Sample records for early home-supported discharge

  1. Early Home Supported Discharge of Stroke Patients:

    Larsen, Torben; Olsen, T. Skyhøj; Sørensen, Jan


    OBJECTIVES: A comprehensive and systematic assessment (HTA) of early home-supported discharge by a multidisciplinary team that plans, coordinates, and delivers care at home (EHSD) was undertaken and the results were compared with that of conventional rehabilitation at stroke units. METHODS......: A systematic literature search for randomized trials (RCTs) on "early supported discharge" was closed in April 2005. RCTs on EHSD without information on (i) death or institution at follow-up, (ii) change in Barthél Index, (iii) length of hospital stay, (iv) intensity of home rehabilitation, or (v) baseline...

  2. Early home-supported discharge after stroke

    Langhorne, P.; Jepsen, Birgitte G.; Larsen, Torben


    benefit most are likely to have moderate stroke severity and may be able to cooperate with rehabilitation in the home setting. Staffing requirements will vary according to several factors. These will include (a) the severity and complexity of stroke impairments, (b) the current level of community support......This report is a brief practical problem-based guide to support clinical management in the implementation of early home-supported discharge as an integrated part of stroke care. However, it is clear that skilled members of a multidisciplinary team are needed and they need to work in a coordinated......, (c) the duration of rehabilitation input, and (d) the rehabilitation targets planned. (C) 2014 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins....

  3. Early home-supported discharge of stroke patients

    Larsen, T.; Olsen, Tom Skyhøj; Sørensen, J.


    OBJECTIVES: A comprehensive and systematic assessment (HTA) of early home-supported discharge by a multidisciplinary team that plans, coordinates, and delivers care at home (EHSD) was undertaken and the results were compared with that of conventional rehabilitation at stroke units. METHODS......: A systematic literature search for randomized trials (RCTs) on "early supported discharge" was closed in April 2005. RCTs on EHSD without information on (i) death or institution at follow-up, (ii) change in Barthél Index, (iii) length of hospital stay, (iv) intensity of home rehabilitation, or (v) baseline...... are discussed. CONCLUSIONS: EHSD is evidenced as a dominant health intervention. However, financial barriers between municipalities and health authorities have to be overcome. For qualitative reasons, a learning path of implementation is recommended where one stroke unit in a region initiates EHSD...

  4. Early discharge hospital at home.

    Gonçalves-Bradley, Daniela C; Iliffe, Steve; Doll, Helen A; Broad, Joanna; Gladman, John; Langhorne, Peter; Richards, Suzanne H; Shepperd, Sasha


    Early discharge hospital at home is a service that provides active treatment by healthcare professionals in the patient's home for a condition that otherwise would require acute hospital inpatient care. This is an update of a Cochrane review. To determine the effectiveness and cost of managing patients with early discharge hospital at home compared with inpatient hospital care. We searched the following databases to 9 January 2017: the Cochrane Effective Practice and Organisation of Care Group (EPOC) register, Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, CINAHL, and EconLit. We searched clinical trials registries. Randomised trials comparing early discharge hospital at home with acute hospital inpatient care for adults. We excluded obstetric, paediatric and mental health hospital at home schemes.   DATA COLLECTION AND ANALYSIS: We followed the standard methodological procedures expected by Cochrane and EPOC. We used the GRADE approach to assess the certainty of the body of evidence for the most important outcomes. We included 32 trials (N = 4746), six of them new for this update, mainly conducted in high-income countries. We judged most of the studies to have a low or unclear risk of bias. The intervention was delivered by hospital outreach services (17 trials), community-based services (11 trials), and was co-ordinated by a hospital-based stroke team or physician in conjunction with community-based services in four trials.Studies recruiting people recovering from strokeEarly discharge hospital at home probably makes little or no difference to mortality at three to six months (risk ratio (RR) 0.92, 95% confidence interval (CI) 0.57 to 1.48, N = 1114, 11 trials, moderate-certainty evidence) and may make little or no difference to the risk of hospital readmission (RR 1.09, 95% CI 0.71 to 1.66, N = 345, 5 trials, low-certainty evidence). Hospital at home may lower the risk of living in institutional setting at six months (RR 0.63, 96% CI

  5. Parental experiences of early postnatal discharge

    Nilsson, Ingrid; Danbjørg, Dorthe B.; Aagaard, Hanne


    and taking responsibility; A time of insecurity; Being together as a family; and Striving to be confident. The mothers׳ and fathers׳ experiences of responsibility, security and confidence in their parental role, were positively influenced by having the opportunity to be together as a family, receiving...... postnatal care that included both parents, having influence on time of discharge, and getting individualised and available support focused on developing and recognising their own experiences of taking care of the baby. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: the new parents׳ experiences of early...... discharge and becoming a parent were closely related. Feeling secure and confident in the parental role was positively or negatively influenced by the organisation of early discharge. This underscores the importance of the way health professionals support new mothers and fathers at early postnatal discharge....

  6. Early supported discharge following mild stroke

    Lou, Stina; Carstensen, Kathrine; Møldrup, Marie;


    BACKGROUND: Early supported discharge (ESD) allows mild-to-moderate stroke patients to return home as soon as possible and continue rehabilitation at their own pace in familiar surroundings. Thus, the main responsibility for continued rehabilitation is in the hands of patients and their partners......, who must collaborate to adjust to poststroke everyday life. However, couples' joint experiences of stroke, early discharge and rehabilitation at home remain minimally investigated. AIM: To investigate how mild stroke patients' and their partners' experience and manage everyday life in a context of ESD....... METHODS: We conducted qualitative interviews with a purposive sample of 22 ESD patients and 18 partners. Interviews were conducted 3-6 weeks after stroke, and we used thematic analysis to analyse the data. FINDINGS: The analysis identified three themes. First, 'Home as a healing place' involved...

  7. Early Stage of Pulsed Discharge in Water

    卢新培; 潘垣; 刘克富; 刘明海; 张寒虹


    The bubble radius at the early stage of discharge in water is investigated using high-speed photography. Some simulation results on the bubble radius are presented, which are in agreement with the experimental results, with a maximum difference of about 10%. The reasons why the peak pressure of the first shock wave is only related to the energy released in the bubble during the first half period are addressed. The energy released in the bubble after the first half period increases the bubble pulsation period, but it produces no more than 10% under the peak pressure of the second shock wave.

  8. Early discharge. Risks, benefits, and who decides.

    Kiely, M; Drum, M A; Kessel, W


    Over the last several decades, there has been a significant decrease in the length of hospital stays for mothers and their newborns, ranging from the average of 7 to 10 days before World War II to approximately 2 days in recent years. Many women saw the benefit of early discharge as a means to demedicalize the birth process, to be home with their families sooner, and to have their deliveries be a more positive experience. Although the trend toward shorter hospital stays was originally initiated by consumer interest, the recent further shortening of maternity stays has escalated as a result of insurance and managed care plans attempting to contain health care costs. With this trend toward earlier discharge, a litany of problems have been reported, including missed newborn screening, jaundice, feeding problems, missed congenital anomalies, and readmissions. Although cost-efficient use of health care is vital, the ultimate goal should not only be the prevention of unnecessary morbidity and mortality, but the promotion of health and well being for the child and family.

  9. Early hospital discharge in maternal and newborn care.

    Fink, Anne M


    This article highlights the historic precedence of early discharge practices and the debate regarding length of stay for new mothers and newborns in the United States. Although the documented effects of early discharge on maternal and newborn health are inconsistent, research findings universally support follow-up care for mothers and infants within 1 week of hospital discharge. Research is needed to identify the components and timing of follow-up care to optimize maternal and newborn outcomes. © 2011 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.

  10. [Duration of breast feeding after mandatory early discharge].

    Kierkegaard, O


    A trial arrangement for mandatory early discharge for all normal multiparae was started in 1990 and the duration of breastfeeding was investigated by a questionnaire. 89 mothers who stayed at the hospital were compared to 113 mothers who were discharged within 24 hours after delivery. The latter group was also compared to 122 early discharged mothers who delivered 14-17 months after the trial arrangement had started. The three groups were comparable in all aspects. After four weeks a large proportion of the later discharged mothers were still breastfeeding compared to the other two groups (p < 0.001). This difference disappeared later, hence when comparing the total duration of breastfeeding no differences were found between the three groups.

  11. [Early postpartum discharge: outcomes and risk factors of readmission].

    Kehila, Mehdi; Magdoud, Khaoula; Touhami, Omar; Abouda, Hassine Saber; Jeridi, Sara; Marzouk, Sofiène Ben; Mahjoub, Sami; Hmid, Rim Ben; Chanoufi, Mohamed Badis


    The objective of this study is to evaluate the practice of early postpartum discharge by analyzing maternal readmission rates and identifying readmission risk factors. This is a prospective and analytical study of 1206 patients discharged from hospital on postpartum day 1. For each patient we collected the epidemiological data, the course of pregnancy and childbirth. We identified the causes of readmission and their evolution. Cesarean delivery rate was 42%. Maternal readmission rate was 0.99%. The average length of stay in hospital after readmission was 26 hours. Intestinal transit disorders were the most frequent reason for consultation (50% of cases) followed by fever (25% of cases). The readmission risk factors identified in our study were: cesarean section (p = 0.004), emergency cesarean section (p = 0.016) anemia (P discharge seems a safe option for the mother and their newborn children subject to the ability to clearly communicate health information to the patient and to the compliance with selection criteria.

  12. [Effectiveness of an early discharge program after normal childbirth].

    Teulón González, M; Martínez Pillado, M; Cuadrado Martín, M M; Rivero Martín, M J; Cerezuela Requena, J F

    To implement a program of early hospital discharge after an uncomplicated birth, in order to improve the effectiveness, as well as ensuring clinical safety and patient acceptability. Descriptive study of the effectiveness of an early discharge program after uncomplicated delivery between February 2012 and September 2013. The populations are post-partum women and newborns admitted to the University Hospital of Fuenlabrada, with a duration of less than 24h after uncomplicated delivery that met the defined inclusion criteria. Satisfaction was assessed using a Likert scale. The effectiveness of the program was monitored by safety indicators, productivity, adaptation, and continuity of care. A total of 20% of cases capable of early discharge from Fuenlabrada University Hospital completed the program. Almost all (94%) were normal deliveries. The 188 cases included were from 911 patients with uncomplicated childbirth, accounting for 6.5% of the 2,857 total births. The mean stay of patients included showed a decrease of 50% (2.4 to 1.2 days). All patients received continuity of care after hospital discharge. The review consultation was reprogrammed for 4.8% of cases, with 2% of patients re-admitted within 96h. with no serious problems. Four newborns (2%) required attention in the emergency department (mother or newborn) before 96h. The assessment of patient satisfaction achieved a score of 4.5 out of 5. The program achieved a decrease in the average stay by 50%, favouring the autonomy of midwives. This acceptance level is in line with similar interventions. The deployment of the program may be useful for other changes in care processes. Copyright © 2016 SECA. Publicado por Elsevier España, S.L.U. All rights reserved.

  13. Early discharge of premature infants. A critical analysis.

    Raddish, M; Merritt, T A


    Although significant advances in the medical management of acutely ill preterm infants have resulted in unprecedented rates of survival, issues surrounding the convalescent care, discharge preparation, and readiness of parents or other caregivers have been less well studied and represent the art of medicine. Recent consensus statements provide a degree of content validity; however, important areas of scientific inquiry remain. Much is left to understand about the pathophysiology, management, and outcomes of apnea, bradycardia, and oxygen desaturation episodes continuing at term. Why do the most immature infants have a delay in the maturation of respiratory control? Do breathing studies really provide information that predicts subsequent respiratory control abnormalities? If methylxanthines are used at discharge, what criteria should be adhered to regarding their discontinuation? How is nutrition best provided while transitioning to home? In infants whose mothers desire exclusive breast-feeding, should gavage feeds be used to supplement in order to avoid bottle-feedings? How long should breast milk be fortified, and when should supplemented artificial milks be used and for what period of time postdischarge should these more expensive special-discharge artificial milks be used? What other supplements, such as inositol, vitamins, or antioxidants, should be provided in order to achieve optimal growth and development? Technology-dependent infants pose even greater complexities. Some infants and families adapt to extensive use of technology in the home. In other situations, basic infant care is difficult to achieve. What are the essential components for successful early discharge, and how can the studies involving selected families be made universal? How can NICUs better prepare fathers and mothers for premature parenthood? To what extent are we overwhelming families with additional responsibilities and expectations that may compromise their competency in basic parenting

  14. Early hospital discharge and early puerperal complications Egreso temprano postparto y complicaciones en el puerperio mediato

    Dolores Ramírez-Villalobos


    Full Text Available OBJECTIVE:To evaluate the association between time of postpartum discharge and symptoms indicative of complications during the first postpartum week. MATERIALS AND METHODS: Women with vaginal delivery at a Mexico City public hospital, without complications before the hospital discharge, were interviewed seven days after delivery. Time of postpartum discharge was classified as early (25 hours. The dependent variable was defined as the occurrence and severity of puerperal complication symptoms. RESULTS:Out of 303 women, 208 (68% were discharged early. However, women with early discharge and satisfactory prenatal care had lower odds of presenting symptoms in early puerperium than women without early discharge and inadequate prenatal care (OR 0.36; 95% confidence intervals = 0.17-0.76. CONCLUSIONS:There was no association between early discharge and symptoms of complications during the first postpartum week; the odds of complications were lower for mothers with early discharge and satisfactory prenatal care.OBJETIVO:Evaluar la asociación entre el tiempo de egreso posparto y las posibles complicaciones en el puerperio mediato. MATERIAL Y MÉTODOS:Mujeres con parto vaginal atendidas en un hospital público de la Ciudad de México, sin complicaciones antes del egreso hospitalario, fueron entrevistadas a los siete días de egreso. La variable dependiente fue la ocurrencia y severidad de complicaciones. Se calcularon media y desviación estándar para las variables continuas, y proporciones para las categóricas. Las variables relacionadas con egreso temprano en el análisis bivariado (con p<0.15 fueron incluidas en un modelo de regresión logística. RESULTADOS:Se analizó información de 303 partos, de los cuales 208 (68% tuvieron egreso temprano posparto. Las mujeres que fueron egresadas en forma temprana con un control prenatal adecuado reportaron menos síntomas de complicaciones en el puerperio mediato (RM= 0.36; IC 95% = 0.17-0.76. CONCLUSIONES

  15. [The jaundiced newborn: which early monitoring for a safe discharge?].

    Pratesi, S; Dani, C


    Neonatal jaundice is one of the most common causes of prolonged hospital stay or readmission of a near-term or term baby. Reason of concern at early discharge of a jaundiced newborn is that of bilirubin neurotoxicity, even if a serum bilirubin concentration surely toxic for the brain is still unknown. Kernicterus and severe neonatal hyperbilirubinemia are still problems in the third millennium and the American Academy of Pediatrics claimed the pediatric community to increase vigilance in order to reduce the occurrence of these dramatic events. The only existing kernicterus registry is the pilot USA kernicterus registry whose data on 125 kernicteric term and near term babies from 1992 to 2004 have been recently published. Nobody of the kenicteric babies into the USA register had a serum bilirubin levels below 20 mg/dL. All the babies who suffered from kernicteric sequelae were discharged as healthy from hospital and then, 86% of them, readmitted in the first ten days of life. In the majority of babies (69%) a cause of the severe hyperbilirubinemia was not found. Current knowledge on mechanism of neurological damage induced by bilirubin, unfortunately, does not allow to have a universal evidenced based guideline on how to manage neonatal jaundice. Thus, the existing national guidelines contain inevitable differences in the recommended procedure. Waiting for the future italian guidelines the paper illustrates a proposal of management of neonatal jaundice in term or near term newborns based on available scientific evidence and national guidelines published in english language.

  16. Stroke unit care, inpatient rehabilitation and early supported discharge.

    Rodgers, Helen; Price, Chris


    Stroke units reduce death and disability through the provision of specialist multidisciplinary care for diagnosis, emergency treatments, normalisation of homeostasis, prevention of complications, rehabilitation and secondary prevention. All stroke patients can benefit from provision of high-quality basic medical care and some need high impact specific treatments, such as thrombolysis, that are often time dependent. A standard patient pathway should include assessment of neurological impairment, vascular risk factors, swallowing, fluid balance and nutrition, cognitive function, communication, mood disorders, continence, activities of daily living and rehabilitation goals. Good communication and shared decision making with patients and their families are key to high-quality stroke care. Patients with mild or moderate disability, who are medically stable, can continue rehabilitation at home with early supported discharge teams rather than needing a prolonged stay in hospital. National clinical guidelines and prospective audits are integral to monitoring and developing stroke services in the UK. © Royal College of Physicians 2017. All rights reserved.

  17. Age and weight at final discharge from an early discharge programme for stable but tube-fed preterm infants

    Ahnfeldt, A M; Stanchev, H.; Jørgensen, Henrik Løvendahl


    AIM: Preterm birth is often associated with prolonged hospitalisation, complicating the parent-child relationship and breastfeeding rates. As a result, an early discharge programme was implemented in the department of neonatology at Rigshospitalet. The infants were stable, but required tube feeding...

  18. The HEART Pathway randomized trial: identifying emergency department patients with acute chest pain for early discharge.

    Mahler, Simon A; Riley, Robert F; Hiestand, Brian C; Russell, Gregory B; Hoekstra, James W; Lefebvre, Cedric W; Nicks, Bret A; Cline, David M; Askew, Kim L; Elliott, Stephanie B; Herrington, David M; Burke, Gregory L; Miller, Chadwick D


    The HEART Pathway is a decision aid designed to identify emergency department patients with acute chest pain for early discharge. No randomized trials have compared the HEART Pathway with usual care. Adult emergency department patients with symptoms related to acute coronary syndrome without ST-elevation on ECG (n=282) were randomized to the HEART Pathway or usual care. In the HEART Pathway arm, emergency department providers used the HEART score, a validated decision aid, and troponin measures at 0 and 3 hours to identify patients for early discharge. Usual care was based on American College of Cardiology/American Heart Association guidelines. The primary outcome, objective cardiac testing (stress testing or angiography), and secondary outcomes, index length of stay, early discharge, and major adverse cardiac events (death, myocardial infarction, or coronary revascularization), were assessed at 30 days by phone interview and record review. Participants had a mean age of 53 years, 16% had previous myocardial infarction, and 6% (95% confidence interval, 3.6%-9.5%) had major adverse cardiac events within 30 days of randomization. Compared with usual care, use of the HEART Pathway decreased objective cardiac testing at 30 days by 12.1% (68.8% versus 56.7%; P=0.048) and length of stay by 12 hours (9.9 versus 21.9 hours; P=0.013) and increased early discharges by 21.3% (39.7% versus 18.4%; P<0.001). No patients identified for early discharge had major adverse cardiac events within 30 days. The HEART Pathway reduces objective cardiac testing during 30 days, shortens length of stay, and increases early discharges. These important efficiency gains occurred without any patients identified for early discharge suffering MACE at 30 days. URL: Unique Identifier: NCT01665521. © 2015 American Heart Association, Inc.

  19. Nurses' experience of using an application to support new parents after early discharge

    Boe Danbjørg, Dorthe; Wagner, Lis; Rønde Kristensen, Bjarne;


    and information to postnatal mothers who are discharged early and their families. Design. Participatory design. An app with a chat, a knowledgebase, and automated messages was tried out between hospital and parents at home. Settings. The intervention took place on a postnatal ward with approximately 1,000 births...... that connects the homes of the new parents with the hospital....

  20. Early discharge care with ongoing follow-up support may reduce hospital readmissions in COPD.

    Lawlor, Maria


    BACKGROUND: Early discharge care and self-management education, although effective in the management of chronic obstructive pulmonary disease (COPD), do not typically reduce hospital re-admission rates for exacerbations of the disease. We hypothesized that a respiratory outreach programme that comprises early discharge care followed by continued rapid-access out-patient support would reduce the need for hospital readmission in these patients. METHODS: Two hundred and forty-six patients, acutely admitted with exacerbations of COPD, were recruited to the respiratory outreach programme that included early discharge care, follow-up education, telephone support and rapid future access to respiratory out-patient clinics. Sixty of these patients received self-management education also. Emergency department presentations and admission rates were compared at six and 12 months after, compared to prior to, participation in the programme for the same patient cohort. RESULTS: The frequency of both emergency department presentations and hospital admissions was significantly reduced after participation in the programme. CONCLUSIONS: Provision of a respiratory outreach service that includes early discharge care, followed by education, telephone support and ongoing rapid access to out-patient clinics is associated with reduced readmission rates in COPD patients.

  1. Do families after early postnatal discharge need new ways to communicate with the hospital?

    Danbjørg, Dorthe Boe; Wagner, Lis; Clemensen, Jane


    the length of the postnatal hospital stay in Denmark as well as globally has been radically reduced over the past 10-20 years and this raises the challenge of finding new ways of providing observation and support to families discharged early, that they otherwise would be provided as inpatients. A...

  2. Early Discharge after Delivery. A Study of Safety and Risk Factors

    Deena R. Zimmerman


    Full Text Available The increased frequency of early discharge of newborns has led to questions of its safety. Most studies have looked at mortality and rehospitalization, not all missed diagnoses. The purpose of this study was to determine diagnoses in newborn infants that would have been missed if the infant had been discharged in <24 h. The design was a cohort study at Rabin Medical Center-Beilinson Campus (average monthly deliveries 1996 [250], 1997 [500], a university-affiliated community hospital with all in-born term (≥37 weeks infants born September through November 1996 and June 1997.

  3. Early growth in preterm infants after hospital discharge in rural Kenya: longitudinal study.

    Sammy, Diana Mawia; Chege, Margaret Njambi; Oyieke, Jennifer


    Prematurity is the single most important cause of mortality during the neonatal period. The early growth of these infants has been shown to be a predictor of their later growth and neurodevelopmental outcomes. The objective of this study was to establish the determinants of early growth in preterm infants after hospital discharge at the Kitui District Hospital, Kenya. A short longitudinal study design was adopted to execute the study. During the period of April and June 2014, all the preterm infants who were discharged from the Kitui District Hospital Newborn Unit were enrolled in the study by obtaining written informed consent from their guardians. The anthropometric measurements of these infants were taken at discharge and repeated two weeks later at the Pediatric Outpatient Clinic and the Maternal Child health Clinic. A questionnaire guided interview was held with the guardians to establish infant and maternal characteristics which influenced the infants' early growth. A total of 112 participants were enrolled for the study with 106 (94.4%) of them being available for reassessment after two weeks. Majority (72.6%) had deficit in growth by failing to attain the recommended WHO average weight gain of 15g/kg/day. Most of the mothers (63.4%) were between the ages of 20-29 years with half of them being first time mothers. Many of them (66.1%) had only attained primary education and were married (66.1%) to self-employed husbands (56%). Most of the preterm infants at discharge were females who were born between 33 and 36 weeks gestation. Growth deficit was present in the majority and gestational age at birth was a major determinant of the early growth in these preterm infants.

  4. Nurses’ Experience of Using an Application to Support New Parents after Early Discharge: An Intervention Study

    Dorthe Boe Danbjørg


    Full Text Available Background. A development towards earlier postnatal discharge presents a challenge to find new ways to provide information and support to families. A possibility is the use of telemedicine. Objective. To explore how using an app in nursing practice affects the nurses’ ability to offer support and information to postnatal mothers who are discharged early and their families. Design. Participatory design. An app with a chat, a knowledgebase, and automated messages was tried out between hospital and parents at home. Settings. The intervention took place on a postnatal ward with approximately 1,000 births a year. Participants. At the onset of the intervention, 17 nurses, all women, were working on the ward. At the end of the intervention, 16 nurses were employed, all women. Methods. Participant observation and two focus group interviews. The data analysis was inspired by systematic text condensation. Results. The nurses on the postnatal ward consider that the use of the app gives families easier access to timely information and support. Conclusions. The app gives the nurses the possibility to offer support and information to the parents being early discharged. The app is experienced as a lifeline that connects the homes of the new parents with the hospital.

  5. Nurses' experience of using an application to support new parents after early discharge

    Boe Danbjørg, Dorthe; Wagner, Lis; Rønde Kristensen, Bjarne


    Background. A development towards earlier postnatal discharge presents a challenge to find new ways to provide information and support to families. A possibility is the use of telemedicine. Objective. To explore how using an app in nursing practice affects the nurses' ability to offer support...... a year. Participants. At the onset of the intervention, 17 nurses, all women, were working on the ward. At the end of the intervention, 16 nurses were employed, all women. Methods. Participant observation and two focus group interviews. The data analysis was inspired by systematic text condensation....... Results. The nurses on the postnatal ward consider that the use of the app gives families easier access to timely information and support. Conclusions. The app gives the nurses the possibility to offer support and information to the parents being early discharged. The app is experienced as a lifeline...

  6. Nurses' experience of using an application to support new parents after early discharge

    Boe Danbjørg, Dorthe; Wagner, Lis; Rønde Kristensen, Bjarne


    Background. A development towards earlier postnatal discharge presents a challenge to find new ways to provide information and support to families. A possibility is the use of telemedicine. Objective. To explore how using an app in nursing practice affects the nurses' ability to offer support...... a year. Participants. At the onset of the intervention, 17 nurses, all women, were working on the ward. At the end of the intervention, 16 nurses were employed, all women. Methods. Participant observation and two focus group interviews. The data analysis was inspired by systematic text condensation....... Results. The nurses on the postnatal ward consider that the use of the app gives families easier access to timely information and support. Conclusions. The app gives the nurses the possibility to offer support and information to the parents being early discharged. The app is experienced as a lifeline...

  7. Factors Associated With Early Readmission Among Patients Discharged to Post-Acute Care Facilities.

    Horney, Carolyn; Capp, Roberta; Boxer, Rebecca; Burke, Robert E


    Over a quarter of Medicare patients admitted to the hospital are discharged to post-acute care (PAC) facilities, but face high rates of readmission. Timing of readmission may be an important factor in identifying both risk for and preventability of future readmissions. This study aims to define factors associated with readmission within the first week of discharge to PAC facilities following hospitalization. This was a secondary analysis of the 2011 Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases (SID) for California, Massachusetts, and Florida. The primary outcome was all-cause readmission within 7 days after hospital discharge, compared to readmission on days 8-30, for patients aged 65 and older who were discharged from the hospital to a PAC facility. Predictor variables included patient, index hospitalization, and hospital characteristics; multivariable logistic regression was used to identify significant predictors of readmission within 7 days. There were 81,173 hospital readmissions from PAC facilities in the first 30 days after hospital discharge. Patients readmitted within the first week were older, white, urban, had fewer comorbid illnesses, had a higher number of previous hospital admissions, and less commonly had Medicare as a payer. Longer index hospital length of stay (LOS) was associated with decreased risk of early readmission (OR 0.74; 95% CI 0.70-0.74 for LOS 4-7 days and 0.60; 95% CI 0.56-0.64 for LOS ≥8 days). Shorter length of index hospital stay is associated with earlier readmission and suggests that for this comorbid, older population, a shorter hospital stay may be detrimental. Readmission after 1 week is associated with increased chronic disease burden, suggesting they may be associated with factors that are less modifiable. © 2017, Copyright the Authors Journal compilation © 2017, The American Geriatrics Society.

  8. Oocyst Discharge, Rumen Metabolism and Performance of Early Weaned Lambs with Naturally Occurring Coccidiosis Fed Monensin

    Horton, G. M. J.; Stockdale, P. H. G.


    Ninety-six 9.5 kg early-weaned lambs with naturally occurring coccidiosis were fed monensin either at 0, 11, 22, or 33 mg/kg of feed for 105 days. Fecal oocyst discharge during the first three days was highest with monensin 22 mg, lowest with monensin 33 mg and averaged 149.6 × 103 oocysts per gram feces for all lambs. Monensin at 22 mg/kg of feed reduced Eimeria ninakohlyakimovae and E. ahsata oocyst discharge. Organic matter and crude protein digestibilities were highest (P ≤ 0.05) in lambs fed monensin 22 mg/kg of feed. Monensin increased (P ≤ 0.01) rumen ammonia and propionic acid and decreased (P ≤ 0.01) acetic acid. Feeding monensin 33 mg decreased (P ≤ 0.05) feed intake by 5% and had no effect on gain or feed efficiency. Optimal responses were observed with monensin at 11 mg, feed consumption was not affected, gains were 8% higher (P ≤ 0.05) and feed was utilized 9% more efficiently (P ≤ 0.05) than the controls. In conclusion, monensin was an effective therapeutic agent against naturally occurring coccidial infections in early weaned lambs. Performance responses were largest with monensin fed at the rate of 11 mg/kg of feed. PMID:7197187

  9. The predictive value of first day bilirubin levels for early discharged newborns.



    Full Text Available Objective: Early discharge of newborns is essential because of social, economic an medical reasons in our area, but it increases readmission rates especially for hyperbilirubinemia. Hence, predicting the high risk neonates for subsequent hyperbilirubinemia is required. This study was designed to investigate which level of total serum bilirubin (TSB at the first day could be used to predict hyperbilirubinemia .Methods: The venous blood samples obtained from 300 newborns at post-partum 24±6 hours for blood group, direct coomb’s, TSB and direct bilirubin level (DBL. These newborns were followed up during 5- day and TSB and DBLwere detected in 90 newborns with jaundice again according to Kramer dermal zones at 120±6 hours of age.Results: In 23.3% of 90 newborns phototherapy was needed. The cut off value of TSB at the first day to define newborns at high risk for subsequent hyperbilirubinemia was 6.50 mg/dl with positive predictive value 19.75%, negative predictive value 97.72%. At that point sensitivity was 76.19%, specificity was 76.70%.Conclusion: The cut-off point of 6.5 mg/dl of TSB at the first day might be used to predict subsequent hyperbilirubinemia risk at healthy, full-term early discharged newborns as the test is economic and available in all healthcare units.

  10. Ability in daily activities after early supported discharge models of stroke rehabilitation

    Taule, Tina; Strand, Liv Inger; Assmus, Jörg; Skouen, Jan Sture


    Abstract More knowledge is needed about how different rehabilitation models in the municipality influence stroke survivors’ ability in activities of daily living (ADL). Objectives: To compare three models of outpatient rehabilitation; early supported discharge (ESD) in a day unit, ESD at home and traditional treatment in the municipality (control group), regarding change in ADL ability during the first three months after stroke. Methods: A group comparison study was designed within a randomized controlled trial. Included participants were tested with the Assessment of Motor and Process Skills (AMPS) at baseline and discharged directly home. Primary and secondary outcomes were the AMPS and the modified Rankin Scale (mRS). Results and conclusions: Included were 154 participants (57% men, median age 73 years), and 103 participants completed the study. There were no significant group differences in pre–post changed ADL ability measured by the AMPS. To find the best rehabilitation model to improve the quality of stroke survivors’ motor and process skills needs further research. Patients participating in the ESD rehabilitation models were, compared with traditional treatment, significantly associated with improved ADL ability measured by the mRS when controlling for confounding factors, indicating that patients with social needs and physical impairment after stroke may benefit from ESD rehabilitation models. PMID:26005768

  11. Ability in daily activities after early supported discharge models of stroke rehabilitation.

    Taule, Tina; Strand, Liv Inger; Assmus, Jörg; Skouen, Jan Sture


    More knowledge is needed about how different rehabilitation models in the municipality influence stroke survivors' ability in activities of daily living (ADL). To compare three models of outpatient rehabilitation; early supported discharge (ESD) in a day unit, ESD at home and traditional treatment in the municipality (control group), regarding change in ADL ability during the first three months after stroke. A group comparison study was designed within a randomized controlled trial. Included participants were tested with the Assessment of Motor and Process Skills (AMPS) at baseline and discharged directly home. Primary and secondary outcomes were the AMPS and the modified Rankin Scale (mRS). Included were 154 participants (57% men, median age 73 years), and 103 participants completed the study. There were no significant group differences in pre-post changed ADL ability measured by the AMPS. To find the best rehabilitation model to improve the quality of stroke survivors' motor and process skills needs further research. Patients participating in the ESD rehabilitation models were, compared with traditional treatment, significantly associated with improved ADL ability measured by the mRS when controlling for confounding factors, indicating that patients with social needs and physical impairment after stroke may benefit from ESD rehabilitation models.

  12. Early death after discharge from emergency departments: analysis of national US insurance claims data.

    Obermeyer, Ziad; Cohn, Brent; Wilson, Michael; Jena, Anupam B; Cutler, David M


     To measure incidence of early death after discharge from emergency departments, and explore potential sources of variation in risk by measurable aspects of hospitals and patients.  Retrospective cohort study.  Claims data from the US Medicare program, covering visits to an emergency department, 2007-12.  Nationally representative 20% sample of Medicare fee for service beneficiaries. As the focus was on generally healthy people living in the community, patients in nursing facilities, aged ≥90, receiving palliative or hospice care, or with a diagnosis of a life limiting illnesses, either during emergency department visits (for example, myocardial infarction) or in the year before (for example, malignancy) were excluded.  Death within seven days after discharge from the emergency department, excluding patients transferred or admitted as inpatients.  Among discharged patients, 0.12% (12 375/10 093 678, in the 20% sample over 2007-12) died within seven days, or 10 093 per year nationally. Mean age at death was 69. Leading causes of death on death certificates were atherosclerotic heart disease (13.6%), myocardial infarction (10.3%), and chronic obstructive pulmonary disease (9.6%). Some 2.3% died of narcotic overdose, largely after visits for musculoskeletal problems. Hospitals in the lowest fifth of rates of inpatient admission from the emergency department had the highest rates of early death (0.27%)-3.4 times higher than hospitals in the highest fifth (0.08%)-despite the fact that hospitals with low admission rates served healthier populations, as measured by overall seven day mortality among all comers to the emergency department. Small increases in admission rate were linked to large decreases in risk. In multivariate analysis, emergency departments that saw higher volumes of patients (odds ratio 0.84, 95% confidence interval 0.81 to 0.86) and those with higher charges for visits (0.75, 0.74 to 0.77) had significantly fewer deaths. Certain

  13. [Early discharge of the healthy newborn from the nursery of the Hospital Español de México].

    Santos Burgoa-Larrañaga, Lorena; Iglesias-Leboreiro, José; Bernardez-Zapata, Isabel


    The risk-benefit of early discharge in newborns is controversial. We haven't found studies that analyze newborn variables and their impact in morbility with early postnatal discharge. We analyze the main variables and their statistical association with the need of additional therapy in early discharged newborns. Observational prolective study in full-term newborns from their birth until their discharge from August to December, 2013. It was made a telephone follow-up to know their health status. The dependent variables were the hours of hospital stay, additional therapies and treatment in the first month. 701 full-term newborns were included in the study, 41 used additional treatment, 23 had to be at the ICU (22 discharge are concrete signs that would cause suspicion, follow-up with pediatrician at 3 days of life, more attention to those with an Apgar < 8 at 5 minutes of life, having less than 38 weeks of gestation, or low birth weight for gestational age.

  14. Job Satisfaction: Insights from Home Support Care Workers in Three Canadian Jurisdictions.

    Panagiotoglou, Dimitra; Fancey, Pamela; Keefe, Janice; Martin-Matthews, Anne


    This mixed-methods study identified the personal and workplace characteristics that drive the job satisfaction of home support workers (HSWs) providing assistance to elderly clients. Data were based on a standardized measure of job satisfaction, along with in-depth qualitative interviews with 176 home support workers from three Canadian provincial jurisdictions (British Columbia, n = 108; Ontario, n = 28; Nova Scotia, n = 40). We anticipated that variability in demographic profiles between the three groups of workers and different job descriptions would be associated with differences in perceived job satisfaction. This was not the case. Results from the qualitative analysis highlight key areas that contributed to job satisfaction. These are job (scheduling, travel, and safety), economic (income security), and organizational (communication, support, and respect) factors. Given these findings, we recommend improvements to workplace communication, increased travel time allowance between clients, and wage parity with equivalent positions in long-term care facilities.

  15. Key issues in human resource planning for home support workers in Canada.

    Keefe, Janice M; Knight, Lucy; Martin-Matthews, Anne; Légaré, Jacques


    This paper is a synthesis of research on recruitment and retention challenges for home support workers (HSWs) in Canada. Home support workers (HSWs) provide needed support with personal care and daily activities to older persons living in the community. Literature (peer reviewed, government, and non-government documents) published in the past decade was collected from systematic data base searches between January and September 2009, and yielded over 100 references relevant to home care human resources for older Canadians. Four key human resource issues affecting HSWs were identified: compensation, education and training, quality assurance, and working conditions. To increase the workforce and retain skilled employees, employers can tailor their marketing strategies to specific groups, make improvements in work environment, and learn about what workers value and what attracts them to home support work. Understanding these HR issues for HSWs will improve recruitment and retention strategies for this workforce by helping agencies to target their limited resources. Given the projected increase in demand for these workers, preparations need to begin now and consider long-term strategies involving multiple policy areas, such as health and social care, employment, education, and immigration.

  16. Psychosocial risk factors for hospital readmission in COPD patients on early discharge services: a cohort study

    Todd Christopher J


    Full Text Available Abstract Background Hospital readmission for acute exacerbation of COPD (AECOPD occurs in up to 30% of patients, leading to excess morbidity and poor survival. Physiological risk factors predict readmission, but the impact of modifiable psychosocial risk factors remains uncertain. We aimed to evaluate whether psychosocial risk factors independently predict readmission for AECOPD in patients referred to early discharge services (EDS. Methods This prospective cohort study included 79 patients with AECOPD cared for by nurse led EDS in the UK, and followed up for 12 months. Data on lung function, medical comorbidities, previous hospital admissions, medications, and sociodemographics were collected at baseline; St George's Respiratory Questionnaire (SGRQ, Hospital Anxiety and Depression Scale (HADS, and social support were measured at baseline, 3 and 12-months. Exploratory multivariate models were fitted to identify psychosocial factors associated with readmission adjusted for known confounders. Results 26 patients were readmitted within 90 days and 60 patients were readmitted at least once during follow-up. Depression at baseline predicted readmission adjusted for sociodemographics and forced expiratory volume in 1 second (odds ratio 1.30, 95% CI 1.06 to 1.60, p = 0.013. Perceived social support was not significantly associated with risk of readmission. Home ownership was associated with the total number of readmissions (B = 0.46, 95% CI -0.86 to -0.06, p = 0.024. Compared with those not readmitted, readmitted patients had worse SGRQ and HADS scores at 12 months. Conclusion Depressive symptoms and socioeconomic status, but not perceived social support, predict risk of readmission and readmission frequency for AECOPD in patients cared for by nurse-led EDS. Future work on reducing demand for unscheduled hospital admissions could include the design and evaluation of interventions aimed at optimising the psychosocial care of AECOPD patients managed at

  17. Workers' experiences of crises in the delivery of home support services to older clients: a qualitative study.

    Sims-Gould, Joanie; Byrne, Kerry; Beck, Christina; Martin-Matthews, Anne


    In the provision of care to older clients, home support workers regularly confront, avert, and manage crises. Semistructured interviews were conducted to explore the nature, type, and management of crises from the perspective of home support workers (N = 118) of older persons in British Columbia, Canada. The delivery of home health care occurs within a context of unpredictability related to scheduling, time constraints, variability of client need, and changing work environments. These events are experienced by 91% of home support workers and range from a serious medical incident (e.g., fall, death) to an interpersonal dilemma (e.g., client refusal of service, argument between worker and family member). Home support workers use a variety of strategies to manage these incidents. The analysis of crises enables us to better understand how agency and care policies may be more responsive to circumstances that challenge care work in home health settings.

  18. Adaptation to Early Adulthood by a Sample of Youth Discharged from a Residential Education Placement

    Jones, Loring


    Three years of outcome data for foster youth (n = 106) discharged from a one-of-kind residential education service are presented. Findings were that 50% of respondents attended college at some point. Youth reported having 2 or 3 jobs a year with at least one bout of unemployment. Most of the non-college bound youth reported working in low-wage…

  19. Early bilateral sensory deprivation blocks the development of coincident discharge in rat barrel cortex.

    Ghoshal, Ayan; Pouget, Pierre; Popescu, Maria; Ebner, Ford


    Several theories have proposed a functional role for synchronous neuronal firing in generating the neural code of a sensory perception. Synchronous neural activity develops during a critical postnatal period of cortical maturation, and severely reducing neural activity in a sensory pathway during this period could interfere with the development of coincident discharge among cortical neurons. Loss of such synchrony could provide a fundamental mechanism for the degradation of acuity shown in behavioral studies. We tested the hypothesis that synchronous discharge of barrel cortex neurons would fail to develop after sensory deprivation produced by bilateral whisker trimming from birth to postnatal day 60. By studying the correlated discharge of cortical neuron pairs, we found evidence for strong correlated firing in control animals, and this synchrony was almost absent among pairs of cortical barrel neurons in deprived animals. The degree of synchrony impairment was different in subregions of rat barrel cortex. The model that best fits the data is that cortical neurons receiving direct inputs from the primary sensory (lemniscal) pathway show the greatest decrement in synchrony following sensory deprivation, while neurons with diverse inputs from other areas of thalamus and cortex are relatively less affected in this dimension of cortical function.

  20. Influence of Clinical and Sociodemographic Characteristics on Early Intervention Enrollment after NICU Discharge

    Litt, Jonathan S.; Perrin, James M.


    This study aims to characterize participation of neonatal intensive care unit (NICU) graduates in early intervention (EI). We used data from the National Early Intervention Longitudinal Study. We fit models of days from referral to Individualized Family Service Plan creation (plan time), days from referral to initiation of services (service time),…

  1. Safe start at home: what parents of newborns need after early discharge from hospital - a focus group study.

    Kurth, Elisabeth; Krähenbühl, Katrin; Eicher, Manuela; Rodmann, Susanne; Fölmli, Luzia; Conzelmann, Cornelia; Zemp, Elisabeth


    The length of postpartum hospital stay is decreasing internationally. Earlier hospital discharge of mothers and newborns decreases postnatal care or transfers it to the outpatient setting. This study aimed to investigate the experiences of new parents and examine their views on care following early hospital discharge. Six focus group discussions with new parents (n = 24) were conducted. A stratified sampling scheme of German and Turkish-speaking groups was employed. A 'playful design' method was used to facilitate participants communication wherein they used blocks and figurines to visualize their perspectives on care models The visualized constructions of care models were photographed and discussions were audio-recorded and transcribed verbatim. Text and visual data was thematically analyzed by a multi-professional group and findings were validated by the focus group participants. Following discharge, mothers reported feeling physically strained during recuperating from birth and initiating breastfeeding. The combined requirements of infant and self-care needs resulted in a significant need for practical and medical support. Families reported challenges in accessing postnatal care services and lacking inter-professional coordination. The visualized models of ideal care comprised access to a package of postnatal care including monitoring, treating and caring for the health of the mother and newborn. This included home visits from qualified midwives, access to a 24-h helpline, and domestic support for household tasks. Participants suggested that improving inter-professional networks, implementing supervisors or a centralized coordinating center could help to remedy the current fragmented care. After hospital discharge, new parents need practical support, monitoring and care. Such support is important for the health and wellbeing of the mother and child. Integrated care services including professional home visits and a 24-hour help line may help meet the needs of

  2. Early Discharge After Colorectal Resection: The Positive Impact of an Enhanced Recovery Program on a Rural Colorectal Surgery Service.

    Tebala, Giovanni D; Keane, Sean; Osman, Abdelsalam; Ip, Mina; Khan, Abdul Q; Perrone, Luciano


    Enhanced recovery (ER) programs are policies and protocols meant to improve postoperative recovery after surgery. As a consequence of a smoother recovery, patients can be discharged early. This paper describes the impact of an ER program in colorectal surgery in a rural hospital. In total, 132 patients had colorectal resection within the ER program. Data were collected prospectively. The ER pathway affects perioperative management in the following ways in order to: (1) improve patient's general condition before surgery, (2) minimize intraoperative surgical trauma by using a laparoscopic approach in all cases, and (3) facilitation of a quicker postoperative return of physiological function. Most (86.4%) of the patients have been operated as elective cases and for a cancer (73.5%). Laparoscopic resection was performed in 63.6% of patients, with a conversion rate of 10.6%. Total morbidity was 18.2%, leak rate was 1.5%, and 90-day mortality rate was 3%. Overall median postoperative stay was 6.5 days. Total length of in-hospital stay was lower in laparoscopic resections (5.5 d), elective cases (6 d), and in younger patients (6 d). Age and laparoscopic access were independent prognostic factors significantly associated with early discharge in elective patients. Overall readmission rate was 9.1% and this was not affected by any preoperative or intraoperative factor within those in this study. The ER program positively impacted the outcome of colorectal resections also in our rural setting. Discharging patients expeditiously did not affect postoperative morbidity or readmission rate.

  3. Community-based home support agencies: comparing the quality of care of cooperative and non-profit organizations.

    Leviten-Reid, Catherine; Hoyt, Ann


    In the province of Québec, services focusing on the instrumental activities of daily living are delivered to seniors by a combination of non-profit organizations and cooperatives. But do these organizations perform differently? This study asks whether home support cooperatives deliver higher-quality care than non-profit home support agencies. The specific effects of consumer and worker participation on the board of directors are also tested. Data were collected in 2006 and 2007 from 831 individuals receiving home support services from nine cooperatives and nine non-profits. Two consumer-centered measures of quality were used: a summated, 39-point satisfaction score and a 4-point overall quality score. Data were analyzed using ordered logistic regression. Results show that although organizational type was not a predictor of the two quality outcomes, worker involvement in governance was positively associated with the satisfaction score, while consumer involvement was positively associated with the overall quality score.

  4. Facilities of Early Rehabilitation post Stroke in Poland 2010

    Opara, Jozef; Langhorne, Peter; Larsen, Torben


    -stroke, i.e. within 3 months of stroke. Comment - Taking into account that about half of stroke survivors will need rehabilitation (30 days after stroke onset), the current facilities of early post-stroke rehabilitation in Poland cannot meet this need. We should do our best to introduce rehabilitation......? Aims - Growing costs of health care are encouraging healthcare planners to look for new organizational solutions of services which could enable rehabilitation as early as possible after disease onset. Early post-stroke rehabilitation consists of many elements that provide for early onset rehabilitation...... services such as Early Home Supported Discharge after stroke, which is currently not available in Poland. Conclusions - A relatively small number of patients in Poland were moved after stroke from neurological wards to rehabilitation departments as was the number treated in rehabilitation departments early...

  5. Prospective Comparison of Nonnarcotic versus Narcotic Outpatient Oral Analgesic Use after Laparoscopic Appendectomy and Early Discharge

    Fuad Alkhoury


    Full Text Available Purpose. To compare narcotic versus nonnarcotic outpatient oral pain management after pediatric laparoscopic appendectomy. Methods. In a prospective study from July 1, 2010, to March 30, 2011, children undergoing laparoscopic appendectomy on a rapid discharge protocol were treated with either nonnarcotic or narcotic postoperative oral analgesia. Two surgeons in a four-person faculty group employed the nonnarcotic regimen, while the other two used narcotics. Days of medication use, time needed for return to normal activity, and satisfaction rate with the pain control method were collected. Student’s t-test was used for statistical analysis. Results. A total of 207 consecutive children underwent appendectomy for acute, nonperforated appendicitis or planned interval appendectomy. The age and time to discharge were equivalent between the nonnarcotic (n=104 and narcotic (n=103 groups. Both had an equivalent number of medication days and similar times of return to normal activity. Ninety-seven percent of the parents of children in the nonnarcotic group stated that the pain was controlled by the prescribed medication, compared to 90 percent in the narcotic group (P=0.049. Conclusion. This study indicates that after non-complicated pediatric laparoscopic appendectomy, nonnarcotic is equivalent to narcoticbased therapy for outpatient oral analgesia, with higher parental satisfaction.

  6. Analysis of the feasibility of early hospital discharge after autologous hematopoietic stem cell transplantation and the implications to nursing care

    Alessandra Barban


    Full Text Available INTRODUCTION: Autologous hematopoietic stem cell transplantation is a conduct used to treat some hematologic diseases and to consolidate the treatment of others. In the field of nursing, the few published scientific studies on nursing care and early hospital discharge of transplant patients are deficient. Knowledge about the diseases treated using hematopoietic stem cell transplantation, providing guidance to patients and caregivers and patient monitoring are important nursing activities in this process. Guidance may contribute to long-term goals through patients' short-term needs. AIM: To analyze the results of early hospital discharge on the treatment of patients submitted to autologous transplantation and the influence of nursing care on this conduct. METHODS: A retrospective, quantitative, descriptive and transversal study was conducted. The hospital records of 112 consecutive patients submitted to autologous transplantation in the period from January to December 2009 were revisited. Of these, 12 patients, who remained in hospital for more than ten days after transplantation, were excluded from the study. RESULTS: The medical records of 100 patients with a median age of 48.5 years (19-69 years were analyzed. All patients were mobilized and hematopoietic stem cells were collected by leukapheresis. The most common conditioning regimes were BU12Mel100 and BEAM 400. Toxicity during conditioning was easily managed in the outpatient clinic. Gastrointestinal toxicity, mostly Grades I and II, was seen in 69% of the patients, 62% of patients had diarrhea, 61% of the patients had nausea and vomiting and 58% had Grade I and II mucositis. Ten patients required hospitalization due to the conditioning regimen. Febrile neutropenia was seen in 58% of patients. Two patients died before Day +60 due to infections, one with aplasia. The median times to granulocyte and platelet engraftment were 12 days and 15 days, respectively, with median red blood cell and

  7. Thunderstorm activity in early Earth: same estimations from point of view a role of electric discharges in formation of prebiotic conditions

    Serozhkin, Yu.


    Introduction The structure and the physical parameters of an early Earth atmosphere [1], most likely, played a determining role in formation of conditions for origin of life. The estimation of thunderstorm activity in atmosphere of the early Earth is important for understanding of the real role of electrical discharges during formation of biochemical compounds. The terrestrial lightning a long time are considered as one of components determining a physical state and chemical structure of an atmosphere. Liebig in 1827 has considered a capability of nitrogen fixation at discharges of lightning [2]. Recent investigations (Lamarque et al. 1996) have achieved that production rate of NOx due to lightning at 3·106 ton/year [3]. The efficiency of electric discharges as energy source for synthesis of low molecular weight organic compounds is explained by the several factors. To them concern effect of optical radiation, high temperature, shock waves and that is especially important, pulse character of these effects. The impulse impact is essentially reduced the probability of destruction of the formed compounds. However, for some reasons is not clear the real role of electric discharges in synthesis of biochemical compounds. The discharges used in experiments on synthesis of organic substances, do not remind the discharges observable in a nature. One more aspect of a problem about a role of electric discharges in forming pre-biotic conditions on the Earth is connected with the thunderstorm activity in a modern atmosphere. This activity is connected with the presence in an atmosphere of ice crystals and existing gradient of temperature. To tell something about a degree of thunderstorm activity during the early Earth, i.e. that period, when formed pre-biotic conditions were is very difficult. Astrobiological potential of various discharges First of all the diversity of electric discharges in terrestrial atmosphere (usual lightning, lightning at eruption of volcanoes

  8. Post total thyroidectomy hypocalcemia: A novel multi-factorial scoring system to enable its prediction to facilitate an early discharge

    P V Pradeep


    Full Text Available Context: No single factor can predict the occurrence of post total thyroidectomy (TT hypocalcemia. Aims: This study was conducted to look at various factors usually implicated in post TT clinically significant hypocalcemia (CSH and to develop a scoring system using a combination of these factors to predict CSH. Settings and Design: Prospective study, tertiary care center. Materials and Methods: 145 patients, who underwent total thyroidectomy for benign goiters and early carcinoma thyroid ( 3 had 91% sensitivity, 84% specificity with a PPV of 71% and NPV of 95%, whereas score of ≥ 4 had 100% specificity and PPV in predicting CSH. Conclusions: CSH after TT is multi-factorial, and a combination of factors (Hypocalcemia prediction score > 3 can be used to predict it so as to discharge patients within 24 hours after surgery.

  9. [Handling of a gastrostomy. The experience of an at home support team].

    Gallo, Angeles Olalla


    When it is necessary to apply prolonged nutritional support in a patient, the permanent intestinal ways are the preferred choice. In spite of this, its use yields varied results, especially in at home care cases. The objective of this study is to describe the experience an at home support team had attending to non-cancer patients who had undergone a gastrostomy The patient profile is an elderly patient having a neurological pathology and a high degree of dependence. Generally gastrostomies are used to administer polymeric diets with fiber The most frequent complications are related to the deterioration of the catheter which necessitates it being replaced, followed by light character peristomas; among the digestive complications, constipation stands out and, although not very frequently digestive bleeding due to bedsores. The handling of a gastrostomy should be taken on by personnel who treat the patient at home. Therefore it is necessary to educate and train the caretakers how to use one as part of an individualized treatment plan.

  10. A randomized comparison of home visits and hospital-based group follow-up visits after early postpartum discharge.

    Escobar, G J; Braveman, P A; Ackerson, L; Odouli, R; Coleman-Phox, K; Capra, A M; Wong, C; Lieu, T A


    Short postpartum stays are common. Current guidelines provide scant guidance on how routine follow-up of newly discharged mother-infant pairs should be performed. We aimed to compare 2 short-term (within 72 hours of discharge) follow-up strategies for low-risk mother-infant pairs with postpartum length of stay (LOS) of costs were studied using computerized databases and chart review. Breastfeeding continuation, maternal depressive symptoms, and maternal satisfaction were assessed by means of telephone interviews at 2 weeks postpartum. During a 17-month period in 1998 to 1999, we enrolled and randomized 1014 mother-infant pairs (506 to the control group and 508 to the intervention group). There were no significant differences between the study groups with respect to maternal age, race, education, household income, parity, previous breastfeeding experience, early initiation of prenatal care, or postpartum LOS. There were no differences with respect to neonatal LOS or Apgar scores. In the control group, 264 mother-infant pairs had an individual visit only, 157 had a group visit only, 64 had both a group and an individual visit, 4 had a home health and a hospital-based follow-up, 13 had no follow-up within 72 hours, and 4 were lost to follow-up. With respect to outcomes within 2 weeks after discharge, there were no significant differences in newborn or maternal hospitalizations or urgent care visits, breastfeeding discontinuation, maternal depressive symptoms, or a combined clinical outcome measure indicating whether a mother-infant pair had any of the above outcomes. However, mothers in the home visit group were more likely than those in the control group to rate multiple aspects of their care as excellent or very good. These included the preventive advice delivered (76% vs 59%) and the skills and abilities of the provider (84% vs 73%). Mothers in the home visit group also gave higher ratings on overall satisfaction with the newborn's posthospital care (71% vs 59

  11. Kinetic study on non-thermal volumetric plasma decay in the early afterglow of air discharge generated by a short pulse microwave or laser

    Yang, Wei; Zhou, Qianhong; Dong, Zhiwei


    This paper reports a kinetic study on non-thermal plasma decay in the early afterglow of air discharge generated by short pulse microwave or laser. A global self-consistent model is based on the particle balance of complex plasma chemistry, electron energy equation, and gas thermal balance equation. Electron-ion Coulomb collision is included in the steady state Boltzmann equation solver to accurately describe the electron mobility and other transport coefficients. The model is used to simulate the afterglow of microsecond to nanosecond pulse microwave discharge in N2, O2, and air, as well as femtosecond laser filament discharge in dry and humid air. The simulated results for electron density decay are in quantitative agreement with the available measured ones. The evolution of plasma decay under an external electric field is also investigated, and the effect of gas heating is considered. The underlying mechanism of plasma density decay is unveiled through the above kinetic modeling.

