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Sample records for eldorado port hope

  1. Eldorado Port Hope refinery - uranium production (1933-1951)

    International Nuclear Information System (INIS)

    Arsenault, J.E.

    2008-01-01

    Since the discovery of pitchblende in 1930 by Gilbert LaBine at Great Bear Lake (GBL), North West Territories, uranium has played a central role in the growth of the Canadian mining sector and it in turn has propelled the country into it's present position as the world's top uranium producer. The rich ore mined there was used originally by Eldorado Gold Mines Limited to build a business based on the extraction of radium, which was selling at $70,000 a gram at the time, and silver which was present in the ore in commercial amounts. The mine site on GBL became known as Port Radium. In 1933 Eldorado brought a refinery on-line at Port Hope, Ontario nearly 4,000 miles away from the mine, and began to produce radium, silver and uranium products. Initially uranium played a minor role in the business and the products were sold into the ceramics industry to manufacture a variety of crockery with long-lasting colours. In addition, there were sales and loans of uranium products to research laboratories that were exploring nuclear energy for possible use in weapons and power generation, as the potential for this was clearly understood from 1939 onwards. These laboratories included the National Research Council (George Laurence), Columbia University (Enrico Fermi) and International Chemical Industries (J.P. Baxter). With the beginning of World War II the radium business suffered from poor sales and by 1940 the mine was closed but the refinery continued operation, using accumulated stockpiles. By 1942 uranium had become a strategic material, the mine was reopened, and the refinery began to produce large quantities of uranium oxide destined for The Manhattan Project. As events unfolded Eldorado was unable to produce sufficient ore from GBL so that a large quantity of ore from the Belgian Congo was also processed at Port Hope. Ultimately, as a result of the efforts of this enterprise, World War II was finally ended by use of atomic weapons. After World War II the refinery

  2. Eldorado Port Hope refinery - uranium production (1933-1951)

    Energy Technology Data Exchange (ETDEWEB)

    Arsenault, J.E

    2008-03-15

    Since the discovery of pitchblende in 1930 by Gilbert LaBine at Great Bear Lake (GBL), North West Territories, uranium has played a central role in the growth of the Canadian mining sector and it in turn has propelled the country into it's present position as the world's top uranium producer. The rich ore mined there was used originally by Eldorado Gold Mines Limited to build a business based on the extraction of radium, which was selling at $70,000 a gram at the time, and silver which was present in the ore in commercial amounts. The mine site on GBL became known as Port Radium. In 1933 Eldorado brought a refinery on-line at Port Hope, Ontario nearly 4,000 miles away from the mine, and began to produce radium, silver and uranium products. Initially uranium played a minor role in the business and the products were sold into the ceramics industry to manufacture a variety of crockery with long-lasting colours. In addition, there were sales and loans of uranium products to research laboratories that were exploring nuclear energy for possible use in weapons and power generation, as the potential for this was clearly understood from 1939 onwards. These laboratories included the National Research Council (George Laurence), Columbia University (Enrico Fermi) and International Chemical Industries (J.P. Baxter). With the beginning of World War II the radium business suffered from poor sales and by 1940 the mine was closed but the refinery continued operation, using accumulated stockpiles. By 1942 uranium had become a strategic material, the mine was reopened, and the refinery began to produce large quantities of uranium oxide destined for The Manhattan Project. As events unfolded Eldorado was unable to produce sufficient ore from GBL so that a large quantity of ore from the Belgian Congo was also processed at Port Hope. Ultimately, as a result of the efforts of this enterprise, World War II was finally ended by use of atomic weapons. After World War II the

  3. An overview of the regulation of the activities of Eldorado Nuclear Limited in Port Hope, Ontario

    International Nuclear Information System (INIS)

    Smythe, W.D.

    1980-09-01

    Eldorado Nuclear Limited's operations at Port Hope, Ontario include both chemical and metallurgical processes involved in processing uranium in various forms. The plant processes natural uranium for both the domestic and export markets, and processes enriched uranium for the fuel in Canada's research reactors and for booster fuel for Candu reactors. The plant receives wastes from fuel fabrication plants and recycles them to recover uranium, and also produces wastes of its own. The Atomic Energy Control Board (AECB) is involved at all stages of this operation, as the agency responsible for nuclear materials management, safeguards, occupational health and safety, and safe disposal of wastes in all Canada's nuclear facilities. The AECB has also been involved in the clean up of contamination from the early days of operations in Port Hope

  4. Design of the Long-term Waste Management Facility for Historic LLRW Port Hope Project - 13322

    International Nuclear Information System (INIS)

    Campbell, Don; Barton, David; Case, Glenn

    2013-01-01

    The Municipality of Port Hope is located on the northern shores of Lake Ontario approximately 100 km east of Toronto, Ontario, Canada. Starting in the 1930's, radium and later uranium processing by Eldorado Gold Mines Limited (subsequently Eldorado Nuclear Limited) (Eldorado) at their refinery in Port Hope resulted in the generation of process residues and wastes that were disposed of indiscriminately throughout the Municipality until about the mid-1950's. These process residues contained radium (Ra- 226), uranium, arsenic and other contaminants. Between 1944 and 1988, Eldorado was a Federal Crown Corporation, and as such, the Canadian Federal Government has assumed responsibility for the clean-up and long-term management of the historic waste produced by Eldorado during this period. The Port Hope Project involves the construction and development of a new long-term waste management facility (LTWMF), and the remediation and transfer of the historic wastes located within the Municipality of Port Hope to the new LTWMF. The new LTWMF will consist of an engineered above-ground containment mound designed to contain and isolate the wastes from the surrounding environment for the next several hundred years. The design of the engineered containment mound consists of a primary and secondary composite base liner system and composite final cover system, made up of both natural materials (e.g., compacted clay, granular materials) and synthetic materials (e.g., geo-synthetic clay liner, geo-membrane, geo-textiles). The engineered containment mound will cover an area of approximately 13 hectares and will contain the estimated 1.2 million cubic metres of waste that will be generated from the remedial activities within Port Hope. The LTWMF will also include infrastructure and support facilities such as access roads, administrative offices, laboratory, equipment and personnel decontamination facilities, waste water treatment plant and other ancillary facilities. Preliminary

  5. Design of the Long-term Waste Management Facility for Historic LLRW Port Hope Project - 13322

    Energy Technology Data Exchange (ETDEWEB)

    Campbell, Don; Barton, David [Conestoga-Rovers and Associates, 651 Colby Drive, Waterloo, Ontario N2V 1C2 (Canada); Case, Glenn [Atomic Energy of Canada Limited, 115 Toronto Road, Port Hope, Ontario L1A 3S4 (Canada)

    2013-07-01

    The Municipality of Port Hope is located on the northern shores of Lake Ontario approximately 100 km east of Toronto, Ontario, Canada. Starting in the 1930's, radium and later uranium processing by Eldorado Gold Mines Limited (subsequently Eldorado Nuclear Limited) (Eldorado) at their refinery in Port Hope resulted in the generation of process residues and wastes that were disposed of indiscriminately throughout the Municipality until about the mid-1950's. These process residues contained radium (Ra- 226), uranium, arsenic and other contaminants. Between 1944 and 1988, Eldorado was a Federal Crown Corporation, and as such, the Canadian Federal Government has assumed responsibility for the clean-up and long-term management of the historic waste produced by Eldorado during this period. The Port Hope Project involves the construction and development of a new long-term waste management facility (LTWMF), and the remediation and transfer of the historic wastes located within the Municipality of Port Hope to the new LTWMF. The new LTWMF will consist of an engineered above-ground containment mound designed to contain and isolate the wastes from the surrounding environment for the next several hundred years. The design of the engineered containment mound consists of a primary and secondary composite base liner system and composite final cover system, made up of both natural materials (e.g., compacted clay, granular materials) and synthetic materials (e.g., geo-synthetic clay liner, geo-membrane, geo-textiles). The engineered containment mound will cover an area of approximately 13 hectares and will contain the estimated 1.2 million cubic metres of waste that will be generated from the remedial activities within Port Hope. The LTWMF will also include infrastructure and support facilities such as access roads, administrative offices, laboratory, equipment and personnel decontamination facilities, waste water treatment plant and other ancillary facilities

  6. Demonstration and evaluation of the 20-ton-capacity load-cell-based weighing system, Eldorado Resources, Ltd., Port Hope, Ontario, September 3-4, 1986

    International Nuclear Information System (INIS)

    Cooley, J.N.; Huxford, T.J.

    1986-01-01

    On September 3 and 4, 1986, the prototype 20-ton-capacity load-cell-based weighing system (LCBWS) developed by the US Enrichment Safeguards Program (ESP) at Martin Marietta Energy Systems, Inc., was field tested at the Eldorado Resources, Ltd., (ERL) facility in Port Hope, Ontario. The 20-ton-capacity LCBWS has been designed and fabricated for use by the International Atomic Energy Agency (IAEA) for verifying the masses of large-capacity UF 6 cylinders during IAEA safeguards inspections at UF 6 handling facilities. The purpose of the Canadian field test was to demonstrate and to evaluate with IAEA inspectorates and with UF 6 bulk handling facility operators at Eldorado the principles, procedures, and hardware associated with using the 20-ton-capacity LCBWS as a portable means for verifying the masses of 10- and 14-ton UF 6 cylinders. Session participants included representatives from the IAEA, Martin Marietta Energy Systems, Inc., Eldorado Resources, Ltd., the Atomic Energy Control Board (AECB), and the International Safeguards Project Office (ISPO) at Brookhaven National Laboratory (BNL). Appendix A presents the list of participants and their organization affiliation. The two-day field test involved a formal briefing by ESP staff, two cylinder weighing sessions, IAEA critiques of the LCBWS hardware and software, and concluding discussions on the field performance of the system. Appendix B cites the meeting agenda. Summarized in this report are (1) the technical information presented by the system developers, (2) results from the weighing sessions, and (3) observations, suggestions, and concluding statements from meeting participants

  7. Unique Regulatory Approach for Licensing the Port Hope Remediation Project in Canada - 13315

    International Nuclear Information System (INIS)

    Kostova, M.; Howard, D.; Elder, P.

    2013-01-01

    The Port Hope remediation project is a part of a larger initiative of the Canadian Federal Government the Port Hope Area Initiative (PHAI) which is based upon a community proposal. The Government of Canada, through Natural Resources Canada (NRCan) is investing $1.28 billion over 10 years to clean up historic low-level radioactive waste in the Port Hope Area and to provide long-term safe management of the low-level radioactive wastes in the Port Hope Area. These wastes arose from the activities of a former Federal Crown Corporation (Eldorado Nuclear) and its private sector predecessors. In Canada, historic waste are defined as low-level radioactive waste that was managed in a manner no longer considered acceptable, but for which the original producer cannot reasonably be held responsible or no longer exists and for which the Federal Government has accepted responsibility. In Canada, under the current regulatory framework, the environmental remediation is not considered as a distinct phase of the nuclear cycle. The regulatory approach for dealing with existing sites contaminated with radioactive residues is defined on the basis of risk and application of existing regulations. A unique regulatory approach was taken by the Canadian Nuclear Safety Commission (CNSC) to address the various licensing issues and to set out the requirements for licensing of the Port Hope Project within the current regulatory framework. (authors)

  8. Unique Regulatory Approach for Licensing the Port Hope Remediation Project in Canada - 13315

    Energy Technology Data Exchange (ETDEWEB)

    Kostova, M.; Howard, D.; Elder, P. [Directorate of Nuclear Cycle and Facilities Regulation, Canadian Nuclear Safety Commission, 280, Slater Street, Ottawa, Ontario K1P 5S9 (Canada)

    2013-07-01

    The Port Hope remediation project is a part of a larger initiative of the Canadian Federal Government the Port Hope Area Initiative (PHAI) which is based upon a community proposal. The Government of Canada, through Natural Resources Canada (NRCan) is investing $1.28 billion over 10 years to clean up historic low-level radioactive waste in the Port Hope Area and to provide long-term safe management of the low-level radioactive wastes in the Port Hope Area. These wastes arose from the activities of a former Federal Crown Corporation (Eldorado Nuclear) and its private sector predecessors. In Canada, historic waste are defined as low-level radioactive waste that was managed in a manner no longer considered acceptable, but for which the original producer cannot reasonably be held responsible or no longer exists and for which the Federal Government has accepted responsibility. In Canada, under the current regulatory framework, the environmental remediation is not considered as a distinct phase of the nuclear cycle. The regulatory approach for dealing with existing sites contaminated with radioactive residues is defined on the basis of risk and application of existing regulations. A unique regulatory approach was taken by the Canadian Nuclear Safety Commission (CNSC) to address the various licensing issues and to set out the requirements for licensing of the Port Hope Project within the current regulatory framework. (authors)

  9. A cohort study of employees of Eldorado Resources Limited

    International Nuclear Information System (INIS)

    Howe, G.R.; Abbatt, J.D.

    1985-01-01

    This study has determined the mortality experience of Eldorado Resources Limited employees between 1950 and 1980. This crown corporation is involved in the mining and processing of uranium products. An initial analysis shows significant excesses of lung cancer deaths at Port Raduim and Beaverlodge mines and a smaller, nonsignificant excess at the Port Hope refinery. The lung-cancer mortality has been analyzed as a function of radon-daughter exposure. This initial analysis is currently being refined to further develop estimates of excess risk

  10. Study of the health effects of low-level exposure to environmental radiation contamination in Port Hope, Ontario

    International Nuclear Information System (INIS)

    Steele, R.; Lees, R.E.M.; Roberts, J.H.

    1984-06-01

    From 1939 to 1948 residues from radium production at Eldorado Nuclear Ltd.'s plant in Port Hope, Ontario were disposed of in and around the town of Port Hope. In 1980 a study was set up to determine the health effects of these residues. This report concerns phase two a case- control study of lung cancer in the exposed population. Doses for the 118 cases and controls were reconstructed to give the final year of exposure, the residences occupied during the period of exposure, and the total estimated exposure for various latency periods. Statistical analysis of the data gathered could not give coherent results or show an identifiable increased risk of lung cancer from elevated alpha radiation levels due to the confounding effect of cigarette smoking. Ninety percent of the cases of lung cancer found were attributable to smoking

  11. The importance of community trust in advancing solutions to the low-level radioactive waste problem in the port hope Ontario area

    International Nuclear Information System (INIS)

    Holton, B.

    2003-01-01

    In this paper the author gave a personal account from an ''Eldorado kid'' whose father worked at the local plant of Port Hope, to a small businessman concerned by the stigma attached nationally to his home place. Starting inn 1976, nightly news reports of contaminated houses, schools and ravines transformed the town into ''the radioactive hotbed of the country''. The management of the conflict situation is then analyzed. The author recalled the multi-phased process of resolving the waste issue. The issue was felt to represent a stigma problem more than a health problem. (A.L.B.)

  12. The Port Hope area initiative from municipal perspective

    International Nuclear Information System (INIS)

    Austin, R.

    2006-01-01

    'Full text:' This paper explores the Municipal perspective of the Port Hope Area Initiative (PHAI). The PHAI is unique in that it emerged from proposals to the Federal Government and subsequently a tri-partite agreement between the Federal Government and the Municipalities of Port Hope and Clarington for the cleanup and management of historic low-level radioactive wastes in long-term waste management facilities in their Municipalities. A key feature of the Port Hope Project is the remediation of many major and small scale sites in the urban area. As part of this Legal Agreement, each Municipality is required to give consent at key milestones for the project to proceed to the next stage. In addition, the Municipality also has veto authority if the preferred option is changed by the federal government during its final review. The Agreement also ensures that the Municipalities have the resources to conduct an independent assessment of the work completed by the federal proponent and to advise the Municipality on related matters. While this Legal Agreement provides the Municipalities with influence over the outcome of the EA and the project description, especially when compared with the typical role of municipalities in other Federal EAs, there are many challenges that Port Hope faces as partner in this process. These include: Balancing Port Hope's interests with those of the Federal Government; Reaching agreement on how clean the remediation sites should be; Considering the interests of future generations while meeting the needs of existing residents; Ensuring that the Project will have a positive legacy for Port Hope; Ensuring that institutional controls are in place and that Port Hope has a partnership role in monitoring the Project performance during the Construction Phase and the long term Maintenance and Monitoring Phase. In this context, this paper presents the unique aspects of the Municipal involvement in the process to finally achieve a safe, environmentally

  13. The Port Hope area initiative municipal involvement

    International Nuclear Information System (INIS)

    Austin, Rick; Stevenson, Mark

    2006-01-01

    Port Hope (Canada) contains one of the world's oldest nuclear facility sites. From the 1930's through to the 1970's, processing residues from radium refining facilities located at the Port Hope Harbour were being stored and/or deposited on numerous sites throughout the municipality. For a variety of reasons, including spillage of material during transportation and un-monitored or unauthorized diversion of materials, many private and public properties in the municipality were contaminated with low level radioactive waste. Over the past 30 years, the community has demanded that the nuclear industry and the federal government clean up the mess left in Port Hope. In the 1980's and 1990's, the federal government sought to fulfill its commitment to clean up over one million cubic metres of contaminated material remaining in Port Hope but was unable to find a solution. The Low Level Radioactive Waste Management Siting Task Force worked in trying to find a home for historic LLRW in the 1980's and 1990's. It is only within the past 6 years that Port Hope's community began to see the 'light at the end of the tunnel'. And, the light began to shine when the communities took the issue of long term management of the waste into their own hands and proposed possible solutions to the federal government. So the Port Hope Area Initiative is a community-based initiative. In this paper the author presents some of the reasons for success (so far) and some opportunities and challenges that his municipality, and specifically municipal Council, faces as a partner in this Environmental Assessment and project development process. He addresses some of the key elements of the Project that he believes have led to the success of the Project to this point, including: the Legal Agreement and Agreement Monitoring process; the Property Value Protection Program; the Hosting Fee; the Municipal veto on some decisions; the end Use as an asset to the Community; the Value of Peer Review. He also touches

  14. Climate change considerations for the Port Hope area initiative

    International Nuclear Information System (INIS)

    Kirklady, J.; Morassutti, M.; Tamm, J.; Coutts, P.; Chambers, D.

    2006-01-01

    The Port Hope Area Initiative (PHAI) is a community-based program intended to develop a safe and long-term (approximately 500 years) solution for the management of historic low-level radioactive waste (LLRW) that has been present in the Port Hope area for many years. The PHAI undertakings involve the construction and management of two Long-Term Low-Level Radioactive Waste Management Facilities (referred to as the LTWMFs) in Port Hope and in Port Granby. These undertakings are currently undergoing detailed examination through the Environmental Screening process under the Canadian Environmental Assessment Act. The purpose of the study described in this paper was to provide information necessary to satisfy the requirements of the Scope of Environmental Assessment for the Port Hope and Port Granby Projects. In particular, the purpose of the study was to satisfy the requirements to evaluate greenhouse gas (GHG) emissions from the proposed PHAI initiatives and to evaluate the potential effect of climate change parameters on the two Projects. The Port Hope and Port Granby Projects will contribute to Ontario's GHG emission inventory due to vehicle exhaust from excavation equipment and haul trucks during the construction phase of the LTWMFs. The construction phase of the Projects is of relatively short duration, and the contribution of GHGs from each Project was determined to be insignificant compared to Ontario's GHG emissions from the Construction and Transportations sectors. The proposed project elements associated with the Port Hope and Port Granby Projects were each evaluated with respect to potential sensitivities to future change in climate parameters. Considering the potential changes to climate, a screening analysis of each element of the LTWMFs was undertaken. Because it is considered likely that the current design level storms will be exceeded within the next 500 years, it was determined that the storm water management system was potentially sensitive to changes

  15. The alternative means process for the Port Hope Area Initiative

    International Nuclear Information System (INIS)

    O'Neill, J.E.; Campbell, D.; Rossi, R.

