, Denny, E, Mitchell, H, Baumgarten, M, Raine – Fenning, N (2013) The social and psychological impact of endometriosis on women’s lives: a critical narrative review. Hum. Reprod. Update 19 (6): 625 – 639) is available online at: http://humupd.oxfordjournals.org/...

Technology and Teacher-Student Interactions: A Review of Empirical Research

Science.gov (United States)

Harper, Ben

2018-01-01

As technology becomes ubiquitous in education, it is critical to understand the ways in which technology influences interactions between teachers and their students. The overarching research question that guided this systematic review was: What does research tell us about how technology influences interactions between teachers and students in K-12…

Dental Students' Use of AMSTAR to Critically Appraise Systematic Reviews.

Science.gov (United States)

Teich, Sorin T; Heima, Masahiro; Lang, Lisa

2015-09-01

The idea of basing clinical procedures upon evidence gathered by observation is less than 200 years old, with the first set of evidence-based position papers dating back only to the early 1970s. The relationship between evidence-based education and health outcomes is difficult to test and may be indirect, but teaching critical appraisal skills may be beneficial in developing knowledge. Systematic reviews have a central role in the process of clinical decision making in practice and therefore should be of high quality, following a rigorous protocol that can be evaluated with validated tools. The aim of this study was to assess how dental students utilized the Assessment of Multiple Systematic Reviews (AMSTAR) appraisal tool to evaluate systematic reviews in the context of a treatment planning course. During the in-class final exam, students were required to appraise the quality of a systematic review and to justify their answers. Of the 74 third-year students who took the exam, 100% answered all questions on the AMSTAR form. The mean number of correct answers was nine (SD=1.047, Min=6, Max=10), with no student providing all 11 correct answers. The fact that nearly 90% of the students provided eight or more correct answers suggests that AMSTAR can be used by students to evaluate the methodological quality of systematic reviews. It also was evident that although the AMSTAR tool requires less than 15 minutes to complete an evaluation, using it requires extensive training and repetition to achieve consistent and reliable results.

Criticality evaluation and protocol for DOE-owned spent nuclear fuels

International Nuclear Information System (INIS)

Cresap, D.A.; Sentieri, P.J.; Wilson, J.R.

1995-09-01

This report is a continuation of repository criticality evaluation work. Both the probability and consequences of a criticality were considered. A long-term, low-power, water-moderated criticality was the most likely of those considered. Its probability was low but not low enough to be dismissed. The governing regulation, 40 CFR 191, allows an event to be dismissed if it has less than one chance in 10,000 of occurring in 10,000 years. This implies a regulatory concern threshold of 10-8/yr. Even if such an event occurred, the repository inventory would still be dominated by the disposed fuel and waste and no significant additional releases would be expected. The major categories of criticality investigated were: water-moderated with fast or slow reactivity insertion, dry (hard-spectrum) with fast or slow reactivity insertion, water-moderated on the surface due to human intrusion, and far field. Fault trees were prepared to assess these scenarios. As a result of this study, the probability of a criticality in 10,000 years was revised from 3x10 -3 to 5x10 -4 , primarily through the elimination of conservatism and correction of assumptions. The presence of water is a major concern in criticality studies. The possibility of flooding due to water table rise had been dismissed in previous studies. Conservative models indicate that this is a defensible position. The possibility of a silica moderated criticality was considered briefly. The preliminary study identified isotopes of concern for release and these were verified by several comparative methods. Most isotopes had similar ratios across source categories and those that did not could be accounted for by fuel or waste characteristics. The ORIGEN2 code was validated to be sufficiently accurate for PA purposes for the low-power, long-term scenario considered in the criticality study

A Critical Review of the Critical Period Research.

Science.gov (United States)

Scovel, Thomas

2000-01-01

Discusses how perspectives on the critical period hypothesis (CPH) have shifted over the last 20-20 years, because of the work of applied linguistics and other disciplines. Advises caution into translating CPH research into personal practice or public policy. (Author/VWL)

Building and managing strategic alliances in technology-driven start-ups: a critical review of literature

OpenAIRE

Comi, Alice; Eppler, Martin J.

2009-01-01

In this article, we critically review the current literature on alliance formation and management with a particular emphasis on small businesses, and on managerial implications for start-up enterprises. In the beginning of the article, we discuss the advantages and the challenges of inter-organizational collaboration, by taking the perspective of technology-driven start-ups operating in highly competitive environments. We then review the managerial advice suggested by the current liter...

Stable isotope analysis in primatology: a critical review.

Science.gov (United States)

Sandberg, Paul A; Loudon, James E; Sponheimer, Matt

2012-11-01

Stable isotope analysis has become an important tool in ecology over the last 25 years. A wealth of ecological information is stored in animal tissues in the relative abundances of the stable isotopes of several elements, particularly carbon and nitrogen, because these isotopes navigate through ecological processes in predictable ways. Stable carbon and nitrogen isotopes have been measured in most primate taxonomic groups and have yielded information about dietary content, dietary variability, and habitat use. Stable isotopes have recently proven useful for addressing more fine-grained questions about niche dynamics and anthropogenic effects on feeding ecology. Here, we discuss stable carbon and nitrogen isotope systematics and critically review the published stable carbon and nitrogen isotope data for modern primates with a focus on the problems and prospects for future stable isotope applications in primatology. © 2012 Wiley Periodicals, Inc.

Does advanced practice in radiography benefit the healthcare system? A literature review.

Science.gov (United States)

Thom, S E

2018-02-01

With ever-increasing demands on the National Health Service (NHS), members of staff are blurring their professional boundaries in the attempt to benefit the healthcare system. This review aims to establish whether advancing practice within radiography does benefit the healthcare system by examining published literature. Key words were input into databases such as: CINAHL, Science Direct and PubMed. Various filters were applied to narrow down the articles. Key themes were identified within the literature: cost, job satisfaction, patient benefits, restrictions and workload. Having advanced practitioners undertake some of the radiologists' workload was potentially cost effective whilst continuing/increasing the standard of quality. Patients benefitted from the quality of their examinations, the high accuracy of their reports and the speed those reports were attained. Evidence within the literature emphasises that advanced practice does benefit the healthcare system by means of: cost reduction, job satisfaction, patient benefits and workload. Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.

Teaching Religion in Public Schools: Review of Warren A. Nord, "Does God Make a Difference?"

Science.gov (United States)

Feinberg, Walter

2013-01-01

In this review of Warren Nord's "Does God Make a Difference? Taking Religion Seriously in Our Schools and Universities," Walter Feinberg provides a detailed analysis of Nord's argument that the study of religion should be constitutionally mandated as a corrective to the overwhelmingly secular course of study offered in…

Human Resource Management in Sports: A Critical Review of its Importance and Pertaining Issues

Directory of Open Access Journals (Sweden)

Weerakoon Ranjan Kumara

2016-03-01

Full Text Available This paper will illustrate the meaning and importance of human resource management (HRM, human resource planning, and strategic human resource management, which are critically important for an organization’s effectiveness and must be effectively managed (Doherty, 1998. This study used the literature review method to acquire its final results. The relevant HRM literature review was done according to the purpose of the study. It used the purposive random sample method for selecting relevant literature. This study shows the current economic environment in the sports industry; the second part of the study critically analyzes the value of the strategic management of employees for the effective and efficient operation of sports organizations. It also critically evaluates human resource planning and other pertinent issues in terms of legislation, recruitment, selection, training, induction, and reward management from different international examples in sports management. Over the past few decades, increasing competition, globalization, and continuous changes in the market and in technology have emphasized the need to rethink the management of the organization and of human resources for the sake of overcoming significant challenges (Taylor et al., 2006. Therefore, managers should use strategic human resource management to overcome significant issues and to form well-planned strategies so that the organization may succeed.

Re-examining the Evidence in Radiation Dermatitis Management Literature: An Overview and a Critical Appraisal of Systematic Reviews

Energy Technology Data Exchange (ETDEWEB)

Chan, Raymond Javan, E-mail: email.rchan@gmail.com [Cancer Care Services, Royal Brisbane and Women' s Hospital (Australia); School of Nursing and Midwifery, University of Queensland, and Research Centre for Clinical and Community Practice Innovation, Griffith University (Australia); Larsen, Emily; Chan, Philip [Cancer Care Services, Royal Brisbane and Women' s Hospital (Australia)

2012-11-01

Purpose: To provide an overview and a critical appraisal of systematic reviews (SRs) of published interventions for the prevention/management of radiation dermatitis. Methods and Materials: We searched Medline, CINAHL, Embase, and the Cochrane Library. We also manually searched through individual reference lists of potentially eligible articles and a number of key journals in the topic area. Two authors screened all potential articles and included eligible SRs. Two authors critically appraised and extracted key findings from the included reviews using AMSTAR (the measurement tool for 'assessment of multiple systematic reviews'). Results: Of 1837 potential titles, 6 SRs were included. A number of interventions have been reported to be potentially beneficial for managing radiation dermatitis. Interventions evaluated in these reviews included skin care advice, steroidal/nonsteroidal topical agents, systemic therapies, modes of radiation delivery, and dressings. However, all the included SRs reported that there is insufficient evidence supporting any single effective intervention. The methodological quality of the included studies varied, and methodological shortfalls in these reviews might create biases to the overall results or recommendations for clinical practice. Conclusions: An up-to-date high-quality SR in the prevention/management of radiation dermatitis is needed to guide practice and direction for future research. We recommend that clinicians or guideline developers critically evaluate the information of SRs in their decision making.

Review of Nuclear Criticality Safety Requirements Implementation for Hanford Tank Farms Facility

International Nuclear Information System (INIS)

DEFIGH PRICE, C.

2000-01-01

In November 1999, the Deputy Secretary of the Department of Energy directed a series of actions to strengthen the Department's ongoing nuclear criticality safety programs. A Review Plan describing lines of inquiry for assessing contractor programs was included. The Office of River Protection completed their assessment of the Tank Farm Contractor program in May 2000. This document supports that assessment by providing a compliance statement for each line of inquiry

Review of criticality safety and shielding analysis issues for transportation packages

International Nuclear Information System (INIS)

Parks, C.V.; Broadhead, B.L.

1995-01-01

The staff of the Nuclear Engineering Applications Section (NEAS) at Oak Ridge National Laboratory (ORNL) have been involved for over 25 years with the development and application of computational tools for use in analyzing the criticality safety and shielding features of transportation packages carrying radioactive material (RAM). The majority of the computational tools developed by ORNL/NEAS have been included within the SCALE modular code system (SCALE 1995). This code system has been used throughout the world for the evaluation of nuclear facility and package designs. With this development and application experience as a basis, this paper highlights a number of criticality safety and shielding analysis issues that confront the designer and reviewer of a new RAM package. Changes in the types and quantities of material that need to be shipped will keep these issues before the technical community and provide challenges to future package design and certification

Some Notes on Critical Appraisal of Prevalence Studies; Comment on: “The Development of a Critical Appraisal Tool for Use in Systematic Reviews Addressing Questions of Prevalence”

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Thomas Harder

2014-10-01

Full Text Available Decisions in healthcare should be based on information obtained according to the principles of Evidence-Based Medicine (EBM. An increasing number of systematic reviews are published which summarize the results of prevalence studies. Interpretation of the results of these reviews should be accompanied by an appraisal of the methodological quality of the included data and studies. The critical appraisal tool for prevalence studies developed and tested by Munn et al. comprises 10 items and aims at targeting all kinds of prevalence studies. This comment discusses the pros and cons of different designs of quality appraisal tools and highlights their importance for systematic reviews of prevalence studies. Beyond piloting, which has been performed in the study by Munn et al., it is suggested here that the validity of the tool should be tested, including reproducibility and inter-rater reliability. It is concluded that studies as the one by Munn et al. will help to establish a critical understanding of methodological quality and will support the use of systematic reviews of non-intervention studies for health policy making.

Identifying Critical Success Factors for TQM and Employee Performance in Malaysian Automotive Industry: A Literature Review

Science.gov (United States)

Nadia Dedy, Aimie; Zakuan, Norhayati; Zaidi Bahari, Ahamad; Ariff, Mohd Shoki Md; Chin, Thoo Ai; Zameri Mat Saman, Muhamad

2016-05-01

TQM is a management philosophy embracing all activities through which the needs and expectations of the customer and the community and the goals of the companies are satisfied in the most efficient and cost effective way by maximizing the potential of all workers in a continuing drive for total quality improvement. TQM is very important to the company especially in automotive industry in order for them to survive in the competitive global market. The main objective of this study is to review a relationship between TQM and employee performance. Authors review updated literature on TQM study with two main targets: (a) evolution of TQM considering as a set of practice, (b) and its impacts to employee performance. Therefore, two research questions are proposed in order to review TQM constructs and employee performance measure: (a) Is the set of critical success factors associated with TQM valid as a whole? (b) What is the critical success factors should be considered to measure employee performance in automotive industry?

Landslide Susceptibility Statistical Methods: A Critical and Systematic Literature Review

Science.gov (United States)

Mihir, Monika; Malamud, Bruce; Rossi, Mauro; Reichenbach, Paola; Ardizzone, Francesca

2014-05-01

Landslide susceptibility assessment, the subject of this systematic review, is aimed at understanding the spatial probability of slope failures under a set of geomorphological and environmental conditions. It is estimated that about 375 landslides that occur globally each year are fatal, with around 4600 people killed per year. Past studies have brought out the increasing cost of landslide damages which primarily can be attributed to human occupation and increased human activities in the vulnerable environments. Many scientists, to evaluate and reduce landslide risk, have made an effort to efficiently map landslide susceptibility using different statistical methods. In this paper, we do a critical and systematic landslide susceptibility literature review, in terms of the different statistical methods used. For each of a broad set of studies reviewed we note: (i) study geography region and areal extent, (ii) landslide types, (iii) inventory type and temporal period covered, (iv) mapping technique (v) thematic variables used (vi) statistical models, (vii) assessment of model skill, (viii) uncertainty assessment methods, (ix) validation methods. We then pulled out broad trends within our review of landslide susceptibility, particularly regarding the statistical methods. We found that the most common statistical methods used in the study of landslide susceptibility include logistic regression, artificial neural network, discriminant analysis and weight of evidence. Although most of the studies we reviewed assessed the model skill, very few assessed model uncertainty. In terms of geographic extent, the largest number of landslide susceptibility zonations were in Turkey, Korea, Spain, Italy and Malaysia. However, there are also many landslides and fatalities in other localities, particularly India, China, Philippines, Nepal and Indonesia, Guatemala, and Pakistan, where there are much fewer landslide susceptibility studies available in the peer-review literature. This

Critical and strategic materials proceedings of the laboratory study group meeting

International Nuclear Information System (INIS)

1983-06-01

These Proceedings serve to identify the appropriate role for the DOE-BES-DMS Laboratory program concerning critical and strategic materials, identify and articulate high priority DOE-BES-DMS target areas so as to maximize programmatic responsiveness to national needs concerning critical and strategic materials, and identify research, expertise, and resources (including Collaborative Research Centers) that are relevant to critical and strategic materials that is either underway or in place under the DOE-BES-DMS Laboratory program. Laboratory statements of collaborative research are given

Do Parent Education Programs Promote Healthy Post-Divorce Parenting? Critical Distinctions and a Review of the Evidence

Science.gov (United States)

Sigal, Amanda; Sandler, Irwin; Wolchik, Sharlene; Braver, Sanford

2009-01-01

Most parent education programs are designed to improve child well-being following divorce by changing some aspect of parenting. However, there has been relatively little discussion of what aspects of parenting are most critical and the effectiveness of programs to change different aspects of parenting. This paper addresses these issues by: 1. Distinguishing three aspects of post-divorce parenting that have been targeted in parent education programs; 2. Reviewing evidence of the relations between each aspect of parenting and the well-being of children and; 3. Critically reviewing evidence that parent education programs have been successful in changing each aspect of post-divorce parenting. PMID:21552360

Review: Derek Hook, A Critical Psychology of the Postcolonial: The Mind of Apartheid (2012 Buchbesprechung: Derek Hook, A Critical Psychology of the Postcolonial: The Mind of Apartheid (2012

Directory of Open Access Journals (Sweden)

Danielle Faye Tran

2013-01-01

Full Text Available Review of the monograph:Derek Hook, A Critical Psychology of the Postcolonial: The Mind of Apartheid, London: Routledge, 2012, ISBN 978-0-415-58757-0, 251 pagesBesprechung der Monographie:Derek Hook, A Critical Psychology of the Postcolonial: The Mind of Apartheid, London: Routledge, 2012, ISBN 978-0-415-58757-0, 251 Seiten

A new prescription for empirical ethics research in pharmacy: a critical review of the literature

OpenAIRE

Cooper, R J; Bissell, P; Wingfield, J

2007-01-01

Empirical ethics research is increasingly valued in bioethics and healthcare more generally, but there remain as yet under-researched areas such as pharmacy, despite the increasingly visible attempts by the profession to embrace additional roles beyond the supply of medicines. A descriptive and critical review of the extant empirical pharmacy ethics literature is provided here. A chronological change from quantitative to qualitative approaches is highlighted in this review, as well as differi...