  12. Pancreatitis - discharge

    Chronic pancreatitis - discharge; Pancreatitis - chronic - discharge; Pancreatic insufficiency - discharge; Acute pancreatitis - discharge ... You were in the hospital because you have pancreatitis. This is a swelling of the pancreas. You ...

  13. Stereotactic radiosurgery - discharge

    Gamma knife - discharge; Cyberknife - discharge; Stereotactic radiotherapy - discharge; Fractionated stereotactic radiotherapy - discharge; Cyclotrons - discharge; Linear accelerator - discharge; Lineacs - ...

  14. Solar forcing of Nile discharge and sapropel S1 formation in the early to middle Holocene eastern Mediterranean

    Hennekam, R.|info:eu-repo/dai/nl/357286081; Jilbert, T.|info:eu-repo/dai/nl/304835714; Schnetger, B.; de Lange, G.J.|info:eu-repo/dai/nl/073930962


    We present high-resolution records for oxygen isotopes of the planktic foraminifer Globigerinoidesruber (δ18Oruber) and bulk sediment inorganic geochemistry for Holocene-age sediments from the southeastMediterranean. Our δ18Oruberrecord appears to be dominated by Nile discharge rather than basin-sca

  15. Efectos de un programa de alta precoz sobre las preocupaciones de los padres de niños prematuros (Effects on an early discharge program on the concerns of parents of preterm infants

    Manuel Fernández-Alcántara


    Full Text Available The birth of a premature infant has a striking emotional impact on the parents, especially when the hospitalization period is long. Early discharge programs are an effective tool to facilitate the transition to home and have beneficial effects. However, few studies have investigated the effects of these programs on parents during the post-discharge period and how are they related to changes in family dynamics. This article explored the experiences and obstacles faced by parents of preterm infants after discharge. The study followed a qualitative design using a descriptive phenomenological approach. Purposive sampling was used and a total of 23 parents participated. Data collection ended when theoretical saturation was reached.The parents were assessed using semi-structured interviews. A thematic analysis was conducted, which identified three central themes: concerns of the parents, emotions after discharge, and changes in life. The results indicate the importance of the early discharge program, which is associated with many positive emotions in parents. Participation in the early discharge program was associated with increased confidence regarding caring and improved skills related to managing some of the complex emotions associated with discharge.

  16. Bronchiolitis - discharge

    RSV bronchiolitis - discharge; Respiratory syncytial virus bronchiolitis - discharge ... Your child has bronchiolitis , which causes swelling and mucus to build up in the smallest air passages of the lungs. In the hospital, ...

  17. Early Diagnosis and Intervention for Hearing Loss in Newborns Discharged from Intensive Care Units: a Four-year Follow-up Study in North of Iran

    Sima Tajik


    Full Text Available Background Hearing loss is the most common congenital disorder the incidence of which is further increased in the presence of risk factors for hearing loss among newborns admitted to the neonatal intensive care unit (NICU. The aim of this study was early diagnosis and intervention for hearing loss in newborns discharged from NICU. Materials and Methods This prospective cohort study was conducted on 3,362 newborns discharged from the NICU in several hospitals in Babol, Iran. Each newborn was evaluated through the transient evoked otoacoustic emission (T EOAE test. In the absence of any result, retests including TEOAE and diagnostic auditory brainstem response (ABR were conducted. In case of hearing loss, intervention programs including hearing aids fitting and cochlear implant were considered for infants. Each newborn infant was follow-up for four years. The infant’s age was also calculated during the hearing loss diagnosis and the intervention program. Results Sensorineural hearing loss (SNHL was diagnosed in 35 (1.04% of the infants at an average age of 105.65 + 96.72 days. Most of hearing loss diagnosis (51.43% was before the age of 3 months. Hearing aids were fitted for 25 infants (80.64% with a mean age of 9.61 + 7.64 months. Cochlear implants were done for two (8% children. At the end of the follow up, all of the children except one case (3.22% were able to use verbal communication. Conclusion Hearing screening of the high risk NICU graduate babies has reduced the age of hearing loss diagnosis to 3 months. The presence of severe to profound hearing loss in this population highlights the importance of early diagnosis and intervention.

  18. Differential regulation by MK801 of immediate-early genes, brain-derived neurotrophic factor and trk receptor mRNA induced by a kindling after-discharge.

    Hughes, P E; Young, D; Preston, K M; Yan, Q; Dragunow, M


    Transient changes in immediate-early genes and neurotrophin expression produced by kindling stimulation may mediate secondary downstream events involved in kindling development. Recent experiments have demonstrated conclusively that both kindling progression and mossy fibre sprouting are significantly impaired by administration of the N-methyl-D-aspartate (NMDA) receptor antagonist MK801. To further examine the link between kindling, changes in gene expression and the NMDA receptor, we examined the effects of MK801 on neuronal induction of immediate-early genes, brain-derived neurotrophic factor (BDNF) and trk receptor mRNA expression produced by a single electrically induced hippocampal after-discharge in rats. The after-discharge produced a rapid (after 1 h) increase in Fos, Jun-B, c-Jun, Krox-24 mRNA and protein and Krox-20 protein in dentate granule neurons and a delayed, selective expression of Fos, Jun-D and Krox-24 in hilar interneurons. MK801 pretreatment produced a very strong inhibition of Fos, Jun-D and Krox-20 increases in dentate neurons but had a much smaller effect on Jun-B and c-Jun expression. MK801 did not inhibit Krox-24 expression in granule neurons or the delayed expression of Fos, Jun-D and Krox-24 in hilar interneurons. BDNF protein and trk B and trk C mRNA expression were also strongly induced in dentate granule cells 4 h following an after-discharge. MK801 abolished the increase in BDNF protein and trk B, but not trk C mRNA in granule cells at 4 h. These results demonstrate that MK801 differentially regulates the AD-increased expression of a group of genes previously identified as being likely candidates for an involvement in kindling. Because MK801 significantly retards the development of kindling and mossy fibre sprouting, it can be argued that those genes whose induction is not significantly attenuated by MK801 are unlikely to play an important role in the MK801-sensitive component of kindling and the changes in neural connectivity

  19. Early-switch/early-discharge opportunities for hospitalized patients with methicillin-resistant Staphylococcus aureus complicated skin and soft tissue infections: proof of concept in the United Arab Emirates

    El Houfi A


    Full Text Available Ashraf El Houfi,1 Nadeem Javed,2 Caitlyn T Solem,3 Cynthia Macahilig,4 Jennifer M Stephens,3 Nirvana Raghubir,5 Richard Chambers,6 Jim Z Li,7 Seema Haider81Dubai Hospital, Dubai, UAE; 2Rashid Hospital, Dubai, UAE; 3Pharmerit International, Bethesda, MD, USA; 4Medical Data Analytics, Parsippany, NJ, USA; 5Pfizer, New York, NY, USA; 6Pfizer, Collegeville, PA, USA; 7Pfizer, La Jolla, CA, USA; 8Pfizer, Groton, CT, USAObjectives: To describe real-world treatment patterns and health care resource use and to estimate opportunities for early-switch (ES from intravenous (IV to oral (PO antibiotics and early-discharge (ED for patients hospitalized in the United Arab Emirates (UAE with methicillin-resistant Staphylococcus aureus (MRSA complicated skin and soft tissue infections.Methods: This retrospective observational medical chart review study enrolled physicians from four UAE sites to collect data for 24 patients with documented MRSA complicated skin and soft tissue infections, hospitalized between July 2010 and June 2011, and discharged alive by July 2011. Data include clinical characteristics and outcomes, hospital length of stay (LOS, MRSA-targeted IV and PO antibiotic use, and ES and ED eligibility using literature-based and expert-validated criteria.Results: Five included patients (20.8% were switched from IV to PO antibiotics while being inpatients. Actual length of MRSA-active treatment was 10.8±7.0 days, with 9.8±6.6 days of IV therapy. Patients were hospitalized for a mean 13.9±9.3 days. The most frequent initial MRSA-active therapies used were vancomycin (37.5%, linezolid (16.7%, and clindamycin (16.7%. Eight patients were discharged with MRSA-active antibiotics, with linezolid prescribed most frequently (n=3; 37.5%. Fifteen patients (62.5% met ES criteria and potentially could have discontinued IV therapy 8.3±6.0 days sooner, and eight (33.3% met ED criteria and potentially could have been discharged 10.9±5.8 days earlier


    T. N. Bukharova


    Full Text Available According to the data available in the literature, as high as 50% of women have benign breast tumors frequently accompanied by nip- ple discharge. Nipple discharge may be serous, bloody, purulent, and colostric. The most common causes are breast abscess, injury, drugs, prolactinoma, intraductal pappiloma, ductal ectasia, intraductal cancer (not more than 10%.

  1. Discharge Dialogue

    Horsbøl, Anders


    less attention has been given to medical patients, who are often elderly and suffer from multiple diseases. This paper addresses the latter issue with a case study of a local initiative to improve transition from hospital to home (care) for medical patients at a Danish hospital, in which a discharge...... coordinator, employed at the hospital, is supposed to anticipate discharge and serve as mediator between the hospital and the municipal home care system. Drawing on methods from discourse and interaction analysis, the paper studies the practice of the discharge coordinator in two encounters between patients...

  2. A previously unrecognized path of early Holocene base flow and elevated discharge from Lake Minong to Lake Chippewa across eastern Upper Michigan

    Loope, Walter L.; Jol, Harry M.; Fisher, Timothy G.; Blewett, William L.; Loope, Henry M.; Legg, Robert J.


    It has long been hypothesized that flux of fresh meltwater from glacial Lake Minong in North America's Superior Basin to the North Atlantic Ocean triggered rapid climatic shifts during the early Holocene. The spatial context of recent support for this idea demands a reevaluation of the exit point of meltwater from the Superior Basin. We used ground penetrating radar (GPR), foundation borings from six highway bridges, a GIS model of surface topography, geologic maps, U.S. Department of Agriculture–Natural Resources Conservation Service soils maps, and well logs to investigate the possible linkage of Lake Minong with Lake Chippewa in the Lake Michigan Basin across eastern Upper Michigan. GPR suggests that a connecting channel lies buried beneath the present interlake divide at Danaher. A single optical age hints that the channel aggraded to 225 m as elevated receipt of Lake Agassiz meltwater in the Superior Basin began to wane floor was quickly breached and interbasin flow to Lake Chippewa was restored. Basal radiocarbon ages on wood from small lakes along the discharge path and a GIS model of Minong's shoreline are consistent with another transgression of Minong after ca. 9.5 ka. At the peak of the latter transgression, the southeastern rim of the Superior Basin (Nadoway Drift Barrier) failed, ending Lake Minong. Upon Minong's final drop, aggradational sediments were deposited at Danaher, infilling the prior breach.

  3. Ileostomy - discharge

    ... foods that may block your stoma are raw pineapple, nuts and seeds, celery, popcorn, corn, dried fruits ( ... ask your doctor Living with your ileostomy Low-fiber diet Small bowel resection - discharge Total colectomy or ...

  4. Gallstones - discharge

    ... this page: // Gallstones - discharge To use the sharing features on this page, please enable JavaScript. You have gallstones. These are hard, pebble-like deposits that formed ...

  5. Interstitial lung disease - adults - discharge

    Diffuse parenchymal lung disease - discharge; Alveolitis - discharge; Idiopathic pulmonary pneumonitis - discharge; IPP - discharge; Chronic interstitial lung - discharge; Chronic respiratory interstitial lung - discharge; Hypoxia - interstitial lung - discharge

  6. Discharge Dialogue

    Horsbøl, Anders


    For several years, efforts have been made to strengthen collaboration between health professionals with different specializations and to improve patient transition from hospital to home (care). In the Danish health care system, these efforts have concentrated on cancer and heart diseases, whereas...... less attention has been given to medical patients, who are often elderly and suffer from multiple diseases. This paper addresses the latter issue with a case study of a local initiative to improve transition from hospital to home (care) for medical patients at a Danish hospital, in which a discharge...... coordinator, employed at the hospital, is supposed to anticipate discharge and serve as mediator between the hospital and the municipal home care system. Drawing on methods from discourse and interaction analysis, the paper studies the practice of the discharge coordinator in two encounters between patients...

  7. Autologous Stem Cell Transplantation in Patients With Multiple Myeloma: An Activity-based Costing Analysis, Comparing a Total Inpatient Model Versus an Early Discharge Model.

    Martino, Massimo; Console, Giuseppe; Russo, Letteria; Meliado', Antonella; Meliambro, Nicola; Moscato, Tiziana; Irrera, Giuseppe; Messina, Giuseppe; Pontari, Antonella; Morabito, Fortunato


    Activity-based costing (ABC) was developed and advocated as a means of overcoming the systematic distortions of traditional cost accounting. We calculated the cost of high-dose chemotherapy and autologous stem cell transplantation (ASCT) in patients with multiple myeloma using the ABC method, through 2 different care models: the total inpatient model (TIM) and the early-discharge outpatient model (EDOM) and compared this with the approved diagnosis related-groups (DRG) Italian tariffs. The TIM and EDOM models involved a total cost of €28,615.15 and €16,499.43, respectively. In the TIM model, the phase with the greatest economic impact was the posttransplant (recovery and hematologic engraftment) with 36.4% of the total cost, whereas in the EDOM model, the phase with the greatest economic impact was the pretransplant (chemo-mobilization, apheresis procedure, cryopreservation, and storage) phase, with 60.4% of total expenses. In an analysis of each episode, the TIM model comprised a higher absorption than the EDOM. In particular, the posttransplant represented 36.4% of the total costs in the TIM and 17.7% in EDOM model, respectively. The estimated reduction in cost per patient using an EDOM model was over €12,115.72. The repayment of the DRG in Calabrian Region for the ASCT procedure is €59,806. Given the real cost of the transplant, the estimated cost saving per patient is €31,190.85 in the TIM model and €43,306.57 in the EDOM model. In conclusion, the actual repayment of the DRG does not correspond to the real cost of the ASCT procedure in Italy. Moreover, using the EDOM, the cost of ASCT is approximately the half of the TIM model. Copyright © 2017 Elsevier Inc. All rights reserved.

  8. Angioplasty and stent - heart - discharge

    Drug-eluting stents - discharge; PCI - discharge; Percutaneous coronary intervention - discharge; Balloon angioplasty - discharge; Coronary angioplasty - discharge; Coronary artery angioplasty - discharge; Cardiac ...

  9. Early

    Kamel Abd Elaziz Mohamed


    Conclusion: Early PDT is recommended for patients who require prolonged tracheal intubation in the ICU as outcomes like the duration of mechanical ventilation length of ICU stay and hospital stay were significantly shorter in early tracheostomy.

  10. Early re-presentation to hospital after discharge from an acute medical unit: perspectives of older patients, their family caregivers and health professionals.

    Slatyer, Susan; Toye, Christine; Popescu, Aurora; Young, Jeanne; Matthews, Anne; Hill, Andrew; Williamson, D James


    To explore the perceptions of older patients who re-presented to hospital within 28 days of discharge from an acute medical unit (AMU), their family caregivers and appropriately experienced health professionals. Hospitals are increasingly using AMUs to provide rapid assessment and treatment for medical patients. Evidence of efficacy is building, however in-depth exploration of the experiences of older patients who re-present to hospital soon after discharge from an AMU, and those who care for them, appears to be lacking. A qualitative, descriptive design was used. In 2007, our team purposively sampled older patients who re-presented to hospital within 28 days of discharge from an AMU (n = 12), family caregivers (n = 15), and health professionals (n = 35). Data were collected using semi-structured interviews and subjected to thematic content analysis. Four themes emerged: the health trajectory, communication challenges, discharge readiness and the decision to return. Re-presentation to hospital was seen as part of a declining health trajectory. The AMU was viewed as treating acute illness well, however patients and family caregivers left hospital with limited understanding of underlying health problems and, therefore, ill-prepared for future health crises. There are clear benefits for older patients from AMUs, which expedite treatment for acute health crises. However, AMU discharge planning needs to consider patients' overall health status and likely future needs to optimise outcomes. Such a requirement is problematic in the context of acute time pressures. To ensure prompt and expert attention to key aspects of discharge planning for older people leaving AMUs, there is a role for in-depth clinical expertise in the care of older people facing deteriorating life-limiting conditions. Therefore, a leadership role for nurses with geriatric and palliative care expertise, alongside medical and allied health professionals, merits attention in this context. © 2013

  11. Cost analysis of adolescent idiopathic scoliosis surgery: early discharge decreases hospital costs much less than intraoperative variables under the control of the surgeon.

    Raudenbush, Brandon L; Gurd, David P; Goodwin, Ryan C; Kuivila, Thomas E; Ballock, R Tracy


    Spinal fusion surgery for the treatment of adolescent idiopathic scoliosis (AIS) is increasing. Health systems and surgeons are decreasing hospital length of stay (LOS) to decrease costs. The purpose of this study was to review the contribution of an accelerated discharge protocol on the total cost of a single episode of care related to the surgical treatment of AIS at a single institution. A retrospective cost analysis was performed over an 18-month period, from January 2014 through June 2015, before and after the institution of an accelerated discharge program. Patients treated surgically with ICD-9 code 737.30 (Idiopathic Scoliosis) were reviewed. Itemized costs and LOS were analyzed collectively and by surgeon before and after the accelerated discharge protocol. Eighty AIS patients were treated surgically. The accelerated discharge program significantly reduced average LOS from 4.2 days in 2014 to 3.3 days during the first 6 months of 2015 (P≤0.05). There were no increases in complications. There was a 9% decrease in the total average costs per episode of care. A weighted average, a relative average change in costs, and an average cost savings per case were calculated for 12 different categories. Average Surgical Services and Nursing costs decreased during the study period while all other costs increased. The accelerated discharge program did not directly contribute significantly to this decrease in costs. Greatest cost reduction was associated with average bone graft and pedicle screw cost, with an overall 8.5% reduction in pedicle screw use and a 58% reduction in bone graft costs. Intraoperative variables under the direct control of the surgeon contribute much more to cost reduction than an accelerated discharge program for surgically treated AIS patients.

  12. Ulcerative colitis - discharge

    Inflammatory bowel disease - ulcerative colitis - discharge; Ulcerative proctitis - discharge; Colitis - discharge ... were in the hospital because you have ulcerative colitis. This is a swelling of the inner lining ...

  13. Investigation of Stoma Care Status in the Early Stage after Discharge for Patients with Colostomy%结肠造口患者出院早期造口护理情况的调查

    李琼; 张俊娥


    目的 调查结肠造口患者出院早期造口护理情况.方法 方便性抽样选取2008年12月至2009年10月广州市7所三级甲等医院胃肠外科103例结肠造口术后出院患者,分别在其出院后1个月和3个月采用自行设计的造口护理情况表和造口自我护理量表-早期版(stoma self-care scale,early stage version,SSCS-early stage version)进行测试.结果 出院后1个月和3个月造口患者的自我护理总分及各条目、造口自理状态、平均每天护理造口的时间以及独立更换造口袋的人数比较,差异均有统计学意义(均P0.05).结论 造口护士应根据患者的具体情况给予有针对性的指导,以提高患者造口自我护理能力,减少造口不适的发生,促使患者早日回归社会.%Objective To explore the stoma nursing status in the early stage after discharge for patients with colostomy. Methods By convenience sampling method, totally 103 patients with colostomy from seven Level 3 Grade A hospitals of Guangzhou were recruited and assessed by self-designed Stoma Care Status Form and Stoma Self-care Scale-early stage version 1 month and 3 month after discharge from December 2008 to October 2009. Results The total score and each item of Stoma Self-Care Scale,stoma self-care status,time spent for stoma care each day,and number of patients who can chang pouch independently had significant difference between 1 month and 3 month after discharge for patients with colostomy (P0. 05). Conclusion Proper guidance based on one's actual status should be given to the discharged patients in the early stage, so as to improve their stoma self-care ability and decrease their stoma malaise.

  14. Mortality and cardiovascular morbidity within 30 days of discharge following acute coronary syndrome in a contemporary European cohort of patients: How can early risk prediction be improved? The six-month GRACE risk score.

    Raposeiras-Roubín, Sergio; Abu-Assi, Emad; Cambeiro-González, Cristina; Álvarez-Álvarez, Belén; Pereira-López, Eva; Gestal-Romaní, Santiago; Pedreira-López, Milagros; Rigueiro-Veloso, Pedro; Virgós-Lamela, Alejandro; García-Acuña, José María; González-Juanatey, José Ramón


    Given the increasing focus on early mortality and readmission rates among patients with acute coronary syndrome (ACS), this study was designed to evaluate the accuracy of the GRACE risk score for identifying patients at high risk of 30-day post-discharge mortality and cardiovascular readmission. This was a retrospective study carried out in a single center with 4229 ACS patients discharged between 2004 and 2010. The study endpoint was the combination of 30-day post-discharge mortality and readmission due to reinfarction, heart failure or stroke. One hundred and fourteen patients had 30-day events: 0.7% mortality, 1% reinfarction, 1.3% heart failure, and 0.2% stroke. After multivariate analysis, the six-month GRACE risk score was associated with an increased risk of 30-day events (HR 1.03, 95% CI 1.02-1.04; p<0.001), demonstrating good discrimination (C-statistic: 0.79 ± 0.02) and optimal fit (Hosmer-Lemeshow p=0.83). The sensitivity and specificity were adequate (78.1% and 63.3%, respectively), and negative predictive value was excellent (99.1%). In separate analyses for each event of interest (all-cause mortality, reinfarction, heart failure and stroke), assessment of the six-month GRACE risk score also demonstrated good discrimination and fit, as well as adequate predictive values. The six-month GRACE risk score is a useful tool to predict 30-day post-discharge death and early cardiovascular readmission. Clinicians may find it simple to use with the online and mobile app score calculator and applicable to clinical daily practice. Copyright © 2014 Sociedade Portuguesa de Cardiologia. Published by Elsevier España. All rights reserved.

  15. Pediatric heart surgery - discharge

    ... discharge; Heart valve surgery - children - discharge; Heart surgery - pediatric - discharge; Heart transplant - pediatric - discharge ... Geme JW, Schor NF, eds. Nelson Textbook of Pediatrics . 20th ed. Philadelphia, PA: Elsevier; 2016:chap 434. ...

  16. Lung surgery - discharge

    ... Lung biopsy - discharge; Thoracoscopy - discharge; Video-assisted thoracoscopic surgery - discharge; VATS - discharge ... milk) for 2 weeks after video-assisted thoracoscopic surgery and 6 to 8 weeks after open surgery. ...

  17. Refractive corneal surgery - discharge

    Nearsightedness surgery - discharge; Refractive surgery - discharge; LASIK - discharge; PRK - discharge ... You had refractive corneal surgery to help improve your vision. This surgery uses a laser to reshape your cornea. It corrects mild-to-moderate nearsightedness, ...

  18. Concussion - adults - discharge

    Brain injury - concussion - discharge; Traumatic brain injury - concussion - discharge; Closed head injury - concussion - discharge ... Getting better from a concussion takes days to weeks or even months. ... have trouble concentrating, or be unable to remember things. ...

  19. Tennis elbow surgery - discharge

    ... epicondylitis surgery - discharge; Lateral tendinosis surgery - discharge; Lateral tennis elbow surgery - discharge ... long as you are told. This helps ensure tennis elbow will not return. You may be prescribed a ...

  20. Asthma - child - discharge

    Pediatric asthma - discharge; Wheezing - discharge; Reactive airway disease - discharge ... Your child has asthma , which causes the airways of the lungs to swell and narrow. In the hospital, the doctors and nurses helped ...

  1. Eye muscle repair - discharge

    ... Lazy eye repair - discharge; Strabismus repair - discharge; Extraocular muscle surgery - discharge ... You or your child had eye muscle repair surgery to correct eye muscle ... term for crossed eyes is strabismus. Children most often ...

  2. Neck dissection - discharge

    Radical neck dissection - discharge; Modified radical neck dissection - discharge; Selective neck dissection - discharge ... 659-665. Robbins KT, Samant S, Ronen O. Neck dissection. In: Flint PW, Haughey BH, Lund V, et ...

  3. ACL reconstruction - discharge

    Anterior cruciate ligament reconstruction - discharge; ACL reconstruction - discharge ... had surgery to reconstruct your anterior cruciate ligament (ACL). The surgeon drilled holes in the bones of ...

  4. Effect of parenteral and early intrajejunal nutrition on pancreatic digestive enzyme synthesis,storage and discharge in dog models of acute pancreatitis

    Huan-Long Qin; Zhen-Dong Su; Lei-Guang Hu; Zai-Xian Ding; Qing-Tian Lin


    AIM:To study the effect of early intrajejunal nutrition on enzyme-protein synthesis and secretion during acute pancreatitis.METHODS:Fifteen dogs were randomly divided into parenteral nutrition(n = 7)and early intrajejunal nutrition groups(n = 8).An acute pancreatitis model was induced by injecting 5% sodium taurocholate and trypsin into the pancreas via the pancreatic duct.Intrajejunal nutrition was delivered with a catheter via a jejunostomy tube after the model was established for 24 h.On d 1 and 7 and at the beginning of nutritional support,radioactive tracing and electron microscopes were used to evaluate the enzyme-protein synthesis in acinar cells,the subcellular fractionation and the change in zymogen granules after 1.85×106 Bq L-3H phenylalanine was infused at 30,60,120,and 180 min.RESULTS:The 3H radioactivity in pancreatic acinar cells reached its peak level at 60 min,and the contents in the early intrajejunal nutrition group were higher than those in the parenteral nutrition group,which were then decreased.The mean number and area of zymogen granules did not show any significant statistical difference in both groups on d 1 or on d 7(P > 0.05).CONCLUSION:Early intrajejunal nutrition might be effective in dogs with acute pancreatitis.

  5. Early discharge and home intervention reduces unit costs after total hip replacement: results of a cost analysis in a randomized study.

    Sigurdsson, Eyjolfur; Siggeirsdottir, Kristin; Jonsson, Halldor; Gudnason, Vilmundur; Matthiasson, Thorolfur; Jonsson, Brynjolfur Y


    Total hip replacement (THR) is a common and costly procedure. The number of THR is expected to increase over the coming years. Two pathways of postoperative treatment were compared in a randomized study. Fifty patients from two hospitals were randomized into a study group (SG) of 27 patients receiving preoperative and postoperative education programs, as well as home visits from an outpatient team. A control group (CG) of 23 patients received "conventional" rehabilitation augmented by a stay at a rehabilitation center if needed. All costs for the two groups both in hospitals and after discharge were collected and analyzed. On average total costs for the SG were $8,550 and $11,952 for the CG, a 28% cost reduction. Total inpatient costs were $5,225 for the SG and $6,515 for the CG. In a regression analysis the group difference is statistically significant. Adjusting for changes in the Oxford Hip Score gives effective costs (C/E). The ratio of the SGs C/E to the CGs is 0.60. That is a cost-effectiveness gain of 40%. A shorter hospital stay augmented with better preoperative education and home treatment appears to be more effective and costs less than the traditional in hospital pathway of treatment.

  6. Foot amputation - discharge

    Amputation - foot - discharge; Trans-metatarsal amputation - discharge ... You have had a foot amputation. You may have had an accident, or your foot may have had an infection or disease and doctors could not save ...

  7. Parent-child relationships and dyadic friendship experiences as predictors of behavior problems in early adolescence

    Sentse, Miranda; Laird, Robert D.


    This study focused on support and conflict in parent-child relationships and dyadic friendships as predictors of behavior problems in early adolescence (n=182; M age=12.9 years, 51% female, 45% African American, 74% two-parent homes). Support and conflict in one relationship context were hypothesize

  8. Parent-child relationships and dyadic friendship experiences as predictors of behavior problems in early adolescence

    Sentse, Miranda; Laird, Robert D.


    This study focused on support and conflict in parent-child relationships and dyadic friendships as predictors of behavior problems in early adolescence (n=182; M age=12.9 years, 51% female, 45% African American, 74% two-parent homes). Support and conflict in one relationship context were hypothesize

  9. Parent-child relationships and dyadic friendship experiences as predictors of behavior problems in early adolescence

    Sentse, Miranda; Laird, Robert D.


    This study focused on support and conflict in parent-child relationships and dyadic friendships as predictors of behavior problems in early adolescence (n=182; M age=12.9 years, 51% female, 45% African American, 74% two-parent homes). Support and conflict in one relationship context were

  10. Very early discharge versus early discharge versus non-early discharge in children with cancer and febrile neutropenia

    Loeffen, Erik A. H.; te Poele, Esther M.; Tissing, Wim J. E.; Boezen, H. Marike; de Bont, Eveline S. J. M.


    Background Chemotherapy-induced neutropenia is a common adverse effect in children with cancer. Due to the high relative risk of infections and infectious complications, standard care for children with cancer and febrile neutropenia consists of routine hospitalization and parenteral administration o

  11. Early discharge after external anal sphincter repair

    Rosenberg, J; Kehlet, H


    and complications within 30 days after the operation. Surgery was performed during the period of March 1993 to May 1997. The accelerated-stay program included preoperative information, no premedication, a surgical procedure without colostomy, single-dose prophylactic antibiotics, paracetamol for analgesia, free...... surgery and 5 patients stayed for 48 hours after the operation. There was no 30-day morbidity, and no patient received a colostomy in conjunction with the sphincter repair. Fourteen of 19 patients available for follow-up reported a significantly improved functional result compared with preoperative state...

  12. Chronic obstructive pulmonary disease - adults - discharge

    COPD - adults - discharge; Chronic obstructive airways disease - adults - discharge; Chronic obstructive lung disease - adults - discharge; Chronic bronchitis - adults - discharge; Emphysema - adults - discharge; Bronchitis - ...

  13. Adherence to discharge guidelines for late-preterm newborns.

    Goyal, Neera K; Fager, Corinne; Lorch, Scott A


    To evaluate trends in adherence to American Academy of Pediatrics recommendations for early discharge of late-preterm newborns and to test the association between hospital characteristics and early discharge. This study was a population-based cohort study using statewide birth-certificate and hospital-discharge data for newborns in California, Missouri, and Pennsylvania from 1993 to 2005. A total of 282 601 late-preterm newborns at 611 hospitals were included. Using logistic regression, we studied the association of early discharge with regional and hospital factors, including teaching affiliation, volume, and urban versus rural location, adjusting for patient factors. From 1995 to 2000, early discharge decreased from 71% of the sample to 40%. However, by 2005, 39% were still discharged early. Compared with Pennsylvania, California (adjusted odds ratio [aOR]: 5.95 [95% confidence interval (CI): 5.03-7.04]), and Missouri (aOR: 1.56 [95% CI: 1.26-1.93]) were associated with increased early discharge. Nonteaching hospitals were more likely than teaching hospitals to discharge patients early if they were uninsured (aOR: 1.91 [95% CI: 1.35-2.69]) or in a health maintenance organization plan (aOR: 1.40 [95% CI: 1.06-1.84]) but not patients with fee-for-service insurance (aOR: 1.04 [95% CI: 0.80-1.34]). A similar trend for newborns on Medicaid was not statistically significant (aOR: 1.77 [95% CI: 0.95-3.30]). Despite a decline in the late 1990s, early discharge of late-preterm newborns remains common. We observe differences according to state, hospital teaching affiliation, and patient insurance. Additional research on the safety and appropriateness of early discharge for this population is necessary. Copyright © 2011 by the American Academy of Pediatrics.

  14. Outcomes of very-low-birthweight infants after discharge with a discharge weight of 1500 grams.

    Ahmadpour-Kacho, Mousa; Pasha, Yadollah Zahed; Aliabadi, Behdis Motevalli


    Discharge of very-low-birthweight (VLBW) neonates from hospital is an important issue and has a standard criterion worldwide. According to this criterion, VLBW infants will be discharged from hospital when weighing 1800-2100 g but in the newborn services at Amirkola Children's Hospital (ACH), VLBW neonates are discharged when reaching 1500 g. The aim of this study was to determine the safety of this policy. In this analytic-prospective study, 100 premature neonates with discharging weight (DW) of 1500 g and a control group of 150 neonates with DW of 1600-2500 g were included. Both groups showed similar socioeconomic, perinatal and postnatal conditions. They were admitted and treated in the newborn services at ACH. The outcome variables, including death after discharge, readmission and need for emergency visit for an acute problem up to 3 months after discharge, were studied. The information was analyzed by SPSS-16 software and a P-value discharge reached a significant difference between the two groups (31 in the case group vs 21 in the control group, P= 0.000), but there were no significant differences in the readmission rate and death after discharge (two deaths and 15 readmissions in the case group vs two deaths and 21 readmissions in the control group, P= 0.855) In order to decrease the need for emergency visits, we suggest a program of early hospital discharge with home nursing visits and neonatologist support. © 2011 The Authors. Pediatrics International © 2011 Japan Pediatric Society.

  15. Predicting tile drainage discharge

    Iversen, Bo Vangsø; Kjærgaard, Charlotte; Petersen, Rasmus Jes;

    of the water load coming from the tile drainage system is therefore essential. This work aims at predicting tile drainage discharge using dynamic as well as a statistical predictive models. A large dataset of historical tile drain discharge data, daily discharge values as well as yearly average values were......More than 50 % of Danish agricultural areas are expected to be artificial tile drained. Transport of water and nutrients through the tile drain system to the aquatic environment is expected to be significant. For different mitigation strategies such as constructed wetlands an exact knowledge...... used in the analysis. For the dynamic modelling, a simple linear reservoir model was used where different outlets in the model represented tile drain as well as groundwater discharge outputs. This modelling was based on daily measured tile drain discharge values. The statistical predictive model...


    Luce, J.S.; Smith, L.P.


    A method and apparatus are given for producing coaxial arc discharges in an evacuated enclosure and within a strong, confining magnetic field. The arcs are maintained at a high potential difference. Electrons will diffuse to the more positive arc from the negative arc, and positive ions will diffuse from the more positive arc to the negative arc. Coaxial arc discharges have the advantage that ions which return to strike the positive arc discharge will lose no energy since they do not strike a solid wall or electrode. Those discharges are useful in confining an ionized plasma between the discharges, and have the advantage of preventing impurities from the walls of the enclosure from entering ihe plasma area because of the arc barrier set up bv the cylindrical outer arc.




    This paper presents a procedure for calculating the effective discharge for rivers with alluvial channels.An alluvial river adjusts the bankfull shape and dimensions of its channel to the wide range of flows that mobilize the boundary sediments. It has been shown that time-averaged river morphology is adjusted to the flow that, over a prolonged period, transports most sediment. This is termed the effective discharge.The effective discharge may be calculated provided that the necessary data are available or can be synthesized. The procedure for effective discharge calculation presented here is designed to have general applicability, have the capability to be applied consistently, and represent the effects of physical processes responsible for determining the channel, dimensions. An example of the calculations necessary and applications of the effective discharge concept are presented.

  18. Filament Discharge Phenomena in Fingerprint Acquisition by Dielectric Barrier Discharge

    WENG Ming; XU Weijun; LIU Qiang


    In this paper, the dielectric barrier discharge fingerprint acquisition technique is introduced. The filament discharge phenomena were observed in the process of fingerprint acquisition. The filament discharge reduced the quality of fingerprint images. Obviously, it was necessary to eliminate streamer discharges in order to get good fingerprint images. The streamer discharge was considered to be the cause of the filament discharge in the experiment. The relationship between the critical electric field and the discharge gap was calculated with the Raether's model of streamer discharge. The calculated results and our experiment proved that it would be difficult for the streamer discharge to occur when the discharge gap was narrow. With a narrow discharge gap, the discharge was homogeneous, and the fingerprint images were clear and large in area. The images obtained in the experiment are very suitable for fingerprint identification as they contain more information.

  19. Capacitor discharge engineering

    Früngel, Frank B A


    High Speed Pulse Technology, Volume III: Capacitor Discharge Engineering covers the production and practical application of capacitor dischargers for the generation and utilization of high speed pulsed of energy in different forms. This nine-chapter volume discusses the principles of electric current, voltage, X-rays, gamma rays, heat, beams of electrons, neutrons and ions, magnetic fields, sound, and shock waves in gases and liquids. Considerable chapters consider the applications of capacitor discharges, such as impulse hardening of steel, ultrapulse welding of precision parts, X-ray flash t

  20. Abdominal radiation - discharge

    Radiation - abdomen - discharge; Cancer - abdominal radiation; Lymphoma - abdominal radiation ... When you have radiation treatment for cancer, your body goes through changes. About 2 weeks after radiation treatment starts, you might notice changes ...

  1. Chest radiation - discharge

    Radiation - chest - discharge; Cancer - chest radiation; Lymphoma - chest radiation ... When you have radiation treatment for cancer, your body goes through changes. About 2 weeks after your first treatment: It may be hard ...

  2. Breast radiation - discharge

    Radiation - breast - discharge ... away around 4 to 6 weeks after the radiation treatment is over. You may notice changes in ... breast looks or feels (if you are getting radiation after a lumpectomy). These changes include: Soreness or ...

  3. Corneal transplant - discharge

    ... page: // Corneal transplant - discharge To use the sharing features on this page, please enable JavaScript. You had a corneal transplant. Most of the tissue of your cornea (the ...

  4. Brain radiation - discharge

    Radiation - brain - discharge; Cancer-brain radiation; Lymphoma - brain radiation; Leukemia - brain radiation ... Decadron) while you are getting radiation to the brain. It may make you hungrier, cause leg swelling ...

  5. Pneumonia - children - discharge

    ... this page: // Pneumonia in children - discharge To use the sharing features ... this page, please enable JavaScript. Your child has pneumonia, which is an infection in the lungs. In ...

  6. Pneumonia - adults - discharge

    ... this page: // Pneumonia in adults - discharge To use the sharing features on this page, please enable JavaScript. You have pneumonia, which is an infection in your lungs. In ...

  7. Inguinal hernia - discharge

    ... page: // Inguinal hernia repair - discharge To use the sharing features on ... your child had surgery to repair an inguinal hernia caused by a weakness in the abdominal wall ...

  8. Cosmetic breast surgery - discharge

    ... this page: // Cosmetic breast surgery - discharge To use the sharing features on this page, please enable JavaScript. You had cosmetic breast surgery to change the size or shape ...

  9. Pectus excavatum - discharge

    ... this page: // Pectus excavatum - discharge To use the sharing features on this ... You or your child had surgery to correct pectus excavatum. This is a deformity of the front of ...

  10. Hip fracture - discharge

    ... this page: // Hip fracture - discharge To use the sharing features on this page, please enable JavaScript. Hip fracture surgery is done to repair a break in ...

  11. Capacitor discharge pulse analysis.

    Baker, Michael Sean; Griffiths, Stewart K.; Tanner, Danelle Mary


    Capacitors used in firing sets and other high discharge current applications are discharge tested to verify performance of the capacitor against the application requirements. Parameters such as capacitance, inductance, rise time, pulse width, peak current and current reversal must be verified to ensure that the capacitor will meet the application needs. This report summarizes an analysis performed on the discharge current data to extract these parameters by fitting a second-order system model to the discharge data and using this fit to determine the resulting performance metrics. Details of the theory and implementation are presented. Using the best-fit second-order system model to extract these metrics results in less sensitivity to noise in the measured data and allows for direct extraction of the total series resistance, inductance, and capacitance.

  12. Pelvic radiation - discharge

    Radiation of the pelvis - discharge; Cancer treatment - pelvic radiation; Prostate cancer - pelvic radiation; Ovarian cancer - pelvic radiation; Cervical cancer - pelvic radiation; Uterine cancer - pelvic radiation; Rectal cancer - pelvic radiation

  13. Identifying discharge practice training needs.

    Lees, L; Emmerson, K

    A training needs analysis tool was developed to identify nurses' discharge training needs and to improve discharge practice. The tool includes 49 elements of discharge practice subdivided into four areas: corporate, operational, clinical and nurse-led discharge. The tool was disseminated to 15 wards on two hospital sites with assistance from the practice development team. Analysis of discharge training is important to assess discharge training needs and to identify staff who may assist with training.

  14. Microwave Discharge Ion Sources

    Celona, L


    This chapter describes the basic principles, design features and characteristics of microwave discharge ion sources. A suitable source for the production of intense beams for high-power accelerators must satisfy the requirements of high brightness, stability and reliability. The 2.45 GHz off-resonance microwave discharge sources are ideal devices to generate the required beams, as they produce multimilliampere beams of protons, deuterons and singly charged ions. A description of different technical designs will be given, analysing their performance, with particular attention being paid to the quality of the beam, especially in terms of its emittance.

  15. Physics of Atmospheric Electric Discharges in Gases: An Informal Introduction

    Treumann, R A; Parrot, M


    A short account of the physics of electrical discharges in gases is given in view of its historical evolution and application to planetary atmospheres. As such it serves as an introduction to the articles on particular aspects of electric discharges contained in this book, in particular in the chapters on lightning and the violent discharges which in the recent two decades have been observed to take place in Earth's upper atmosphere. In addition of briefly reviewing the early history of gas discharge physics we discuss the main parameters affecting violent atmospheric discharges like collision frequency, mean free path and critical electric field strength. Any discharge current in the atmosphere is clearly carried only by electrons. Above the lower bound of the mesosphere the electrons must be considered magnetized with the conductivity becoming a tensor. Moreover, the collisional mean free path in the upper atmosphere becomes relatively large which lowers the critical electric field there and more easily ena...

  16. Ultrasonic partial discharge monitoring method on instrument transformers

    Kartalović Nenad


    Full Text Available Sonic and ultrasonic partial discharge monitoring have been applied since the early days of these phenomena monitoring. Modern measurement and partial discharge acoustic (ultrasonic and sonic monitoring method has been rapidly evolving as a result of new electronic component design, information technology and updated software solutions as well as the development of knowledge in the partial discharge diagnosis. Electrical discharges in the insulation system generate voltage-current pulses in the network and ultrasonic waves that propagate through the insulation system and structure. Amplitude-phase-frequency analysis of these signals reveals information about the intensity, type and location of partial discharges. The paper discusses the possibility of ultrasonic method selectivity improvement and the increase of diagnosis reliability in the field. Measurements were performed in the laboratory and in the field while a number of transformers were analysed for dissolved gases in the oil. A comparative review of methods for the partial discharge detection is also presented in this paper.



    Vaginal infection is one of the top 25 reasons for women to consult doctors in the. USA. The 3 most common ... VAGINAL DISCHARGE IN POSTMENOPAUSAL WOMEN. In this age group, the .... More than one host fac- tor may be involved and ...

  18. Novel Molecular Discharges

    Hilbig, R.; Koerber, A.; Schwan, S.; Hayashi, D.


    A systematic investigation into halides and ~oxides showed the high potential of transition metal oxides as visible radiators for highly efficient gas discharge light sources. Zirconium monoxide (ZrO) has been identified as most promising candidate combining highly attractive green and red emission

  19. Electrical Discharge Machining.

    Montgomery, C. M.

    The manual is for use by students learning electrical discharge machining (EDM). It consists of eight units divided into several lessons, each designed to meet one of the stated objectives for the unit. The units deal with: introduction to and advantages of EDM, the EDM process, basic components of EDM, reaction between forming tool and workpiece,…

  20. Flight Model Discharge System


    Dielectric Sensor ................................... 12 5 ESA S/N 001 ......................................... 24 6 Preliminary Test Sequence...71 28 Optical Transmission Loss of Contamination "Witness" Slide 3 .................................. 72 29 Apparatus used in FMDS Spectroscopic...Monitor ( TPU ). This sensor detects the electromagnetic pulses generated by the onset of arcing. (2) An active discharge device (plasma source). (3) A

  1. Discharge pulse phenomenology

    Frederickson, A. R.


    A model was developed which places radiation induced discharge pulse results into a unified conceptual framework. Only two phenomena are required to interpret all space and laboratory results: (1) radiation produces large electrostatic fields inside insulators via the trapping of a net space charge density; and (2) the electrostatic fields initiate discharge streamer plasmas similar to those investigated in high voltage electrical insulation materials; these streamer plasmas generate the pulsing phenomena. The apparent variability and diversity of results seen is an inherent feature of the plasma streamer mechanism acting in the electric fields which is created by irradiation of the dielectrics. The implications of the model are extensive and lead to constraints over what can be done about spacecraft pulsing.

  2. Electrostatic Discharge Training Manual



  3. Numerical Simulation of Unsteady Discharge Flow with Fluctuation in Positive Discharge Blower

    LIU Zhengxian; WANG Dou; XU Lianhuan


    The operating performance of positive discharge blower/s markedly influenced by the pulsation of the discharge flow, but difficult to be measured with experimental methods. The internal and discharge flow of positive discharge blower with involute type three-lobe are numerically investigated, both in air cooling and countercurrent cooling conditions by means of computational fluid dynamics (CFD). The unsteady compressible flow equations are solved using RNG κ-ε turbulent model. The finite difference method and the second order upwind difference scheme are applied into discrete equations. In the numerical simulation, the dynamic mesh techniques are used to approach the rotating displacement of cell cubage and the alterability of inlet, outlet flow area. The non-uniform mesh is applied to the rotor-stator coupled area. The reliability of the numerical method is verified by simulating the inner flow and comparing with the semi-empirical theory. The flow flux curves and the distributing of velocity vector showed obvious vortex motion in all the discharge process, both in air cooling and countercurrent cooling conditions. These vortexes with different positions, intension and numbers at different rotating angles have remarkable influences on the discharge flux. For air cooling, the vortex produced a second pulsation with big-amplitude in a cycle, and led to the early appearance of maximum of backflow. For countercurrent cooling, the frequency of pulsation increased due to the pre-inflow, but the hackflow at the outlet is prevented, also the pulsation strength has greatly decreased.

  4. Electrochemical Discharge Machining Process

    Anjali V. Kulkarni


    Full Text Available Electrochemical discharge machining process is evolving as a promising micromachiningprocess. The experimental investigations in the present work substantiate this trend. In the presentwork, in situ, synchronised, transient temperature and current measurements have been carriedout. The need for the transient measurements arose due to the time-varying nature of the dischargeformation and time varying circuit current. Synchronised and transient measurements revealedthe discrete nature of the process. It also helped in formulating the basic mechanism for thedischarge formation and the material removal in the process. Temperature profile on workpieceand in electrochemical discharge machining cell is experimentally measured using pyrometer,and two varieties of K-type thermocouples. Surface topography of the discharge-affected zoneson the workpiece has been carried out using scanning electron microscope. Measurements andsurface topographical studies reveal the potential use of this process for machining in micronregime. With careful experimental set-up design, suitable supply voltage and its polarity, theprocess can be applied for both micromachining and micro-deposition. It can be extended formachining and or deposition of wide range of materials.

  5. Microhollow cathode discharges

    Schoenbach, K. H.; Moselhy, M.; Shi, W.; Bentley, R.


    By reducing the dimensions of hollow cathodes into the hundred micrometer range, stable, direct current, high (atmospheric) pressure glow discharges in rare gases, rare gas-halide mixtures and in air could be generated. The electron energy distribution in these microdischarges is non-Maxwellian, with a pronounced high-energy tail. The high electron energy together with the high gas density, which favors three-body collisions, is the reason for an efficient excimer generation in these microplasmas. Excimer efficiencies from 1% to 9% have been measured for argon, xenon, argon fluoride, and xenon chloride direct current excimer emitters, with a radiant excimer emittance of up to 2 W/cm2 for xenon. Adding small amounts of oxygen to argon has allowed us to generate vacuum ultraviolet line radiation at 130.5 nm with an efficiency approaching 1%. Pulsing xenon discharges with nanosecond electrical pulses has led to an increase in intensity to 15 W/cm2 and to a simultaneous increase in efficiency to more than 20%. Operating the discharges in an abnormal glow mode has allowed us to generate microdischarge arrays without individual ballast. Applications of these plasma arrays are excimer lamps and plasma reactors.

  6. Modeling electronegative plasma discharge

    Lichtenberg, A.J.; Lieberman, M.A. [Univ. of California, Berkley, CA (United States)


    Macroscopic analytic models for a three-component electronegative gas discharge are developed. Assuming the negative ions to be in Boltzmann equilibrium, a positive ion ambipolar diffusion equation is derived. The discharge consists of an electronegative core and electropositive edges. The electron density in the core is nearly uniform, allowing a parabolic approximation to the plasma profile to be employed. The resulting equilibrium equations are solved analytically and matched to a constant mobility transport model of an electropositive edge plasma. The solutions are compared to a simulation of a parallel-plane r.f. driven oxygen plasma for p = 50 mTorr and n{sub eo}= 2.4 x 10{sup 15} m{sup -3}. The ratio {alpha}{sub o} of central negative ion density to electron density, and the electron temperature T{sub e}, found in the simulation, are in reasonable agreement with the values calculated from the model. The model is extended to: (1) low pressures, where a variable mobility model is used in the electropositive edge region; and (2) high {alpha}{sub o} in which the edge region disappears. The inclusion of a second positive ion species, which can be very important in describing electronegative discharges used for materials processing, is a possible extension of the model.

  7. Spleen removal - open - adults - discharge

    Splenectomy - adult - discharge; Spleen removal - adult - discharge ... You had surgery to remove your spleen. This operation is called splenectomy . The surgeon made a cut (incision) in the middle of your belly or on the left side ...

  8. Theory of gas discharge plasma

    Smirnov, Boris M


    This book presents the theory of gas discharge plasmas in a didactical way. It explains the processes in gas discharge plasmas. A gas discharge plasma is an ionized gas which is supported by an external electric field. Therefore its parameters are determined by processes in it. The properties of a gas discharge plasma depend on its gas component, types of external fields, their geometry and regimes of gas discharge. Fundamentals of a gas discharge plasma include elementary, radiative and transport processes which are included in its kinetics influence. They are represented in this book together with the analysis of simple gas discharges. These general principles are applied to stationary gas discharge plasmas of helium and argon. The analysis of such plasmas under certain conditions is theoretically determined by numerical plasma parameters for given regimes and conditions.

  9. Plasma Discharge Process in a Pulsed Diaphragm Discharge System

    Duan, Jianjin; Hu, Jue; Zhang, Chao; Wen, Yuanbin; Meng, Yuedong; Zhang, Chengxu


    As one of the most important steps in wastewater treatment, limited study on plasma discharge process is a key challenge in the development of plasma applications. In this study, we focus on the plasma discharge process of a pulsed diaphragm discharge system. According to the analysis, the pulsed diaphragm discharge proceeds in seven stages: (1) Joule heating and heat exchange stage; (2) nucleated site formation; (3) plasma generation (initiation of the breakdown stage); (4) avalanche growth and plasma expansion; (5) plasma contraction; (6) termination of the plasma discharge; and (7) heat exchange stage. From this analysis, a critical voltage criterion for breakdown is obtained. We anticipate this finding will provide guidance for a better application of plasma discharges, especially diaphragm plasma discharges.

  10. Compact Intracloud Discharges

    Smith, David A. [Univ. of Colorado, Boulder, CO (United States)


    In November of 1993, mysterious signals recorded by a satellite-borne broadband VHF radio science experiment called Blackboard led to a completely unexpected discovery. Prior to launch of the ALEXIS satellite, it was thought that its secondary payload, Blackboard, would most often detect the radio emissions from lightning when its receiver was not overwhelmed by noise from narrowband communication carriers. Instead, the vast majority of events that triggered the instrument were isolated pairs of pulses that were one hundred times more energetic than normal thunderstorm electrical emissions. The events, which came to be known as TIPPs (for transionospheric pulse pairs), presented a true mystery to the geophysics community. At the time, it was not even known whether the events had natural or anthropogenic origins. After two and one half years of research into the unique signals, two ground-based receiver arrays in New Mexico first began to detect and record thunderstorm radio emissions that were consistent with the Blackboard observations. On two occasions, the ground-based systems and Blackboard even recorded emissions that were produced by the same exact events. From the ground based observations, it has been determined that TIPP events areproduced by brief, singular, isolated, intracloud electrical discharges that occur in intense regions of thunderstorms. These discharges have been dubbed CIDS, an acronym for compact intracloud discharges. During the summer of 1996, ground-based receiver arrays were used to record the electric field change signals and broadband HF emissions from hundreds of CIDS. Event timing that was accurate to within a few microseconds made possible the determination of source locations using methods of differential time of arrival. Ionospheric reflections of signals were recorded in addition to groundwave/line-of-sight signals and were used to determine accurate altitudes for the discharges. Twenty-four CIDS were recorded from three

  11. Continuous pile discharging machine

    Smith, Phillips P.


    A device for discharging cartridges from tubes under fluid pressure includes a cylindrical housing adapted to be seated in a leak-tight manner on the end of one of the tubes, a chute depending from the cylindrical housing near the end seated on the end of the tube, a rotatable piston having a wrench on the forward end thereof disposed in the cylindrical housing and adapted to manipulate a plug in the end of the tube, and a telescopic hydraulic ram adapted to move the piston toward the plug. In addition the wrench contains a magnet which prevents inadvertent uncoupling of the wrench and the plug.

  12. Mobilization and early hospital discharge for patients with acute myocardial infarction: literature review Movilización y alta precoz en pacientes con infarto agudo del miocardio: revisión de lieratura Mobilização e alta precoce em pacientes com infarto agudo do miocárdio: revisão de literatura

    Juliana de Lima Lopes


    Full Text Available OBJECTIVE: This study was a literature review with the purpose of analyzing articles comparing early and late mobilization and those comparing early and late discharge for patients with acute myocardial infarction. METHODS: The literature review was performed using the Lilacs and Medline databases (1966-2007, and the length of the resting period, the hospitalization and possible complications were analyzed. RESULTS: We selected 18 articles; 11 of them compared early and late mobilization and 7 compared early and late discharge. The length of the resting period in the early mobilization group varied from 2 to 10 days and 5 to 28 days for the longest resting period. The early discharge group stayed in the hospital from 3 to 14 days and the late discharge group stayed in the hospital from 5 to 21 days. CONCLUSION: The studies show that there is no evidence of complications related to short periods of bed rest and hospitalization.OBJETIVO: Analizar los artículos que comparaban la movilización precoz con la tardía, así como aquellos que comparaban el alta precoz con la tardía en pacientes con infarto agudo del miocardio. MÉTODOS: La revisión bibliográfica fue realizada en las Bases de Datos Lilacs y Medline, y fueron analizados el tiempo de reposo y de hospitalización y las complicaciones observadas en los estudios. RESULTADOS: Fueron seleccionados 18 artículos, difundidos entre 1996 y 2007, de los cuales 11 comparaban la movilización precoz con la tardía y 7 el alta precoz con la tardía. El período de reposo en la cama para la movilización precoz varió de 2 a 10 días y de 5 a 28 días para la movilización tardía. Con relación al tiempo de hospitalización se observó que el período de alta precoz varió de 3 a 14 días y de 5 a 21 días para el alta tardía. CONCLUSIÓN: Los estudios muestran que no hay evidencias de mayores complicaciones relacionadas a los cortos períodos de reposo y de hospitalización.OBJETIVO: Analisar os

  13. Discharge of lead contamination by natural compounds pectin and chitin:biochemical analysis of DNA, RNA, DNase, RNase and GOT in albino rat as an early bio-marker of lead-toxicity

    Abd El-Moneim MR Afify; Hossam S El-Beltagi


    Objective:To study the effect of different concentrations of lead in drinking water on nucleic acid contents, nuclease activities and glutamic-oxalacetic transaminease (GOT) in different tissues and reduce toxic effects of lead on environment especially human and rats by using pectin and chitin natural compounds in rat diets. Methods:Male albino rats were divided into eight groups. Groups 1, 4, 5 and 6 were fed on synthetic diet and given deionized water containing 0, 150, 250 and 1 500 μg lead/mL. Groups 2 and 3 were fed on synthetic diet containing 2%apple pectin or 2%grasp shell chitin and served as positive control. Groups 7 and 8 were fed on synthetic diet containing 2%pectin or 2%chitin and drinking water containing 250 μg lead/mL. At the end of the experimental period, animals (6 week) were killed by decapitation. All organs of each rat were dissected out and chilled for determination of DNA, RNA, DNase, RNase and GOT. Results:The data showed that higher lead concentration increased the activity of GOT in all organs. The concentrations of both DNA and RNA were increased with decreasing the activities of DNase and RNase. Adding 2%pectin or chitin with lead concentration 250 μg/mL showed discharge of lead, maintained the amount of nucleic acids and activated the related decomposition enzymes. Conclusions: Pectin or chitin natural compounds have the ability to chelate to lead and subsequently work as active natural compounds to discharge lead contamination.