    2006-01-01

    In March of 2001, the Government of Canada, the Town of Port Hope, Hope Township and the Municipality of Clarington agreed to the cleanup and long-term management of historic, low-level radioactive waste materials in these communities. The agreement identified conceptual designs for long-term management facilities for the wastes. Two environmental assessments (EAs) of the proposed long-term management facilities have been initiated as part of the Port Hope Area Initiative (PHAI); namely the Port Hope Long-Term Low-Level Radioactive Waste Management Project and the Port Granby Long-Term Low-Level Radioactive Waste Management Project. A requirement set out in the Scope for the EAs is the consideration of technically and economically feasible Alternative Means of carrying out the PHAI projects. Alternative Means are the various ways that the projects could be implemented, such as alternative technologies, sites, transportation routes, etc. Early in the overall EA processes the Low-Level Radioactive Waste Management Office (LLRWMO), which is responsible for undertaking the EAs, recognized that it was facing a significant challenge; namely, the successful completion of a clear, technically sound and defendable Alternative Means analysis, including consultation with and acceptance by the community. This would be a fundamental requirement for the success of the PHAI EAs. A further challenge was to develop consistent assessment methodologies for the Port Hope and Port Granby projects, which were both initiated under the PHAI at the same time. Although similar in many respects, the two projects have major differences. For example, the Port Hope Project, with more sources of contamination within a built- up urban area is more complex and has a broader range of potential solutions to be considered than the rural Port Granby Project. This paper describes how the LLRWMO met that challenge, developed and implemented a successful Alternative Means process and presents the

  16. Eldorado's annual report, 1984

    International Nuclear Information System (INIS)

    1985-01-01

    In 1984 Eldorado Nuclear Ltd. and its subsidiaries achieved record revenues of $208.1 million and had a net profit of $4.4 million. Canada has become the largest producer and exporter of uranium in the western world; Eldorado and three other Canadian companies rank among the eight largest suppliers in the world. Eldorado produced 2029 tonnes of uranium and processed 4399 tonnes in 1984. More of the mineral exploration budget is being directed towards the discovery of other metals and minerals. Uranium exploration is to focus on the delineation of prospective ore bodies close to the Rabbit Lake mill. During the year the Canada Development Investment Corporation, Eldorado's parent company, increased its efforts to find new owners for Eldorado in order to return ownership to the private sector

  17. Port Hope and area property value protection program: creating stability in the marketplace

    International Nuclear Information System (INIS)

    Zelmer, R.

    2003-01-01

    The Property Value Protection (PVP) Program offers an innovative approach to address the risk of individual property value loss resulting from the cleanup and long-term management of low level radioactive waste in the Port Hope area. In its first year of operation, the program has created stability in the marketplace and provided the communities' property owners with the assurance that their investment in their homes and properties will be protected. The PVP Program is part of the Port Hope Area Initiative (the Initiative), encompassing the Port Hope Project for the cleanup of low-level radioactive waste and the development of two long term, low-level radioactive waste management facilities in the Municipality of Port Hope, Ontario. Canada, and the Port Granby Project involving the development of along-term, low-level radioactive waste management facility near Port Granby in the neighbouring Municipality of Clarington. Ontario, Canada. (author)

  18. Removal of Historic Low-Level Radioactive Sediment from the Port Hope Harbour - 13314

    Energy Technology Data Exchange (ETDEWEB)

    Kolberg, Mark [Baird and Associates, 1267 Cornwall Rd., Suite 100, Oakville ON, L6J7T5 (Canada); Case, Glenn [Atomic Energy of Canada Limited, Port Hope, ON (Canada); Ferguson Jones, Andrea [MMM Group Limited, Thornhill, ON (Canada)

    2013-07-01

    At the Port Hope Harbour, located on the north shore of Lake Ontario, the presence of low-level radioactive sediment, resulting from a former radium and uranium refinery that operated alongside the Harbour, currently limits redevelopment and revitalization opportunities. These waste materials contain radium-226, uranium, arsenic and other contaminants. Several other on-land locations within the community of Port Hope are also affected by the low-level radioactive waste management practices of the past. The Port Hope Project is a community initiated undertaking that will result in the consolidation of an estimated 1.2 million cubic metres of the low-level radioactive waste from the various sites in Port Hope into a new engineered above ground long-term waste management facility. The remediation of the estimated 120,000 m{sup 3} of contaminated sediments from the Port Hope Harbour is one of the more challenging components of the Port Hope Project. Following a thorough review of various options, the proposed method of contaminated sediment removal is by dredging. The sediment from the dredge will then be pumped as a sediment-water slurry mixture into geo-synthetic containment tubes for dewatering. Due to the hard substrate below the contaminated sediment, the challenge has been to set performance standards in terms of low residual surface concentrations that are attainable in an operationally efficient manner. (authors)

  19. Removal of Historic Low-Level Radioactive Sediment from the Port Hope Harbour - 13314

    International Nuclear Information System (INIS)

    Kolberg, Mark; Case, Glenn; Ferguson Jones, Andrea

    2013-01-01

    At the Port Hope Harbour, located on the north shore of Lake Ontario, the presence of low-level radioactive sediment, resulting from a former radium and uranium refinery that operated alongside the Harbour, currently limits redevelopment and revitalization opportunities. These waste materials contain radium-226, uranium, arsenic and other contaminants. Several other on-land locations within the community of Port Hope are also affected by the low-level radioactive waste management practices of the past. The Port Hope Project is a community initiated undertaking that will result in the consolidation of an estimated 1.2 million cubic metres of the low-level radioactive waste from the various sites in Port Hope into a new engineered above ground long-term waste management facility. The remediation of the estimated 120,000 m 3 of contaminated sediments from the Port Hope Harbour is one of the more challenging components of the Port Hope Project. Following a thorough review of various options, the proposed method of contaminated sediment removal is by dredging. The sediment from the dredge will then be pumped as a sediment-water slurry mixture into geo-synthetic containment tubes for dewatering. Due to the hard substrate below the contaminated sediment, the challenge has been to set performance standards in terms of low residual surface concentrations that are attainable in an operationally efficient manner. (authors)

  20. Finally Underway: Implementation of the Port Hope Area Initiative - 13151

    International Nuclear Information System (INIS)

    Fahey, Christine A.; Palmeter, Tim; Blanchette, Marcia

    2013-01-01

    Two distinct yet closely related waste remediation projects are finally underway in Canada under the Port Hope Area Initiative (PHAI) which aims to clean up 1.7 million cubic metres (m 3 ) of low-level radioactive waste (LLRW) arising from 60 years of uranium and radium operations. Under the PHAI, the Port Hope Project and the smaller Port Granby Project will result in the consolidation of the LLRW within two highly engineered, above-ground mounds, to be constructed within the municipalities of Port Hope and Clarington. These projects will fulfill the federal government commitment to the safe, long-term management of the LLRW, as set out in the legal agreement signed by the government and the host municipalities in 2001. The federal authorization to commence PHAI Remediation and Construction Phase 2 was received in late 2011 and several enabling infrastructure construction and radiological survey contracts were awarded in 2012. The contracts to remediate the waste sites and construct the new engineered mounds will be tendered in 2013. At the end of Phase 2, environmental risks will be substantially mitigated, land development restrictions lifted, and an honourable legacy left for future generations. (authors)

  1. Ecological risk assessments for the baseline condition for the Port Hope and Port Granby Projects

    International Nuclear Information System (INIS)

    Hart, D.R.; Kleb, H.

    2006-01-01

    Baseline ecological risk assessments were completed in and around the areas where cleanup of low-level radioactive waste (LLRW) and marginally contaminated soil (MCS) is planned under the Port Hope Area Initiative (PHAI). Both aquatic and terrestrial environments were assessed, in the vicinity of the proposed waste management facilities near Welcome and Port Granby, in locations potentially influenced by LLRW and MCS that will be cleaned up in future, and in reference locations that are not potentially influenced. The calculated doses and risk quotients suggest potential radiation effects for pre-cleanup benthic invertebrates in Port Hope Harbour, for any ducks feeding exclusively in this area, and for soil invertebrates in some other waste sites. In addition, risk quotients suggest potential baseline effects from some elements, particularly uranium and arsenic, in localized areas that are influenced by LLRW and MCS. (author)

  2. Dredging up the past -- removal of historic low-level radioactive sediment from the Port Hope harbour

    International Nuclear Information System (INIS)

    Case, G.; Kolberg, M.

    2011-01-01

    Port Hope is located on the northern shore of Lake Ontario at the confluence of the Ganaraska River and has existed as a Port of Entry since at least 1819. Once operated as a major Lake Ontario port, through periods of vibrant industrial growth, it is now a recreational anchorage for the local yacht club. The history of the Port Hope harbour from the early 1800s to today is typical of other small-town ports along Lake Ontario that have experienced growth and decline in direct relation to Great Lake shipping volumes and the shift in industry and commerce to larger urban areas. However, in the case of the Port Hope harbour, the presence of low-level radioactive sediment, resulting from a former radium and uranium refinery that operated alongside the harbour, currently limits redevelopment and revitalization opportunities. The presence of low-level radioactive waste is not limited to only harbour sediments. Several other on-land locations within the community are also affected by the low-level radioactive waste management practices of the past. To address these situations, the Port Hope Area Initiative project is currently underway to implement a local, safe, long-term waste management solution. The Port Hope Area Initiative is a community initiated undertaking that will result in the consolidation of an estimated 1.2 million cubic metres of the low-level radioactive waste from the various sites in Port Hope into a new engineered above ground long-term waste management facility. The remedial cleanup of the estimated 120,000 cubic metres of contaminated sediments from the Port Hope harbour is one of the more challenging components of the Initiative. This paper demonstrates how the historical development of the harbour over the past 200 years, the nature and extent of the contaminated sediments, and Municipality of Port Hope’s desires for future redevelopment of the waterfront area have all played a role in the design of the remedial cleanup plan for the Port Hope

  3. Dredging up the past -- removal of historic low-level radioactive sediment from the Port Hope harbour

    Energy Technology Data Exchange (ETDEWEB)

    Case, G. [Atomic Energy of Canada Limited, Port Hope, ON (Canada); Kolberg, M. [Baird, Oakville, ON (Canada)

    2011-07-01

    Port Hope is located on the northern shore of Lake Ontario at the confluence of the Ganaraska River and has existed as a Port of Entry since at least 1819. Once operated as a major Lake Ontario port, through periods of vibrant industrial growth, it is now a recreational anchorage for the local yacht club. The history of the Port Hope harbour from the early 1800s to today is typical of other small-town ports along Lake Ontario that have experienced growth and decline in direct relation to Great Lake shipping volumes and the shift in industry and commerce to larger urban areas. However, in the case of the Port Hope harbour, the presence of low-level radioactive sediment, resulting from a former radium and uranium refinery that operated alongside the harbour, currently limits redevelopment and revitalization opportunities. The presence of low-level radioactive waste is not limited to only harbour sediments. Several other on-land locations within the community are also affected by the low-level radioactive waste management practices of the past. To address these situations, the Port Hope Area Initiative project is currently underway to implement a local, safe, long-term waste management solution. The Port Hope Area Initiative is a community initiated undertaking that will result in the consolidation of an estimated 1.2 million cubic metres of the low-level radioactive waste from the various sites in Port Hope into a new engineered above ground long-term waste management facility. The remedial cleanup of the estimated 120,000 cubic metres of contaminated sediments from the Port Hope harbour is one of the more challenging components of the Initiative. This paper demonstrates how the historical development of the harbour over the past 200 years, the nature and extent of the contaminated sediments, and Municipality of Port Hope’s desires for future redevelopment of the waterfront area have all played a role in the design of the remedial cleanup plan for the Port Hope

  4. The radiological implications of using Port Hope sewage sludge on farm land

    International Nuclear Information System (INIS)

    McKee, P.M.; Lush, D.L.

    1987-12-01

    For several years, sewage sludges from the Port Hope Pollution Control Plant were used as agricultural fertilizer. In 1985, the sludges were found to contain uranium from a refinery, and landspreading was suspended. This research project was undertaken to determine the levels of uranium and its decay products in Port Hope sludge and to calculate the dose to the most highly exposed group (farmers). Uranium concentrations in Port Hope sludge averaged 5 ppm (wet weight) and were higher than in other sludges sampled. Levels of uranium 238 decay products were slightly elevated in the Port Hope sludge relative to other sludges. If sludge is applied at the rate allowed by the provincial sludge utilization guidelines, it is estimated that the concentration of uranium in surface soil, per application, would be 0.85 ppm. The individual effective dose equivalent attributed to sludge used at this rate is 0.00059 mSv.a -1 , for soils treated once. If sludge is applied for 50 years at this rate, the effective dose equivalent received by a farmer living on the farm and consuming crops from these fields is estimated to be approximately 0.0056 mSv.a -1 . This dose is 0.3% of the natural background radiation dose of approximately 2 mSv received annually by member of the general public. The estimated rate of ingestion of uranium from the consumption of crops grown on fields fertilized with Port Hope sludge is well below the level that would be toxic to humans

  5. An ecological study of cancer incidence in Port Hope, Ontario from 1992 to 2007.

    Science.gov (United States)

    Chen, Jing; Moir, Deborah; Lane, Rachel; Thompson, Patsy

    2013-03-01

    A plant processing radium and uranium ores has been operating in the town of Port Hope since 1932. Given the nuclear industry located in the community and ongoing public health concerns, cancer incidence rates in Port Hope were studied for a recent 16 year period (1992-2007) for continued periodic cancer incidence surveillance of the community. The cancer incidence in the local community for all cancers combined was similar to the Ontario population, health regions with similar socio-economic characteristics in Ontario and in Canada, and the Canadian population. No statistically significant differences in childhood cancer, leukaemia or other radiosensitive cancer incidence were observed, with the exception of statistically significant elevated lung cancer incidence among women. However, the statistical significance was reduced or disappeared when the comparison was made to populations with similar socio-economic characteristics. These findings are consistent with previous ecological, case-control and cohort studies conducted in Port Hope, environmental assessments, and epidemiological studies conducted elsewhere on populations living around similar facilities or exposed to similar environmental contaminants. Although the current study covered an extended period of time, the power to detect risk at the sub-regional level of analysis was limited since the Port Hope population is small (16,500). The study nevertheless indicated that large differences in cancer incidence are not occurring in Port Hope compared to other similar communities and the general population.

  6. Case Study of Urban Residential Remediation and Restoration in Port Hope, Canada - 13250

    Energy Technology Data Exchange (ETDEWEB)

    Geddes, Brian [AMEC Environment and Infrastructure, 140 Quarry Park Blvd., Calgary, AB, T2C 3G3 (Canada); DeJong, John [AMEC Environment and Infrastructure, Port Hope, ON (Canada); Owen, Michael [Low-Level Radioactive Waste Management Office, 196 Toronto Road, Port Hope, ON, L1A 3V5 (Canada)

    2013-07-01

    The Canadian Municipality of Port Hope, Ontario, is located some 100 km east of Toronto and has been the location of radium and/or uranium refining since the 1930's. Historically, these activities involved materials containing radium-226, uranium, arsenic and other contaminants generated by the refining process. In years past, properties and sites in Port Hope became contaminated from spillage during transportation, unrecorded, un-monitored or unauthorized diversion of contaminated fill and materials, wind and water erosion and spread from residue storage areas. Residential properties in Port Hope impacted by radioactive materials are being addressed by the Canadian federal government under programs administered by the Low-Level Radioactive Waste Management Office (LLRWMO) and the Port Hope Area Initiative Management Office (PHAIMO). Issues that currently arise at these properties are addressed by the LLRWMO's Interim Waste Management Program (IWM). In the future, these sites will be included in the PHAIMO's Small Scale Sites (SSS) remedial program. The LLRWMO has recently completed a remediation and restoration program at a residential property in Port Hope that has provided learnings that will be applicable to the PHAIMO's upcoming SSS remedial effort. The work scope at this property involved remediating contaminated refinery materials that had been re-used in the original construction of the residence. Following removal of the contaminated materials, the property was restored for continued residential use. This kind of property represents a relatively small, but potentially challenging subset of the portfolio of sites that will eventually be addressed by the SSS program. (authors)

  7. Port Hope and area property value protection program: creating stability in the marketplace

    International Nuclear Information System (INIS)

    Gerestein, B.; Flynn, B.