[Review comments on the Draft DOE Area Recommendation Report for the Crystalline Repository Project]: Final technical report

International Nuclear Information System (INIS)

Dutch, S.I.; Stiegliltz, R.D.

1986-03-01

Research performed under the grant primarily involved review and comment on the Draft Area Recommendations Report (DARR). However, because data and ''recommendations'' included in the DARR are unquestionably tied to years of research and dozens of technical reports and documents, i.e., Screening Methodologies, Regional characterization Reports, etc., it is essential that consultants to the Menominee Tribe review all the relevant DOE documents, working papers, etc. Given the short period provided for technical comment and limited funds available to the Tribe, a well designed and thorough technical review was (and is) without question impossible. What review and comment that did occur on a geotechnical level is included in this report

A systematic review of systematic reviews of homeopathy

Science.gov (United States)

Ernst, E

2002-01-01

Homeopathy remains one of the most controversial subjects in therapeutics. This article is an attempt to clarify its effectiveness based on recent systematic reviews. Electronic databases were searched for systematic reviews/meta-analysis on the subject. Seventeen articles fulfilled the inclusion/exclusion criteria. Six of them related to re-analyses of one landmark meta-analysis. Collectively they implied that the overall positive result of this meta-analysis is not supported by a critical analysis of the data. Eleven independent systematic reviews were located. Collectively they failed to provide strong evidence in favour of homeopathy. In particular, there was no condition which responds convincingly better to homeopathic treatment than to placebo or other control interventions. Similarly, there was no homeopathic remedy that was demonstrated to yield clinical effects that are convincingly different from placebo. It is concluded that the best clinical evidence for homeopathy available to date does not warrant positive recommendations for its use in clinical practice. PMID:12492603

Radiation-Induced Cataractogenesis: A Critical Literature Review for the Interventional Radiologist

Energy Technology Data Exchange (ETDEWEB)

Seals, Kevin F., E-mail: KSeals@mednet.ucla.edu; Lee, Edward W., E-mail: EdwardLee@mednet.ucla.edu [David Geffen School of Medicine at UCLA, Division of Interventional Radiology, Department of Radiology, UCLA Medical Center (United States); Cagnon, Christopher H., E-mail: CCagnon@mednet.ucla.edu [University of California at Los Angeles, Department of Radiology (United States); Al-Hakim, Ramsey A., E-mail: RAlhakim@mednet.ucla.edu; Kee, Stephen T., E-mail: SKee@mednet.ucla.edu [David Geffen School of Medicine at UCLA, Division of Interventional Radiology, Department of Radiology, UCLA Medical Center (United States)

2016-02-15

Extensive research supports an association between radiation exposure and cataractogenesis. New data suggests that radiation-induced cataracts may form stochastically, without a threshold and at low radiation doses. We first review data linking cataractogenesis with interventional work. We then analyze the lens dose typical of various procedures, factors modulating dose, and predicted annual dosages. We conclude by critically evaluating the literature describing techniques for lens protection, finding that leaded eyeglasses may offer inadequate protection and exploring the available data on alternative strategies for cataract prevention.

Temporal discounting in life cycle assessment: A critical review and theoretical framework

International Nuclear Information System (INIS)

Yuan, Chris; Wang, Endong; Zhai, Qiang; Yang, Fan

2015-01-01

Temporal homogeneity of inventory data is one of the major problems in life cycle assessment (LCA). Addressing temporal homogeneity of life cycle inventory data is important in reducing the uncertainties and improving the reliability of LCA results. This paper attempts to present a critical review and discussion on the fundamental issues of temporal homogeneity in conventional LCA and propose a theoretical framework for temporal discounting in LCA. Theoretical perspectives for temporal discounting in life cycle inventory analysis are discussed first based on the key elements of a scientific mechanism for temporal discounting. Then generic procedures for performing temporal discounting in LCA is derived and proposed based on the nature of the LCA method and the identified key elements of a scientific temporal discounting method. A five-step framework is proposed and reported in details based on the technical methods and procedures needed to perform a temporal discounting in life cycle inventory analysis. Challenges and possible solutions are also identified and discussed for the technical procedure and scientific accomplishment of each step within the framework. - Highlights: • A critical review for temporal homogeneity problem of life cycle inventory data • A theoretical framework for performing temporal discounting on inventory data • Methods provided to accomplish each step of the temporal discounting framework

Integration technique of digital I and C replacement and its Critical Digital Review procedure

International Nuclear Information System (INIS)

Huang, Hui-Wen; Yang, Wen-Long

2013-01-01

Highlights: ► A digital I and C replacement integration technique have been developed. ► Establishment of Nuclear Power Plant Digital Replacement Integration Guideline. ► Preliminary Investigation on I and C System Digitalization. ► Evaluation on I and C System Digitalization. ► Establishment of I and C System Digitalization Architectures. -- Abstract: Institute of Nuclear Energy Research (INER) developed a digital Instrumentation and Control (I and C) replacement integration technique on the basis of requirement of the three existing nuclear power plants (NPPs), which are Chin–Shan (CS) NPP, Kuo–Sheng (KS) NPP, and Maanshan (MS) NPP, in Taiwan, and also developed the related Critical Digital Review (CDR) procedure. The digital I and C replacement integration technique includes: (1) Establishment of Nuclear Power Plant Digital Replacement Integration Guideline, (2) Preliminary Investigation on I and C System Digitalization, (3) Evaluation on I and C System Digitalization, and (4) Establishment of I and C System Digitalization Architectures. These works can be a reference for performing I and C system digital replacement integration of the three existing NPPs of Taiwan Power Company (TPC). A CDR is the review for a critical system digital I and C replacement. The major reference of this procedure is EPRI TR-1011710 (2005) “Handbook for Evaluating Critical Digital Equipment and Systems” which was published by the Electric Power Research Institute (EPRI). With this document, INER developed a TPC-specific CDR procedure. Currently, CDR becomes one of the policies for digital I and C replacement in TPC. The contents of this CDR procedure include: Scope, Responsibility, Operation Procedure, Operation Flow Chart, CDR review items. The CDR review items include the comparison of the design change, Software Verification and Validation (SV and V), Failure Mode and Effects Analysis (FMEA), Evaluation of Diversity and Defense-in-depth (D3), Evaluation of

The effectiveness of tools used to evaluate successful critical decision making skills for applicants to healthcare graduate educational programs: a systematic review.

Science.gov (United States)

Benham, Brian; Hawley, Diane

2015-05-15

Students leave healthcare academic programs for a variety of reasons. When they attrite, it is disappointing for the student as well as their faculty. Advanced practice nursing and other healthcare professions require not only extensive academic preparation, but also the ability to critically evaluate patient care situations. The ability to critically evaluate a situation is not innate. Critical decision making skills are high level skills that are difficult to assess. For the purpose of this review, critical decision making and critical thinking skills refer to the same constructs and will be referred to globally as critical decision making skills. The objective of this review was to identify the effectiveness of tools used to evaluate critical decision making skills for applicants to healthcare graduate educational programs. Adult (18 years of age or older) applicants, students enrolled and/or recent graduates (within one year from completion) of healthcare graduate educational programs. Types of interventions: This review considered studies that evaluated the utilization of unique tools as well as standard tools, such as the Graduate Record Exam or grade point average, to evaluate critical decision making skills in graduate healthcare program applicants. Types of studies: Experimental and non-experimental studies were considered for inclusion. Types of outcomes: Successful quantitative evaluations based on specific field of study standards. The search strategy aimed to find both published and unpublished studies. Studies published in English after 1969 were considered for inclusion in this review. Databases that included both published and unpublished (grey) literature were searched. Additionally, reference lists from all articles retrieved were examined for articles for inclusion. Selected papers were assessed by two independent reviewers using standardized critical appraisal instruments from Joanna Briggs Institute. Any disagreement between reviewers was

SERVICE MARKETING MIX OF INDIAN HOSPITALS: A CRITICAL REVIEW

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Dharmesh, MOTWANI

2014-07-01

Full Text Available Sreenivas, Srinivasarao and Srinivasa (2013 said that “The health care market has become consumer centered and expecting high quality care at a reasonable price. The mushroomed development of corporate hospitals in India, competition is also bringing massive changes in industry structure. In this context, hospital services’ marketing is slowly and surely coming of age and is being woven into the fabric of hospitals planning and public relations programmes.” The essence of any marketing activity is marketing mix, and the central theme of the present paper revolves around the contemporary service marketing mix offered by Indian hospitals. In this paper author has critically reviewed 51 papers to describe elements of hospital service marketing mix; product, price, place, promotion, people, process and physical evidence.

A Critical Review of Research on Strategies in Learning Chinese as Both a Second and Foreign Language

Science.gov (United States)

Jiang, Xiaoli; Cohen, Andrew D.

2012-01-01

This article critically reviews strategy research on learning Chinese both as a second and foreign language. Through a careful examination of major data bases in both the Chinese and English languages, the article summarizes research in the field and the principal research methods used in the studies reviewed. Moreover, key limitations in research…

Parenteral nutrition in the critically ill.

Science.gov (United States)

Gunst, Jan; Van den Berghe, Greet

2017-04-01

Feeding guidelines have recommended early, full nutritional support in critically ill patients to prevent hypercatabolism and muscle weakness. Early enteral nutrition was suggested to be superior to early parenteral nutrition. When enteral nutrition fails to meet nutritional target, it was recommended to administer supplemental parenteral nutrition, albeit with a varying starting point. Sufficient amounts of amino acids were recommended, with addition of glutamine in subgroups. Recently, several large randomized controlled trials (RCTs) have yielded important new insights. This review summarizes recent evidence with regard to the indication, timing, and dosing of parenteral nutrition in critically ill patients. One large RCT revealed no difference between early enteral nutrition and early parenteral nutrition. Two large multicenter RCTs showed harm by early supplementation of insufficient enteral nutrition with parenteral nutrition, which could be explained by feeding-induced suppression of autophagy. Several RCTs found either no benefit or harm with a higher amino acid or caloric intake, as well as harm by administration of glutamine. Although unanswered questions remain, current evidence supports accepting low macronutrient intake during the acute phase of critical illness and does not support use of early parenteral nutrition. The timing when parenteral nutrition can be initiated safely and effectively is unclear.

Program and Abstracts: DOE Solar Program Review Meeting 2004, 25--28 October 2004, Denver, Colorado

Energy Technology Data Exchange (ETDEWEB)

2004-10-01

This booklet contains the agenda and abstracts for the 2004 U.S. DOE Solar Energy Technologies Program Review Meeting. The meeting was held in Denver, Colorado, October 25-28, 2004. More than 240 abstracts are contained in this publication. Topic areas for the research papers include laboratory research, program management, policy analysis, and deployment of solar technologies.

A Critical Review on Interest Rate as a Tool of Monetary Policy

OpenAIRE

diyah putriani; pras towo

2016-01-01

Objectives: This research is aimed to critically review the relationship between interest rate and economic downturnMethods: Meta-analysis.Results: The existing monetary policy will always create higher inflation rate overtime triggering economic crisis in the long run. This is not merely about how the monetary authority strictly manages the supply and demand for money in the economy.Conclusion:This paper concludes that interest rate give negative contribution to the economic growth.

A Critical Review on Interest Rate as a Tool of Monetary Policy

Directory of Open Access Journals (Sweden)

diyah putriani

2016-04-01

Full Text Available Objectives: This research is aimed to critically review the relationship between interest rate and economic downturnMethods: Meta-analysis.Results: The existing monetary policy will always create higher inflation rate overtime triggering economic crisis in the long run. This is not merely about how the monetary authority strictly manages the supply and demand for money in the economy.Conclusion:This paper concludes that interest rate give negative contribution to the economic growth.

Applying critical analysis - main methods

Directory of Open Access Journals (Sweden)

Miguel Araujo Alonso

2012-02-01

Full Text Available What is the usefulness of critical appraisal of literature? Critical analysis is a fundamental condition for the correct interpretation of any study that is subject to review. In epidemiology, in order to learn how to read a publication, we must be able to analyze it critically. Critical analysis allows us to check whether a study fulfills certain previously established methodological inclusion and exclusion criteria. This is frequently used in conducting systematic reviews although eligibility criteria are generally limited to the study design. Critical analysis of literature and be done implicitly while reading an article, as in reading for personal interest, or can be conducted in a structured manner, using explicit and previously established criteria. The latter is done when formally reviewing a topic.

A Comparativist's Predicaments of Writing about "Other" Education: A Self-Reflective, Critical Review of Studies of Japanese Education

Science.gov (United States)

Takayama, Keita

2011-01-01

This self-reflexive essay teases out the predicaments that I have encountered through my past publishing experience, while situating them in a critical review of the existing English-language studies of Japanese education. Drawing on postcolonial theoretical insights and recent critical sociology of academic knowledge production, I use my personal…

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

International Nuclear Information System (INIS)

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

1981-01-01

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

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

Energy Technology Data Exchange (ETDEWEB)

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

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

Neurofeminism and feminist neurosciences: a critical review of contemporary brain research.

Science.gov (United States)

Schmitz, Sigrid; Höppner, Grit

2014-01-01

To date, feminist approaches to neurosciences have evaluated the debates surrounding practices of knowledge production within and research results of contemporary brain research. Consequently, neurofeminist scholars have critically examined gendered impacts of neuroscientific research. Feminist neuroscientists also develop research approaches for a more gender-appropriate neuroscientific research on several levels. Based on neurofeminist critique feminist neuroscientists aim to enrich neuroscientific work by offering methodological suggestions for a more differentiated setup of categories and experimental designs, for reflective result presentations and interpretations as well as for the analysis of result validity. Reframing neuro-epistemologies by including plasticity concepts works to uncover social influences on the gendered development of the brain and of behavior. More recently, critical work on contemporary neurocultures has highlighted the entanglements of neuroscientific research within society and the implications of 'neurofacts' for gendered cultural symbolisms, social practices, and power relations. Not least, neurofeminism critically analyses the portrayal of neuro-knowledge in popular media. This article presents on overview on neurofeminist debates and on current approaches of feminist neurosciences. The authors conclude their review by calling for a more gender-appropriate research approach that takes into account both its situatedness and reflections on the neuroscientific agenda, but also questions neurofeminist discourse in regards to uses and misuses of its concepts.

Getting it right! Critical Success Factors of BPM in the Public Sector: A Systematic Literature Review

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Rehan Syed

2018-01-01

Full Text Available The continuously evolving and dynamic social, economic, political environments and public pressures demand governments to deliver effective and efficient public services. In the quest for meeting these demands, governments respond by designing extensive reforms and performance objectives to improve the efficiency and responsiveness of their agencies. Many governments have adopted Business Process Management (BPM as a strategy to achieve these reforms. However, the successful implementation of BPM initiatives has been a challenging task for agencies responsible for these initiatives, with many projects not reaching completion or not achieving the intended outcomes. This paper reports the results of a systematic literature review on critical success factors (CSFs related to BPM projects in the public sector. We analysed 31 papers in this review covering both the developed and developing country contexts, sourced from refereed and peer reviewed journals. A quasi-deductive approach was applied for the qualitative data analysis using NVivo 10 software. This resulted in the synthesis and identification of 14 critical success factors of BPM in the public sector, each defined and described in detail with specific attention to the sub-factors mentioned within the literature. Any differences between developed and developing country contexts were sought for, and the observations critically analysed. We propose a series of research questions, designed to support the progression of BPM in the public sector of developed as well as developing countries.