  14. Improving the quality of vascular surgical discharge planning in a hub centre.

    Wariyapola, C; Littlehales, E; Abayasekara, K; Fall, D; Parker, V; Hatton, G


    Introduction Discharge planning improves patient outcomes, reduces hospital stay and readmission rates, and should involve a multidisciplinary team (MDT) approach. The efficacy of MDT meetings in discharge planning was examined, as well as reasons for delayed discharge among vascular surgical inpatients. Methods Dedicated weekly MDT meetings were held on the vascular ward in Royal Derby Hospital for three months. Each patient was presented to the discharge planning meeting and an expected date of discharge was decided prospectively. Patients who were discharged after this date were considered 'delayed' and reasons for delay were explored at the next meeting. Results Overall, 193 patients were included in the study. Of these, 42 patients (22%) had a delayed discharge while 29 (15%) had an early discharge. The main reasons for delay were awaiting beds (30%), social (14%) and medical (45%). In 64%, the cause for delay was avoidable. Two-thirds (67%) of all delays were >24 hours. This totalled 115 bed days, of which 67 could have been avoided. However, 32 bed days were saved by early discharge. This equates to a net loss of 35 bed days, at a net cost of £2,936 per month or £35,235 per year. The MDT meetings also improved the quality of discharge planning; the variability between expected and actual discharge dates decreased after the first month. Conclusions Discharge planning meetings help prepare for patient discharge and are most effective with multidisciplinary input. The majority of delayed discharges from hospital are preventable. The main causes are awaiting transfers, social services input and medical reasons (eg falls). There is an obvious financial incentive to improve discharge planning. The efficiency of the MDT at discharge planning improves with time and this should therefore be continued for best results.

  15. Electrosurgical Plasma Discharges

    Stalder, K. R.; Woloszko, J.


    Electrosurgical instruments employing plasmas to volumetrically ablate tissue are now enjoying widespread use in medical applications. We have studied several commercially available instruments in which luminous plasma discharges are formed near electrodes immersed in saline solutions when sufficiently large amplitude bipolar voltage waveforms are applied. Different aqueous salt solutions have been investigated, including isotonic NaCl solution as well as solutions of KCl, and BaCl_2. With strong driving voltage applied, a vapor layer is formed as well as visible and UV optical emissions. Spectroscopic measurements reveal the predominant emissions are from the low ionization potential salt species, but significant emissions from electron impact dissociated water fragments such as OH and H-atoms also are observed. The emissions also coincide with negative bias on the active electrode. These optical emissions are consistent with an electron density of about 10^12cm-3 and an electron temperature of about 4 eV. Experimental results and model calculations of the vapor layer formation process and plasma formation in the high-field region will be discussed.


    Klaus Fraedrich; Xiuhua Zhu


    We present a review on studies focusing on memories in hydrological time series in the Yangtze Basin based on observational and reconstructed historical data.Memory appears as scaling of power spectra,S(f)~f-β,with 0 <β≤ 1.The presence of scaling is noteworthy in daily river discharge time series:1)from weeks to a couple of years,power spectra follow flicker noise,that is β≈ 1;2)beyond years,spectral scaling appraaclTes β≈0.3.In historical time series of floods and draughts,power spectra also shows scaling with β≈ 0.38 ~0.52.Furthermore,a 70-year peak is detected in historical maritime events series,which also appears in other past climate indicators.Presence of memory in these hydrological time series implies clustering of extremes and scaling of their recurrence times,therefore,probabilistic forecast potential for extremes can be derived.On the other hand,although several physical processes,for example,soil moisture storage and high intermittency of precipitation,have been suggested to be the possible candidates contributing to the presence of long term memory,they remain open for future research.

  17. Modelling Discharge Inception in Thunderstorms

    Rutjes, Casper; Dubinova, Anna; Ebert, Ute; Buitink, Stijn; Scholten, Olaf; Trinh, Gia Thi Ngoc


    The electric fields in thunderstorms can exceed the breakdown value locally near hydrometeors. But are fields high enough and the regions large enough to initiate a streamer discharge? And where would a sufficient density of free electrons come from to start the discharge in the humid air that rapid

  18. [Redesigning the hospital discharge process].

    Martínez-Ramos, M; Flores-Pardo, E; Uris-Sellés, J


    The aim of this article is to show that the redesign and planning process of hospital discharge advances the departure time of the patient from a hospital environment. Quasi-experimental study conducted from January 2011 to April 2013, in a local hospital. The cases analysed were from medical and surgical nursing units. The process was redesigned to coordinate all the professionals involved in the process. The hospital discharge improvement process improvement was carried out by forming a working group, the analysis of retrospective data, identifying areas for improvement, and its redesign. The dependent variable was the time of patient administrative discharge. The sample was classified as pre-intervention, inter-intervention, and post-intervention, depending on the time point of the study. The final sample included 14,788 patients after applying the inclusion and exclusion criteria. The mean discharge release time decreased significantly by 50 min between pre-intervention and post-intervention periods. The release time in patients with planned discharge was one hour and 25 min less than in patients with unplanned discharge. Process redesign is a useful strategy to improve the process of hospital discharge. Besides planning the discharge, it is shown that the patient leaving the hospital before 12 midday is a key factor. Copyright © 2015 SECA. Published by Elsevier Espana. All rights reserved.

  19. The practice of terminal discharge.

    Radha Krishna, Lalit Kumar; Murugam, Vengadasalam; Quah, Daniel Song Chiek


    'Terminal discharges' are carried out in Singapore for patients who wish to die at home. However, if due diligence is not exercised, parallels may be drawn with euthanasia. We present a theoretical discussion beginning with the definition of terminal discharges and the reasons why they are carried out in Singapore. By considering the intention behind terminal discharges and utilising a multidisciplinary team to deliberate on the clinical, social and ethical intricacies with a patient- and context-specific approach, euthanasia is avoided. It is hoped that this will provide a platform for professionals in palliative medicine to negotiate challenging issues when arranging a terminal discharge, so as to avoid the pitfall of committing euthanasia in a country such as Singapore where euthanasia is illegal. It is hoped that a set of guidelines for terminal discharges may someday be realised to assist professionals in Singapore and around the world.

  20. Microbiology of discharging ears in Ethiopia

    Getachew Tesfaye; Daniel Asrat; Yimtubezinash Woldeamanuel; Messele Gizaw


    Objectives:To isolate and identify the bacterial etiologic agents,including their antibiotic susceptibility pat-tern isolated from patients with discharging ear infections.Methods:Between September 2006 and February 2007,178 patients with discharging ear visiting ENT clinics of St.Paul and Tikur Anbessa University Hospi-tals Addis Ababa,Ethiopia were investigated.Results:Of the patients investigated,52.8% were males and 47.2% were females resulting in an overall male to female ratio of 1.1:1.Ear discharge was the commonest clinical finding followed by hearing problem (91.2%),otalgia (ear pain)(74.7%),fever (17.9%)and itching of external ear (5.1%).S.aureus accounted for 30.2% of the total isolates followed by Proteus ssp. (P.mirabilis,P.vulgaris )(25.4%),and P.aeruginosa (13.4%).Both gram positive and negative bac-teria isolated from ear infections showed low resistance rates to most antimicrobial agents tested.Overall ceftri-axone and ciprofloxacin were the most effective drugs when compared to other drugs tested against the gram-positive and gram-negative bacteria.Conclusion:Otitis media was the most common clinical finding in pa-tients with ear infection.With discharging ear,the gram-negative bacteria were the predominant isolates.The susceptibility pattern of isolates from the study showed that ceftriaxone,ciprofloxacin and gentamicin were the most effective drugs.It is recommended that treatment of ear infections should be based on culture and sensi-tivity at the study sites.Therefore,efforts should be directed towards early diagnosis and treatment of acute ear infection and continued re-evaluation of the resistant patterns of organisms to optimize treatments and reduce complications.

  1. Discharge Planning in Chronic Conditions

    McMartin, K


    Background Chronically ill people experience frequent changes in health status accompanied by multiple transitions between care settings and care providers. Discharge planning provides support services, follow-up activities, and other interventions that span pre-hospital discharge to post-hospital settings. Objective To determine if discharge planning is effective at reducing health resource utilization and improving patient outcomes compared with standard care alone. Data Sources A standard systematic literature search was conducted for studies published from January 1, 2004, until December 13, 2011. Review Methods Reports, randomized controlled trials, systematic reviews, and meta-analyses with 1 month or more of follow-up and limited to specified chronic conditions were examined. Outcomes included mortality/survival, readmissions and emergency department (ED) visits, hospital length of stay (LOS), health-related quality of life (HRQOL), and patient satisfaction. Results One meta-analysis compared individualized discharge planning to usual care and found a significant reduction in readmissions favouring individualized discharge planning. A second meta-analysis compared comprehensive discharge planning with postdischarge support to usual care. There was a significant reduction in readmissions favouring discharge planning with postdischarge support. However, there was significant statistical heterogeneity. For both meta-analyses there was a nonsignificant reduction in mortality between the study arms. Limitations There was difficulty in distinguishing the relative contribution of each element within the terms “discharge planning” and “postdischarge support.” For most studies, “usual care” was not explicitly described. Conclusions Compared with usual care, there was moderate quality evidence that individualized discharge planning is more effective at reducing readmissions or hospital LOS but not mortality, and very low quality evidence that it is more

  2. NPDES (National Pollution Discharge & Elimination System) Minor Dischargers

    U.S. Environmental Protection Agency — As authorized by the Clean Water Act, the National Pollutant Discharge Elimination System (NPDES) permit program controls water pollution by regulating point sources...


    Josephson, V.


    The high-energy electrical discharge device described comprises an envelope, a pair of main discharge electrodes supported in opposition in the envelope, and a metallic shell symmetrically disposed around and spaced from the discharge path between the electrodes. The metallic shell comprises a first element of spaced helical turns of metallic material and a second element of spaced helical turns of methllic material insulatedly supported in superposition outside the first element and with the turns overlapping the gap between the turns of the first element.

  4. An introduction to gas discharges

    Howatson, A M


    An Introduction to Gas Discharges: Second Edition aims to provide a compact introduction to the subject of gas discharges, which continues to make both scientific and industrial progress. In this second edition, the author has made minor corrections, rewritten and expanded some sections, used SI units and modernized notions, in hopes of making the book more up to date. Included in the book is a short history of the subject, an introduction that enumerates the types of gas discharges, the fundamental processes, and then moves on to the more specific areas such as the breakdown, the self-sustai

  5. Snowfall induced by corona discharge

    Ju, Jingjing; Li, Ruxin; Du, Shengzhe; Sun, Haiyi; Liu, Yonghong; Tian, Ye; Bai, Yafeng; Liu, Yaoxiang; Chen, Na; Wang, Jingwei; Wang, Cheng; Liu, Jiansheng; Chin, S L; Xu, Zhizhan


    We demonstrated for the first time the condensation and precipitation (or snowfall) induced by a corona discharge inside a cloud chamber. Ionic wind was found to have played a more significant role than ions as extra Cloud Condensation Nuclei (CCN). 2.25 g of net snow enhancement was measured after applying a 30 kV corona discharge for 25 min. In comparison with another newly emerging femtosecond laser filamentation method, the snow precipitation induced by the corona discharge has about 4 orders of magnitude higher wall-plug efficiency under similar conditions.

  6. Influence of early synthesized nursing on the growth of discharged premature infants%早期综合护理干预对NICU早产儿出院后发育的影响

    吴万云; 黄金华; 温晓红; 吴丽; 姚维芳; 王水云; 胡玉萍


    Objective To explore the influence of early synthesized nursing on the growth of premature infants in NICU after leaving hospital.Methods 256 premature babies that complied with the standard were randomly divided into the experimental group which contained 148 cases and the control group which contained 108 babies.Both the two groups received traditional child rearing guidance,besides that only the experimental group received early evaluation,periodical following-up and early synthesized nursing.Using the neuropsychological development examination table,all children in the two groups were investigated and compared on gross movement,fine movement,adaption capability,language,social behavior and total growth.Results All the indexes in experimental group in six months,twelve months,eighteen months and twenty-four months after born were higher than in control group due to the synthesized nursing,and there were statistically significant differences between the two groups(P <0.05) one child got cerebral palsy in experimental group,and its gmfcs was the 3rd grade,the incidence was 0.71% (1/148),but five cerebral palsy cases in control group,one got the 3rd grade and four children got the 4th grade,the incidence was 5.1% (5/98),there was statistically significant difference( x2 =4.151 6,P < 0.05 ).Conclusions Early hospital evaluation and early synthesized nursing can improve the growth of premature babies after leaving hospital,it also can reduce the incidence of cerebral palsy and relieve the neural behavior deficiency level%目的 探讨早期系统的医院综合护理干预对新生儿重症监护病房( NICU)早产儿出院后发育的影响.方法 将符合标准的NICU出院早产儿256例分为干预组148例和对照组108例.干预组除接受常规育儿指导外,还进行早期评估、定期随访和早期综合护理干预;对照组只接受常规育儿指导.采用小儿神经心理发育定期两组的粗大运动、精细运动、适应能力、

  7. Research on the Optical Properties of Transformers Partial Discharge Based on Different Discharge Models

    Wei Bengang


    Full Text Available In this paper, the different types of discharge in transformer were simulated based on the real transformer fault model. The optical partial discharge detection system was established based on optical sensors which were capturing partial discharge accompanied by optical effects. In this research, surface discharge and suspended discharge defect model was pressurized to generate partial discharge signal. The results showed that: Partial discharge optical signals could effectively respond the production and development process of transformer partial discharge. It was able to assess discharge level also. When the discharge phenomenon stabilized, the phase of surface discharge mainly between 60°~150°and 240°~330°, the phase of suspended discharge mainly between 260°~320°. According to the phase characteristic of discharge pattern, the creeping discharge and suspended discharge phenomenon of transformer can be distinguished. It laid the foundation for the application of transformer optical partial discharge detection technology.

  8. Pulsed discharge production Ar* metastables

    Han, Jiande; Heaven, Michael C.; Emmons, Daniel; Perram, Glen P.; Weeks, David E.; Bailey, William F.


    The production of relatively high densities of Ar* metastables (>1012 cm-3) in Ar/He mixtures, at total pressures close to 1 atm, is essential for the efficient operation of an optically pumped Ar* laser. We have used emission spectroscopy and diode laser absorption spectroscopy measurements to observe the production and decay of Ar* in a parallel plate pulsed discharge. With discharge pulses of 1 μs duration we find that metastable production is dominated by processes occurring within the first 100 ns of the gas break-down. Application of multiple, closely spaced discharge pulses yields insights concerning conditions that favor metastable production. This information has been combined with time-resolved measurements of voltage and current. The experimental results and preliminary modeling of the discharge kinetics are presented.

  9. Circle Points Discharge Tube Current Controller

    Meng Jinjia; Meng Lisheng


    Circle points discharge tube current controller is a new type device to limit theoutput of high voltage discharge current. Circle points uniform corona discharge to form airionization current in the discharge tube. On the outside, even if the discharge electrode is sparkdischarging or the two discharge electrodes are short circuited, the air ionization current in the tuberemains within a stable range, and there is no spark discharge. In this case, when the dischargecurrent only increases slightly, the requirement to limited current is obtained. By installing thecontroller at a discharge pole with a small power but high voltage supply, we can realize the shiftbetween the continuous spark line discharge and corona discharge. This provides a new simpledevice for spark discharge research and is a supplement to the Townsend discharge experiment.

  10. Does the Risk Assessment and Prediction Tool Predict Discharge Disposition After Joint Replacement?

    Hansen, Viktor J.; Gromov, Kirill; Lebrun, Lauren M


    BACKGROUND: Payers of health services and policymakers place a major focus on cost containment in health care. Studies have shown that early planning of discharge is essential in reducing length of stay and achieving financial benefit; tools that can help predict discharge disposition would...

  11. Study on the transition from filamentary discharge to diffuse discharge by using a dielectric barrier surface discharge device


    Discharge characteristics have been investigated in different gases under different pressures using a dielectric barrier surface discharge device. Electrical measurements and optical emission spectroscopy are used to study the discharge,and the results obtained show that the discharges in atmospheric pressure helium and in low-pressure air are diffuse,while that in high-pressure air is filamentary. With decreasing pressure, the discharge in air can transit from filamentary to diffuse one. The results also indicate that corona discharge around the stripe electrode is important for the diffuse discharge. The spectral intensity of N2+ (391.4 nm) relative to N2 (337.1 nm) is measured during the transition from diffuse to filamentary discharge. It is shown that relative spectral intensity increases during the discharge transition. This phenomenon implies that the averaged electron energy in diffuse discharge is higher than that in the filamentary discharge.

  12. Classification of electrical discharges in DC Accelerators

    Banerjee, Srutarshi, E-mail: [Accelerator and Pulse Power Division, Bhabha Atomic Research Centre, Trombay, Mumbai 400085 (India); Deb, A.K. [Department of Electrical Engineering, Indian Institute of Technology Kharagpur, Kharagpur 721302 (India); Rajan, Rehim N. [Accelerator and Pulse Power Division, Bhabha Atomic Research Centre, Trombay, Mumbai 400085 (India); Kishore, N.K. [Department of Electrical Engineering, Indian Institute of Technology Kharagpur, Kharagpur 721302 (India)


    Controlled electrical discharge aids in conditioning of the system while uncontrolled discharges damage its electronic components. DC Accelerator being a high voltage system is no exception. It is useful to classify electrical discharges according to the severity. Experimental prototypes of the accelerator discharges are developed. Photomultiplier Tubes (PMTs) are used to detect the signals from these discharges. Time and Frequency domain characteristics of the detected discharges are used to extract features. Machine Learning approaches like Fuzzy Logic, Neural Network and Least Squares Support Vector Machine (LSSVM) are employed to classify the discharges. This aids in detecting the severity of the discharges.

  13. Classification of electrical discharges in DC Accelerators

    Banerjee, Srutarshi; Deb, A. K.; Rajan, Rehim N.; Kishore, N. K.


    Controlled electrical discharge aids in conditioning of the system while uncontrolled discharges damage its electronic components. DC Accelerator being a high voltage system is no exception. It is useful to classify electrical discharges according to the severity. Experimental prototypes of the accelerator discharges are developed. Photomultiplier Tubes (PMTs) are used to detect the signals from these discharges. Time and Frequency domain characteristics of the detected discharges are used to extract features. Machine Learning approaches like Fuzzy Logic, Neural Network and Least Squares Support Vector Machine (LSSVM) are employed to classify the discharges. This aids in detecting the severity of the discharges.

  14. Microhollow Cathode Discharge Excimer Lamps

    Schoenbach, K. H.


    character. Reducing the diameter of the cathode hole in a hollow cathode discharge geometry to values on the order of 100 μm has allowed us to extend the pressure range of stable, direct current hollow cathode gas discharges up to atmospheric pressure. The large concentration of high-energy electrons generated in the cathode fall, in combination with the high neutral gas density favors three-body processes such as excimer formation. Excimer emission in xenon discharges peaking at 172 nm, was observed with efficiencies between 6% and 9% at pressures of several hundred Torr. Typical forward voltages are 200 V at dc currents up to 8 mA. Pulsed operation allowed us to extend the current range to 80 mA with corresponding linear increase in optical power. Spatially resolved measurements showed that the source of the excimer radiation at atmospheric pressure and currents of less than 8 mA is confined to the cathode opening. The radiative emittance at 8 mA and atmospheric pressure is approximately 20 W/cm^2. With reduced pressure and increased current, respectively, the excimer source extends into the area outside the cathode hole. Besides in xenon, excimer emission in argon at a peak wavelength of 128 nm has been recorded. In addition to operating the discharge in rare gases, we have also explored its use as rare gas-halide excimer source. In a gas mixture containing 1% ArF we were able to generate stable dc discharges in flowing gas at pressures ranging from 100 Torr to atmospheric pressure. The spectra of the high-pressure ArF discharges are dominated by excimer radiation peaking at 193 nm. The excimer emission of a single ArF discharge at 700 Torr was measured as 150 mW at an efficiency of 3%. Parallel operation of these discharges by means of a resistive anode, which has recently been demonstrated for argon discharges, offers the possibility to use microhollow cathode discharge arrays as dc-excimer lamps, with estimated power densities exceeding 10 W/cm^2. abstract

  15. [Hospital readmission after postpartum discharge of term newborns in two maternity wards in Stockholm and Marseille].

    Boubred, F; Herlenius, E; Andres, V; des Robert, C; Marchini, G


    The consequences of early postpartum discharge (EPPD, within 2 days after birth) on newborn health remain debated. Early discharge has been associated with increased neonatal morbidity. However, neonatal re-hospitalization can be prevented by careful follow-up during the 1st week after birth. We compared the early neonatal hospitalization of term newborns over 2 years in two hospitals: Karolinska University Hospital in Stockholm (n=7300 births), which allowed early discharge from 6h after birth with specific neonatal follow-up, and Marseille University Hospital (AP-HM) (n=4385) where postpartum discharge was more conventional after 72 h. During the study period, the EPPD rate was 41% vs. 2% in Stockholm and Marseille, respectively (PHospital readmission was comparable (5.6‰ vs. 7‰, P=0.2). The leading cause associated with hospitalization was icterus in Stockholm (76% vs. 26%, Phospitalization. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  16. Water purification by electrical discharges

    Arif Malik, Muhammad; Ghaffar, Abdul; Akbar Malik, Salman


    There is a continuing need for the development of effective, cheap and environmentally friendly processes for the disinfection and degradation of organic pollutants from water. Ozonation processes are now replacing conventional chlorination processes because ozone is a stronger oxidizing agent and a more effective disinfectant without any side effects. However, the fact that the cost of ozonation processes is higher than chlorination processes is their main disadvantage. In this paper recent developments targeted to make ozonation processes cheaper by improving the efficiency of ozone generation, for example, by incorporation of catalytic packing in the ozone generator, better dispersion of ozone in water and faster conversion of dissolved ozone to free radicals are described. The synthesis of ozone in electrical discharges is discussed. Furthermore, the generation and plasma chemical reactions of several chemically active species, such as H2O2, Obullet, OHbullet, HO2bullet, O3*, N2*, e-, O2-, O-, O2+, etc, which are produced in the electrical discharges are described. Most of these species are stronger oxidizers than ozone. Therefore, water treatment by direct electrical discharges may provide a means to utilize these species in addition to ozone. Much research and development activity has been devoted to achieve these targets in the recent past. An overview of these techniques and important developments that have taken place in this area are discussed. In particular, pulsed corona discharge, dielectric barrier discharge and contact glow discharge electrolysis techniques are being studied for the purpose of cleaning water. The units based on electrical discharges in water or close to the water level are being tested at industrial-scale water treatment plants.}

  17. Dynamics of learner affective development in early FLL

    Jelena Mihaljević Djigunović


    Full Text Available Affective learner factors were first considered as a cause of success in language learning. This was followed by a change in approach and recently authors (e.g., Edelenbos, Johnstone, & Kubanek, 2006 have considered them an important outcome, especially in early foreign language learning (FLL. Current research into affective learner factors in early FLL tries to catch the developmental aspects too, and studies are emerging that take a contextual view as well. This paper describes a study on affective characteristics of young FL learners that combines the developmental and contextual perspectives. Using the case study methodology the author analyses the affective profiles of three young learners of English as a foreign language who were followed for 4 years. The analyses are done taking into account their immediate language learning environment, home support, out-of-school exposure to English and language achievement. The findings suggest that affective learner factors contribute to the dynamic complexity of early FLL.

  18. Effect of early enteral nutrition intervention on nutritional indexes of discharged patients with gastric cancer after surgery%胃癌手术后出院患者早期行肠内营养干预对其营养指标的影响

    苍玉珍; 曾青山; 黄文静


    目的:分析早期肠内营养支持对胃癌术后出院患者营养指标及其恢复的影响。方法随机抽取2011年5月至2015年4于我院择期行胃癌根治术治疗的74例患者作为研究对象,按住院顺序编号,以随机数字表法分为A、B两组,每组各37例。A组胃癌术后早期作家庭肠内营养干预,B组未给予家庭肠内营养支持,比较两组患者术后胃肠道指标的恢复情况,以及出院前后不同时间段患者血清前蛋白(PA)、白蛋白(ALB)、免疫球蛋白(IgG、IgA、IgM)、血红蛋白(Hb)及白细胞计数(WBC)等指标的变化,同时比较两组患者的体质量(BW)、并发症和出院后生活质量改善情况。结果出院3周后,A组患者的PA、ALB、HGB、BW分别上升至(0.25±0.06) g/L、(38.65±3.84) g/L、(93.21±10.41) g/L、(65.06±10.44) kg,IgG、IgA分别上升至为(13.01±1.81) g/L、(4.11±0.97) g/L,分别与B组比较,差异均有统计学意义(P0.05)。结论采用早期家庭肠内营养支持干预胃癌术后出院患者,可改善患者出院后营养指标、免疫水平,改善其术后生活质量,且安全性高。%Objective To analyze the effects of early enteral nutrition intervention on nutritional indexes and recovery in discharged patients with gastric cancer after surgery. Methods Seventy-four patients who underwent radi-cal gastrectomy in our hospital from May 2011 to April 2015 were selected as the study subjects. According to the order of admission, they were divided into group A and group B by the random number table, with 37 patients in each group. Group A was given early home enteral nutrition intervention after operation, while group B was not given home enteral nutrition support. The postoperative recovery of gastrointestinal indexes, changes of serum pre-albumin (PA), albumin (ALB), immunoglobulin (IgG, IgA, IgM), hemoglobin (Hb) and white blood cell count (WBC) were compared between the two groups in different time

  19. Helicon plasma thruster discharge model

    Lafleur, T., E-mail: [Laboratoire de Physique des Plasmas, CNRS, Sorbonne Universités, UPMC Univ Paris 06, Univ Paris-Sud, Ecole Polytechnique, 91128 Palaiseau, France and ONERA - The French Aerospace Lab, 91120 Palaiseau (France)


    By considering particle, momentum, and energy balance equations, we develop a semi-empirical quasi one-dimensional analytical discharge model of radio-frequency and helicon plasma thrusters. The model, which includes both the upstream plasma source region as well as the downstream diverging magnetic nozzle region, is compared with experimental measurements and confirms current performance levels. Analysis of the discharge model identifies plasma power losses on the radial and back wall of the thruster as the major performance reduction factors. These losses serve as sinks for the input power which do not contribute to the thrust, and which reduce the maximum plasma density and hence propellant utilization. With significant radial plasma losses eliminated, the discharge model (with argon) predicts specific impulses in excess of 3000 s, propellant utilizations above 90%, and thruster efficiencies of about 30%.

  20. Capillary Discharge XUV Radiation Source

    M. Nevrkla


    Full Text Available A device producing Z-pinching plasma as a source of XUV radiation is described. Here a ceramic capacitor bank pulse-charged up to 100 kV is discharged through a pre-ionized gas-filled ceramic tube 3.2 mm in diameter and 21 cm in length. The discharge current has amplitude of 20 kA and a rise-time of 65 ns. The apparatus will serve as experimental device for studying of capillary discharge plasma, for testing X-ray optics elements and for investigating the interaction of water-window radiation with biological samples. After optimization it will be able to produce 46.9 nm laser radiation with collision pumped Ne-like argon ions active medium. 

  1. Stroke rehabilitation and discharge planning.

    Kerr, Peter

    Nurses play a pivotal role in the rehabilitation and discharge planning process of patients who have had a stroke. The nurse's role in the wider stroke multidisciplinary team is complex and diverse and, as such, stroke nurses may find it hard to describe their role and how it fits into the rehabilitation and discharge planning process. A definition of the stroke nurse role in prominent publications such as those of the Scottish Intercollegiate Guidelines Network and the Royal College of Physicians is lacking. This article emphasises the role of the stroke nurse in the rehabilitation and discharge planning process in the stroke unit, while highlighting the complexity, diversity and importance of this role in providing holistic care and support for patients who have survived a stroke. The author draws on his clinical experience of stroke nursing practice in primary, secondary and tertiary care in west central Scotland.

  2. Advances in the Remote Glow Discharge Experiment

    Dominguez, Arturo; Zwicker, A.; Rusaits, L.; McNulty, M.; Sosa, Carl


    The Remote Glow Discharge Experiment (RGDX) is a DC discharge plasma with variable pressure, end-plate voltage and externally applied axial magnetic field. While the experiment is located at PPPL, a webcam displays the live video online. The parameters (voltage, magnetic field and pressure) can be controlled remotely in real-time by opening a URL which shows the streaming video, as well as a set of Labview controls. The RGDX is designed as an outreach tool that uses the attractive nature of a plasma in order to reach a wide audience and extend the presence of plasma physics and fusion around the world. In March 2014, the RGDX was made publically available and, as of early July, it has had approximately 3500 unique visits from 107 countries and almost all 50 US states. We present recent upgrades, including the ability to remotely control the distance between the electrodes. These changes give users the capability of measuring Paschen's Law remotely and provides a comprehensive introduction to plasma physics to those that do not have access to the necessary equipment.

  3. State Waste Discharge Permit application, 183-N Backwash Discharge Pond


    As part of the Hanford Federal Facility Agreement and Consent Order negotiations (Ecology et al. 1994), the US Department of Energy, Richland Operations Office, the US Environmental Protection Agency, and the Washington State Department of Ecology agreed that liquid effluent discharges to the ground on the Hanford Site which affect groundwater or have the potential to affect groundwater would be subject to permitting under the structure of Chapter 173--216 (or 173--218 where applicable) of the Washington Administrative Code, the State Waste Discharge Permit Program. As a result of this decision, the Washington State Department of Ecology and the US Department of Energy, Richland Operations Office entered into Consent Order No. DE91NM-177, (Ecology and DOE-RL 1991). The Consent Order No. DE91NM-177 requires a series of permitting activities for liquid effluent discharges. Liquid effluents on the Hanford Site have been classified as Phase I, Phase II, and Miscellaneous Streams. The Consent Order No. DE91NM-177 establishes milestones for State Waste Discharge Permit application submittals for all Phase I and Phase II streams, as well as the following 11 Miscellaneous Streams as identified in Table 4 of the Consent Order No. DE91NM-177.

  4. Compact monolithic capacitive discharge unit

    Roesler, Alexander W.; Vernon, George E.; Hoke, Darren A.; De Marquis, Virginia K.; Harris, Steven M.


    A compact monolithic capacitive discharge unit (CDU) is disclosed in which a thyristor switch and a flyback charging circuit are both sandwiched about a ceramic energy storage capacitor. The result is a compact rugged assembly which provides a low-inductance current discharge path. The flyback charging circuit preferably includes a low-temperature co-fired ceramic transformer. The CDU can further include one or more ceramic substrates for enclosing the thyristor switch and for holding various passive components used in the flyback charging circuit. A load such as a detonator can also be attached directly to the CDU.

  5. Dielectric barrier discharges in analytical chemistry.

    Meyer, C; Müller, S; Gurevich, E L; Franzke, J


    The present review reflects the importance of dielectric barrier discharges in analytical chemistry. Special about this discharge is-and in contrast to usual discharges with direct current-that the plasma is separated from one or two electrodes by a dielectric barrier. This gives rise to two main features of the dielectric barrier discharges; it can serve as dissociation and excitation device and as ionization mechanism, respectively. The article portrays the various application fields for dielectric barrier discharges in analytical chemistry, for example the use for elemental detection with optical spectrometry or as ionization source for mass spectrometry. Besides the introduction of different kinds of dielectric barrier discharges used for analytical chemistry from the literature, a clear and concise classification of dielectric barrier discharges into capacitively coupled discharges is provided followed by an overview about the characteristics of a dielectric barrier discharge concerning discharge properties and the ignition mechanism.

  6. Investigation of electrolyte electric discharge characteristics

    Kirko, D. L.; Savjolov, A. S.


    The most important electrical characteristics of electrolyte electric discharge were investigated. The electric burning discharge was obtained with the help of different electrolytes. The spectral composition of the electric discharge electromagnetic radiation was determined, the plasma temperature was determined. The spectrum of the electric discharge high-frequency oscillations was calculated in the region v=10 kHz-80 MHz. The most appropriate modes of the electric burning discharge in different electrolytes were proposed.

  7. Homelessness following disability-related discharges from active duty military service in Afghanistan and Iraq.

    Fargo, Jamison D; Brignone, Emily; Metraux, Stephen; Peterson, Rachel; Carter, Marjorie E; Barrett, Tyson; Palmer, Miland; Redd, Andrew; Samore, Matthew H; Gundlapalli, Adi V


    Many dynamics in the relationship among military service-related disabilities, health care benefits, mental health disorders, and post-deployment homelessness among US Veterans are not well understood. Determine whether Veterans with a disability-related discharge from military service are at higher risk for homelessness, whether Veterans Health Administration (VHA) service-connected disability benefits mitigates that risk, and whether risks associated with discharge type, service-connected disability, or the interaction between them vary as a function of mental health disorders. Retrospective cohort study of 364,997 Veterans with a disability-related or routine discharge and initial VHA encounter between 2005 and 2013. Logistic regression and survival analyses were used to estimate homelessness risk as a function of discharge status, mental health disorders, and receipt of VHA disability benefits. Disability-discharged Veterans had higher rates of homelessness compared to routine discharges (15.1 verses 9.1 per 1000 person-years at risk). At the time of the first VHA encounter, mental health disorders were associated with differentially greater risk for homelessness among Veterans with a disability discharge relative to those with a routine discharge. During the first year of VHA service usage, higher levels of disability benefits were protective against homelessness among routinely-discharged Veterans, but not among disability-discharged Veterans. By 5-years, disability discharge was a risk factor for homelessness (AOR = 1.30). In the long-term, disability discharge is an independent risk factor for homelessness. While VHA disability benefits help mitigate homelessness risk among routinely-discharged Veterans during the early reintegration period, they may not offer sufficient protection for disability-discharged Veterans. Copyright © 2017 Elsevier Inc. All rights reserved.

  8. Electronic Discharge Letter Mobile App

    Lezcano, Leonardo; Triana, Michel; Ternier, Stefaan; Hartkopf, Kathleen; Stieger, Lina; Schroeder, Hanna; Sopka, Sasa; Drachsler, Hendrik; Maher, Bridget; Henn, Patrick; Orrego, Carola; Marcus, Specht


    The electronic discharge letter mobile app takes advantage of Near Field Communication (NFC) within the PATIENT project and a related post-doc study. NFC enabled phones to read passive RFID tags, but can also use this short-range wireless technology to exchange (small) messages. NFC in that sense co

  9. Plasma Characteristics of Electrosurgical Discharges*

    Stalder, Kenneth R.


    Surgical devices utilizing electrical discharges of ever increasing sophistication have been used for decades for numerous procedures. Cushing and Bovie in 1928, for example, developed high-frequency spark generators to cauterize blood vessels and remove unwanted tissue by a thermal ablation processes. Modern Bovies (named after their inventor) use a high-frequency discharge from an electrode to nearby tissue to thermally ablate tissue. Spectroscopic analysis shows that these discharges are hot and are well represented by a thermal equilibrium model, and temperatures near 2000 K are easily achieved. New electrosurgical devices utilizing repetitive electrical discharges in a conducting saline environment have recently been developed. Electron emission from an active electrode during certain portions of the voltage waveform causes the formation of a vapor layer surrounding the electrode and the subsequent ionization and dissociation of species in this region. Electron temperatures of approximately 4 eV are achieved during the plasma phase. Water molecules are dissociated into reactive fragments, and the salt species are also excited and ionized in this nonequilibrium plasma. It is thought that the reactive species interact with nearby tissue, causing localized tissue removal (ablation) which surgeons can exploit during surgical procedures. Flowing saline surrounding the plasma region cools untargeted tissue and removes the reaction products. This presentation will focus on experimental results of the plasma conditions and discuss our current efforts to understand the complex reactions of the various plasma species with tissue structures such as collagen. A short clip showing tissue removal will also be shown.

  10. Electrical discharge machining in dentistry.

    Van Roekel, N B


    A brief history of electrical discharge machining (EDM) is given and the process is discussed. A description of the application of EDM for fabricating precision attachment removable partial dentures, fixed-removable implant prostheses, and titanium-ceramic crowns is presented. The advantages and disadvantages of the EDM process for the dental profession are evaluated. Although expensive, the procedure has merit.

  11. A unified discharge voltage characteristic for VRLA battery capacity and reserve time estimation

    Pascoe, P.E.; Anbuky, A.H. [Invensys Energy Systems NZ Limited, Christchurch (New Zealand)


    Determining the capacity and discharge reserve time of a valve regulated lead acid battery is a highly non-trivial task. This is due to the dependence of the capacity and discharge reserve time on the discharge operating conditions as well as the battery condition. Operating conditions include discharge rate, ambient temperature and initial state of charge (SOC), while battery conditions include battery state of health and battery type. A simple approach is presented for estimating the SOC and discharge reserve time throughout a discharge. In addition, an estimation of capacity can be made at the completion of a shallow discharge. The approach employs a unified discharge characteristic that is shown to be robust to variations in operating conditions as well as battery condition. The approach provides a good degree of accuracy without the cost of complexity. Results are presented that demonstrate the estimation of the SOC to be well within 10% throughout the discharge and the reserve time (and capacity) to be within 10% from the early stages of the discharge. (author)

  12. WITHDRAWN: Commercial hospital discharge packs for breastfeeding women.

    Donnelly, A; Snowden, H M; Renfrew, M J; Woolridge, M W


    Exclusive breastfeeding until around six months of age, followed by the introduction of solids with continued breastfeeding, is considered to be the optimal nutritional start for newborn infants. To determine whether the exclusivity and duration of breastfeeding is affected by giving mothers commercial discharge packs in hospital which contain artificial formula or promotional material for artificial formula. These packs are those which are commonly given to mothers on leaving hospital after giving birth (thus discharge packs). Comprehensive electronic search of the register of clinical trials maintained and updated by the Cochrane Pregnancy and Childbirth Group and CINAHL and MEDLINE. All randomised controlled trials with or without blinding to examine the effects of commercial discharge packs on breastfeeding. Consenting postpartum women who initiate breastfeeding while in hospital or immediately upon discharge. Commercial discharge packs which contain free samples of infant formula or promotional material versus non commercial discharge packs (specifically those from which free samples of infant formula have been removed or have been replaced with e.g. breast pads) or no pack. The proportion of women breastfeeding at six weeks and 3 months (13 weeks) postpartum.Other outcomes: Rates of breastfeeding at other fixed time points between 0 and 6 months postpartum. Data were extracted by one reviewer and checked by a second reviewer. Nine randomised controlled trials involving a total of 3730 women were analysed. The studies only included women from North America. The meta-analysis showed that when comparing commercial discharge packs with any of the controls (no intervention, non-commercial pack and combinations of these), exclusive breastfeeding was reduced at all time points in the presence of commercial hospital discharge packs. There was no evidence to support the conjecture that use of hospital discharge packs causes the early termination of non

  13. Discharge current distribution in stratified soil under impulse discharge

    Eniola Fajingbesi, Fawwaz; Shahida Midi, Nur; Elsheikh, Elsheikh M. A.; Hajar Yusoff, Siti


    The mobility of charge particles traversing a material defines its electrical properties. Soil (earth) have long been the universal grounding before and after the inception of active ground systems for electrical appliance purpose due to it semi-conductive properties. The soil can thus be modelled as a single material exhibiting semi-complex inductive-reactive impedance. Under impulse discharge such as lightning strikes to soil this property of soil could result in electric potential level fluctuation ranging from ground potential rise/fall to electromagnetic pulse coupling that could ultimately fail connected electrical appliance. In this work we have experimentally model the soil and lightning discharge using point to plane electrode setup to observe the current distribution characteristics at different soil conductivity [mS/m] range. The result presented from this research indicate above 5% shift in conductivity before and after discharge which is significant for consideration when dealing with grounding designs. The current distribution in soil have also be successfully observed and analysed from experimental result using mean current magnitude in relation to electrode distance and location, current density variation with depth all showing strong correlation with theoretical assumptions of a semi-complex impedance material.

  14. Microhollow cathode discharge excimer lamps

    Schoenbach, Karl H.; El-Habachi, Ahmed; Moselhy, Mohamed M.; Shi, Wenhui; Stark, Robert H.


    Microhollow cathode discharges are high-pressure, nonequilibrium gas discharges between a hollow cathode and a planar or hollow anode with electrode dimensions in the 100 μm range. The large concentration of high-energy electrons, in combination with the high-gas density favors excimer formation. Excimer emission was observed in xenon and argon, at wavelengths of 128 and 172 nm, respectively, and in argon fluoride and xenon chloride, at 193 and 308 nm. The radiant emittance of the excimer radiation was found to increase monotonically with pressure. However, due to the decrease in source size with pressure, the efficiency (ratio of excimer radiant power to input electrical power), has for xenon and argon fluoride a maximum at ˜400 Torr. The maximum efficiency is between 6% and 9% for xenon, and ˜2% for argon fluoride.

  15. Current-induced membrane discharge

    Andersen, M B; Mani, A; Bruus, H; Biesheuvel, P M; Bazant, M Z


    Possible mechanisms for over-limiting current (OLC) through aqueous ion-exchange membranes (exceeding diffusion limitation) have been debated for half a century. Flows consistent with electro-osmotic instability (EOI) have recently been observed in microfluidic experiments, but the existing theory neglects chemical effects and remains to be quantitatively tested. Here, we show that charge regulation and water self-ionization can lead to OLC by "current-induced membrane discharge" (CIMD), even in the absence of fluid flow. Salt depletion leads to a large electric field which expels water co-ions, causing the membrane to discharge and lose its selectivity. Since salt co-ions and water ions contribute to OLC, CIMD interferes with electrodialysis (salt counter-ion removal) but could be exploited for current-assisted ion exchange and pH control. CIMD also suppresses the extended space charge that leads to EOI, so it should be reconsidered in both models and experiments on OLC.

  16. Current-Induced Membrane Discharge

    Andersen, Mathias Bækbo; van Soestbergen, M.; Mani, A.;


    Possible mechanisms for overlimiting current (OLC) through aqueous ion-exchange membranes (exceeding diffusion limitation) have been debated for half a century. Flows consistent with electro-osmotic instability have recently been observed in microfluidic experiments, but the existing theory...... neglects chemical effects and remains to be quantitatively tested. Here, we show that charge regulation and water self-ionization can lead to OLC by "current-induced membrane discharge'' (CIMD), even in the absence of fluid flow, in ion-exchange membranes much thicker than the local Debye screening length....... Salt depletion leads to a large electric field resulting in a local pH shift within the membrane with the effect that the membrane discharges and loses its ion selectivity. Since salt co-ions, H+ ions, and OH- ions contribute to OLC, CIMD interferes with electrodialysis (salt counterion removal...

  17. [Ductoscopy for pathologic nipple discharge].

    Waaijer, Laurien; van Diest, Paul J; van der Pol, Carmen C; Verolme, Berna; Hennink, Annelies; Witkamp, Arjen J


    Pathologic nipple discharge is a symptom that frequently causes female patients to visit the outpatient breast clinic. In the vast majority of cases, the symptom is caused by a benign intraductal laesion. The options for diagnosis and treatment have long been limited; surgery was not infrequently the treatment of choice. With the advent of breast ductoscopy, a micro-endoscopic procedure, it is possible to visualise abnormalities in the ductal system. Tissue for histopathological investigation can be retrieved from the duct and the condition can be treated. The patient with nipple discharge is consequently prevented from having to undergo an invasive and fairly 'blindly' executed procedure under general anaesthesia. The miniscule dimensions of the duct in which the technique is carried out pose the greatest challenge to the further development of the ductoscope.

  18. Internal Electrostatic Discharge Monitor - IESDM

    Kim, Wousik; Goebel, Dan M.; Jun, Insoo; Garrett, Henry B.


    A document discusses an innovation designed to effectively monitor dielectric charging in spacecraft components to measure the potential for discharge in order to prevent damage from internal electrostatic discharge (IESD). High-energy electrons penetrate the structural materials and shielding of a spacecraft and then stop inside dielectrics and keep accumulating. Those deposited charges generate an electric field. If the electric field becomes higher than the breakdown threshold (approx. =2 x 10(exp 5) V/cm), discharge occurs. This monitor measures potentials as a function of dielectric depth. Differentiation of potential with respect to the depth yields electric field. Direct measurement of the depth profile of the potential in a dielectric makes real-time electronic field evaluation possible without simulations. The IESDM has been designed to emulate a multi-layer circuit board, to insert very thin metallic layers between the dielectric layers. The conductors serve as diagnostic monitoring locations to measure the deposited electron-charge and the charge dynamics. Measurement of the time-dependent potential of the metal layers provides information on the amount of charge deposited in the dielectrics and the movement of that charge with time (dynamics).

  19. 42 CFR 32.89 - Discharge.


    ... PERSONS WITH HANSEN'S DISEASE AND OTHER PERSONS IN EMERGENCIES Persons with Hansen's Disease § 32.89 Discharge. Patients with Hansen's disease will be discharged when, in the opinion of the medical staff of...

  20. EPA Region 1 No Discharge Zones

    U.S. Environmental Protection Agency — This dataset details No Discharge Zones (NDZ) for New England. Boaters may not discharge waste into these areas. Boundaries were determined mostly by Federal...

  1. Capacitor discharges, magnetohydrodynamics, X-rays, ultrasonics

    Früngel, Frank B A


    High Speed Pulse Technology, Volume 1: Capacitor Discharges - Magnetohydrodynamics - X-Rays - Ultrasonics deals with the theoretical and engineering problems that arise in the capacitor discharge technique.This book discusses the characteristics of dielectric material, symmetrical switch tubes with mercury filling, and compensation conductor forms. The transformed discharge for highest current peaks, ignition transformer for internal combustion engines, and X-ray irradiation of subjects in mechanical motion are also elaborated. This text likewise covers the transformed capacitor discharge in w

  2. Modeling High Pressure Micro Hollow Cathode Discharges


    cathode discharge excimer lamps , Phys. Plasmas 7, 286 (2000). [3] RH Stark and KH Schoenbach, Direct high pressure glow discharges, J. Appl. Phys...temperature profiles in argon glow discharges, J. Appl. Phys. 88, 2234 (2000) [8] M. Moselhy, W. Shi, R. Stark, A flat glow discharge excimer radiation...MHCD acts as a plasma cathode for a third electrode (anode). Some experimental results in this geometry are available for argon and for air from the

  3. Dielectric barrier discharges applied for optical spectrometry

    Brandt, S.; Schütz, A.; Klute, F. D.; Kratzer, J.; Franzke, J.


    The present review reflects the importance of dielectric barrier discharges for optical spectrometric detection in analytical chemistry. In contrast to usual discharges with a direct current the electrodes are separated by at least one dielectric barrier. There are two main features of the dielectric barrier discharges: they can serve as dissociation and excitation devices as well as ionization sources, respectively. This article portrays various application fields of dielectric barrier discharges in analytical chemistry used for elemental and molecular detection with optical spectrometry.

  4. Experimental studies of ITER demonstration discharges

    Sips, A. C. C.; Casper, T. A.; Doyle, E. J.; Giruzzi, G.; Gribov, Y.; Hobirk, J.; Hogeweij, G. M. D.; Horton, L. D.; Hubbard, A. E.; Hutchinson, I.; Ide, S.; Isayama, A.; Imbeaux, F.; Jackson, G. L.; Kamada, Y.; Kessel, C.; Kochl, F.; Lomas, P.; Litaudon, X.; Luce, T. C.; Marmar, E.; Mattei, M.; Nunes, I.; Oyama, N.; Parail, V.; Portone, A.; Saibene, G.; Sartori, R.; Stober, J. K.; Suzuki, T.; Wolfe, S. M.; C-Mod Team; ASDEX Upgrade Team; DIII-D Team; JET EFDA Contributors


    Key parts of the ITER scenarios are determined by the capability of the proposed poloidal field (PF) coil set. They include the plasma breakdown at low loop voltage, the current rise phase, the performance during the flat top (FT) phase and a ramp down of the plasma. The ITER discharge evolution has been verified in dedicated experiments. New data are obtained from C-Mod, ASDEX Upgrade, DIII-D, JT-60U and JET. Results show that breakdown for Eaxis unassisted (ohmic) for large devices like JET and attainable in devices with a capability of using ECRH assist. For the current ramp up, good control of the plasma inductance is obtained using a full bore plasma shape with early X-point formation. This allows optimization of the flux usage from the PF set. Additional heating keeps li(3) < 0.85 during the ramp up to q95 = 3. A rise phase with an H-mode transition is capable of achieving li(3) < 0.7 at the start of the FT. Operation of the H-mode reference scenario at q95 ~ 3 and the hybrid scenario at q95 = 4-4.5 during the FT phase is documented, providing data for the li (3) evolution after the H-mode transition and the li (3) evolution after a back-transition to L-mode. During the ITER ramp down it is important to remain diverted and to reduce the elongation. The inductance could be kept <=1.2 during the first half of the current decay, using a slow Ip ramp down, but still consuming flux from the transformer. Alternatively, the discharges can be kept in H-mode during most of the ramp down, requiring significant amounts of additional heating.

  5. A General Thermal Equilibrium Discharge Flow Model

    ZHAO; Min-fu; ZHANG; Dong-xu; LV; Yu-feng


    In isentropic and thermal equilibrium assumptions,a discharge flow model was derived,which unified the rules of normal temperature water discharge,high temperature and high pressure water discharge,two-phase critical flow,saturated steam and superheated steam critical

  6. 32 CFR 724.117 - Discharge review.


    ... 32 National Defense 5 2010-07-01 2010-07-01 false Discharge review. 724.117 Section 724.117 National Defense Department of Defense (Continued) DEPARTMENT OF THE NAVY PERSONNEL NAVAL DISCHARGE REVIEW BOARD Definitions § 724.117 Discharge review. A nonadversary administrative reappraisal at the level...

  7. Continuous optical discharge in a laser cavity

    Chivel', Yu. A.


    Optical discharge in a laser cavity is experimentally studied. A significant increase in the absorption of laser radiation (up to total absorption) is revealed. Optical schemes for initiation and maintaining of optical discharge in the cavity are proposed for technological applications of the optical discharge.

  8. Predictors of discharge in child psychoanalytic psychotherapy

    Izabel Cristina Paez; Maria Lucia Tiellet Nunes; Vânia Naomi Hirakata


    Introduction: This empirical study was based on the analysis of the results of a study about dropout predictors among in child psychoanalytic psychotherapy. The objectives were to characterize the sample of children discharged from psychoanalytic psychotherapy, examine the association between sociodemographic/ clinical variables and child psychoanalytic psychotherapy discharge, and determine predictors of discharge in child psychoanalytic psychotherapy.Method: This quantitative, descriptive a...

  9. Double discharges in unipolar-pulsed dielectric barrier discharge xenon excimer lamps

    Liu, Shuhai; Neiger, Manfred


    Excitation of dielectric barrier discharge xenon excimer lamps by unipolar short square pulses is studied in this paper. Two discharges with different polarity are excited by each voltage pulse (double discharge phenomenon). The primary discharge occurs at the top or at the rising flank of the applied unipolar square pulse, which is directly energized by the external circuit. The secondary discharge with the reversed polarity occurs at the falling flank or shortly after the falling flank end (zero external voltage) depending on the pulse width, which is energized by the energy stored by memory charges deposited by the primary discharge. Fast-speed ICCD imaging shows the primary discharge has a conic discharge appearance with a channel broadening on the anode side. This channel broadening increases with increasing the pulse top level. Only the anode-side surface discharge is observed in the primary discharge. The surface discharge on the cathode side which is present in bipolar sine voltage excitation is not observed. On the contrary, the secondary discharge has only the cathode-side surface discharge. The surface discharge on the anode side is not observed. The secondary discharge is much more diffuse than the primary discharge. Time-resolved emission measurement of double discharges show the secondary discharge emits more VUV xenon excimer radiation but less infrared (IR) xenon atomic emission than the primary discharge. It was found that the IR xenon atomic emission from the secondary discharge can be reduced by shortening the pulse width. The energy efficiency of unipolar-pulsed xenon excimer lamps (the overall energy efficiency of double discharges) is much higher than that obtained under bipolar sine wave excitation. The output VUV spectrum under unipolar pulse excitation is found to be identical to that under sine wave excitation and independent of injected electric power.

  10. State waste discharge permit application for cooling water and condensate discharges

    Haggard, R.D.


    The following presents the Categorical State Waste Discharge Permit (SWDP) Application for the Cooling Water and Condensate Discharges on the Hanford Site. This application is intended to cover existing cooling water and condensate discharges as well as similar future discharges meeting the criteria set forth in this document.

  11. Estimating discharge using multi-level velocity data from acoustic doppler instruments

    Poulsen, Jane Bang; Rasmussen, Keld Rømer; Ovesen, Niels Bering

    In the majority of Danish streams, weed growth affects the effective stream width and bed roughness thus imposes temporal variations on the stage-discharge relationship. Small stream-gradients and firm ecology based restrictions prevent that hydraulic structures are made at the discharge stations...... and thus remove or limit such influences. Hence, estimation of the hydrograph is based on continuous stream gauging combined with monthly control measurements of discharge and assuming linear variation of bed roughness between the monthly measurements. As a result, any non-linear drift in weed density...... been placed at the main discharge station in one of the largest Danish catchments (the Skjern). The instruments were set out in early February 2010 during the winter season and have been running since then. The long term average discharge at the station is near 14 m3/s and the cross sectional profile...