    2006-01-01

    The Property Value Protection (PVP) Program, administered by the Low-Level Radioactive Waste Management Office (LLRWMO), functions as an integral part of the Port Hope Area Initiative, a $260M, 10-year project to clean up and safely manage low- level radioactive waste for the long-term in the Port Hope area. The PVP Program was established in March 2001 to compensate owners of residential, commercial or industrial properties in designated parts of the municipalities of Port Hope and Clarington. Compensation is awarded to owners if they realize financial loss on the sale or rental of their property or mortgage renewal difficulties as a result of the Initiative. Key features of the PVP Program include a claim process, an appeal process and the appointment of independent Compensation Officers to hear appeals. (author)

  8. An ecological study of cancer incidence in Port Hope, Ontario from 1992 to 2007

    International Nuclear Information System (INIS)

    Chen Jing; Moir, Deborah; Lane, Rachel; Thompson, Patsy

    2013-01-01

    A plant processing radium and uranium ores has been operating in the town of Port Hope since 1932. Given the nuclear industry located in the community and ongoing public health concerns, cancer incidence rates in Port Hope were studied for a recent 16 year period (1992–2007) for continued periodic cancer incidence surveillance of the community. The cancer incidence in the local community for all cancers combined was similar to the Ontario population, health regions with similar socio-economic characteristics in Ontario and in Canada, and the Canadian population. No statistically significant differences in childhood cancer, leukaemia or other radiosensitive cancer incidence were observed, with the exception of statistically significant elevated lung cancer incidence among women. However, the statistical significance was reduced or disappeared when the comparison was made to populations with similar socio-economic characteristics. These findings are consistent with previous ecological, case-control and cohort studies conducted in Port Hope, environmental assessments, and epidemiological studies conducted elsewhere on populations living around similar facilities or exposed to similar environmental contaminants. Although the current study covered an extended period of time, the power to detect risk at the sub-regional level of analysis was limited since the Port Hope population is small (16 500). The study nevertheless indicated that large differences in cancer incidence are not occurring in Port Hope compared to other similar communities and the general population. (paper)

  9. The Challenges Of Investigating And Remediating Port Hope's Small-Scale Urban Properties - 13115

    Energy Technology Data Exchange (ETDEWEB)

    Veen, Walter van; Case, Glenn; Benson, John; Herod, Judy [Atomic Energy of Canada Limited, Port Hope, Ontario (Canada); Yule, Adam [Public Works and Government Services Canada, Port Hope, Ontario (Canada)

    2013-07-01

    An important component of the Port Hope Project, the larger of the two projects comprising the Port Hope Area Initiative (PHAI), is the investigation of all 4,800 properties in the Municipality of Port Hope for low level radioactive waste (LLRW) and the remediation of approximately 10% of these. Although the majority of the individual properties are not expected to involve technically sophisticated remediation programs, the large number of property owners and individually unique properties are expected to present significant logistic challenges that will require a high degree of planning, organization and communication. The protocol and lessons learned described will be of interest to those considering similar programs. Information presented herein is part of a series of papers presented by the PHAI Management Office (PHAI MO) at WM Symposium '13 describing the history of the Port Hope Project and current project status. Other papers prepared for WM Symposium '13 address the large-scale site cleanup and the construction of the long-term waste management facility (LTWMF) where all of the LLRW will be consolidated and managed within an engineered, above-ground mound. (authors)

  10. Commercial Eldorado?

    Directory of Open Access Journals (Sweden)

    Rosemarijn Hoefte

    1996-07-01

    Full Text Available [First paragraph] De eerste Adam & De rots der struikeling. BOELI VAN LEEUWEN. Amsterdam: Ooievaar, 1996. 237 pp. (Paper NLG 25.00 Gedane zaken: De beste verhalen. HUGO Pos. Amsterdam: Ooievaar, 1996. 230 pp. (Paper NLG 15.00 Maar ik blijf. ASTRID H. ROEMER. Amsterdam: Ooievaar, 1996. 763 pp. (Paper NLG 25.00 De allermooiste romans van de Antillen en Suriname. Amsterdam: De Bezige Bij, 1996. 605 pp. (Paper NLG 39.90 Zingende eilanden. WIM RUTGERS (ed.. Amsterdam: De Bezige Bij, 1996. 317 pp. (Paper NLG 25.00 De eeuwige belofte van Eldorado: Verhalen over Latijns-Amerika en het Caribisch gebied. Nieuwegein: Aspekt, 1996. 188 pp. (Paper NLG 34.50 Echo van eldorado. ROSEMARIJN HOEFTE & GERT OOSTINDIE (comps. Leiden: KITLV Uitgeverij, 1996. 150 pp. (Paper NLG 15.00 Achter het eeuwig El Dorado: Fictie en realiteit in Latijnsamerikaanse literatuur. GEERT A. BANCK et al. Amsterdam: Thela, 1996. 140 pp. (Paper NLG 19.90 Eldorado: Werkelijkheid en droom. ROBERT LEMM. Amsterdam: Arbeiderspers, 1996. 160 pp. (Paper NLG 29.90 302 New West Indian Guide/Nieuwe West-Indische Gids vol. 70 rw. 3 & 4 Surinaamse recepten van A tot Z. MURIEL SAM-SIN-HEWITT. Schoorl: Conserve, 1996. 243 pp. (Paper NLG 29.95 De Bonistraat. AMBER NAHAR. Amsterdam: Piramide, 1996. 71 pp. (Cloth NLG 19.90 Beneden en boven de wind: Literatuur van de Nederlandse Antillen en Aruba. WIM RUTGERS. Amsterdam: De Bezige Bij, 1996. 468 pp. (Paper NLG 54.90 Elisabeth Samson: Een vrije, zwarte vrouw in het 18e-eeuwse Suriname. CYNTHIA MC LEOD. Schoorl: Conserve, 1996. 177 pp. (Paper NLG 29.90 De beroepsherinneraar en andere verhalen. ANIL RAMDAS. Amsterdam: De Bezige Bij, 1996. 280 pp. (Paper NLG 34.90 Geef mij maareen Surinamer. RONALD SNIJDERS. Amsterdam: Prometheus, 1996. 88 pp. (Paper NLG 19.90 De vrolijke dood van David Caprino. HENRY MENCKEBERG. Amsterdam: Meulenhoff. 291 pp. (Paper NLG 39.90 Caribische winter. ANNA BRIDIÉ. Amsterdam: Contact, 1996. 222 pp. (Cloth NLG 39

  11. Scheduling the Remediation of Port Hope: Logistical and Regulatory Challenges of a Multiple Site Urban Remediation Project - 13119

    International Nuclear Information System (INIS)

    Ferguson Jones, Andrea; Lee, Angela; Palmeter, Tim

    2013-01-01

    The Port Hope Project is part of the larger CAN$1.28 billion Port Hope Area Initiative (PHAI), a community-based program for the development and implementation of a safe, local, long-term management solution for historic Low-Level Radioactive Waste (LLRW) in the Municipalities of Port Hope and Clarington, Ontario, Canada. Atomic Energy of Canada (AECL) is the Project Proponent, Public Works and Government Services (PWGSC) is managing the procurement of services and the MMM Group Limited - Conestoga Rovers and Associates Joint Venture (MMM-CRA Joint Venture) is providing detailed design and construction oversight and administration services for the Project. The Port Hope Project includes the construction of a long-term waste management facility (LTWMF) in the Municipality of Port Hope and the remediation of 18 (eighteen) large-scale LLRW, numerous small-scale sites still being identified and industrial sites within the Municipality. The total volume to be remediated is over one million cubic metres and will come from sites that include temporary storage sites, ravines, beaches, parks, private commercial and residential properties and vacant industrial sites all within the urban area of Port Hope. Challenges that will need to be overcome during this 10 year project include: - Requirements stipulated by the Environmental Assessment (EA) that affect Project logistics and schedule. - Coordination of site remediation with the construction schedule at the LTWMF. - Physical constraints on transport routes and at sites affecting production rates. - Despite being an urban undertaking, seasonal constrains for birds and fish (i.e., nesting and spawning seasons). - Municipal considerations. - Site-specific constraints. - Site interdependencies exist requiring consideration in the schedule. Several sites require the use of an adjacent site for staging. (authors)

  12. Scheduling the Remediation of Port Hope: Logistical and Regulatory Challenges of a Multiple Site Urban Remediation Project - 13119

    Energy Technology Data Exchange (ETDEWEB)

    Ferguson Jones, Andrea; Lee, Angela [MMM Group Limited, 100 Commerce Valley Drive West, Thornhill, Ontario, L3T 0A1 (Canada); Palmeter, Tim [Public Works and Government Services Canada, 4900 Yonge Street, Toronto, Ontario, M2N 6A6 (Canada)

    2013-07-01

    The Port Hope Project is part of the larger CAN$1.28 billion Port Hope Area Initiative (PHAI), a community-based program for the development and implementation of a safe, local, long-term management solution for historic Low-Level Radioactive Waste (LLRW) in the Municipalities of Port Hope and Clarington, Ontario, Canada. Atomic Energy of Canada (AECL) is the Project Proponent, Public Works and Government Services (PWGSC) is managing the procurement of services and the MMM Group Limited - Conestoga Rovers and Associates Joint Venture (MMM-CRA Joint Venture) is providing detailed design and construction oversight and administration services for the Project. The Port Hope Project includes the construction of a long-term waste management facility (LTWMF) in the Municipality of Port Hope and the remediation of 18 (eighteen) large-scale LLRW, numerous small-scale sites still being identified and industrial sites within the Municipality. The total volume to be remediated is over one million cubic metres and will come from sites that include temporary storage sites, ravines, beaches, parks, private commercial and residential properties and vacant industrial sites all within the urban area of Port Hope. Challenges that will need to be overcome during this 10 year project include: - Requirements stipulated by the Environmental Assessment (EA) that affect Project logistics and schedule. - Coordination of site remediation with the construction schedule at the LTWMF. - Physical constraints on transport routes and at sites affecting production rates. - Despite being an urban undertaking, seasonal constrains for birds and fish (i.e., nesting and spawning seasons). - Municipal considerations. - Site-specific constraints. - Site interdependencies exist requiring consideration in the schedule. Several sites require the use of an adjacent site for staging. (authors)

  13. Balancing the positives and negatives: the challenge of socio-economic effects assessment of the Port Hope area initiative

    International Nuclear Information System (INIS)

    Wlodarczyk, T.L.; Flynn, B.

    2006-01-01

    The Port Hope Area Initiative (PHAI) is a community-based program directed at the development and implementation of a safe, long-term management solution for low-level radioactive waste (LLRW) that has existed in two communities in the Port Hope area for some seven decades. As part of the environmental assessment of the two projects (i.e., the Port Hope Project and the Port Granby Project) being undertaken as part of the PHAI, two separate socio-economic effects assessments were completed. The assessments were designed to be broad ranging assessments of the effects of the Projects on people and their communities. This paper discusses how the assessments identified and assessed the positive and negative effects of the two Projects, what those effects were, and draws conclusions on whether the positives outweigh the negatives. (author)

  14. Remediation of Centre Pier, Port Hope, Ontario: Historical, Logistical, Regulatory and Technical Challenges - 13118

    International Nuclear Information System (INIS)

    Ferguson Jones, Andrea; Case, Glenn; Lawrence, Dave

    2013-01-01

    Centre Pier is a 3.9 ha property owned by the Commissioners of the Port Hope Harbour in the Municipality of Port Hope, Ontario, Canada. It is centrally located on the Port Hope waterfront and is bounded on the west by the Port Hope Harbour, on the east by the Ganaraska River, on the south by Lake Ontario, and on the north by a railway corridor. The property is currently leased by the Commissioners of the Port Hope Harbour to the Cameco Corporation which owns the four onsite building that are used as warehouse space for their uranium conversion facility located on the western side of the Harbour. Remediation of this site forms part of the Port Hope Project being undertaken by Atomic Energy of Canada Limited (AECL) and Public Works and Government Services Canada (PWGSC) as part of the Port Hope Area Initiative (PHAI). Soil impacts include radiological, metals and petroleum hydrocarbons resulting from long term historical industrial use. Radiological impacts in soil extend across most of the site primarily within the upper metre of fill. Metals-contaminated soil is present across the entire site in the underlying fill material. The metals-contaminated fill extends to a maximum depth of 2.0 m below grade at the north end of the site which is underlain by peat. However, the metals-contaminated soil could extend to the top of the bedrock on the remainder of the site. Based on the elevation of the bedrock in the adjacent river and Harbour Basin, the metals-contaminated soil may extend to a depth of 5.6 m or 6.5 m below existing grade. Petroleum-contaminated soil is present on the southeast side of the site, where a storage tank farm was previously located. Challenges include: - The complex history of the site both relating to site use and Pier construction. Pier development began in the 1800's and was undertaken by many different entities. Modifications and repairs were made over the years resulting in several different types of Pier walls and fill that must be considered

  15. Remediation of Centre Pier, Port Hope, Ontario: Historical, Logistical, Regulatory and Technical Challenges - 13118

    Energy Technology Data Exchange (ETDEWEB)

    Ferguson Jones, Andrea [MMM Group Limited, 100 Commerce Valley Drive West, Thornhill, Ontario, L3T 0A1 (Canada); Case, Glenn [Atomic Energy of Canada Limited, 115 Toronto Road, Port Hope, Ontario, L1A 3S4 (Canada); Lawrence, Dave [Public Works and Government Services Canada, 115 Toronto Road, Port Hope, Ontario, L1A 3S4 (Canada)

    2013-07-01

    Centre Pier is a 3.9 ha property owned by the Commissioners of the Port Hope Harbour in the Municipality of Port Hope, Ontario, Canada. It is centrally located on the Port Hope waterfront and is bounded on the west by the Port Hope Harbour, on the east by the Ganaraska River, on the south by Lake Ontario, and on the north by a railway corridor. The property is currently leased by the Commissioners of the Port Hope Harbour to the Cameco Corporation which owns the four onsite building that are used as warehouse space for their uranium conversion facility located on the western side of the Harbour. Remediation of this site forms part of the Port Hope Project being undertaken by Atomic Energy of Canada Limited (AECL) and Public Works and Government Services Canada (PWGSC) as part of the Port Hope Area Initiative (PHAI). Soil impacts include radiological, metals and petroleum hydrocarbons resulting from long term historical industrial use. Radiological impacts in soil extend across most of the site primarily within the upper metre of fill. Metals-contaminated soil is present across the entire site in the underlying fill material. The metals-contaminated fill extends to a maximum depth of 2.0 m below grade at the north end of the site which is underlain by peat. However, the metals-contaminated soil could extend to the top of the bedrock on the remainder of the site. Based on the elevation of the bedrock in the adjacent river and Harbour Basin, the metals-contaminated soil may extend to a depth of 5.6 m or 6.5 m below existing grade. Petroleum-contaminated soil is present on the southeast side of the site, where a storage tank farm was previously located. Challenges include: - The complex history of the site both relating to site use and Pier construction. Pier development began in the 1800's and was undertaken by many different entities. Modifications and repairs were made over the years resulting in several different types of Pier walls and fill that must be

  16. Ecological land classification and terrestrial environment effects assessment for the Port Hope and Port Granby projects

    International Nuclear Information System (INIS)

    Taylor, M.; Wittkugel, U.; Kleb, H.

    2006-01-01

    The Ecological Land Classification system was developed to provide a standardized methodology for describing plant communities and wildlife habitat in southern Ontario. The method employs a hierarchical classification system. It can be applied at different levels of accuracy, i.e., at regional, sub-regional, and local scales with an increasing differentiation of vegetation communities. The standardization of the approach permits a comparison of vegetation communities from different sites and an evaluation of the rarity of these communities within the province. Further, the approach facilitates the monitoring of changes in terrestrial communities with time. These characteristics make Ecological Land Classification mapping a useful tool for environmental assessment such as the ones undertaken for the Port Hope and Port Granby Long-Term Waste Management Projects, which were conducted pursuant to the Canadian Environmental Assessment Act 1992. In the context of the Environmental Assessment for the Port Hope and Port Granby Projects, an Ecological Land Classification study was undertaken to characterize the terrestrial environment at regional, local and site levels. Vegetation patches (polygons) were delineated on the basis of air photo interpretation. The individual polygons were then visited for detailed inventory and classified to the most detailed level; that is to the vegetation type. Plant communities were then compared with those listed in the Ontario Natural Heritage Information Centre database to determine their rarity and to determine where they rank as Valued Ecosystem Components. Ecological Land Classification mapping results were used in the assessment of effects to Valued Ecosystem Components. A spatial analysis of the digitized vegetation maps showed the geographic extent of habitat losses and impairments due to various project works and activities. Landscape rehabilitation strategies and concepts were subsequently developed based on Ecological Land

  17. The remediation and rejeuvenation of Cameco's Port Hope conversion facility

    International Nuclear Information System (INIS)

    D'Agostino, A.

    2011-01-01

    Cameco's Vision 2010/Vision in Motion project is a comprehensive redevelopment plan for the Port Hope conversion facility (PHCF), Canada's oldest continually operating nuclear facility. It entails the cleanup and redevelopment of the site, which is currently home to a number of old or under-utilized buildings, contaminated soils and stored historic wastes. Following removal of the targeted structures, the contaminated soils and stored wastes, new replacement buildings will be constructed. The project is being carried out in conjunction with the Port Hope Area Initiative (PHAI), a federal government undertaking for the cleanup and long-term management of low-level radioactive and industrial waste in Port Hope. The demolition program will form a significant portion of the Vision 2010 project activities. There are a number of buildings on the site that are to be removed, ranging in size from small pump-houses to large former production plants. The buildings slated for demolition will first have any remaining equipment and materials removed and then be cleaned to remove surface contaminants. Once the buildings have been cleaned, they will be dismantled. The excavation of fill and native soil underlying Cameco's PHCF is another important element of Vision 2010. The soil has been contaminated by historical operations, largely related to predecessor uranium processing and radium production activities. Soil which exceeds the remedial objectives will be loaded onto trucks and transported to PHAI's long-term waste management facility (LTWMF) for management. Throughout these activities, hazardous materials will be encountered, primarily during the demolition of buildings and the cleaning of materials to meet release criteria. Some hazardous materials may also be encountered during the preparation or repackaging of drummed waste prior to disposal at the LTWMF and during soil excavation. (author)

  18. The role of peer review in responsive decisions - a case study of clean-up and safe long-term management of historic waste at Port Hope and Clarington

    International Nuclear Information System (INIS)

    Hardy, D.

    2006-01-01

    'Full text:' The Municipalities of Port Hope and Clarington ('Municipalities') are committed to leading the clean- up and safe long-term management of historic low- level radioactive and hazardous wastes deposited in Port Granby (in the Municipality of Clarington) and several locations in the Municipality of Port Hope. They are supported by the Government of Canada through Atomic Energy of Canada Limited's (AECL) Low- Level Radioactive Waste Management Office (LLRWMO). The wastes are the result of radium and uranium processing in Port Hope by Eldorado since the 1930s. To establish the parameters of the clean- up, including the ability to veto the project, the local municipalities negotiated and signed a Legal Agreement with the Government of Canada in 2001. As a Responsible Authority, Natural Resources Canada has defined and approved the scope of the two projects. The LLRWMO is designated as the proponent. Accordingly, the LLRWMO is conducting the Environmental Assessment (EA) Studies and seeking approval of a preferred method of conducting the clean up for each municipality. The municipalities recognized that these large and complex environmental assessment studies would challenge the resources of citizens, municipal professional staff and politicians. Thus, the Legal Agreement specified that both municipalities would have funded staff to work together to coordinate and expedite the project. A Peer Review Team (PRT) would be retained by the municipalities and funded by the Government of Canada. The PRT is made up of experienced professionals led by Hardy Stevenson and Associates Limited in disciplines appropriate to the peer review tasks on hand. The PRT has brought a unique approach to the peer review. The PRT is headed by planners and social scientists trained to be sensitive to the 'people aspects' of the EA process as a major priority. They are supported by engineers and technical specialists. The team includes a physician with a family practice who is also an

  19. Commissioning and startup of the Blind River uranium refinery

    International Nuclear Information System (INIS)

    Schisler, J.M.

    1987-01-01

    In the last five years Eldorado Resources Ltd. (ERL) has undergone a major expansion and modernization of its uranium refining and conversion plants. A new refinery for processing yellow cake to UO/sub 3/ was constructed at Blind River in northern Ontario and started up in 1983. Its rated capacity is 18,000 t/a uranium as UO/sub 3/. At Port Hope, Ontario, ERL's new UF/sub 6/ conversion plant has been constructed. This plant started up in 1984. It utilizes the novel, wet-way process to produce UF/sub 4/ and gives the company a UF/sub 6/ production capacity of 14,500 t/a U. Also at Port Hope is Eldorado's ceramic UO/sub 2/ powder production facility, commissioned in late 1980. It has a capacity of 1700 t/a uranium as UO/sub 2/. With the completion of these capital projects, Eldorado has the largest and most up-to-date refining and conversion facilities in the western world. This paper reviews the refining process and process design. The methodology used to start up the Blind River plant is described as are some startup difficulties, solutions that were developed, and the resultant current operation

  20. The role of the peer review process in the clean up of low-level and historic radioactive waste in the municipalities of Port Hope and Clarington, Ontario, Canada

    International Nuclear Information System (INIS)

    Al-Haydari, D.