Uncovering the decision-making work of transferring dying patients home from critical care units: An integrative review.

Science.gov (United States)

Lin, Yanxia; Myall, Michelle; Jarrett, Nikki

2017-12-01

To understand how decisions are made to transfer dying patients home from critical care units. Many people prefer a home death, but a high proportion die in critical care units. Transferring dying patients home is recognized to be complex but transfer decision-making itself remains unclear. Integrative review. Seven bibliographic databases (origin-2015), grey literature and reference lists were searched. An integrative review method was used to synthesize data from diverse sources. Papers were selected through title and abstract screening and full-text reviewing, using inclusion and exclusion criteria derived from review questions. Following quality appraisal, data were extracted and synthesized using normalization process theory as a framework. The number of patients transferred home ranged from 1-346, with most papers reporting on the transfer of one or two patients. Four themes regarding transfer decision-making work were generated: divergent views and practice, multiple stakeholders' involvement in decision-making, collective work and limited understanding of individuals' experiences. The practice of transferring patients home to die and its decision-making varies internationally and is usually influenced by the care system, culture or religion. It is less common to transfer patients home to die from critical care units in western societies. A better understanding of the decision-making work was obtained but mainly from the perspective of hospital-based healthcare professionals. Further research is needed to develop decision-making practice guidance to facilitate patients' wishes to die at home. © 2017 John Wiley & Sons Ltd.

10 CFR 1021.200 - DOE planning.

Science.gov (United States)

2010-01-01

... 10 Energy 4 2010-01-01 2010-01-01 false DOE planning. 1021.200 Section 1021.200 Energy DEPARTMENT... Decisionmaking § 1021.200 DOE planning. (a) DOE shall provide for adequate and timely NEPA review of DOE... accordance with 40 CFR 1501.2 and this section. In its planning for each proposal, DOE shall include adequate...

Oversight and enforcement at DOE

International Nuclear Information System (INIS)

Fergus, I.E., Christopher, R.K.

1996-01-01

This paper addresses recent changes to the independent oversight and enforcement programs within the U.S. Department of Energy (DOE) and applications to criticality safety. DOE's Office of Oversight (Oversight hereafter), in the Office of Environment, Safety, and Health (EH), independently evaluates whether management systems ensure adequate protection of the worker, public, and environment. Oversight has adopted a new approach to performing evaluations based on the guiding principles for safety management identified by the Secretary of Energy. The principles Oversight evaluates are line management responsibility for safety and health, comprehensive requirements, and competence commensurate with responsibilities. Recently, the DOE codified the implementation of integrated safety management, further expounding on these basic guiding principles and Oversight's role. The Office of Enforcement and Investigations in EH (Enforcement hereafter) is responsible for enforcement, and relevant documents describe its role. This paper briefly discusses criticality safety aspects of the twin initiatives of Oversight and Enforcement

Experience with performance based training of nuclear criticality safety engineers

International Nuclear Information System (INIS)

Taylor, R.G.

1993-01-01

For non-reactor nuclear facilities, the U.S. Department of Energy (DOE) does not require that nuclear criticality safety engineers demonstrate qualification for their job. It is likely, however, that more formalism will be required in the future. Current DOE requirements for those positions which do have to demonstrate qualification indicate that qualification should be achieved by using a systematic approach such as performance based training (PBT). Assuming that PBT would be an acceptable mechanism for nuclear criticality safety engineer training in a more formal environment, a site-specific analysis of the nuclear criticality safety engineer job was performed. Based on this analysis, classes are being developed and delivered to a target audience of newer nuclear criticality safety engineers. Because current interest is in developing training for selected aspects of the nuclear criticality safety engineer job, the analysis is incompletely developed in some areas

Psychoanalysis and Humanism: A Review and Critical Examination of Integrationist Efforts with Some Proposed Resolutions.

Science.gov (United States)

Hansen, James T.

2000-01-01

Critically reviews efforts at theoretical integration of psychoanalysis and humanism along the lines of F. Pine's (1990) four psychologies of psychoanalysis. Concludes that psychoanalysis and humanism have certain compatible features, but that they generally represent opposing vantage points in the study of subjectivity. Provides recommendations…

What is bizarre in bizarre delusions? A critical review

DEFF Research Database (Denmark)

Cermolacce, Michel René Joseph; Jensen, Lars Meldgaard Sass; Parnas, J

2010-01-01

. These studies provide highly heterogenous results because they are based on different experimental paradigms, in terms of definition, clinical sample, and number of raters. Here, we first discuss the psychopathological sources of the concept of BD, which were initially described as either nonsensical...... or incomprehensible. Then, we provide a critical review of contemporary studies on the reliability of BD and their methodological and conceptual limitations. Current approaches have focused intensely on BD's reliability and have defined BD strictly in terms of delusional content--mainly in terms of the physical...... impossibility or the cultural or historical incomprehensibility of the delusional claims. These approaches have neglected formal features of experience that underlie BD and the crucial issue of the nature and validity of BD. In the discussion, we argue that clinical diagnosis of BD cannot be limited...

The Untapped Potential of Patient and Family Engagement in the Organization of Critical Care.

Science.gov (United States)

Haines, Kimberley J; Kelly, Phillipa; Fitzgerald, Peter; Skinner, Elizabeth H; Iwashyna, Theodore J

2017-05-01

There is growing interest in patient and family participation in critical care-not just as part of the bedside, but as part of educational and management organization and infrastructure. This offers tremendous opportunities for change but carries risk to patients, families, and the institution. The objective is to provide a concise definitive review of patient and family organizational participation in critical care as a high-risk population and other vulnerable groups. A pragmatic, codesigned model for critical care is offered as a suggested approach for clinicians, researchers, and policy-makers. To inform this review, a systematic search of Ovid Medline, PubMed, and Embase was undertaken in April 2016 using the MeSH terms: patient participation and critical care. A second search was undertaken in PubMed using the terms: patient participation and organizational models to search for other examples of engagement in vulnerable populations. We explicitly did not seek to include discussions of bedside patient-family engagement or shared decision-making. Two reviewers screened citations independently. Included studies either actively partnered with patients and families or described a model of engagement in critical care and other vulnerable populations. Data or description of how patient and family engagement occurred and/or description of model were extracted into a standardized form. There was limited evidence of patient and family engagement in critical care although key recommendations can be drawn from included studies. Patient and family engagement is occurring in other vulnerable populations although there are few described models and none which address issues of risk. A model of patient and family engagement in critical care does not exist, and we propose a pragmatic, codesigned model that takes into account issues of psychologic safety in this population. Significant opportunity exists to document processes of engagement that reflect a changing paradigm of

Re-examining the Evidence in Radiation Dermatitis Management Literature: An Overview and a Critical Appraisal of Systematic Reviews

International Nuclear Information System (INIS)

Chan, Raymond Javan; Larsen, Emily; Chan, Philip

2012-01-01

Purpose: To provide an overview and a critical appraisal of systematic reviews (SRs) of published interventions for the prevention/management of radiation dermatitis. Methods and Materials: We searched Medline, CINAHL, Embase, and the Cochrane Library. We also manually searched through individual reference lists of potentially eligible articles and a number of key journals in the topic area. Two authors screened all potential articles and included eligible SRs. Two authors critically appraised and extracted key findings from the included reviews using AMSTAR (the measurement tool for “assessment of multiple systematic reviews”). Results: Of 1837 potential titles, 6 SRs were included. A number of interventions have been reported to be potentially beneficial for managing radiation dermatitis. Interventions evaluated in these reviews included skin care advice, steroidal/nonsteroidal topical agents, systemic therapies, modes of radiation delivery, and dressings. However, all the included SRs reported that there is insufficient evidence supporting any single effective intervention. The methodological quality of the included studies varied, and methodological shortfalls in these reviews might create biases to the overall results or recommendations for clinical practice. Conclusions: An up-to-date high-quality SR in the prevention/management of radiation dermatitis is needed to guide practice and direction for future research. We recommend that clinicians or guideline developers critically evaluate the information of SRs in their decision making.

Literature review of post-traumatic stress disorder in the critical care population.

Science.gov (United States)

Morrissey, Matthew; Collier, Elizabeth

2016-06-01

To determine which factors relate to the development of post-traumatic stress disorder, in adult patients who are admitted to critical care units. Patient survival rates from critical care areas are improving each year and this has led to interest in the long-term outcomes for patients who have been discharged from such environments. Patients typically require invasive and extensive treatment, which places a stress on physical and mental health. Prevalence estimates of post-traumatic stress disorder in the critical care discharge population vary from 5-63%, yet it remains unclear what the predisposing factors are. A systematised review. Subject heading and keyword searches were conducted in MEDLINE, CINAHL, PsycINFO and ScienceDirect, with 23 articles identified that examined the relationship between critical care and the development of post-traumatic stress disorder. Three main themes were identified; Critical Care Factors, Patient Factors and Experience Factors. Eight key and three potential causative factors were found: younger age, female, previous psychiatric history, length of ICU stay, benzodiazepine sedation, use of stress hormones, delusional memory and traumatic memory, delirium, GCS score of ≤9 on admission & use of mechanical restraint. Post-traumatic stress reactions can be strongly related to the development and presence of traumatic and delusional memories. Younger patients may exclude themselves from research to avoid their traumatic thoughts. The role of prior psychiatric illness is unknown. Distinction between 'factual' and 'false' or delusional memory as occurs in the literature maybe unhelpful in understanding trauma reactions. There are around 38,000 occupied critical care beds each year in England. The scale of the issue is therefore substantial. Risk factors can be isolated from available evidence and provide a rudimentary risk assessment tool to inform practice development in this area. © 2016 John Wiley & Sons Ltd.

Weldon Spring Site Remedial Action Project: Report from the DOE voluntary protection program onsite review, November 17--21, 1997

Energy Technology Data Exchange (ETDEWEB)

NONE

1998-01-28

This report summarizes the Department of Energy Voluntary Protection Program (DOE-VPP) Review Team`s findings from the five-day onsite evaluation of the Weldon Spring Site Remedial Action Project (WSSRAP), conducted November 17--21, 1997. The site was evaluated against the program requirements contained in ``US Department of Energy Voluntary Protection Program, Part 1: Program Elements`` to determine its success in implementing the five tenets of DOE-VPP. DOE-VPP consists of three programs, with names and functions similar to those in OSHA`s VPP. These programs are STAR, MERIT, and DEMONSTRATION. The STAR program is the core of DOE-VPP. The program is aimed at truly outstanding protectors of employee safety and health. The MERIT program is a steppingstone for contractors and subcontractors that have good safety and health programs but need time and DOE guidance to achieve STAR status. The DEMONSTRATION program is rarely used; it allows DOE to recognize achievements in unusual situations about which DOE needs to learn more before determining approval requirements for the STAR status.

Weldon Spring Site Remedial Action Project: Report from the DOE voluntary protection program onsite review, November 17-21, 1997

International Nuclear Information System (INIS)

1998-01-01

This report summarizes the Department of Energy Voluntary Protection Program (DOE-VPP) Review Team's findings from the five-day onsite evaluation of the Weldon Spring Site Remedial Action Project (WSSRAP), conducted November 17--21, 1997. The site was evaluated against the program requirements contained in ''US Department of Energy Voluntary Protection Program, Part 1: Program Elements'' to determine its success in implementing the five tenets of DOE-VPP. DOE-VPP consists of three programs, with names and functions similar to those in OSHA's VPP. These programs are STAR, MERIT, and DEMONSTRATION. The STAR program is the core of DOE-VPP. The program is aimed at truly outstanding protectors of employee safety and health. The MERIT program is a steppingstone for contractors and subcontractors that have good safety and health programs but need time and DOE guidance to achieve STAR status. The DEMONSTRATION program is rarely used; it allows DOE to recognize achievements in unusual situations about which DOE needs to learn more before determining approval requirements for the STAR status

Physical Exercise for Treatment of Mood Disorders: A Critical Review

Science.gov (United States)

Hearing, CM; Chang, WC; Szuhany, KL; Deckersbach, T; Nierenberg, AA; Sylvia, LG

2016-01-01

Purpose of the review The purpose of this review is to critically assess the evidence for exercise as an adjunct intervention for major depressive disorder and bipolar disorder, chronic conditions characterized by frequent comorbid conditions as well as interepisodic symptoms with poor quality of life and impaired functioning. Individuals with these mood disorders are at higher risk of cardiovascular disease and premature death in part because of increased rates of obesity, inactivity, and diabetes mellitus compared to the general population. Exercise may not only mitigate the increased risk of cardiovascular disease, but could also potentially improve the long term outcomes of mood disorders. Recent findings We conducted a literature review on the impact of exercise on mood disorders and associated comorbid conditions as well as possible biological mechanisms. We found that exercise impacts both the physical health parameters of mood disorders as well as mental health outcomes. Exercise also positively impacts conditions frequently comorbid with mood disorders (i.e. anxiety, pain, and insomnia). There are multiple candidate biomarkers for exercise, with brain-derived neurotrophic factor and oxidative stress as two main promising components of exercise’s anti-depressant effect. Summary Exercise appears to be a promising adjunct treatment for mood disorders. We conclude with recommendations for future research of exercise as an adjunct intervention for mood disorders. PMID:28503402

Does the mind map learning strategy facilitate information retrieval and critical thinking in medical students?

Science.gov (United States)

D'Antoni, Anthony V; Zipp, Genevieve Pinto; Olson, Valerie G; Cahill, Terrence F

2010-09-16

retrieve information in the short term, and does not put them at a disadvantage compared to SNT students. Future studies should explore longitudinal effects of mind-map proficiency training on both short- and long-term information retrieval and critical thinking.

Exosomes in HIV infection: A review and critical look.

Science.gov (United States)

Ellwanger, Joel Henrique; Veit, Tiago Degani; Chies, José Artur Bogo

2017-09-01

Exosomes are nanovesicles released into the extracellular medium by different cell types. These vesicles carry a variety of protein and RNA cargos, and have a central role in cellular signaling and regulation. A PubMed search using the term "exosomes" finds 67 articles published in 2006. Ten years later, the same search returns approximately 1200 results for 2016 alone. The growing interest in exosomes within the scientific community reflects the different roles exerted by extracellular vesicles in biological systems and diseases. However, the increase in academic production addressing the biological function of exosomes causes much confusion, especially where the focus is on the role of exosomes in pathological situations. In this review, we critically interpret the current state of the research on exosomes and HIV infection. It is plausible to assume that exosomes influence the pathogenesis of HIV infection through their biological cargo (primarily membrane proteins and microRNAs). On the other hand, evidence for a usurpation of the exosomal budding and trafficking machinery by HIV during infection is limited, although such a mechanism cannot be ruled out. This review also discusses several biological aspects of exosomal function in the immune system. Finally, the limitations of current exosome research are pointed out. Copyright © 2017 Elsevier B.V. All rights reserved.

Post-Industrial Cultural Criticism

DEFF Research Database (Denmark)

Kammer, Aske

2015-01-01

hierarchies within journalism. The article maps which Danish websites conduct arts and culture reviews, asks what features these websites have that facilitate public discourse, and measures the actual discussion on the websites. While academic diagnoses of the state of the online public sphere have generally......Integrating perspectives from research into cultural and post-industrial journalism, this article presents a pilot study of websites with reviews of arts and culture conducted by amateurs. Such websites constitute a popular space for cultural criticism, and one that challenges traditional...... reviewers have highly specialized knowledge of culture and, on that basis, argues that the emergence of this type of critic might represent a qualitative strengthening of cultural criticism....

Review of the DOE Packaging and Transportation Safety Program

International Nuclear Information System (INIS)

Snyder, B.J.; Cece, J.M.

1992-12-01

This report documents the results of a year-long self-assessment of DOE-EH transportation and packaging safety activities. The self-assessment was initiated in September 1991 and concluded in August 1992. The self-assessment identified several significant issues, some of which have been resolved by EH. Also, improvements in the EH program were made during the course of the self-assessment. The report reflects the status of the EH transportation and packaging safety activities at the conclusion of the self-assessment. This report consists of several sections which discuss background, objectives and description of the review. Another section includes summary discussion and key conclusions. Appendix A, Issues, Observations and Recommendations, lists fifteen issues, including appropriate observations and recommendations. A Corrective Action Plan, which documents EH managements resolve to implement the agreed-upon recommendations, is included. The Corrective Action Plan reflects the status of completed and planned actions as of the date of the report

Critical reflections on realist review: insights from customizing the methodology to the needs of participatory research assessment.