  12. Elementary processes in gas discharges

    Bronold, Franz X


    This chapter presents, from a quantum-mechanical point of view, a tutorial discussion of elementary collision processes in the bulk of a gas discharge. Instead of merely listing kitchen-made cross section formulae and unrelated cross section data, emphasis has been given on an unified description of elementary processes based on general principles of quantum-mechanical multi-channel scattering theory. By necessity, the presentation is rather dense. Technical details left out, as well as cross section data, can be found, respectively, in the quoted original papers and the review articles, monographs, and web-sites mentioned in the introductory remarks to this chapter.

  13. Interaction between Adjacent Lightning Discharges in Clouds

    WANG Yanhui; ZHANG Guangshu; ZHANG Tong; LI Yajun; WU Bin; ZHANG Tinglong


    Using a 3D lightning radiation source locating system (LLS),three pairs of associated lightning discharges (two or more adjacent lightning discharges following an arbitrary rule that their space-gap was less than 10 km and their time-gap was less than 800 ms) were observed,and the interaction between associated lightning discharges was analyzed.All these three pairs of associated lightning discharges were found to involve three or more charge regions (the ground was considered as a special charge region).Moreover,at least one charge region involved two lightning discharges per pair of associated lightning discharges.Identified from electric field changes,the subsequent lightning discharges were suppressed by the prior lightning discharges.However,it is possible that the prior lightning discharge provided a remaining discharge channel to facilitate the subsequent lightning discharge.The third case provided evidence of this possibility.Together,the results suggested that,if the charges in the main negative charge region can be consumed using artificial lightning above the main negative charge regions,lightning accidents on the ground could be greatly reduced,on the condition that the height of the main negative charge region and the charge intensity of the lower positive charge region are suitable.

  14. Prepubertal vaginal discharge: Vaginoscopy to rule out foreign body.

    Ekinci, Saniye; Karnak, İbrahim; Tanyel, Feridun Cahit; Çiftçi, Arbay Özden


    Medical records of all prepubertal patients who underwent vaginoscopy to rule out vaginal foreign body between 2004 and 2013 were reviewed retrospectively. All patients were evaluated by pediatricians prior to surgical consultation. Vaginoscopy is performed in the operating room under general anesthesia. During the study period, 20 girls with persistent vaginal discharge with a mean age of 6.8 years (1-13 years) underwent vaginoscopy to rule out vaginal foreign body. Six patients had bloody vaginal discharge and 4 had recurrent vaginal bleeding lasting for more than one month. Ten patients had purulent vaginal discharge lasting for 1-7 months. None of vaginal cultures revealed pathological bacteria or candida species. Preoperative imaging techniques revealed vaginal foreign body in one patient only. Vaginoscopy demonstrated vaginal foreign bodies in four patients. Foreign bodies were grass inflorescence, safety pin and undefined brownish particles (n=2), which may be pieces of toilet paper or feces. There was no complication related to vaginoscopy and removal of foreign body. Hymen integrity was preserved in all patients. Persistent or recurrent vaginal discharge in prepubertal girls should raise the suspect of vaginal foreign body. Continuous flow vaginoscopy is mandatory to detect and remove any vaginal foreign body. Early diagnosis would prevent complications secondary to long-standing foreign bodies.

  15. Electron and ion kinetics in a micro hollow cathode discharge

    Kim, G J; Iza, F; Lee, J K [Electronics and Electrical Engineering Department, Pohang University of Science and Technology, Pohang, 790-784 (Korea, Republic of)


    Electron and ion kinetics in a micro hollow cathode discharge are investigated by means of two-dimensional axisymmetric particle-in-cell Monte Carlo collision simulations. Argon discharges at 10 and 300 Torr are studied for various driving currents. Electron and ion energy probability functions (IEPF) are shown at various times and locations to study the spatio-temporal behaviour of the discharge. The electron energy probability function (EEPF) evolves from the Druyvesteyn type in the early stages of the discharge into a two (or three) temperature distribution when steady state is reached. In steady state, secondary electrons accelerated across the cathode fall populate the high energy tail of the EEPF while the low energy region is populated by trapped electrons. The IEPF evolves from a Maxwellian in the negative glow (bulk) to a two temperature distribution on the cathode surface. The overpopulation of low energy ions near the cathode surface is attributed to a larger collision cross section for low energy ions and ionization within the cathode fall.

  16. Electromagnetic fields produced by simulated spacecraft discharges

    Nonevicz, J. E.; Adamo, R. C.; Beers, B. L.; Delmer, T. N.


    The initial phase of a broader, more complete program for the characterization of electrical breakdowns on spacecraft insulating materials is described which consisted of the development of a discharge simulator and characterization facility and the performance of a limited number of discharge measurements to verify the operation of the laboratory setup and to provide preliminary discharge transient field data. A preliminary model of the electromagnetic characteristics of the discharge was developed. It is based upon the "blow off" current model of discharges, with the underlying assumption of a propagating discharge. The laboratory test facility and discharge characterization instrumentation are discussed and the general results of the "quick look" tests are described on quartz solar reflectors aluminized Kapton and silver coated Teflon are described.

  17. Feasibility of wear compensation in micro EDM milling based on discharge counting and discharge population characterization

    Bissacco, Giuliano; Hansen, Hans Nørgaard; Tristo, G.


    This paper investigates the applicability of real time wear compensation in micro EDM milling based on discharge counting and discharge population characterization. Experiments were performed involving discharge counting and tool electrode wear measurement in a wide range of process parameters...... settings involving different current pulse shapes. A strong correlation is found between average discharge energy of the populations and wear and material removal per discharge. A validation was carried out showing the feasibility of the proposed approach....

  18. Microtearing modes in tokamak discharges

    Rafiq, T.; Kritz, A. H. [Department of Physics, Lehigh University, Bethlehem, Pennsylvania 18015 (United States); Weiland, J. [Department of Applied Physics, Chalmers University, S41296 Gothenburg (Sweden); Luo, L. [IBM Research, Oak Ridge, Tennessee 37831 (United States); Pankin, A. Y. [Tech-X Corporation, Boulder, Colorado 80308 (United States)


    Microtearing modes (MTMs) have been identified as a source of significant electron thermal transport in tokamak discharges. In order to describe the evolution of these discharges, it is necessary to improve the prediction of electron thermal transport. This can be accomplished by utilizing a model for transport driven by MTMs in whole device predictive modeling codes. The objective of this paper is to develop the dispersion relation that governs the MTM driven transport. A unified fluid/kinetic approach is used in the development of a nonlinear dispersion relation for MTMs. The derivation includes the effects of electrostatic and magnetic fluctuations, arbitrary electron-ion collisionality, electron temperature and density gradients, magnetic curvature, and the effects associated with the parallel propagation vector. An iterative nonlinear approach is used to calculate the distribution function employed in obtaining the nonlinear parallel current and the nonlinear dispersion relation. The third order nonlinear effects in magnetic fluctuations are included, and the influence of third order effects on a multi-wave system is considered. An envelope equation for the nonlinear microtearing modes in the collision dominant limit is introduced in order to obtain the saturation level. In the limit that the mode amplitude does not vary along the field line, slab geometry, and strong collisionality, the fluid dispersion relation for nonlinear microtearing modes is found to agree with the kinetic dispersion relation.

  19. Silo Collapse under Granular Discharge

    Gutiérrez, G.; Colonnello, C.; Boltenhagen, P.; Darias, J. R.; Peralta-Fabi, R.; Brau, F.; Clément, E.


    We investigate, at a laboratory scale, the collapse of cylindrical shells of radius R and thickness t induced by a granular discharge. We measure the critical filling height for which the structure fails upon discharge. We observe that the silos sustain filling heights significantly above an estimation obtained by coupling standard shell-buckling and granular stress distribution theories. Two effects contribute to stabilize the structure: (i) below the critical filling height, a dynamical stabilization due to granular wall friction prevents the localized shell-buckling modes to grow irreversibly; (ii) above the critical filling height, collapse occurs before the downward sliding motion of the whole granular column sets in, such that only a partial friction mobilization is at play. However, we notice also that the critical filling height is reduced as the grain size d increases. The importance of grain size contribution is controlled by the ratio d /√{R t }. We rationalize these antagonist effects with a novel fluid-structure theory both accounting for the actual status of granular friction at the wall and the inherent shell imperfections mediated by the grains. This theory yields new scaling predictions which are compared with the experimental results.

  20. Microtearing modes in tokamak discharges

    Rafiq, T.; Weiland, J.; Kritz, A. H.; Luo, L.; Pankin, A. Y.


    Microtearing modes (MTMs) have been identified as a source of significant electron thermal transport in tokamak discharges. In order to describe the evolution of these discharges, it is necessary to improve the prediction of electron thermal transport. This can be accomplished by utilizing a model for transport driven by MTMs in whole device predictive modeling codes. The objective of this paper is to develop the dispersion relation that governs the MTM driven transport. A unified fluid/kinetic approach is used in the development of a nonlinear dispersion relation for MTMs. The derivation includes the effects of electrostatic and magnetic fluctuations, arbitrary electron-ion collisionality, electron temperature and density gradients, magnetic curvature, and the effects associated with the parallel propagation vector. An iterative nonlinear approach is used to calculate the distribution function employed in obtaining the nonlinear parallel current and the nonlinear dispersion relation. The third order nonlinear effects in magnetic fluctuations are included, and the influence of third order effects on a multi-wave system is considered. An envelope equation for the nonlinear microtearing modes in the collision dominant limit is introduced in order to obtain the saturation level. In the limit that the mode amplitude does not vary along the field line, slab geometry, and strong collisionality, the fluid dispersion relation for nonlinear microtearing modes is found to agree with the kinetic dispersion relation.

  1. Rehabilitation of discharged patients with Chronic Obstructive Pulmonary Disease

    Morsø, Lars; Sall Jensen, Morten; von Plessen, Christian


    BACKGROUND: Rehabilitation after hospital stay implies several benefits for patients with chronic obstructive pulmonary disease (COPD); still few patients are referred and participate in rehabilitation programs. We conducted a case study to investigate the effects of interventions targeting...... the referral, uptake, and completion for a program of early rehabilitation in the primary health-care sector. METHODS: We undertook targeted initiatives to make patients participate in an individualized rehabilitation program with gradual increased intensity. After discharge, primary care COPD nurses....... RESULTS: Sixteen (23% of discharged patients) patients were referred to rehabilitation. In comparison, only 1 (0.8%) in 131 patients from Vejle hospital was referred to Vejle hospital. Twelve patients completed rehabilitation, all having severe COPD. All started the program within 2 weeks and proceeded...

  2. Acute heart failure: too sick for discharge teaching?

    Hill, Catherine A


    Most patients with heart failure (HF) respond within a matter of hours to days to available medical treatments. Nursing's current challenge in HF inpatient care is their short length of stay and content dense patient education needs. Only 54% of US hospitalized HF patients received all HF-1 mandated discharge education components. By using nursing evidence and adult learning principles, we can transform HF-1 topic descriptions into a "workable" plan for our newly stable HF patients. Pragmatically viewed, we need to turn the 5 key areas upside down to meet our HF patient's needs during early hospitalization: (1) recognizing symptoms, (2) pacing rest and exercise, (3) daily weights, (4) restricting sodium and fluids, and (5) managing medications. This "organizing" issue is important to our success and costly to all those who accepted the published order as prescriptive for their video, audio, and printed discharge education materials.

  3. Speciation and susceptibility testing of Candida isolates from vaginal discharge

    Swapna Muthusamy


    Full Text Available Candida is a normal commensal that takes the role of a pathogen under compromised conditions. Increased longevity of human life and immunocompromised conditions together paves the way for the increase in opportunistic infections like candidiasis. Vulvovaginal candidiasis (VVC is the second most common cause of vaginal discharge next to Chlamydia.1 VVC is the leading cause of abnormal vaginal discharge due to microbial causes. Untreated VVC is a possible risk factor for acquisition of HIV.2 Prevention of sexually transmitted infections (STIs including VVC can reduce the transmission of HIV since STIs and HIV have the common mode of transmission and one enhances the risk of infection with the other. Early diagnosis and treatment of candidiasis can reduce the pregnancy related morbidity

  4. Discharge processes of UV pre-ionized electric-discharge pulsed DF laser

    Pan, Qikun; Xie, Jijiang; Shao, Chunlei; Wang, Chunrui; Shao, Mingzhen; Guo, Jin


    The discharge processes of ultraviolet (UV) pre-ionized electric-discharge pulsed DF laser operating with a SF6-D2 gas mixture are studied. A mathematical model based on continuity equation of electrons and Kirchhoff equations for discharge circuit is established to describe the discharge processes. Voltage and current waveforms of main discharge and voltage waveforms of pre-ionization are solved numerically utilizing the model. The calculations correctly display some physical processes, such as the delay time between pre-ionization and main discharge, breakdown of the main electrode and self-sustained volume discharge (SSVD). The results of theory are consistent with the experiments, which are performed in our non-chain pulsed DF laser. Then the delay inductance and peak capacitance are researched to analyze their influences on discharge processes, and the circuit parameters of DF laser are given which is useful to improve the discharge stability.

  5. Glow and pseudo-glow discharges in a surface discharge generator

    Li Xue-Chen; Dong Li-Fang; Wang Long


    The glow discharge in flowing argon at one atmospheric pressure is realized in a surface discharge generator. The discharge current presents one peak per half-cycle of the applied voltage. The duration of the discharge pulse is more than 1μs when the frequency of the applied voltage is 60kHz. For the glow discharge in argon, the power consumption increases with the increase of voltage or the decrease of gas pressure.This relation is explained qualitatively based on the theory of the Townsend breakdown mechanism. In contrast, the discharge current in one atmospheric pressure air gives many spikes in each half-cycle, and correspondingly this kind of discharge is called pseudo-glow discharge. Every current spike oscillates with high-frequency damping. The pseudo-glow discharge in one atmospheric pressure air might result from the streamer breakdown mechanism.

  6. Stability of atmospheric pressure glow discharges

    Chirokov, Alexandre V.

    There has been a considerable interest in non-thermal atmospheric pressure discharges over the past decade due to increased number of industrial applications. Although non-thermal atmospheric pressure discharges have been intensively studied for the past century the clear physical picture of these discharges is far from being complete. Spontaneous transition of non-thermal atmospheric pressure discharges to thermal discharge and discharge filamentation are among least understood plasma phenomena. The discharge stability and reliable control of plasma parameters are highly desirable for numerous applications. This study focuses on stability of atmospheric pressure glow discharges with respect to filamentation and arcing. Atmospheric pressure glow discharge (APG) is the newest and the most promising addition to the family of non-thermal atmospheric pressure discharges. However this discharge is very susceptible to thermal instability which causes arcing, loss of uniformity and significant damage to electrodes. Suppression of thermal instability and effective control of discharge parameters is critical for industrial applications. A model was developed to understand transition to arc in atmospheric pressure glow discharges. APG discharges that operate in pure helium and in helium with addition of oxygen and nitrogen were considered in these studies. Simulation results indicate that arcing is the result of sheath breakdown rather than thermal instability. It was shown that although sheath breakdown is always followed by overheating the transition to arc in atmospheric glow discharges is not a result of thermal instability. In second part of this research interaction between plasma filaments in dielectric barrier discharges has been studied. This interaction is responsible for the formation of microdischarge patterns reminiscent of two-dimensional crystals. Depending on the application, microdischarge patterns may have a significant influence on DBD performance

  7. Relativistic Electrons in Electric Discharges

    Cinar, Deniz

    discharges as the source. The “Atmosphere-Space Interactions Monitor” (ASIM) for the International Space Station in 2016, led by DTU Space, and the French microsatellite TARANIS, also with launch in 2016, will identify with certainty the source of TGFs. In preparation for the missions, the Ph.D. project has...... developed a Monte Carlo module of a simulation code to model the formation of avalanches of electrons accelerated to relativistic energies, and the generation of bremsstrahlung through interactions with the neutral atmosphere. The code will be used in the analysis of data from the two space missions. We...... scattering. However, we only explored the properties of the complete number of photons reaching space, not the distribution at speci_c locations as in the case of a satellite. With this reservation we conclude that it is not possible to deduce much information from a satellite measurement of the photons...

  8. Modelling Of Chlorine Inductive Discharges

    Chabert P.; Despiau-Pujo, E.


    III-V compounds such as GaAs, InP or GaN-based materials are increasingly important for their use in optoelectronic applications, especially in the telecommunications and light detection industries. Photonic devices including lasers, photodetectors or LEDs, require reliable etching processes characterized by high etch rate, profile control and low damage. Although many problems remain to be understood, inductively coupled discharges seem to be promising to etch such materials, using Cl2/Ar, Cl2/N2 and Cl2/H2 gas chemistries. Inductively coupled plasma (ICP) sources meet most of the requirements for efficient plasma processing such as high etch rates, high ion densities and low controllable ion energies. However, the presence of a negative ion population in the plasma alters the positive ion flux, reduces the electron density, changes the electron temperature, modifies the spatial structure of the discharge and can cause unstable operation. Several experimental studies and numerical simulation results have been published on inductively coupled Cl2/Ar plasmas but relatively few systematic comparisons of model predictions and experimental data have been reported in given reactor geometries under a wide range of op- erating conditions. Validation of numerical predictions is essential for chemically complex plasma processing and there is a need to benchmark the models with as many measurements as possible. In this paper, comparisons of 2D fluid simulations with experimental measurements of Ar/Cl2 plasmas in a low pressure ICP reactor are reported (Corr et al. 2008). The electron density, negative ion fraction and Cl atom density are investigated for various conditions of Ar/Cl2 ratio, gas pressure and applied RF power in H mode. Simulations show that the wall recombination coefficient of Cl atom (?) is a key parameter of the model and that neutral densities are very sensitive to its variations. The best agreement between model and experiment is obtained for ? = 0

  9. Coordinated discharge of a collection of batteries

    Sastry, Shivakumar; Gimdogmus, Omer; Hartley, Tom T.; Veillette, Robert J. [Department of Electrical and Computer Engineering, The University of Akron, Akron, OH 44325-3904 (United States)


    Collections of batteries are used to supply energy to a variety of applications. By utilizing the energy in such a collection efficiently, we can improve the lifetime over which energy can be supplied to the application. We say that the discharge of a collection of batteries is coordinated when, at the end of discharge, the difference in the remaining capacity of individual batteries is small. This paper presents a decision-maker based on a goal-seeking formulation that coordinates the discharge of a collection of batteries. This formulation allows us to use a simple battery model and simple decision-making algorithms. We present results from MATLAB simulations that demonstrate the performance of the decision-maker when energy is drawn out of the collection in three different discharge scenarios. The new decision-maker consistently improves the discharge efficiency obtained using scheduling methods. Our results show that when the discharge is coordinated, the lifetime of the collection is extended. (author)

  10. Numerical modeling of partial discharges parameters

    Kartalović Nenad M.


    Full Text Available In recent testing of the partial discharges or the use for the diagnosis of insulation condition of high voltage generators, transformers, cables and high voltage equipment develops rapidly. It is a result of the development of electronics, as well as, the development of knowledge about the processes of partial discharges. The aim of this paper is to contribute the better understanding of this phenomenon of partial discharges by consideration of the relevant physical processes in isolation materials and isolation systems. Prebreakdown considers specific processes, and development processes at the local level and their impact on specific isolation material. This approach to the phenomenon of partial discharges needed to allow better take into account relevant discharge parameters as well as better numerical model of partial discharges.

  11. Discharge estimation based on machine learning

    Zhu JIANG; Hui-yan WANG; Wen-wu SONG


    To overcome the limitations of the traditional stage-discharge models in describing the dynamic characteristics of a river, a machine learning method of non-parametric regression, the locally weighted regression method was used to estimate discharge. With the purpose of improving the precision and efficiency of river discharge estimation, a novel machine learning method is proposed:the clustering-tree weighted regression method. First, the training instances are clustered. Second, the k-nearest neighbor method is used to cluster new stage samples into the best-fit cluster. Finally, the daily discharge is estimated. In the estimation process, the interference of irrelevant information can be avoided, so that the precision and efficiency of daily discharge estimation are improved. Observed data from the Luding Hydrological Station were used for testing. The simulation results demonstrate that the precision of this method is high. This provides a new effective method for discharge estimation.

  12. Heating dominated inception of pulsed discharges

    Agnihotri, Ashutosh; Hundsdorfer, Willem; Ebert, Ute


    We simulate the inception of pulsed discharges with heating as the driving agent that leads to spark formation. To understand the phenomenon, we developed a 2D-cylindrically symmetric model that couples the electric discharge dynamics with the background gas dynamics. To capture the ion dynamics well, we reduced the classical drift-diffusion-reaction model of electric discharges to the timescale of ion motion. Additionally, we include secondary emission of electrons from the cathode. We employed the model to study electrical breakdown in air at STP conditions between planar electrodes under the application of pulsed voltages. Our model captures space-charge effects, thermal shocks and induced pressure waves. We observe a cycle of discharge pulses heating the gas and the thermal expansion helping the discharge. This cycle might either lead to spark formation or to discharge decay.

  13. Role of secondary emission on discharge dynamics in an atmospheric pressure dielectric barrier discharge

    Tay, W. H.; Kausik, S. S.; Yap, S. L.; Wong, C. S., E-mail: [Plasma Technology Research Centre, Department of Physics, Faculty of Science, University of Malaya, 50603 Kuala Lumpur (Malaysia)


    The discharge dynamics in an atmospheric pressure dielectric barrier discharge (DBD) is studied in a DBD reactor consisting of a pair of stainless steel parallel plate electrodes. The DBD discharge has been generated by a 50 Hz ac high voltage power source. The high-speed intensified charge coupled device camera is used to capture the images of filaments occurring in the discharge gap. It is observed that frequent synchronous breakdown of micro discharges occurs across the discharge gap in the case of negative current pulse. The experimental results reveal that secondary emissions from the dielectric surface play a key role in the synchronous breakdown of plasma filaments.

  14. Plasma spark discharge reactor and durable electrode

    Cho, Young I.; Cho, Daniel J.; Fridman, Alexander; Kim, Hyoungsup


    A plasma spark discharge reactor for treating water. The plasma spark discharge reactor comprises a HV electrode with a head and ground electrode that surrounds at least a portion of the HV electrode. A passage for gas may pass through the reactor to a location proximate to the head to provide controlled formation of gas bubbles in order to facilitate the plasma spark discharge in a liquid environment.

  15. Investigations into electrical discharges in gases

    Klyarfel'D, B N


    Investigations into Electrical Discharges in Gases is a compilation of scientific articles that covers the advances in the investigation of the fundamental processes occurring in electrical discharges in gases and vapors. The book details the different aspects of the whole life cycle of an arc, which include the initiation of a discharge, its transition into an arc, the lateral spread of the arc column, and the recovery of electric strength after extinction of an arc. The text also discusses the methods for the dynamic measurement of vapor density in the vicinity of electrical discharges, alon

  16. Parallel Operation of Microhollow Cathode Discharges

    Stark, Robert H.; Shi, Wenhui; Schoenbach, Karl H.


    The dc current-voltage characteristics of microhollow cathode discharges has, in certain ranges of the discharge current, a positive slope [1]. In these current ranges it should be possible to operate multiple discharges in parallel without individual ballast, and be used as flat panel excimer lamps [2] or large area plasma cathodes. In order to verify this hypothesis we have studied the parallel operation of two microhollow cathode discharges of 100 micrometer hole diameter in argon at pressures from 100 Torr to 800 Torr. Stable dc operation of the two discharges, without individual ballast, was obtained if the voltage-current characteristics of the individual discharges had a positive slope greater than 10 V/mA over a voltage range of more than 5 to obtain parallel operation over the entire current range of the microhollow cathode discharges, which includes regions of negative differential conductivity, we have replaced the metal anode by a semi-insulating semiconductor, which serves as distributed resistive ballast. With this method, we were able to ignite and sustain an array of dc microhollow cathode discharges over a wide range of pressure and discharge current. [1] K.H.Schoenbach et al. Appl. Phys. Lett. 68, 13 (1996). [2] A.El-Habachi and K.H.Schoenbach, APL. 72, 1 (1998). This work was funded by the Department of Energy, Advanced Energy Division, and by the Air Force Office of Scientific Research (AFOSR) in cooperation with the DDR&E Air Plasma Ramparts MURI Program.

  17. Surface water discharges from onshore stripper wells.

    Veil, J. A.


    Under current US Environmental Protection Agency (EPA) rules, small onshore oil producers are allowed to discharge produced water to surface waters with approval from state agencies; but small onshore gas producers, however, are prohibited from discharging produced water to surface waters. The purpose of this report is to identify those states that allow surface water discharges from small onshore oil operations and to summarize the types of permitting controls they use. It is intended that the findings of this report will serve as a rationale to encourage the EPA to revise its rules and to remove the prohibition on surface water discharges from small gas operations.

  18. Device for generation of pulsed corona discharge

    Gutsol, Alexander F [San Ramon, CA; Fridman, Alexander [Marlton, NJ; Blank, Kenneth [Philadelphia, PA; Korobtsev, Sergey [Moscow, RU; Shiryaevsky, Valery [Moscow, RU; Medvedev, Dmitry [Moscow, RU


    The invention is a method and system for the generation of high voltage, pulsed, periodic corona discharges capable of being used in the presence of conductive liquid droplets. The method and system can be used, for example, in different devices for cleaning of gaseous or liquid media using pulsed corona discharge. Specially designed electrodes and an inductor increase the efficiency of the system, permit the plasma chemical oxidation of detrimental impurities, and increase the range of stable discharge operations in the presence of droplets of water or other conductive liquids in the discharge chamber.

  19. Use of radars to monitor stream discharge by noncontact methods

    Costa, J.E.; Cheng, R.T.; Haeni, F.P.; Melcher, N.; Spicer, K.R.; Hayes, E.; Plant, W.; Hayes, K.; Teague, C.; Barrick, D.


    Conventional measurements of river flows are costly, time-consuming, and frequently dangerous. This report evaluates the use of a continuous wave microwave radar, a monostatic UHF Doppler radar, a pulsed Doppler microwave radar, and a ground-penetrating radar to measure river flows continuously over long periods and without touching the water with any instruments. The experiments duplicate the flow records from conventional stream gauging stations on the San Joaquin River in California and the Cowlitz River in Washington. The purpose of the experiments was to directly measure the parameters necessary to compute flow: surface velocity (converted to mean velocity) and cross-sectional area, thereby avoiding the uncertainty, complexity, and cost of maintaining rating curves. River channel cross sections were measured by ground-penetrating radar suspended above the river. River surface water velocity was obtained by Bragg scattering of microwave and UHF Doppler radars, and the surface velocity data were converted to mean velocity on the basis of detailed velocity profiles measured by current meters and hydroacoustic instruments. Experiments using these radars to acquire a continuous record of flow were conducted for 4 weeks on the San Joaquin River and for 16 weeks on the Cowlitz River. At the San Joaquin River the radar noncontact measurements produced discharges more than 20% higher than the other independent measurements in the early part of the experiment. After the first 3 days, the noncontact radar discharge measurements were within 5% of the rating values. On the Cowlitz River at Castle Rock, correlation coefficients between the USGS stream gauging station rating curve discharge and discharge computed from three different Doppler radar systems and GPR data over the 16 week experiment were 0.883, 0.969, and 0.992. Noncontact radar results were within a few percent of discharge values obtained by gauging station, current meter, and hydroacoustic methods. Time

  20. Discharge Characteristics in Atmospheric Pressure Glow Surface Discharge in Helium Gas

    LI Xue-Chen; WANG Long


    @@ Atmospheric pressure glow discharge is observed for the first time in a surface discharge generator in flowing helium. Electrical and optical methods are used to measure the characteristics of atmospheric pressure glow discharge for different voltages. The results show that discharge current waveforms are asymmetric for the different polarities of the applied voltage. A continuous discharge profile with a width of several microseconds appears for per half cycle of the applied voltage when the voltage is increased to a certain value. The short-pulsed discharge and the continuous current would result from the Townsend breakdown and glow discharge mechanisms respectively. The properties of surface discharge in stagnant helium are completely different from that in flowing helium.

  1. Contribution of snow and glacier melt to discharge for highly glacierised catchments in Norway

    Engelhardt, M.; Schuler, T. V.; Andreassen, L. M.


    Glacierised catchments show a discharge regime that is strongly influenced by snow and glacier meltwaters. In this study, we modelled the mass balance and discharge rates for three highly glacierised catchments (>50% glacier cover) in western Norway over the period 1961-2012. The spatial pattern of the catchments follows a gradient in climate continentality from west to east. The model input were gridded temperature and precipitation values from seNorge ( which are available at daily resolution. The model accounted for accumulation of snow, transformation of snow to firn and ice, evaporation and melt. Calibration and validation were performed for each catchment based on measurements of seasonal glacier mass balances and daily discharge rates, as additional validation data served daily melt rates from sonic rangers located in the ablation zones of two of the glaciers. The discharge sources snowmelt, glacier melt and rain were analysed with respect to spatial variations and temporal evolution. Model simulations reveal an increase in the relative contribution from glacier melt to total discharge for the three catchments from less than 10% in the early 1990s to 15-30% in the late 2000s. The decline in precipitation by 10-20% in the same period was therefore overcompensated, resulting in an increase in annual discharge by 5-20%. Annual discharge sums and annual glacier melt are most strongly correlated with annual and winter precipitation at the most maritime glacier and, with increased climate continentality, variations in both glacier melt contribution and annual discharge are becoming more strongly correlated with variations in summer temperatures. Therefore, glaciers in more continental climates are especially vulnerable to decrease in both annual and summer discharge with continued rise in summer temperatures and subsequent decrease in glacier extent. This may lead to significant changes to the discharge regime, with increase during spring but

  2. Discharge lamp with reflective jacket

    MacLennan, Donald A.; Turner, Brian P.; Kipling, Kent


    A discharge lamp includes an envelope, a fill which emits light when excited disposed in the envelope, a source of excitation power coupled to the fill to excite the fill and cause the fill to emit light, and a reflector disposed around the envelope and defining an opening, the reflector being configured to reflect some of the light emitted by the fill back into the fill while allowing some light to exit through the opening. The reflector may be made from a material having a similar thermal index of expansion as compared to the envelope and which is closely spaced to the envelope. The envelope material may be quartz and the reflector material may be either silica or alumina. The reflector may be formed as a jacket having a rigid structure which does not adhere to the envelope. The lamp may further include an optical clement spaced from the envelope and configured to reflect an unwanted component of light which exited the envelope back into the envelope through the opening in the reflector. Light which can be beneficially recaptured includes selected wavelength regions, a selected polarization, and selected angular components.

  3. The radiofrequency magnetic dipole discharge

    Martines, E.; Zuin, M.; Marcante, M.; Cavazzana, R.; Fassina, A.; Spolaore, M.


    This paper describes a novel and simple concept of plasma source, which is able to produce a radiofrequency magnetized discharge with minimal power requirements. The source is based on the magnetron concept and uses a permanent magnet as an active electrode. The dipolar field produced by the magnet confines the electrons, which cause further ionization, thus producing a toroidally shaped plasma in the equatorial region around the electrode. A plasma can be ignited with such scheme with power levels as low as 5 W. Paschen curves have been built for four different working gases, showing that in Helium or Neon, plasma breakdown is easily obtained also at atmospheric pressure. The plasma properties have been measured using a balanced Langmuir probe, showing that the electron temperature is around 3-4 eV and higher in the cathode proximity. Plasma densities of the order of 1016 m-3 have been obtained, with a good positive scaling with applied power. Overall, the electron pressure appears to be strongly correlated with the magnetic field magnitude in the measurement point.

  4. KSC Electrostatic Discharge (ESD) Issues

    Buhler, Charles


    Discussion of key electrostatic issues that have arisen during the past few years at KSC that the Electrostatics Laboratory has studied. The lab has studied in depth the Space Shuttle's Thermal Control System Blankets, the International Space Station Thermal Blanket, the Pan/Tilt Camera Blankets, the Kapton Purge Barrier Curtain, the Aclar Purge Barrier Curtain, the Thrust Vector Controller Blankets, the Tyvek Reaction Control System covers, the AID-PAK and FLU-9 pyro inflatable devices, the Velostat Solid Rocket Booster mats, and the SCAPE suits. In many cases these materials are insulating meaning that they might be a source of unsafe levels of electrostatic discharge (ESD). For each, the lab provided in-depth testing of each material within its current configuration to ensure that it does not cause an ESD concern that may violate the safety of the astronauts, the workers and equipment for NASA. For example the lab provides unique solutions and testing such as Spark Incendivity Testing that checks whether a material is capable of generating a spark strong enough to ignite a flammable gas. The lab makes recommendations to changes in specifications, procedures, and material if necessary. The lab also consults with a variety of non-safety related ESD issues for the agency.

  5. Arc discharge sliding over a conducting surface

    Goor, van F.A.; Mitko, S.V.; Ochkin, V.N.; Paramonov, A.P.; Witteman, W.J.


    Results of experimental and theoretical studies of the arc discharge which slides over the surface of a conductor are reported. Experiments were performed in air and argon ambients at various pressures. It is found that the velocity of the discharge plasma front depends linearly on the strength of t

  6. Pulse volume discharges in high pressure gases

    Yamshchikov, V. A.


    New approach for suppression of plasma inhomogeneities and instabilities in the volume self-sustained discharge is offered. The physical model is offered and conditions of obtaining extremely homogeneous self-sustained discharge are defined (with full suppression of plasma inhomogeneity and instability). Results of calculations agree with experiments.

  7. Plasma discharge self-cleaning filtration system

    Cho, Young I.; Fridman, Alexander; Gutsol, Alexander F.; Yang, Yong


    The present invention is directed to a novel method for cleaning a filter surface using a plasma discharge self-cleaning filtration system. The method involves utilizing plasma discharges to induce short electric pulses of nanoseconds duration at high voltages. These electrical pulses generate strong Shockwaves that disintegrate and dislodge particulate matter located on the surface of the filter.

  8. Generation of nanoparticles by spark discharge

    Tabrizi, N.S.; Ullmann, M.; Vons, V.A.; Lafont, U.; Schmidt-Ott, A.


    The production of nanoparticles by microsecond spark discharge evaporation in inert gas is studied systematically applying transmission electron microscopy, mobility analysis and BET surface area measurement. The method of spark discharge is of special interest, because it is continuous, clean, extr

  9. Aerated bunker discharge of fine dilating powders

    Ouwerkerk, C.E.D.; Molenaar, H.J.; Frank, M.J.W.


    The discharge rate of coarse powders (mean particle size 500 ¿m) from bunkers without aeration can be described by both empirical relations and theoretical models. In the case of small particles the discharge rate is largely overestimated. As the powder dilates during flow a negative pressure gradie

  10. Eddy correlation measurements of submarine groundwater discharge

    Crusius, J.; Berg, P.; Koopmans, D.J.; Erban, L.


    This paper presents a new, non-invasive means of quantifying groundwater discharge into marine waters using an eddy correlation approach. The method takes advantage of the fact that, in virtually all aquatic environments, the dominant mode of vertical transport near the sediment-water interface is turbulent mixing. The technique thus relies on measuring simultaneously the fluctuating vertical velocity using an acoustic Doppler velocimeter and the fluctuating salinity and/or temperature using rapid-response conductivity and/or temperature sensors. The measurements are typically done at a height of 5-15??cm above the sediment surface, at a frequency of 16 to 64??Hz, and for a period of 15 to 60??min. If the groundwater salinity and/or temperature differ from that of the water column, the groundwater specific discharge (cm d- 1) can be quantified from either a heat or salt balance. Groundwater discharge was estimated with this new approach in Salt Pond, a small estuary on Cape Cod (MA, USA). Estimates agreed well with previous estimates of discharge measured using seepage meters and 222Rn as a tracer. The eddy correlation technique has several desirable characteristics: 1) discharge is quantified under in-situ hydrodynamic conditions; 2) salinity and temperature can serve as two semi-independent tracers of discharge; 3) discharge can be quantified at high temporal resolution, and 4) long-term records of discharge may be possible, due to the low power requirements of the instrumentation. ?? 2007 Elsevier B.V. All rights reserved.

  11. Computing discharge using the index velocity method

    Levesque, Victor A.; Oberg, Kevin A.


    Application of the index velocity method for computing continuous records of discharge has become increasingly common, especially since the introduction of low-cost acoustic Doppler velocity meters (ADVMs) in 1997. Presently (2011), the index velocity method is being used to compute discharge records for approximately 470 gaging stations operated and maintained by the U.S. Geological Survey. The purpose of this report is to document and describe techniques for computing discharge records using the index velocity method. Computing discharge using the index velocity method differs from the traditional stage-discharge method by separating velocity and area into two ratings—the index velocity rating and the stage-area rating. The outputs from each of these ratings, mean channel velocity (V) and cross-sectional area (A), are then multiplied together to compute a discharge. For the index velocity method, V is a function of such parameters as streamwise velocity, stage, cross-stream velocity, and velocity head, and A is a function of stage and cross-section shape. The index velocity method can be used at locations where stage-discharge methods are used, but it is especially appropriate when more than one specific discharge can be measured for a specific stage. After the ADVM is selected, installed, and configured, the stage-area rating and the index velocity rating must be developed. A standard cross section is identified and surveyed in order to develop the stage-area rating. The standard cross section should be surveyed every year for the first 3 years of operation and thereafter at a lesser frequency, depending on the susceptibility of the cross section to change. Periodic measurements of discharge are used to calibrate and validate the index rating for the range of conditions experienced at the gaging station. Data from discharge measurements, ADVMs, and stage sensors are compiled for index-rating analysis. Index ratings are developed by means of regression

  12. Estimation of combined sewer overflow discharge

    Ahm, Malte; Thorndahl, Søren Liedtke; Nielsen, Jesper Ellerbæk;


    Combined sewer overflow (CSO) structures are constructed to effectively discharge excess water during heavy rainfall, to protect the urban drainage system from hydraulic overload. Consequently, most CSO structures are not constructed according to basic hydraulic principles for ideal measurement...... weirs. It can, therefore, be a challenge to quantify the discharges from CSOs. Quantification of CSO discharges are important in relation to the increased environmental awareness of the receiving water bodies. Furthermore, CSO discharge quantification is essential for closing the rainfall-runoff mass......-balance in combined sewer catchments. A closed mass-balance is an advantage for calibration of all urban drainage models based on mass-balance principles. This study presents three different software sensor concepts based on local water level sensors, which can be used to estimate CSO discharge volumes from hydraulic...

  13. Characterisation of pulsed discharge in water

    Kocik, Marek; Dors, Miroslaw; Podlinski, Janusz; Mizeraczyk, Jerzy; Kanazawa, Seiji; Ichiki, Ryuta; Sato, Takehiko


    In this paper, Schlieren photography technique has been applied for the visualization of the pressure field of a single-shot underwater pulsed discharge. A needle-to-plane electrode configuration submerged in distilled water was used. The detailed time- and space-resolved images of both streamers and pressure waves were captured. As a result, several phenomena, such as the phase change prior to the initiation of the discharge, primary and secondary streamers propagation, shock wave generation, and the bubble formation, were observed. From these observations, a scenario of multiple events from prebreakdown to post-discharge was proposed. The gas bubbles generated in discharge were used to visualize the electrohydrodynamic flow induced by the discharge. This work was presented on the occasion of the 13th International Symposium on High Pressure Low Temperature Plasma Chemistry (Hakone XIII).

  14. Influence on discharge uniformity of electrodes configuration

    Zheng Jian; Sui Zhan; Lu Jing Ping; Zheng Kui Xing; Zhang Xiong Jun; Dong Yun; Feng Bin


    Large area glow discharge plasma that is transparent and highly conductive can be used as electrodes in Pockels cell to extend the switch aperture. To investigate this technology, a glow discharging chamber with a clear aperture of 5 cm x 5 cm was constructed, and hollow cathode, button cathode, pin cathode, bar cathode and bar anode were designed and produced. Using CCD imaging system, the discharging uniformity of different cathodes was tested with bar anode and under the different pressure pre-ionization voltage and main discharging voltage. A uniform plasma can be obtained with a hollow cathode when the pre-ionization voltage is about 700 V, the pressure is about 30 Pa, and the main discharging voltage is about 4 kV, which can be used for the plasma electrode of Pockels cell

  15. Discharge coefficient of small sonic nozzles

    Yin Zhao-Qin


    Full Text Available The purpose of this investigation is to understand flow characteristics in mini/micro sonic nozzles, in order to precisely measure and control miniscule flowrates. Experimental and numerical simulation methods have been used to study critical flow Venturi nozzles. The results show that the nozzle’s size and shape influence gas flow characteristics which leading the boundary layer thickness to change, and then impact on the discharge coefficient. With the diameter of sonic nozzle throat decreasing, the discharge coefficient reduces. The maximum discharge coefficient exits in the condition of the inlet surface radius being double the throat diameter. The longer the diffuser section, the smaller the discharge coefficient becomes. Diffuser angle affects the discharge coefficient slightly.

  16. Impact of Pharmacist Facilitated Discharge Medication Reconciliation

    Todd M. Super


    Full Text Available Preventable adverse drug events occur frequently at transitions in care and are a problem for many patients following hospital discharge. Many of these problems can be attributed to poor medication reconciliation. The purpose of this study was to assess the impact that direct pharmacist involvement in the discharge medication reconciliation process had on medication discrepancies, patient outcomes, and satisfaction. A cohort study of 70 patients was designed to assess the impact of pharmacist facilitated discharge medication reconciliation at a 204-bed community hospital in Battle Creek, Michigan, USA. Discharge summaries were analyzed to compare patients who received standard discharge without pharmacist involvement to those having pharmacist involvement. The total number of discrepancies in the group without pharmacist involvement was significantly higher than that of the pharmacist facilitated group.

  17. Helium corona-assisted air discharge

    Jiang Nan; Gao Lei; Ji Ailing; Cao Zexian [Institute of Physics, Chinese Academy of Sciences, Beijing 100190 (China)


    Operation of atmospheric discharge of electronegative gases including air at low voltages yet without consuming any inert gas will enormously promote the application of non-thermal plasmas. By taking advantage of the low onset voltage for helium corona, air discharge was successfully launched at much reduced voltages with a needle-plate system partly contained in a helium-filled glass bulb--for a needle-plate distance of 12 mm, 1.0 kV suffices. Ultraviolet emission from helium corona facilitates the discharging of air, and the discharge current manifests distinct features such as relatively broad Trichel pulses in both half periods. This design allows safe and economic implementation of atmospheric discharge of electronegative gases, which will find a broad palette of applications in surface modification, plasma medicine and gas treatment, etc.

  18. The making of local hospital discharge arrangements

    Burau, Viola; Bro, Flemming


    Background Timely discharge is a key component of contemporary hospital governance and raises questions about how to move to more explicit discharge arrangements. Although associated organisational changes closely intersect with professional interests, there are relatively few studies...... and involvement in the process of organisational change: whereas in the ‘add on’ model the professional groups remain at a distance, in the ‘embedded model’ they are closely engaged. Conclusions In terms of understanding the making of hospital discharge arrangements, the study contributes two sets of insights...... in the literature on hospital discharge that explicitly examine the role of professional groups. Recent contributions to the literature on organisational studies of the professions help to specify how professional groups in hospitals contribute to the introduction and routinisation of discharge arrangements...

  19. Numerical investigation of dielectric barrier discharges

    Li, Jing


    A dielectric barrier discharge (DBD) is a transient discharge occurring between two electrodes in coaxial or planar arrangements separated by one or two layers of dielectric material. The charge accumulated on the dielectric barrier generates a field in a direction opposite to the applied field. The discharge is quenched before an arc is formed. It is one of the few non-thermal discharges that operates at atmospheric pressure and has the potential for use in pollution control. In this work, a numerical model of the dielectric barrier discharge is developed, along with the numerical approach. Adaptive grids based on the charge distribution is used. A self-consistent method is used to solve for the electric field and charge densities. The Successive Overrelaxation (SOR) method in a non-uniform grid spacing is used to solve the Poisson's equation in the cylindrically-symmetric coordinate. The Flux Corrected Transport (FCT) method is modified to solve the continuity equations in the non-uniform grid spacing. Parametric studies of dielectric barrier discharges are conducted. General characteristics of dielectric barrier discharges in both anode-directed and cathode-directed streamer are studied. Effects of the dielectric capacitance, the applied field, the resistance in external circuit and the type of gases (O2, air, N2) are investigated. We conclude that the SOR method in an adaptive grid spacing for the solution of the Poisson's equation in the cylindrically-symmetric coordinate is convergent and effective. The dielectric capacitance has little effect on the g-factor of radical production, but it determines the strength of the dielectric barrier discharge. The applied field and the type of gases used have a significant role on the current peak, current pulse duration and radical generation efficiency, discharge strength, and microstreamer radius, whereas the external series resistance has very little effect on the streamer properties. The results are helpful in

  20. Clinical Application of Breast Fiberoptic Ductoscopy in 354 Cases with Abnormal Nipple Discharge

    HengweiZhang; GuifenYang; HuaYang; FawenLiu; ShudeCui


    OBJECTIVE To use the breast duct endoscope for studying thepathological characteristics of breast-duct disease with nipple discharge,and offer methods that can improve diagnostic accuracy.METHODS A total of 354 patients with nipple discharge were examinedusing the fiberoptic duct endoscope (FVS-3000M). Ducts and theirbranches were investigated to define and locate the extent of intraductallesions. Core biopsies were taken of suspicious lesions and the findingswere analyzed retrospectively.RESULTS In cases of bloody and serosanguineous nipple discharge,72.3% were papilloma and papillomatosis, 5.2% duct cancer and 22.5%mammary duct ectasia and galactophoritis. In patients with watery nippledischarge, 56.0% were papilloma and papillomatosis, 8.0% were breastcancer and 5 patients without abnormal findings were regarded asnormal.CONCLUSION Fiberoptic duct endoscopy can accurately locate the siteand pathology of nipple discharge allowing the improvement in diagnosisof early breast cancer.

  1. Detrecting and Locating Partial Discharges in Transformers

    Shourbaji, A.; Richards, R.; Kisner, R. A.; Hardy, J.


    A collaborative research between the Oak Ridge National Laboratory (ORNL), the American Electric Power (AEP), the Tennessee Valley Authority (TVA), and the State of Ohio Energy Office (OEO) has been formed to conduct a feasibility study to detect and locate partial discharges (PDs) inside large transformers. The success of early detection of the PDs is necessary to avoid costly catastrophic failures that can occur if the process of PD is ignored. The detection method under this research is based on an innovative technology developed by ORNL researchers using optical methods to sense the acoustical energy produced by the PDs. ORNL researchers conducted experimental studies to detect PD using an optical fiber as an acoustic sensor capable of detecting acoustical disturbances at any point along its length. This technical approach also has the potential to locate the point at which the PD was sensed within the transformer. Several optical approaches were experimentally investigated, including interferometric detection of acoustical disturbances along the sensing fiber, light detection and ranging (LIDAR) techniques using frequency modulation continuous wave (FMCW), frequency modulated (FM) laser with a multimode fiber, FM laser with a single mode fiber, and amplitude modulated (AM) laser with a multimode fiber. The implementation of the optical fiber-based acoustic measurement technique would include installing a fiber inside a transformer allowing real-time detection of PDs and determining their locations. The fibers are nonconductive and very small (core plus cladding are diameters of 125 μm for single-mode fibers and 230 μm for multimode fibers). The research identified the capabilities and limitations of using optical technology to detect and locate sources of acoustical disturbances such as in PDs in large transformers. Amplitude modulation techniques showed the most promising results and deserve further research to better quantify the technique’s sensitivity

  2. Discharge analysis and electrical modeling for the development of efficient dielectric barrier discharge

    Pal, U. N.; Kumar, M.; Tyagi, M. S.; Meena, B. L.; Khatun, H.; Sharma, A. K.


    Dielectric-barrier discharges (DBDs) are characterized by the presence of at least one insulating layer in contact with the discharge between two planar or cylindrical electrodes connected to an AC/pulse power supply. The dielectric layers covering the electrodes act as current limiters and prevent the transition to an arc discharge. DBDs exist usually in filamentary mode, based on the streamer nature of the discharges. The main advantage of this type of electrical discharges is that nonequilibrium and non-thermal plasma conditions can be established at atmospheric pressure. VUV/UV sources based on DBDs are considered as promising alternatives of conventional mercury-based discharge plasmas, producing highly efficient VUV/UV radiation. The experiments have been performed using two coaxial quartz double barrier DBD tubes, which are filled with Xe/Ar at different pressures. A sinusoidal voltage up to 2.4 kV peak with frequencies from 20 to 100 kHz has been applied to the discharge electrodes for the generation of microdischarges. A stable and uniform discharge is produced in the gas gap between the dielectric barrier electrodes. By comparisons of visual images and electrical waveforms, the filamentary discharges for Ar tube while homogeneous discharge for Xe tube at the same conditions have been confirmed. The electrical modeling has been carried out to understand DBD phenomenon in variation of applied voltage waveforms. The simulated discharge characteristics have been validated by the experimental results.

  3. Influence of Four Factors on Discharge Capacity and Self-Discharge Rate of Iron Electrode

    Dongfeng LIN; Shihai YE; Rong CAI; Deying SONG; Panwen SHEN


    Ni-Fe rechargeable batteries possess the advantages of long cycle life, high theoretical specific energy, abundant raw material,Iow price and environmental friendship. It has a wide applied perspective. The advantages, disadvantages and preparation methods of iron electrodes were summarized. The influence of four factors on discharge capacity and self-discharge rate of iron electrode were discussed by means of orthogonal experiments, galvanostatic charges and discharges. The influences of graphite on the discharge capacity and self-discharge rate of iron electrode were the most remarkable, the most unapparent influences on the discharge capacity and self-discharge rate were HPMC (hydroxy propoxy methoxy cellulose) and sodium sulphide, respectively. The aim of the present research was to study the effects of graphite, HPMC and iron powder added in the electrodes, sodium sulphide added in the electrolytes on the discharge capacity and self-discharge rate of iron electrodes.The largest discharge capacity of the iron electrodes was 488.5 mAh/g-Fe at 66.4 mA/g-Fe in the first ten cycles, and the average self-discharge rate was 0.367% per hour.

  4. Troponin T: role in altering patient management and enabling earlier discharge from a district general hospital.

    Owen, A; Khan, W; Griffiths, K D


    The use of troponin T to facilitate early patient discharge was investigated in a prospective study in a district general hospital. Troponin T was measured in 91 patients admitted over a period of 6 months with chest pain but without evidence of myocardial infarction. The main outcome measure was length of hospital stay. A negative troponin T was found in 70 patients. Fifty of these were discharged within 24 h of the troponin result being available and they had a significantly shorter hospital stay than a case control group and a historical control group from the previous 6 months. Troponin T measurement has a role in altering patient management by enabling early discharge, resulting in significant cost savings and increasing bed availability.

  5. High-pressure hollow cathode discharges

    Schoenbach, Karl H.; El-Habachi, Ahmed; Shi, Wenhui; Ciocca, Marco


    Reducing the diameter of the cathode hole in a plane anode - hollow cathode geometry to 0963-0252/6/4/003/img1m has allowed us to generate direct current discharges in argon at atmospheric pressure. Up to pressure times cathode hole diameter (pD) values of approximately 5 Torr cm, and at sub-mA currents, glow discharges (predischarges) are observed with a shape which is determined by the vacuum electric field. In the same pD range, but at higher currents of up to approximately 4 mA, the discharges are of the hollow cathode discharge type. At pD values exceeding 5 Torr cm the predischarges turn into surface discharges along the mica spacer between the electrodes. At currents > 4 mA filamentary, pulsed discharges are observed. Qualitative information on the electron energy distribution in the microdischarges has been obtained by studying the VUV emission from ionized argon atoms and the argon excimer radiation at 130 nm. The results of the spectral measurements indicate the presence of a relatively large concentration of electrons with energies > 15 eV over the entire pressure range. The fact that the current - voltage characteristic of the microdischarges has a positive slope over much of the current range where excimer radiation is emitted indicates the possibility of forming arrays of these discharges and using them in flat panel excimer lamps.

  6. Whiteboards and discharge traffic lights: visual management in acute care.

    O'Brien, Lauri; Bassham, Jane; Lewis, Melissa


    Flinders Medical Centre was experiencing issues with timely discharge and knowing the potential discharges and in-patient bed capacity for the next day. This case study describes the application of 'visual management' theory to discharge processes. The solutions developed were 'patient journey boards' and 'discharge traffic lights'. The implementation of these visual management systems has enabled the hospital to improve its discharge processes.

  7. Modes of Homogeneous Barrier Discharge at Atmospheric Pressure in Helium

    WANG Yan-Hui; WANG De-Zhen


    @@ The discharge modes of a homogeneous barrier discharge at atmospheric pressure in helium are investigated with a one-dimensional fluid model It is found that, either in single peak discharge or in multipeak discharge, there are two discharge modes: glow and Townsend modes. The structure and features of the two modes are compared.The conditions forming the two modes are discussed.

  8. Pervasive healthcare in the home Supporting patient motivation and engagement


    Currently, care and rehabilitation practices move, to a greater extent, out of hospitals and into private homes. This accelerating trend challenges healthcare systems and their patients. Heterogeneous settings such as private homes together with the diverse nature of the inhabitants...... and their conditions create both technical and usability constraints and possibilities that can inform development of home-based care and rehabilitation applications. This workshop likes to investigate and discuss challenges, requirements and possibilities related to home-based healthcare applications, seen from...... a patient perspective. For example, how do we design for acceptance and engagement among patients and their families living with these systems on an everyday basis? How can barriers related to patient engagement, motivation and the feeling of ‘being cared for be handled by developed systems in heterogeneous...

  9. Mechanism of Striation in Dielectric Barrier Discharge

    FENG Shuo; HE Feng; OUYANG Ji-Ting


    @@ The mechanism of striations in dielectric barrier discharge in pure neon is studied by a two-dimensional particlein-cell/Monte Carlo collision (PIC-MCC) model. It is shown that the striations appear in the plasma background,and non-uniform electrical field resulting from ionization and the negative wall charge appear on the dielectric layer above the anode. The sustainment of striations is a non-local kinetic effect of electrons in a stratified field controlled by non-elastic impact with neutral gases. The striations in the transient dielectric barrier discharge are similar to those in dc positive column discharge.

  10. Biological and Agricultural Studies on Application of Discharge Plasma and Electromagnetic Fields 2.Sterilization by Electrical Discharges and Plasmas

    Watanabe, Takayuki

    The use of electrical discharges and plasmas for sterilization is reviewed. Plasmas generated by a silent discharge, a pulse discharge, and a radio frequency discharge under atmospheric pressure have been used for sterilization. Furthermore, a microwave plasma, a radio frequency plasma, and a low temperature plasma with hydrogen peroxide under low pressure conditions have been also used for sterilization. Sterilization results from injury caused by the discharge current, and from the reaction of species affected by the discharge. A silent discharge with air or oxygen is most effective for the sterilization. Nitrogen discharge also has a significant effect, however, argon discharge does not have a significant effect.