    2011-01-01

    This paper describes the role of the Municipal Peer Review Team (MPRT) for the Municipalities of Port Hope (Port Hope Project) and Clarington (Port Granby Project) for the clean-up of low level and historic radioactive waste. The purpose of the MPRT is to provide the municipalities with a team of experts to help assist their participation in the cleanup process. The peer review process has enabled the Municipalities of Port Hope and Clarington to participate in the decision-making processes as equal parties with the Port Hope Area Initiative Management Office and the Regulatory Authorities. Furthermore, the peer review process has stressed the need for a proactive management approach for low-level radioactive waste and marginally contaminated soil clean-ups. With the work of the MPRT, the Port Hope Project has been granted a facility licence (August, 2009). Both Projects have completed the detailed design phase, where the MPRT played a major role in the review of design documentation. The MPRT has developed an excellent working relationship with the Municipal staff and Mayors of Port Hope and Clarington. The MPRT effectively manages the 'people aspects' of the Port Hope and Port Granby Projects for the municipalities and assists in building transparency and trust in all Project activities. Collaborative, multi-disciplinary dialogue has been a key element to project success. Furthermore, the MPRT has become familiar with the local residents from attending community events and public meetings and has become a trusted source on all things Project related. (author)

  1. Eldorado Nuclear Limited annual report 1979

    International Nuclear Information System (INIS)

    1980-01-01

    In the fiscal year ending Dec. 31, 1979 Eldorado Nuclear had gross revenues totalling $111 498 000. Net earnings were $398 000. Progress was made towards the completion of capital projects leading to the development of the key Lake deposit and the construction of a new UF 6 plant. Studies on a new conversion plant to be located in Saskatchewan are being carried out. Eldorado's mining and processing capacity is to be more than doubled in the early 1980's. The company participated in 28 exploration projects in eight provinces and both territories in 1979. The Beaverlodge mine produced more than 312 000 tons of ore, and 1 006 000 pounds of U 3 O 8 were recovered. Uranium hexafluoride production was 9 890 000 pounds U, and UO 2 production accounted for 2 919 000 pounds U. (LL)

  2. Fate and transport modelling of uranium in Port Hope Harbour

    International Nuclear Information System (INIS)

    Pinilla, C.E.; Garisto, N.; Peters, R.

    2010-01-01

    Fate and transport modelling of contaminants in Port Hope Harbour and near-shore Lake Ontario was undertaken in support of an ecological and human health risk assessment. Uranium concentrations in the Harbour and near-shore Lake Ontario due to groundwater and storm water loadings were estimated with a state-of-the-art 3D hydrodynamic and contaminant transport model (ECOMSED). The hydrodynamic model was simplified to obtain a first estimate of the flow pattern in the Harbour. The model was verified with field data using a tracer (fluoride). The modelling results generally showed good agreement with the tracer field data. (author)

  3. Yellow cake to ceramic uranium dioxide

    International Nuclear Information System (INIS)

    Zawidzki, T.W.; Itzkovitch, I.J.

    1983-01-01

    This overview article first reviews the processes for converting uranium ore concentrates to ceramic uranium dioxide at the Port Hope Refinery of Eldorado Resources Limited. In addition, some of the problems, solutions, thoughts and research direction with respect to the production and properties of ceramic UO 2 are described

  4. A radiological dose assessment for the Port Hope conversion facility

    International Nuclear Information System (INIS)

    Garisto, N.C.; Cooper, F.; Janes, A.; Stager, R.; Peters, R.

    2011-01-01

    The Port Hope Conversion Facility (PHCF) receives uranium trioxide for conversion to uranium hexafluoride (UF 6 ) or uranium dioxide (UO 2 ). The PHCF Site has a long history of industrial use. A Radiological Dose Assessment was undertaken as part of a Site Wide Risk Assessment. This assessment took into account all possible human receptors, both workers and members of the public. This paper focuses on a radiological assessment of dose to members of the public. The doses to members of the public from terrestrial pathways were added to the doses from aquatic pathways to obtain overall dose to receptors. The benchmark used in the assessment is 1 mSv/y. The estimated doses related to PHCF operations are much lower than the dose limit. (author)

  5. Biologia reprodutiva de Cattleya eldorado, uma espécie de Orchidaceae das campinas amazônicas Reproductive biology of Cattleya eldorado, a species of Orchidaceae from the Amazonian white sand campinas

    Directory of Open Access Journals (Sweden)

    Eliana Fernandez Storti

    2011-01-01

    Full Text Available As Orchidaceae são muito apreciadas por suas flores exóticas e exuberantes. É a maior família de plantas apresentando mais de 24000 espécies, o que denota uma alta diversidade de formas e adaptações a diferentes ambientes, como também para atração, engano e manipulação de visitantes na realização da polinização cruzada. Cattleya eldorado ocorre em áreas de campinas, que são formações vegetais típicas da região amazônica, que se encontram sob forte ação antrópica. Este trabalho tem como um de seus principais objetivos conhecer parte dos processos biológicos de C. eldorado fornecendo subsídios para conservá-la e manejá-la em seu habitat natural. Este estudo foi desenvolvido na Reserva Biológica de Campina, de 2000 a 2006, durante a sua floração. C. eldorado é uma espécie epifítica que apresenta a síndrome de melitofilia, estando adaptada ao seu polinizador, a abelha Eulaema mocsaryi, que reconhece suas flores pelo odor e pelo estímulo visual através de sua coloração e reflexão de luz ultravioleta. C. eldorado é uma espécie autocompatível, embora necessite de um agente polinizador para a transferência do polinário até sua deposição na cavidade estigmática da flor.The orchid plants are highly prized for their lush exotic flowers. It is the largest plant family with more than 24000 species, which indicates a high diversity of forms and adaptations to different environments, including the capacity to attract, deceive and manipulate visitors involved in cross-pollination. Cattleya eldorado occurs in areas of white sand campinas, a typical vegetation type of the Amazon region, which is under strong anthropogenic pressure. This work's main objectives to know the biological processes of C. eldorado providing subsidies to maintain and manage it in its natural habitat. This study was conducted from 2000 to 2006 in the Campina Biological Reserve, during its flowering period. C. eldorado is an epiphytic

  6. 77 FR 8895 - Jimbilnan, Pinto Valley, Black Canyon, Eldorado, Ireteba Peaks, Nellis Wash, Spirit Mountain, and...

    Science.gov (United States)

    2012-02-15

    ..., Pinto Valley, Black Canyon, Eldorado, Ireteba Peaks, Nellis Wash, Spirit Mountain, and Bridge Canyon..., Eldorado, Ireteba Peaks, Nellis Wash, Spirit Mountain, and Bridge Canyon Wilderness Areas, Lake Mead... wilderness character; providing for reasonable use of Spirit Mountain and adjacent areas in a manner meeting...

  7. Assessment of human health risk of reported soil levels of metals and radionuclides in Port Hope

    International Nuclear Information System (INIS)

    1991-11-01

    Risk assessment methods are applied to the question of health implications of contaminated soil in the Port Hope area. Soil-related as well as other pathways of exposure are considered. Exposures to the reported levels of uranium, antimony, chromium, copper, nickel, cadmium, cobalt, selenium, and zinc in Port Hope soils are not expected to result in adverse health consequences. Oral exposure to arsenic in soil at the reported levels is estimated to result in incremental cancer risk levels in the negligible range (10 -5 ). Estimated exposures also fall well below suggested toxic thresholds for arsenic. For the two small areas within the >50 μg/g isopleth, assessment of exposure is difficult without more definitive data on soil concentrations in these zones. Contamination of soils with lead is overall quite limited. In general, the reported soil levels of lead are not anticipated to pose a hazard. The site with the highest concentrations of lead is located on the west bank of the Ganaraska River, a popular fishing area. Depending on the level and extent of contamination, as well as degree of contact with the site, potential exposures could exceed tolerable intakes for children. Exposures to the radionuclides Ra(226), Pb(210), and U(238) in soil at the reported levels are estimated to fall well within recommended population limits

  8. Eldorado's Beaverlodge operations get $33 million facelift

    International Nuclear Information System (INIS)

    Watson, L.M.

    1979-01-01

    Strong demand and a good price for high grade uranium is responsible for a $33 million facelift at Eldorado Nuclear's Beaverlodge operation, near Uranium City, Sask., designed to reduce costs and make the operation more competitive with other open pit mines. Rehabilitation has resulted in the installation of a new oxygen plant, office building, laboratory, dry and warehouse. A new carbonation plant is scheduled for completion by year end. Production comes from two connected underground mines - the Fay and Verna - and two shallow mines - the Eagle and the Bolger. Official ore reserves at the end of 1978 were estimated at 4.19 million tons averaging 0.20 percent U 3 O 8 , sufficient for another 20 to 25 years of production. Reported production of uranium oxide in 1978 was 1.2 million pounds. It is expected to reach 1.6 million pounds in 1979. The Verna mine was closed because of a lack of market, but reopened in 1977. Eldorado crews are installing a massive ventilation system. Other development work is proceeding at the Dubyna 31 Zone where an underground satellite ramp operation is being installed. Proposed method of mining is via the access ramp with lateral development drifts into the ore zone. A small open pit, concurrently being developed in the Dubyna 31 Zone, will be mined by 3 m benches. Waste material will be dumped into the mine site disposal area for later use in restoration. Major changes to the processing operation are also being carried out. Changes to the plant in 1979 will include the addition of new offices, a laboratory and shower facilities for the employees. (LL)

  9. 77 FR 62214 - Travel Management Supplemental Environmental Impact Statement (SEIS), Eldorado National Forest...

    Science.gov (United States)

    2012-10-12

    ... DEPARTMENT OF AGRICULTURE Forest Service Travel Management Supplemental Environmental Impact....S. Forest Service completed the Eldorado National Forest Public Wheeled Motorized Travel Management... travel. In 2009 a complaint was filed with the Eastern District Federal Court (Court Case No. 2:09-CV...

  10. 77 FR 65167 - Blacksmith Ecological Restoration Project, Eldorado National Forest, Placer and El Dorado...

    Science.gov (United States)

    2012-10-25

    ... DEPARTMENT OF AGRICULTURE Forest Service Blacksmith Ecological Restoration Project, Eldorado... comments to 7600 Wentworth Springs Rd., Georgetown, CA 95634 Attention: Blacksmith Ecological Restoration... (PSD). In preparation for prescribed fire, perimeter line construction would be needed where roads...

  11. Stabilization and in situ management of radioactive contaminated sediments of Port Hope harbor

    International Nuclear Information System (INIS)

    Dolinar, G.M.; Killey, R.W.D.; Philipase, K.E.

    1991-01-01

    This paper presents the findings of laboratory and field studies undertaken to assess the feasibility of in situ management of contaminated sediments in Port Hope harbor. The contaminated sediments stem from historic releases from an adjacent radium and uranium refinery, and uranium, arsenic, and radium are the most abundant contaminants. With improved emission controls, currently accumulating sediments have much lower levels of contamination, and the harbor waters currently meet water quality limits for the contaminants of concern. Within a few years, however, the continuing sedimentation will render the harbor unusable. Field tests have confirmed the dredging will result in incomplete removal of the contaminated sediments and that sediment suspension and the release of pores waters during dredging will produce harbor water contaminant concentrations that would require the treatment of large volumes of water. In addition, no remedial work can start until a site for the dredged material can be found. The local community inquired whether in situ burial of the sediments and abandonment of the harbor would provide safe disposal

  12. A summary and historical review of the radioactive clean-up in Port Hope, Ontario

    International Nuclear Information System (INIS)

    Case, G.

    1980-01-01

    In 1976 several buildings and other areas of the town of Port Hope were found to be contaminated by radium and radon from residues produced by a local uranium refining plant and from materials salvaged from old refinery buildings. In the spring of 1976 the entire town was surveyed and 550 houses were found to have elevated radon gas levels or background radiation levels. Of these, 500 properties were classified as sites requiring remedial work. Large amounts of contaminated soil and fill were removed, as well as other building materials. Demolition was necessary in some cases. For the first three years contaminated materials were stored at the Chalk River Nuclear Laboratories, but finally the waste disposal site there was filled with over 104 000 tons of contaminated soil. By the end of 1979 work had been completed on 441 properties. Work on smaller sites was continuing, but progress on the cleanup of of larger areas depended on another disposal area being found

  13. 76 FR 30739 - Notice of Availability of the Record of Decision for Southern California Edison's Eldorado...

    Science.gov (United States)

    2011-05-26

    ... LLCAD09000] Notice of Availability of the Record of Decision for Southern California Edison's Eldorado... INFORMATION: Southern California Edison (SCE) filed an application under Title V of the Federal Land Policy...) for further requirements. Authority: 40 CFR 1506.6. Thomas Pogacnik, Deputy State Director. [FR Doc...

  14. Remediation of the Highland Drive South Ravine, Port Hope, Ontario: Contaminated Groundwater Discharge Management Using Permeable Reactive Barriers and Contaminated Sediment Removal - 13447

    Energy Technology Data Exchange (ETDEWEB)

    Smyth, David; Roos, Gillian [Golder Associates Ltd., 2390 Argentia Road, Mississauga, ON L5N 5Z7 (Canada); Ferguson Jones, Andrea [MMM Group Ltd., 100 Commerce Valley Drive West, Thornhill, ON L3T 0A1 (Canada); Case, Glenn [AECL Port Hope Area Initiative Management Office, 115 Toronto Road, Port Hope, ON L1A 3S4 (Canada); Yule, Adam [Public Works and Government Services Canada, 4900 Yonge Street, 11th Floor, Toronto, ON, M2N 6A6 (Canada)

    2013-07-01

    The Highland Drive South Ravine (HDSR) is the discharge area for groundwater originating from the Highland Drive Landfill, the Pine Street North Extension (PSNE) roadbed parts of the Highland Drive roadbed and the PSNE Consolidation Site that contain historical low-level radioactive waste (LLRW). The contaminant plume from these LLRW sites contains elevated concentrations of uranium and arsenic and discharges with groundwater to shallow soils in a wet discharge area within the ravine, and directly to Hunt's Pond and Highland Drive South Creek, which are immediately to the south of the wet discharge area. Remediation and environmental management plans for HDSR have been developed within the framework of the Port Hope Project and the Port Hope Area Initiative. The LLRW sites will be fully remediated by excavation and relocation to a new Long-Term Waste Management Facility (LTWMF) as part of the Port Hope Project. It is projected, however, that the groundwater contaminant plume between the remediated LLRW sites and HDSR will persist for several hundreds of years. At the HDSR, sediment remediation within Hunt's Ponds and Highland Drive South Creek, excavation of the existing and placement of clean fill will be undertaken to remove current accumulations of solid-phase uranium and arsenic associated with the upper 0.75 m of soil in the wet discharge area, and permeable reactive barriers (PRBs) will be used for in situ treatment of contaminated groundwater to prevent the ongoing discharge of uranium and arsenic to the area in HDSR where shallow soil excavation and replacement has been undertaken. Bench-scale testing using groundwater from HDSR has confirmed excellent treatment characteristics for both uranium and arsenic using permeable reactive mixtures containing granular zero-valent iron (ZVI). A sequence of three PRBs containing ZVI and sand in backfilled trenches has been designed to intercept the groundwater flow system prior to its discharge to the ground

  15. Remediation of the Highland Drive South Ravine, Port Hope, Ontario: Contaminated Groundwater Discharge Management Using Permeable Reactive Barriers and Contaminated Sediment Removal - 13447

    International Nuclear Information System (INIS)

    Smyth, David; Roos, Gillian; Ferguson Jones, Andrea; Case, Glenn; Yule, Adam

    2013-01-01

    The Highland Drive South Ravine (HDSR) is the discharge area for groundwater originating from the Highland Drive Landfill, the Pine Street North Extension (PSNE) roadbed parts of the Highland Drive roadbed and the PSNE Consolidation Site that contain historical low-level radioactive waste (LLRW). The contaminant plume from these LLRW sites contains elevated concentrations of uranium and arsenic and discharges with groundwater to shallow soils in a wet discharge area within the ravine, and directly to Hunt's Pond and Highland Drive South Creek, which are immediately to the south of the wet discharge area. Remediation and environmental management plans for HDSR have been developed within the framework of the Port Hope Project and the Port Hope Area Initiative. The LLRW sites will be fully remediated by excavation and relocation to a new Long-Term Waste Management Facility (LTWMF) as part of the Port Hope Project. It is projected, however, that the groundwater contaminant plume between the remediated LLRW sites and HDSR will persist for several hundreds of years. At the HDSR, sediment remediation within Hunt's Ponds and Highland Drive South Creek, excavation of the existing and placement of clean fill will be undertaken to remove current accumulations of solid-phase uranium and arsenic associated with the upper 0.75 m of soil in the wet discharge area, and permeable reactive barriers (PRBs) will be used for in situ treatment of contaminated groundwater to prevent the ongoing discharge of uranium and arsenic to the area in HDSR where shallow soil excavation and replacement has been undertaken. Bench-scale testing using groundwater from HDSR has confirmed excellent treatment characteristics for both uranium and arsenic using permeable reactive mixtures containing granular zero-valent iron (ZVI). A sequence of three PRBs containing ZVI and sand in backfilled trenches has been designed to intercept the groundwater flow system prior to its discharge to the ground surface

  16. Cleanup around an old waste site

    International Nuclear Information System (INIS)

    Vandergaast, G.; Moffett, D.; Lawrence, B.E.

    1988-01-01

    42,500 m 3 of contaminated soil were removed from off-site areas around an old, low-level radioactive waste site near Port Hope, Ontario. The cleanup was done by means of conventional excavation equipment to criteria developed by Eldorado specific to the land use around the company's waste management facility. These cleanup criteria were based on exposure analyses carried out for critical receptors in two different scenarios. The excavated soils, involving eight different landowners, were placed on the original burial area of the waste management facility. Measures were also undertaken to stabilize the soils brought on-site and to ensure that there would be no subsequent recontamination of the off-site areas

  17. ROSAS TRANSPLANTADAS Y EL MITO DE ELDORADO. TRAVESÍAS EN EL TIEMPO, EN EL ESPACIO, EN LA IMÁGEN Y EN EL SILENCIO / Translocated roses or the myth of Eldorado: Journeys through time, space, image and silence

    Directory of Open Access Journals (Sweden)

    Elizabeth Jelin

    2009-12-01

    Full Text Available El punto de mira está en Eldorado, Misiones, alrededor de 1920. Voy a seguir algunas líneas de su historia en las tres décadas siguientes, una historia que puede ser leída como el arribo de la “civilización”, la modernidad y el progreso a una tierra salvaje, indómita. La ruta clave para esto fue la de la inmigración europea, en parte desplazada por la pobreza, el conflicto y la destrucción. Del otro lado estaba el atractivo de un futuro dorado de riqueza y felicidad.La “localidad” y lo “local” -en este caso al igual que en otros- no es lo que quedó fuera del centro. Más bien, es un pedazo de un mundo interrelacionado. La tarea que propongo surge de intentar conceptualizar lo “local” no en contraste con lo “global” o lo “macro” sino como un “centro descentrado” desde el cual se puede mirar el resto del mundo, una base desde la cual se pueden establecer o romper (también criticar, desear, formar y transformar redes y conexiones con otros lugares, otras gentes y otras instituciones. Desde este centro descentrado, la historia de Europa no es la de un lugar sino la de flujos y redes, de personas y de vínculos políticos e institucionales, de intereses económicos y de lazos personales y familiares. Las cartas y las fotografías mandadas y recibidas, las autobiografías,los relatos familiares y los álbumes de fotos son los medios para explorar estos flujos. Están también los documentos públicos más convencionales y los periódicos impresos. Todo esto es lo dicho; también hay muchos silencios que deben ser develados.El caso de Eldorado será usado para plantear algunas reflexiones y preguntas sobre temas más generales de la investigación social: la conceptualización de la relación entre lo local y lo global, entre centro y periferia; la separaciónentre lo privado y lo público; la divisoria que establecemos entre racionalidad y objetividad por un lado, y las pasiones y emociones por el otro; el v

  18. Annual report, 1982

    International Nuclear Information System (INIS)

    1983-01-01

    In 1982 Eldorado Nuclear Ltd. acquired important new sources of uranium in the Wollaston Lake area of northern Saskatchewan by purchasing the shares of Gulf Minerals Canada Ltd. and Uranerz Canada Ltd. Eldorado Nuclear Ltd. is now sole owner of the Rabbit Lake properties, consisting of more than 30 million kg of U 3 O 8 and a mill with a capacity of 2.5 million kg annually. Production records were set at the Port Hope, Ontario, uranium processing plant, and processing capacity continued to expand there and at the new Blind River, Ontario, refinery. The uneconomic Beaverlodge mine in northern Saskatchewan was closed as scheduled. The company participated in the development of the Key Lake project in northern Saskatchewan. This high-grade, open pit mine has reserves containing more than 80 million kg of U 3 O 8 , and will have a production capacity of 5.4 million kg annually when production begins in 1983. Company assets were increased from $618.4 million in 1981 to $875.6 million in 1982; and corporate structure was re-organized to integrate newly-acquired operations. Earnings for 1982 were $4 million

  19. Treatment of wastewater for removal of soluble uranium species at Cameco's Port Hope Conversion Facility

    International Nuclear Information System (INIS)

    Dumont, H.; Tairova, G.; Kwong, A.K.; Smith, B.D.