Science.gov (United States)

Jagosh, Justin; Pluye, Pierre; Wong, Geoff; Cargo, Margaret; Salsberg, Jon; Bush, Paula L; Herbert, Carol P; Green, Lawrence W; Greenhalgh, Trish; Macaulay, Ann C

2014-06-01

Realist review has increased in popularity as a methodology for complex intervention assessment. Our experience suggests that the process of designing a realist review requires its customization to areas under investigation. To elaborate on this idea, we first describe the logic underpinning realist review and then present critical reflections on our application experience, organized in seven areas. These are the following: (1) the challenge of identifying middle range theory; (2) addressing heterogeneity and lack of conceptual clarity; (3) the challenge of appraising the quality of complex evidence; (4) the relevance of capturing unintended outcomes; (5) understanding the process of context, mechanism, and outcome (CMO) configuring; (6) incorporating middle-range theory in the CMO configuration process; and (7) using middle range theory to advance the conceptualization of outcomes - both visible and seemingly 'hidden'. One conclusion from our experience is that the degree of heterogeneity of the evidence base will determine whether theory can drive the development of review protocols from the outset, or will follow only after an intense period of data immersion. We hope that presenting a critical reflection on customizing realist review will convey how the methodology can be tailored to the often complex and idiosyncratic features of health research, leading to innovative evidence syntheses. Copyright © 2013 John Wiley & Sons, Ltd.

Life Cycle Assessment of Pavements: A Critical Review of Existing Literature and Research

Energy Technology Data Exchange (ETDEWEB)

Santero, Nicholas; Masanet, Eric; Horvath, Arpad

2010-04-20

This report provides a critical review of existing literature and modeling tools related to life-cycle assessment (LCA) applied to pavements. The review finds that pavement LCA is an expanding but still limited research topic in the literature, and that the existing body of work exhibits methodological deficiencies and incompatibilities that serve as barriers to the widespread utilization of LCA by pavement engineers and policy makers. This review identifies five key issues in the current body of work: inconsistent functional units, improper system boundaries, imbalanced data for asphalt and cement, use of limited inventory and impact assessment categories, and poor overall utility. This review also identifies common data and modeling gaps in pavement LCAs that should be addressed in future work. These gaps include: the use phase (rolling resistance, albedo, carbonation, lighting, leachate, and tire wear and emissions), asphalt fumes, feedstock energy of bitumen, traffic delay, the maintenance phase, and the end-of-life phase. This review concludes with a comprehensive list of recommendations for future research, which shed light on where improvements in knowledge can be made that will benefit the accuracy and comprehensiveness of pavement LCAs moving forward.

Effectiveness of haloperidol prophylaxis in critically ill patients with a high risk of delirium: a systematic review.

Science.gov (United States)

Santos, Eduardo; Cardoso, Daniela; Neves, Hugo; Cunha, Madalena; Rodrigues, Manuel; Apóstolo, João

2017-05-01

Delirium is associated with increased intensive care unit and hospital length of stay, prolonged duration of mechanical ventilation, unplanned removal of tubes and catheters, and increased morbidity and mortality. Prophylactic treatment with low-dose haloperidol may have beneficial effects for critically ill patients with a high risk of delirium. To identify the effectiveness of haloperidol prophylaxis in critically ill patients with a high risk for delirium. Patients with a predicted high risk of delirium, aged 18 years or over, and in intensive care units. Patients with a history of concurrent antipsychotic medication use were excluded. Haloperidol prophylaxis for preventing delirium. Experimental and epidemiological study designs. Primary outcome is the incidence of delirium. Secondary outcomes are duration of mechanical ventilation, incidence of re-intubation, incidence of unplanned/accidental removal of tubes/lines and catheters, intensive care unit and hospital length of stay, and re-admissions to both settings. An initial search of MEDLINE and CINAHL was undertaken, followed by a second search for published and unpublished studies from January 1967 to September 2015 in major healthcare-related electronic databases. Studies in English, Spanish and Portuguese were included. Two independent reviewers assessed the methodological quality of five studies using the standardized critical appraisal instrument from the Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument. There was general agreement among the reviewers to exclude one relevant study due to methodological quality. Data were extracted using the JBI data extraction form for experimental studies and included details about the interventions, populations, study methods and outcomes of significance to the review questions. Significant differences were found between participants, interventions, outcome measures (clinical heterogeneity) and designs (methodological heterogeneity

Spinocerebellar ataxia: a critical review of cognitive and socio-cognitive deficits.

Science.gov (United States)

Giocondo, Flora; Curcio, Giuseppe

2018-02-01

The primary aim of this contribution is to provide a critical discussion on cognitive and sociocognitive implications of spinocerebellar ataxias (SCAs) subtypes. The term SCA refers to a group of neurodegenerative disorders that have been increasingly investigated in the last years, sharing the characteristic of progressive ataxia resulting from degeneration of cerebellum and its connections. In past decades only involvement of cerebellum in behaviour and timing has been investigated, bringing to the belief about its central role in timing of movement and sensation, particularly for short intervals of time. Only very recently the cerebellum has been considered as a potentially important centre for cognitive processing and related spheres of social cognition, so that several studies with SCA patients have been carried out on these topics: as a consequence a section of this review will be dedicated to this important aspect. After a brief discussion on most commonly used methods to assess cognitive and socio-cognitive abilities in SCAs, cognitive and socio-cognitive profiles of principal SCA subtypes have been thoroughly reviewed and critically discussed. Due to the very poor literature in this field the most common SCA variants have been fully included (i.e. SCA1, SCA2, SCA3, SCA6 and SCA7). A comparative summary of the main characteristics of cognitive and social cognition deficit in SCA subtypes has been proposed together with a research agenda for future investigation in this field principally aimed at using measures of cognition and/or social cognition as potential predictors of the extent and progression of disease.

The effectiveness of problem-based learning on development of nursing students' critical thinking: a systematic review and meta-analysis.

Science.gov (United States)

Kong, Ling-Na; Qin, Bo; Zhou, Ying-qing; Mou, Shao-yu; Gao, Hui-Ming

2014-03-01

The objective of this systematic review and meta-analysis was to estimate the effectiveness of problem-based learning in developing nursing students' critical thinking. Searches of PubMed, EMBASE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Proquest, Cochrane Central Register of Controlled Trials (CENTRAL) and China National Knowledge Infrastructure (CNKI) were undertaken to identify randomized controlled trails from 1965 to December 2012, comparing problem-based learning with traditional lectures on the effectiveness of development of nursing students' critical thinking, with no language limitation. The mesh-terms or key words used in the search were problem-based learning, thinking, critical thinking, nursing, nursing education, nurse education, nurse students, nursing students and pupil nurse. Two reviewers independently assessed eligibility and extracted data. Quality assessment was conducted independently by two reviewers using the Cochrane Collaboration's Risk of Bias Tool. We analyzed critical thinking scores (continuous outcomes) using a standardized mean difference (SMD) or weighted mean difference (WMD) with a 95% confidence intervals (CIs). Heterogeneity was assessed using the Cochran's Q statistic and I(2) statistic. Publication bias was assessed by means of funnel plot and Egger's test of asymmetry. Nine articles representing eight randomized controlled trials were included in the meta-analysis. Most studies were of low risk of bias. The pooled effect size showed problem-based learning was able to improve nursing students' critical thinking (overall critical thinking scores SMD=0.33, 95%CI=0.13-0.52, P=0.0009), compared with traditional lectures. There was low heterogeneity (overall critical thinking scores I(2)=45%, P=0.07) in the meta-analysis. No significant publication bias was observed regarding overall critical thinking scores (P=0.536). Sensitivity analysis showed that the result of our meta-analysis was reliable. Most

A critical review of hearing-aid single-microphone noise-reduction studies in adults and children.

Science.gov (United States)

Chong, Foong Yen; Jenstad, Lorienne M

2017-10-26

Single-microphone noise reduction (SMNR) is implemented in hearing aids to suppress background noise. The purpose of this article was to provide a critical review of peer-reviewed studies in adults and children with sensorineural hearing loss who were fitted with hearing aids incorporating SMNR. Articles published between 2000 and 2016 were searched in PUBMED and EBSCO databases. Thirty-two articles were included in the final review. Most studies with adult participants showed that SMNR has no effect on speech intelligibility. Positive results were reported for acceptance of background noise, preference, and listening effort. Studies of school-aged children were consistent with the findings of adult studies. No study with infants or young children of under 5 years old was found. Recent studies on noise-reduction systems not yet available in wearable hearing aids have documented benefits of noise reduction on memory for speech processing for older adults. This evidence supports the use of SMNR for adults and school-aged children when the aim is to improve listening comfort or reduce listening effort. Future research should test SMNR with infants and children who are younger than 5 years of age. Further development, testing, and clinical trials should be carried out on algorithms not yet available in wearable hearing aids. Testing higher cognitive level for speech processing and learning of novel sounds or words could show benefits of advanced signal processing features. These approaches should be expanded to other populations such as children and younger adults. Implications for rehabilitation The review provides a quick reference for students and clinicians regarding the efficacy and effectiveness of SMNR in wearable hearing aids. This information is useful during counseling session to build a realistic expectation among hearing aid users. Most studies in the adult population suggest that SMNR may provide some benefits to adult listeners in terms of listening

Neurofeminism and feminist neurosciences: a critical review of contemporary brain research

Directory of Open Access Journals (Sweden)

Sigrid eSchmitz

2014-07-01

Full Text Available To date, feminist approaches to neurosciences have evaluated the debates surrounding practices of knowledge production within and research results of contemporary brain research. Consequently, neurofeminist scholars have critically examined gendered impacts of neuroscientific research. More recently, feminist neuroscientists also develop research appraoches for more gender-appropriate neuroscientific research on several levels. Based on neurofeminist critique feminist neuroscientists aim to enrich neuroscientific work by offering methodological suggestions for a more differentiated setup of categories and experimental designs, for reflective result presentations and interpretations as well as for the analysis of result validity. Reframing neuro-epistemologies by including plasticity concepts works to uncover social influences on the gendered development of the brain and of behavior. More recently, critical work on contemporary neurocultures has highlighted the entanglements of neuroscientific research within society and the implications of ‘neurofacts’ for gendered cultural symbolisms, social practices, and power relations. Not least, neurofeminism critically analyzes the portrayal of neuro-knowledge in popular media. This article presents on overview on neurofeminist debates and on current approaches of feminist neurosciences. The authors conclude their review by calling for a more gender-appropriate research approach that takes into account both its situatedness and reflections on the neuroscientific agenda, but also questions neurofeminist discourse in regards to uses and misuses of its concepts.

Review of processes for the release of DOE real and non-real property for reuse and recycle

International Nuclear Information System (INIS)

Ranek, N.L.; Kamboj, S.; Hensley, J.; Chen, S.Y.; Blunt, D.

1997-11-01

This report summarizes the underlying historical and regulatory framework supporting the concept of authorizing release for restricted or unrestricted reuse or recycle of real and non-real U.S. Department of Energy (DOE) properties containing residual radioactive material. Basic radiation protection principles as recommended by the International Commission on Radiological Protection are reviewed, and international initiatives to investigate radiological clearance criteria are reported. Applicable requirements of the U.S. Nuclear Regulatory Commission, the Environmental Protection Agency, DOE, and the State of Washington are discussed. Several processes that have been developed for establishing cleanup and release criteria for real and non-real DOE property containing residual radioactive material are presented. Examples of DOE real property for which radiological cleanup criteria were established to support unrestricted release are provided. Properties discussed include Formerly Utilized Sites Remedial Action Project sites, Uranium Mill Tailings Remedial Action Project sites, the Shippingport decommissioning project, the south-middle and south-east vaults in the 317 area at Argonne National Laboratory, the Heavy Water Components Test Reactor at DOE's Savannah River Site, the Experimental Boiling Water Reactor at Argonne National Laboratory, and the Weldon Spring site. Some examples of non-real property for which DOE sites have established criteria to support unrestricted release are also furnished. 10 figs., 4 tabs

A Conceptual Model of Agile Software Development in a Safety-Critical Context: A Systematic Literature Review

DEFF Research Database (Denmark)

Tordrup Heeager, Lise; Nielsen, Peter Axel

2018-01-01

challenges of agile software development of safety-critical systems. The conceptual model consists of four problematic practice areas and five relationships, which we find to be even more important than the problematic areas. From this review, we suggest that there are important research gaps that need...... processes or agile processes that are purportedly faster and promise to lead to better products. Objective: To identify the issues and disputes in agile development of safety-critical software and the key qualities as found in the extant research literature. Method: We conducted a systematic literature...... review as an interpretive study following a research design to search, assess, extract, group, and understand the results of the found studies. Results: There are key issues and propositions that we elicit from the literature and combine into a conceptual model for understanding the foundational...

Implications of Theory and Research on Strategic Leadership: A Critical Review

Directory of Open Access Journals (Sweden)

Carlos Roberto Banzato

2016-10-01

Full Text Available Strategic Leadership: Theory and Research on Executives, Top Management Teams, and Boards by Finkelstein, Hambrick and Canella Jr. (2009 is one of the most important references in strategy studies. This work is a critical review of this book and attempts to answer why organizations do what they do or play the way they play. In this paper, we review all eleven chapters that make up the book. We then suggest the implications of this theory on strategy and organizations. We also consider how this book affects the development of the field of study. The book offers considerable foundations for executives and serves as a reference for researchers who wish to understand the phenomenon related to strategic leadership, considering the CEO, Board and Top Management Team.  The major contribution of this paper is that it summarizes the theory and concepts of the book in a few pages and identifies the main characteristics, antecedents and consequences of leadership in organizations. 

A critical review of principal traffic noise models: Strategies and implications

Energy Technology Data Exchange (ETDEWEB)

Garg, Naveen, E-mail: ngarg@mail.nplindia.ernet.in [Apex Level Standards and Industrial Metrology Division, CSIR-National Physical Laboratory, New Delhi 110012 (India); Department of Mechanical, Production and Industrial Engineering, Delhi Technological University, Delhi 110042 (India); Maji, Sagar [Department of Mechanical, Production and Industrial Engineering, Delhi Technological University, Delhi 110042 (India)

2014-04-01

The paper presents an exhaustive comparison of principal traffic noise models adopted in recent years in developed nations. The comparison is drawn on the basis of technical attributes including source modelling and sound propagation algorithms. Although the characterization of source in terms of rolling and propulsion noise in conjunction with advanced numerical methods for sound propagation has significantly reduced the uncertainty in traffic noise predictions, the approach followed is quite complex and requires specialized mathematical skills for predictions which is sometimes quite cumbersome for town planners. Also, it is sometimes difficult to follow the best approach when a variety of solutions have been proposed. This paper critically reviews all these aspects pertaining to the recent models developed and adapted in some countries and also discusses the strategies followed and implications of these models. - Highlights: • Principal traffic noise models developed are reviewed. • Sound propagation algorithms used in traffic noise models are compared. • Implications of models are discussed.

Herbal Medicine in Mexico: A Cause of Hepatotoxicity. A Critical Review.

Science.gov (United States)

Valdivia-Correa, Bárbara; Gómez-Gutiérrez, Cristina; Uribe, Misael; Méndez-Sánchez, Nahum

2016-02-15

In Mexico, herbal products are commonly used as therapeutic tools. The analysis of several publications reveals that there are dozens of different herbs and herbal products used for different reasons, some of which have been implicated in causing toxic liver disease. However, methodological aspects limit the attribution of causality, and the precise incidence and clinical manifestations of herb-induced liver injury have not been well characterized. This review outlines the history of traditional herbal medicine in Mexico, critically summarizes the mechanisms and adverse effects of commonly used herbal plants, and examines the regulatory issues regarding the legal use of these products.

Physical rehabilitation interventions for adult patients with critical illness across the continuum of recovery: an overview of systematic reviews protocol.