  11. Readmissions and death after ICU discharge: development and validation of two predictive models.

    Omar Badawi

    Full Text Available INTRODUCTION: Early discharge from the ICU is desirable because it shortens time in the ICU and reduces care costs, but can also increase the likelihood of ICU readmission and post-discharge unanticipated death if patients are discharged before they are stable. We postulated that, using eICU® Research Institute (eRI data from >400 ICUs, we could develop robust models predictive of post-discharge death and readmission that may be incorporated into future clinical information systems (CIS to assist ICU discharge planning. METHODS: Retrospective, multi-center, exploratory cohort study of ICU survivors within the eRI database between 1/1/2007 and 3/31/2011. EXCLUSION CRITERIA: DNR or care limitations at ICU discharge and discharge to location external to hospital. Patients were randomized (2∶1 to development and validation cohorts. Multivariable logistic regression was performed on a broad range of variables including: patient demographics, ICU admission diagnosis, admission severity of illness, laboratory values and physiologic variables present during the last 24 hours of the ICU stay. Multiple imputation was used to address missing data. The primary outcomes were the area under the receiver operator characteristic curves (auROC in the validation cohorts for the models predicting readmission and death within 48 hours of ICU discharge. RESULTS: 469,976 and 234,987 patients representing 219 hospitals were in the development and validation cohorts. Early ICU readmission and death was experienced by 2.54% and 0.92% of all patients, respectively. The relationship between predictors and outcomes (death vs readmission differed, justifying the need for separate models. The models for early readmission and death produced auROCs of 0.71 and 0.92, respectively. Both models calibrated well across risk groups. CONCLUSIONS: Our models for death and readmission after ICU discharge showed good to excellent discrimination and good calibration. Although

  12. Physiotherapists' perceptions of and experiences with the discharge planning process in acute-care general internal medicine units in ontario.

    Matmari, Lakshmi; Uyeno, Jennifer; Heck, Carol S


    To examine discharge planning of patients in general internal medicine units in Ontario acute-care hospitals from the perspective of physiotherapists. A cross-sectional study using an online questionnaire was sent to participants in November 2011. Respondents' demographic characteristics and ranking of factors were analyzed using descriptive statistics; t-tests were performed to determine between-group differences (based on demographic characteristics). Responses to open-ended questions were coded to identify themes. Mobility status was identified as the key factor in determining discharge readiness; other factors included the availability of social support and community resources. While inter-professional communication was identified as important, processes were often informal. Discharge policies, timely availability of other discharge options, and pressure for early discharge were identified as affecting discharge planning. Respondents also noted a lack of training in discharge planning; accounts of ethical dilemmas experienced by respondents supported these themes. Physiotherapists consider many factors beyond the patient's physical function during the discharge planning process. The improvement of team communication and resource allocation should be considered to deal with the realities of discharge planning.

  13. Hospital discharge of respiratory-technology-dependent children: role of a dedicated respiratory care discharge coordinator.

    Tearl, Donna K; Cox, Timothy J; Hertzog, James H


    Preparation of respiratory-technology-dependent children for hospital discharge presents many challenges. Adequate training and education of parental caregivers, discharge planning, and coordination with the durable-medical-equipment and home-nursing companies must be completed. A process using multiple respiratory therapists (RTs) to achieve this may not be efficient. We evaluated our model, in which a dedicated RT discharge coordinator provides education and coordinates discharge planning of respiratory-technology-dependent pediatric patients. This system provides a single contact for caregivers and outside agencies, a single respiratory-care educator for the caregivers, and a clinical pathway that involves the entire multidisciplinary team. Patient length of stay and customer satisfaction were evaluated before and after implementation of the discharge-coordinator program. Our dedicated-RT-discharge-coordinator model was associated with rapid initiation of frequent family-training sessions. Durable-medical-equipment-company personnel reported that they had increased satisfaction with the quality of training of the family caregivers. The members of the hospital multidisciplinary team had increased satisfaction with the discharge process. Patient length of stay nonsignificantly decreased after the implementation of the discharge-coordinator program. There are several advantages to using a dedicated RT-discharge-coordinator system for home-discharge preparation of respiratory-technology-dependent children.

  14. Fractal characterization of surface electrical discharges

    Egiziano, L.; Femia, N.; Lupo' , G.; Tucci, V. (Salerno Univ. (Italy). Ist. di Ingegneria Elettronica Naples Univ. (Italy). Dip. di Ingegneria Elettrica)


    The concepts of fractal geometry have been usefully applied to describe several physical processes whose growth mechanisms are characterized by complex topological structures. The fractal characterization of electrical discharges taking place at the air/solid dielectric interface is considered in this paper. A numerical procedure allowing the reproduction the typical discharge patterns, known as Lichtenberg figures, is presented: the growth process of the discharge is simulated by solving iteratively the Laplace equation with moving boundary conditions and by considering two power probability laws whose exponents determine the ramification level of the structure. The discharge patterns are then considered as fractal sets and their characteristic parameters are determined. The dependence of the typical structures on the two exponents of the probability laws are also discussed.

  15. Pulsed electrical discharge in conductive solution

    Panov, V. A.; Vasilyak, L. M.; Vetchinin, S. P.; Pecherkin, V. Ya; Son, E. E.


    Electrical discharge in a conductive solution of isopropyl alcohol in tap water (330 μ S cm-1) has been studied experimentally applying high voltage millisecond pulses (rise time  ˜0.4 μ \\text{s} , amplitude up to 15 kV, positive polarity) to a pin anode electrode. Dynamic current-voltage characteristics synchronized with high-speed images of the discharge were studied. The discharge was found to develop from high electric field region in the anode vicinity where initial conductive current with density  ˜100 A cm-2 results in fast heating and massive nucleation of vapor bubbles. Discharges in nucleated bubbles then produce a highly conductive plasma region and facilitate overheating instability development with subsequent formation of a thermally ionized plasma channel. The measured plasma channel propagation speed was 3-15 m s-1. A proposed thermal model of plasma channel development explains the low observed plasma channel propagation speed.

  16. Sawdust discharge rate from aerated hoppers

    Pan Chen; Zhulin Yuan; Chien-Song Chyang; Fu-Xiong Zhuan


    This paper presents a numerical and experimental study of the discharge rate of sawdust from an aerated hopper as an important parameter in many industrial processes involving the handling of other granular materials. Numerical experiments are conducted by means of an Eulerian-Eulerian approach coupled with the kinetic theory of granular flow (KTGF). Emphasis is given to the effects of particle size, hopper outlet width, hopper half angle, aeration height and air flow rate. The results show that the discharge rate is significantly affected by hopper outlet width, particle size and air flow rate, but is not sensitive to the hopper half angle and aeration height: increasing hopper outlet width or air flow rate increases discharge rate, while increasing particle size decreases discharge rate. Close agreement between numerical predictions and experimental results is obtained.

  17. Leaving the hospital - your discharge plan

    ... Leaving the hospital - your discharge plan To use the sharing features ... please enable JavaScript. After an illness, leaving the hospital is your next step toward recovery. Depending on ...

  18. On current termination in rotamak discharges

    Donaldson, N.; Euripides, P.; Jones, I.R.; Xu, S. [Flinders Univ. of South Australia, Bedford Park, SA (Australia). School of Physical Sciences


    A new series of rotamak experiments conducted in a 50 litre spherical pyrex discharge vessel is described. An analysis of the results, together with that of previous results from a smaller, 10 litre vessel, provides an explanation for the current termination phenomenon which is such a noteworthy and characteristic feature of all rotamak discharges studied to date. It is shown that the amplitude of the applied rotating magnetic field, B{sub {omega}}, has to be greater than a certain critical value, B{sub {omega}}{sup crit}, for the rotamak discharge to be maintained. Provided B{sub {omega}} {>=} B{sub {omega}}{sup crit}, the properties of the discharge are then determined by the behaviour of the circuit used to couple the RF generators to the plasma load. The conditions necessary for the production of a compact toroidal magnetic configuration are presented. (author).

  19. Electroformed Electrodes for Electrical-Discharge Machining

    Werner, A.; Cassidenti, M.


    Copper electrodes replace graphite electrodes in many instances of electrical-discharge machining (EDM) of complex shapes. Copper electrodes wear longer and cause less contamination of EDM dielectric fluid than do graphite electrodes.

  20. Contamination-Free Electrical-Discharge Machining

    Schmidt, Mark G.


    Contamination of parts by electrical-discharge machining (EDM) almost completely eliminated by reversing flow of coolant. Flow reversed from usual direction so coolant carries contaminants out through passage in electrode. Coolant for reverse flow is pressurized dichlorodifluoromethane vapor.

  1. Electrical-Discharge Machining Of Perpendicular Passages

    Malinzak, R. Michael; Booth, Gary N.


    Perpendicular telescoping electrode used to perform electrical-discharge machining (EDM) of internal passage through previously inaccessible depth of metal workpiece. More specifically, used to make internal passage perpendicular to passage entering from outer surface.

  2. Setup Aid for Electrical-Discharge Machining

    Lines, G.; Duca, J.


    Interlock assures that workpiece is correctly assembled in machining fixture. A Plunger in a Hollow Shaft actuates a switch, allowing a power supply to produce current for electrical-discharge machining. Plunger operates only when necessary parts are position.

  3. Mobile electric vehicles online charging and discharging

    Wang, Miao; Shen, Xuemin (Sherman)


    This book examines recent research on designing online charging and discharging strategies for mobile electric vehicles (EVs) in smart grid. First, the architecture and applications are provided. Then, the authors review the existing works on charging and discharging strategy design for EVs. Critical challenges and research problems are identified. Promising solutions are proposed to accommodate the issues of high EV mobility, vehicle range anxiety, and power systems overload. The authors investigate innovating charging and discharging potentials for mobile EVS based on real-time information collections (via VANETS and/or cellular networks) and offer the power system adjustable load management methods.  Several innovative charging/discharging strategy designs to address the challenging issues in smart grid, i.e., overload avoidance and range anxiety for individual EVs, are presented. This book presents an alternative and promising way to release the pressure of the power grid caused by peak-time EV charging ...

  4. Research on Nanosecond Pulse Corona Discharge Attenuation

    HE Zheng-hao; XU Huai-li; BAI Jing; YU Fu-sheng; HU Feng; LI Jin


    A line-to-plate reactor was set-up in the experimental study on the application of nanosecond pulsed corona discharge plasma technology in environmental pollution control.Investigation on the attenuation and distortion of the amplitude of the pulse wave front and the discharge image as well as the waveform along the corona wire was conducted.The results show that the wave front decreases sharply during the corona discharge along the corona wire.The higher the amplitude of the applied pulse is,the more the amplitude of the wave front decreased.The wave attenuation responds in a lower corona discharge inversely.To get a higher efficiency of the line-to-plate reactor a sharp attenuation of the corona has to be considered in practical design.

  5. Cleft lip and palate repair - discharge

    ... this page: // Cleft lip and palate repair - discharge To use the sharing ... Elsevier Saunders; 2015:chap 8. Read More Cleft lip and palate Cleft lip and palate repair Review Date 5/9/ ...

  6. Abdominal aortic aneurysm repair - open - discharge

    ... this page: // Abdominal aortic aneurysm repair - open - discharge To use the sharing features ... References Orandi BJ, Black JH. Open repair of abdominal aortic aneurysms. In: Cameron JL, Cameron AM, eds. Current Surgical ...

  7. Pulsed discharge plasmas in supercritical carbon dioxide

    Kiyan, Tsuyoshi; Uemura, A.; Tanaka, K.; Zhang, C. H.; Namihira, Takao; Sakugawa, Takashi; Katsuki, Sunao; Akiyama, Hidenori; Roy, B.C.; Sasaki, M.; Goto, M.; キヤン, ツヨシ; ナミヒラ, タカオ; サクガワ, タカシ; カツキ, スナオ


    In recent years, several studies about electrical discharge plasma in supercritical carbon dioxide (CO2) have been carried out. One of the unique characteristics of supercritical fluid is a large density fluctuation near the critical point that can result in marked dramatic changes of thermal conductivity. Therefore, the electrical discharge plasma produced in supercritical fluid has unique features and reactions unlike those of normal plasma produced in gas phase. In our experiments, two typ...

  8. Generation of nanoparticles by spark discharge

    Tabrizi, N.S.; Ullmann, M.; Vons, V.A.; Lafont, U.; Schmidt-Ott, A.


    The production of nanoparticles by microsecond spark discharge evaporation in inert gas is studied systematically applying transmission electron microscopy, mobility analysis and BET surface area measurement. The method of spark discharge is of special interest, because it is continuous, clean, extremely flexible with respect to material, and scale-up is possible. The particle size distributions are narrow and the mean primary particle size can be controlled via the energy per spark. Separate...

  9. Basic Studies of Distributed Discharge Limiters


    radioactive sources , prior breakdown discharges, UV pre- excitation/pre-ionization, VUV radiation, multipactor, and field or triple-point emission; (2...o DC voltage bias effects and seed electron sources including radioactive sources , prior breakdown discharges, UV pre-excitation/pre-ionization, VUV ...found to be less susceptible to impurities and hydrogen Lyman-α emission remained dominant in the VUV regime. A MD- VUV source with a time averaged power

  10. Suprathermal electrons in a vacuum spark discharge

    Bashutin, O. A., E-mail:; Savjolov, A. S., E-mail: [National Research Nuclear University MEPhI (Russian Federation)


    Results of experiments on the detection of suprathermal electron beams in the plasma of a highcurrent low-inductance vacuum spark by means of space-resolved spectral X-ray polarimetry are presented. It is shown that the observed polarization of bremsstrahlung may be caused by an ~100-keV electron beam propagating along the discharge axis from the pinching region toward the anode. The influence of the discharge initiation conditions on the parameters of the generated electron beams is analyzed.

  11. Plasma diagnostics discharge parameters and chemistry

    Auciello, Orlando


    Plasma Diagnostics, Volume 1: Discharge Parameters and Chemistry covers seven chapters on the important diagnostic techniques for plasmas and details their use in particular applications. The book discusses optical diagnostic techniques for low pressure plasmas and plasma processing; plasma diagnostics for electrical discharge light sources; as well as Langmuir probes. The text also describes the mass spectroscopy of plasmas, microwave diagnostics, paramagnetic resonance diagnostics, and diagnostics in thermal plasma processing. Electrical engineers, nuclear engineers, microwave engineers, che

  12. Electric field in an AC dielectric barrier discharge overlapped with a nanosecond pulse discharge

    Goldberg, Benjamin M.; Shkurenkov, Ivan; Adamovich, Igor V.; Lempert, Walter R.


    The effect of ns discharge pulses on the AC barrier discharge in hydrogen in plane-to-plane geometry is studied using time-resolved measurements of the electric field in the plasma. The AC discharge was operated at a pressure of 300 Torr at frequencies of 500 and 1750 Hz, with ns pulses generated when the AC voltage was near zero. The electric field vector is measured by ps four-wave mixing technique, which generates coherent IR signal proportional to the square of electric field. Absolute calibration was done using an electrostatic (sub-breakdown) field applied to the discharge electrodes, when no plasma was generated. The results are compared with one-dimensional kinetic modeling of the AC discharge and the nanosecond pulse discharge, predicting behavior of both individual micro-discharges and their cumulative effect on the electric field distribution in the electrode gap, using stochastic averaging based on the experimental micro-discharge temporal probability distribution during the AC period. Time evolution of the electric field in the AC discharge without ns pulses, controlled by a superposition of random micro-discharges, exhibits a nearly ‘flat top’ distribution with the maximum near breakdown threshold, reproduced quite well by kinetic modeling. Adding ns pulse discharges on top of the AC voltage waveform changes the AC discharge behavior in a dramatic way, inducing transition from random micro-discharges to a more regular, near-1D discharge. In this case, reproducible volumetric AC breakdown is produced at a well-defined moment after each ns pulse discharge. During the reproducible AC breakdown, the electric field in the plasma exhibits a sudden drop, which coincides in time with a well-defined current pulse. This trend is also predicted by the kinetic model. Analysis of kinetic modeling predictions shows that this effect is caused by large-volume ionization and neutralization of surface charges on the dielectrics by ns discharge pulses. The present

  13. River discharge estimation through MODIS data

    Tarpanelli, Angelica; Brocca, Luca; Lacava, Teodosio; Faruolo, Mariapia; Melone, Florisa; Moramarco, Tommaso; Pergola, Nicola; Tramutoli, Valerio


    River discharge is an important quantity of the hydrologic cycle because it is essential for both scientific and operational applications related to water resources management and flood risk prevention. Streamflow measurements are sparse and for few sites along natural channels and, hence, they are not able to detect adequately the complexity of variation in surface water systems. Therefore, in recent years, the possibility to obtain river discharge estimates through remote sensing monitoring has received a great interest. In this context, the capability of the MODerate resolution Imaging Spectroradiometer (MODIS) for river discharge estimation is investigated here. Thanks to a very short revisiting time interval and a moderate spatial resolution (up to 250 m), MODIS has a significant potential for mapping flooded area extent and flow dynamics. Specifically, for the estimation of river discharge, the ratio of the MODIS channel 2 reflectance values between two pixels located within and outside the river is used. Time series of daily discharge between 2006 and 2010 measured at two gauging stations located along the Upper Tiber River basin (central Italy) are employed to test the procedure. The agreement between MODIS-derived and in situ discharge time series is found to be fairly good with correlation coefficient values close to 0.8.

  14. Glow discharge based device for solving mazes

    Dubinov, Alexander E., E-mail:; Mironenko, Maxim S.; Selemir, Victor D. [Russian Federal Nuclear Center − All-Russian Scientific and Research Institute of Experimental Physics (RFNC-VNIIEF), Sarov, Nizhni Novgorod region 607188 (Russian Federation); Sarov Institute of Physics and Technology (SarFTI) of National Research Nuclear University “MEPhI,” Sarov, Nizhni Novgorod region 607188 (Russian Federation); Maksimov, Artem N.; Pylayev, Nikolay A. [Russian Federal Nuclear Center − All-Russian Scientific and Research Institute of Experimental Physics (RFNC-VNIIEF), Sarov, Nizhni Novgorod region 607188 (Russian Federation)


    A glow discharge based device for solving mazes has been designed and tested. The device consists of a gas discharge chamber and maze-transformer of radial-azimuth type. It allows changing of the maze pattern in a short period of time (within several minutes). The device has been tested with low pressure air. Once switched on, a glow discharge has been shown to find the shortest way through the maze from the very first attempt, even if there is a section with potential barrier for electrons on the way. It has been found that ionization waves (striations) can be excited in the maze along the length of the plasma channel. The dependancy of discharge voltage on the length of the optimal path through the maze has been measured. A reduction in discharge voltage with one or two potential barriers present has been found and explained. The dependency of the magnitude of discharge ignition voltage on the length of the optimal path through the maze has been measured. The reduction of the ignition voltage with the presence of one or two potential barriers has been observed and explained.

  15. Ionisation in atmospheres of brown dwarfs and extrasolar planets VI: Properties of large-scale discharge events

    Bailey, R L; Hodos, G; Bilger, C; Stark, C R


    Mineral clouds in substellar atmospheres play a special role as a catalyst for a variety of charge processes. If clouds are charged, the surrounding environment becomes electrically activated, and ensembles of charged grains are electrically discharging (e.g. by lightning), which significantly infuences the local chemistry creating conditions similar to those thought responsible for life in early planetary atmospheres. We note that such lightning discharges contribute also to the ionisation state of the atmosphere. We apply scaling laws for electrical discharge processes from laboratory measurements and numerical experiments to Drift-Phoenix model atmosphere results to model the discharge's propagation downwards (as lightning) and upwards (as sprites) through the atmospheric clouds. We evaluate the spatial extent and energetics of lightning discharges. The atmospheric volume affected (e.g. by increase of temperature or electron number) is larger in a brown dwarf atmosphere ($10^8 -~10^{10}$m$^3$) than in a gi...

  16. Discharge state transition and cathode fall thickness evolution during chromium HiPIMS discharge

    Zuo, Xiao; Ke, Peiling; Chen, Rende; Li, Xiaowei; Odén, Magnus; Wang, Aiying


    The temporal evolutions of target voltage and current waveforms under different pulse voltage and working pressure conditions were studied during Cr high power impulse magnetron sputtering discharges. Target voltage and current characteristics demonstrated that when the pulse width was set as 200 μs, HiPIMS discharge went through a four-stage sequence during each pulse, Townsend discharge, glow discharge, afterglow, and pulse-off stages. A discharge state transition in the glow discharge stage happened at high pulse voltage and working pressure conditions. Furthermore, the dependence of reduced cathode fall thickness pdc on pulse voltage, working pressure, and normalized current density j/p2 was presented. It was found that gas rarefaction leads to a change of relationship between pdc and j/p2. A noticeable increase of the cathode fall thickness caused by gas rarefaction has been found.

  17. Self-pulsing in a low-current hollow cathode discharge: From Townsend to glow discharge

    Qin, Yu [School of Physics, Beijing Institute of Technology, Beijing 100081 (China); School of Aerospace Engineering, Beijing Institute of Technology, Beijing 100081 (China); Xie, Kan, E-mail: [School of Aerospace Engineering, Beijing Institute of Technology, Beijing 100081 (China); Zhang, Yu; Ouyang, Jiting [School of Physics, Beijing Institute of Technology, Beijing 100081 (China)


    We investigate the self-pulsing phenomenon of a low current cavity discharge in a cylindrical hollow cathode in pure argon. The waveforms of pulsed current and voltage are measured, and the time-averaged and time-resolved images of hollow cathode discharge are recorded by using high-speed intensified charge coupled device camera. The results show that the self-pulsing is a mode transition between low-current stage of Townsend discharge and high-current stage of glow discharge. During the self-pulsing, the current rising time relates to the dissipation of space charges, and the decay time relates to the reconstruction of the virtual anode by the accumulation of positive ions. Whether or not space charges can form and keep the virtual anode is responsible for the discharge mode and hence plays an important role in the self-pulsing phenomenon in low current hollow cathode discharge.

  18. Prevalence of pathogens of abnormal vaginal discharges in a Nigerian tertiary hospital

    Samue Nwadioha; Julie O Egesie; Henry Emejuo; Elizabeth Iheanacho


    Objective:To investigate the prevalence of pathogens of abnormal vaginal discharges and to improve the current syndromic management of abnormal vaginal discharge. Methods:A prospective study of pathogens of abnormal vaginal discharge was carried out from December 2007 to December 2008. Samples of female genital swabs were collected from Obstetrics and Gynecology Units of Aminu Kano Teaching Hospital, Kano, Nigeria, and analyzed by microscopy, culture and sensitivity test in Medical Microbiology Laboratory of Aminu Kano Teaching Hospital. Results:Microorganisms were detected in 70%(1 400) of a total 2 000 female genital swabs studied. Candida species peaked with 42.0% (840), followed by Gardnerella vaginalis, a pathogen of bacteria vaginosis with 26.0%. The distribution of abnormal vaginal discharge was highest in young adults aged from 21 to 30 years. Conclusions:The commonest Microorganisms of infective vaginal discharge were Candida species, followed by Gardnerella vaginalis, a pathogen of bacterial vaginosis. Vaginal discharge was prevalent among young adults. We recommend prevention, early diagnosis and prompt treatment of infected female, especially among the young, sexually active group in order to reduce the menace of HIV transmission.

  19. Performance of a large-scale barrier discharge plume improved by an upstream auxiliary barrier discharge

    Li, Xuechen; Chu, Jingdi; Zhang, Qi; Zhang, Panpan; Jia, Pengying; Geng, Jinling


    Enhanced by an upstream auxiliary dielectric barrier discharge (ADBD), a transverse barrier discharge plume with a fairly large scale is generated downstream of a narrow slit. Electrical and optical characteristics are compared for the two discharges with and without the ADBD. Results indicate that the plume with the ADBD is longer, more uniform, and dissipates a higher power. Moreover, its inception voltage is much lower. High-speed imaging presents that the uniform plasma plume with the ADBD comprises a series of moving micro-discharge filaments in a glow regime, which are much smoother than those without the ADBD.

  20. Effects of Sevoflurane on the discharges of wide dynamic range neurons in spinally transected rats

    WANG Ying-wei; XIONG Yuan-chang; DENG Xiao-ming; ZHAO Zhi-qi


    Objective: To study the effects of clinical concentration of sevoflurane on activity of wide dynamic range neurons. Methods: Eight Spraque-Dawley rats(male) were selected. Their spinal cords were exposed and transected at T9- 10 level. The rate of firings of single neurons in the dorsal horn in response to electrical stimulation of skin was recorded with microelectrodes. The early and late discharges were observed when rats inhaled 0.5%, 1.0%, 1.5%, and 2.0%sevoflurane. Results: Sevoflurane suppressed the early and late discharges at the concentration of 0.5%, 1.0%, 1.5%,and 2.0%. Compared with early discharges, the extent of inhibition of late discharges was wider at the concentration of1%, 1.5 %, and 2.0% of sevoflurane. Conclusion: It is indicated that sevoflurane could suppress the transmission of nociceptive and non-nociceptive stimulation at dorsal horn. The suppression on nociceptive imput is stronger than that on nonnociceptive imput when the concentration of sevoflurane is more than 1%.

  1. Electric-discharge-pumped nitrogen ion laser

    Laudenslager, J. B.; Pacala, T. J.; Wittig, C.


    The routine operation is described of an N2(+) laser oscillating on the first negative band system of N2(+) which is produced in a preionized transverse discharge device. The discharge design incorporates features which favor the efficient production of the excitation transfer reaction of He2(+) with N2. A capacitive discharge switched by means of a high-current grounded grid thyratron is used to meet the design requirement of a volumetric discharge in high-pressure gas mixtures where the electric discharge need not have an ultrafast rise time (greater than 10 nsec) but should be capable of transferring large quantities of stored electric energy to the gas. A peak power of 180 kW in an 8-nsec laser pulse was obtained with a 0.1% mixture of N2 in helium at a total pressure of 3 atm. The most intense laser oscillations were observed on the (0,1) vibrational transition at 427.8 microns.

  2. Patient participation in discharge planning conference

    Bångsbo, Angela; Dunér, Anna; Lidén, Eva


    Introduction There is a need for individualized discharge planning to support frail older persons at hospital discharge. In this context, active participation on their behalf cannot be taken for granted. The aim of this study was to elucidate patient participation in discharge planning conferences, with a focus on frail older persons, supported by the theory of positioning described by Harré & van Langenhove. Methods The study was designed as a case study based on audio-recordings of multidisciplinary discharge planning conferences and interviews with health professionals elucidating their opinions on preconditions for patient participation in discharge planning. The analysis has been performed using qualitative content analysis and discourse analysis. Data collection took place during 2008–2009 and included 40 health professionals and 13 frail older persons in hospital or municipal settings. Results Findings revealed four different positions of participation, characterized by the older person's level of activity during the conference and his/her appearance as being reduced (patient) or whole (person). The positions varied dynamically from being an active person, passive person, active patient, or passive patient and the health professionals, next-of-kin, and the older persons themselves contributed to the positioning. Conclusions The findings showed how the institutional setting served as a purposeful structure or a confinement to patient participation. PMID:25411572

  3. Surface micro-discharges on spacecraft dielectrics

    Balmain, K. G.; Cuchanski, M.; Kremer, P. C.


    Extensive measurements on Teflon and Kapton in a scanning electron microscope indicate the existence of a well-defined family of surface micro-discharges characteristic of the dielectric material. For a given small region exposed to the 16-20 kV electron beam, the strongest discharge pulses are similar in shape and amplitude. For Teflon, typical pulse durations are 2-3 ns, rise and fall times are sometimes as low as 0.2 ns, current amplitudes are approximately 100 mA flowing down to the pedestal and the pulses are unidirectional with no ringing. The use of a rapid-scan electron microscope with a secondary-electron imaging system reveals complex charge distributions resembling Lichtenberg figures on a supposedly flat homogeneous dielectric surface. These patterns undergo extensive alteration at each micro-discharge pulse and indicate that both the charging and discharging processes are highly nonuniform over the dielectric surface. The use of floodbeam causes the occurrence of a large-scale macro-discharges, in which a typical peak current is 40 A with a duration of 120 ns.

  4. Instabilities in inductive discharges in reactive gases

    Chabert, Pascal


    High-density inductively coupled plasmas (ICP) are routinely used for etching in the microelectronics industry. Since there is a substantial voltage across the non-resonant inductive coil, a fraction of the discharge power is deposited capacitively. The real inductive discharge can therefore exist in two different modes: the capacitive mode (E mode), for low power, and the inductive mode (H mode), for high power. As the power is increased, transitions from capacitive to inductive modes (E-H transitions) are observed. Tuszewski (Journal of Applied Physics, 1996) found that when operating with reactive gases containing negative ions the transition can be unstable, and a wide range of powers exist where the discharge oscillates between higher and lower electron density states. Later, Lieberman and co-workers (Lieberman et al., Applied Physics Letters 1999, and Chabert et al. Plasma Sources Sci. and Technol. 2001) proposed a model of this instability, based on particle and energy balance, showing the crucial role of negative ions in the instability process. This paper will present recent experimental and theoretical work in this area. Oscillations in the unsaturated radical (CF and CF2 in a CF4 inductive discharge) concentrations were measured during the instability by time-resolved laser induced fluorescence, showing that neutral species dynamics can be significant. On the theoretical side, conditions for the stability of inductive discharges with electronegative gases were derived from the model.

  5. Relating river discharges to salinity changes

    Xie, X.; Liu, W. T.


    New river discharge data are brought together with spacebased sea surface salinity measurements by Aquarius and SMOS to demonstrate the role of river discharge in salinity changes near three river mouths: the Mississippi, the Ganges, and the Amazon. The characteristics of the seasonal cycle and the year-to-year changes of the river runoff are described. Various versions of the satellite salinity data are compared. The relative roles of river discharge, surface water flux, and horizontal advection in changing surface salinity in regions near the river mouths are examined. Satellite measurements of SSS clearly track movements of the fresh water from river discharges. Besides the river discharge, E-P plays an important role in the seasonal salinity variation near the Ganges and Irrawaddy River mouths. For the Mississippi and Amazon river mouths, central and eastern ITCZ, E-P contributes very little to the salinity seasonal change. In the central and eastern ITCZ, contribution of advection to the salinity tendency is clearly identified. Both salinity and salinity tendency are dominated by semi-annual cycle in the Atlantic ITCZ between 5ºN to 9ºN, whereas annual cycle dominates at other latitudes.


    Praveen Kumar


    Full Text Available CONTEXT: A discharging mastoid cavity is a frustrating condition for both patient and surgeon and can occur after a canal wall down mastoidectomy operation . AIMS: To determine the percentage of patients having a discharging mastoid cavity and to establish the aetiological factors responsible for it . SETTING: Academic tertiary care referral institution . DESIGN: Prospective study MATERIALS AND METHODS: One hundred and sixty nine patie nts with chronic suppurative otitis media with cholesteatoma who underwent a canal wall down mastoidectomy were included in the study . These patients were regularly followed up to detect the occurrence of discharging mastoid cavity . RESULTS: Forty one ( 24 . 26% patients had a discharging mastoid cavity after a mean follow up of 4 . 2 years . The main causes were tympanic membrane perforation with exposed middle ear mucosa and open eustachian tube in thirty two patients ( 78 . 04% , followed by meatal stenosis in twenty five patients ( 60 . 97% and high facial ridge in twenty patients ( 48 . 78% . CONCLUSIONS: Tympanic membrane perforation with exposure of middle ear mucosa , meatal stenosis and a high facial ridge are important causes for a discharging mastoid cavity .

  7. Simulation of transition from Townsend mode to glow discharge mode in a helium dielectric barrier discharge at atmospheric pressure

    Li Xue-Chen; Niu Dong-Ying; Xu Long-Fei; Jia Peng-Ying; Chang Yuan-Yuan


    The dielectric barrier discharge characteristics in helium at atmospheric pressure are simulated based on a one-dimensional fluid model.Under some discharge conditions,the results show that one discharge pulse per half voltage cycle usually appears when the amplitude of external voltage is low,while a glow-like discharge occurs at high voltage.For the one discharge pulse per half voltage cycle,the maximum of electron density appears near the anode at the beginning of the discharge,which corresponds to a Townsend discharge mode.The maxima of the electron density and the intensity of electric field appear in the vicinity of the cathode when the discharge current increases to some extent,which indicates the formation of a cathode-fall region.Therefore,the discharge has a transition from the Townsend mode to the glow discharge mode during one discharge pulse,which is consistent with previous experimental results.

  8. Validity of genito-urinary discharges, genital ulcers and genital rashes as indicators of seroincident HSV-2 infection

    Eziyi Iche Kalu


    Full Text Available Objective: To evaluate the validity of vaginal discharges, urethral discharges, genital rashes, and painful genital ulcers as indicators of early detection of incident herpes simplex virus type 2 (HSV-2 infection among pregnant women in Benin metropolis. Methods: Participants were antenatal clinic attendees of University of Benin Teaching Hospital and Central Hospital, Benin. Baseline sociodemographic, obstetric and HSV-2 serological data were collected. The HSV-2-seronegative returned for a repeat HSV-2 antibody assay before delivery date. Data on incidence of genital rashes, abnormal vaginal discharges, painful genital ulcers and urethral discharges were collected. Results: The sensitivities of abnormal vaginal discharges, genital rashes, urethral discharges and painful genital ulcers were 82.3%, 70.6%, 41.2% and 28.6% respectively; while their positive-predictive values were 53.8%, 60.0%, 58.3% and 66.7% respective. All the symptoms had >95% specificities and 95% negative-predictive values for seroincident HSV-2 infection. Conclusions: Abnormal vaginal discharge, genital rashes, urethral discharges and genital ulcers are valid indicators of seroincident HSV-2 infection and could be useful in formulation of screening tools in resource-limited settings.

  9. Discharge Education for Residents: A Study of Trainee Preparedness for Hospital Discharge.

    Carnahan, Jennifer L; Fletcher, Kathlyn E


    Safe hospital discharges have become a major focus in the national discussion on transitions of care and care coordination. Education on the hospital discharge process is evolving as the needs of trainees are better understood. This study is a cross-sectional survey of residents in a Midwestern residency program about their confidence in safely discharging patients from the hospital, including how they have or have not learned to do so. An anonymous paper questionnaire was distributed to a convenience sample of interns and residents at a weekly meeting of the residency program. Most residents reported a general confidence in their abilities to safely discharge patients from the hospital; however, further probing revealed that their confidence breaks down when required to competently perform specific tasks of the discharge process such as activity restrictions or facilitation of home care. More than 50% of house staff surveyed responded that their education in many specific aspects of the discharge process are lacking. Interdisciplinary care education, and the discharge summary in particular, warrant further scrutiny as a care transition tool and means of teaching safe hospital discharge to trainees. We present a questionnaire that may serve useful as an anonymous tool to gauge residents' educational needs.

  10. The Experimental Investigations of Dielectric Barrier Discharge and Pulse Corona Discharge in Air Cleaning

    左莉; 侯立安; 杨林松


    The dielectric barrier discharge (DBD) and pulse corona discharge(PCD) plasmagenerator was used to remove NH3, H2S, C7Hs etc. from atmosphere. The principle and charac-teristic of the two ways was discussed in the article. The test shows the result of PCD is betterthan that of DBD.

  11. Avaliation between precocious out of bed in the intensive care unit and functionality after discharge: a pilot study

    Taciana Guterres de Carvalho


    Full Text Available Backgound and Objectives: The incidence of complications arising from the deleterious effects of immobility in the intensive care unit contributes to functional decline, increased length of hospital stay and reduced functionality. Physical therapy is able to promote recovery and preservation of functionality, which can minimize these complications - through early mobilization. To evaluate the functionality and independence of patients who underwent a early bed output in the Intensive Care Unit. Methods: A randomized controlled clinical trial was conducted with patients admitted to the Intensive Care Unit (ICU of the Santa Cruz Hospital and having a physiotherapy prescription. The patients were divided into conventional therapy group- control group and intervention group, who performed the protocol of early mobilization, promoting the bed output. The functionality was measured three times (retroactive to hospitalization, at discharge from the ICU and on hospital discharge through the instrument Functional Independence Measure (FIM. Results: Preliminary data indicates that the intervention group (n = 4 presented lower loss of functionality after discharge from the ICU, with a deficit of 19%, having recovered until the hospital discharge 97% of the prehospitalization measure. The control group (n = 5 showed higher loss in the ICU of 47.6%, and was discharged from hospital with only 72% of their basal rate. Conclusion: There was a lower loss rate and better recovery of functionality in the studied population when those were submitted to a systematized and early protocol of mobilization as well as shorter hospital stay.

  12. Direct current dielectric barrier assistant discharge to get homogeneous plasma in capacitive coupled discharge

    Du, Yinchang, E-mail: [Modern Physics Department, University of Science and Technology of China, Hefei, Anhui 230026 (China); Max-Planck Institute for Extraterrestrial Physics, D-85748 Garching (Germany); Li, Yangfang [Max-Planck Institute for Extraterrestrial Physics, D-85748 Garching (Germany); Cao, Jinxiang; Liu, Yu; Wang, Jian; Zheng, Zhe [Modern Physics Department, University of Science and Technology of China, Hefei, Anhui 230026 (China)


    In this paper, we propose a method to get more homogeneous plasma in the geometrically asymmetric capacitive coupled plasma (CCP) discharge. The dielectric barrier discharge (DBD) is used for the auxiliary discharge system to improve the homogeneity of the geometrically asymmetric CCP discharge. The single Langmuir probe measurement shows that the DBD can increase the electron density in the low density volume, where the DBD electrodes are mounted, when the pressure is higher than 5 Pa. By this manner, we are able to improve the homogeneity of the plasma production and increase the overall density in the target volume. At last, the finite element simulation results show that the DC bias, applied to the DBD electrodes, can increase the homogeneity of the electron density in the CCP discharge. The simulation results show a good agreement with the experiment results.

  13. 42 CFR 418.26 - Discharge from hospice care.


    ... 42 Public Health 3 2010-10-01 2010-10-01 false Discharge from hospice care. 418.26 Section 418.26... (CONTINUED) MEDICARE PROGRAM HOSPICE CARE Eligibility, Election and Duration of Benefits § 418.26 Discharge from hospice care. (a) Reasons for discharge. A hospice may discharge a patient if— (1) The...

  14. Bloody nipple discharge in a 7-month-old boy.

    Zaid, Ahmed


    Isolated bloody nipple discharge is rare in infancy and is usually idiopathic. Discharge commonly resolves spontaneously, and ultrasonography is a useful diagnostic technique to detect the cause of discharge. The authors report a 7-month-old boy who presented with unilateral spontaneous bloody nipple discharge for 1 month without signs of infection or mass.

  15. Direct observation of laser guided corona discharges

    Wang, Tie-Jun; Liu, Yaoxiang; Chen, Na; Liu, Yonghong; Ju, Jingjing; Sun, Haiyi; Wang, Cheng; Lu, Haihe; Liu, Jiansheng; Chin, See Leang; Li, Ruxin; Xu, Zhizhan


    Laser based lightning control holds a promising way to solve the problem of the long standing disaster of lightning strikes. But it is a challenging project due to insufficient understanding of the interaction between laser plasma channel and high voltage electric filed. In this work, a direct observation of laser guided corona discharge is reported. The high voltage corona discharge can be guided along laser plasma filament, and enhanced through the interaction with laser filaments. The fluorescence lifetime of laser filament guided corona discharge was measured to be several microseconds, which is 3 orders of magnitude longer than the fluorescence lifetime of laser filaments. This could be advantageous towards laser assisted leader development in the atmosphere.

  16. Paroxysmal discharges triggered by hearing spoken language.

    Tsuzuki, H; Kasuga, I


    We examined the modality of EEG activation by various kinds of acoustic stimulation in a middle-aged Japanese female with epilepsy. Paroxysmal discharges were triggered in the right frontal area (F4) by verval stimulation. For the activation of EEG, concentration of attention on the stimulation was essential; therefore paroxysmal discharges were triggered most easily by verbal stimuli when someone spoke to the patient directly. Stronger responses than usual were triggered by specific words, and apparently reflected the interest and concern of the patient. The latency from stimulation to paroxysmal discharges ranged from 230 to 1,300 msec, suggesting that the responses may have been a function of the perception and recognition of acoustic stimuli. "Heard-word epilepsy" or "Angesprochene Epilepsie" is suggested in this case.

  17. Modelling of First Discharge in EAST Tokamak

    LIU Chengyue; WU Bin; XIAO Bingjia; SHU Shuangbao


    An 1.5D equilibrium evolution code was used to model the time evolution of the first ohmic discharges in the EAST experiment. Good agreement between the simulation and the experimental results was obtained in the plasma current, major radius, electron temperature, loop voltage and poloidal field (PF) current for the entire duration of the discharge, which indicates that the code is highly reliable and will allow to further study the EAST discharge. At the same time, the code also simulates some important plasma parameters without experimental measured data yet, such as the plasma minor radius, central and edge safety factors, elongation and triangilarity, which are important in the analysis of EAST data.

  18. Determination of discharge during pulsating flow

    Thompson, T.H.


    Pulsating flow in an open channel is a manifestation of unstable-flow conditions in which a series of translatory waves of perceptible magnitude develops and moves rapidly downstream. Pulsating flow is a matter of concern in the design and operation of steep-gradient channels. If it should occur at high stages in a channel designed for stable flow, the capacity of the channel may be inadequate at a discharge that is much smaller than that for which the channel was designed. If the overriding translatory wave carries an appreciable part of the total flow, conventional stream-gaging procedures cannot be used to determine the discharge; neither the conventional instrumentation nor conventional methodology is adequate. A method of determining the discharge during pulsating flow was tested in the Santa Anita Wash flood control channel in Arcadia, Calif., April 16, 1965. Observations of the dimensions and velocities of translatory waves were made during a period of controlled reservoir releases of about 100, 200, and 300 cfs (cubic feet per second). The method of computing discharge was based on (1) computation of the discharge in the overriding waves and (2) computation of the discharge in the shallow-depth, or overrun, part of the flow. Satisfactory results were obtained by this method. However, the procedure used-separating the flow into two components and then treating the shallow-depth component as though it were steady--has no theoretical basis. It is simply an expedient for use until laboratory investigation can provide a satisfactory analytical solution to the problem of computing discharge during pulsating flow. Sixteen months prior to the test in Santa Anita Wash, a robot camera had been designed .and programmed to obtain the data needed to compute discharge by the method described above. The photographic equipment had been installed in Haines Creek flood control channel in Los Angeles, Calif., but it had not been completely tested because of the infrequency of

  19. Excimer emission from cathode boundary layer discharges

    Moselhy, Mohamed; Schoenbach, Karl H.


    The excimer emission from direct current glow discharges between a planar cathode and a ring-shaped anode of 0.75 and 1.5 mm diameter, respectively, separated by a gap of 250 μm, was studied in xenon and argon in a pressure range from 75 to 760 Torr. The thickness of the "cathode boundary layer" plasma, in the 100 μm range, and a discharge sustaining voltage of approximately 200 V, indicates that the discharge is restricted to the cathode fall and the negative glow. The radiant excimer emittance at 172 nm increases with pressure and reaches a value of 4 W/cm2 for atmospheric pressure operation in xenon. The maximum internal efficiency, however, decreases with pressure having highest values of 5% for 75 Torr operation. When the discharge current is reduced below a critical value, the discharge in xenon changes from an abnormal glow into a mode showing self-organization of the plasma. Also, the excimer spectrum changes from one with about equal contributions from the first and second continuum to one that is dominated by the second continuum emission. The xenon excimer emission intensity peaks at this discharge mode transition. In the case of argon, self-organization of the plasma was not seen, but the emission of the excimer radiation (128 nm) again shows a maximum at the transition from abnormal to normal glow. As was observed with xenon, the radiant emittance of argon increases with pressure, and the efficiency decreases. The maximum radiant emittance is 1.6 W/cm2 for argon at 600 Torr. The maximum internal efficiency is 2.5% at 200 Torr. The positive slope of the current-voltage characteristics at maximum excimer emission in both cases indicates the possibility of generating intense, large area, flat excimer lamps.

  20. Dielectric barrier discharge processing of aerospace materials

    Scott, S. J.; Figgures, C. C.; Dixon, D. G.


    We report the use of atmospheric pressure, air based, dielectric barrier discharges (DBD) to treat materials commonly used in the aerospace industries. The material samples were processed using a test-bed of a conventional DBD configuration in which the sample formed one of the electrodes and was placed in close proximity to a ceramic electrode. The discharges generated a powerful, cold oxidizing environment which was able to remove organic contaminants, etch primer and paint layers, oxidize aluminium and roughen carbon fibre composites by the selective removal of resin.

  1. The Cellular Basis of a Corollary Discharge

    Poulet, James F. A.; Hedwig, Berthold


    How do animals discriminate self-generated from external stimuli during behavior and prevent desensitization of their sensory pathways? A fundamental concept in neuroscience states that neural signals, termed corollary discharges or efference copies, are forwarded from motor to sensory areas. Neurons mediating these signals have proved difficult to identify. We show that a single, multisegmental interneuron is responsible for the pre- and postsynaptic inhibition of auditory neurons in singing crickets (Gryllus bimaculatus). Therefore, this neuron represents a corollary discharge interneuron that provides a neuronal basis for the central control of sensory responses.

  2. Pure Sulfur Discharges and Associated Spectra.


    Graduate Engineering Physics G~~~ p~~~~ 9T8 7 Approved for public release; distribution unlimited . ~~~~ ~~~ - - -_ _ _ _ 0 Preface The author...the support of ARTO of A~~1L, the metalurgy lab and the machine shop at K.AFB NM have been essential in accomplishing the work presented here. A...Tables v Abstract vi I. INTRODUCTION 1 II. ELECTRONIC STRUCTURE, DISCHARGE PHYSICS , AND MOLECULAR PROCESSES Physical Characteristics 3 Discharge

  3. Micro-Discharge Micro-Thruster


    breakdown at the maximum applied voltage (900 V) in Argon. The back side of the Paschen curve for Ar occurs at a pressure-length (P·d) product of less than...significant capacitance to ground from either lead (~ 100 nF). As small as this is, it had a profound effect on the discharge (see next section). A more space... effect in most thrusters even in the 100 Watt class. For a micro-discharge, even a stray coupling capacitance 50 pF observed for the power leads

  4. Acoustic field effects on a negative corona discharge

    Bálek, R.; Červenka, M.; Pekárek, S.


    For a negative corona discharge under atmospheric pressure in different regimes, we investigated the effects of an acoustic field both on its electrical parameters and on the change in its visual appearance. We found that the application of an acoustic field on the true corona discharge, for particular currents, decreases the discharge voltage. The application of an acoustic field on the discharge in the filamentary streamer regime substantially extends the range of currents for which the discharge voltage remains more or less constant, i.e. it allows a substantial increase in the power delivered to the discharge. The application of an acoustic field on the discharge causes the discharge to spread within the discharge chamber and consequently, a highly reactive non-equilibrium plasma is created throughout the inter-electrode space. Finally, our experimental apparatus radiates almost no acoustic energy from the discharge chamber.

  5. Cancer risk of patients discharged with acute myocardial infarct

    Dreyer, L; Olsen, J H


    in acute myocardial infarct patients were similar to those of the general population, as were the rates for hormone-related cancers, including endometrial and postmenopausal breast cancers. We found a moderate increase in the risk for tobacco-related cancers, which was strongest for patients with early......We studied whether common shared environmental or behavioral risk factors, other than tobacco smoking, underlie both atherosclerotic diseases and cancer. We identified a group of 96,891 one-year survivors of acute myocardial infarct through the Danish Hospital Discharge Register between 1977...... and 1989. We calculated the incidence of cancer in this group by linking it to the Danish Cancer Registry for the period 1978-1993. There was no consistent excess over the expected figures for any of the categories of cancer not related to tobacco smoking. Specifically, the rates of colorectal cancer...

  6. Safety Aspects of Postanesthesia Care Unit Discharge without Motor Function Assessment after Spinal Anesthesia

    Aasvang, Eske Kvanner; Jørgensen, Christoffer Calov; Laursen, Mogens Berg


    BACKGROUND: Postanesthesia care unit (PACU) discharge without observation of lower limb motor function after spinal anesthesia has been suggested to significantly reduce PACU stay and enhance resource optimization and early rehabilitation but without enough data to allow clinical recommendations....... METHODS: A multicenter, semiblinded, noninferiority randomized controlled trial of discharge from the PACU with or without assessment of lower limb motor function after elective total hip or knee arthroplasty under spinal anesthesia was undertaken. The primary outcome was frequency of a successful fast.......70 to 1.35). Adverse events in the ward during the first 24 h occurred in 5.8% versus 7.4% with or without motor function assessment, respectively (OR, 0.77; 95% CI, 0.5 to 1.19, P = 0.24). CONCLUSIONS: PACU discharge without assessment of lower limb motor function after spinal anesthesia for total hip...

  7. Submarine groundwater discharge to a small estuary estimated from radon and salinity measurements and a box model

    J. Crusius


    Full Text Available Submarine groundwater discharge was quantified by a variety of methods for a 4-day period during the early summer of 2004, in Salt Pond, adjacent to Nauset Marsh, on Cape Cod, USA. Discharge estimates based on radon and salinity took advantage of the presence of the narrow channel connecting Salt Pond to Nauset Marsh, which allowed constructing whole-pond mass balances as water flowed in and out due to tidal fluctuations. The data suggest that less than one quarter of the discharge in the vicinity of Salt Pond happened within the pond itself, while three quarters or more of the discharge occurred immediately seaward of the pond, either in the channel or in adjacent regions of Nauset Marsh. Much of this discharge, which maintains high radon activities and low salinity, is carried into the pond during each incoming tide. A box model was used as an aid to understand both the rates and the locations of discharge in the vicinity of Salt Pond. The model achieves a reasonable fit to both the salinity and radon data assuming submarine groundwater discharge is fresh and that most of it occurs either in the channel or in adjacent regions of Nauset Marsh. Salinity and radon data, together with seepage meter results, do not rule out discharge of saline groundwater, but suggest either that the saline discharge is at most comparable in volume to the fresh discharge or that it is depleted in radon. The estimated rate of fresh groundwater discharge in the vicinity of Salt Pond is 3000-7000 m3 d-1. This groundwater flux estimated from the radon and salinity data is comparable to a value of 3200-4500 m3 d-1 predicted by a recent hydrologic model (Masterson, 2004; Colman and Masterson, 2004, although the model predicts this rate of discharge to the pond whereas our data suggest most of the groundwater bypasses the pond prior to discharge. Additional work is needed to determine if the measured rate of discharge is representative of the long-term average, and to

  8. Gas-discharge sources with charged particle emission from the plasma of glow discharge with a hollow cathode

    Semenov, A P


    One studied properties of a magnetron discharge with a cold hollow and uncooled rod cathodes. One demonstrated the dominant effect of thermoelectron emission of a rod cathode heated in a discharge on characteristics of discharge and on emission properties of a gas-discharge plasma and the possibility pf a smooth transition of glow discharge to diffusion mode of arc discharge combustion. Paper describes sources of ions and electrons with improved physical and generalized design and engineering parameters. One shows the promise of the electrode structure of a hollow cathode magnetron discharge to be used as a source, in particular, of the atomic hydrogen and of atom flow of a working rod cathode

  9. Streamer-to-spark transition initiated by a nanosecond overvoltage pulsed discharge in air

    Lo, A.; Cessou, A.; Lacour, C.; Lecordier, B.; Boubert, P.; Xu, D. A.; Laux, C. O.; Vervisch, P.


    This study is focused on the streamer-to-spark transition generated by an overvoltage nanosecond pulsed discharge under atmospheric pressure air in order to provide a quantitative insight into plasma-assisted ignition. The discharge is generated in atmospheric pressure air by the application of a positive high voltage pulse of 35 kV to pin-to-pin electrodes and a rise time of 5 ns. The generated discharge consists of a streamer phase with high voltage and high current followed by a spark phase characterized by a low voltage and a decreasing current in several hundreds of nanosecond. During the streamer phase, the gas temperature measured by optical emission spectroscopy related to the second positive system of nitrogen shows an ultra-fast gas heating up to 1200 K at 15 ns after the current rise. This ultra-fast gas heating, due to the quenching of electronically excited species by oxygen molecules, is followed by a quick dissociation of molecules and then the discharge transition to a spark. At this transition, the discharge contracts toward the channel axis and evolves into a highly conducting thin column. The spark phase is characterized by a high degree of ionization of nitrogen and oxygen atoms shown by the electron number density and temperature measured from optical emission spectroscopy measurements of N+ lines. Schlieren imaging and optical emission spectroscopy techniques provide the time evolution of the spark radius, from which the initial pressure in the spark is estimated. The expansion of the plasma is adiabatic in the early phase. The electronic temperature and density during this phase allows the determination of the isentropic coefficient. The value around 1.2-1.3 is coherent with the high ionization rate of the plasma in the early phase. The results obtained in this study provide a database and the initial conditions for the validation of numerical simulations of the ignition by plasma discharge.

  10. Observations on the spatial variability of the Prut river discharges

    Emil-Andrei BRICIU


    Full Text Available Liquid and solid discharges of the Prut River were analysed based on measurementsperformed in 7 points from the Romanian national network of water monitoring during aperiod of 30 years. The analyses were performed on flows for the period after theconstruction of the Stânca-Costeşti dam and show the influence of the dam for the entireanalysed time. The analysis from upstream to downstream of the spatial variability of thePrut River annual discharges showed their steady increase downstream and then adecrease in the sector next to Oancea station. A statistical minority of the annualdischarges showed a continuous increase of them until the flowing of Prut into Danube.Knowing that the lower basin of the river is characterized by a low amount of rainfall anda higher evapo(transpiration than the remaining basin, the decreasing flows to the rivermouth is explicable; but the increasing flows to the river mouth cannot be justified, underthese conditions of water balance, than by certain climatological parameters of thermodynamicalnature which generate, with increased frequency, more intense and rich rainfall, with a torrential character. The analyses on couples of three months showed thatthe Oancea flows are higher than the upstream stations (opposite than usual in yearswhen the flows of the upstream hydrometrical stations are lower than the multiannualaverage and that supports the mentioned pluviometrical character. A plausible cause for"Oancea phenomenon" is the increase and the decrease of the sunspots number, whosecycles are relatively well fold on the increase and decrease of annual average flow atOancea hydrometrical station. The strongest increased discharges of the Prut River overthe discharges at the upstream stations occur from May to July (MJJ, the months with thehighest amount of rainfall. Seasonal analysis of MJJ and other couples of 3 monthsshowed that there are also growing flows at Prisăcani station relative to the adjacentstations, but

  11. The Electronic Discharge Letter Mobile App

    Lezcano, Leonardo; Ternier, Stefaan; Drachsler, Hendrik; Kalz, Marco; Specht, Marcus


    Lezcano, L., Ternier, S., Drachsler, H., Kalz, M., & Specht, M. (2013, September). The Electronic Discharge Letter Mobile App. In iProceedings of MEDICINE 2.0: 6th World Congress on Social Media, Mobile Apps, Internet/Web 2.0 (pp. 221-222). London, England. Retrieved from http://www.medicine20congre

  12. Scaling of a fast spherical discharge

    Antsiferov, P. S., E-mail:; Dorokhin, L. A. [Russian Academy of Sciences, Institute of Spectroscopy (Russian Federation)


    The influence of the discharge cavity dimensions on the properties of the spherical plasma formed in a fast discharge was studied experimentally. The passage of a current pulse with an amplitude of 30–40 kA and a rise rate of ~10{sup 12} A/s (a fast discharge) through a spherical ceramic (Al{sub 2}O{sub 3}) cavity with an inner diameter of 11 mm filled with argon at a pressure of 80 Pa results in the formation of a 1- to 2-mm-diameter spherical plasma with an electron temperature of several tens of electronvolts and a density of 10{sup 18}–10{sup 19} cm{sup –3}. It is shown that an increase in the inner diameter of the discharge cavity from 11 to 21 mm leads to the fourfold increase in the formation time of the spherical plasma and a decrease in the average ion charge. A decrease in the cavity diameter to 7 mm makes the spherical plasma unstable.