    2000-01-01

    Ion exchange (IX) resin processes have been used for many years in the uranium mining industry for the recovery of uranium from both acid and alkaline leach solutions. More recently, IX processes have been shown to be an effective approach to control the uranium levels in non-process waters, such as mine water, public drinking water supply and well water. Bench scale and mini-pilot plant tests were conducted at the Cameco's Port Hope Conversion Facility to demonstrate the economic and technical viability of an IX process as an uranium remediation treatment for trace amounts of uranium in non-process laundry water. In the mini-pilot plant study, waste laundry water containing between 10 mg U/L and 200 mg U/L was treated at a rate ranging from 120 L/h to 240 L/h, using a typical 'merry-go-round' fixed-bed ion exchange system with three ion exchange columns. Each column contained 14 L of strongly basic Purolite A300 resin type II. The results indicated that the breakthrough limit, set at 0.1 mg U/L was obtained after a minimum of 1,200 equivalent bed volumes, while saturation was obtained at 3,300 equivalent bed volumes. Recovery parameters are discussed along with feed and effluent stream quality and modifications to the upstream operation. (author)

  20. Conceptual costing study for the long-term management of the Port Hope area low-level radioactive wastes

    International Nuclear Information System (INIS)

    1989-12-01

    Comparative conceptual cost estimates for several possible options for the long-term management of the Port Hope area low-level radioactive wastes have been developed. Five potentially applicable concepts were considered in the study: shallow land burial, using either unlined trenches, lined trenches or concrete canisters; engineered storage mounds; above-ground concrete vaults; below-ground concrete vaults; and intermediate-depth caverns using either open stopes or shrinkage mining. The objective was to develop comparative estimates. The differences in costs between concepts reflect the differences in handling methodology or costs of additional engineered barriers around the stored waste. An in situ waste volume of 805 000 m 3 , relatively favorable site conditions, a four-year disposal schedule and a consistent costing basis were assumed for each concept. Limited effort was made to optimize specific facility designs or disposal operations. The projected disposal costs vary from $68/m 3 of waste for shallow land burial in unlined trenches, to $312/m 3 of waste disposal in concrete canisters in trenches. The results of this study are reasonably consistent with previous estimates prepared for the low-level Radioactive Waste Management Office

  1. Relationship beetween city-port-waterfront: complexity and complications

    Directory of Open Access Journals (Sweden)

    Bianca Petrella

    2014-01-01

    Full Text Available Water is the basis of human and urban civilization; transport is the basis of trade and therefore of social progress. For many centuries water was by far the most important mode of transport, this is the principle reason why cities with rivers or seaports were predominant over cities without such features.Initially, industrialization, the construction of the railways, the advent of the car and the beginning of air transport challenged the hegemonic role of the cities-port. However, since the introduction of containers in the mid-1950‘s and shortly after the construction of inter-ports the role of water transport has been revitalized.The containers and the enormous ships carrying them need great surface areas and long piers, so ports were moved outside of cities and, thus, the historical relationship between city and port was definitively broken.The decline of large parts of the urban water front triggered redevelopment initiatives, which over time changed their use from industrial to leisure. These initiatives were often given names such as ‘urban recovery’, ‘renewal’, ‘regeneration’, ‘redevelopment’, and so forth.Enormous leisure areas were the common denominator and often the buildings had an exclusive and, for this reason, homologated architecture designed by “archi-star” (famous architects. The new built-up areas were out of the local character and out of the historical city-port relationship.Almost always liberated port spaces remain the property of the Port Authority and for this reason the way of making decisions is difficult. Italian law provides for a set of governing bodies to decide how to plan the interventions in the port areas. However, the law does not impose a co-ordination of the border area between city and port. Thus, the good governance of this area is left to chance and the hope that the various bodies can find mutually satisfying agreements.Some good and bad practices in various cities around the world

  2. Rates of leaching of radium from contaminated soils: an experimental investigation of radium bearing soils from Port Hope, Ontario

    International Nuclear Information System (INIS)

    Nathwani, J.S.; Phillips, C.R.

    1978-01-01

    The leachability of Ra-226 from soil at Port Hope, Ontario contaminated by waste from a long established U refinery is described here. A small-scale static leach test was devised to provide information to permit an assessment of hazard due to leaching in the environment. Two different leaching solutions were prepared to simulate a range of infiltrating water quality in disposal environments: one by bubbling CO 2 into distilled water to pH 5.5, and another by bubbling SO 2 into water to pH 3.5. Narrow-range size fractions of the soils (i.e. 0.250 to 0.105 mm) were leached for 30 to 45 days (equivalent rainfall of 2 to 3 yr). It was found that leaching is significantly affected by soil texture, total amounts leached and the maximum concentrations reached being much greater for coarser, and intermediate size fractions than for fine soil fractions. Also, leachant acidity significantly increased leaching rates and resulted in enhanced mobility in soils. A straight line for the plot of Q/Q 0 (cumulative fraction released) vs. Tsup(1/2) (T is leaching time in days) indicated that leaching could be considered to be a diffusion phenomenon in accordance with Fick's law. Diffusion coefficients ranging from 5 X 10 -11 to 2 X 10 -13 cm 2 day -1 were found. These coefficients provide a basis for estimating the fraction that would be leached over longer periods. (Auth.)

  3. Three ports versus four ports laparoscopic cholecystectomy

    International Nuclear Information System (INIS)

    Shah, S.F.; Waqar, S.; Chaudry, M.A.; Hameed, S.

    2017-01-01

    To compare three ports laparoscopic cholecystectomy and four ports laparoscopic cholecystectomy in terms of complications, time taken to complete the procedure, hospital stay and cost effectiveness in local perspective. Methodology: This randomized control trial included 60 patients who underwent elective laparoscopic cholecystectomy at Department of Surgery, Pakistan Institute of Medical Sciences, Islamabad, Pakistan from January 2013 to June 2013. These patients were randomized on computer generated table of random numbers into group A and Group B. In Group A patients four ports were passed to perform laparoscopic cholecystectomy and in Group B patients three ports were passed to perform the procedure. Results: The mean age in both groups was 44 years (range 18-72). Three ports laparoscopic cholecystectomy (43 min) took less time to complete than four ports laparoscopic cholecystectomy (51 min). Patients in three ports laparoscopic cholecystectomy experienced less pain as compared to four ports group. The total additional analgesia requirement in 24 hours calculated in milligrams was less in three port laparoscopic cholecystectomy group as compared four port laparoscopic cholecystectomy group. The mean hospital stay in three port laparoscopic cholecystectomy group is 25 hours while the mean hospital stay in the four port laparoscopic cholecystectomy group is 28 hours. Conclusion: Three ports laparoscopic cholecystectomy is safe and effective procedure and it did not compromise the patient safety. (author)

  4. Hope

    NARCIS (Netherlands)

    Blöser, Claudia; Stahl, Titus; Zalta, Edward

    2017-01-01

    Discussions of hope can be found throughout the history of philosophy and across all Western philosophical traditions, even though philosophy has traditionally not paid the same attention to hope as it has to attitudes like belief and desire. However, even though hope has historically only rarely

  5. Valuing hope.

    Science.gov (United States)

    McMillan, John; Walker, Simon; Hope, Tony

    2014-01-01

    This article argues that hope is of value in clinical ethics and that it can be important for clinicians to be sensitive to both the risks of false hope and the importance of retaining hope. However, this sensitivity requires an understanding of the complexity of hope and how it bears on different aspects of a well-functioning doctor-patient relationship. We discuss hopefulness and distinguish it, from three different kinds of hope, or 'hopes for', and then relate these distinctions back to differing accounts of autonomy. This analysis matters because it shows how an overly narrow view of the ethical obligations of a clinician to their patient, and autonomy, might lead to scenarios where patients regret the choices they make.

  6. Hope against hope: exploring the hopes and challenges of rural female caregivers of persons with advanced cancer

    Science.gov (United States)

    2013-01-01

    Background This paper focuses on the qualitative component of a study evaluating a hope intervention, entitled Living with Hope Program (LWHP), designed to foster hope in female caregivers of family members living with advanced cancer. The purpose of this research is to share, in the form of a story, the experiences of rural female caregivers caring for family members with advanced cancer, focusing on what fosters their hope. Hope is a psychosocial and spiritual resource that has been found to help family caregivers live through difficult transitions and challenges. Methods Twenty-three participants from rural Western Canada completed daily journal entries documenting their hopes and challenges. Cortazzi’s (2001) method of narrative analysis was used to analyze the data, which was then transcribed into a narrative entitled ‘hope against hope.’ Results The journal entries highlighted: the caregivers’ hopes and what fostered their hope; the various challenges of caregiving; self-care strategies, and; their emotional journey. Hope was integrated throughout their entire experience, and ‘hope against hope’ describes how hope persists even when there is no hope for a cure. Conclusions This research contributes to the assessment of caregiver interventions that impact hope and quality of life, while illustrating the value of a narrative approach to both research and practice. Journaling may be particularly valuable for rural caregivers who are isolated, and may lack direct professional and peer support. There is an opportunity for health professionals and other providers to foster a relationship of trust with family caregivers, in which their story can be told openly and where practitioners pay closer attention to the psychosocial needs of caregivers. PMID:24341372

  7. Ports Primer: 3.2 Port Governance

    Science.gov (United States)

    State and local governments are important players in port governance and in oversight of transportation projects that may affect ports. Private corporations may also play a role if they lease or own a terminal at a port.

  8. Beyond breaking bad news: the roles of hope and hopefulness.

    Science.gov (United States)

    Whitney, Simon N; McCullough, Laurence B; Frugé, Ernest; McGuire, Amy L; Volk, Robert J

    2008-07-15

    Hope is important to patients, yet physicians are sometimes unsure how to promote hope in the face of life-threatening illness. Hope in medicine is of two kinds: specific (hope for specific outcomes) and generalized (a nonspecific sense of hopefulness). At the time of diagnosis of a life-ending condition, the specific goal of a long life is dashed, and there may be no medically plausible specific outcome that the patient feels is worth wishing for. Yet the physician may nonetheless maintain an open-ended hopefulness that is compatible with the physician's obligation to be truthful; this hopefulness can help sustain patient and family through the turbulent period of adaptation to the unwelcome reality of major illness. As this adaptation evolves, the physician can help patients and families adapt to suffering and loss of control by selecting and achieving specific goals such as improvement of the patient's environment in hospital or hospice, pain control, and relief of sleeplessness. Thus hope for specific (but far more modest) future events can again become a positive part of the patient s emotional landscape. The authors do not propose that physicians remain upbeat no matter the circumstance, for they must respect the constraints of reality and the patients' mortality. However, physicians can provide both cognitive and affective support as patients learn how to adapt. Hope and hopefulness are both important in this process. Hope is always important to patients. Physicians can and should promote hopefulness without endorsing unrealistic hope. (c) 2008 American Cancer Society.

  9. Cooperation Performance Evaluation between Seaport and Dry Port; Case of Qingdao Port and Xi'an Port

    Directory of Open Access Journals (Sweden)

    Jian Li

    2014-12-01

    Full Text Available Along with the drastic competition among ports, the strive for the vast economic hinterland and the supply of goods have become strategic problems for port operators. At the same time, port enterprises are paying more and more attention to the construction of dry ports. This article establishes the port cooperation performance evaluation index based on the balanced score card method and uses the grey relational degree method to evaluate the cooperation performance between seaports and dry ports. Finally using Qingdao port and Xi'an port as an example, and Zhengzhou port and Lanzhou port as benchmarks, the application of this evaluation method is introduced in detail. The conclusion reveals that cooperation between Qingdao port and Xi'an port has deficiencies in customer satisfaction, financial cooperation and non-market tools. Alongside this, the author proposes related issues about information management in the supply chain, competition position and the scope of hinterland. This article, combined with the related theory of supply chain and performance evaluation, puts forward a set of relatively complete cooperation performance evaluations between seaports and dry ports, which provide scientific theory support for better cooperation.

  10. HISTÓRIA E MEMÓRIA DO “MASSACRE DE ELDORADO DO CARAJÁS”: Exploração, conflito e violência no Sul do Pará – 1995 – 2010.

    Directory of Open Access Journals (Sweden)

    Kelly Carolyne Cirqueira Alves

    2017-02-01

    Full Text Available Our proposal investigated and historicisó the conflict that occurred between the security forces of the State of Pará and the rural workers, occurred on April 17, 1996 in the city of Eldorado do Carajás, where, once again, regarding the issues The use of violence prevailedas a "solution" found by the oligarchical political command, almost a "parallel power" to a fragile judicial power, maintained by the use of force, in this Massacre of Eldorado do Carajás, which culminated in the death of 19 workers. We seek to reveal thediversified meanings of narratives about the episode depending on who narrates these memories: survivors, pastoral agents, priests, intellectuals, police officers, journalists in the sense of unveiling the meanings that attach to specific interests depending on the insertion of these diversified subjects in the field Of memory, a memory that is reactivated by several statements, among them the literary ones, because it is a means that the victims found to express their pain and suffering. In this sense ourresearch proposes to raise and to problematize the available sources in the CPT-Xinguara -PA giving emphasis to the analysis of the memory narratives.

  11. SCRUBBERS AS SHIPOWNERS’ RESPONSE TO THE SULPHUR DIRECTIVE AND ITS IMPLICATIONS FOR THE WASTE MANAGEMENT IN BALTIC PORTS

    Directory of Open Access Journals (Sweden)

    Magdalena Klopott

    2015-12-01

    Full Text Available The paper investogates the recent developments in exhaust gas cleaning systems and the growing interests in scrubber installation among ferry and ro-ro shipowners operating on the Baltic Sea. This technology creates the need for reception of scrubber sludge, which is produced alongside with gas cleaning. The study states that the information about the disposal of scrubber waste is largely limited or vague and evaluates – on the basis of a questionnaire - the availability of port reception facilities for the disposal of waste from sulphur scrubbers at major Baltic Sea ports. The paper concludes that a review of current legislature on port reception facilities is absolutely necessary and expresses the hope that the situation will improve in the wake of recent environmental regulations.

  12. Developing the port of Belawan as a modern and international port

    Science.gov (United States)

    Many, N.

    2018-03-01

    This study discusses the processes of government to pass the port development plan in Indonesia with the Port of Belawan and its port expansion as the study case. The study uses a descriptive approach by reviewing and analyzing some of relevant literature as the sources. It also reviews and examines the port development theoretical concepts and models giving attention to the international hub port models resulted from the previous studies. The international hub port aspects assessed to be further applied and compared to the actual situation of the Port of Belawan. This process draws the conclusion on which concept and model the port classified, followed by some recommendations concerning the necessary actions to be taken. The results show that: (1) The port planning regulated in port master plan is the guideline and foundation to implement the port development; (2) Spatial and zoning plan regulations are very important in the preparation, planning, and implementation of port development; (3) It has not provided the necessary facilities and criteria of the global hub port model has not been met completely. The port is strategic to be completely developed as the regional hub port to compete with the major ports of neighboring countries. Eventually, this study requires further analysis to examine the economic feasibility of the Port of Belawan in more comprehensive way functioning as an international hub port along with the ongoing development of Kuala Tanjung Port to achieve its ultimate objectives, among other things, the port effectiveness, efficiency, and competitiveness.

  13. COMPARATIVE ANALYSIS OF LEADING PORTS OF LATVIA: COMPETITIVENESS OF LIEPAJA PORT

    Directory of Open Access Journals (Sweden)

    Diāna Līduma

    2015-06-01

    Full Text Available There are 10 operating ports in Latvia and 3 of them – Liepaja, Ventspils and Riga ports are regarded as the leading commercial ports. Role of port operation in the economics of region and country is essential from the point of view of employment and entrepreneurship. This is based with data on investment of operation of Latvian ports in GDP, on average it is assessed to be 5-7% annually. In the context of employment, Liepaja Port gives work to 6.9% of human resources of the city. However, concern about the competitiveness of Liepaja Port influenced by the proximity of more developed competitive ports, technical possibilities of the port and dynamics of freight turnover has occurred in recent years. Therewith in framework of this article in the context of such criteria as location of ports and their technical parameters, volumes of freight, specialization and costs of ports, the operation of leading ports of Latvia is intercompared and analyzed by clarifying whether Liepaja Port is competitive among other ports of Latvia. Opinions of port experts on perspectives of port development and statistical data of ports from 2011-2013 are analyzed within the framework of the article. The aim of the research is to clarify the comparative advantages of ports of Latvia. The research revealed that the provision of competitiveness of Liepaja Port is to be related with application of the available free territories, advantages of location in relation to the Scandinavian market, and the necessity to develop the cooperation among ports of Latvia to offer joint freight acquisition, distributions and unified logistics solution and strengthen the position of ports in the circumstances of international competition.

  14. Toward a theory of persuasive hope: effects of cognitive appraisals, hope appeals, and hope in the context of climate change.

    Science.gov (United States)

    Chadwick, Amy E

    2015-01-01

    Hope has the potential to be a powerful motivator for influencing behavior. However, hope and messages that evoke hope (hope appeals) have rarely been the focus of theoretical development or empirical research. As a step toward the effective development and use of hope appeals in persuasive communication, this study conceptualized and operationalized hope appeals in the context of climate change prevention. Then, the study manipulated components of the hope evocation part of a hope appeal. Specifically, the components were designed to address appraisals of the importance, goal congruence, future expectation, and possibility of climate protection, resulting in a 2 (strong/weak importance) × 2 (strong/weak goal congruence) × 2 (strong/weak future expectation) × 2 (strong/weak possibility) between-subjects pretest-posttest factorial design. Two hundred forty-five undergraduate students were randomly assigned to one of the 16 message conditions and completed the study online. The study tested whether the four appraisals predict feelings of hope. It determined whether message components that address importance, goal congruence, future expectation, and possibility affect appraisals, feelings of hope, and persuasion outcomes. Finally, this study tested the effects of feelings of hope on persuasion outcomes. This study takes an important step toward enabling the effective use of hope appeals in persuasive communication.