Science.gov (United States)

Connolly, Bronwen; O'Neill, Brenda; Salisbury, Lisa; McDowell, Kathryn; Blackwood, Bronagh

2015-09-29

Patients admitted to the intensive care unit with critical illness often experience significant physical impairments, which typically persist for many years following resolution of the original illness. Physical rehabilitation interventions that enhance restoration of physical function have been evaluated across the continuum of recovery following critical illness including within the intensive care unit, following discharge to the ward and beyond hospital discharge. Multiple systematic reviews have been published appraising the expanding evidence investigating these physical rehabilitation interventions, although there appears to be variability in review methodology and quality. We aim to conduct an overview of existing systematic reviews of physical rehabilitation interventions for adult intensive care patients across the continuum of recovery. This protocol has been developed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocol (PRISMA-P) guidelines. We will search the Cochrane Systematic Review Database, Database of Abstracts of Reviews of Effectiveness, Cochrane Central Register of Controlled Trials, MEDLINE, Excerpta Medica Database and Cumulative Index to Nursing and Allied Health Literature databases. We will include systematic reviews of randomised controlled trials of adult patients, admitted to the intensive care unit and who have received physical rehabilitation interventions at any time point during their recovery. Data extraction will include systematic review aims and rationale, study types, populations, interventions, comparators, outcomes and quality appraisal method. Primary outcomes of interest will focus on findings reflecting recovery of physical function. Quality of reporting and methodological quality will be appraised using the PRISMA checklist and the Assessment of Multiple Systematic Reviews tool. We anticipate the findings from this novel overview of systematic reviews will contribute to the

Critical review of Compton imaging

International Nuclear Information System (INIS)

Guzzardi, R.; Licitra, G.

1987-01-01

This paper reviews the basic aspects, problems, and applications of Compton imaging including those related to nonmedical applications. The physics and technology at the base of this specific methodology are analyzed and the relative differences and merits with respect to other imaging techniques, using ionizing radiations, are reviewed. The basic Compton imaging approaches, i.e., point-by-point, line-by-line, and plane-by-plane, are analyzed. Specifically, physical design and technological aspects are reviewed and discussed. Furthermore, the most important clinical applications of the different methods are presented and discussed. Finally, possibilities and applications of the Compton imaging method to other nonmedical fields, as in the case of the important area of object defects recognition, are analyzed and reviewed. 56 references

A critical review of literature on-the-job training’s incidence and its effects in Company

Directory of Open Access Journals (Sweden)

Lorena Alikaj

2017-03-01

Full Text Available This theoretical article aims to collect and review critically some empirical findings and researches on the incidence of employer training and the economic effects of it on company. It’s aimed to clarify the type of training that companies ensure on the work place, the frequency of training. Is it true that after training, employees have higher chances of promotion and mobility? What are the benefits from the point of view of the companies for them? Is it measurable this investment in human capital? Knowing correctly the literature related to the questions above, it helps the policymakers to formulate the right policies for equality of earnings and accessing on-the-job training, decrease chances for gender discrimination and increase the long run return of the company that makes training among employees. There is a higher interest studying the incidence, determinants, and effects of company training, supported by more reliable data and sophisticated research techniques and instruments. On the other hand, as the interest for the topic increases, so the confusion surrounding this literature does. There are a few empirical articles for the case of Albania. Identifying the right literature and developments on the topic should help the other researchers to explore the field and to contribute with updated findings for Albania’s job market.

Does evidence support physiotherapy management of adult female chronic pelvic pain? A systematic review

DEFF Research Database (Denmark)

Loving, Sys; Nordling, Jørgen; Jaszczak, Poul

2012-01-01

dysfunction is frequently cited as a possible aetiology. Physiotherapy is therefore recommended as one treatment modality. The aim of this systematic review was to source and critically evaluate the evidence for an effect of physiotherapy on pain, physical activity and quality of life in the treatment...... (RevMan) version 5.0 was used for data analysis. Effect estimates (relative risk, mean difference and mean change) with 95% confidence intervals were calculated for the above outcomes. For significant outcomes the numbers needed to treat were calculated. Results The search strategy identified 3469...... is a new approach that appears to be promising and randomised clinical trials are underway in order to establish its evidence base. Implications Based on the findings of this review, recommendations for physiotherapy in chronic pelvic pain clinical guidelines, textbooks and narrative reviews should...

Modeling the role of microplastics in Bioaccumulation of organic chemicals to marine aquatic organisms. Critical Review

NARCIS (Netherlands)

Koelmans, A.A.

2015-01-01

It has been shown that ingestion of microplastics may increase bioaccumulation of organic chemicals by aquatic organisms. This paper critically reviews the literature on the effects of plastic ingestion on the bioaccumulation of organic chemicals, emphasizing quantitative approaches and mechanistic

DOE/CEC [Department of Energy/Commission of the European Communities] workshop on critical evaluation of radiobiological data to biophysical modeling

International Nuclear Information System (INIS)

1988-01-01

The Department of Energy's Office of Health and Environmental Research and the Commission of the European Communities (CEC) Radiation Protection Program support the majority of Research in the Field of Radiobiological Modeling. This field of science develops models based on scientifically sound principles to predict biological response (at the cellular, molecular, and animal level) to exposure to low level ionizing radiation. Biophysical models are an important tool for estimating response of ionizing radiation at low doses and dose rates. Generally speaking, the biophysical models can be classified into two groups: (1) mechanistic models and (2) phenomenological models. Mechanistic models are based on some assumptions about the physical, chemical, or biological mechanisms of action in association with radiobiological data whereas the phenomenological models are based solely on available experimental data on radiobiological effects with less emphasis on mechanisms of action. There are a number of these models which are being developed. Since model builders rely on radiobiological data available in the literature either to develop mechanistic or phenomenological models, it is essential that a critical evaluation of existing radiobiological data be made and data that is generally considered good and most appropriate for biophysical modeling be identified. A Workshop jointly sponsored by the DOE and the CEC was held at Oak Ridge, Tennessee from June 23--25, 1988, to review the data available from physical and chemical, cellular and molecular and animal studies with ionizing radiation

Injury risk and a tackle ban in youth Rugby Union: reviewing the evidence and searching for targeted, effective interventions. A critical review.

Science.gov (United States)

Tucker, Ross; Raftery, Martin; Verhagen, Evert

2016-08-01

It has recently been proposed that the tackle, an integral part of Rugby Union, be banned in school rugby, as a means to reduce the risk of injury. This proposal held that harmful contact should be removed in response to what was termed an unacceptably high-injury risk. Such a ban would represent a significant intervention that could change the nature of Rugby Union. As such, the basis and rationale for such a ban is worthy of critical evaluation. This review aims to describe the research on which such a ban is proposed. It does so through an assessment (identification), estimation (understanding of the magnitude and occurrence) and evaluation (determining acceptability) of the risk before decisions can be made about implementing any risk mitigation strategies. The body of literature describing injury risk, particularly among youths, is indeed thin and fraught with methodological differences that makes definitive conclusions impossible. We describe these, and their implications, arguing that the complete ban on the tackle may be unnecessary in young children, in whom injury risk may not be as high as is often argued, but also that it may have detrimental consequences. Finally, we propose alternative strategies and research questions which must be pursued to effectively reduce risk without creating unintended consequences or changing the nature of the sport. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

CSR Standards in Supply Chain Contracts: A Critical Review of the Legal Literature

DEFF Research Database (Denmark)

Valkanou, Theodora; Mitkidis, Katerina

2018-01-01

with respect to the sensitive topic of social and environmental conditions in international supply chains. This paper presents a critical account of the ways the incorporation of CSR standards in supply chain contracts has been addressed through the lenses of contract law and regulatory doctrine. Legal...... conducted empirical research in order to comprehend the operation of CSR standards in supply chain contracts in practice. The present article documents and critically reviews the different streams of legal scholarship in this area with a view to reaching conclusions on whether (further) exploration by legal......An intensive rise of private regulatory governance within the Corporate Social Responsibility (CSR) arena has preoccupied legal scholars for over a decade now. The role of supply chain contracts as means to regulate CSR issues has gradually gained momentum in legal scholarship, especially...

Transportable criticality alarm system

International Nuclear Information System (INIS)

Clem, W.E.

1988-09-01

The Transportable Criticality Alarm System was developed at the Hanford Site in 1982 to comply with the requirements of US Department of Energy Order DOE 5480.1, 12/18/80, and ANSI/ANS-8.3- 1979. The portable unit that it replaced failed to comply with the new requirements in that it did not provide the necessary warning of malfunctions, nor did it provide the Hanford Site standard criticality alarm signal. Modern technology allowed the Transportable Criticality Alarm System to comply with the criticality requirements cited and to incorporate other features that make it more usable, maintainable, and reliable. The Transportable Criticality Alarm System (TCAS) provides temporary criticality coverage in manned areas where the facility criticality alarm system is not operable. This gamma radiation-sensitive system has been in use for the past 6 yr at the Hanford Site. 2 refs., 4 figs., 1 tab

Audiovisual Translation:A Critical Review on Sino-western Perspectives of Film Subtitle Translation

OpenAIRE

Junchen Zhang

2018-01-01

The paper argues the development of audiovisual translation (mainly focuses on the strand of film subtitle translation) in the West and China. Firstly, the paper discusses film translation from the perspective of the West and critically reviews the achievements produced by western researchers. Secondly, the paper analyzes film translation from Chinese perspective and outlines its change and development in Mainland China. Thirdly, some major issues exited in film translation such as cultural p...

Critical excitation method for calculating earthquake effects on nuclear plant structures: an assessment study. Technical report

International Nuclear Information System (INIS)

Bedrosian, B.; Barbela, M.; Drenick, R.F.; Tsirk, A.

1980-10-01

The critical excitation method provides a new, alternative approach to methods presently used for seismic analysis of nuclear power plant structures. The critical excitation method offers the advantages that: (1) it side-steps the assumptions regarding the probability distribution of ground motions, and (2) it does not require an artificial, and to some extent arbitrarily generated, time history of ground motion, both features to which structural integrity analyses are sensitive. Potential utility of the critical excitation method is studied from the user's viewpoint. The method is reviewed and compared with the response spectrum method used in current practice, utilizing the reactor buildings of a PWR and a BWR plant in case studies. Two types of constraints on critical excitation were considered in the study. In one case, only an intensity limit was used. In the other case, imposition of an intensity limit together with limits on the maximum acceleration and/or velocity for the critical excitation is considered

Thinking Critically about Critical Thinking: Integrating Online Tools to Promote Critical Thinking

Directory of Open Access Journals (Sweden)

B. Jean Mandernach

2006-01-01

Full Text Available The value and importance of critical thinking is clearly established; the challenge for instructors lies in successfully promoting students’ critical thinking skills within the confines of a traditional classroom experience. Since instructors are faced with limited student contact time to meet their instructional objectives and facilitate learning, they are often forced to make instructional decisions between content coverage, depth of understanding, and critical analysis of course material. To address this dilemma, it is essential to integrate instructional strategies and techniques that can efficiently and effectively maximize student learning and critical thinking. Modern advances in educational technology have produced a range of online tools to assist instructors in meeting this instructional goal. This review will examine the theoretical foundations of critical thinking in higher education, discuss empirically-based strategies for integrating online instructional supplements to enhance critical thinking, offer techniques for expanding instructional opportunities outside the limitations of traditional class time, and provide practical suggestions for the innovative use of critical thinking strategies via online resources.

Review of methods for forecasting the market penetration of new technologies

International Nuclear Information System (INIS)

Gilshannon, S.T.; Brown, D.R.

1996-12-01

In 1993 the DOE Office of Energy Efficiency and Renewable Energy (EE) initiated a program called Quality Metrics. Quality Metrics was developed to measure the costs and benefits of technologies being developed by EE R ampersand D programs. The impact of any new technology is directly related to its adoption by the market. The techniques employed to project market adoption are critical to measuring a new technology's impact. Our purpose was to review current market penetration theories and models and develop a recommended approach for evaluating the market penetration of DOE technologies. The following commonly cited innovation diffusion theories were reviewed to identify analytical approaches relevant to new energy technologies: (1) the normal noncumulative adopter distribution method, (2) the Bass Model, (3) the Mansfield-Blackman Model, (4) the Fisher-Pry Model, (5) a meta-analysis of innovation diffusion studies. Of the theories reviewed, the Bass and Mansfield-Blackman models were found most applicable to forecasting the market penetration of electricity supply technologies. Their algorithms require input estimates which characterize the technology adoption behavior of the electricity supply industry. But, inadequate work has been done to quantify the technology adoption characteristics of this industry. The following energy technology market penetration models were also reviewed: (1) DOE's Renewable Energy Penetration (REP) Model, (2) DOE's Electricity Capacity Planning Submodule of the National Energy Modeling System (NEMS), (3) the Assessment of Energy Technologies (ASSET) model by Regional Economic Research, Inc., (4) the Market TREK model by the Electric Power Research Institute (EPRI). The two DOE models were developed for electricity generation technologies whereas the Regional Economic Research and EPRI models were designed for demand- side energy technology markets. Therefore, the review and evaluation focused on the DOE models

Selenium speciation from food source to metabolites: a critical review

Energy Technology Data Exchange (ETDEWEB)

Dumont, Emmie; Vanhaecke, Frank; Cornelis, Rita [Ghent University, Department of Analytical Chemistry, Ghent (Belgium)

2006-08-15

Especially in the last decade, a vast number of papers on Se and its role in health issues have been published. This review gives a brief, critical overview of the main analytical findings reported in these papers. Of particular interest is the Se content in different food sources worldwide and the extent to which their consumption is reflected in the Se content of human tissues and body fluids. Several food sources, both natural (Brazil nuts, garlic, Brassica juncea) and Se-enriched (yeast-based supplements), are discussed as to origin, characteristics, Se metabolism and impact of their consumption on the human body. The continuous development of new and improvement of existing analytical techniques has provided different powerful tools to unravel the Se species and their function. An up-to-date literature study on Se speciation analysis is given, illustrating how analytical chemistry in its different facets aids in the identification of Se compounds and provides insight into the complete metabolic pathway of Se throughout the human body. This review includes a detailed image of the current state-of-the-art of Se speciation analysis in these food sources and in human tissues and body fluids. (orig.)

Strategies to control odours in livestock facilities: a critical review

Directory of Open Access Journals (Sweden)

Y. Ubeda

2013-11-01

Full Text Available Odours generated in livestock buildings constitute one of the most relevant air quality issues of intensive livestock production. Reducing nuisance episodes related to odour exposure is therefore essential for a sustainable livestock production. In this study, the state-of-the-art on odour mitigation techniques in livestock housing is critically reviewed. Scientific advances in the last decade are revised and research needs are also identified. The complex nature of livestock odours is firstly reviewed and examined. Then, the most relevant odour control strategies are analyzed in terms of present knowledge and future needs. The strategies considered are: nutritional strategies, manure additives, building design, air filtration, manure covers, manure treatment systems and windbreaks. Finally, future research needs and priorities when establishing mitigation techniques are identified. Despite important recent advances, there are still some challenges for scientists, producers and regulators, particularly related to field evaluation of odours. Therefore, to control livestock odours effectively, using standardized field assessment techniques will be required. Also, investigating measurement and model errors may be useful to better understand the limitations of the current methods, as well as to identify research priorities.

Sustainable development based energy policy making frameworks, a critical review

International Nuclear Information System (INIS)

Meyar-Naimi, H.; Vaez-Zadeh, S.

2012-01-01

This paper, in the first step, presents an overview of the origination and formulation of sustainable development (SD) concept and the related policy making frameworks. The frameworks include Pressure–State–Response (PSR), Driving Force–State–Response (DSR), Driving Force–Pressure–State–Impact–Response (DPSIR), Driving Force–Pressure–State–Effect–Action (DPSEA) and Driving Force-Pressure-State-Exposure-Effect-Action (DPSEEA). In this regard, 40 case studies using the reviewed frameworks reported during 1994–2011 are surveyed. Then, their application area and application intensity are investigated. It is concluded that PSR, and DPSEA and DPSEEA have the higher and lower application intensities, respectively. Moreover, using Analytical Hierarchy Process (AHP) with a set of criteria, it is shown that PSR and DPSIR have the highest and lowest priorities. Finally, the shortcomings of frameworks applications are discussed. The paper is helpful in selecting appropriate policy making frameworks and presents some hints for future research in the area for developing more comprehensive models especially for sustainable electric energy policy making. - Highlights: ► The origination and formulation of sustainable development (SD) concept is reviewed. ► SD based frameworks (PSR, DSR, DPSIR, DPSEA and DPSEEA) are also reviewed. ► Then, the frameworks application area and intensity in recent years are investigated. ► Finally, the SD concept and the SD based frameworks are criticized. ► It will be helpful for developing more comprehensive energy policy making models.