  13. Generalized periodic discharges: Pathophysiology and clinical considerations

    van Putten, Michel Johannes Antonius Maria; Hofmeijer, Jeannette


    Generalized periodic discharges (GPDs) are commonly encountered in metabolic encephalopathy and cerebral hypoxia/ischemia. The clinical significance of this EEG pattern is indistinct, and it is unclear whether treatment with antiepileptic drugs is beneficial. In this study, we discuss potential

  14. Snowmelt contributions to discharge of the Ganges

    Siderius, C.; Biemans, H.; Wilthshire, A.; Rao, S.; Franssen, W.H.P.; Kumar, P.; Gosain, A.K.; Vliet, van A.; Collins, D.N.


    Himalayan headwaters supply large quantities of runoff derived from snowmelt and monsoon rainfall to the Ganges River. Actual snowmelt contribution to discharge in the Ganges remains conjectural under both present and future climatic conditions. As snowmelt is likely to be perturbed through climatic



    The substances that the ear may discharge include wax, pus, mucus, blood, cere- brospinal fluid (CSF) and ... ed with a history of trauma or skull base surgery, is likely to be CSF. Recurrent ... After assessing the patient's hearing with a tuning ...

  16. Generation of Nanoparticles by Spark Discharge

    Salman Tabrizi, N.


    Spark discharge is a method for producing nanoparticles from conductive materials. Besides the general advantages of nanoparticle synthesis in the gas phase, the method offers additional advantages like simplicity, compactness and versatility. The synthesis process is continuous and is performed at

  17. Estimating ground water discharge by hydrograph separation.

    Hannula, Steven R; Esposito, Kenneth J; Chermak, John A; Runnells, Donald D; Keith, David C; Hall, Larry E


    Iron Mountain is located in the West Shasta Mining District in California. An investigation of the generation of acid rock drainage and metals loading to Boulder Creek at Iron Mountain was conducted. As part of that investigation, a hydrograph separation technique was used to determine the contribution of ground water to total flow in Boulder Creek. During high-flow storm events in the winter months, peak flow in Boulder Creek can exceed 22.7 m3/sec, and comprises surface runoff, interflow, and ground water discharge. A hydrograph separation technique was used to estimate ground water discharge into Boulder Creek during high-flow conditions. Total ground water discharge to the creek approaches 0.31 m3/sec during the high-flow season. The hydrograph separation technique combined with an extensive field data set provided reasonable estimates of ground water discharge. These estimates are useful for other investigations, such as determining a corresponding metals load from the metal-rich ground water found at Iron Mountain and thus contributing to remedial alternatives.

  18. Prosthesis fabrication using electrical discharge machining.

    Van Roekel, N B


    Fixed-removable implant prostheses provide solutions for some of the problems associated with implant dentistry, especially in the maxilla. The technique for using electrical discharge machining to create a precise passive fit between the substructure bar and the removable suprastructure is presented. The advantages, disadvantages, and complications associated with this type of prosthesis are discussed.


    JIN Baidong; ZHAO Wansheng; WANG Zhenlong; CAO Guohui


    A new deposition method is described using micro electrical discharge machining (EDM)to deposit tool electrode material on workpiece in air. The basic principles of micro electrical discharge deposition (EDD) are analyzed and the realized conditions are predicted. With an ordinary EDM shaping machine, brass as the electrode, high-speed steel as the workpiece, a lot of experiments are carried out on micro EDD systematically and thoroughly. The effects of major processing parameters, such as the discharge current, discharge duration, pulse interval and working medium, are obtained. As a result, a micro cylinder with 0.19 mm in diameter and 7.35 mm in height is deposited.By exchanging the polarities of the electrode and workpiece the micro cylinder can be removed selectively. So the reversible machining of deposition and removal is achieved, which breaks through the constraint of traditional EDM. Measurements show that the deposited material is compact and close to workpiece base, whose components depend on the tool electrode material.

  20. Monitor For Electrical-Discharge Machining

    Burley, Richard K.


    Circuit monitors electrical-discharge-machining (EDM) process to detect and prevent abnormal arcing, which can produce unacceptable "burn" marks on workpiece. When voltage between EDM electrode and workpiece behaves in manner indicative of abnormal arcing, relay made to switch off EDM power, which remains off until operator attends to EDM setup and resets monitor.

  1. Electrical-Discharge Machining Of Curved Passages

    Guirguis, Kamal S.


    Electrical-discharge machining (EDM) used to cut deep hole with bends. EDM process done with articulating segmented electrode. Originally straight, electrode curved as it penetrates part, forming long, smoothly curving hole. After hole cut, honed with slurry to remove thin layer of recast metal created by EDM. Breakage of tools, hand deburring, and drilling debris eliminated.

  2. Six-Axis Electrical-Discharge Machine

    Werner, A. R.


    Electrical discharge machine (EDM) of unusual versitility made by conversion of radial drill. Drilling head is replaced by ram that holds and positions electrode. Tank and recirculation system for coolant are added. EDM has six independent motions and drastically reduced cost of manufacturing. New applications are constantly being found.

  3. Dielectric barrier discharge source for supersonic beams

    Luria, K.; Lavie, N.; Even, U. [Sackler School of Chemistry, Tel Aviv University, Tel Aviv 69978 (Israel)


    We present a new excitation source for pulsed supersonic beams. The excitation is based on dielectric barrier discharge in the beam. It produces cold beams of metastable atoms, dissociated neutral atoms from molecular precursors, and both positive and negative ions with high efficiency and reliability.

  4. The Electrostatic Environments of Mars: Atmospheric Discharges

    Calle, Carlos I.; Mackey, Paul J.; Johansen, Michael R.; Hogue, Michael D.; Phillips, James, III; Cox, Rachel E.


    The electrostatic environment on Mars is controlled by its ever present atmospheric dust. Dust devils and dust storms tribocharge this dust. Theoretical studies predict that lightning and/or glow discharges should be present on Mars, but none have been directly observed. Experiments are planned to shed light on this issue.

  5. From submarine to lacustrine groundwater discharge

    Lewandowski, Jörg; Meinikmann, Karin; Pöschke, Franziska; Nützmann, Gunnar; Rosenberry, Donald O.


    Submarine groundwater discharge (SGD) and its role in marine nutrient cycling are well known since the last decade. The freshwater equivalent, lacustrine groundwater discharge (LGD), is often still disregarded, although first reports of LGD are more than 50 years old. We identify nine different reasons why groundwater has long been disregarded in both freshwater and marine environments such as invisibility of groundwater discharge, the size of the interface and its difficult accessibility. Although there are some fundamental differences in the hydrology of SGD and LGD, caused primarily by seawater recirculation that occurs only in cases of SGD, there are also a lot of similarities such as a focusing of discharge to near-shore areas. Nutrient concentrations in groundwater near the groundwater–surface water interface might be anthropogenically enriched. Due to spatial heterogeneity of aquifer characteristics and biogeochemical processes, the quantification of groundwater-borne nutrient loads is challenging. Both nitrogen and phosphorus might be mobile in near-shore aquifers and in a lot of case studies large groundwater-borne nutrient loads have been reported.

  6. The Electronic Discharge Letter Mobile App

    Lezcano, Leonardo; Ternier, Stefaan; Drachsler, Hendrik; Kalz, Marco; Specht, Marcus


    Lezcano, L., Ternier, S., Drachsler, H., Kalz, M., & Specht, M. (2013, September). The Electronic Discharge Letter Mobile App. In iProceedings of MEDICINE 2.0: 6th World Congress on Social Media, Mobile Apps, Internet/Web 2.0 (pp. 221-222). London, England. Retrieved from

  7. Generation of Nanoparticles by Spark Discharge

    Salman Tabrizi, N.


    Spark discharge is a method for producing nanoparticles from conductive materials. Besides the general advantages of nanoparticle synthesis in the gas phase, the method offers additional advantages like simplicity, compactness and versatility. The synthesis process is continuous and is performed at

  8. Electrostatic Discharge Properties of Irradiated Nanocomposites


    xiii ESD Electrostatic Discharge Ext External Configuration with 200 gsm Ni, of Composite Group Two GA Genetic Algorithm GEO Geosynchronous...materials similar to those tested in this experiment are exposed throughout a life-cycle was simulated using the High Voltage Engineering, Europa

  9. Experimental studies of ITER demonstration discharges

    Sips, A.C.C.; Casper, T. A.; Doyle, E. J.; Giruzzi, G.; Gribov, Y.; Hobirk, J.; Hogeweij, G. M. D.; Horton, L. D.; Hubbard, A. E.; Hutchinson, I.; Ide, S.; Isayama, A.; Imbeaux, F.; Jackson, G. L.; Kamada, Y.; Kessel, C.; Kochl, F.; Lomas, P.; Litaudon, X.; Luce, T. C.; Marmar, E.; Mattei, M.; Nunes, I.; Oyama, N.; Parail, V.; Portone, A.; Saibene, G.; Sartori, R.; Stober, J. K.; Suzuki, T.; Wolfe, S. M.


    Key parts of the ITER scenarios are determined by the capability of the proposed poloidal field (PF) coil set. They include the plasma breakdown at low loop voltage, the current rise phase, the performance during the flat top (FT) phase and a ramp down of the plasma. The ITER discharge evolution has

  10. Partial discharge transients: The field theoretical approach

    McAllister, Iain Wilson; Crichton, George C


    Up until the mid-1980s the theory of partial discharge transients was essentially static. This situation had arisen because of the fixation with the concept of void capacitance and the use of circuit theory to address what is in essence a field problem. Pedersen rejected this approach and instead...

  11. Partial discharges in ellipsoidal and spheroidal voids

    Crichton, George C; Karlsson, P. W.; Pedersen, Aage


    Transients associated with partial discharges in voids can be described in terms of the charges induced on the terminal electrodes of the system. The relationship between the induced charge and the properties which are usually measured is discussed. The method is illustrated by applying it to a s...

  12. Metal hydrides studied in gas discharge tube

    Bozhinova, I.; Kolev, S.; Popov, Tsv.; Pashov, A.; Dimitrova, M.


    A novel construction of gas discharge tube has been tested for production of high densities of metal hydrydes. Its performance turned out to be comparable with the existing sources of the same type and even better. First results of the tests on NiH are reported and critically analysed. Plans for future modifiaction of the construction and application of the tube are discussed.

  13. Granular discharge rate for submerged hoppers

    T. J. Wilson


    Full Text Available The discharge of spherical grains from a hole in the bottom of a right circular cylinder is measured with the entire system underwater. We find that the discharge rate depends on filling height, in contrast to the well-known case of dry non-cohesive grains. It is further surprising that the rate increases up to about twenty five percent, as the hopper empties and the granular pressure head decreases. For deep filling, where the discharge rate is constant, we measure the behavior as a function of both grain and hole diameters. The discharge rate scale is set by the product of hole area and the terminal falling speed of isolated grains. But there is a small-hole cutoff of about two and half grain diameters, which is larger than the analogous cutoff in the Beverloo equation for dry grains. Received: 11 September 2014, Accepted: 10 October 2014; Reviewed by: L. Staron, CNRS, Universite Pierre et Marie Curie, Institut Le Rond d'Alembert, Paris, France; Edited by: L. A. Pugnaloni; DOI: Cite as: T J Wilson, C R Pfeifer, N Meysingier, D J Durian, Papers in Physics 6, 060009 (2014

  14. Analytical calculations of anode plasma position in high-voltage discharge range in case of auxiliary discharge firing

    Melnyk, Igor V.; Tugay, S. B.


    We consider the mathematical model of triode high-voltage glow discharge range in case of auxiliary discharge firing. On a basis of analysis of elementary processes of charged particles interaction in a discharge range we obtain analytical relation, which allows to obtain the anode plasma position with regard to the cathode. Obtained results can be used for analysis of analysis of energy balance in a discharge range and self-maintained electron-ion optics of high voltage glow discharge electr...

  15. Characteristics of meter-scale surface electrical discharge propagating along water surface at atmospheric pressure

    Hoffer, Petr; Sugiyama, Yuki; Hosseini, S. Hamid R.; Akiyama, Hidenori; Lukes, Petr; Akiyama, Masahiro


    This paper reports physical characteristics of water surface discharges. Discharges were produced by metal needle-to-water surface geometry, with the needle electrode driven by 47 kV (FWHM) positive voltage pulses of 2 µs duration. Propagation of discharges along the water surface was confined between glass plates with 2 mm separation. This allowed generation of highly reproducible 634 mm-long plasma filaments. Experiments were performed using different atmospheres: air, N2, and O2, each at atmospheric pressure. Time- and spatially-resolved spectroscopic measurements revealed that early spectra of discharges in air and nitrogen atmospheres were dominated by N2 2nd positive system. N2 radiation disappeared after approx. 150 ns, replaced by emissions from atomic hydrogen. Spectra of discharges in O2 atmosphere were dominated by emissions from atomic oxygen. Time- and spatially-resolved emission spectra were used to determine temperatures in plasma. Atomic hydrogen emissions showed excitation temperature of discharges in air to be about 2  ×  104 K. Electron number densities determined by Stark broadening of the hydrogen H β line reached a maximum value of ~1018 cm-3 just after plasma initiation. Electron number densities and temperatures depended only slightly on distance from needle electrode, indicating formation of high conductivity leader channels. Direct observation of discharges by high speed camera showed that the average leader head propagation speed was 412 km · s-1, which is substantially higher value than that observed in experiments with shorter streamers driven by lower voltages.

  16. Contribution of snow and glacier melt to discharge for highly glacierised catchments in Norway

    M. Engelhardt


    Full Text Available Glacierised catchments significantly alter the streamflow regime due to snow and glacier meltwater contribution to discharge. In this study, we modelled the mass balance and discharge rates for three highly glacierised catchments (>50% glacier cover in western Norway over the period 1961–2012. The spatial pattern of the catchments follows a gradient in climate continentality from west to east. The model uses gridded temperature and precipitation values from seNorge ( as input which are available at a daily resolution. It accounts for accumulation of snow, transformation of snow to firn and ice, evaporation and melt. The model was calibrated for each catchment based on measurements of seasonal glacier mass-balances and daily discharge rates. For validation, daily melt rates were compared with measurements from sonic rangers located in the ablation zones of two of the glaciers and an uncertainty analysis was performed for the third catchment. The discharge contributions from snowmelt, glacier melt and rain were analysed with respect to spatial variations and temporal evolution. The model simulations reveal an increase of the relative contribution from glacier melt for the three catchments from less than 10% in the early 1990s to 15–30% in the late 2000s. The decline in precipitation by 10–20% in the same period was therefore overcompensated resulting in an increase of the annual discharge by 5–20%. Annual discharge sums and annual glacier melt are strongest correlated with annual and winter precipitation at the most maritime glacier and, with increased climate continentality, variations in both glacier melt contribution and annual discharge are becoming stronger correlated with variations in summer temperatures.

  17. High rates of relapse in adolescents crack users after inpatient clinic discharge

    Rosemeri Siqueira Pedroso

    Full Text Available ABSTRACT Objective The objective of the present study was to evaluate 88 adolescent crack users referred to hospitalization and to follow them up after discharge to investigate relapse and factors associated with treatment. Methods Cohort (30 and 90 days after discharge from a psychiatric hospital and a rehab clinic for treatment for chemical dependency in Porto Alegre between 2011 and 2012. Instruments: Semi-structured interview, conducted to evaluate the sociodemographic profile of the sample and describe the pattern of psychoactive substance use; Crack Use Relapse Scale/CURS; Questionnaire Tracking Users to Crack/QTUC; K-SADS-PL. Results In the first follow-up period (30 days after discharge, 65.9% of participants had relapsed. In the second follow-up period (90 days after discharge, 86.4% of participants had relapsed. Conclusion This is one of the first studies that show the extremely high prevalence of early relapse in adolescent crack users after discharge, questioning the cost/benefit of inpatient treatment for this population. Moreover, these results corroborate studies which suggested, young psychostimulants users might need tailored intensive outpatient treatment with contingency management and other behavioral strategies, in order to increase compliance and reduce drug or crime relapse, but this specific therapeutic modality is still scarce and must be developed in Brazil.

  18. The Impact of Revised Discharge Instructions on Patient Satisfaction

    Heather Markey Waniga RN, MSN


    Full Text Available Introduction: The impact of discharge instructions on a patient’s experience is not fully understood. This research explored whether nurse- and physician-generated discharge instructions had a positive effect on patient perceptions regarding their discharge experience. Methods: We compared Press Ganey discharge-related patient satisfaction scores for the year prior to and the year subsequent to implementing revised discharge instructions for all patients admitted to a 180-bed community-based hospital. Results: Following the implementation of our revised discharge instructions, patient satisfaction significantly improved (84.7% vs 83%, P < .01. Patients responded that they felt ready for discharge (86.6% vs 84.9%, P = .01 and were satisfied with instructions for home care (87.8% vs 85.3%, P < .01. Discussion: This study finds that a novel discharge instruction set produced by both the nursing and physician staff may improve patient perceptions with the discharge process.

  19. Discharging dynamics in an electrolytic cell

    Feicht, Sarah E.; Frankel, Alexandra E.; Khair, Aditya S.


    We analyze the dynamics of a discharging electrolytic cell comprised of a binary symmetric electrolyte between two planar, parallel blocking electrodes. When a voltage is initially applied, ions in the electrolyte migrate towards the electrodes, forming electrical double layers. After the system reaches steady state and the external current decays to zero, the applied voltage is switched off and the cell discharges, with the ions eventually returning to a uniform spatial concentration. At voltages on the order of the thermal voltage VT=kBT /q ≃25 mV, where kB is Boltzmann's constant, T is temperature, and q is the charge of a proton, experiments on surfactant-doped nonpolar fluids observe that the temporal evolution of the external current during charging and discharging is not symmetric [V. Novotny and M. A. Hopper, J. Electrochem. Soc. 126, 925 (1979), 10.1149/1.2129195; P. Kornilovitch and Y. Jeon, J. Appl. Phys. 109, 064509 (2011), 10.1063/1.3554445]. In fact, at sufficiently large voltages (several VT), the current during discharging is no longer monotonic: it displays a "reverse peak" before decaying in magnitude to zero. We analyze the dynamics of discharging by solving the Poisson-Nernst-Planck equations governing ion transport via asymptotic and numerical techniques in three regimes. First, in the "linear regime" when the applied voltage V is formally much less than VT, the charging and discharging currents are antisymmetric in time; however, the potential and charge density profiles during charging and discharging are asymmetric. The current evolution is on the R C timescale of the cell, λDL /D , where L is the width of the cell, D is the diffusivity of ions, and λD is the Debye length. Second, in the (experimentally relevant) thin-double-layer limit ɛ =λD/L ≪1 , there is a "weakly nonlinear" regime defined by VT≲V ≲VTln(1 /ɛ ) , where the bulk salt concentration is uniform; thus the R C timescale of the evolution of the current magnitude

  20. Ignition Features of Plasma-Beam Discharge in Gas-Discharge Electron Gun Operation

    Valery A. Tutyk


    Full Text Available The current paper presents the results of experimental researches to determine the mode features of plasma-beam discharge (PBD generation by an electron beam injected by a low-vacuum gasdischarge electron gun (LGEG with the cold cathode and hollow anode on the basis of the high-voltage glow discharge and in the range of helium pressure of P ? 10 ÷ 130 Pa. The PBD boundaries and their dependences on parameters of an electron beam are found. The influence of PBD on parameters of low-vacuum gas-discharge electron gun is revealed. It causes an avalanche increase of electron beam current and burning of plasma-beam discharge in the whole space of the vacuum chamber volume and generation of electromagnetic radiation is revealed. Achieved results will be used for implementation of various vacuum technologies in the medium of reaction gas and generated electromagnetic radiation.


    Taurista Perdana Syawitri


    Full Text Available Perpindahan panas merupakan faktor penting yang mempengaruhi kinerja tangki penyimpanan hydrogen dalam bentuk metal hydride. Penelitian sebelumnya menyimpulkan bahwa penambahan sejumlah kecil metal foam pada interior metal hydride reactor (MHR merupakan cara yang efektif untuk meningkatkan perpindahan panas pada reaktor, sehingga mengurangi waktu charging. Namun, proses charging dan discharging MHR dilakukan secara terpisah dalam studi ini. Oleh karena itu, penelitian ini menyimulasikan model 2-D axisymmetric menggunakan software COMSOL untuk menginvestigasi pengaruh dari periodik charging dan discharging dari MHR yang mengandung metal foam dengan fraksi volume tertentu. Hasil simulasi menunjukkan bahwa model saat ini mempunyai hasil yang sesuai dengan hasil yang ditunjukkan di dalam literatur. Selain itu, ditemukan bahwa terdapat nilai optimum dari fraksi volume metal foam di setiap proses charging dan proses discharging yang memberikan waktu charging dan discharging lebih pendek.

  2. Influence of gas discharge parameters on emissions from a dielectric barrier discharge excited argon excimer lamp


    A dielectric barrier discharge excited neutral argon (Ar I) excimer lamp has been developed and characterised. The aim of this study was to develop an excimer lamp operating at atmospheric pressure that can replace mercury lamps and vacuum equipment used in the sterilisation of medical equipment and in the food industry. The effects of discharge gas pressure, flow rate, excitation frequency and pulse width on the intensity of the Ar I vacuum ultraviolet (VUV) emission at 126 nm and near infra...

  3. Electron assisted glow discharges for conditioning fusion tokamak devices

    Schaubel, K. M.; Jackson, G. L.


    Glow discharge conditioning of tokamaks with graphite plasma-facing surfaces has been used to reduce impurities and obtain density control of the plasma discharge. However, a major operational disadvantage of glow conditioning is the high pressure required to initiate the glow discharge, e.g., approx. 70 mTorr for helium in DIII-D, which requires isolating auxiliary components that can not tolerate the high pressure. An electron-gun assisted glow discharge can lower breakdown pressure, possibly eliminating the necessity of isolating these auxiliary systems during glow discharge conditioning and allowing glow discharge operation at lower pressures.

  4. Discharge current modes of high power impulse magnetron sputtering

    Zhongzhen Wu


    Full Text Available Based on the production and disappearance of ions and electrons in the high power impulse magnetron sputtering plasma near the target, the expression of the discharge current is derived. Depending on the slope, six possible modes are deduced for the discharge current and the feasibility of each mode is discussed. The discharge parameters and target properties are simplified into the discharge voltage, sputtering yield, and ionization energy which mainly affect the discharge plasma. The relationship between these factors and the discharge current modes is also investigated.

  5. Atmospheric Pressure Glow Discharge with Liquid Electrode

    Tochikubo, Fumiyoshi


    Nonthermal atmospheric pressure plasmas in contact with liquid are widely studied aiming variety of plasma applications. DC glow discharge with liquid electrode is an easy method to obtain simple and stable plasma-liquid interface. When we focus attention on liquid-phase reaction, the discharge system is considered as electrolysis with plasma electrode. The plasma electrode will supply electrons and positive ions to the liquid surface in a different way from the conventional metal electrode. However, the phenomena at plasma-liquid interface have not been understood well. In this work, we studied physical and chemical effect in liquid induced by dc atmospheric pressure glow discharge with liquid electrode. The experiment was carried out using H-shaped Hoffman electrolysis apparatus filled with electrolyte, to separate the anodic and cathodic reactions. Two nozzle electrodes made of stainless steel are set about 2 mm above the liquid surface. By applying a dc voltage between the nozzle electrodes, dc glow discharges as plasma electrodes are generated in contact with liquid. As electrolyte, we used aqueous solutions of NaCl, Na2SO4, AgNO3 and HAuCl4. AgNO3 and HAuCl4 are to discuss the reduction process of metal ions for synthesis of nanoparticles (NPs). OH radical generation yield in liquid was measured by chemical probe method using terephthalic acid. Discharge-induced liquid flow was visualized by Schlieren method. Electron irradiation to liquid surface (plasma cathode) generated OH- and OH radical in liquid while positive ion irradiation (plasma anode) generated H+ and OH radical. The generation efficiency of OH radical was better with plasma anode. Both Ag NPs in AgNO3 and Au NPs in HAuCl4 were synthesized with plasma cathode while only Au NPs were generated with plasma anode. Possible reaction process is qualitatively discussed. The discharge-induced liquid flow such as convection pattern was strongly influenced by the gas flow on the liquid surface. This work

  6. Early clerkships

    Kamalski, Digna M. A.; Ter Braak, Edith W. M. T.; Ten Cate, Olle Th. J.; Borleffs, Jan C. C.


    Background: Early clinical experience is being introduced in innovative, vertically integrated undergraduate medical curricula. While in many cases, this early clinical experience is limited to the presence of patients during lectures, in Utrecht students gain 'hands on' experience of daily clinical

  7. Electrical energy sources for organic synthesis on the early earth

    Chyba, Christopher; Sagan, Carl


    In 1959, Miller and Urey (Science 130, 245) published their classic compilation of energy sources for indigenous prebiotic organic synthesis on the early Earth. Much contemporary origins of life research continues to employ their original estimates for terrestrial energy dissipation by lightning and coronal discharges, 2 × 1019 J yr-1 and 6 × 1019 J yr-1, respectively. However, more recent work in terrestrial lightning and point discharge research suggests that these values are overestimates by factors of about 20 and 120, respectively. Calculated concentrations of amino acids (or other prebiotic organic products) in the early terrestrial oceans due to electrical discharge sources may therefore have been equally overestimated. A review of efficiencies for those experiments that provide good analogues to naturally-occurring lightning and coronal discharges suggests that lightning energy yields for organic synthesis (nmole J-1) are about one order of magnitude higher than those for coronal discharge. Therefore organic production by lightning may be expected to have dominated that due to coronae on early Earth. Limited data available for production of nitric oxide in clouds suggests that coronal emission within clouds, a source of energy heretofore too uncertain to be included in the total coronal energy inventory, is insufficient to change this conclusion. Our recommended valves for lightning and coronal discharge dissipation rates on the early Earth are, respectively, 1 × 1018 J yr-1 and 5 × 1017 J yr-1.

  8. A predictive score to identify hospitalized patients' risk of discharge to a post-acute care facility

    Chopard Pierre


    Full Text Available Abstract Background Early identification of patients who need post-acute care (PAC may improve discharge planning. The purposes of the study were to develop and validate a score predicting discharge to a post-acute care (PAC facility and to determine its best assessment time. Methods We conducted a prospective study including 349 (derivation cohort and 161 (validation cohort consecutive patients in a general internal medicine service of a teaching hospital. We developed logistic regression models predicting discharge to a PAC facility, based on patient variables measured on admission (day 1 and on day 3. The value of each model was assessed by its area under the receiver operating characteristics curve (AUC. A simple numerical score was derived from the best model, and was validated in a separate cohort. Results Prediction of discharge to a PAC facility was as accurate on day 1 (AUC: 0.81 as on day 3 (AUC: 0.82. The day-3 model was more parsimonious, with 5 variables: patient's partner inability to provide home help (4 pts; inability to self-manage drug regimen (4 pts; number of active medical problems on admission (1 pt per problem; dependency in bathing (4 pts and in transfers from bed to chair (4 pts on day 3. A score ≥ 8 points predicted discharge to a PAC facility with a sensitivity of 87% and a specificity of 63%, and was significantly associated with inappropriate hospital days due to discharge delays. Internal and external validations confirmed these results. Conclusion A simple score computed on the 3rd hospital day predicted discharge to a PAC facility with good accuracy. A score > 8 points should prompt early discharge planning.

  9. [Maternal discharge: conditions and organization for mothers and newborns returning home. The French National Authority for Health recommendations update].

    Hascoët, J-M; Petitprez, K


    In light of changes in both medical practices and the organization of medical care, the French National Authority for Health (Haute Autorité de santé, HAS) proposed new recommendations on the discharge of mothers and newborns, updating its 2004 recommendations on early discharge of mothers and newborns. This decision in turn made it necessary to define optimal discharge conditions and accompanying measures for mothers and infants returning home. The problem was approached by adopting the usual HAS methodology for drafting good practice recommendations. This involved establishing a working group bringing together representatives of all medical and care fields related to perinatology as well as patient representatives. This working group submitted draft recommendations, based on updated published references, to a committee. The committee then proposed amendments to the recommendations, which the working group was free to accept or reject. The updated recommendations that emerged from this process apply four essential principles : first, preparing for discharge as early as the prenatal period, ideally during the third trimester of pregnancy, in particular by providing expectant mothers with information on how the discharge will be organized and anticipating problems that might arise; second, ensuring care continuity between hospitalization, discharge to home, and follow-up; third, ensuring optimal conditions for discharge after a maternity stay of 72-96 h for normal delivery or 96-120 h in case of caesarean section (this hospital stay duration allows for neonatal screening); and fourth, defining how mothers and children are to be accompanied during the first postnatal month. In conclusion, these recommendations resulted in an increase in the duration of as well as an improvement in routine newborn surveillance, whether in hospital or after discharge, in what is a critical phase of infant development. They encourage ambulatory postnatal monitoring. The new

  10. RFID reader immunity test against electrostatic discharge

    Pospisilik Martin


    Full Text Available This paper provides a description of an immunity test against the electrostatic discharge according to the standard EN 61000-4-2 that was applied to an RFID reader. The RFID reader was primarily developed for access systems, employing the on-board recognition of the RFID tags. The results obtained by the test are described hereby as well as the discussion on the security of this solution. The results of this experiment are beneficial for the developers of RFID devices, as these devices are endangered by the electrostatic discharge brought by their users. The hereby described results also shown a security hole in a simple access system based on the RFID technology. Details can be found in the paper.

  11. Structure formation of atmospheric pressure discharge

    Medvedev, Alexey E.


    In this paper it is shown, by analyzing the results of experimental studies, that the outer boundary of the atmospheric pressure discharge pinch is determined by the condition of equality of plasma flows based on the thermal and electric field energy. In most cases, the number of charged particles coming from near-electrode zones is sufficient to compensate for losses in the discharge bulk. At large currents and enhanced heating, plasma is in the diffusion mode of losses, with recombination of charged particles at the pinch boundary. Contribution to the Topical Issue "Recent Breakthroughs in Microplasma Science and Technology", edited by Kurt Becker, Jose Lopez, David Staack, Klaus-Dieter Weltmann and Wei Dong Zhu.

  12. Varactor with integrated micro-discharge source

    Elizondo-Decanini, Juan M.; Manginell, Ronald P.; Moorman, Matthew W.


    An apparatus that includes a varactor element and an integrated micro-discharge source is disclosed herein. In a general embodiment, the apparatus includes at least one np junction and at least one voltage source that is configured to apply voltage across the np junction. The apparatus further includes an aperture that extends through the np junction. When the voltage is applied across the np junction, gas in the aperture is ionized, forming a plasma, in turn causing a micro-discharge (of light, charge particles, and space charge) to occur. The light (charge particles, and space charge) impinges upon the surface of the np junction exposed in the aperture, thereby altering capacitance of the np junction. When used within an oscillator circuit, the effect of the plasma on the np-junction extends the capacitance changes of the np-junction and extends the oscillator frequency range in ways not possible by a conventional voltage controlled oscillator (VCO).

  13. Sound spectrum of a pulsating optical discharge

    Grachev, G N; Smirnov, A L; Tishchenko, V N [Institute of Laser Physics, Siberian Branch, Russian Academy of Sciences, Novosibirsk (Russian Federation); Dmitriev, A K; Miroshnichenko, I B [Novosibirsk State Technical University (Russian Federation)


    A spectrum of sound of an optical discharge generated by a repetitively pulsed (RP) laser radiation has been investigated. The parameters of laser radiation are determined at which the spectrum of sound may contains either many lines, or the main line at the pulse repetition rate and several weaker overtones, or a single line. The spectrum of sound produced by trains of RP radiation comprises the line (and overtones) at the repetition rate of train sequences and the line at the repetition rate of pulses in trains. A CO{sub 2} laser with the pulse repetition rate of f ≈ 3 – 180 kHz and the average power of up to 2 W was used in the experiments. (optical discharges)

  14. Varactor with integrated micro-discharge source

    Elizondo-Decanini, Juan M.; Manginell, Ronald P.; Moorman, Matthew W.


    An apparatus that includes a varactor element and an integrated micro-discharge source is disclosed herein. In a general embodiment, the apparatus includes at least one np junction and at least one voltage source that is configured to apply voltage across the np junction. The apparatus further includes an aperture that extends through the np junction. When the voltage is applied across the np junction, gas in the aperture is ionized, forming a plasma, in turn causing a micro-discharge (of light, charge particles, and space charge) to occur. The light (charge particles, and space charge) impinges upon the surface of the np junction exposed in the aperture, thereby altering capacitance of the np junction. When used within an oscillator circuit, the effect of the plasma on the np-junction extends the capacitance changes of the np-junction and extends the oscillator frequency range in ways not possible by a conventional voltage controlled oscillator (VCO).

  15. Similarity criterion of flood discharge atomization

    Zhou Hui; Wu Shiqiang; Chen Huiling; Zhou Jie; Wu Xiufeng


    By combining the results of prototype observation of flood discharge atomization at the Wujiangdu Hydropower Station, and by adopting the serial model test method, the model scale effect was examined, the influences of the Reynolds and Weber numbers of water flow on the rain intensity of flood discharge atomization were analyzed and a rain intensity conversion relation was established. It is demonstrated that the level of atomization follows the geometric similarity relations and it is possible to ignore the influence of the surface tension of the flow when the Weber number is greater than 500. Despite limitations such as incomplete data sets, it is undoubtedly helpful to study the scale effect of atomization flow, and it is beneficial to identify the rules of the model test results in order to extrapolate to prototype prediction.

  16. Studying barrier-discharge-stimulated plasmachemical reactions

    Malanichev, V. E.; Malashin, M. V.; Moshkunov, S. I.; Nebogatkin, S. V.; Khomich, V. Yu.; Shmelev, V. M.


    Barrier-discharge stimulation of chemical reactions has been studied in the case of methane oxidation by atmospheric oxygen with the formation of carbon monoxide and hydrogen. Experiments in a plasmachemical reactor demonstrated the possibility of increasing the yield of synthesis gas (syngas) by means of plasma pretreatment of the initial mixture of air and methane in a 7: 1 ratio at atmospheric pressure. The output-gas composition was determined by gas chromatography. It is established that the plasma-discharge treatment of the initial gas mixture leads to a 15% increase in the amount of syngas at the reactor output and increases the reaction selectivity with respect to hydrogen and carbon monoxide by 3.2 and 6.5%, respectively.

  17. On ULF Signatures of Lightning Discharges

    Bösinger, T.; Shalimov, S. L.


    Recent works on magnetic signatures due to distant lightning discharges are reviewed. Emphasis is laid on magnetic signatures in the ULF range (in the old definition from less than 1 mHz up to 1 Hz), that is in the frequency range below the Schumann resonance. These signatures are known to be of importance for the excitation of the ionospheric Alfvén resonator (IAR) which works only at night time conditions. This emphasizes the difference between night and day time ULF signatures of lightning. The IAR forms a link between the atmosphere and magnetosphere. Similarities and differences of this link in the VLF (Trimpi effect) and ULF range are worked out. A search for a unique signature of sprite-associated positive cloud-to-ground (+CG) lightning discharges ended with a negative result. In this context, however, a new model of lightning-associated induced mesospheric currents was built. Depending on mesospheric condition it can produce magnetic signatures in the entire frequency range from VLF, ELF to ULF. In the latter case it can explain signatures known as the Ultra Slow Tail of +CG lightning discharges. A current problem on the magnetic background noise intensity has been solved by taking more seriously the contribution of +CG lightning discharges to the overall background noise. Their low occurrence rate is more than compensated by their large and long lasting continuing currents. By superposed epoch analysis it could be shown that the ULF response to -CG is one to two orders smaller that in case of +CG with similar peak current values of the return stroke.

  18. Methane conversion to hydrocarbons by double discharge

    A. M. Ghorbanzadeh


    Full Text Available   Methane conversion to higher hydrocarbons by pulsed glow discharge at the atmospheric pressure was investigated. The energy efficiency up to 10 % was obtained which is higher than any value ever published for nonequilibrium plasma conversion of pure methame. This method has a potential for development and it is expected that the energy efficiency will be improved further if the plasma parameters are optimized.

  19. Device Stores and Discharges Metered Fluid

    Hooper, S. L.; Setzer, D.


    Hand-held container accepts measured amount of liquid from pressurized supply. Supply pressure drives spring-loaded piston that stores enough mechanical energy to discharge measured liquid into another container. Original application of container was to rehydrate sterilized pre-packaged food in zerogravity environment of space vehicles. Possible terrestrial applicatios include dispensing of toxic fluids or metering of fluids for household, commercial or laboratory uses.

  20. Stream discharge measurements under ice cover

    Noland, K. Michael; Jacobson, Nathan D.


    This training presentation shows procedures used by the U.S. Geological Survey to measure streamflow when streams are covered by ice. Although 'Ice Measurements' are generally more difficult to make than open-water measurements and are often made under uncomfortable conditions it is very important that ice measurements be made regularly during the winter. This is because a large part of many winter discharge records depend on such measurements.

  1. Electrical-Discharge Machining With Additional Axis

    Malinzak, Roger M.; Booth, Gary N.


    Proposed electrical-discharge-machining (EDM) apparatus uses moveable vertical wire as electrode. Wire positionable horizontally along one axis as it slides vertically past workpiece. Workpiece indexed in rotation about horizontal axis. Because of symmetry of parts, process used to make two such parts at a time by defining boundary between them. Advantages: cost of material reduced, imparts less residual stress to workpiece, and less time spent machining each part when parts produced in such symmetrical pairs.

  2. Preset Electrodes for Electrical-Discharge Machining

    Coker, Bill E.


    New electrode holder for electrical-discharge machining (EDM) provides for repeatable loading and setting of many electrodes. New holder is rotating-index tool carrying six, eight, or more electrodes. Before use, all electrodes set with aid of ring surrounding tool, and locked in position with screws. When electrode replaced, EDM operator pulls spring-loaded pin on tool so it rotates about center pin. Fresh electrode then rotated into position against workpiece.

  3. Documentation for the hydrological discharge model

    Hagemann, S.; Duemenil, L. [Max-Planck-Institut fuer Meteorologie, Hamburg (Germany)


    To improve the representation of hydrological land surface processes, which has so far been treated inadequately in global models of the atmospheric general circulation (GCMs), a model for the lateral waterflows from the continents into the ocean on the global scale was developed. The model describes the translation and retention of the lateral discharge as a function of the spatially distributed land surface characteristics that are globally available. Here, global scale refers to the resolution of 0.5 and lower, corresponding to a typical GCM gridbox area of about 2500 km{sup 2}. This model is called the Hydrological Discharge model or HD model. The HD model computes the discharge only at 0.5 resolution. A model input fields (runoff and drainage, see Sect. 3.1.) from the various GCM resolutions are interpolated to the same 0.5 grid. Thus, input fields may be used from any available resolution, if the corresponding interpolation routine to the 0.5 degree grid is provided. Since the HD model uses a time step of one day, a temporal resolution of one day is sufficient for the input fields. (orig.)

  4. Estimation of peak discharges of historical floods

    J. Herget


    Full Text Available There is no doubt, that the hazard assessment of future floods especially under consideration of the recent environmental change can be significantly improved by the consideration of historic flood events. While flood frequency inventories on local, regional and even European scale are already developed and published, the estimation of their magnitudes indicated by discharges is still challenging. Such data are required due to significant human impact on river channels and floodplains though historic flood levels cannot be related to recent ones or recent discharges. Based on own experiences from single local key studies the general outline of an approach to estimate the discharge of the previous flood based on handed down flood level and topographic data is presented. The model for one-dimensional steady flow is based on the empirical Manning equation for the mean flow velocity. Background and potential sources of information, acceptable simplifications and data transformation for each element of the model-equation are explained and discussed. Preliminary experiences on the accuracy of ±10% are documented and potential approaches for the validation of individual estimations given. A brief discussion on benefits and limitations including a generalized statement on alternative approaches closes the review presentation of the approach.

  5. Electron heating in atmospheric pressure glow discharges

    Stark, Robert H.; Schoenbach, Karl H.


    The application of nanosecond voltage pulses to weakly ionized atmospheric pressure plasmas allows heating the electrons without considerably increasing the gas temperature, provided that the duration of the pulses is less than the critical time for the development of glow-to-arc transitions. The shift in the electron energy distribution towards higher energies causes a temporary increase in the ionization rate, and consequently a strong rise in electron density. This increase in electron density is reflected in an increased decay time of the plasma after the pulse application. Experiments in atmospheric pressure air glow discharges with gas temperatures of approximately 2000 K have been performed to explore the electron heating effect. Measurements of the temporal development of the voltage across the discharge and the optical emission in the visible after applying a 10 ns high voltage pulse to a weakly ionized steady state plasma demonstrated increasing plasma decay times from tens of nanoseconds to microseconds when the pulsed electric field was raised from 10 to 40 kV/cm. Temporally resolved photographs of the discharge have shown that the plasma column expands during this process. The nonlinear electron heating effect can be used to reduce the power consumption in a repetitively operated air plasma considerably compared to a dc plasma operation. Besides allowing power reduction, pulsed electron heating also has the potential to enhance plasma processes, which require elevated electron energies, such as excimer generation for ultraviolet lamps.

  6. Electric discharge excitation and energy source integration

    Grosjean, D. F.


    Methods of transferring energy from electrical storage to an electro-negative gas discharge at high repetition rates of approx. modeling of the pertinent kinetics of a He/Xe/HCl gas mixture which was performed in conjunction with various configurations of pulse-forming networks is described; gas thyratrons and magnetic switches were used as switching elements. Due to the relatively constant E/N characterisitics of this system, a stripline arrangement is shown to provide the most efficient method of energy transfer for pulse lengths approx < 50 nsec. Capacitor discharge methods are applicable to shorter pulse lengths. Construction of a closed-cycled, high-rep-rate XeCl gas-discharge laser is described. Operation of an X-ray preionized system at 1.5 kHz is also detailed; no contamination was observed in this configuration. The application of the XeCl laser as a pump source for a high-rep-rate, high-average-power dye laser is also described. A flowing-dye jet was utilized in order to avoid liquid-cell boundary-layer problems of a fast-flow stream. The optical quality of the jet stream was the limiting factor in achieving the power goals. A method of achieving high efficiency in a rare-gas-halide system is proposed via a magnetic switch and prepulse arrangement in conjunctions with a stripline PFN.

  7. Numerical study of a helicon gas discharge

    Batishchev, Oleg; Molvig, Kim


    Plasma sources based on the helicon gas discharge are widely used in industry [1] due to their high efficiency. We investigate performance of a particular helicon plasma sources designed for the VASIMR [2] plasma thruster. Specifically we are interested in the VX-10 configuration [3] operating with hydrogen or helium plasmas. Firstly, we use our zero-dimensional model to characterize plasma condition and composition [4]. Next we couple it to one-dimensional hybrid model [5] for a rarified gas flow in the system feeding pipe - quartz tube of the helicon. We perform numerical analysis of plasma source operation in different regimes. Results are compared and used to explain experimental data [3]. Finally, we'll discuss more detailed fully kinetic models for the gas and plasma species evolution in the helicon discharge with parameters typical to that of the VASIMR plasma thruster. [1] M.A. Lieberman and A.J.Lihtenberg, , 'Principles of plasma discharges and materials processing', Wiley, NY, 1994; [2] F.Chang-Diaz et al, Bull. APS 45 (7) 129, 2000; [3] J. Squire et al., Bull. APS 45 (7) 130, 2000; [4] O.Batishchev and Kim Molvig, AIAA technical paper 2000-3754, 2000; [5] O.Batishchev and Kim Molvig, AIAA technical paper 2001-0963, 2001.

  8. Nasogastric Tube Placement in Newborns Before Discharge.

    Alnemri, Abdulrahman M; Saeed, Anjum; Assiri, Asaad M


    The aim of this study was to assess the knowledge of medical staff (physicians) at different levels about insertion or placement of nasogastric tube (NGT) in a normal newborn before discharge. It was a survey-based, observational study conducted at King Khalid University Hospital. Atotal of 103 doctors were sent text message; among those 81 (78.6%) responded. Among the respondents, 27, 16, 11 and 27 were neonatologists, general physicians, obstetricians/ ENT/pediatric surgeons, and senior registrars neonatology (SRN), respectively. Majority of physicians, 57 (70.3%) rejected the idea of insertion of NGTin a normal newborn but in 24 (29.6%), answer was to insert NGTin all the newborns before discharge to check the patency of nasal cavities. Regarding the position, region of doctors and their response, majority from Center said ‘No’(not in favour of insertion) but from South, 17/18 (94.4%) said ‘Yes’(in favour of insertion). Regarding other specialties, majority of them showed rejection of this idea. In conclusion, most of the healthcare professionals, directly involved with neonatal care, rejected the idea of routine insertion of NGTin normal newborn examination before discharge; rather, some non-invasive technique could be opted.

  9. Electrostatic discharges in Saturn's B-ring

    Warwick, J. W.; Romig, J. H.; Evans, D. R.


    The Voyager observations of electrical discharges in Saturn's rings strongly support earlier speculations on the role played by electrostatics, magnetic fields, and lightning phenomena in the primitive solar system. They also suggest conditions then by direct analogy rather than by extrapolating backwards through time from conditions now. The observed discharges show a pronounced 10h periodicity, which suggests a source in Keplerian orbit at 1.80 + or - 0.01 Saturn radii. In that region, the B ring is thicker than optical depth 1.8 for about 5,000 km. At 1.805 + or - 0.001 Saturn radii, however, the ring is virtually transparent for a gap of width 200 m. It is concluded that a small satellite orbits Saturn at that radius and clears the gap. The gap edges must prevent diffusive filling of the gap by fine material which is especially abundant at this position in the rings and would otherwise destroy the gap in minutes. The discharges represent the satellite's interaction with the outer edge of the gap. Spoke formation may involve the interaction of ring material in the vicinity of the gap.

  10. An ultra miniature pinch-focus discharge

    Soto, L.; Pavez, C.; Moreno, J. [Comision Chilena de Energia Nuclear, Santiago (Chile); Pavez, C. [Universidad de Concepcion (Chile); Barbaglia, M.; Clausse, A. [Universidad Nacional del Centro, Pladema-CNEA-Conicet, Tandil (Argentina)


    As a way to investigate the minimum energy to produce a pinch plasma focus discharge, an ultra miniature device has been designed and constructed (nano focus NF: 5 nF, 5-10 kV, 5-10 kA, 60-250 mJ, 16 ns time to peak current). Sub-millimetric anode radius covered by a coaxial insulator were used for experiments in hydrogen. Evidence of pinch was observed in electrical signals in discharges operating at 60 mJ. A single-frame image converter camera (4 ns exposure) was used to obtain plasma images in the visible range. The dynamics observed from the photographs is consistent with: a) formation of a plasma sheath close to the insulator surface, b) fast axial motion of the plasma sheath, c) radial compression over the anode, and d) finally the plasma is detached from the anode in the axial direction. The total time since stage a) to d) was observed to be about 30 ns. X ray and neutron emission is being studied. Neutron yield of the order of 10{sup 3} neutrons per shot is expected for discharges operating in deuterium at 10 kA. (authors)

  11. "A not completely satisfactory attempt": peak discharges and rainfall-runoff relations for Javanese rivers between 1880 and 1940

    Ertsen, M.W.


    In the early 19th century, the Dutch colonial power started to build irrigation works. A main problem for Dutch irrigation engineers on Java was how to ensure that the structures they built remained intact. The peak discharge regime of a river was an issue closely related to dam safety. Modifying th

  12. Study and optimization of the partial discharges in capacitor model ...

    model at different temperatures. Etude et ... undegased is measured and the effect of temperature was examined. The partial discharge ... discharges and show that the low temperature ..... Journal Exploring the Frontiers of Physics, Vol. 66 (1),.

  13. 32 CFR 70.9 - Discharge review standards.


    ... which the applicant was discharged, even though the discharge was determined to have been otherwise...) Awards and decorations; (C) Letters of commendation or reprimand; (D) Combat service; (E) Wounds...

  14. Thermally induced atmospheric pressure gas discharges using pyroelectric crystals

    Johnson, Michael J.; Linczer, John; Go, David B.


    Using a heated pyroelectric crystal, an atmospheric pressure gas discharge was generated through the input of heat. When put through a change in temperature, the polarization of a pyroelectric can change significantly, creating a substantial electric potential at its surface. When configured with a grounded sharp counter electrode, a large inhomogeneous electric field forms in the interstitial gas to initiate a corona-like discharge. Under constant heating conditions, gaseous ions drifting to the pyroelectric accumulate and screen the electric field, extinguishing the discharge. By thermally cycling the pyroelectric, negative and positive discharges are generated during heating and cooling, respectively, with peak currents on the order of 80 nA. Time-integrated visualization confirmed the generation of both a corona-like discharge and a surface discharge on the pyroelectric. Parametric studies identified that thermal cycling conditions significantly influence discharge formation for this new atmospheric pressure discharge approach.

  15. Treatment Episode Data Set: Discharges (TEDS-D-2009)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Discharges (TEDS-D) is a national census data system of annual discharges from substance abuse treatment facilities. TEDS-D...

  16. Treatment Episode Data Set: Discharges (TEDS-D-2010)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Discharges (TEDS-D) is a national census data system of annual discharges from substance abuse treatment facilities. TEDS-D...

  17. Treatment Episode Data Set: Discharges (TEDS-D-2006)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Discharges (TEDS-D) is a national census data system of annual discharges from substance abuse treatment facilities. TEDS-D...

  18. Treatment Episode Data Set: Discharges (TEDS-D-2007)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Discharges (TEDS-D) is a national census data system of annual discharges from substance abuse treatment facilities. TEDS-D...

  19. Treatment Episode Data Set: Discharges (TEDS-D-2011)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Discharges (TEDS-D) is a national census data system of annual discharges from substance abuse treatment facilities. TEDS-D...

  20. Treatment Episode Data Set: Discharges (TEDS-D-2008)

    U.S. Department of Health & Human Services — The Treatment Episode Data Set -- Discharges (TEDS-D) is a national census data system of annual discharges from substance abuse treatment facilities. TEDS-D...

  1. Visible and VUV images of dielectric barrier discharges in Xe

    Mildren, R.P. [Centre for Lasers and Applications, Macquarie University, Sydney, NSW (Australia); Carman, R.J. [Department of Physics, Macquarie University, Sydney, NSW (Australia); Falconer, I.S. [School of Physics A28, University of Sydney, Sydney, NSW (Australia)


    We have recorded short exposure images of visible and vacuum ultraviolet (VUV) emission from a Xe dielectric barrier discharge lamp, and investigated the effects of excitation by fast rising pulse and sinusoidal voltage waveforms on the discharge structure. The images from the pulsed discharge are essentially uniform over the active electrode area unlike the sinusoidal discharge which is filamentary. By investigating a single filament discharge, it is also found that a large fraction ((>)90%) of the total visible and VUV emission for sinusoidal excitation is generated from regions outside the filament. The images suggest that the VUV is generated from surface discharges, or 'feelers', which branch out laterally from the filaments. Model calculations suggest that surface or volume discharges, in which the current density is much lower than for filamentary discharges, generate VUV emission more efficiently due to the reduced rate for multi-step electron excitation of Xe* species. (author)

  2. Combustion Enhancement with a Silent Discharge Plasma

    Rosocha, Louis


    It is well known that the application of an external electric field to a flame can affect its propagation speed, stability, and combustion chemistry (Lawton & Weinberg 1969). External electrodes, arc discharges, and plasma jets have been employed to allow combustible gas mixtures to operate outside their flammability limits by gas heating, injection of free radicals, and field-promoted flame stabilization (Yagodnikov & Voronetskii 1994). Other investigators have carried out experiments with silent electrical discharges applied to propagating flames (Inomata et al 1983, Kim et al 2003). These have demonstrated that the flame propagation velocity is actually decreased (combustion retarded) when a silent discharge is applied directly to the flame region, but that the flame propagation velocity is increased (combustion promoted) when a silent discharge is applied to the unburned gas mixture upstream of a flame. Two other recent works have considered the possibility of combustion enhancement in aircraft gas turbine engine combustor mixers by using a plasma-generating fuel nozzle, that employs an electric-arc or microwave plasma generator, to produce dissociated fuel or ionized fuel (Johnson et al 2001); and pulsed corona-enhanced detonation of fuel-air mixtures in jet engines (Wang et al 2003). In contrast to these prior works, we have employed a silent discharge plasma (SDP) reactor to break up large fuel molecules into smaller molecules and create free radicals or other active species in a gas stream before the fuel is mixed with an oxidizer and combusted. In experiments reported here, a cylindrical SDP reactor was used to 'activate' propane before mixing it with air and igniting the combustible gas mixture. With the plasma, the physical appearance of the flame changes and substantial changes in mass spectrometer fragmentation peaks are observed (e.g., propane fragments decrease and water and carbon dioxide increase). This indicates that the combustion process is

  3. Studying discharges in the Gas Electron Multiplies in Alice Detector

    EُlGedawy, Omar


    Characterizing discharges is very important in the operation of the GEM detector. Once the discharges happen, a current will go through the GEM, the voltages across the GEM foils sides drop, charge amplification cannot take place anymore, resulting in a loss of signal. So the goal is to understand how the discharges evolve and propagate, in order to find requirements on the voltage settings, which allow to decrease the discharge probability.

  4. Early literacy

    Jensen, Anders Skriver


    This paper discusses findings from the Danish contribution to the EASE project, a European research project running from 2008 to 2010 on early literacy in relation to the transition from childcare to school. It explores a holistic, inclusive approach to early literacy that resists a narrow...... and schools. The paper also draws on Gee’s (2001, 2003, 2004, 2008) sociocultural approach to literacy, and Honneth’s (2003, 2006) concept of recognition. Emphasizing participation and recognition as key elements, it claims that stakeholders in early liter- acy must pay attention to how diverse early literacy...... opportunities empower children, especially when these opportunities are employed in a project-based learning environ- ment in which each child is able to contribute to the shared literacy events....

  5. 34 CFR 674.61 - Discharge for death or disability.


    ... 34 Education 3 2010-07-01 2010-07-01 false Discharge for death or disability. 674.61 Section 674... Discharge for death or disability. (a) Death. An institution must discharge the unpaid balance of a borrower... disability as defined in § 674.51(aa)(1)—(1) General. A borrower's Defense, NDSL, or Perkins loan is...

  6. Optical Spectra of the High Voltage Erosive Water Discharge

    Pirozerski, A L


    In the present paper kinetics of emission spectra of the high voltage erosive water discharge at near ultraviolet and visible spectral ranges has been investigated. Obtained results show a similarity of physical properties of this discharge (and of corresponding plasmoids) to that of some other types of erosional discharges which also result in the formation of dust-gas fireballs.