  15. Hope as fantasy

    DEFF Research Database (Denmark)

    Winther-Lindqvist, Ditte Alexandra

    2017-01-01

    , for a miracle to occur, for more time, or in some cases hoping for death to come sooner than later. I recognize hope as a form of imaginative activity and practice, because hope is formed in light of an uncertain future, and rests upon imagined scenarios of what could be. Hope, like imagination, remembering...

  16. Leukemia, lymphoma and multiple myeloma mortality (1950–1999) and incidence (1969–1999) in the Eldorado uranium workers cohort

    Energy Technology Data Exchange (ETDEWEB)

    Zablotska, Lydia B., E-mail: Lydia.Zablotska@ucsf.edu [Department of Epidemiology and Biostatistics, School of Medicine, University of California, San Francisco, CA 94118 (United States); Lane, Rachel S.D. [Radiation and Health Sciences Division, Directorate of Environmental and Radiation Protection and Assessment, Canadian Nuclear Safety Commission, Ottawa, ON, Canada K1P 5S9 (Canada); Frost, Stanley E. [Frost and Frost Consultants, Saskatoon, SK, Canada S7H 0A1 (Canada); Thompson, Patsy A. [Radiation and Health Sciences Division, Directorate of Environmental and Radiation Protection and Assessment, Canadian Nuclear Safety Commission, Ottawa, ON, Canada K1P 5S9 (Canada)

    2014-04-01

    Uranium workers are chronically exposed to low levels of radon decay products (RDP) and gamma (γ) radiation. Risks of leukemia from acute and high doses of γ-radiation are well-characterized, but risks from lower doses and dose-rates and from RDP exposures are controversial. Few studies have evaluated risks of other hematologic cancers in uranium workers. The purpose of this study was to analyze radiation-related risks of hematologic cancers in the cohort of Eldorado uranium miners and processors first employed in 1932–1980 in relation to cumulative RDP exposures and γ-ray doses. The average cumulative RDP exposure was 100.2 working level months and the average cumulative whole-body γ-radiation dose was 52.2 millisievert. We identified 101 deaths and 160 cases of hematologic cancers in the cohort. Overall, male workers had lower mortality and cancer incidence rates for all outcomes compared with the general Canadian male population, a likely healthy worker effect. No statistically significant association between RDP exposure or γ-ray doses, or a combination of both, and mortality or incidence of any hematologic cancer was found. We observed consistent but non-statistically significant increases in risks of chronic lymphocytic leukemia (CLL) and Hodgkin lymphoma (HL) incidence and non-Hodgkin lymphoma (NHL) mortality with increasing γ-ray doses. These findings are consistent with recent studies of increased risks of CLL and NHL incidence after γ-radiation exposure. Further research is necessary to understand risks of other hematologic cancers from low-dose exposures to γ-radiation. - Highlights: • We analyzed long-term follow-up for hematologic cancers of the Eldorado uranium workers. • Workers were exposed to a unique combination of radon decay products (RDP) and gamma (γ) ray doses. • Exposures to RDP and γ-ray doses were not associated with significantly increased risks of cancers. • Radiation risks of chronic lymphocytic leukemia (CLL) and

  17. Two-port access versus four-port access laparoscopic ovarian cystectomy.

    Science.gov (United States)

    Choi, Won-Kyu; Kim, Jang-Kew; Yang, Jung-Bo; Ko, Young-Bok; Nam, Sang-Lyun; Lee, Ki-Hwan

    2014-09-01

    This study was conducted to compare the surgical outcomes between two-port access and four-port access laparoscopic ovarian cystectomy. Four hundred and eighty nine patients who had received two-port access laparoscopic ovarian cystectomy (n=175) and four-port access laparoscopic ovarian cystectomy (n=314) in Chungnam National University Hospital from January 2009 to August 2012 were analyzed retrospectively. The data were compared between the bilaterality of the cysts and cyst diameter of less than 6 cm and 6 cm or more. There were no significant differences in patient's age, parity, body weight, body mass index and history of previous surgery between the two-port and four-port access laparoscopy group. Bilaterality of ovarian cysts was more in fourport access laparoscopy group (13.7% vs. 32.5%, P=0.000). There were no significant differences in operation time, hemoglobin change, hospital stay, adhesiolysis, transfusion, and insertion of hemo-vac between the two-port and four-port access laparoscopy group for size matched compare. However additional analgesics were more in four-port access laparoscopy group for unilateral ovarian cystectomy. Two-port access laparoscopic surgery was feasible and safe for unilateral and bilateral ovarian cystectomy compare with four-port access laparoscopic surgery.

  18. Green Port / Eco Port Project - Applications and Procedures in Turkey

    Science.gov (United States)

    Akgul, Burak

    2017-12-01

    As being the heartlands of international trade, sea ports are the junction points of land and sea routes. The growth of global trade has led to the development of number and capacity as well as the service quality of ports. The policies and procedures applied during construction, operation and development of ports under development with environmental considerations scope has evolved in accordance with the needs of global trends. Although maritime transportation provides the most ecofriendly transportation method, the reduction of potential environmental threats and continuous improvement of ports and their vicinity is paramount from environmental concerns with regards to the international environmental standards. In the context of the study, national and international legal regulations governing the control of the environmental impacts of the activity groups causing pollution in Turkey based sea ports were viewed. In addition, the models applied during the measurement and documentation of environmental impacts were investigated. The most important aspects in terms of the effectiveness of the environmental management models are legal regulations. However, the standards applied at the ports without any legal obligation, such as EcoPorts applications, ISO 14001 standard, and the EMAS (Eco-Management and Audit Scheme) were sought in the scope of the study. The boundaries of the study were determined as the EU based Environmental Management Systems and the Green Port/Eco Port Project which is being administered by the Turkish Ministry of Transport, Maritime and Communication. “Marport”, which is Turkey’s first certified Green Port / Eco Port is designated as the experimental study site. In addition, the provisions in the ports of ESPO member countries are approached in order to compare the effectiveness and applicability of Green Port / Eco Port Project.

  19. Flat-port connectors

    KAUST Repository

    Alrashed, Mohammed

    2017-05-26

    Disclosed are various embodiments for connectors used with electronic devices, such as input and/or output ports to connect peripheral equipment or accessories. More specifically, various flat-port are provided that can be used in place of standard connectors including, but not limited to, audio jacks and Universal Serial Bus (USB) ports. The flat-port connectors are an alternate connection design to replace the traditional receptacle port (female-port), making the device more sealed creation more dust and water resistant. It is unique in the way of using the outer surfaces of the device for the electrical connection between the ports. Flat-port design can allow the manufacture of extremely thin devices by eliminating the side ports slots that take a lot of space and contribute to the increase thickness of the device. The flat-port receptacle improves the overall appearance of the device and makes it more resistant to dust and water.

  20. Intra-arterial port implantation for intra-arterial chemotherapy : comparison between PIPS(Percutaneously Implantable Port System) and port system

    International Nuclear Information System (INIS)

    Yoon, Sang Jin; Shim, Hyung Jin; Jung, Hun Young; Choi, Yong Ho; Kim, Yang Soo; Song, In Sup; Kwak, Byung Kook

    1999-01-01

    To compare the techniques and complications of intra-arterial port implantation for intra-arterial chemotherapy between PIPS and the port system. For intra-arterial port implantation, 27 cases in 27 patients were retrospectively evaluated using PIPS(PIPS-200, William Cook Europe, Denmark) while for 21 cases in 19 patients a pediatric venous port system(Port-A-Cath, 5.8F, SIMS Deltec, U. S. A.) was used. All intra-arterial port implantation was performed percuteneously in an angiographic ward. Hepatocellular carcinoma was diagnosed in 18 patients and hepatic metastasis in 16. Peripheral cholangiocarcinoma, and pancreatic gastric, ovarian, renal cell and colon carcinoma were included. We compared the techniques and complications between PIPS and the port system. The follow up period ranged from 23 to 494(mean, 163) days in PIPS and from 12 to 431(mean, 150) days in the port system. In all cases, intra-arterial port implantations were technically successful. Port catheter tips were located in the common hepatic artery(n=8), proper hepatic artery(n=7), right hepatic artery(n=5), gastroduodenal artery(n=2), left hepatic artery(n=1), pancreaticoduodenal artery(n=1), inferior mesenteric artery(n=1), lumbar artery(n=1), and renal artery(n=1) in PIPS, and in the proper hepatic artery(n=6), gastroduodenal artery(n=6), common hepatic artery(n=3), right hepatic artery(n=4), inferior mesenteric artery(n=1), and internal iliac artery(n=1) in the port system. Port chambers were buried in infrainguinal subcutaneous tissue. Using PIPS, complications developed in seven cases(25.9%) and of these, four (57.1%) were catheter or chamber related. In the port system, catheter or chamber related complications developed in four cases(19.0%). Because PIPS and the port system have relative merits and demetrits, successful intra-arterial port implantation is possible if equipment is properly selected

  1. Port Stakeholder Summit: Advancing More Sustainable Ports (April 2014)

    Science.gov (United States)

    EPA's National Port Stakeholders Summit, Advancing More Sustainable Ports, focused on actions to protect air quality while reducing climate risk and supporting economic growth, making ports more environmentally sustainable.

  2. Ports Initiative

    Science.gov (United States)

    EPA's Ports Initiative works in collaboration with the port industry, communities, and government to improve environmental performance and increase economic prosperity. This effort helps people near ports breath cleaner air and live better lives.

  3. Hope dies last: two aspects of hope in contemporary Moscow

    NARCIS (Netherlands)

    Zigon, J.

    2009-01-01

    The concept of hope has, for the most part, been neglected by anthropologists. Recently, however, hope has been analyzed by two prominent anthropologists who view it either as a passive attitude or a future-oriented stance toward a good. My research in Moscow, Russia, suggests that hope is not so

  4. Incidencia del aeropuerto Eldorado en la estructura espacial de la ciudad de Bogotá, periodo 1990–2010

    Directory of Open Access Journals (Sweden)

    Gabriel Arturo Sánchez Puín

    2012-06-01

    Full Text Available Actualmente, los aeropuertos revelan nuevos aspectos como agentes dinamizadores del cambio urbano. Ya no son vistos como una infraestructura aislada de la ciudad, sino como parte estructural de la misma. En este artículo se presenta un análisis que usando técnicas de cartografía y análisis espacial  y basado en fuentes de información cartográfica y documental de entidades públicas y privadas, da a conocer aspectos sobre la incidencia del aeropuerto Eldorado en la estructura espacial de las localidades de Fontibón y Engativá, en la ciudad de Bogotá. El aeropuerto ha propiciado un desarrollo desigual en  las zonas de influencia, caracterizado por la concentración sobre el corredor de acceso, lo cual contrasta con los indicadores más bajos en sectores contiguos al aeropuerto. Entre tanto, coexisten otros espacios asociados a dinámicas locales ajenas al proceso modernizador del aeropuerto.

  5. Revisiting port pricing : a proposal for seven port pricing principles

    NARCIS (Netherlands)

    Van Den Berg, R.; De Langen, P.W.; Van Zuijlen, P.C.J.

    2017-01-01

    A review of seven large landlord port authorities around the world reveals a notable diversity of pricing structures. While port authorities increasingly act as commercial undertakings, port pricing often seems to be not driven by commercial considerations. In this paper, we argue that ports can be

  6. Influence of Port Policy on the Development of Croatian Container Ports

    Directory of Open Access Journals (Sweden)

    Čedomir Dundović

    2002-03-01

    Full Text Available It is important to consider the port development throughoutthe world from the aspect of economical, transport and portpolicy and their mutual impact on commerce and efficiency ofports. By examining such relations in the context of developmentof the Croatian container ports, it is possible to define reasonsfor lagging behind of Croatian ports compared to theworld movements.The main reason for the negative trend of development ofCroatian container ports lies in the non-existence of adequatemeasures of transport, maritime and port policy. Analysis ofstatistics over the past decade and comparison of structure andvolume of the general cargo traffic in the Rijeka port and theneighbouring ports in the area of North Adriatic are both showingsignificant size discrepancy and uncompetitiveness of theCroatian port. Disturbances that have brought to such a situationresult from inadequate port policy and non-harmonisedactivities between various modes of transport.In order to overcome such situation, the authors suggest determiningof clear tasks, goals and measures of the port policythat have to be undertaken so that the Croatian policy could becompatible with the main aspects, development tendencies andmeasures of theE U port policy.

  7. Towards Sustainable ASEAN Port Development: Challenges and Opportunities for Vietnamese Ports

    Directory of Open Access Journals (Sweden)

    Saeyeon Roh

    2016-06-01

    Full Text Available Sustainability agendas are challenging port authorities around the world to find ways of operating and managing their ports efficiently and effectively in terms of economic, social, as well as environmental development. In this respect, governments in ASEAN countries have been implementing various green activities seeking to reduce the environmental impact of shipping and related activities. In this connection, most studies in the existing literature mainly focus on the environmental aspects of sustainable development and have not clearly explained what sustainable port development exactly entails. Furthermore, most of these studies emphasized on the impact of port development and overlooked what factors influence sustainable port development. To address these gaps, this research aim to explore the main factors shaping sustainable port development. This was conducted through a comprehensive review of related literature as well as confirmatory in-depth interviews with port authorities. As a result, findings from this research would help identify key elements of sustainable port development from port authorities’ perspective. The challenges, opportunities and managerial implications for Vietnamese ports are also discussed accordingly.

  8. Port-Wine Stains

    Science.gov (United States)

    ... Safe Videos for Educators Search English Español Port-Wine Stains KidsHealth / For Parents / Port-Wine Stains What's ... Manchas de vino de oporto What Are Port-Wine Stains? A port-wine stain is a type ...

  9. Fewer-than-four ports versus four ports for laparoscopic cholecystectomy.

    Science.gov (United States)

    Gurusamy, Kurinchi Selvan; Vaughan, Jessica; Rossi, Michele; Davidson, Brian R

    2014-02-20

    Traditionally, laparoscopic cholecystectomy is performed using two 10-mm ports and two 5-mm ports. Recently, a reduction in the number of ports has been suggested as a modification of the standard technique with a view to decreasing pain and improving cosmesis. The safety and effectiveness of using fewer-than-four ports has not yet been established. To assess the benefits (such as improvement in cosmesis and earlier return to activity) and harms (such as increased complications) of using fewer-than-four ports (fewer-than-four-ports laparoscopic cholecystectomy) versus four ports in people undergoing laparoscopic cholecystectomy for any reason (symptomatic gallstones, acalculous cholecystitis, gallbladder polyp, or any other condition). We searched the Cochrane Central Register of Controlled Trials (CENTRAL; Issue 8, 2013), MEDLINE, EMBASE, Science Citation Index Expanded, and the World Health Organization International Clinical Trials Registry Platform portal to September 2013. We included all randomised clinical trials comparing fewer-than-four ports versus four ports, that is, with standard laparoscopic cholecystectomy that is performed with two ports of at least 10-mm incision and two ports of at least 5-mm incision. Two review authors independently identified the trials and extracted the data. We analysed the data using both the fixed-effect and the random-effects models. For each outcome, we calculated the risk ratio (RR) or mean difference (MD) with 95% confidence intervals (CI) based on intention-to-treat analysis, whenever possible. We found nine trials with 855 participants that randomised participants to fewer-than-four-ports laparoscopic cholecystectomy (n = 427) versus four-port laparoscopic cholecystectomy (n = 428). Most trials included low anaesthetic risk participants undergoing elective laparoscopic cholecystectomy. Seven of the nine trials used a single port laparoscopic cholecystectomy and the remaining two trials used three-port laparoscopic

  10. Strategic port development

    DEFF Research Database (Denmark)

    Olesen, Peter Bjerg; Dukovska-Popovska, Iskra; Hvolby, Hans-Henrik

    2014-01-01

    While large global ports are recognised as playing a central role in many supply chains as logistic gateways, smaller regional ports have been more stagnant and have not reached the same level of development as the larger ports. The research literature in relation to port development is also...

  11. Hope in Motion

    Science.gov (United States)

    Yeasting, Kevin; Jung, Sandy

    2010-01-01

    Hope has been described by many as a basic, fundamental, and essential part of life. This article introduces a new approach to incorporate hope with clients experiencing a range of difficulties in the general counseling setting. In this framework, three stages are proposed to enable clients to strengthen and solidify their hope. In the first…

  12. Pedagogies of Hope

    Science.gov (United States)

    Webb, Darren

    2013-01-01

    Hoping is an integral part of what it is to be human, and its significance for education has been widely noted. Hope is, however, a contested category of human experience and getting to grips with its characteristics and dynamics is a difficult task. The paper argues that hope is not a singular undifferentiated experience and is best understood as…

  13. Ways of Hoping: Navigating the Paradox of Hope and Despair in Chronic Pain.

    Science.gov (United States)

    Eaves, Emery R; Nichter, Mark; Ritenbaugh, Cheryl

    2016-03-01

    In this paper, we explore hope in the context of living with chronic pain. Individuals with chronic pain from temporomandibular disorder(s) were interviewed four to five times over the course of their 18-month participation in a clinical trial investigating the effectiveness of Traditional Chinese Medicine. We sought to understand shifts in participants' descriptions of expectations and hopefulness, particularly with regard to the work involved in counterbalancing positive thinking with buffers against disappointment. We found hope to be a dynamic and multifaceted mindset as distinct from being a single entity to be measured. Drawing upon Polanyi's concept of tacit knowing, we explore how different ways of hoping emerge and index one another in participant narratives. We offer a working typology of hope and raise as an issue the manner in which the paradox of hope--hoping enough to carry on while keeping hopes in check to avoid the ever-present possibility of despair--complicates simplistic notions of the relationship between positive thinking and the placebo response.

  14. Port of Rotterdam

    NARCIS (Netherlands)

    Veenstra, A.W.