Review of in-place HEPA filter testing at several DOE facilities

Energy Technology Data Exchange (ETDEWEB)

Mokler, B.V.; Scripsick, R.C. [Los Alamos National Laboratory, NM (United States)

1995-02-01

The Office of Nuclear Energy Self-Assessment recently sponsored reviews of HEPA filter systems at several DOE facilities. One aspect emphasized in these reviews was in-place filter testing practices. Although in-place testing was generally performed as required in facility specifications, we noted several areas in which improvements were possible. Examples of some common problems and approaches to their solution will be presented. Areas of suggested improvement include: (1) ensuring the validity of test results; (2) recognizing and quantifying the uncertainty in penetration measurements; (3) expanding the analysis and reporting of test results to provide more than pass/fail information; (4) addressing the special problems of multiple stage systems; and (5) increasing the technical support and training provided in-place testing personnel. Ensuring the validity of test results, for example, requires more careful attention to the operation of test equipment, checking test measurements and system operating parameters for internal consistency, and more attention to documentation of system geometry and operation. Some issues will require additional study before the results can be incorporated into decision making on filter bank testing requirements and performance specifications.

Review of in-place HEPA filter testing at several DOE facilities

International Nuclear Information System (INIS)

Mokler, B.V.; Scripsick, R.C.

1995-01-01

The Office of Nuclear Energy Self-Assessment recently sponsored reviews of HEPA filter systems at several DOE facilities. One aspect emphasized in these reviews was in-place filter testing practices. Although in-place testing was generally performed as required in facility specifications, we noted several areas in which improvements were possible. Examples of some common problems and approaches to their solution will be presented. Areas of suggested improvement include: (1) ensuring the validity of test results; (2) recognizing and quantifying the uncertainty in penetration measurements; (3) expanding the analysis and reporting of test results to provide more than pass/fail information; (4) addressing the special problems of multiple stage systems; and (5) increasing the technical support and training provided in-place testing personnel. Ensuring the validity of test results, for example, requires more careful attention to the operation of test equipment, checking test measurements and system operating parameters for internal consistency, and more attention to documentation of system geometry and operation. Some issues will require additional study before the results can be incorporated into decision making on filter bank testing requirements and performance specifications

A critical review of "Internet addiction" criteria with suggestions for the future.

Science.gov (United States)

Van Rooij, Antonius J; Prause, Nicole

2014-12-01

In the last 5 years a deluge of articles on the topic of Internet addiction (IA) has proposed many candidate symptoms as evidence of this proposed disease. We critically reviewed the current approach to the measurement and identification of this new excessive behavior syndrome. Three popular models of IA were discussed: Griffith’s components model; Young’s Internet Addiction Test (IAT); and the criteria by Tao et al. (2010). We selected these models because they are widely cited and propose specific criteria for IA disorder. Our approach is not meant to provide an exhaustive review, but to discuss and critique the most salient trends in the field. The models of Internet addiction share some criteria, including feeling a loss of control over Internet use; ensuing psychological, social, or professional conflict or problems; and preoccupation when not using the Internet. Other criteria inconsistently mentioned include: mood management, tolerance, withdrawal, and craving/anticipation. The models studied here share the assumption that the Internet can produce a qualitative shift to a diseased state in humans. We critically discussed the above criteria and concluded that the evidence base is currently not strong enough to provide support for an Internet addiction disorder. Future research areas are suggested: (1) Focusing on common impaired dimensions, (2) exploring neuroimaging as a model building tool, and (3) identifying shifts in the rewarding aspects of Internet use. Given the lack of consensus on the subject of Internet addiction, a focus on problem behaviors appears warranted.

An integrative review of health-related quality of life in patients with critical limb ischaemia.

Science.gov (United States)

Monaro, Susan; West, Sandra; Gullick, Janice

2017-10-01

To examine the domains and the domain-specific characteristics within a peripheral arterial disease health-related quality of life framework for their usefulness in defining critical limb ischaemia health-related quality of life. Critical Limb Ischaemia presents a highly individualised set of personal and health circumstances. Treatment options include conservative management, revascularisation or amputation. However, the links between treatment decisions and quality of life require further investigation. The framework for this integrative review was the peripheral arterial disease-specific health-related quality of life domains identified by Treat-Jacobson et al. The literature expanded and refined Treat-Jacobson's framework by modifying the characteristics to better describe health-related quality of life in critical limb ischaemia. Given that critical limb ischaemia is a highly individualised situation with powerful health-related quality of life implications, further research focusing on patient and family-centred decision-making relating to therapeutic options and advanced care planning is required. A critical limb ischaemia-specific, health-related quality of life tool is required to capture both the unique characteristics of this disorder, and the outcomes for active or conservative care among this complex group of patients. © 2016 John Wiley & Sons Ltd.

Sandia Review of High Bridge Associates Report: Comparison of Plutonium Disposition Alternatives: WIPP Diluted Plutonium Storage and MOX Fuel Irradiation

Energy Technology Data Exchange (ETDEWEB)

Shoemaker, Paul E. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Hardin, Ernest [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Park, HeeHo Daniel [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Brady, Patrick Vane [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Rechard, Robert P. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

2016-08-01

The subject report from High Bridge Associates (HBA) was issued on March 2, 2016, in reaction to a U.S. Department of Energy (DOE) program decision to pursue down-blending of surplus Pu and geologic disposal at the Waste Isolation Pilot Plant (WIPP). Sandia National Laboratories was requested by the DOE to review the technical arguments presented in the HBA report. Specifically, this review is organized around three technical topics: criticality safety, radiological release limits, and thermal impacts. Questions raised by the report pertaining to legal and regulatory requirements, safeguards and security, international agreements, and costing of alternatives, are beyond the scope of this review.

Review of the Latest Percutaneous Devices in Critical Limb Ischemia

Directory of Open Access Journals (Sweden)

Leila Haghighat

2018-04-01

Full Text Available Critical limb ischemia (CLI is a terminal stage of peripheral arterial disease that, in the absence of intervention, may lead to lower extremity amputation or death. Endovascular interventions have become a first-line approach to the management of CLI and have advanced considerably within the past decade. This review summarizes the types of percutaneous devices and the techniques that are available for the management of CLI and the data supporting their use. These include devices that establish and maintain vessel patency, including percutaneous transluminal angioplasty, drug-coated balloons, bare metal stents, drug-eluting stents, bioresorbable vascular scaffolds, and atherectomy; devices that provide protection from embolization; and, cell-based therapies. Additionally, ongoing trials with important implications for the field are discussed.

Review of the Latest Percutaneous Devices in Critical Limb Ischemia.

Science.gov (United States)

Haghighat, Leila; Altin, Sophia Elissa; Attaran, Robert R; Mena-Hurtado, Carlos; Regan, Christopher J

2018-04-14

Critical limb ischemia (CLI) is a terminal stage of peripheral arterial disease that, in the absence of intervention, may lead to lower extremity amputation or death. Endovascular interventions have become a first-line approach to the management of CLI and have advanced considerably within the past decade. This review summarizes the types of percutaneous devices and the techniques that are available for the management of CLI and the data supporting their use. These include devices that establish and maintain vessel patency, including percutaneous transluminal angioplasty, drug-coated balloons, bare metal stents, drug-eluting stents, bioresorbable vascular scaffolds, and atherectomy; devices that provide protection from embolization; and, cell-based therapies. Additionally, ongoing trials with important implications for the field are discussed.

Xerostomia related to HIV infection /AIDS: a critical review

Directory of Open Access Journals (Sweden)

Adriana Maria Fuzer Grael TINÓS

Full Text Available Introduction: The presence of oral manifestations in HIV positive individuals is quite common. Xerostomia appears as one of the most frequent problems and may lead to a reduction in the quality of life of this population. Objective: This study was a critical review of the relationship between xerostomia and HIV infection, to attract the attention of dentists on the importance of dental care to these patients. Material and method: We included articles published between 2000 and 2009, indexed in PUBMED database. The descriptors used were "HIV" and "xerostomia", the exclusion criteria adopted were: the absence of these descriptors associated, non-location of the full-text, articles based on case studies or case series and the absence of the abstract in the database. Result: Based on studies in the review, it can be said that the xerostomia is a common manifestation of HIV infection, predisposing the patient to several other oral problems. Among the risk factors for its occurrence it was reported: low counts of CD4+ T cells, high plasma viral load, the use of some medications and antiretroviral therapy. Conclusion: The HIV/AIDS can change the salivary glands, and were considered important risk factors for the occurrence of xerostomia the presence of didanosine and the drug class which corresponds to protease inhibitors in antiretroviral therapy.

The importance of service-users' perspectives: A systematic review of qualitative evidence reveals overlooked critical features of weight management programmes.

Science.gov (United States)

Sutcliffe, Katy; Melendez-Torres, G J; Burchett, Helen E D; Richardson, Michelle; Rees, Rebecca; Thomas, James

2018-03-14

Extensive research effort shows that weight management programmes (WMPs) targeting both diet and exercise are broadly effective. However, the critical features of WMPs remain unclear. To develop a deeper understanding of WMPs critical features, we undertook a systematic review of qualitative evidence. We sought to understand from a service-user perspective how programmes are experienced, and may be effective, on the ground. We identified qualitative studies from existing reviews and updated the searches of one review. We included UK studies capturing the views of adult WMP users. Thematic analysis was used inductively to code and synthesize the evidence. Service users were emphatic that supportive relationships, with service providers or WMP peers, are the most critical aspect of WMPs. Supportive relationships were described as providing an extrinsic motivator or "hook" which helped to overcome barriers such as scepticism about dietary advice or a lack confidence to engage in physical activity. The evidence revealed that service-users' understandings of the critical features of WMPs differ from the focus of health promotion guidance or descriptions of evaluated programmes which largely emphasize educational or goal setting aspects of WMPs. Existing programme guidance may not therefore fully address the needs of service users. The study illustrates that the perspectives of service users can reveal unanticipated intervention mechanisms or underemphasized critical features and underscores the value of a holistic understanding about "what happens" in complex psychosocial interventions such as WMPs. © 2017 The Authors Health Expectations published by John Wiley & Sons Ltd.

[Mixed depression and DSM-5: A critical review].

Science.gov (United States)

Weibel, S; Bertschy, G

2016-02-01

Mixed depression is a depressive syndrome characterized by the presence, along with the typical depressive symptoms of depression, of those of over activation and excitation. If sometimes this activation is expressed by classical hypomanic symptoms, it is often observed by means of more subtle expression: inner tension, crowded thoughts, dramatic expression suffering, and unproductive agitation. It is important to identify mixed depression because such patients are particularly at risk of suicidal behaviors, substance abuse and therapeutic resistance. Even if therapeutic strategies continue to be discussed, treatments should rely on mood stabilizers and antipsychotics instead of antidepressants as in pure depression. Even though the concept of mixed depression has been described for more than twenty years, first by Koukopoulos and then by other authors, it had been little studied, especially because it did not appear in international psychiatric classifications. The DSM-IV supported a very narrow conception of the mixed states because the criteria required simultaneous full manic and full depressive syndromes, corresponding only to some dysphoric manias. The recently published DSM-5 proposes modifications in mood and bipolar disorder classifications, and especially introduces the possibility to specify depressive and manic episodes with "mixed features". To diagnose depression with mixed features, a full depressive syndrome has to be present together most of time with three hypomanic symptoms, except symptoms that are considered as overlapping (that can be observed either in mania or in depression), i.e. agitation, irritability and distractibility. Critical analysis of DSM criteria and review of literature. We first analyzed the clinical relevance of the definition of depression with mixed features which could correspond to mixed depression. The problem is that the hypomanic symptoms allowed by the manual lead to symptom associations that are rather illogical (as

Critical/non-critical system methodology report

International Nuclear Information System (INIS)

1989-01-01

The method used to determine how the waste Isolation Pilot Plant (WIPP) facilities/systems were classified as critical or non-critical to the receipt of CH waste is described within this report. All WIPP critical facilities/systems are listed in the Operational Readiness Review Dictionary. Using the Final Safety Analysis Report (FSAR) as a guide to define the boundaries of the facilities/systems, a direct correlation of the ORR Dictionary to the FSAR can be obtained. The critical facilities/systems are those which are directly related to or have a critical support role in the receipt of CH waste. The facility/systems must meet one of the following requirements to be considered critical: (a) confinement or measure of the release of radioactive materials; (b) continued receipt and/or storage of transuranic waste (TRU) without an interruption greater than one month according to the shipping plan schedule; (c) the environmental and occupational safety of personnel meets the established site programs; and (d) the physical security of the WIPP facilities

Oxygen supplementation for critically ill patients

DEFF Research Database (Denmark)

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

2018-01-01

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

A realist review of the partograph: when and how does it work for labour monitoring?

Science.gov (United States)

Bedwell, Carol; Levin, Karen; Pett, Celia; Lavender, Dame Tina

2017-01-13

The partograph (or partogram) is recommended by the World Health Organisation (WHO), for monitoring labour wellbeing and progress. Concerns about limitations in the way the partograph is used in the clinical context and the potential impact on its effectiveness have led to this realist systematic review of partograph use. This review aimed to answer two key questions, 1) What is it about the partograph that works (or does not work); for whom does it work; and in what circumstances? 2) What are the essential inputs required for the partograph to work? A comprehensive search strategy encompassed key databases; including papers of varying methodologies. Papers were selected for inclusion if the focus of the paper was the partograph and related to context, mechanism or outcome. Ninety five papers were included for data synthesis. Two authors completed data extraction and synthesis. The evidence synthesis relates the evidence to identified theories of health worker acceptability, health system support, effective referral systems, human resources and health worker competence, highlighting barriers and facilitators. This first comprehensive realist synthesis of the partograph, provides the international community of maternity clinicians with a picture of potential issues and solutions related to successful labour recording and management, which is also translatable to other monitoring approaches.

Oligometastases. The new paradigm and options for radiotherapy. A critical review

Energy Technology Data Exchange (ETDEWEB)

Badakhshi, H.; Gruen, A.; Stromberger, C.; Budach, V.; Boehmer, D. [Charite Universitaetsmedizin Berlin (Germany). Dept. for Radiation Oncology

2013-05-15

Traditional oncology distinguishes between two separate and incommensurable states in the evolution of solid malignancies: the localized disease, which is curable; and the disseminated status, which is per se palliative. Recently, a huge body of evidence suggests a fundamental change in the understanding of cancer, indicating an intermediate state in the trajectory of solid malignancies: the oligometastatic state. The following review will critically analyse existing hypotheses and facts from the basic sciences and try to contextualize it in regard to the clinical evidence available to date. Consecutively, it will try to draw possible clinical consequences for application of radiotherapy in this specific clinical scenario. (orig.)

Safety review of experiments at Albuquerque Operations Office

International Nuclear Information System (INIS)

Elliott, K.

1984-01-01

The Department of Energy (DOE) Albuquerque Operations Office is responsible for the safety overview of nuclear reactor and critical assembly facilities at Sandia National Laboratories, Los Alamos National Laboratory, and the Rocky Flats Plant. The important safety concerns with these facilities involve the complex experiments that are performed, and that is the area emphasized. A determination is made by the Albuquerque Office (AL) with assistance from DOE/OMA whether or not a proposed experiment is an unreviewed safety question. Meetings are held with the contractor to resolve and clarify questions that are generated during the review of the proposed experiment. The AL safety evaluation report is completed and any recommendations are discussed. Prior to the experiment a preoperational appraisal is performed to assure that personnel, procedures, and equipment are in readiness for operations. During the experiment, any abnormal condition is reviewed in detail to determine any safety concerns

Cities and Energy Consumption: a Critical Review

Directory of Open Access Journals (Sweden)

Carmela Gargiulo

2017-12-01

Full Text Available The relationship between cities and energy consumption has been of great interest for the scientific community for over twenty years. Most of the energy consumption, indeed, occurs in cities because of the high concentration of human activities. Thus, cities are responsible for a big share of carbon dioxide emissions (CO2. However, the debate on this topic is still open, mainly because of the heterogeneity of published studies in the selection, definition and measurement of the urban features influencing energy consumption and CO2 emissions, as well as in the choice of the energy sectors to be considered, in the territorial scale of analysis, and in the geographical distribution of the sample. Therefore, the goal of this research is to systematize and compare the approach, methodology and results of the relevant literature on the relationship between cities and energy consumption over the last twenty years. Furthermore, this critical review identifies the knowledge gap between what is known and what is still under debate and, based on that, it proposes a conceptual framework that will help to outline a new direction for future research and support local policy makers in the definition of strategies and actions that can effectively reduce urban energy use and CO2 emissions.