  7. Research on Discharging Mechanism of Powder Mixed EDM

    WANG Yuangang; ZHAO Fuling


    This paper presents investigations on discharging mechanism in powder mixed EDM. By analyzing the inception, growth of electrical tree and the ignition of discharges in liquid filled gap, the whole discharging process is proposed. It is explored that the reason of modification of ignition behaves by adding fine particle powders of metal or semiconductor to the working liquid.

  8. 46 CFR 14.305 - Entries in continuous discharge book.


    ... 46 Shipping 1 2010-10-01 2010-10-01 false Entries in continuous discharge book. 14.305 Section 14.305 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY MERCHANT MARINE OFFICERS AND SEAMEN SHIPMENT... discharge book. If the merchant mariner holds a continuous discharge book, the master or individual...

  9. The Discharge Coefficient of a Centre-Pivot Roof Window

    Iqbal, Ahsan; Afshari, Alireza; Nielsen, Peter V.


    value of discharge coefficient is used. The constant value of discharge coefficient leads to deceptive airflow estimation in the cases of centre-pivot roof windows. The object of this paper is to study and evaluate the discharge coefficient of the centre pivot roof window. Focus is given...

  10. 32 CFR 724.221 - Scheduling of discharge reviews.


    ... 32 National Defense 5 2010-07-01 2010-07-01 false Scheduling of discharge reviews. 724.221 Section 724.221 National Defense Department of Defense (Continued) DEPARTMENT OF THE NAVY PERSONNEL NAVAL DISCHARGE REVIEW BOARD Authority/Policy for Departmental Discharge Review § 724.221 Scheduling of...

  11. Recent results from studies of electric discharges in the mesosphere

    Neubert, Torsten; Rycroft, M.; Farges, T.


    The paper reviews recent advances in studies of electric discharges in the stratosphere and mesosphere above thunderstorms, and their effects on the atmosphere. The primary focus is on the sprite discharge occurring in the mesosphere, which is the most commonly observed high altitude discharge by...

  12. Electrical energy sources for organic synthesis on the early earth

    Chyba, Christopher; Sagan, Carl


    It is pointed out that much of the contemporary origin-of-life research uses the original estimates of Miller and Urey (1959) for terrestrial energy dissipation by lightning and coronal discharges being equal to 2 x 10 to the 19th J/yr and 6 x 10 to the 19th J/yr, respectively. However, data from experiments that provide analogues to naturally-occurring lightning and coronal discharges indicate that lightning energy yields for organic synthesis (nmole/J) are about one order of magnitude higher than the coronal discharge yields. This suggests that, on early earth, organic production by lightning may have dominated that due to coronal emission. New values are recommended for lightning and coronal discharge dissipation rates on the early earth, 1 x 10 to the 18th J/yr and 5 x 10 to the 17th J/yr, respectively.

  13. Electrical energy sources for organic synthesis on the early earth

    Chyba, Christopher; Sagan, Carl


    It is pointed out that much of the contemporary origin-of-life research uses the original estimates of Miller and Urey (1959) for terrestrial energy dissipation by lightning and coronal discharges being equal to 2 x 10 to the 19th J/yr and 6 x 10 to the 19th J/yr, respectively. However, data from experiments that provide analogues to naturally-occurring lightning and coronal discharges indicate that lightning energy yields for organic synthesis (nmole/J) are about one order of magnitude higher than the coronal discharge yields. This suggests that, on early earth, organic production by lightning may have dominated that due to coronal emission. New values are recommended for lightning and coronal discharge dissipation rates on the early earth, 1 x 10 to the 18th J/yr and 5 x 10 to the 17th J/yr, respectively.

  14. Readmissions and deaths following ICU discharge - a challenge for intensive care

    de Araujo, Tatiane Gomes; Rieder, Marcelo de Mello; Kutchak, Fernanda Machado; Franco Filho, João Wilney


    Objectives Identify patients at risk for intensive care unit readmission, the reasons for and rates of readmission, and mortality after their stay in the intensive care unit; describe the sensitivity and specificity of the Stability and Workload Index for Transfer scale as a criterion for discharge from the intensive care unit. Methods Adult, critical patients from intensive care units from two public hospitals in Porto Alegre, Brazil, comprised the sample. The patients' clinical and demographic characteristics were collected within 24 hours of admission. They were monitored until their final outcome on the intensive care unit (death or discharge) to apply the Stability and Workload Index for Transfer. The deaths during the first intensive care unit admission were disregarded, and we continued monitoring the other patients using the hospitals' electronic systems to identify the discharges, deaths, and readmissions. Results Readmission rates were 13.7% in intensive care unit 1 (medical-surgical, ICU1) and 9.3% in intensive care unit 2 (trauma and neurosurgery, ICU2). The death rate following discharge was 12.5% from ICU1 and 4.2% from ICU2. There was a statistically significant difference in Stability and Workload Index for Transfer (p<0.05) regarding the ICU1 patients' outcome, which was not found in the ICU2 patients. In ICU1, 46.5% (N=20) of patients were readmitted very early (within 48 hours of discharge). Mortality was high among those readmitted: 69.7% in ICU1 and 48.5% in ICU2. Conclusions The Stability and Workload Index for Transfer scale showed greater efficacy in identifying patients more prone to readmission and death following discharge from a medical-surgical intensive care unit. The patients' intensive care unit readmission during the same hospitalization resulted in increased morbidity, mortality, length of stay, and total costs. PMID:23887757

  15. Enhanced volume production of negative ions in the post discharge of a multicusp hydrogen discharge

    Hopkins, M.B.; Bacal, M.; Graham, W.G. (Laboratoire de Physique des Milieux Ionises, Laboratoire du C.N.R.S., Ecole Polytechnique, 91128 Palaiseau Cedex (France))


    In this paper we demonstrate a new concept in the production of negative hydrogen ions in a low-pressure multicusp discharge. The discharge voltage is modulated to produce a non-Maxwellian, hot-electron plasma during the current pulse, followed by a cool Maxwellian electron plasma in the post discharge. This procedure, of separating in time the required hot and cold electron plasmas required for volume H{sup {minus}} production, is called a temporal filter. The time evolution of the electron energy distribution function is measured using the time-resolved second derivative of a Langmuir probe characteristic. Time-resolved measurements of the negative ion density are made using laser photodetachment. The measurements show that the negative ion density in the center of the source, at a gas pressure of 0.07 Pa, increases by a factor of 2 when the discharge is switched off. At this low pressure the average H{sup {minus}} beam current extracted from the source, when operated with a discharge current of 1 A in the pulse modulated mode exceeds the H{sup {minus}} beam current from a 5 A continuously operated source. The increase in efficiency of the pulsed source is explained in terms of a two-step H{sup {minus}} production mechanism.

  16. Modified PADSS (Post Anaesthetic Discharge Scoring System) for monitoring outpatients discharge.

    Palumbo, Piergaspare; Tellan, Guglielmo; Perotti, Bruno; Pacilè, Maria Antonietta; Vietri, Francesco; Illuminati, Giulio


    The decision to discharge a patient undergoing day surgery is a major step in the hospitalization pathway, because it must be achieved without compromising the quality of care, thus ensuring the same assistance and wellbeing as for a long-term stay. Therefore, the use of an objective assessment for the management of a fair and safe discharge is essential. The authors propose the Post Anaesthetic Discharge Scoring System (PADSS), which considers six criteria: vital signs, ambulation, nausea/vomiting, pain, bleeding and voiding. Each criterion is given a score ranging from 0 to 2. Only patients who achieve a score of 9 or more are considered ready for discharge. Furthermore, PADSS has been modified to ensure a higher level of safety, thus the "vital signs" criteria must never score lower than 2, and none of the other five criteria must ever be equal to 0, even if the total score reaches 9. The effectiveness of PADSS was analyzed on 2432 patients, by recording the incidence of postoperative complications and the readmission to hospital. So far PADDS has proved to be an efficient system that guarantees safe discharge.

  17. Lightning discharges and discharges from overhead power lines with human burn injuries as consequences

    Javor Sanja


    Full Text Available Discharges from overhead power lines and lightning discharges may severely endanger human life and health. If non-lethal, burn injuries may also last for a lifetime, so as Lichtenberg figures caused by lightning discharges. Some accidents with burns are discussed in this paper and recommendations given for safety reasons. Specific energy transferred by typical lightning strokes currents given in the standard IEC 62305 is calculated. The aim of the paper is to suggest a simple expression for the estimation of safe approach distances to overhead lines, especially if high temperatures and changes in terrain reduced the secure height above ground, or if carrying elevated objects. Results of these calculations are compared to safe approach distances given in regulations of different countries. Safe distances from railway power lines are also considered.

  18. Optimal length of capacitive-discharge and glow-discharge excilamps

    Boichenko, A. M.; Erofeev, M. V.; Sosnin, E. A.; Tarasenko, V. F.; Yakovlenko, S. I.


    The optimal tube length of capacitive-discharge and glow-discharge excimer lamps with ring and circular electrodes of equal radii is considered. It is demonstrated that, at the same potential difference between electrodes and their radii, the ratio of the optimal lengths of the tubes with circular and ring electrodes depends on width L of the ring electrodes. The ratio of the lengths decreases with decreasing L. A relationship between the tube length and radius, the width of ring electrodes, and the minimum voltage at the tube that provide for an approximately uniform glow of the discharge column in the presence of voltage pulses with opposite polarities at the electrodes is derived.

  19. State waste discharge permit application: Hydrotest, maintenance and construction discharges. Revision 0



    On December 23, 1991, the US DOE< Richland Operation Office (RL) and the Washington State Department of Ecology (Ecology) agreed to adhere to the provisions of the Department of Ecology Consent Order No. DE91NM-177 (216 Consent Order) (Ecology and US DOE 1991). The 216 Consent Order list regulatory milestones for liquid effluent streams at the Hanford Site and requires compliance with the permitting requirements of Washington Administrative Code. Hanford Site liquid effluent streams discharging to the soil column have been categorized on the 216 Consent Order as follows: Phase I Streams; Phase II Streams; Miscellaneous Streams. Phase I and Phase II Streams were initially addressed in two report. Miscellaneous Streams are subject to the requirements of several milestones identified in the 216 Consent Order. This document constitutes the Categorical State Waste Discharge Permit application for hydrotest,maintenance and construction discharges throughout the Hanford Site. This categorical permit application form was prepared and approved by Ecology.

  20. A Study on the improvement of Paldang dam discharge evaluation

    Song, Young Chul; Kim, Chong Hak; Lee, Dae Soo [Korea Electric Power Corp. (KEPCO), Taejon (Korea, Republic of). Research Center; Lee, Won Hwan; Cho, Won Chul; Heo, Jun Haeng [Yonsei Univ., Seoul (Korea, Republic of)


    Besides the original purpose of electric power generation, the Paldang dam plays such important roles as flood control and water supply in the Han river. However, significant drawdown of the downstream water level since 1973 has caused considerable differences between the real discharges and the estimated values currently in use. This study was performed to improve discharge evaluation method and to provide new discharge table appropriate for the changed condition. Through the physical model tests assisted by numerical test, the discharge equations were modified, the discharge table was revised for steady and unsteady flow conditions, but the gate operation rules proved reasonable and remained unchanged. (author). 81 refs., 166 figs.

  1. From Aldrete to PADSS: Reviewing discharge criteria after ambulatory surgery.

    Ead, Heather


    Nurses working in perianesthesia care areas use discharge scoring criteria to complete patient assessments and ensure patient readiness for discharge or transfer to the next phase of recovery. However, all discharge criteria have both advantages and disadvantages. Comparative studies on the reliability of the different discharge criteria in use are extremely limited. As the acuity of our aging population increases, as well as the number of annual surgeries performed on an outpatient basis, it is most timely to ensure that we are following evidence-based discharge criteria.

  2. Discharge planning as part of daily nursing practice.

    Foust, Janice B


    Nurses deal with planning posthospitalization care within increasingly urgent focused environments and amid competing priorities. The purpose of this qualitative study was to examine nurses' discharge planning efforts as these occurred in practice. Eight nurses were observed and interviewed as they cared for selected patients. Major findings indicate that nurses' expectations of patients' progress guided their discharge assessments, teaching, and planning over time. Discharge teaching was a prominent part of daily practice that became more specific as hospital discharge neared. A gap between observed and documented discharge planning efforts existed, which poses significant challenges for nurses in many positions.


    Marina Davydova


    Full Text Available Carbon nanostructures were deposited by surface wave discharge using various Ar/CH4/ CO2 gas mixture ratios. The morphology was controlled by adjusting of gas concentration and was investigated by scanning electron microscopy (SEM. Also, the influence of the low temperature plasma treatment and process time on the wettability of the diamond films has been studied. The results indicate that for hydrogen termination of diamond surface indicate that the temperature as low as 400°C and treatment time of 15 min is sufficient to attain the p-type surface conductivity of diamond.

  4. Building micro and nanosystems with electrochemical discharges

    Wuethrich, Rolf, E-mail: wuthrich@encs.concordia.c [Department of Mechanical and Industrial Engineering, Concordia University, 1455 de Maisonneuve Blvd. West, Montreal, QC (Canada); Allagui, Anis [Department of Mechanical and Industrial Engineering, Concordia University, 1455 de Maisonneuve Blvd. West, Montreal, QC (Canada)


    Since the discovery of the electrochemical discharge phenomenon by Fizeau and Foucault, several contributions have expanded the wide range of applications associated with this high current density electrochemical process. The complexity of the phenomenon, from the macroscopic to the microscopic scales, led since then to experimental and theoretical studies from different research fields. This contribution reviews the chemical and electrochemical perspectives where a mechanistic model based on results from radiation chemistry of aqueous solutions is proposed. In addition applications to micro-machining and fabrication of nanoparticles are discussed.

  5. Hydrogen Production from Methanol Using Corona Discharges


    Hydrogen production at room temperature from liquid methanol has been conductedusing corona discharge. The content of water in methanol solution has a significant effect on thisproduction. When water concentration increases from 1.0 % to 16.7 %, the methanol conversionrate changes from 0.196 to 0.284 mol/h. An important finding in this investigation is theformation of ethylene glycol as a major by-product. The yield of ethylene glycol is ranged from0.0045 to 0.0075 mol/h based on the water content.

  6. A numerical study of planar discharge motion

    Benkhaldoun F.


    Full Text Available Presented paper describes a numerical study of discharge plasma motion. This non-stationary phenomenon with steep gradients and sharp peaks in unknowns is described as a coupled problem of convection-diffusion equation with source term for electron, ion densities and Poisson’s equation for electric potential. The numerical method is 2nd order of accuracy in space and time and it uses dynamical adaptation of unstructured triangular mesh. Results of numerical studies included size of computational domain, type of boundary conditions and numerical convergence test are presented.

  7. Desensitizing nano powders to electrostatic discharge ignition

    Steelman, Ryan [Texas Tech Univ., Lubbock, TX (United States). Dept. of Mechanical Engineering; Clark, Billy [Texas Tech Univ., Lubbock, TX (United States). Dept. of Mechanical Engineering; Pantoya, Michelle L. [Texas Tech Univ., Lubbock, TX (United States). Dept. of Mechanical Engineering; Heaps, Ronald J. [Idaho National Lab. (INL), Idaho Falls, ID (United States); Daniels, Michael A. [Idaho National Lab. (INL), Idaho Falls, ID (United States)


    Electrostatic discharge (ESD) is a main cause for ignition in powder media ranging from grain silos to fireworks. Nanoscale particles are orders of magnitude more ESD ignition sensitive than their micron scale counterparts. This study shows that at least 13 vol. % carbon nanotubes (CNT) added to nano-aluminum and nano-copper oxide particles (nAl + CuO) eliminates ESD ignition sensitivity. The CNT act as a conduit for electric energy and directs electric charge through the powder to desensitize the reactive mixture to ignition. For nanoparticles, the required CNT concentration for desensitizing ESD ignition acts as a diluent to quench energy propagation.

  8. Analysis of radiofrequency discharges in plasma

    Kumar, Devendra; McGlynn, Sean P.


    Separation of laser optogalvanic signals in plasma into two components: (1) an ionization rate change component, and (2) a photoacoustic mediated component. This separation of components may be performed even when the two components overlap in time, by measuring time-resolved laser optogalvanic signals in an rf discharge plasma as the rf frequency is varied near the electrical resonance peak of the plasma and associated driving/detecting circuits. A novel spectrometer may be constructed to make these measurements. Such a spectrometer would be useful in better understanding and controlling such processes as plasma etching and plasma deposition.

  9. A PDE-based partial discharge simulator

    Villa, Andrea; Barbieri, Luca; Gondola, Marco; Leon-Garzon, Andres R.; Malgesini, Roberto


    Partial discharges are the main ageing and failure mechanism of solid insulating materials subjected to alternated current stresses. This phenomenon, from a simulation point of view, has been almost always tackled using semi-empirical schemes. In this work, a fully physically-based model, based on a set of conservation partial differential equations, is introduced. A numerical algorithm, specifically designed to solve this particular problem, is developed and its validation is discussed considering some experimental data acquired in a simple geometry containing an isolated void.

  10. Ultrasonic Vibration Electrical Discharge Machining in Gas


    A new method of ultrasonic vibration electrical discharge machining(UEDM) in gas is proposed in this paper. In UEDM in gas, the gap between tool electrode and workpiece is small(about 0.01mm), and the voltage between them is higher than EDM in liquid, so short circuit is easy to take place. It is very important for improving the MRR to avoid short circuit. Therefore, some measures have been taken, a rotation and a planetary motion are superimposed upon the tool electrode. During UEDM in gas, workpiece is vi...


    Tatyana A. Stakhy


    Full Text Available In the life plans of servicemen, retired includevocational training or retraining, developmentof new relations, the formation of a new value system based on the new realities and theirsocial experience.The article considers legal and organizationalsupport of former soldiers, analyzed groupof servicemen discharged from the Armed Forces, as a specific social group and identified its place in the structure of Russiansociety; revealed the ways and forms ofadaptation to new conditions of life; to makean analysis of the life plans of servicemen,removed to the reserve.

  12. Point discharge current measurements beneath dust devils

    Lorenz, Ralph D.; Neakrase, Lynn D. V.; Anderson, John P.; Harrison, R. Giles; Nicoll, Keri A.


    We document for the first time observations of point discharge currents under dust devils using a novel compact sensor deployed in summer 2016 at the USDA-ARS Jornada Experimental Range in New Mexico, USA. A consistent signature is noted in about a dozen events seen over 40 days, with a positive current ramping up towards closest approach, switching to a decaying negative current as the devil recedes. The currents, induced on a small wire about 10 cm above the ground, correlate with dust devil intensity (pressure drop) and dust loading, and reached several hundred picoAmps.

  13. Stage-discharge rating curves based on satellite altimetry and modeled discharge in the Amazon basin

    Paris, Adrien; Dias de Paiva, Rodrigo; Santos da Silva, Joecila; Medeiros Moreira, Daniel; Calmant, Stephane; Garambois, Pierre-André; Collischonn, Walter; Bonnet, Marie-Paule; Seyler, Frederique


    In this study, rating curves (RCs) were determined by applying satellite altimetry to a poorly gauged basin. This study demonstrates the synergistic application of remote sensing and watershed modeling to capture the dynamics and quantity of flow in the Amazon River Basin, respectively. Three major advancements for estimating basin-scale patterns in river discharge are described. The first advancement is the preservation of the hydrological meanings of the parameters expressed by Manning's equation to obtain a data set containing the elevations of the river beds throughout the basin. The second advancement is the provision of parameter uncertainties and, therefore, the uncertainties in the rated discharge. The third advancement concerns estimating the discharge while considering backwater effects. We analyzed the Amazon Basin using nearly one thousand series that were obtained from ENVISAT and Jason-2 altimetry for more than 100 tributaries. Discharge values and related uncertainties were obtained from the rain-discharge MGB-IPH model. We used a global optimization algorithm based on the Monte Carlo Markov Chain and Bayesian framework to determine the rating curves. The data were randomly allocated into 80% calibration and 20% validation subsets. A comparison with the validation samples produced a Nash-Sutcliffe efficiency (Ens) of 0.68. When the MGB discharge uncertainties were less than 5%, the Ens value increased to 0.81 (mean). A comparison with the in situ discharge resulted in an Ens value of 0.71 for the validation samples (and 0.77 for calibration). The Ens values at the mouths of the rivers that experienced backwater effects significantly improved when the mean monthly slope was included in the RC. Our RCs were not mission-dependent, and the Ens value was preserved when applying ENVISAT rating curves to Jason-2 altimetry at crossovers. The cease-to-flow parameter of our RCs provided a good proxy for determining river bed elevation. This proxy was validated

  14. OH radicals generated by DC corona discharge for improving the pulsed discharge desulfuration efficiency

    LI Jie; LI Guo-feng; WU Yan; WANG Ning-hui; HUANG Qiu-nan


    Positive DC corona discharge is formed with needle-plate electrode configuration, in which the water vapor is ejected though the needle points. The purpose is to increase the numbers of the water-based radicals, ionize the water molecule and improve the desulfuration efficiency of pulsed corona reactor. The water ions were determined by four stages molecular beam mass spectrometer and diagnose the water-based radicals by emission spectrograph. A conclusion on formation of ions and radicals with DC corona discharges can be drawn.

  15. Discharge characteristics of motor units during long-duration contractions.

    Pascoe, Michael A; Holmes, Matthew R; Stuart, Douglas G; Enoka, Roger M


    The purpose of the study was to determine how long humans could sustain the discharge of single motor units during a voluntary contraction. The discharge of motor units in first dorsal interosseus of subjects (27.8 ± 8.1 years old) was recorded for as long as possible. The task was terminated when the isolated motor unit stopped discharging action potentials, despite the ability of the individual to sustain the abduction force. Twenty-three single motor units were recorded. Task duration was 21.4 ± 17.8 min. When analysed across discharge duration, mean discharge rate (10.6 ± 1.8 pulses s(-1)) and mean abduction force (5.5 ± 2.8% maximum) did not change significantly (discharge rate, P = 0.119; and abduction force, P = 0.235). In contrast, the coefficient of variation for interspike interval during the initial 30 s of the task was 22.2 ± 6.0% and increased to 31.9 ± 7.0% during the final 30 s (P < 0.001). All motor units were recruited again after 60 s of rest. Although subjects were able to sustain a relatively constant discharge rate, the cessation of discharge was preceded by a gradual increase in discharge variability. The findings also showed that the maximal duration of human motor unit discharge exceeds that previously reported for the discharge elicited in motor neurons by intracellular current injection in vitro.

  16. Recirculation pump discharge line break tests at ROSA-III for a boiling water reactor

    Suzuki, M.; Anoda, Y.; Kumamaru, H.; Nakamura, H.; Shiba, M.; Tasaka, K.


    Three loss-of-coolant accident (LOCA) tests were conducted at the Rig of Safety Assessment (ROSA)-III test facility, which simulates boiling water reactor (BWR)/6-251 with a volumetric scaling factor of 1/424. The fundamental features of the recirculation pump discharge line break LOCA and the effects of break areas on the features are investigated. It has been confirmed experimentally that the LOCA phenomena in the discharge line break are analogous to those in the suction line break with the same effective choking flow area, which is a sum of the least choking flow areas along the break flow paths and controls the system pressure responses. In general, the maximum effective choking flow area is (A /SUB j/ + A /SUB p/ ) for discharge line breaks and (A /SUB j/ + A /SUB o/ ) for suction line breaks, where A /SUB j/ , A /SUB p/ , and A /SUB o/ are the flow areas of the jet pump drive nozzles, the main recirculation pump discharge nozzle, and the break, respectively. The similarity between the ROSA-III test and a BWR LOCA has been confirmed in the key phenomena by the analyses using the RELAP5/MOD1 code. An atypical behavior is observed in the fuel rod surface temperature transient in the early phase of blowdown due to the limitation of the ROSA-III initial core power.

  17. Separation of Radio-Frequency Sources and Localization of Partial Discharges in Noisy Environments

    Guillermo Robles


    Full Text Available The detection of partial discharges (PD can help in early-warning detection systems to protect critical assets in power systems. The radio-frequency emission of these events can be measured with antennas even when the equipment is in service which reduces dramatically the maintenance costs and favours the implementation of condition-based monitoring systems. The drawback of these type of measurements is the difficulty of having a reference signal to study the events in a classical phase-resolved partial discharge pattern (PRPD. Therefore, in open-air substations and overhead lines where interferences from radio and TV broadcasting and mobile communications are important sources of noise and other pulsed interferences from rectifiers or inverters can be present, it is difficult to identify whether there is partial discharges activity or not. This paper proposes a robust method to separate the events captured with the antennas, identify which of them are partial discharges and localize the piece of equipment that is having problems. The separation is done with power ratio (PR maps based on the spectral characteristics of the signal and the identification of the type of event is done localizing the source with an array of four antennas. Several classical methods to calculate the time differences of arrival (TDOA of the emission to the antennas have been tested, and the localization is done using particle swarm optimization (PSO to minimize a distance function.

  18. Understanding the charge/discharge mechanisms and passivation reactions in Na-O2 batteries

    Landa-Medrano, Imanol; Frith, James T.; Ruiz de Larramendi, Idoia; Lozano, Iñigo; Ortiz-Vitoriano, Nagore; Garcia-Araez, Nuria; Rojo, Teófilo


    Sodium-oxygen batteries are becoming of increasing interest in the research community as they are able to overcome some of the difficulties associated with lithium-oxygen batteries. The interpretation of the processes governing the discharge and charge of these batteries, however, has been under debate since their early development. In this work we combine different electrochemical methods to build up a model of the discharge product formation and decomposition. We initially analyze the formation and decomposition of the discharge products by means of electrochemical impedance spectroscopy. After that, and for the first time, oxygen electrode processes in Na-O2 cells are analyzed by means of electrochemical quartz crystal microbalance experiments. Based on the combination of these two techniques it is possible to evidence the stabilization of the discharge products in the electrolyte prior to their precipitation. The deposition of passivating products that cannot be stripped off during charge is also demonstrated. Cyclic voltammetry experiments at different potential limits further confirm these passivation reactions. In conclusion, this work provides an accurate picture of the mechanism of the Na-O2 cell reactions by combining different electrochemical techniques.

  19. Pulsed positive streamer discharges in air at high temperatures

    Ono, Ryo; Kamakura, Taku


    Atmospheric-pressure air pulsed positive streamer discharges are generated in a 13 mm point-plane gap in the temperature range of 293 K-1136 K, and the effect of temperature on the streamer discharges is studied. When the temperature is increased, the product of applied voltage and temperature VT proportional to the reduced electric field can be used as a primary parameter that determines some discharge parameters regardless of temperature. For a given VT, the transferred charge per pulse, streamer diameter, product of discharge energy and temperature, and length of secondary streamer are almost constant regardless of T, whereas the streamer velocity decreases with increasing T and the decay rate of the discharge current is proportional to 1/T. The N2(C) emission intensity is approximately determined by the discharge energy independent of T. These results are useful to predict the streamer discharge and its reactive species production when the ambient temperature is increased.

  20. Study of the Discharge Mode in Micro-Hollow Cathode

    HE Feng; HE Shoujie; ZHAO Xiaofei; GUO Bingang; OUYANG Jiting


    In this study, micro-hollow cathode discharge (MHCD) is investigated by a fluid model with drift-diffusion approximation. The MHC device is a cathode/dielectric/anode sandwich structure with one hole of a diameter D=200 um. The gas is a Ne/Xe mixture at a pressure p=50-500 Torr. The evolutions of the discharge show that there are two different discharge modes. At larger pD the discharge plasma and high density excited species expand along the cathode surface and, a ringed discharge mode is formed. At smaller pD, the discharge plasma and the excited species expand along the axis of the cathode aperture to form a columnar discharge.

  1. Characterizing uniform discharge in atmospheric helium by numerical modelling

    Lü Bo; Wang Xin-Xin; Luo Hai-Yun; Liang Zhuo


    One-dimensional fluid model of dielectric barrier discharge (DBD) in helium at atmospheric pressure was estab-lished and the discharge was numerically simulated. It was found that not only the spatial distributions of the internal parameters such as the electric field, the electron density and ion density are similar to those in a low-pressure glow discharge, but also the visually apparent attribute (light emission) is exactly the same as the observable feature of a low-pressure glow discharge. This confirms that the uniform DBD in atmosphcric helium is a glow type discharge. The fact that the thickness of the cathode fall layer is about 0.5 ram, much longer than that of a normal glow dischargc in helium at atmospheric pressure, indicates the discharge being a sub-normal glow discharge close to normal one. The multipulse phenomenon was reproduced in the simulation and a much less complicated explanation for this phenomenon was given.

  2. Quantitative relationship between the maximum streamer length and discharge voltage of a pulsed positive streamer discharge in water

    Wen, Xiaoqiong; Li, Qian; Li, Jingsen; Ren, Chunsheng


    A linear relationship has been realized between the maximum streamer length and discharge voltage of a pulsed positive streamer discharge by measuring the streamer length in water with conductivity of 100 μS cm-1 using high-speed photography. Based on Ohm’s law, a quantitative equation has been derived for the dependence of the maximum streamer length on the discharge voltage of a pulsed positive streamer discharge in water. According to the equation, our results suggest that the streamers spontaneously stop propagating through water due to the voltage at the streamer head dropping below the ignition voltage of a pulsed positive streamer discharge.

  3. Electrostatic Discharge Properties of Fused Silica Coatings

    Andersen, Allen; Sim, Charles; Dennison, J. R.


    The electric field value at which electrostatic discharge (ESD) occurs was studied for thin coatings of fused silica (highly disordered SiO2/SiOx) on conductive substrates, such as those encountered as optical coatings and in Si microfabrication. The electrostatic breakdown field was determined using an increasing voltage, while monitoring the leakage current. A simple parallel-plate capacitor geometry was used, under medium vacuum and at temperatures down to ˜150 K using a liquid N2 reservoir. The breakdown field, pre-breakdown arcing and I-V curves for fused silica samples are compared for ˜60 nm and ˜80 μm thick, room and low temperature, and untreated and irradiated samples. Unlike typical I-V results for polymeric insulators, the thin film silica samples did not exhibit pre-breakdown arcing, displayed transitional resistivity after initial breakdown, and in many cases showed evidence of a second discontinuity in the I-V curves. This diversity of observed discharge phenomena is discussed in terms of breakdown modes and defect generation on a microscopic scale.

  4. First gaseous boronization during pulsed discharge cleaning

    Ko, J., E-mail: [Department of Physics, University of Wisconsin, Madison, WI (United States); Den Hartog, D.J.; Goetz, J.A.; Weix, P.J.; Limbach, S.T. [Department of Physics, University of Wisconsin, Madison, WI (United States)


    The first successful gaseous boronization during a pulsed discharge is reported. Sublimation of o-carborane (C{sub 2}B{sub 10}H{sub 12}) combined with pulsed discharge plasmas with a repetition rate of 1 Hz is used to produce a hard boron-containing coating for reversed field pinch (RFP) plasmas in the Madison Symmetric Torus. X-ray photoelectron spectroscopy with Ar ion beam etching for silicon coupons installed at the plasma boundary shows about 60% boron concentration in the deposited layer. Both profilometer and scanning electron microscope analyses of the silicon coupons imply a strong toroidally non-uniform deposition depending on the location of the o-carborane injection. The layer thickness ranges from 50 to 300 nm. Ellipsometry calibrated with the profilometer results yields a refractive index of 2.2-2.3 for the films. The high refractive index implies that the coating is hard and has a well-ordered morphology. A reduction in wall recycling has consistently been observed after all boronization sessions. Comparison of the X-ray spectra in standard RFP plasmas before and after boronization indicates a slight decrease in the effective ionic charge.

  5. First gaseous boronization during pulsed discharge cleaning

    Ko, J.; Den Hartog, D. J.; Goetz, J. A.; Weix, P. J.; Limbach, S. T.


    The first successful gaseous boronization during a pulsed discharge is reported. Sublimation of o-carborane (C2B10H12) combined with pulsed discharge plasmas with a repetition rate of 1 Hz is used to produce a hard boron-containing coating for reversed field pinch (RFP) plasmas in the Madison Symmetric Torus. X-ray photoelectron spectroscopy with Ar ion beam etching for silicon coupons installed at the plasma boundary shows about 60% boron concentration in the deposited layer. Both profilometer and scanning electron microscope analyses of the silicon coupons imply a strong toroidally non-uniform deposition depending on the location of the o-carborane injection. The layer thickness ranges from 50 to 300 nm. Ellipsometry calibrated with the profilometer results yields a refractive index of 2.2-2.3 for the films. The high refractive index implies that the coating is hard and has a well-ordered morphology. A reduction in wall recycling has consistently been observed after all boronization sessions. Comparison of the X-ray spectra in standard RFP plasmas before and after boronization indicates a slight decrease in the effective ionic charge.

  6. Closed cycle electric discharge laser design investigation

    Baily, P. K.; Smith, R. C.


    Closed cycle CO2 and CO electric discharge lasers were studied. An analytical investigation assessed scale-up parameters and design features for CO2, closed cycle, continuous wave, unstable resonator, electric discharge lasing systems operating in space and airborne environments. A space based CO system was also examined. The program objectives were the conceptual designs of six CO2 systems and one CO system. Three airborne CO2 designs, with one, five, and ten megawatt outputs, were produced. These designs were based upon five minute run times. Three space based CO2 designs, with the same output levels, were also produced, but based upon one year run times. In addition, a conceptual design for a one megawatt space based CO laser system was also produced. These designs include the flow loop, compressor, and heat exchanger, as well as the laser cavity itself. The designs resulted in a laser loop weight for the space based five megawatt system that is within the space shuttle capacity. For the one megawatt systems, the estimated weight of the entire system including laser loop, solar power generator, and heat radiator is less than the shuttle capacity.

  7. Electrostatic discharge testing of electroexplosive devices

    Hingorani, S.L.


    Electrostatic discharge (ESD) testing of electroexplosive devices has previously been regarded as single pulse, go/no-go testing, the emphasis being on the safety of the devices when exposed to human handling. For some components it has been found to be a destructive test; for others the test is performed 100% in production product-acceptance testing and is considered a nondestructive and nondegrading test if the component does not fire. Recent studies performed by R. J. Fisher at Sandia have resulted in a new model of the worst case human body electrostatic discharge that is more accurate than the model that is currently in use for testing electroexplosive components. In addition, recent requirements for no degradation or loss of reliability after multiple exposures (up to 100) have changed the go/no-go nature of the test. Several components have been tested to the new ESD model; results regarding both safety and reliability will be presented and discussed. 9 refs., 7 figs., 2 tabs.

  8. Pulsed microhollow cathode discharge excimer sources

    Moselhy, Mohamed; Shi, Wenhui; Strak, Robert H.; Schoenbach, Karl H.


    Microhollow cathode discharges (MHCDs) are non-equilibrium, high-pressure gas discharges between perforated electrodes separated by a dielectric layer. Typical dimensions for the electrode foil thickness and hole diameter are 100 μm. Direct current experiments in xenon, argon, neon, helium, argon fluoride, and xenon chloride [1,2] have been performed. The excimer efficiency varies between 1 % and 9 %. Pulsed operation allowed us to increase the current from 8 mA (dc) to approximately 80 mA (pulsed with a pulse width of 700 μs), limited by the onset of instabilities. The total excimer power was found to increase linearly with current, however, the radiant emittance and efficiency stayed constant. Reducing the pulse duration into the nanosecond range allowed us to increase the current into the ampere range. The maximum measured excimer power was 2.75 W per microdischarge. The maximum radiant emittance was 15 W/cm^2 and the efficiency reached values of 20 %. This effect is assumed to be due to non-equilibrium electron heating in the high-pressure plasma [3]. This work was supported by the National Science Foundation under grant # CTS0078618. 1. Karl H. Schoenbach, Ahmed El-Habachi, Mohamed M. Moselhy, Wenhui Shi, and Robert H. Stark, Physics of Plasmas 7, 2186 (2000). 2. P. Kurunczi, J. Lopez, H. Shah, and K. Becker, Int. J. Mass Spectrom. 205, 277 (2001). 3. Robert H. Stark and Karl H. Schoenbach, J. Appl. Phys. 89, 3568 (2001).

  9. Ozone kinetics in low-pressure discharges

    Guerra, Vasco; Marinov, Daniil; Guaitella, Olivier; Rousseau, Antoine


    Ozone kinetics is quite well established at atmospheric pressure, due to the importance of ozone in atmospheric chemistry and to the development of industrial ozone reactors. However, as the pressure is decreased and the dominant three-body reactions lose importance, the main mechanisms involved in the creation and destruction of ozone are still surrounded by important uncertainties. In this work we develop a self-consistent model for a pulsed discharge and its afterglow operating in a Pyrex reactor with inner radius 1 cm, at pressures in the range 1-5 Torr and discharge currents of 40-120 mA. The model couples the electron Boltzmann equation with a system of equations for the time evolution of the heavy particles. The calculations are compared with time-dependent measurements of ozone and atomic oxygen. Parametric studies are performed in order to clarify the role of vibrationally excited ozone in the overall kinetics and to establish the conditions where ozone production on the surface may become important. It is shown that vibrationally excited ozone does play a significant role, by increasing the time constants of ozone formation. Moreover, an upper limit for the ozone formation at the wall in these conditions is set at 10(-4).

  10. Promoting solution phase discharge in Li-O2 batteries containing weakly solvating electrolyte solutions

    Gao, Xiangwen; Chen, Yuhui; Johnson, Lee; Bruce, Peter G.


    On discharge, the Li-O2 battery can form a Li2O2 film on the cathode surface, leading to low capacities, low rates and early cell death, or it can form Li2O2 particles in solution, leading to high capacities at relatively high rates and avoiding early cell death. Achieving discharge in solution is important and may be encouraged by the use of high donor or acceptor number solvents or salts that dissolve the LiO2 intermediate involved in the formation of Li2O2. However, the characteristics that make high donor or acceptor number solvents good (for example, high polarity) result in them being unstable towards LiO2 or Li2O2. Here we demonstrate that introduction of the additive 2,5-di-tert-butyl-1,4-benzoquinone (DBBQ) promotes solution phase formation of Li2O2 in low-polarity and weakly solvating electrolyte solutions. Importantly, it does so while simultaneously suppressing direct reduction to Li2O2 on the cathode surface, which would otherwise lead to Li2O2 film growth and premature cell death. It also halves the overpotential during discharge, increases the capacity 80- to 100-fold and enables rates >1 mA cmareal-2 for cathodes with capacities of >4 mAh cmareal-2. The DBBQ additive operates by a new mechanism that avoids the reactive LiO2 intermediate in solution.

  11. Effect of air flow on the micro-discharge dynamics in an array of integrated coaxial microhollow dielectric barrier discharges

    Nayak, Gaurav; Du, Yanjun; Brandenburg, Ronny; Bruggeman, Peter J.


    The micro-discharge properties and evolution in a 2D array of integrated coaxial microhollow dielectric barrier discharges are studied by using highly time-resolved electrical and optical diagnostics. The study is focused on the effect of the gas flow rate and gas residence time on discharge properties. The investigated integrated coaxial microhollow discharge geometry allows operating the discharge at exceptionally small residence times, which can be equal to or even smaller than the discharge period, at reasonable gas flow rates. The gas flow has an impact on gas heating, residual humidity, pre-ionization density and the densities of excited and reactive species produced by previous discharges. A unique voltage–charge plot is obtained with elongated periods without discharge activity. A very significant effect of flow on NO emission is observed that relates to the impact of flow on the NO production in these micro-discharges. Using the emission intensities of molecular bands of the second positive system of nitrogen and the first negative system of the nitrogen ion, effective reduced electric field strengths are obtained with a maximum equal to 870 Td. The reduced electric field decreases with increasing gas flow rate. This behavior is consistent with the reduction of the overall discharge intensity due to a reduced amount of charges present in the discharge gap. Both the flow rate and a reduction in water impurity changing the ion mobility can be responsible for the different effective electric field distributions at the highest and no flow conditions.

  12. Medication reconciliation to solve discrepancies in discharge documents after discharge from the hospital.

    Geurts, M.M.; Flier, M. van der; Vries-Bots, A.M. de; Brink van der Wal, T.I.; Gier, J.J. de


    BACKGROUND: When patients are admitted to, and discharged from hospital there is a high chance of discrepancies and errors occurring during the transfer of patients' medication information. This often causes drug related problems. Correct and fast communication of patients' medication information

  13. Medication reconciliation to solve discrepancies in discharge documents after discharge from the hospital

    Geurts, Marlies M. E.; van der Flier, Merel; de Vries-Bots, Anne M. B.; Brink-van der Wal, Thaliet I. C.; de Gier, Johan J.

    Background When patients are admitted to, and discharged from hospital there is a high chance of discrepancies and errors occurring during the transfer of patients' medication information. This often causes drug related problems. Correct and fast communication of patients' medication information

  14. Optical characteristics for capacitively and inductively radio frequency discharge and post-discharge of helium

    Tanışlı, Murat, E-mail:; Şahin, Neslihan [Department of Physics, Anadolu University, Yunusemre Campus 26470 Eskişehir (Turkey)


    The optical properties for radiofrequency (RF) post-discharge of pure helium (He) with two different methods as capacitively and inductively have been presented using the modified Boltzmann method in comparison. Optical emission spectroscopy (OES) is often used in the diagnosis of laboratory plasma, such as gas discharge plasma. OES is a very useful method for calculating of the electron temperature in the plasma and the determination of different atoms and molecules. In this study, OES is applied for characterizations of capacitively and inductively RF He plasma at pressures between 0.62 and 2.2 mbar for newly reactor type. Plasmas are generated with an RF power generator at a frequency of 13.56 MHz and output powers of 100, 160, and 200 W. Spectra have been evaluated in the range 200–1200 nm by an optical spectrometer. At low pressure, the main spectral features reported are the wavelengths of the atomic He transitions at 388.87 and 728.13 nm. The atomic emission intensities showed a maximum in inductive system when the pressure is about 0.62 mbar. OES of capacitive discharge and inductive discharge is compared in detail. The transition for 587.56 nm is shown to be increased in time.

  15. Hemodynamics and early recovery characteristics of desflurane versus sevoflurane in bariatric surgery

    Amandeep Kaur


    Conclusions: Both desflurane and sevoflurane produce similar hemodynamic changes but the immediate and intermediate recovery was significantly faster after desflurane thus contributing to fast tracking and early discharge of patients.

  16. Charging of moving surfaces by corona discharges sustained in air

    Wang, Jun-Chieh, E-mail:; Kushner, Mark J., E-mail: [Department of Electrical Engineering and Computer Science, University of Michigan, 1301 Beal Ave., Ann Arbor, Michigan 48109-2122 (United States); Zhang, Daihua, E-mail: [Tianjin University, Tianjin (China); Leoni, Napoleon, E-mail:; Birecki, Henryk, E-mail:; Gila, Omer, E-mail: [Hewlett-Packard Research Labs, Palo Alto, California 94304 (United States)


    Atmospheric pressure corona discharges are used in electrophotographic (EP) printing technologies for charging imaging surfaces such as photoconductors. A typical corona discharge consists of a wire (or wire array) biased with a few hundred volts of dc plus a few kV of ac voltage. An electric discharge is produced around the corona wire from which electrons drift towards and charge the underlying dielectric surface. The surface charging reduces the voltage drop across the gap between the corona wire and the dielectric surface, which then terminates the discharge, as in a dielectric barrier discharge. In printing applications, this underlying surface is continuously moving throughout the charging process. For example, previously charged surfaces, which had reduced the local electric field and terminated the local discharge, are translated out of the field of view and are replaced with uncharged surface. The uncharged surface produces a rebound in the electric field in the vicinity of the corona wire which in turn results in re-ignition of the discharge. The discharge, so reignited, is then asymmetric. We found that in the idealized corona charging system we investigated, a negatively dc biased corona blade with a dielectric covered ground electrode, the discharge is initially sustained by electron impact ionization from the bulk plasma and then dominated by ionization from sheath accelerated secondary electrons. Depending on the speed of the underlying surface, the periodic re-ignition of the discharge can produce an oscillatory charging pattern on the moving surface.

  17. Charging of moving surfaces by corona discharges sustained in air

    Wang, Jun-Chieh; Zhang, Daihua; Leoni, Napoleon; Birecki, Henryk; Gila, Omer; Kushner, Mark J.


    Atmospheric pressure corona discharges are used in electrophotographic (EP) printing technologies for charging imaging surfaces such as photoconductors. A typical corona discharge consists of a wire (or wire array) biased with a few hundred volts of dc plus a few kV of ac voltage. An electric discharge is produced around the corona wire from which electrons drift towards and charge the underlying dielectric surface. The surface charging reduces the voltage drop across the gap between the corona wire and the dielectric surface, which then terminates the discharge, as in a dielectric barrier discharge. In printing applications, this underlying surface is continuously moving throughout the charging process. For example, previously charged surfaces, which had reduced the local electric field and terminated the local discharge, are translated out of the field of view and are replaced with uncharged surface. The uncharged surface produces a rebound in the electric field in the vicinity of the corona wire which in turn results in re-ignition of the discharge. The discharge, so reignited, is then asymmetric. We found that in the idealized corona charging system we investigated, a negatively dc biased corona blade with a dielectric covered ground electrode, the discharge is initially sustained by electron impact ionization from the bulk plasma and then dominated by ionization from sheath accelerated secondary electrons. Depending on the speed of the underlying surface, the periodic re-ignition of the discharge can produce an oscillatory charging pattern on the moving surface.

  18. Rehabilitation of discharged patients with Chronic Obstructive Pulmonary Disease-Are new strategies needed?

    Morsø, Lars; Sall Jensen, Morten; von Plessen, Christian


    BACKGROUND: Rehabilitation after hospital stay implies several benefits for patients with chronic obstructive pulmonary disease (COPD); still few patients are referred and participate in rehabilitation programs. We conducted a case study to investigate the effects of interventions targeting...... the referral, uptake, and completion for a program of early rehabilitation in the primary health-care sector. METHODS: We undertook targeted initiatives to make patients participate in an individualized rehabilitation program with gradual increased intensity. After discharge, primary care COPD nurses....... RESULTS: Sixteen (23% of discharged patients) patients were referred to rehabilitation. In comparison, only 1 (0.8%) in 131 patients from Vejle hospital was referred to Vejle hospital. Twelve patients completed rehabilitation, all having severe COPD. All started the program within 2 weeks and proceeded...

  19. From discharge planner to "concierge": recommendations for hospital social work by clients with intracerebral hemorrhage.

    Linton, Kristen F; Ing, Marissa M; Vento, Megan A; Nakagawa, Kazuma


    The Affordable Care Act and budget cuts have changed the role of hospital social workers by placing pressure on them to conduct speedy discharges and decrease readmission rates. This qualitative study aimed to assess if hospital social work is meeting the needs of clients in the hospital and postdischarge. Semistructured interviews with 10 clients with intracerebral hemorrhage (ICH) and 11 caregivers were conducted. Participants reported that social work services were not meeting their needs. Clients with ICH and their caregivers expressed needs from social workers that surpassed their roles as discharge planners, including counseling, help with finances and insurance, and advocacy. Participants wanted social work services to begin early in acute treatment with continuity postdischarge. Social workers should conduct ethical social work by meeting clients where they are, addressing needs as prioritized by the client, and advocating individually and organizationally for clients.

  20. [Practices of nursing staff in the process of preterm baby hospital discharge].

    Schmidt, Kayna Trombini; Terassi, Mariélli; Marcon, Sonia Silva; Higarashi, Ieda Harumi


    The objective of this study was to identify the strategies used by the nursing team in the neonatal unity care of a school-hospital during the preparation of the family for the premature baby discharge. It is a descriptive study with qualitative approach. The data was collected between March and June 2011, by means of observation and semi-structured interviews. From the discourse analysis two categories appeared: Orientations and professional strategies in preparing the family for the premature baby hospital discharge and Difficulties and potentialities in the neonatal attention space. The main strategy mentioned was the family early insertion in the caring process and the stressed difficulty was the parents' absence during the child's hospital staying. The potentialities and limitations pointed out in this study revealed that the assistance process is dynamic, asking for constant correction and adequacies to effectively and wholly care for the premature baby and its family.

  1. Development of new metal matrix composite electrodes for electrical discharge machining through powder metallurgy process

    C. Mathalai Sundaram


    Full Text Available Electrical discharge machining (EDM is one of the widely used nontraditional machining methods to produce die cavities by the erosive effect of electrical discharges. This method is popular due to the fact that a relatively soft electrically conductive tool electrode can machine hard work piece. Copper electrode is normally used for machining process. Electrode wear rate is the major drawback for EDM researchers. This research focus on fabrication of metal matrix composite (MMC electrode by mixing copper powder with titanium carbide (TiC and Tungsten carbide (WC powder through powder metallurgy process, Copper powder is the major amount of mixing proportion with TiC and WC. However, this paper focus on the early stage of the project where powder metallurgy route was used to determine suitable mixing time, compaction pressure and sintering and compacting process in producing EDM electrode. The newly prepared composite electrodes in different composition are tested in EDM for OHNS steel.

  2. Electrostatic Discharge Effects on Thin Film Resistors

    Sampson, Michael J.; Hull, Scott M.


    Recently, open circuit failures of individual elements in thin film resistor networks have been attributed to electrostatic discharge (ESD) effects. This paper will discuss the investigation that came to this conclusion and subsequent experimentation intended to characterize design factors that affect the sensitivity of resistor elements to ESD. The ESD testing was performed using the standard human body model simulation. Some of the design elements to be evaluated were: trace width, trace length (and thus width to length ratio), specific resistivity of the trace (ohms per square) and resistance value. However, once the experiments were in progress, it was realized that the ESD sensitivity of most of the complex patterns under evaluation was determined by other design and process factors such as trace shape and termination pad spacing. This paper includes pictorial examples of representative ESD failure sites, and provides some options for designing thin film resistors that are ESD resistant. The risks of ESD damage are assessed and handling precautions suggested.

  3. Characteristics of pellet injected discharges in TEXTOR

    Finken, K.H. [Institut fuer Plasmaphysik, Forschungszentrum Juelich GmbH, Assocition Euratom-KFA, 52425 Juelich (Germany); Sato, K.N. [National Institute for Fusion Science, Nagoya 464-01 (Japan); Akiyama, H. [Kumamoto University, Kumamoto 860 (Japan); Fuchs, G.; Jaspers, R. [Institut fuer Plasmaphysik, Forschungszentrum Juelich GmbH, Assocition Euratom-KFA, 52425 Juelich (Germany); Kogoshi, S. [Science University of Tokyo, Noda 278 (Japan); Koslowski, H.R.; Mank, G. [Institut fuer Plasmaphysik, Forschungszentrum Juelich GmbH, Assocition Euratom-KFA, 52425 Juelich (Germany); Sakakita, H.; Sakamoto, M. [National Institute for Fusion Science, Nagoya 464-01 (Japan); Sander, M.; Soltwisch, H. [Institut fuer Plasmaphysik, Forschungszentrum Juelich GmbH, Assocition Euratom-KFA, 52425 Juelich (Germany)


    Pellets injected into the TEXTOR tokamak lead to a density profile peaking which is strongest at low plasma current and weakest at high current independent of {ital B}{sub {ital T}}. After the injection two types of density oscillations are excited, the first type follows immediately the injection and the second one is excited with a delay of more than ten milliseconds. The oscillations are also observed in runaway discharges; the synchrotron light from the relativistic electrons drops after the pellet injection and is subsequently modulated due to a trapping of the runaways in magnetic islands. First Faraday measurements have been performed indicating that the distribution of the plasma current is not measurably modified by the pellet. {copyright} {ital 1995 American Institute of Physics.}


    MA Fei; WU Jian-hua


    The flow regimes below an aerator influence directly the air entrainment and the cavitation damage control.Based on the theoretical considerations,the experiments of the aerator for a discharge tunnel were conducted,and the relationships between the flow regime and hydraulic and geometric parameters were investigated.The results showed that,there are two kinds of threshold values for the flow regime conversions.One is Fr1-2 standing for the conversion from the fully filled cavity to the partially filled cavity,and the other is Fr2-3 which shows the change from the partially filled cavity to the net air cavity.Two empirical expressions were obtained for the conversions of the flow regimes,which can be used in the designs of the aerators.

  5. River Network Modeling Beyond Discharge at Gauges

    David, C. H.; Famiglietti, J. S.; Salas, F. R.; Whiteaker, T. L.; Maidment, D. R.; Tolle, K.


    Over the past two decades, the estimation of water flow in river networks within hydro-meteorological models has mostly focused on simulations of natural processes and on their verification at available river gauges. Despite valuable existing skills in hydrologic modeling the accounting for anthropogenic actions in current models remains limited. The emerging availability of datasets containing measured dam outflows and reported irrigation withdrawals motivates their inclusion into simulations of flow in river networks. However, the development of advanced river network models accounting for such datasets of anthropogenic influences requires a detailed data model and a thorough handling of the various data types, sources and time scales. This contribution details the development of a consistent data model suitable for accounting some observations of anthropogenic modifications of the surface water cycle and presents the impact of such inclusion on simulations using the Routing Application for Parallel computatIon of Discharge (RAPID).

  6. Behaviour of air discharged from a sparger

    Bae, Yoon Yeong [Korea Atomic Energy Research Institute, Taejeon (Korea)


    This research has been performed as a part of the project, Development of Design Verification Technology for Korea Next Generation Reactor. At first, current state of the art of the bubble dynamics and the result will be used to develop an optimum tool including computer code for analysis of air or air-steam mixture bubble, which is discharged from a sparger. Introduced are linear perturbation; spherical bubble cloud theory; bubble interaction; and Volume of Fluid, a method of tracking free surface, which is to be used in computational fluid dynamics. An analysis was performed for the oscillation of an air bubble of perfect spherical shape. The heat transfer through the bubble surface is considered, although the effect was not so significant. The effect of initial and boundary conditions were investigated and the correlation equation was developed. 42 refs., 22 figs., 2 tabs. (Author)

  7. Electrostatic Discharge testing of propellants and primers

    Berry, R.B.


    This report presents the results of testing of selected propellants and primers to Electrostatic Discharge (ESD) characteristic of the human body. It describes the tests and the fixturing built to accommodate loose material (propellants) and the packed energetic material of the primer. The results indicate that all powders passed and some primers, especially the electric primers, failed to pass established requirements which delineate insensitive energetic components. This report details the testing of components and materials to four ESD environments (Standard ESD, Severe ESD, Modified Standard ESD, and Modified Severe ESD). The purpose of this study was to collect data based on the customer requirements as defined in the Sandia Environmental Safety & Health (ES&H) Manual, Chapter 9, and to define static sensitive and insensitive propellants and primers.