    2014-01-01

    The port of Rotterdam is one of the largest ports in the World and has great significance for the Dutch and European economy. Newly appointed TU/e professor Albert Veenstra explains if and how the Port of Rotterdam is affected by the economic crisis. With other European ports closing in, what can

  15. Engineering issues on the diagnostic port integration in ITER upper port 18

    Energy Technology Data Exchange (ETDEWEB)

    Pak, Sunil, E-mail: paksunil@nfri.re.kr [National Fusion Research Institute, Gwahak-ro, Yuseong-gu, Daejeon (Korea, Republic of); Bertalot, Luciano [ITER Organization, Route de Vinon sur Verdon, 13115 St Paul-lez-Durance (France); Cheon, Mun Seong [National Fusion Research Institute, Gwahak-ro, Yuseong-gu, Daejeon (Korea, Republic of); Giacomin, Thibaud [ITER Organization, Route de Vinon sur Verdon, 13115 St Paul-lez-Durance (France); Heemskerk, Cock J.M.; Koning, Jarich F. [Heemskerk Innovative Technology, Merelhof 2, 2172 HZ Sassenheim (Netherlands); Lee, Hyeon Gon [National Fusion Research Institute, Gwahak-ro, Yuseong-gu, Daejeon (Korea, Republic of); Nemtcev, Grigorii [Institution “PROJECT CENTER ITER”, Akademika Kurchatova sq., Moscow (Russian Federation); Ronden, Dennis M.S. [FOM Institute DIFFER, P.O. Box 1207, 3430 BE Nieuwegein (Netherlands); Seon, Chang Rae [National Fusion Research Institute, Gwahak-ro, Yuseong-gu, Daejeon (Korea, Republic of); Udintsev, Victor; Yukhnov, Nikolay [ITER Organization, Route de Vinon sur Verdon, 13115 St Paul-lez-Durance (France); Zvonkov, Alexander [Institution “PROJECT CENTER ITER”, Akademika Kurchatova sq., Moscow (Russian Federation)

    2016-11-01

    Highlights: • Diagnostic port integration in the upper port 18 of ITER is presented in order to house the three diagnostic systems. • Issue on the neutron shielding in the upper port 18 is addressed and the shut-down dose rate in the interspace is summarized. • The maintenance strategy in the upper port 18 is described. - Abstract: The upper port #18 (UP18) in ITER hosts three diagnostic systems: the neutron activation system, the Vacuum Ultra-Violet spectrometer system, and the vertical neutron camera. These diagnostics are integrated into three infrastructures in the port: the upper port plug, interspace support structure and port cell support structure. The port integration in UP18 is at the preliminary design stage and the current design of the infrastructure as well as the diagnostic integration is described here. The engineering issues related to neutron shielding and maintenance are addressed and the design approach is suggested.

  16. Making Ripples of Hope

    Science.gov (United States)

    Lopez, Shane J.

    2011-01-01

    Hope, the ideas and energy for the future, is one of the most potent predictors of the success of the youth. Based on the Gallup Student Poll, an online school-based measure of student hope (and engagement and well-being), half of American students are hopeful. Hopeful students are energetic, full of life. They're able to develop many strategies…

  17. Sisters Hope

    DEFF Research Database (Denmark)

    Lawaetz, Anna; Worre Hallberg, Gry

    2011-01-01

    Sisters Hope invites young scholars to visit our elite-school for run-away youngsters. Maybe you will be the next one to be collected and accepted?......Sisters Hope invites young scholars to visit our elite-school for run-away youngsters. Maybe you will be the next one to be collected and accepted?...

  18. Hope and the uncertain future

    OpenAIRE

    PIETARINEN JUHANI

    2014-01-01

    Benedict Spinoza defined hope as an inconstant joy inconstant, because hope involves uncertainty and doubt. Hope means optimism mixed with pessimistic feelings. For Spinoza, hope amounts to an increase in our inherent active power, in our vitality or love of life, but because of being associated with fear, hope also involves something which is apt to reduce this power. Our beliefs concerning future outcomes are crucial here. They form the ultimate basis of our hope.

  19. From hope to hope: the experience of older Chinese people with advanced cancer.

    Science.gov (United States)

    Chen, Hong; Komaromy, Carol; Valentine, Christine

    2015-03-01

    In our study that explored the current end-of-life care provision for Chinese older people with advanced/terminal cancer, hope emerged as a significant aspect of coping with their condition. Drawing on data from in-depth interviews with a group of older people, their family carers and health professionals, this article explores participants' constructions of hope in terms of what they were hoping for, how their hopes helped them cope with their illness and what sociocultural resources they drew on to build and sustain these hopes. While acknowledging similarities to Western studies of hope in terminal illness, this article identifies significant divergences in terms of the impact of different sociocultural values and their implications for clinical practice in light of an unfavourable health care environment for patients with advanced cancer and a social support system sustained mainly by Chinese families. It argues that hope represents an important resource for coping with terminal illness among these patients. © The Author(s) 2014.

  20. The Re-Conceptualization of the Port Supply Chain as a Smart Port Service System: The Case of the Port of Salerno

    Directory of Open Access Journals (Sweden)

    Antonio Botti

    2017-04-01

    Full Text Available This paper proposes a re-conceptualization of the port supply chain as a smart service system, in accordance with the theory of service science. Starting from a short literature review about the port supply chain approach and service science, a new comprehensive framework is provided to better understand seaport dynamics and the creation of competitive port supply chains. The methodology used is the case study approach. The Authors examined the Port of Salerno (Italy and re-conceptualized it as a smart port service system. The originality of the work lies in the application of service science as a lens to re-conceptualize the port supply chain, that allows the implementation of a logistic framework. Both theoretical and practical implications are provided to enrich the literature about port supply chains and to support port operators.

  1. Hope and Hopelessness: The Role of Hope in Buffering the Impact of Hopelessness on Suicidal Ideation.

    Science.gov (United States)

    Huen, Jenny M Y; Ip, Brian Y T; Ho, Samuel M Y; Yip, Paul S F

    2015-01-01

    The present study investigated whether hope and hopelessness are better conceptualized as a single construct of bipolar spectrum or two distinct constructs and whether hope can moderate the relationship between hopelessness and suicidal ideation. Hope, hopelessness, and suicidal ideation were measured in a community sample of 2106 participants through a population-based household survey. Confirmatory factor analyses showed that a measurement model with separate, correlated second-order factors of hope and hopelessness provided a good fit to the data and was significantly better than that of the model collapsing hope and hopelessness into a single second-order factor. Negative binomial regression showed that hope and hopelessness interacted such that the effect of hopelessness on suicidal ideation was lower in individuals with higher hope than individuals with lower hope. Hope and hopelessness are two distinct but correlated constructs. Hope can act as a resilience factor that buffers the impact of hopelessness on suicidal ideation. Inducing hope in people may be a promising avenue for suicide prevention.

  2. Qualidade de pêssegos cv. "Eldorado" tratados com aminoetoxivinilglicina e ethephon e armazenados em atmosfera controlada Quality of cv. 'Eldorado' peach fruit treated with aminoethoxyvinylglycine and ethephon and stored in controlled atmosphere

    Directory of Open Access Journals (Sweden)

    Auri Brackmann

    2007-02-01

    Full Text Available O objetivo desse trabalho foi avaliar o efeito da combinação da aplicação em pré-colheita de aminoetoxivinilglicina (AVG e de ethephon com o armazenamento em atmosfera controlada (AC na manutenção da qualidade e na redução de desordens causadas pela baixa temperatura em pêssegos cv. "Eldorado", visando ao transporte marítimo. Os tratamentos constituíram-se da aplicação de AVG (125g ha-1 e 250g ha-1 aos 15 ou 21 dias antes da colheita, de ethephon (140g ha-1 aos sete dias antes da colheita e do controle (sem aplicação de produtos, combinados com duas condições de armazenamento em AC 1,0kPa de O2 + 3,0kPa de CO2 e 2,0kPa de O2 + 5,0kPa de CO2 a 0°C. Após 24 dias de armazenamento em AC e de mais dois e quatro dias a 15°C, simulando o período médio de transporte marítimo até a Europa, observou-se que a aplicação de ethephon aumentou a produção de etileno e reduziu a acidez titulável e a firmeza da polpa dos frutos, acelerando o amadurecimento. A aplicação de AVG na pré-colheita não retardou o amadurecimento dos frutos, porém a aplicação 125g ha-1 de AVG aos 15 dias antes da colheita reduziu a incidência de escurecimento da polpa, em relação ao controle e ao ethephon. Além disso, a condição de atmosfera controlada com 2,0kPa de O2 + 5,0kPa de CO2 permitiu maior acidez titulável e menor incidência de escurecimento da polpa.The effect of preharvest application of aminoethoxyvinylglycine (AVG and ethephon combined with controlled atmosphere (CA storage conditions on peach fruit (cv. Eldorado quality maintenance and chilling injury prevention was investigated, aiming at the maritime transport. Treatments evaluated were preharvest application of AVG (125g ha-1 and 250g ha-1 at 15 or 21 days before harvest, ethephon (140g ha-1 7 days before harvest, and control, combined with two CA conditions (1.0kPa O2 + 3.0kPa CO2 and 2.0kPa O2 + 5.0kPa CO2 at 0°C. After 24 days of CA storage plus 2 and 4 days of shelf

  3. Belief, hope and faith.

    Science.gov (United States)

    Figueiredo, Luis Claudio

    2004-12-01

    A case of hysteria is presented in order to create a frame of reference for the author's approach to the concepts of hope, belief and faith. A difference between hope as a 'sad passion' (which is here called regressive hope) and hope as a principle of mental functioning is established. The concept of hope will at first always be based on beliefs--either beliefs organised in the paranoid-schizoid position (called here fragmented and delusional beliefs)--or those organised from the depressive position (complex systems of beliefs, which end up being dogmatic); the latter typically occur in neurotics. It is suggested here that there is another possibility for hope, which is based on faith. The meaning of faith is considered here externally to the religious sense. The solid establishment of hope as a principle--based on faith--can be viewed as responsible for the opening up of creative potentials and as one of the main aims of analysis. Such an aim, however requires the establishment of a deep relationship, both in theory and in clinical practice, between the Kleinian question of the depressive position and the Freudian question of the Oedipus complex.

  4. Flat-port connectors

    KAUST Repository

    Alrashed, Mohammed

    2017-01-01

    and water resistant. It is unique in the way of using the outer surfaces of the device for the electrical connection between the ports. Flat-port design can allow the manufacture of extremely thin devices by eliminating the side ports slots that take a lot

  5. Survivability and Hope

    Science.gov (United States)

    ... Current Issue Past Issues Special Section Survivability and Hope Past Issues / Spring 2007 Table of Contents For ... cure or long-term survivorship." This message of hope is a hallmark of the latest advances in ...

  6. Integrated circuit test-port architecture and method and apparatus of test-port generation

    Science.gov (United States)

    Teifel, John

    2016-04-12

    A method and apparatus are provided for generating RTL code for a test-port interface of an integrated circuit. In an embodiment, a test-port table is provided as input data. A computer automatically parses the test-port table into data structures and analyzes it to determine input, output, local, and output-enable port names. The computer generates address-detect and test-enable logic constructed from combinational functions. The computer generates one-hot multiplexer logic for at least some of the output ports. The one-hot multiplexer logic for each port is generated so as to enable the port to toggle between data signals and test signals. The computer then completes the generation of the RTL code.

  7. Sea freight - Antwerp Port

    Directory of Open Access Journals (Sweden)

    NEACSU Nicoleta Andreea

    2017-01-01

    Full Text Available Shipping plays a vital role in achieving the movement of goods, both in terms of quantity and efficiency. This paper presents the role and advantages of shipping in the global economy and analyzes the development and Antwerp Port activity. Currently, the second most important trading port in Europe and 14th in the ranking of most important ports that handle containers worldwide, the Port of Antwerp, Belgium is a port in the heart of Europe, accessible to large sized vessels. 200 years of constructing infrastructure and logistics around the central location, as well as pressure from Rotterdam, that had an impact on the competitiveness of the port of Antwerp, all this led the port to occupy a leading position in the top rankings.

  8. Determinants of Port Performance - Case Study of 4 Main Ports in Indonesia (2005-2015

    Directory of Open Access Journals (Sweden)

    Atika Aqmarina

    2018-03-01

    Full Text Available Port plays significant role in supporting economic growth of a country. This study aims to analyze the determinant of port performance in Indonesia. In this research, the ports selected are four main ports in Indonesia which are Port of Belawan, Port of Tanjung Priok, Port of Tanjung Perak, and Makassar. These ports are designed as the hub ports in the national sea transport system of the country. The study used pooled OLS as the methodology to analyze the determinant. The result of this studies shows that total traffic is not influenced by operating surplus per ton, whereas the rest of variables such as turnaround time, idle time, berth of occupancy rate, rate of return, number of employee and cargo equipment have significant results and significantly influenced the total traffic.

  9. ITER lower port systems integration

    Energy Technology Data Exchange (ETDEWEB)

    Levesy, B., E-mail: bruno.levesy@iter.org [ITER Organization, CS 90 046, 13067 St Paul Lez Durance Cedex (France); Baker, D.; Boussier, B.; Bryan, S.; Cordier, J.J.; Dremel, M.; Dell' Orco, G.; Daly, E.; Doshi, B.; Jeannoutot, T.; Friconneau, J.P.; Gliss, C.; Le Barbier, R.; Lachevre, F.; Loughlin, M.; Martin, A.; Martins, J.P.; Maruyama, S.; Palmer, J.; Reichle, R. [ITER Organization, CS 90 046, 13067 St Paul Lez Durance Cedex (France)

    2011-10-15

    The lower port systems are installed inside the vacuum vessel lower ports and in the adjacent port cells. The vacuum vessel ports and penetrations are allocated as follow: -4 ports dedicated to remote handling of the divertor cassettes, contain diagnostics racks and divertor cooling pipes. -5 ports connecting the main vessel to the torus cryopumps, contain divertor cooling pipes, pellet and gas injection pipes and vertical stabilization coil feeders. -3 penetrations connecting torus cryopumps are connected to the vacuum vessel by branch pipes. -Specific penetrations for divertor cooling lines, in-vessel viewing and glow discharge systems. The general layout of the port systems has been revised recently to improve the cryopump (8 t weight, 1.8 m diameter and 2.5 m long) maintenance scheme with remote handling tools and integrate the in-vessel vertical stabilization coil feeders. The port allocation, the pumping ports design, and interfaces in-between ports and cryostat and in-between cryopumps and cryostat have been up-dated. The integration inside the 18 port cells (11 m x 4 m each) has been reviewed to avoid clashes in between systems and to fix the openings in the port cell concrete walls. The new layout integrates safety and neutron-shielding requirements as well as remote handling and maintenance compatibility for the different systems. The paper presents the up-dated integration of the lower port systems inside the ports and the port cells. Interfaces of the port systems with the vacuum vessel, the cryostat and the port cells are described.

  10. Hope and Hopelessness: The Role of Hope in Buffering the Impact of Hopelessness on Suicidal Ideation

    Science.gov (United States)

    Huen, Jenny M. Y.; Ip, Brian Y. T.; Ho, Samuel M. Y.; Yip, Paul S. F.

    2015-01-01

    Objectives The present study investigated whether hope and hopelessness are better conceptualized as a single construct of bipolar spectrum or two distinct constructs and whether hope can moderate the relationship between hopelessness and suicidal ideation. Methods Hope, hopelessness, and suicidal ideation were measured in a community sample of 2106 participants through a population-based household survey. Results Confirmatory factor analyses showed that a measurement model with separate, correlated second-order factors of hope and hopelessness provided a good fit to the data and was significantly better than that of the model collapsing hope and hopelessness into a single second-order factor. Negative binomial regression showed that hope and hopelessness interacted such that the effect of hopelessness on suicidal ideation was lower in individuals with higher hope than individuals with lower hope. Conclusions Hope and hopelessness are two distinct but correlated constructs. Hope can act as a resilience factor that buffers the impact of hopelessness on suicidal ideation. Inducing hope in people may be a promising avenue for suicide prevention. PMID:26107687

  11. Fundamental Hope and Practical Identity

    NARCIS (Netherlands)

    Bloeser, Claudia; Stahl, Titus

    2017-01-01

    This article considers the question 'What makes hope rational?' We take Adrienne Martin's recent incorporation analysis of hope as representative of a tradition that views the rationality of hope as a matter of instrumental reasons. Against this tradition, we argue that an important subset of hope,

  12. Principal Ports

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Principal Ports are defined by port limits or US Army Corps of Engineers (USACE) projects, these exclude non-USACE projects not authorized for publication. The...

  13. Hope for health and health care.

    Science.gov (United States)

    Stempsey, William E

    2015-02-01

    Virtually all activities of health care are motivated at some level by hope. Patients hope for a cure; for relief from pain; for a return home. Physicians hope to prevent illness in their patients; to make the correct diagnosis when illness presents itself; that their prescribed treatments will be effective. Researchers hope to learn more about the causes of illness; to discover new and more effective treatments; to understand how treatments work. Ultimately, all who work in health care hope to offer their patients hope. In this paper, I offer a brief analysis of hope, considering the definitions of Hobbes, Locke, Hume and Thomas Aquinas. I then differentiate shallow and deep hope and show how hope in health care can remain shallow. Next, I explore what a philosophy of deep hope in health care might look like, drawing important points from Ernst Bloch and Gabriel Marcel. Finally, I suggest some implications of this philosophy of hope for patients, physicians, and researchers.

  14. Management of Port Operations

    OpenAIRE

    Gheorghe BASANU; Georgiana NUKINA

    2011-01-01

    The Management of port operation requires the proper and efficient use of port facility, equipment for cargo handling, berth facilities, waterways and roads. It also entails the use of effective communications system, storage facilities, and dockworkers. The whole activities mentioned above form the bulk of port operations. The aspiration of port operator is to get cargo through the gateway of ports as fast as possible on to other modes of transport (rail or road) with a minimal cost to them ...

  15. The Windows serial port programming handbook

    CERN Document Server

    Bai, Ying

    2004-01-01

    The fundamentals of serial port communications. Serial port programming in ANSI C and Assembly languages for MS-DOS. Serial ports interface developed in VC++ 6.0. Serial port programming in Visual Basic. Serial port programming in LabVIEW. Serial port programming in MATLAB. Serial port programming in Smalltalk. Serial port programming in Java.

  16. Maintaining and Researching Port Safety: A Case Study of the Port of Kaohsiung

    OpenAIRE

    Tseng, Po-Hsing.; Pilcher, Nick.

    2017-01-01

    Maintaining port safety in full conformity with IMO standards is a requisite for every port and country. To do this, understanding the challenges and human factors involved is key. To date, much research has shed valuable light on these factors and considered how to address them. One aspect that is often noted is that both maintaining port safety and researching port safety presents numerous challenges. This paper considers both these aspects in the context of a case study of port safety in K...

  17. Hope, Symptoms, and Palliative Care.

    Science.gov (United States)

    Davis, Mellar P; Lagman, Ruth; Parala, Armida; Patel, Chirag; Sanford, Tanya; Fielding, Flannery; Brumbaugh, Anita; Gross, James; Rao, Archana; Majeed, Sumreen; Shinde, Shivani; Rybicki, Lisa A

    2017-04-01

    Hope is important to patients with cancer. Identifying factors that influence hope is important. Anxiety, depression, fatigue, and pain are reported to impair hope. The objective of this study was to determine whether age, gender, marital status, duration of cancer, symptoms, or symptom burden measured by the sum of severity scores on the Edmonton Symptom Assessment Scale (ESAS) correlated with hope measured by the Herth Hope Index (HHI). Patients with advanced cancer in a palliative care unit participated. Demographics including age, gender, marital status, cancer site, and duration of cancer were collected. Individuals completed the ESAS and HHI. Spearman correlation and linear regression were used to assess associations adjusting for gender (male vs female), age ( 12 months). One hundred and ninety-seven were participated in the study, of which 55% were female with a mean age of 61 years (standard deviation 11). Hope was not associated with gender, age, marital status, or duration of cancer. In univariable analysis, hope inversely correlated with ESAS score (-0.28), lack of appetite (-0.22), shortness of breath (-0.17), depression (-0.39), anxiety (-0.32), and lack of well-being (-0.33); only depression was clinically relevant. In multivariable analysis, total symptom burden weakly correlated with hope; only depression remained clinically significant. This study found correlation between symptom burden and hope was not clinically relevant but was so for depression. Among 9 ESAS symptoms, only depression had a clinically relevant correlation with hope.