Packaging Review Guide for Reviewing Safety Analysis Reports for Packagings

Energy Technology Data Exchange (ETDEWEB)

DiSabatino, A; Biswas, D; DeMicco, M; Fisher, L E; Hafner, R; Haslam, J; Mok, G; Patel, C; Russell, E

2007-04-12

This Packaging Review Guide (PRG) provides guidance for Department of Energy (DOE) review and approval of packagings to transport fissile and Type B quantities of radioactive material. It fulfills, in part, the requirements of DOE Order 460.1B for the Headquarters Certifying Official to establish standards and to provide guidance for the preparation of Safety Analysis Reports for Packagings (SARPs). This PRG is intended for use by the Headquarters Certifying Official and his or her review staff, DOE Secretarial offices, operations/field offices, and applicants for DOE packaging approval. This PRG is generally organized at the section level in a format similar to that recommended in Regulatory Guide 7.9 (RG 7.9). One notable exception is the addition of Section 9 (Quality Assurance), which is not included as a separate chapter in RG 7.9. Within each section, this PRG addresses the technical and regulatory bases for the review, the manner in which the review is accomplished, and findings that are generally applicable for a package that meets the approval standards. This Packaging Review Guide (PRG) provides guidance for DOE review and approval of packagings to transport fissile and Type B quantities of radioactive material. It fulfills, in part, the requirements of DOE O 460.1B for the Headquarters Certifying Official to establish standards and to provide guidance for the preparation of Safety Analysis Reports for Packagings (SARPs). This PRG is intended for use by the Headquarters Certifying Official and his review staff, DOE Secretarial offices, operations/field offices, and applicants for DOE packaging approval. The primary objectives of this PRG are to: (1) Summarize the regulatory requirements for package approval; (2) Describe the technical review procedures by which DOE determines that these requirements have been satisfied; (3) Establish and maintain the quality and uniformity of reviews; (4) Define the base from which to evaluate proposed changes in scope

A critical review and meta-analysis of the association between overt hyperthyroidism and mortality

DEFF Research Database (Denmark)

Brandt, Frans; Green, Anders; Hegedüs, Laszlo

2011-01-01

Overt hyperthyroidism has been associated with cardiac arrhythmias, hypercoagulopathy, stroke, and pulmonary embolism, all of which may increase mortality. Some, but not all, studies show an increased mortality in patients with hyperthyroidism. This inconsistency may be due to differences in stud...... design, characteristics of participants, or confounders. In order to test whether hyperthyroidism influences mortality, we performed a critical review and statistical meta-analysis....

Nuclear criticality project plan for the Hanford Site tank farms

Energy Technology Data Exchange (ETDEWEB)

Bratzel, D.R., Westinghouse Hanford

1996-08-06

The mission of this project is to provide a defensible technical basis report in support of the Final Safety Analysis Report (FSAR). This technical basis report will also be used to resolve technical issues associated with the nuclear criticality safety issue. The strategy presented in this project plan includes an integrated programmatic and organizational approach. The scope of this project plan includes the provision of a criticality technical basis supporting document (CTBSD) to support the FSAR as well as for resolution of the nuclear criticality safety issue. Specifically, the CTBSD provides the requisite technical analysis to support the FSAR hazard and accident analysis as well as for the determination of the required FSAR limits and controls. The scope of The CTBSD will provide a baseline for understanding waste partitioning and distribution phenomena and mechanistics for current operational activities inclusive of single-shell tanks, double-shell tanks, double-contained receiver tanks, and miscellaneous underground storage tanks.. Although the FSAR does not include future operational activities, the waste partitioning and distribution phenomena and mechanistics work scope identified in this project plan provide a sound technical basis as a point of departure to support independent safety analyses for future activities. The CTBSD also provides the technical basis for resolution of the technical issues associated with the nuclear criticality safety issue. In addition to the CTBSD, additional documentation will be required to fully resolve U.S. Department of Energy-Headquarters administrative and programmatic issues. The strategy and activities defined in this project plan provide a CTBSD for the FSAR and for accelerated resolution of the safety issue in FY 1996. On April 30, 1992, a plant review committee reviewed the Final Safety Analysis Reports for the single-shell, double-shell, and aging waste tanks in light of the conclusions of the inadequate waste

DOE methods for evaluating environmental and waste management samples

International Nuclear Information System (INIS)

Goheen, S.C.; McCulloch, M.; Thomas, B.L.; Riley, R.G.; Sklarew, D.S.; Mong, G.M.; Fadeff, S.K.

1994-04-01

DOE Methods for Evaluating Environmental and Waste Management Samples (DOE Methods) is a resource intended to support sampling and analytical activities for the evaluation of environmental and waste management samples from U.S. Department of Energy (DOE) sites. DOE Methods is the result of extensive cooperation from all DOE analytical laboratories. All of these laboratories have contributed key information and provided technical reviews as well as significant moral support leading to the success of this document. DOE Methods is designed to encompass methods for collecting representative samples and for determining the radioisotope activity and organic and inorganic composition of a sample. These determinations will aid in defining the type and breadth of contamination and thus determine the extent of environmental restoration or waste management actions needed, as defined by the DOE, the U.S. Environmental Protection Agency, or others. The development of DOE Methods is supported by the Laboratory Management Division of the DOE. Methods are prepared for entry into DOE Methods as chapter editors, together with DOE and other participants in this program, identify analytical and sampling method needs. Unique methods or methods consolidated from similar procedures in the DOE Procedures Database are selected for potential inclusion in this document. Initial selection is based largely on DOE needs and procedure applicability and completeness. Methods appearing in this document are one of two types. open-quotes Draftclose quotes or open-quotes Verified.close quotes. open-quotes Draftclose quotes methods that have been reviewed internally and show potential for eventual verification are included in this document, but they have not been reviewed externally, and their precision and bias may not be known. open-quotes Verifiedclose quotes methods in DOE Methods have been reviewed by volunteers from various DOE sites and private corporations

A progress report on DOE's advanced hydropower turbine systems program

International Nuclear Information System (INIS)

Sale, M.J.; Cada, G.F.; Rinehart, B.E.

1997-01-01

Recent hydropower research within the U.S. Department of Energy (DOE) has focused on the development of new turbine designs that can produce hydroelectricity without such adverse environmental affects as fish entrainment/impingement or degradation of water quality. In partnership with the hydropower industry, DOE's advanced turbine program issued a Request for Proposals for conceptual designs in October 1994. Two contracts were awarded for this initial program phase, work on which will be complete this year. A technical advisory committee with representatives from industry, regulatory agencies, and natural resource agencies was also formed to guide the DOE turbine research. The lack of quantitative biological performance criteria was identified by the committee as a critical knowledge gap. To fill this need, a new literature review was completed on the mechanisms of fish mortality during turbine passage (e.g., scrape/strike, shear, press change, etc.), ways that fish behavior affects their location and orientation in turbines, and how these turbine passage stresses can be measured. Thus year, new Laboratory tests will be conducted on fish response to shear, the least-well understood mechanism of stress. Additional testing of conceptual turbine designs depends on the level of federal funding for this program

DOE methods for evaluating environmental and waste management samples

Energy Technology Data Exchange (ETDEWEB)

Goheen, S.C.; McCulloch, M.; Thomas, B.L.; Riley, R.G.; Sklarew, D.S.; Mong, G.M.; Fadeff, S.K. [eds.

1994-10-01

DOE Methods for Evaluating Environmental and Waste Management Samples (DOE Methods) is a resource intended to support sampling and analytical activities for the evaluation of environmental and waste management samples from U.S. Department of Energy (DOE) sites. DOE Methods is the result of extensive cooperation from all DOE analytical laboratories. All of these laboratories have contributed key information and provided technical reviews as well as significant moral support leading to the success of this document. DOE Methods is designed to encompass methods for collecting representative samples and for determining the radioisotope activity and organic and inorganic composition of a sample. These determinations will aid in defining the type and breadth of contamination and thus determine the extent of environmental restoration or waste management actions needed, as defined by the DOE, the U.S. Environmental Protection Agency, or others. The development of DOE Methods is supported by the Analytical Services Division of DOE. Unique methods or methods consolidated from similar procedures in the DOE Procedures Database are selected for potential inclusion in this document. Initial selection is based largely on DOE needs and procedure applicability and completeness. Methods appearing in this document are one of two types, {open_quotes}Draft{close_quotes} or {open_quotes}Verified{close_quotes}. {open_quotes}Draft{close_quotes} methods that have been reviewed internally and show potential for eventual verification are included in this document, but they have not been reviewed externally, and their precision and bias may not be known. {open_quotes}Verified{close_quotes} methods in DOE Methods have been reviewed by volunteers from various DOE sites and private corporations. These methods have delineated measures of precision and accuracy.

DOE methods for evaluating environmental and waste management samples

International Nuclear Information System (INIS)

Goheen, S.C.; McCulloch, M.; Thomas, B.L.; Riley, R.G.; Sklarew, D.S.; Mong, G.M.; Fadeff, S.K.

1994-10-01

DOE Methods for Evaluating Environmental and Waste Management Samples (DOE Methods) is a resource intended to support sampling and analytical activities for the evaluation of environmental and waste management samples from U.S. Department of Energy (DOE) sites. DOE Methods is the result of extensive cooperation from all DOE analytical laboratories. All of these laboratories have contributed key information and provided technical reviews as well as significant moral support leading to the success of this document. DOE Methods is designed to encompass methods for collecting representative samples and for determining the radioisotope activity and organic and inorganic composition of a sample. These determinations will aid in defining the type and breadth of contamination and thus determine the extent of environmental restoration or waste management actions needed, as defined by the DOE, the U.S. Environmental Protection Agency, or others. The development of DOE Methods is supported by the Analytical Services Division of DOE. Unique methods or methods consolidated from similar procedures in the DOE Procedures Database are selected for potential inclusion in this document. Initial selection is based largely on DOE needs and procedure applicability and completeness. Methods appearing in this document are one of two types, open-quotes Draftclose quotes or open-quotes Verifiedclose quotes. open-quotes Draftclose quotes methods that have been reviewed internally and show potential for eventual verification are included in this document, but they have not been reviewed externally, and their precision and bias may not be known. open-quotes Verifiedclose quotes methods in DOE Methods have been reviewed by volunteers from various DOE sites and private corporations. These methods have delineated measures of precision and accuracy

Criticality safety of spent fuel casks considering water inleakage

International Nuclear Information System (INIS)

Osgood, N.L.; Withee, C.J.; Easton, E.P.

2004-01-01

A fundamental safety design parameter for all fissile material packages is that a single package must be critically safe even if water leaks into the containment system. In addition, criticality safety must be assured for arrays of packages under normal conditions of transport (undamaged packages) and under hypothetical accident conditions (damaged packages). The U.S. Nuclear Regulatory Commission staff has revised the review protocol for demonstrating criticality safety for spent fuel casks. Previous review guidance specified that water inleakage be considered under accident conditions. This practice was based on the fact that the leak tightness of spent fuel casks is typically demonstrated by use of structural analysis and not by physical testing. In addition, since a single package was shown to be safe with water inleakage, it was concluded that this analysis was also applicable to an array of damaged packages, since the heavy shield walls in spent fuel casks neutronically isolate each cask in the array. Inherent in this conclusion is that the fuel assembly geometry does not change significantly, even under drop test conditions. Requests for shipping fuel with burnup exceeding 40 GWd/MTU, including very high burnups exceeding 60 GWD/MTU, caused a reassessment of this assumption. Fuel cladding structural strength and ductility were not clearly predictable for these higher burnups. Therefore the single package analysis for an undamaged package may not be applicable for the damaged package. NRC staff developed a new practice for review of spent fuel casks under accident conditions. The practice presents two methods for approval that would allow an assessment of potential reconfiguration of the fuel assembly under accident conditions, or, alternatively, a demonstration of the water-exclusion boundary through physical testing

Technology supporting written productivity in children with learning disabilities: a critical review.

Science.gov (United States)

Batorowicz, Beata; Missiuna, Cheryl A; Pollock, Nancy A

2012-10-01

Occupational therapists working with school-aged children are often in the position of recommending technology to enhance written productivity. The outcome of using technology on the writing of children with learning disabilities has not been reviewed critically, and this knowledge is necessary for evidence-based practice. To review evidence regarding the use of technology to support written productivity in children with learning disabilities. A systematic search of seven databases, plus a manual search, retrieved 864 papers published between 1985 and March 2012. Twenty-seven papers (28 studies) met inclusion criteria. The evidence is of a moderately low level and results are inconclusive; however, trends suggest a positive influence of some technology on children's performance and behaviour. Methodological limitations exist in most studies and the description of specific technology intervention is often combined with teaching instructions. The available research is encouraging, but high-quality investigations with newer technologies are needed.

Case Study in Public Administration: A Critical Review of Brazilian Scientific Production

Directory of Open Access Journals (Sweden)

Mariana Guerra

2015-03-01

Full Text Available This paper presents a critical review of 47 articles published between 2006 and 2011 to identify how case studies have been applied in Brazilian research on public administration. In addition to their theoretical and methodological characteristics, four further specific topics of interest were addressed: (a what is meant by case study; (b the relationship between the phenomenon of interest and the case under investigation; (c the possibility of replication; and (d how the supposed method contributes towards the development of the field of public administration. The main inconsistencies found were: the methodological descriptions are confusing; the results are inconsistent compared with data gathering procedures and data analysis techniques; a lack of information about the number of interviewed individuals; and no descriptions of research variables. The results suggest the reviewed case studies present methodological inconsistencies and limitations, which undermine their scientific value and relevance to academic work in Brazil.

Leadership Curricula in Nursing Education: A Critical Literature Review and Gap Analysis.

Science.gov (United States)

Morrow, Kelly J

2015-07-01

The Institute of Medicine's Future of Nursing report advises nursing education programs to integrate and embed leadership content within all areas of prelicensure nursing curriculum. This critical literature review synthesizes the state of the science of leadership curricula in prelicensure baccalaureate nursing education programs from 2008 to 2013. Gaps are identified and discussed. The Academic Search Premier and Health Source databases were searched, using the keywords baccalaureate nursing education and leadership. The CINAHL database was searched, using the keywords leadership, education, nursing, and baccalaureate. The 13 peer-reviewed articles identified for inclusion comprised descriptive articles (n = 8), mixed-methods studies (n = 2), quantitative studies (n = 2), and a qualitative study (n = 1). The underlying theme identified is the study and use of active learning strategies. Subthemes within this context were the use of reflection, peer learning, interdisciplinary teams, organizational partnerships, and curricular reform. Copyright 2015, SLACK Incorporated.

Pantex Falling Man - Independent Review Panel Report.

Energy Technology Data Exchange (ETDEWEB)

Brannon, Nathan Gregory; L. Bertolini, N. Brannon, J. Olsen, B. Price, M. Steinzig, R. Wardle, & M. Winfield

2014-11-01

Consolidated Nuclear Security (CNS) Pantex took the initiative to organize a Review Panel of subject matter experts to independently assess the adequacy of the Pantex Tripping Man Analysis methodology. The purpose of this report is to capture the details of the assessment including the scope, approach, results, and detailed Appendices. Along with the assessment of the analysis methodology, the panel evaluated the adequacy with which the methodology was applied as well as congruence with Department of Energy (DOE) standards 3009 and 3016. The approach included the review of relevant documentation, interactive discussion with Pantex staff, and the iterative process of evaluating critical lines of inquiry.