  8. Sheet Plasma Produced by Hollow Cathode Discharge

    张龙; 张厚先; 杨宣宗; 冯春华; 乔宾; 王龙


    A sheet plasma is produced by a hollow cathode discharge under an axial magnetic field.The plasma is about 40cm in length,4 cm in width and 1cm in thickness.The electron density is about 108cm-3.The hollow cathode is made to be shallow with a large opening,which is different from the ordinary deep hollow cathode.A Langmuir probe is used to detect the plasma.The electron density and the spatial distribution of the plasma change when voltage,pressure and the magnetic field vary.A peak and a data fluctuation at about 200 G-300 G are observed in the variation of electron density(or thickness of the sheet plasma)with the magnetic field.Our work will be helpful in characterizing the sheet plasma and will make the production of dense sheet plasma more controllable.

  9. Investigation of gas discharge impulse image intensifiers

    Gushchin, E.M. E-mail:; Somov, S.V.; Timofeev, M.K


    The gas discharge impulse image intensifiers (GDIII) operated in the streamer mode are studied in this work. The GDIII has a resolution of 5-15 lines/cm and light amplification up to {approx}10{sup 10}. The possibility to design a single-electron GDIII for RICH-detectors is considered. For this purpose the emission of photoelectrons in He, Ne, Ar, Xe, CO{sub 2}, iC{sub 4}H{sub 10} and their mixtures in the 50-760 Torr pressure range have been investigated. The best working gas for the GDIII is Ne+({approx}0.1%)iC{sub 4}H{sub 10} mixture having an electron output factor up to 0.45.

  10. Partial Discharge Degradation of Several Biodegradable Polymers

    Fuse, Norikazu; Fujita, Shinjiro; Hirai, Naoshi; Tanaka, Toshikatsu; Kozako, Masahiro; Kohtoh, Masanori; Okabe, Shigemitsu; Ohki, Yoshimichi

    Partial discharge (PD) resistance was examined by applying a constant voltage for four kinds of biodegradable polymers, i.e. poly-L-lactic acid (PLLA), polyethylene terephthalate succinate (PETS), poly ε-caprolactone butylene succinate (PCL-BS), and polybutylene succinate (PBS), and the results were compared with those of low density polyethylene (LDPE) and crosslinked low density polyethylene (XLPE). The PD resistance is determined by the erosion depth and the surface roughness caused by PDs, and is ranked as LDPE ≅ XLPE > PLLA ≅ PETS > PBS > PCL-BS. This means that the sample with a lower permittivity has better PD resistance. Furthermore, observations of the sample surface by a polarization microscope and a laser confocal one reveal that crystalline regions with spherulites are more resistant to PDs than amorphous regions. Therefore, good PD resistance can be achieved by the sample with a high crystallinity and a low permittivity.

  11. Thermal discharges from the Savannah River Plant

    Brown, R.J.; Jacobsen, W.R.; Rabon, E.W.; Tilly, L.J.


    The nuclear production reactors at the AEC's Savannah River Plant, located by siting requirements, utilize on-site natural watercourses, swamps, and cooling water impoundments to dissipate heat in effluent cooling water. Stream-swamp cooling is the most efficient and economical cooling mechanism available to the two reactors presently using this method of heat dissipation. The effects on the Savannah River of high temperature water discharged from the reactors are thus minimized, and detrimental environmental consequences are confined to the plantsite. A large cooling water impoundment, which is currently being used to dissipate heat from one reactor, has furnished an extensive area for biological research into the effects on the aquatic community resulting from its varied thermal conditions.

  12. Investigation of gas discharge impulse image intensifiers

    Gushchin, E M; Timofeev, M K


    The gas discharge impulse image intensifiers (GDIII) operated in the streamer mode are studied in this work. The GDIII has a resolution of 5-15 lines/cm and light amplification up to approx 10 sup 1 sup 0. The possibility to design a single-electron GDIII for RICH-detectors is considered. For this purpose the emission of photoelectrons in He, Ne, Ar, Xe, CO sub 2 , iC sub 4 H sub 1 sub 0 and their mixtures in the 50-760 Torr pressure range have been investigated. The best working gas for the GDIII is Ne+(approx 0.1%)iC sub 4 H sub 1 sub 0 mixture having an electron output factor up to 0.45.

  13. Sprites, Elves and Intense Lightning Discharges

    Füllekrug, Martin; Rycroft, Michael J


    Particularly intense lightning discharges can produce transient luminous events above thunderclouds, termed sprites, elves and jets. These short lived optical emissions in the mesosphere can reach from the tops of thunderclouds up to the ionosphere; they provide direct evidence of coupling from the lower atmosphere to the upper atmosphere. Sprites are arguably the most dramatic recent discovery in solar-terrestrial physics. Shortly after the first ground based video recordings of sprites, observations on board the Space Shuttle detected sprites and elves occurring all around the world. These reports led to detailed sprite observations in North America, South America, Australia, Japan, and Europe. Subsequently, sprites were detected from other space platforms such as the International Space Station and the ROCSAT satellite. During the past 15 years, more than 200 contributions on sprites have been published in the scientific literature to document this rapidly evolving new research area.

  14. Discharge forecasting using MODIS and radar altimetry: potential application for transboundary flood risk management in Niger-Benue River basin

    Tarpanelli, Angelica; Amarnath, Giriraj; Brocca, Luca; Moramarco, Tommaso


    Flooding is one of most widespread natural disasters in the world. Its impact is particularly severe and destructive in Asia and Africa, because the living conditions of some settlements are inadequate to cope with this type of natural hazard. In this context, the estimation of discharge is extremely important to address water management and flood risk assessment. However, the inadequate monitoring network hampers any control and prediction activity that could improve these disastrous situations. In the last few years, remote sensing sensors have demonstrated their effectiveness in retrieving river discharge, especially in supporting discharge nowcasting and forecasting activities. Recently, the potential of radar altimetry was apparent when used for estimating water levels in an ungauged river site with good accuracy. It has also become a very useful tool for estimation and prediction of river discharge. However, the low temporal resolution of radar altimeter observations (10 or 35 days, depending on the satellite mission) may be not suitable for day-by-day hydrological forecasting. Differently, MODerate resolution Imaging Spectroradiometer (MODIS), considering its proven potential for quantifying the variations in discharge of the rivers at daily time resolution may be more suited to this end. For these reasons, MODIS and radar altimetry data were used in this study to predicting and forecasting the river discharge along the Niger-Benue River, where severe flooding with extensive damage to property and loss of lives occurred. Therefore, an effective method to forecast flooding can support efforts towards creating an early warning system. In order to estimate river discharge, four MODIS products (daily, 8-day, and from AQUA and TERRA satellites) connected at three sites (two gauged and one ungauged) were used. The capability of remote sensing sensors to forecast discharge a few days in advance at a downstream section using MODIS and ENVISAT radar altimetry data

  15. Increased risk for bronchitis after discharge in non-vaccinated very low birth weight infants.

    Stichtenoth, G; Härtel, C; Spiegler, J; Dördelmann, M; Möller, J; Wieg, C; Orlikowsky, T; Stein, A; Herting, E; Goepel, W


    In very low birth weight (VLBW) infants, obstructive bronchitis is a frequent cause of hospital re-admission. For VLBW infants, early vaccinations starting at 2 months after birth have been recommended. To analyze risk factors for bronchitis during the first year after discharge and the effects of in-hospital standard vaccination (hexavalent/pneumococci) and/or RSV immunoprophylaxis with palivizumab. A standardized questionnaire was sent to the parents of VLBW infants 7 month after discharge. The reported episodes of bronchitis were correlated with clinically recorded parameters including risk factors for pulmonary morbidity. The effects of in-hospital vaccination were assessed in a subgroup discharged after day 60. A sample of 1 967 responses of infants born 2009-2011 was analyzed. Risk factors for bronchitis were male gender and older siblings. 24% of the population had episodes of bronchitis. In the subgroup discharged after day 60, episodes of bronchitis were reported for 31% of infants who were not vaccinated in-hospital. A significant reduction of the bronchitis rate was found in infants who received palivizumab±standard vaccination (17% bronchitis, p=0.003). Interestingly, in-hospital standard vaccination without RSV immunoprophylaxis was protective (20% bronchitis; p=0.037) as well. Non-vaccinated male VLBW infants with older siblings are at increased risk for bronchitis during the first year after discharge. Vaccination according to schedule seems to have protective effects, while underlying mechanisms are unknown. The rate of timely vaccination in preterm infants should be increased. © Georg Thieme Verlag KG Stuttgart · New York.

  16. Evapotranspiration Dynamics and Effects on Groundwater Recharge and Discharge at the Tuba City, Arizona, Disposal Site

    None, None


    The U.S. Department of Energy Office of Legacy Management is evaluating groundwater flow and contaminant transport at a former uranium mill site near Tuba City, Arizona. We estimated effects of temporal and spatial variability in evapotranspiration (ET) on recharge and discharge within a groundwater model domain (GMD) as part of this evaluation. We used remote sensing algorithms and precipitation (PPT) data to estimate ET and the ET/PPT ratios within the 3531 hectare GMD. For the period from 2000 to 2012, ET and PPT were nearly balanced (129 millimeters per year [mm yr-1] and 130 mm yr-1, respectively; ET/PPT = 0.99). However, seasonal and annual variability in ET and PPT were out of phase, and spatial variability in vegetation differentiated discharge and recharge areas within the GMD. Half of ET occurred during spring and early summer when PPT was low, and about 70% of PPT arriving in fall and winter was discharged as plant transpiration in the spring and summer period. Vegetation type and health had a significant effect on the site water balance. Plant cover and ET were significantly higher (1) during years of lighter compared to years of heavier grazing pressure, and (2) on rangeland protected from grazing compared to rangeland grazed by livestock. Heavy grazing increased groundwater recharge (PPT > ET over the 13-year period). Groundwater discharge (ET > PPT over the 13-year period) was highest in riparian phreatophyte communities but insignificant in desert phreatophyte communities impacted by heavy grazing. Grazing management in desert upland and phreatophyte communities may result in reduced groundwater recharge, increased groundwater discharge, and could be used to influence local groundwater flow.

  17. Electroencephalographic characterization of pentylenetetrazole kindling in rats and modulation of epileptiform discharges by nitric oxide.

    Bartsch, Victoria; Díaz, Javier; González, Ignacio; Cavada, Gabriel; Ocampo-Garcés, Adrián; Wyneken, Ursula


    Epileptogenesis is a progressive process which culminates with spontaneous, recurrent and unpredictable epileptic seizures due to enhanced neuronal excitability. Well-characterized animal models of this process are needed to clarify its underlying molecular mechanisms, in which the role of nitric oxide has been a controversial component. We have used kindling with a sub-convulsive dose of pentylenetetrazole to objectively characterize early electroencephalographic changes during epileptogenesis. We used electroencephalographic recordings both during pentylenetetrazole (20 mg/kg) kindling for 20 days and then, 24 days later to quantify the number, duration and spectral power of epileptic discharges. The levels of nitric oxide were modulated locally in the cerebral cortex by pharmacological agents. The number of epileptiform discharges increased during the kindling protocol as well as 24 days later, revealing the induction of a self-sustaining epileptogenic process. Epileptic discharges were characterized by theta frequencies (4-10 Hz) that were associated with absence-like seizures. However, during kindling, the spectral power of the theta band progressively decreased, while the power of higher frequencies, in the beta band, increased. Nitric oxide in the cerebral cortex inhibited the number and amplitude of epileptic discharges. The electroencephalographic characterization of this kindling protocol provides a valuable tool to detect consequences of therapeutic interventions undertaken at initial phases of epileptogenesis, especially those targeted towards stopping this process. Increases of nitric oxide in the cerebral cortex could be a useful intervention to negatively modulate neuronal excitability, epileptic discharges and the progression of epileptogenesis.

  18. Generation of nanoparticles by spark discharge

    Tabrizi, N. S.; Ullmann, M.; Vons, V. A.; Lafont, U.; Schmidt-Ott, A.


    The production of nanoparticles by microsecond spark discharge evaporation in inert gas is studied systematically applying transmission electron microscopy, mobility analysis and BET surface area measurement. The method of spark discharge is of special interest, because it is continuous, clean, extremely flexible with respect to material, and scale-up is possible. The particle size distributions are narrow and the mean primary particle size can be controlled via the energy per spark. Separated, unagglomerated particles, 3-12 nm in size, or agglomerates can be obtained depending on the flow rate. The nanoparticulate mass produced is typically 5 g/kWh. A formula is given, which estimates the mass production rate via thermal conductivity, evaporation enthalpy and the boiling point of the material used. We showed that with gas purified at the spot, the method produced gold particles that were so clean that sintering of agglomerated particles occurred at room temperature. The influence of a number of parameters on the primary particle size and mass production rate was studied and qualitatively understood with a model of Lehtinen and Zachariah (J Aerosol Sci 33:357-368, 2002). Surprisingly high charging probabilities for one polarity were obtained. Spark generation is therefore of special interest for producing monodisperse aerosols or particles of uniform size via electrical mobility analysis. Qualitative observations in the present study include the phenomenon of material exchange between the electrodes by the spark, which opens the possibility of producing arbitrary mixtures of materials on a nanoscale. If spark generation of nanoparticles is performed in a standing or almost standing gas, an aerogel of a web-like structure forms between surfaces of different electrical potential.

  19. Simulation of discharge in insulating gas from initial partial discharge to growth of a stepped leader using the percolation model

    Sasaki, Akira; Kato, Susumu; Takahashii, Eiichi; Kishimoto, Yasuaki; Fujii, Takashi; Kanazawa, Seiji


    We show a cell simulation of a discharge in an insulating gas from the initial partial discharge to leader inception until breakdown, based on the percolation model. In the model, we consider that the propagation of the leader occurs when connections between randomly produced ionized regions in the discharge medium are established. To determine the distribution of ionized regions, the state of each simulation cell is decided by evaluating the probability of ionization in SF6, which depends on the local electric field. The electric field as well as the discharge current are calculated by solving circuit equations for the network of simulation cells. Both calculations are coupled to each other and the temporal evolution of discharge is self-consistently calculated. The model dependence of the features of the discharge is investigated. It is found that taking the suppression of attachment in the presence of a discharge current into account, the calculation reproduces the behavior of experimental discharges. It is shown that for a strong electric field, the inception of a stepped leader causes immediate breakdown. For an electric field of 30-50% of the critical field, the initial partial discharge persists for a stochastic time lag and then the propagation of a leader takes place. As the strength of the electric field decreases, the time lag increases rapidly and eventually only a partial discharge with a short arrested leader occurs, as observed in experiments.

  20. Decision-making for postpartum discharge of 4300 mothers and their healthy infants: the Life Around Newborn Discharge study.

    Bernstein, Henry H; Spino, Cathie; Finch, Stacia; Wasserman, Richard; Slora, Eric; Lalama, Christina; Touloukian, Carol Litten; Lilienfeld, Harris; McCormick, Marie C


    Postpartum discharge of mothers and infants who are not medically or psychosocially ready may place the family at risk. Most studies of postpartum length of stay, however, do not reflect the necessary complexity of decision-making. With this study we aimed to characterize decision-making on the day of postpartum discharge from the perspective of multiple key informants and identify correlates of maternal and newborn unreadiness for discharge. This was a prospective observational cohort study of healthy term infants with mothers, pediatric providers, and obstetricians as key informants to assess the decision-making process regarding mother-infant dyad unreadiness for discharge. A mother-infant dyad was defined as unready for postpartum hospital discharge if > or = 1 of 3 informants perceived that either the mother or infant should stay longer at time of nursery discharge. Data were collected through self-administered questionnaires on the day of discharge. Of 4300 mother-infant dyads, unreadiness was identified in 17% as determined by the mother (11%), pediatrician (5%), obstetrician (1%), and > or = 2 informants (hospital neonatal problems, receiving a limited number of in-hospital classes, and intent to breastfeed. Mothers, pediatricians, and obstetricians must make decisions about postpartum discharge jointly, because perceptions of unreadiness often differ. Sensitivity toward specific maternal vulnerabilities and an emphasis on perinatal education to insure individualized discharge plans may increase readiness and determine optimal timing for discharge and follow-up care.

  1. Lightning and middle atmospheric discharges in the atmosphere

    Siingh, Devendraa; Singh, R. P.; Kumar, Sarvan; Dharmaraj, T.; Singh, Abhay K.; Singh, Ashok K.; Patil, M. N.; Singh, Shubha


    Recent development in lightning discharges including transient luminous events (TLEs) and global electric circuit are discussed. Role of solar activity, convective available potential energy, surface temperature and difference of land-ocean surfaces on convection process are discussed. Different processes of discharge initiation are discussed. Events like sprites and halos are caused by the upward quasi-electrostatic fields associated with intense cloud-to-ground discharges while jets (blue starter, blue jet, gigantic jet) are caused by charge imbalance in thunderstorm during lightning discharges but they are not associated with a particular discharge flash. Elves are generated by the electromagnetic pulse radiated during lightning discharges. The present understanding of global electric circuit is also reviewed. Relation between lightning activity/global electric circuit and climate is discussed.

  2. Modelling radioactivity in the Irish Sea: From discharge to dose

    Gleizon, P., E-mail: [Westlakes Scientific Consulting Ltd, The Princess Royal Building, Westlakes Science and Technology Park, Moor Row, Cumbria CA24 3LN (United Kingdom); McDonald, P. [Westlakes Scientific Consulting Ltd, The Princess Royal Building, Westlakes Science and Technology Park, Moor Row, Cumbria CA24 3LN (United Kingdom)


    In order to support authorised discharges of low level radioactive liquid effluent into coastal regions, mathematical models are required to robustly predict radiological impacts on critical groups of current and proposed changes to liquid discharges. The grid model presented here simulates the long term dispersion and transport of radioactivity discharged from the Sellafield site in Cumbria, UK, and the subsequent exposure of critical groups in Cumbria and across the Irish Sea in Northern Ireland. The fine grid of the model allows a good resolution of the seabed sediment distribution. This benefits the predictions for the last decades of low discharge level, when bed sediment can become a source of contamination by bringing back the legacy of past high discharges. This is highlighted by the dose comparison, where the predicted dose to Cumbria critical group follows well the dose estimated from environmental data during the low discharge level period.

  3. Simulation of nonstationary phenomena in atmospheric-pressure glow discharge

    Korolev, Yu. D.; Frants, O. B.; Nekhoroshev, V. O.; Suslov, A. I.; Kas'yanov, V. S.; Shemyakin, I. A.; Bolotov, A. V.


    Nonstationary processes in atmospheric-pressure glow discharge manifest themselves in spontaneous transitions from the normal glow discharge into a spark. In the experiments, both so-called completed transitions in which a highly conductive constricted channel arises and incomplete transitions accompanied by the formation of a diffuse channel are observed. A model of the positive column of a discharge in air is elaborated that allows one to interpret specific features of the discharge both in the stationary stage and during its transition into a spark and makes it possible to calculate the characteristic oscillatory current waveforms for completed transitions into a spark and aperiodic ones for incomplete transitions. The calculated parameters of the positive column in the glow discharge mode agree well with experiment. Data on the densities of the most abundant species generated in the discharge (such as atomic oxygen, metastable nitrogen molecules, ozone, nitrogen oxides, and negative oxygen ions) are presented.

  4. Discharges of radioactive materials to the environment in Argentina

    Curti, A R


    The International Atomic Energy Agency (IAEA) is creating a database of information on radioactive discharges to atmospheric and aquatic environments from nuclear and radioactive installations, and from facilities using radionuclides in medicine, industry and research. The database is expected to facilitate the analysis of worldwide trends in discharge levels and provide a basis for assessing the impact of the discharges on humans and on the environment. In November 2002 took place the first meeting of national contact points and the Nuclear Regulatory Authority (ARN in Spanish) was present as the counterpart for the provision of discharge data from Argentina. This paper, presented in the above mentioned meeting, is a general overview of the radioactive discharges control in Argentina including the legal infrastructure, the population dose assessment methodology and the main characteristics of the facilities in the country with radioactive discharges to the environment. It is mentioned their location, release...

  5. [Assessment of undiagnosed critical congenital heart disease before discharge from the maternity hospital].

    Zhao, Q M; Liu, F; Wu, L; Ye, M; Jia, B; Ma, X J; Huang, G Y


    Objective: Undiagnosed critical congenital heart disease (CCHD) was assessed before discharge from maternity hospital.Basic information was provided for screening CCHD in the early neonatal stage.Chi-squared test was used for comparison of categorical variables(detection rate of different types of CCHD). Method: A retrospective cohort study was conducted in neonates with CCHD who were admitted to Children's Hospital of Fudan University between 1 January 2012 and 31 December 2015. For comparing with the previously reported undiagnosed rate of CCHD at discharge, CCHD was defined as all duct dependent congenital heart disease (DDCHD) and any cyanotic CHD that required early surgery. Result: A total of 1 036 infants with CCHD were included. The prenatal detection rate of CCHD was 14.04%(122/869). As a whole, 52.51% (544/1 036) of CCHD cases were undiagnosed at discharge, and 14.09%(146/1 036)were still missed after 6-week examination. The diagnoses most likely to be unrecognized at discharge included critical coarctation of the aorta (COA) (75.00%), total anomalous pulmonary venous connection (61.54%), pulmonary atresia (PA) with ventricle septal defect (VSD) (61.45%), single ventricle (SV) (60.10%) and critical aortic stenosis (52.94%). Among newborns diagnosed prior to discharge, 54.88% (270/492) due to symptom or prenatal ultrasonographic diagnosis, 45.12% (222/492) due to abnormal findings in routine examination. Among asymptomatic CCHD cases without prenatal diagnosis, 71.02% (544/766) were undiagnosed and the most common delayed diagnosis was SV (82.78%), interrupted aortic arch (81.82%), transposition of the great arteries with intact ventricular septum (79.63%), PA/VSD (79.07%), and critical COA (78.57%). Newborns with DDC were more likely to develop symptoms within the first few days after birth, in comparison with non-DDC cases. However, their detection rates were close to each other. Conclusion: The rate of misdiagnosis of CCHD before discharge from

  6. Analysis of generalized interictal discharges using quantitative EEG.

    da Silva Braga, Aline Marques; Fujisao, Elaine Keiko; Betting, Luiz Eduardo


    Experimental evidence from animal models of the absence seizures suggests a focal source for the initiation of generalized spike-and-wave (GSW) discharges. Furthermore, clinical studies indicate that patients diagnosed with idiopathic generalized epilepsy (IGE) exhibit focal electroencephalographic abnormalities, which involve the thalamo-cortical circuitry. This circuitry is a key network that has been implicated in the initiation of generalized discharges, and may contribute to the pathophysiology of GSW discharges. Quantitative electroencephalogram (qEEG) analysis may be able to detect abnormalities associated with the initiation of GSW discharges. The objective of this study was to determine whether interictal GSW discharges exhibit focal characteristics using qEEG analysis. In this study, 75 EEG recordings from 64 patients were analyzed. All EEG recordings analyzed contained at least one GSW discharge. EEG recordings were obtained by a 22-channel recorder with electrodes positioned according to the international 10-20 system of electrode placement. EEG activity was recorded for 20 min including photic stimulation and hyperventilation. The EEG recordings were visually inspected, and the first unequivocally confirmed generalized spike was marked for each discharge. Three methods of source imaging analysis were applied: dipole source imaging (DSI), classical LORETA analysis recursively applied (CLARA), and equivalent dipole of independent components with cluster analysis. A total of 753 GSW discharges were identified and spatiotemporally analyzed. Source evaluation analysis using all three techniques revealed that the frontal lobe was the principal source of GSW discharges (70%), followed by the parietal and occipital lobes (14%), and the basal ganglia (12%). The main anatomical sources of GSW discharges were the anterior cingulate cortex (36%) and the medial frontal gyrus (23%). Source analysis did not reveal a common focal source of GSW discharges. However

  7. Surface degradation of silicone rubber exposed to corona discharge

    Zhu, Yong; Haji, Kenichi; Otsubo, Masahisa; Honda, Chikahisa


    This paper describes the surface degradation of unfilled high-temperature vulcanized silicone rubber (HTV-SR)###resulting from creeping corona discharges under atmospheric pressure. In this paper, HTV-SR specimens were exposed to corona###stress generated by a parallel needle-plate electrode system; furthermore, physicochemical analyses were conducted on the surface layer of SR before and after corona discharge treatment. The results showed that the plasma impingement from the corona discharg...

  8. Numerical Simulation of Nanosecond-Pulse Electrical Discharges


    were rst investigated.1,2 Activity in the research area waned in the 1970s, with some work on drag reduction using corona discharges appearing in...Aleksandrov et al.38 suggest that in nanosecond pulse discharges at atmospheric pressure at very high values of the reduced electric eld, E=N 1000 Td... atmospheric pressure is of the order of 100 m, which corresponds to an acoustic time of acoustic 0:3 s. Thus, nanosecond-pulse discharge energy

  9. Xenon excimer emission from multicapillary discharges in direct current mode

    Lee, Byung-Joon; Rahaman, Hasibur; Nam, Sang Hoon; Giapis, Konstantinos P.; Iberler, Marcus; Jacoby, Joachim; Frank, Klaus


    Microdischarges in xenon have been generated in a pressure range of 400–1013 mbar with a fixed flow rate of 100 sccm. These microdischarges are obtained from three metallic capillary tubes in series for excimer emission. Total discharge voltage is thrice as large as that of a single capillary discharge tube at current levels of up to 12 mA. Total spectral irradiance of vacuum ultraviolet (VUV) emission also increases significantly compared to that of the single capillary discharge. Further, t...

  10. "Super-acceleration" of ions in a stationary plasma discharge

    Bardakov, Vladimir; Ivanov, Sergey; Kazantsev, Alexander; Strokin, Nikolay; Stupin, Aleksey


    We report on the detection of the acceleration effect of the bulk of ions in a stationary plasma E × B discharge to energies exceeding considerably the value equivalent to the discharge voltage. We determined the conditions necessary for the generation of high-energy ions, and ascertained the influence exerted on the value of the ion energies by pressure (flow rate) and the kind of plasma-producing gas, and by the value of discharge current. The possible acceleration mechanism is suggested.

  11. Self-pulsing of a micro thin cathode discharge

    Gebhardt, Markus; Hemke, Torben; Brinkmann, Ralf Peter; Mussenbrock, Thomas


    Microplasmas operated at atmospheric pressure show a number of peculiar dynamic phenomena. One of these phenomena is self-pulsing, which is characterized by intrinsic pulsing behavior of a DC driven plasma discharge. This work focuses on the numerical simulation of self-pulsing in a micro thin cathode discharge operated in atmospheric pressure argon. By means of a hybrid plasma model we show self-pulsing of the discharge in the expected MHz frequency range and described its actual origin.

  12. Glow discharges with electrostatic confinement of fast electrons

    Kolobov, V. I.; Metel, A. S.


    This review presents a unified treatment of glow discharges with electrostatic confinement of fast electrons. These discharges include hollow cathode discharges, wire and cage discharges, reflect discharges with brush and multirod cathodes, and discharges in crossed electric and magnetic fields. Fast electrons bouncing inside electrostatic traps provide efficient ionization of gas at very low gas pressures. The electrostatic trap effect (ETE) was first observed by Paschen in hollow cathode discharges almost a century ago. The key parameters that define fundamental characteristics of ETE discharges are the ionization length λN, the penetration range, Λ, and the diffusion length λ of the fast electrons, and two universal geometric parameters of the traps: effective width a and length L. Peculiarities of electron kinetics and ion collection mechanism explain experimental observations for different trap geometries. The ETE is observed only at Λ > a, when the penetration range of the γ-electrons emitted by the cathode exceeds the trap width. In the optimal pressure range, when λN > a, and Λ current, Uc tends to its upper limit W/eβγ, where β is the percentage of ions arriving at the cathode and W is the gas ionization cost. In the low-pressure range, Λ > L, Uc rises from hundreds to thousands of volts. The sign of the anode potential fall, Ua, depends on the anode surface Sa and its position. When Sa is large compared to a critical value S*, Ua is negative and small. At Sa value of Ua becomes positive and rises up to 0.5-1 kV with decreasing p ultimately causing discharge extinction. Scaling laws indicate common physics between vacuum discharges and atmospheric pressure micro-discharges. We discuss peculiarities of electron kinetics under different conditions using semi-analytical models. Recent experimental results and applications of glow discharges with electrostatic confinement of fast electrons are described.

  13. Physics of Electrical Discharges to Control and to Utilize Them

    Yumoto, Motoshige

    Three topics related to the field of the technical committee on electrical discharges (TC-ED) are summarized for this special issue. First one deals with the fundamental process of long gap discharge. As the second one, the topics of a vacuum discharge occurred on the solar cell of the spacecraft is introduced. The last one shows the arc motion in the rail-gun.

  14. Electrical and spectroscopic characterization of a surgical argon plasma discharge

    Keller, Sandra; Bibinov, Nikita; Neugebauer, Alexander; Awakowicz, Peter


    For electrosurgical procedures, the argon plasma coagulation (APC) discharge is a well-established atmospheric-pressure plasma tool for thermal haemostasis and devitalization of biological tissue. To characterize this plasma source, voltage-current measurements, microphotography, optical emission spectroscopy and numerical simulation are applied. Two discharge modes are established during the operation of the APC plasma source. A short transient spark discharge is ignited within the positive half period of the applied high voltage after a streamer channel connects the APC probe and the counter-electrode. During the second phase, which continues under negative high voltage, a glow discharge is stabilized in the plasma channel.

  15. Modification of various metals by volume discharge in air atmosphere

    Shulepov, Mikhail A.; Erofeev, Mikhail V.; Oskomov, Konstantin V.; Tarasenko, Victor F.


    The results of the modification of stainless steel, niobium and titanium by volume discharge induced by a beam of runaway electrons in air under normal pressure are presented. Changes in the chemical composition of the surface layers of metal by the action of the discharge, structural changes and changes of hardness were studied. It has been found that the concentration of oxygen and carbon in the surface layers of the samples depend on the number of discharge pulses. The aim of this work is to find possible application of this type of discharge in science and industrial production.

  16. Computational physics of electric discharges in gas flows

    Surzhikov, Sergey T


    Gas discharges are of interest for many processes in mechanics, manufacturing, materials science and aerophysics. To understand the physics behind the phenomena is of key importance for the effective use and development of gas discharge devices. This worktreats methods of computational modeling of electrodischarge processes and dynamics of partially ionized gases. These methods are necessary to tackleproblems of physical mechanics, physics of gas discharges and aerophysics.Particular attention is given to a solution of two-dimensional problems of physical mechanics of glow discharges.The use o

  17. Xenon excimer emission from multicapillary discharges in direct current mode

    Lee, Byung-Joon; Rahaman, Hasibur; Nam, Sang Hoon; Giapis, Konstantinos P.; Iberler, Marcus; Jacoby, Joachim; Frank, Klaus


    Microdischarges in xenon have been generated in a pressure range of 400-1013 mbar with a fixed flow rate of 100 sccm. These microdischarges are obtained from three metallic capillary tubes in series for excimer emission. Total discharge voltage is thrice as large as that of a single capillary discharge tube at current levels of up to 12 mA. Total spectral irradiance of vacuum ultraviolet (VUV) emission also increases significantly compared to that of the single capillary discharge. Further, the irradiance of the VUV emission is strongly dependent on pressure as well as the discharge current.

  18. Xenon excimer emission from multicapillary discharges in direct current mode

    Lee, Byung-Joon; Rahaman, Hasibur; Nam, Sang Hoon [Pohang Accelerator Laboratory, Pohang, Kyungbuk 790-784 (Korea, Republic of); Giapis, Konstantinos P. [Division of Chemistry and Chemical Engineering, California Institute of Technology, Pasadena, California 91125 (United States); Iberler, Marcus; Jacoby, Joachim [Institute of Applied Physics, Goethe University, Max-von-Laue-St. 1, 60438 Frankfurt am Main (Germany); Frank, Klaus [Physics Department I, F.A., University of Erlangen-Nuremberg, D-91058 Erlangen (Germany)


    Microdischarges in xenon have been generated in a pressure range of 400-1013 mbar with a fixed flow rate of 100 sccm. These microdischarges are obtained from three metallic capillary tubes in series for excimer emission. Total discharge voltage is thrice as large as that of a single capillary discharge tube at current levels of up to 12 mA. Total spectral irradiance of vacuum ultraviolet (VUV) emission also increases significantly compared to that of the single capillary discharge. Further, the irradiance of the VUV emission is strongly dependent on pressure as well as the discharge current.

  19. Region 9 National Pollution Discharge Elimination System (NPDES) Facilities

    U.S. Environmental Protection Agency — Point geospatial dataset representing locations of NPDES Facilities. NPDES (National Pollution Discharge Elimination System) is an EPA permit program that regulates...

  20. High Efficiency Hall Thruster Discharge Power Converter Project

    National Aeronautics and Space Administration — Busek leveraged previous, internally sponsored, high power, Hall thruster discharge converter development which allowed it to design, build, and test new printed...

  1. Modeling the discharge behavior of the lithium/iodine battery

    Skarstad, P.M. (Medtronic, Inc., Minneapolis, MN (United States)); Schmidt, C.L. (Medtronic, Inc., Minneapolis, MN (United States))


    We have previously reported the development of a physically-based mode describing the discharge behaviour of the lithium/iodine battery. Values for the parameters of the model have been determined through analysis of discharge data from a wide variety of battery designs. This paper reviews the essential features of the model and describes several applications. These applications include estimation of performance distributions through Monte-Carlo simulations, analysis of variability in discharge performances, and identification of the parameters to which discharge performance is most sensitive. (orig.)

  2. River discharge changes in the Qinghai-Tibet Plateau


    Annual mean discharge data of the five large rivers in the exorheic region of the Qinghai-Tibet Plateau from 1956 to 2000 are analyzed for trends with the Mann-Kendall nonparametric trend test. The results reveal that though in general no increasing trends exist in the total river discharges, significant regional differences of river discharge exist, reflecting the decreasing trends of discharge in the Yellow River and the Tongtian River (upper Changjiang River), an increasing trend in Yalong River, and inverted change in the Lancang River and Yarlung Zangbo River. Based on analyses of the seasonal discharge, it is found that climatic change had a significant effect on the seasonal variation of river discharge in the Qinghai-Tibet Plateau. In spring (from March to May) the discharge increased significantly, especially in the source area of the Yellow River. Together with the analyses on data of the mean temperature in the Northern Hemisphere and climatic data within the river basins, the relationship between discharges and mean temperature of the Northern Hemisphere is explored, which indicates that there is no increase in the stream discharge in the Qinghai-Tibet Plateau with global warming. It is probably the increasing evaporation, caused by rising temperature that offsets the hydrological effect of increasing precipitation.

  3. Influence of Climate Change on River Discharge in Austria

    Robert A. Goler


    Full Text Available The effect of climate change on the river discharge characteristics in four catchment basins within Austria is investigated using a hydrological model. Input for the model are daily climate data generated from three regional climate models (RCMs over the time period 1951–2100 using the A1B emission scenario. Due to the complex terrain of the basins, the climate data has been downscaled to a resolution of 1km×1km$1\\,\\text{km}\\times1\\,\\text{km}$. The hydrological model includes processes such as meltwater from snow and glaciers; surface, subsurface, and groundwater flows; and evapotranspiration. The modelling results show that, although only one RCM exhibits a significant reduction in the mean annual discharge towards the end of the 21st century, all RCMs exhibit significant changes in the seasonal distribution of the discharge. In particular, for basins whose discharge is dependent on water stored as snow, there will be a shift in the time of maximum river discharge to earlier in the year as the snow and ice melt earlier. During the winter months the discharge is forecasted to be higher than at present, which would lead to the number of days of low discharge being reduced. However, the earlier snow melt means that the available water for the summer months will be reduced, leading to lower discharges than present, and thus an increase in the number of low discharge days.


    G. P. Martynova


    Full Text Available The paper presents a case of delayed diagnosis of early congenital syphilis in a child whose mother was observed in prenatal clinic starting from the 14th week of pregnancy. The child had specific skin rash already in maternity. The child was discharged home without examination in the hospital. Only manifestations of nephritis lead to admission of the child into an inpatient hospital. Only at the age of 1 month and 23 days the child was suspected of early congenital syphilis with severe polisimptomnym, and the patient was transferred to specialized hospital. 

  5. Early readmission among patients with diabetes: a qualitative assessment of contributing factors.

    Rubin, Daniel J; Donnell-Jackson, Kelly; Jhingan, Ram; Golden, Sherita Hill; Paranjape, Anuradha


    To explore causes of early readmission, i.e., hospital readmission within 30 days of discharge, among patients with diabetes. We performed thematic analysis of semi-structured interviews among 20 adults with diabetes hospitalized with an early readmission at an urban academic medical center. Five themes emerged as contributors to readmission risk: (1) poor health literacy (lack of knowledge about diabetes and discharge instructions), (2) health system failure (of the discharge process and post-discharge support), (3) failure of expected protective factors, (e.g., following the discharge instructions, being aware of medication changes upon discharge, and having help and social support), (4) social determinants of health impeding care, and (5) loss of control over illness. A majority of patients reported needing assistance with transportation, obtaining and taking medications, and preparing food. Most patients denied an active role in exacerbating their condition prior to readmission, and many believed that being readmitted was out of their control. Our findings suggest several interventions that may reduce the risk of early readmission for patients with diabetes, including inpatient diabetes education, improving communication of discharge instructions, and involving patients more in medication reconciliation and post-discharge planning. Copyright © 2014 Elsevier Inc. All rights reserved.

  6. State Waste Discharge Permit application for industrial discharge to land: 200 East Area W-252 streams


    This document constitutes the WAC 173-216 State Waste Discharge Permit application for six W-252 liquid effluent streams at the Hanford Site. Appendices B through H correspond to Section B through H in the permit application form. Within each appendix, sections correspond directly to the respective questions on the application form. The appendices include: Product or service information; Plant operational characteristics; Water consumption and waterloss; Wastewater information; Stormwater; Other information; and Site assessment.

  7. Biological and Agricultural Studies on Application of Discharge Plasma and Electromagnetic Fields 4. Destruction of Weeds by High Voltage Discharge

    Mizuno, Akira

    In an attempt to replace chemicals for weed control, high voltage spark discharge has been applied. With the application of high voltage, discharge takes place, and current flows through the stem and root. Microscopic observation indicates that cells are damaged. The electrical resistance of the damage plant’s stems and roots decreased significantly. Several different types of apparatus were constructed, and field test results show the effectiveness of electrical discharge for weed control.

  8. Influence of gas discharge parameters on emissions from a dielectric barrier discharge excited argon excimer lamp

    Mike Collier


    Full Text Available A dielectric barrier discharge excited neutral argon (Ar I excimer lamp has been developed and characterised. The aim of this study was to develop an excimer lamp operating at atmospheric pressure that can replace mercury lamps and vacuum equipment used in the sterilisation of medical equipment and in the food industry. The effects of discharge gas pressure, flow rate, excitation frequency and pulse width on the intensity of the Ar I vacuum ultraviolet (VUV emission at 126 nm and near infrared (NIR lines at 750.4 nm and 811.5 nm have been investigated. These three lines were chosen as they represent emissions resulting from de-excitation of excimer states that emit energetic photons with an energy of 9.8 eV. We observed that the intensity of the VUV Ar2* excimer emission at 126 nm increased with increasing gas pressure, but decreased with increasing excitation pulse frequency and pulse width. In contrast, the intensities of the NIR lines decreased with increasing gas pressure and increased with increasing pulse frequency and pulse width. We have demonstrated that energetic VUV photons of 9.8 eV can be efficiently generated in a dielectric barrier discharge in Ar.

  9. Study on hexagonal super-lattice pattern with surface discharges in dielectric barrier discharge

    Liu, Ying; Dong, Lifang; Niu, Xuejiao; Gao, Yenan; Zhang, Chao


    The hexagonal super-lattice pattern with surface discharges (SDs) in dielectric barrier discharge is investigated by intensified charge-coupled device. The pattern is composed of the bright spot and the dim spot which is located at the centroid of surrounding other three bright spots. The phase diagram of the pattern as a function of the gas pressure and the argon concentration is given. The instantaneous images indicate that the bright spot emerging at the front of the current pulse is formed by the volume discharge (VD), and dim spot occurring at the tail of the current pulse is formed by the SD. The above result shows that the SD is induced by the VD. The simulation of the electric fields of wall charges accumulated by VDs confirms that the dim spot is formed by the confluences of the SDs of surrounding other three bright spots. By using optical emission spectrum method, both the molecule vibration temperature and electron density of the SD are larger than that of the VD.

  10. EDITORIAL: Mercury-free discharges for lighting

    Haverlag, M.


    This special Cluster of articles in Journal of Physics D: Applied Physics covers the subject of mercury-free discharges that are being investigated by different light source researchers, as an alternative to existing mercury-containing lamps. The main driving force to move away from mercury-containing discharge light sources is connected to the environmentally unfriendly nature of mercury. After inhalation or direct contact, severe mercury exposure can lead to damage to human brain cells, the kidneys, the liver and the nervous system. For this reason, the use of mercury in products is becoming more and more restricted by different governmental bodies. In the lighting industry, however, many products still make use of mercury, for different reasons. The main reason is that mercury-containing products are, in most cases, more efficient than mercury-free products. For a realistic comparison of the environmental impact, the mercury-contamination due to electricity production must be taken into account, which depends on the type of fuel being used. For an average European fuel-mix, the amount of mercury that is released into the environment is around 29 μg kWh-1. This means that a typical 30 W TL lamp during a lifetime of 20,000 hours will release a total of about 20 mg mercury due to electricity production, which exceeds the total mercury dose in the lamp (more and more of which is being recycled) by a factor of 5-10 for a modern TL lamp. This illustrates that, quite apart from other environmental arguments like increased CO2 production, mercury-free alternatives that use more energy can in fact be detrimental for the total mercury pollution over the lifetime of the lamp. For this reason, the lighting industry has concentrated on lowering the mercury content in lamps as long as no efficient alternatives exist. Nevertheless, new initiatives for HID lamps and fluorescent lamps with more or less equal efficiency are underway, and a number of them are described in this

  11. The effects of electrode size and discharged power on micro-electro-discharge machining drilling of stainless steel

    Gianluca D’Urso


    Full Text Available This article is about the measurement of actual micro-electro-discharge machining parameters and the statistical analysis of their influence on the process performances. In particular, the discharged power was taken into account as a comprehensive variable able to represent the effect of peak current and voltage on the final result. Thanks to the dedicated signal acquisition system, a correlation among the discharged power and the indexes representing the process parameters was shown. Finally, linear and non-linear regression approaches were implemented in order to obtain predictive equations for the most important aspects of micro-electro-discharge machining, such as the machining time and the electrode wear.

  12. Frequency of outpatient antibiotic prescription on discharge to hospice care.

    Furuno, Jon P; Noble, Brie N; Horne, Kristi N; McGregor, Jessina C; Elman, Miriam R; Bearden, David T; Walsh, Eric W; Fromme, Erik K


    The use of antibiotics is common in hospice care despite limited evidence that it improves symptoms or quality of life. Patients receiving antibiotics upon discharge from a hospital may be more likely to continue use following transition to hospice care despite a shift in the goals of care. We quantified the frequency and characteristics for receiving a prescription for antibiotics on discharge from acute care to hospice care. This was a cross-sectional study among adult inpatients (≥18 years old) discharged to hospice care from Oregon Health & Science University (OHSU) from 1 January 2010 to 31 December 2012. Data were collected from an electronic data repository and from the Department of Care Management. Among 62,792 discharges, 845 (1.3%) patients were discharged directly to hospice care (60.0% home and 40.0% inpatient). Most patients discharged to hospice were >65 years old (50.9%) and male (54.6%) and had stayed in the hospital for ≤7 days (56.6%). The prevalence of antibiotic prescription upon discharge to hospice was 21.1%. Among patients discharged with an antibiotic prescription, 70.8% had a documented infection during their index admission. Among documented infections, 40.3% were bloodstream infections, septicemia, or endocarditis, and 38.9% were pneumonia. Independent risk factors for receiving an antibiotic prescription were documented infection during the index admission (adjusted odds ratio [AOR]=7.00; 95% confidence interval [95% CI]=4.68 to 10.46), discharge to home hospice care (AOR=2.86; 95% CI=1.92 to 4.28), and having a cancer diagnosis (AOR=2.19; 95% CI=1.48 to 3.23). These data suggest that a high proportion of patients discharged from acute care to hospice care receive an antibiotic prescription upon discharge.

  13. Hydrothermal heat discharge in the Cascade Range, northwestern United States

    Ingebritsen, S.E.; Mariner, R.H.


    Hydrothermal heat discharge in the Cascade Range includes the heat discharged by thermal springs, by "slightly thermal" springs that are only a few degrees warmer than ambient temperature, and by fumaroles. Thermal-spring heat discharge is calculated on the basis of chloride-flux measurements and geothermometer temperatures and totals ~ 240 MW in the U.S. part of the Cascade Range, excluding the transient post-1980 discharge at Mount St. Helens (~80 MW as of 2004-5). Heat discharge from "slightly thermal" springs is based on the degree of geothermal warming (after correction for gravitational potential energy effects) and totals ~. 660. MW. Fumarolic heat discharge is calculated by a variety of indirect and direct methods and totals ~160 MW, excluding the transient mid-1970s discharge at Mount Baker (~80 MW) and transient post-1980 discharge at Mount St. Helens (>. 230. MW as of 2005). Other than the pronounced transients at Mount St. Helens and Mount Baker, hydrothermal heat discharge in the Cascade Range appears to be fairly steady over a ~25-year period of measurement. Of the total of ~. 1050. MW of "steady" hydrothermal heat discharge identified in the U.S. part of the Cascade Range, less than 50. MW occurs north of latitude 45??15' N (~0.1 MW per km arc length from 45??15' to 49??N). Much greater rates of hydrothermal heat discharge south of 45??15'N (~1.7 MW per km arc length from 40?? to 45??15'N) may reflect the influence of Basin and Range-style extensional tectonics (faulting) that impinges on the Cascades as far north as Mount Jefferson but is not evident farther north. ?? 2010.

  14. Integrity Monitoring of Mercury Discharge Lamps

    Tjoelker, Robert L.


    Mercury discharge lamps are critical in many trapped ion frequency standard applications. An integrity monitoring system can be implemented using end-of-life signatures observed in operational mercury discharge lamps, making it possible to forecast imminent failure and to take action to mitigate the consequences (such as switching to a redundant system). Mercury lamps are used as a source of 194-nm ultraviolet radiation for optical pumping and state selection of mercury trapped ion frequency standards. Lamps are typically fabricated using 202Hg distilled into high-purity quartz, or other 194-nm transmitting material (e.g., sapphire). A buffer gas is also placed into the bulb, typically a noble gas such as argon, neon, or krypton. The bulbs are driven by strong RF fields oscillating at .200 MHz. The lamp output may age over time by two internal mechanisms: (1) the darkening of the bulb that attenuates light transmission and (2) the loss of mercury due to migration or chemical interactions with the bulb surface. During fabrication, excess mercury is placed into a bulb, so that the loss rate is compensated with new mercury emanating from a cool tip or adjacent reservoir. The light output is nearly constant or varies slightly at a constant rate for many months/years until the mercury source is depleted. At this point, the vapor pressure abruptly falls and the total light output and atomic clock SNR (signal-to-noise ratio) decrease. After several days to weeks, the light levels decrease to a point where the atomic clock SNR is no longer sufficient to stay in lock, or the lamp self-extinguishes. This signature has been observed in four separate end-of-life lamp failures while operating in the Deep Space Network (DSN). A simple integrator circuit can observe and document steady-state lamp behavior. When the light levels drop over a predetermined time interval by a specified amount (e.g., 20 percent), an alarm is set. For critical operational applications, such as the DSN

  15. Hospital Discharge Information After Elective Total hip or knee Joint Replacement Surgery: A clinical Audit of preferences among general practitioners

    Andrew M Briggs


    Full Text Available AbstractThe demand for elective joint replacement (EJR surgery for degenerative joint disease continues to rise in Australia, and relative to earlier practices, patients are discharged back to the care of their general practitioner (GP and other community-based providers after a shorter hospital stay and potentially greater post-operative acuity. In order to coordinate safe and effective post-operative care, GPs rely on accurate, timely and clinically-informative information from hospitals when their patients are discharged. The aim of this project was to undertake an audit with GPs regarding their preferences about the components of information provided in discharge summaries for patients undergoing EJR surgery for the hip or knee. GPs in a defined catchment area were invited to respond to an online audit instrument, developed by an interdisciplinary group of clinicians with knowledge of orthopaedic surgery practices. The 15-item instrument required respondents to rank the importance of components of discharge information developed by the clinician working group, using a three-point rating scale. Fifty-three GPs and nine GP registrars responded to the audit invitation (11.0% response rate. All discharge information options were ranked as ‘essential’ by a proportion of respondents, ranging from 14.8–88.5%. Essential information requested by the respondents included early post-operative actions required by the GP, medications prescribed, post-operative complications encountered and noting of any allergies. Non-essential information related to the prosthesis used. The provision of clinical guidelines was largely rated as ‘useful’ information (47.5–56.7%. GPs require a range of clinical information to safely and effectively care for their patients after discharge from hospital for EJR surgery. Implementation of changes to processes used to create discharge summaries will require engagement and collaboration between clinical staff

  16. Primordial Synthesis of Amines and Amino Acids in a 1958 Miller H2S-Rich Spark Discharge Experiment

    Parker, Eric T.; Cleaves, Henderson J.; Dworkin, Jason P.; Glavin, Daniel P.; Callahan, Michael; Aubrey, Andrew; Lazcano, Antonio; Bada, Jeffrey L.


    Archived samples from a previously unreported 1958 Stanley Miller electric discharge experiment containing hydrogen sulfide (H2S) were recently discovered and analyzed using high-performance liquid chromatography and time-of-flight mass spectrometry. We report here the detection and quantification of primary amine-containing compounds in the original sample residues, which were produced via spark discharge using a gaseous mixture of H2S, CH4, NH3, and CO2. A total of 23 amino acids and 4 amines, including 7 organosulfur compounds, were detected in these samples. The major amino acids with chiral centers are racemic within the accuracy of the measurements, indicating that they are not contaminants introduced during sample storage. This experiment marks the first synthesis of sulfur amino acids from spark discharge experiments designed to imitate primordia! environments. The relative yield of some amino acids, in particular the isomers of aminobutyric acid, are the highest ever found in a spark discharge experiment. The simulated primordial conditions used by Miller may serve as a model for early volcanic plume chemistry and provide insight to the possible roles such plumes may have played in abiotic organic synthesis. Additionally, the overall abundances of the synthesized amino acids in the presence of H2S are very similar to the abundances found in some carbonaceous meteorites, suggesting that H2S may have played an important role in prebiotic reactions in early solar system environments.

  17. Levels of CEA, CA153, CA199, CA724 and AFP in nipple discharge of breast cancer patients.

    Zhao, Song; Mei, Yu; Wang, Yongmei; Zhu, Jiang; Zheng, Guixi; Ma, Rong


    The distinction between breast cancer and benign breast diseases with nipple discharge remains an important diagnostic challenge. The purpose of this study was to predict the potential usefulness of tumor markers in nipple discharge and to investigate the relationship of tumor markers and clinical characteristics with breast cancer.One hundred and eleven patients with nipple discharge received breast surgery from November 2013 to December 2014 were included in the study. We evaluated levels of five tumor markers (CEA, CA153, CA199, CA724 and AFP) prior to treatment. Patients were divided into two groups according to postoperative pathological results: 30 cases in breast cancer group and 81 cases in benign group. The relationships of clinical characteristics with breast cancer were investigated by multivariate analysis with a logistic regression model.It showed significant differences in levels of nipple discharge CEA (P AFP (P = 0.834) among two groups. Logistic regression analysis demonstrated complaint, age, menopause, abnormal palpable mass, CEA and CA153 were associated with breast cancer. In summary, measurements of CA199, CA724 and AFP in nipple discharge are not of great clinical value. Detecting CEA and CA153 in nipple dischargecould potentially be used for the early detection of breast cancer with in high-risk populations.

  18. Development and validation of serum bilirubin nomogram to predict the absence of risk for severe hyperbilirubinaemia before discharge: a prospective, multicenter study

    Romagnoli Costantino


    Full Text Available Abstract Background Early discharge of healthy late preterm and full term newborn infants has become common practice because of the current social and economic necessities. Severe jaundice, and even kernicterus, has developed in some term infants discharged early. This study was designed to elaborate a percentile-based hour specific total serum bilirubin (TSB nomogram and to assess its ability to predict the absence of risk for subsequent non physiologic severe hyperbilirubinaemia before discharge. Methods A percentile-based hour-specific nomogram for TSB values was performed using TSB data of 1708 healthy full term neonates. The nomogram's predictive ability was then prospectively assessed in five different first level neonatal units, using a single TSB value determined before discharge. Results The 75 th percentile of hour specific TSB nomogram allows to predict newborn babies without significant hyperbilirubinemia only after the first 72 hours of life. In the first 48 hours of life the observation of false negative results did not permit a safe discharge from the hospital. Conclusion The hour-specific TSB nomogram is able to predict all neonates without risk of non physiologic hyperbilirubinemia only after 48 to 72 hours of life. The combination of TSB determination and risk factors for hyperbilirubinemia could facilitate a safe discharge from the hospital and a targeted intervention and follow-up.

  19. [Ethnography of health care after hospital discharge].

    de Castro, Edna Aparecida Barbosa; de Camargo Junior, Kenneth Rochel


    This paper presents an analysis of how Clifford Geertz' anthropological approach contributes to studies and investigations on health care. Geertz' approach relies basically on a semiotic conception of culture adopting thick description as the axis for interpretive elaborations and defending cultural interpretation as a science allowing to understand processes and to construct knowledge. We will present an overview of some constitutive elements of that author's thoughts we consider relevant for understanding the human experience of dealing with the disease/health process. The challenging question is how families deal with the need to provide care to a diseased relative after hospital discharge. We use this issue as an excuse for expounding this theoretical approach, interweaving the two areas. The micro-focus is the kind of healthcare that takes place outside the cultural environment where the technical forms of care based on scientific knowledge occur. We will briefly discuss how this question becomes evident in an object of study, and how it can be investigated according to the ethnography proposed by Geertz (op. cit.), allowing, in the end, for some considerations that further contribute to the construction of knowledge in public health.

  20. Runaway breakdown and electrical discharges in thunderstorms

    Milikh, Gennady; Roussel-Dupré, Robert


    This review considers the precise role played by runaway breakdown (RB) in the initiation and development of lightning discharges. RB remains a fundamental research topic under intense investigation. The question of how lightning is initiated and subsequently evolves in the thunderstorm environment rests in part on a fundamental understanding of RB and cosmic rays and the potential coupling to thermal runaway (as a seed to RB) and conventional breakdown (as a source of thermal runaways). In this paper, we describe the basic mechanism of RB and the conditions required to initiate an observable avalanche. Feedback processes that fundamentally enhance RB are discussed, as are both conventional breakdown and thermal runaway. Observations that provide clear evidence for the presence of energetic particles in thunderstorms/lightning include γ-ray and X-ray flux intensifications over thunderstorms, γ-ray and X-ray bursts in conjunction with stepped leaders, terrestrial γ-ray flashes, and neutron production by lightning. Intense radio impulses termed narrow bipolar pulses (or NBPs) provide indirect evidence for RB particularly when measured in association with cosmic ray showers. Our present understanding of these phenomena and their enduring enigmatic character are touched upon briefly.