Evidence Based Clinical Assessment of Child and Adolescent Social Phobia: A Critical Review of Rating Scales

Science.gov (United States)

Tulbure, Bogdan T.; Szentagotai, Aurora; Dobrean, Anca; David, Daniel

2012-01-01

Investigating the empirical support of various assessment instruments, the evidence based assessment approach expands the scientific basis of psychotherapy. Starting from Hunsley and Mash's evaluative framework, we critically reviewed the rating scales designed to measure social anxiety or phobia in youth. Thirteen of the most researched social…

RELEVANCE OF COLLAGEN PIEZOELECTRICITY TO “WOLFF’S LAW”: A CRITICAL REVIEW

Science.gov (United States)

Ahn, Andrew C.; Grodzinsky, Alan J.

2009-01-01

According to “Wolff’s Law”, bone is deposited and reinforced at areas of greatest stress. From a clinical perspective, this “law” is supported by the strong association between bone density and physical activity. From a mechanistic standpoint, however, the law presents a challenge to scientists seeking to understand how osteocytes and osteoblasts sense the mechanical load. In the 1960’s, collagen piezoelectricity was invoked as a potential mechanism by which osteocytes could detect areas of greater stress but piezoelectricity diminished in importance as more compelling mechanisms, such as streaming potential, were identified. In addition, accumulating evidence for the role of fluid-related shear stress in osteocyte’s mechanosensory function has made piezoelectricity seemingly more obsolete in bone physiology. This review critically evaluates the role of collagen piezoelectricity (if any) in Wolff’s Law – specifically, the evidence regarding its involvement in strain-generated potentials, existing alternate mechanisms, the present understanding of bone mechanosensation, and whether piezoelectricity serves an influential role within the context of this newly proposed mechanism. In addition to reviewing the literature, this review generates several hypotheses and proposes future research to fully address the relevance of piezoelectricity in bone physiology. PMID:19286413

Mixed-methods research in nursing - a critical review.

Science.gov (United States)

Bressan, Valentina; Bagnasco, Annamaria; Aleo, Giuseppe; Timmins, Fiona; Barisone, Michela; Bianchi, Monica; Pellegrini, Ramona; Sasso, Loredana

2017-10-01

To review the use of mixed-methods research in nursing with a particular focus on the extent to which current practice informs nurse researchers. It also aimed to highlight gaps in current knowledge, understanding and reporting of this type of research. Mixed-methods research is becoming increasingly popular among nurses and healthcare professionals. Emergent findings from this type of research are very useful for nurses in practice. The combination of both quantitative and qualitative methods provides a scientific base for practice but also richness from the qualitative enquiry. However, at the same time mixed-methods research is underdeveloped. This study identified mixed-methods research papers and critically evaluated their usefulness for research practice. To support the analysis, we performed a two-stage search using CINAHL to find papers with titles that included the key term 'mixed method'. An analysis of studies that used mixed-methods research revealed some inconsistencies in application and reporting. Attempts to use two distinct research methods in these studies often meant that one or both aspects had limitations. Overall methods were applied in a less rigorous way. This has implications for providing somewhat limited direction for novice researchers. There is also potential for application of evidence in healthcare practice that limited validity. This study highlights current gaps in knowledge, understanding and reporting of mixed-methods research. While these methods are useful to gain insight into clinical problems nurses lack guidance with this type of research. This study revealed that the guidance provided by current mixed-methods research is inconsistent and incomplete and this compounds the lack of available direction. There is an urgent need to develop robust guidelines for using mixed-methods research so that findings may be critically implemented in practice. © 2016 John Wiley & Sons Ltd.

Criticality Safety Lessons Learned in a Deactivation and Decommissioning Environment [A Guide for Facility and Project Managers

Energy Technology Data Exchange (ETDEWEB)

Nirider, L. Tom

2003-08-06

This document was designed as a reference and a primer for facility and project managers responsible for Deactivation and Decommissioning (D&D) processes in facilities containing significant inventories of fissionable materials. The document contains lessons learned and guidance for the development and management of criticality safety programs. It also contains information gleaned from occurrence reports, assessment reports, facility operations and management, NDA program reviews, criticality safety experts, and criticality safety evaluations. This information is designed to assist in the planning process and operational activities. Sufficient details are provided to allow the reader to understand the events, the lessons learned, and how to apply the information to present or planned D&D processes. Information is also provided on general lessons learned including criticality safety evaluations and criticality safety program requirements during D&D activities. The document also explores recent and past criticality accidents in operating facilities, and it extracts lessons learned pertinent to D&D activities. A reference section is included to provide additional information. This document does not address D&D lessons learned that are not pertinent to criticality safety.

BioPower and economic theology. Critical review of the Giorgio Agamben’s proposals

Directory of Open Access Journals (Sweden)

Adán Salinas Araya

2015-02-01

Full Text Available The article make a critical review of the Giorgio Agamben’s proposals, showing the tensions between Homo sacer I and The Kingdom and the Glory. In this review is taken in particular consideration how a possible economic theology would constitute a projection of the Foucault’s biopolitical analysis; or rather, continuity of schmittians political theology. For this, the main arguments of the Agamben’s proposal and some of the Schmitt debates with Benjamin and Peterson are reconstructed. In the first case, regarding messianism, and the second, regarding the impossibility of political theology. The economic theology of Agamben and the political theology of Schmitt would share a same status, both necessarily express the conviction that theology is able to justify a speech and a political order.

A critical review of the data requirements for fluid flow models through fractured rock

International Nuclear Information System (INIS)

Priest, S.D.

1986-01-01

The report is a comprehensive critical review of the data requirements for ten models of fluid flow through fractured rock, developed in Europe and North America. The first part of the report contains a detailed review of rock discontinuities and how their important geometrical properties can be quantified. This is followed by a brief summary of the fundamental principles in the analysis of fluid flow through two-dimensional discontinuity networks and an explanation of a new approach to the incorporation of variability and uncertainty into geotechnical models. The report also contains a review of the geological and geotechnical properties of anhydrite and granite. Of the ten fluid flow models reviewed, only three offer a realistic fracture network model for which it is feasible to obtain the input data. Although some of the other models have some valuable or novel features, there is a tendency to concentrate on the simulation of contaminant transport processes, at the expense of providing a realistic fracture network model. Only two of the models reviewed, neither of them developed in Europe, have seriously addressed the problem of analysing fluid flow in three-dimensional networks. (author)

EMSL 2008 Operational Review

Energy Technology Data Exchange (ETDEWEB)

Campbell, Allison A.

2008-08-12

The William R. Wiley Environmental Molecular Sciences Laboratory (EMSL) is a national user facility that contains state-of-the-art instrumentation and expert resources available for use by researchers from academia, industry, and the national laboratory system. The facility is supported by the U.S. Department of Energy’s (DOE) Biological and Environmental Research Program, but the research conducted within the facility benefits many funding agencies, including other branches of DOE, the National Institutes of Health, the National Science Foundation, and the Department of Defense. EMSL requires the continued funding and support of its stakeholders and clients to continue to grow its mission, build its reputation as a sought-after national user facility with cutting-edge capabilities, and attract high-profile users who will work to solve the most critical scientific challenges that affect DOE and the nation. In this vein, this document has been compiled to provide these stakeholders and clients with a review document that provides an abundance of information on EMSL’s history, current research activities, and proposed future direction.

EMSL Outlook Review 2005

Energy Technology Data Exchange (ETDEWEB)

Campbell, Allison A.

2005-04-01

The William R. Wiley Environmental Molecular Sciences Laboratory (EMSL) is a national user facility that contains state-of-the-art instrumentation and expert resources available for use by researchers from academia, industry, and the national laboratory system. The facility is supported by the U.S. Department of Energy’s (DOE) Biological and Environmental Research Program, but the research conducted within the facility benefits many funding agencies, including other branches of DOE, the National Institutes of Health, the National Science Foundation, and the Department of Defense. EMSL requires the continued funding and support of its stakeholders and clients to continue to grow its mission, build its reputation as a sought-after national user facility with cutting-edge capabilities, and attract high-profile users who will work to solve the most critical scientific challenges that affect DOE and the nation. In this vein, this document has been compiled to provide these stakeholders and clients with a review document that provides an abundance of information on EMSL’s history, current research activities, and proposed future direction.

On self-organized criticality in nonconserving systems

International Nuclear Information System (INIS)

Socolar, J.E.S.; Grinstein, G.; Jayaprakash, C.

1993-01-01

Two models with nonconserving dynamics and slow continuous deterministic driving, a stick-slip model (SSM) of earthquake dynamics and a toy forest-fire model (FFM), have recently been argued to show numerical evidence of self-organized criticality (generic, scale-invariant steady states). To determine whether the observed criticality is indeed generic, we study these models as a function of a parameter γ which was implicitly tuned to a special value, γ=1, in their original definitions. In both cases, the maximum Lyapunov exponent vanishes at γ=1. We find that the FFM does not exhibit self-organized criticality for any γ, including γ=1; nor does the SSM with periodic boundary conditions. Both models show evidence of macroscopic periodic oscillations in time for some range of γ values. We suggest that such oscillations may provide a mechanism for the generation of scale-invariant structure in nonconserving systems, and, in particular, that they underlie the criticality previously observed in the SSM with open boundary conditions

Transactions of the criticality alarm systems workshop

International Nuclear Information System (INIS)

1988-01-01

The first Criticality Alarm workshop was held by the US Department of Energy Albuquerque Operations Office in 1985. This second workshop is the first held on an international level. There were 98 persons in attendance. They represented the Department of Energy (DOE) field offices, DOE contractors, the Nuclear Regulatory Commission (NRC), NRC licensees, and agencies in the United Kingdom, France, West Germany, and Japan. Topics were on practices experience, and development. A key value of the workshop was the sharing of critical alarm system experiences, problems, and advances in the state of the art. In addition, several Criticality Alarm Systems (CAS) equipment systems were exhibited. Papers were presented on: nature of criticality accidents; lessons learned from past accidents; application of ANS 8.3 standard; gamma and neutron detection systems; research and development in progress; testing at Oak Ridge and Los Alamos; methods used to place detectors; centralized readout feature; false alarms; trip-point settings; and testing and maintenance. The individual papers have been cataloged separately

Does mentoring new peer reviewers improve review quality? A randomized trial

Directory of Open Access Journals (Sweden)

Houry Debra

2012-08-01

Full Text Available Abstract Background Prior efforts to train medical journal peer reviewers have not improved subsequent review quality, although such interventions were general and brief. We hypothesized that a manuscript-specific and more extended intervention pairing new reviewers with high-quality senior reviewers as mentors would improve subsequent review quality. Methods Over a four-year period we randomly assigned all new reviewers for Annals of Emergency Medicine to receive our standard written informational materials alone, or these materials plus a new mentoring intervention. For this program we paired new reviewers with a high-quality senior reviewer for each of their first three manuscript reviews, and asked mentees to discuss their review with their mentor by email or phone. We then compared the quality of subsequent reviews between the control and intervention groups, using linear mixed effects models of the slopes of review quality scores over time. Results We studied 490 manuscript reviews, with similar baseline characteristics between the 24 mentees who completed the trial and the 22 control reviewers. Mean quality scores for the first 3 reviews on our 1 to 5 point scale were similar between control and mentee groups (3.4 versus 3.5, as were slopes of change of review scores (-0.229 versus -0.549 and all other secondary measures of reviewer performance. Conclusions A structured training intervention of pairing newly recruited medical journal peer reviewers with senior reviewer mentors did not improve the quality of their subsequent reviews.

Is puberty a risk factor for back pain in the young? a systematic critical literature review

DEFF Research Database (Denmark)

Lardon, A.; Leboeuf-Yde, C.; Le Scanff, C.

2014-01-01

the increasing stages of puberty and the subsequent prevalence of back pain? 4) Is there a temporal link between puberty and back pain? DESIGN: A systematic critical literature review. METHODS: Systematic searches were made in March 2014 in PubMed, Embase, CINAHL and PsycINFO including longitudinal or cross...

Static Magnetic Field Therapy: A Critical Review of Treatment Parameters

Directory of Open Access Journals (Sweden)

Agatha P. Colbert

2009-01-01

Full Text Available Static magnetic field (SMF therapy, applied via a permanent magnet attached to the skin, is used by people worldwide for self-care. Despite a lack of established SMF dosage and treatment regimens, multiple studies are conducted to evaluate SMF therapy effectiveness. Our objectives in conducting this review are to: (i summarize SMF research conducted in humans; (ii critically evaluate reporting quality of SMF dosages and treatment parameters and (iii propose a set of criteria for reporting SMF treatment parameters in future clinical trials. We searched 27 electronic databases and reference lists. Only English language human studies were included. Excluded were studies of electromagnetic fields, transcranial magnetic stimulation, magnets placed on acupuncture points, animal studies, abstracts, posters and editorials. Data were extracted on clinical indication, study design and 10 essential SMF parameters. Three reviewers assessed quality of reporting and calculated a quality assessment score for each of the 10 treatment parameters. Fifty-six studies were reviewed, 42 conducted in patient populations and 14 in healthy volunteers. The SMF treatment parameters most often and most completely described were site of application, magnet support device and frequency and duration of application. Least often and least completely described were characteristics of the SMF: magnet dimensions, measured field strength and estimated distance of the magnet from the target tissue. Thirty-four (61% of studies failed to provide enough detail about SMF dosage to permit protocol replication by other investigators. Our findings highlight the need to optimize SMF dosing parameters for individual clinical conditions before proceeding to a full-scale clinical trial.

Ecosystem-based fishery management: a critical review of concepts and ecological economic models

DEFF Research Database (Denmark)

Nguyen, Thanh Viet

  An ecosystem approach means different things to different people. As a result the concept of ecosystem-based fishery management is evolving and it has no universal definition or consistent application. As regards ecosystem modeling, most economic models of fishery ignore the linkages to lower...... trophic levels. In particular, environmental data and other bottom-up information is widely disregarded. The objective of this paper is to provide a critical review of concepts and ecological economic models relating to ecosystem-based fishery management....

Glucose monitoring as a guide to diabetes management. Critical subject review.

Science.gov (United States)

Koch, B

1996-06-01

To encourage a balanced approach to blood glucose monitoring in diabetes by a critical review of the history, power and cost of glucose testing. The Cambridge Data Base was searched and was supplemented by a random review of other relevant sources, including textbooks, company pamphlets, and laboratory manuals. Keywords used were "glucosuria diagnosis," "blood glucose self-monitoring," "glycosylated hemoglobin," and "fructosamine" for the 10-year period ending 1992, restricted to English language and human. About 200 titles were retrieved and reviewed according to the author's judgment of relevance. "Snapshot tests" (venous and capillary blood glucose) and "memory tests" (urine glucose, glycated hemoglobin fractions and fructosamine) must be employed according to individual patients treatment goals. Day-to-day metabolic guidance is facilitated by capillary blood glucose testing for patients receiving insulin and by urine glucose testing for others. Capillary blood glucose testing is mandatory in cases of hypoglycemia unawareness (inability to sense hypoglycemia because of neuropathy) but is not a substitute for a knowledge of clinical hypoglycemia self-care. Criteria by reason (clinical judgement and cost effectiveness) must be separated from criteria by emotion (preoccupation with technology and marketing). No randomized studies show that any of these tests consistently improve clinical outcome. Optimal metabolic control and cost savings can be expected from a rational selection of tests.

Guidelines for preparing criticality safety evaluations at Department of Energy non-reactor nuclear facilities

Energy Technology Data Exchange (ETDEWEB)

NONE

1998-09-01

This Department of Energy (DOE) is approved for use by all components of DOE. It contains guidelines that should be followed when preparing Criticality Safety Evaluations that will be used to demonstrate the safety of operations performed at DOE Non-Reactor Nuclear Facilities. Adherence with these guidelines will provide consistency and uniformity in Criticality Safety Evaluations (CSEs) across the complex and will document compliance with DOE Order 5480.24 requirements as they pertain to CSEs.

Guidelines for preparing criticality safety evaluations at Department of Energy non-reactor nuclear facilities

International Nuclear Information System (INIS)

1998-09-01

This Department of Energy (DOE) is approved for use by all components of DOE. It contains guidelines that should be followed when preparing Criticality Safety Evaluations that will be used to demonstrate the safety of operations performed at DOE Non-Reactor Nuclear Facilities. Adherence with these guidelines will provide consistency and uniformity in Criticality Safety Evaluations (CSEs) across the complex and will document compliance with DOE Order 5480.24 requirements as they pertain to CSEs