  18. Shipping emissions in ports

    OpenAIRE

    Merk, Olaf

    2014-01-01

    Shipping emissions in ports are substantial, accounting for 18 million tonnes of CO2 emissions, 0.4 million tonnes of NOx, 0.2 million of SOx and 0.03 million tonnes of PM10 in 2011. Around 85% of emissions come from containerships and tankers. Containerships have short port stays, but high emissions during these stays. Most of CO2 emissions in ports from shipping are in Asia and Europe (58%), but this share is low compared to their share of port calls (70%). European ports have much less emi...

  19. Understanding hope and factors that enhance hope in women with breast cancer.

    Science.gov (United States)

    Ebright, Patricia R; Lyon, Brenda

    2002-04-01

    To examine the extent to which antecedent variables and appraisals differentiate levels of hope in women during treatment for breast cancer. Descriptive, correlational. Two large midwestern urban areas. 73 Caucasian women between the ages of 20-73 with first-time diagnosis of breast cancer; recruited through five physician offices; within three months after surgical intervention with planned chemotherapy, radiation therapy, or tamoxifen; and able to read English. Identical surveys mailed to participants 3 and 12 months after surgery. Instruments included Lazarus' Appraisal Components and Themes Scales, Herth Hope Index, Rosenberg's Self-Esteem Scale, Personal Resource Questionnaire 85-Part 2, Helpfulness of Religious Beliefs Scale, and demographics questionnaire. Appraisal, hope, self-esteem, social support, and helpfulness of religious beliefs. Variables influencing appraisals during breast cancer treatment on both surveys were self-esteem and helpfulness of religious beliefs. Potential for coping appraisals and self-esteem contributed to variation in hope at both time points. Social support was a significant contributor to hope in the 12-month survey. Appraisal themes reflected challenge but not fear. Self-esteem and helpfulness of religious beliefs influence women's appraisals regarding the potential for coping; appraisals and antecedent variables relevant for differentiating hope are beliefs about the potential for coping, self-esteem, and social support. Care of women with breast cancer during the first year of treatment should include assessment of beliefs regarding the potential for coping. Results suggest that support for interventions related to self-esteem, social support, and helpfulness of religious beliefs increase confidence in coping abilities and hope.

  20. 19 CFR 101.3 - Customs service ports and ports of entry.

    Science.gov (United States)

    2010-04-01

    ... and Service Ports. Many of the ports listed were created by the President's message of March 3, 1913....S.C. 1). Subsequent orders of the President or of the Secretary of the Treasury which affected these... Port of the Delaware River and Bay described in T.D. 96-4. Perth Amboy New Mexico Albuquerque Including...

  1. Evaluation of the Necessity of Port Fixation in Central Venous Port Implantation

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Sang Su; Kim, Hyung Pil [Inje University Pusan Paik Hospital, Busan (Korea, Republic of); Bae, Jae Ik; Won, Je Hwan [Ajou University School of Medicine, Suwon (Korea, Republic of)

    2010-06-15

    The technical success and complications were especially focused on and evaluated the need for fixation of a port under fluoroscopic guidance placement of the totally implantable central venous access ports for long term central venous access. Two hundred eighty nine consecutive patients (170 men, 119 women, mean age: 52-year-old) who underwent venous port implantation for the administration of chemotherapy were followed over a 1-month period. The procedures were performed in the angiographic suite by an interventional radiologist and all access was through the right jugular vein, except for the patients who had undergone a right mastectomy. The procedures were performed in the following order: 1) venous puncture, 2) making a pocket, 3) catheter tunneling, 4) port insertion, 5) catheter sizing, and 6) insertion. A port which was connected to the tunneled catheter was inserted into the minimally sized subcutaneous pocket with the aid of a small retractor. A follow-up was performed with medical records and chest radiographs. The follow-up period for evaluating the venous port ranged from 59 to 329 days (mean: 175 days) The procedures performed to gain right jugular vein access were successful without difficulty in all cases. The 18 patients that underwent procedures to gain left jugular vein access encountered some difficulty upon insertion of a catheter into the SVC due to encountering the tortuous left brachiocephalic vein. No complications occurred during and immediately after the procedure. In one case the port chamber rotated within the subcutaneous pocket; however, no catheter migration or malfunction occurred. If port insertion was followed by catheter insertion, the port chamber can be tightly implanted in the minimally sized pocket. This would avoid the need for fixation of the catheter to the port chamber leading into the pocket

  2. Intake port

    Science.gov (United States)

    Mendler, Edward Charles

    2005-02-01

    The volumetric efficiency and power of internal combustion engines is improved with an intake port having an intake nozzle, a venturi, and a surge chamber. The venturi is located almost halfway upstream the intake port between the intake valves and the intake plenum enabling the venturi throat diameter to be exceptionally small for providing an exceptionally high ram velocity and an exceptionally long and in turn high efficiency diffuser flowing into the surge chamber. The intake port includes an exceptionally large surge chamber volume for blow down of the intake air into the working cylinder of the engine.

  3. Shutdown dose rates at ITER equatorial ports considering radiation cross-talk from torus cryopump lower port

    Energy Technology Data Exchange (ETDEWEB)

    Juárez, Rafael, E-mail: rjuarez@ind.uned.es [Departamento de Ingeniería Energética, ETSII-UNED, Calle Juan del Rosal 12, Madrid 28040 (Spain); Pampin, Raul [F4E, Torres Diagonal Litoral B3, Josep Pla 2, Barcelona 08019 (Spain); Levesy, Bruno [ITER Organization, 13115 Route de Vinon sur Verdon, St Paul Lez Durance (France); Moro, Fabio [ENEA, Via Enrico Fermi 45, Frascati, Rome (Italy); Suarez, Alejandro [ITER Organization, 13115 Route de Vinon sur Verdon, St Paul Lez Durance (France); Sanz, Javier [Departamento de Ingeniería Energética, ETSII-UNED, Calle Juan del Rosal 12, Madrid 28040 (Spain)

    2015-11-15

    Shutdown dose rates for planned maintenance purposes is an active research field in ITER. In this work the radiation (neutron and gamma) cross-talk between ports in the most conservative case foreseen in ITER is investigated: the presence of a torus cryopump lower port, mostly empty for pumping efficiency reasons. There will be six of those ports: #4, #6, #10, #12, #16 and #18. The equatorial ports placed above them will receive a significant amount of additional radiation affecting the shutdown dose rates during in situ maintenance activities inside the cryostat, and particularly in the port interspace area. In this study a general situation to all the equatorial ports placed above torus cryopump lower ports is considered: a generic diagnostics equatorial port placed above the torus cryopump lower port (LP#4). In terms of shutdown dose rates at equatorial port interspace after 10{sup 6} s of cooling time, 405 μSv/h has been obtained, of which 160 μSv/h (40%) are exclusively due to radiation cross-talk from a torus cryopump lower port. Equatorial port activation due to only “local neutrons” contributes 166 μSv/h at port interspace, showing that radiation cross-talk from such a lower port is a phenomenon comparable in magnitude to the neutron leakage though the equatorial port plug.

  4. Hope grounded in belief: Influences of reward for application and social cynicism on dispositional hope.

    Science.gov (United States)

    Bernardo, Allan B I

    2013-12-01

    Two studies explore whether general beliefs about the social world or social axioms may be antecedents of dispositional hope. Social axioms are generalized cognitive representations that provide frames for constructing individuals' hope-related cognitions. Considering social axioms' instrumental and ego-defensive functions, two social axioms, social cynicism and reward for application are hypothesized to be negative and positive predictors of hope, respectively. Study 1 used multiple regression analysis to test the hypothesis. Study 2 used structural equation modeling to test the model with a pathway linking reward for application with hope, and another pathway linking social cynicism and hope that is mediated by self-esteem. The results are discussed in terms of extending the range of psychological constructs and processes that foster the development of hope. © 2013 The Scandinavian Psychological Associations.

  5. How Much Hope Is Enough? Levels of Hope and Students' Psychological and School Functioning

    Science.gov (United States)

    Marques, Susana C.; Lopez, Shane J.; Fontaine, Anne Marie; Coimbra, Susana; Mitchell, Joanna

    2015-01-01

    This study investigated the characteristics of students who report extremely high levels of hope. A sample of 682 students (ages 11-17) completed measures of hope, school engagement, life satisfaction, self-worth, and mental health. Academic achievement was obtained from students' school records. Based on their hope scores, students were divided…

  6. Rosas transplantadas y el mito de Eldorado. Travesías en el tiempo, en el espacio, en la imágen y en el silencio

    Directory of Open Access Journals (Sweden)

    Elizabeth Jelin

    2009-11-01

    Full Text Available The looking glass is directed towards Eldorado, a virgin subtropical land in Northeastern Argentina, around 1920. I will be following some lines of its history during the following three decades, a history that can be read in terms of bringing “civilization”, modernity and progress to an untamed savage land. The basic route was that of European immigration, in part escaping from poverty, conflict and destruction. The “locality” and the “local” –in this case as in others—are not what is left over or kept out of the center. Rather, it is part of an interrelated world. The task I propose stems from an attempt to conceptualize the “local” not in contrast to the “global” or the “macro” but rather as a shifted center from which the world can be looked at, a base from which webs of connections with other places, peoples and institutions are made and broken, shaped and reshaped. From this “descentered” center, the history of “Europe” becomes not a history of place but one of flows and webs --of people or of political and institutional links, of economic interests, of personal and family ties. Personal letters and photographs sent and received, auto- and family biographies and the photo album are the means to explore such flows. There are also the more conventional public documents and printed newspapers. It is also a story of many silences to be uncovered.The case of Eldorado will be used to reflect upon and pose some questions about more general issues in social research: the conceptualization of local-global and center-periphery relationships; the private-public divide; the split we construct between rationality and objectivity on the one hand, and passions and emotions on the other; the “embodied” link between academic research, intellectual commitments and the public sphere; perhaps something about chance and choice in asking research questions.

  7. The meaning of hope in nursing research

    DEFF Research Database (Denmark)

    Hammer, Kristianna; Mogensen, Ole; Hall, Elisabeth O C

    2009-01-01

    regardless of whether the human being was healthy, chronically or terminally ill. They comprise the complexity of hope and were: living in hope, hoping for something, hope as a light on the horizon, hope as a human-to-human relationship, hope vs. hopelessness and fear: two sides of the same coin, and hope......Scand J Caring Sci; 2009 The meaning of hope in nursing research: a meta-synthesisThe aim of this study was to develop a meta-synthesis of nursing research about hope as perceived by people during sickness and by healthy people. A meta-synthesis does not intend to cover all studies about hope....... Data were 15 qualitative studies published in nursing or allied health journals and conducted in USA, Great Britain, Canada, Australia, Norway, Sweden and Finland. The meta-synthesis resulted in six metaphors that illustrate dimensions of hope. These metaphors permeated the experiences of hope...

  8. Hope as fantasy in action

    DEFF Research Database (Denmark)

    Winther-Lindqvist, Ditte Alexandra

    ’s attempts for upholding a conduct of everyday life. I argue that hoping serves as a meaning horizon, a gegenstand for adjusting to the ongoing challenges that living with illness impose on the families. Hoping is an imaginary backdrop, against which events and tasks, moods and impressions are experienced......Drawing on Vygotsky’s theory of imagination (Vygotsky 2004) I am proposing a phenomenology of hoping as fantasy in action. Based on analysis of 35 interviews with teenagers who are living in households with a somatically ill parent, I suggest that hoping plays a central role in the teenager...... and evaluated, and thus the fantasies involved in hoping becomes constitutive for experiencing. I apply Vygotsky’s experiential view of imaginary activities and explore the experiential status of the “imagined” and the relation between imagining and the real, through the empirical material on hope. This work...

  9. Generic Diagnostic Port Integration for the Equatorial Port Plug of ITER

    International Nuclear Information System (INIS)

    Doceul, L.; Chappuis, Ph.; Portafaix, Ch.; Guillaume, T.; Bruyere, Ch.; Walker, Ch.; Ingesson, Ch.; Ciattaglia, E.; Salasca, S.; Eric, T.

    2006-01-01

    ITER requires an extensive set of diagnostic systems to provide several key functions such as protection of the device, input to plasma control systems and evaluation of the plasma performance. Most of these diagnostics system are to be integrated in port plugs, which are water cooled stainless steel structures (approximately: 50 t, 2 m x 2 m x 4 m) inserted into the vacuum-vessel ports. The port plug must perform basic functions such as providing neutron and gamma shielding, supporting the first wall armour and shielding blanket material, closing the vacuum vessel ports, supporting the diagnostic equipment (within the primary vacuum, on the primary vacuum boundary and in the port interspace). CEA (Commissariat l'Energie Atomique) has contributed to the engineering activities on the port plugs and has more particularly focused on the design and diagnostic integration in the representative equatorial port plug EQ01. The specific CEA contributions were to perform the general engineering, structural and thermal analysis. These detailed analysis have highlighted some design issues which were worked out through different solutions. This paper will contain the description of the engineering activities performed such as: - The conceptual design of the EQ01 and the associated diagnostics, such as the visible and infrared optical diagnostic, - The static mechanical calculations, taking into account the electromagnetic loads occurring during fast transient plasma events, - The dynamic calculation constituted of modal and transient analysis under the same electromagnetic loads to estimate the dynamic amplification factor due to the resonance phenomenon, - The thermal assessment under the neutronic load of the water-cooled stainless steel structure, - The seismic response of the port plug inside the vacuum vessel, taking into account the ground spectra and soil conditions in the Cadarache site. (author)

  10. Getting Port Governance Right

    DEFF Research Database (Denmark)

    de Langen, Peter; Saragiotis, Periklis

    2018-01-01

    This chapter discusses the relevance of ports for economic development and next identifies port governance as a critical determinant of a well-functioning port industry. While in the past decades privately owned terminal operating companies have emerged and contributed to more efficient supply ch...

  11. Reduced-port robotic total mesorectal resection for rectal cancer using a single-port access: a technical note.

    Science.gov (United States)

    Bae, Sung Uk; Jeong, Woon Kyung; Baek, Seong Kyu

    2017-12-01

    Single-port laparoscopic surgery has some advantages, including improved cosmetic outcomes and minimized parietal trauma. However, pure single-port laparoscopic rectal cancer surgery is challenging because of the difficulties in creating triangulation and applying the laparoscopic staplers with sufficient distal margins in the narrow pelvic cavity. Recently, a reduced-port robotic operation with a robotic single-port access plus one wristed robotic arm for colon cancer was introduced to overcome the limitations of single-port laparoscopic rectal surgery. Single-port laparoscopic surgery has some advantages, including improved cosmetic outcomes and minimized parietal trauma. However, the pure single-port laparoscopic rectal cancer operation is challenging. Recently, a reduced-port robotic operation with a robotic single-port access plus one wristed robotic arm for colon cancer was introduced to overcome the limitations of single-port laparoscopic rectal surgery. We performed a single-port plus an additional port robotic operation using a robotic single-port access through the umbilical incision, and the wristed robotic instruments were inserted through an additional robotic port in the right lower quadrant. The total operative and docking times were 310 min and 25 min, respectively. The total number of lymph nodes harvested was 12, and the proximal and distal resection margins were 11.1 and 2 cm, respectively. The patient was discharged on postoperative day 12 uneventfully. Based on a representative case, reduced-port robotic total mesorectal excision for rectal cancer using the single-port access appears to be feasible and safe. This approach could overcome the limitations of single-port laparoscopic rectal surgery.

  12. Application of Game Theory and Uncertainty Theory in Port Competition between Hong Kong Port and Shenzhen Port

    Directory of Open Access Journals (Sweden)

    Thi Minh Hoang Do

    2015-06-01

    Full Text Available This paper unveils the strong competition in container cargo between Hong Kong Port which has been emerging as an international maritime center since the 1970s and Shenzhen Port which has recently gained remarkable achievements in the Pearl River Delta region. Among various competing strategies, the study focuses on the long-term one in which two ports will decide to compete by investing in capacity. The purpose of this research is to examine their decision making process and to suggest future strategic actions in the current situation. Within its scope, only economic profit brought back from the investment is considered. For this reason, an uncertain payoff two-person game model is developed where an uncertain factor of demand is involved. In applying Uncertainty theory (Liu, 2013, the two methods to solve the game are introduced, including uncertain statistics and the expected Nash Equilibrium strategy. The results obtained from this research generate meaningful suggestions for future competition plan for the two selected ports, which conclude that Shenzhen is the dominant port in this long-term strategy. Compared to existing works on the same topic, the paper shows its distinctiveness by studying the latest competitive situation with regard to the uncertain demand in the game model.

  13. Inland Ports in the Republic of Croatia: Approvals for Port Activities instead of Concessions

    Directory of Open Access Journals (Sweden)

    Goran Vojković

    2008-11-01

    Full Text Available According to the 1998 Act on Inland Ports, the right to performall port activities within inland ports of the Republic ofCroatia is given on the basis of concession, obtained throughbidding. It has been noticed in practice that modem businessprocesses and traffic flows are more dynamic than before whenclassic concession relations were created. Also, types andamounts of cargo are changing every couple of years, which isfollowed by quick adjustments, instead of working according torigid and long-term defined decisions and concession contracts.Furthermore, the practice has shown for some activitiesthat the number of port providers (such as ship suppliers,port-agency and freight forwarders should not be limited. Thismeans that the system of a limited number of port providers isimportant only for the activities that require location within aport, as the port area is physically limited. Therefore, the newAct on Navigation and Inland Ports from 2007, whose framehas been completed by sub-law acts during 2008, has replacedthe complex concession system for performing activities in inlandports by a more liberal approval system. On the basis ofthese, higher dynamics of work of port providers is enabled aswell as easier adjustment to market conditions. Furthermore,the main limitation factor that determines the number of portusers becomes the available physical space within a port, whichprovides undisturbed competition, along with larger offer ofport services that do not require that space. It is also importantto point out that the new Act specifically includes distributionand cargo logistics, also processing and improvement of goodsas well as industrial activities including production that enablecomplete economic utilization of port capacities into the existingport activities, thus significantly changing the role of the portitself as a logistic centre.

  14. Application of a mesoscale forecasting model (NMM) coupled to the CALMET to develop forecast meteorology to use with the CALPUFF air dispersion model

    International Nuclear Information System (INIS)

    Radonjic, Z.; Telenta, B.; Kirklady, J.; Chambers, D.; Kleb, H.

    2006-01-01

    An air quality assessment was undertaken as part of the Environmental Assessment for the Port Hope Area Initiative. The assessment predicted potential effects associated with the remediation efforts for historic low-level radioactive wastes and construction of Long-Term Waste Management Facilities (LTWMFs) for both the Port Hope and Port Granby Projects. A necessary element of air dispersion modelling is the development of suitable meteorological data. For the Port Hope and Port Granby Projects, a meteorological station was installed in close proximity to the location of the recommended LTWMF in Port Hope. The recommended location for the Port Granby LTWMF is approximately 10 km west of the Port Hope LTWMF. Concerns were raised regarding the applicability of data collected for the Port Hope meteorological station to the Port Granby Site. To address this concern, a new method for processing meteorological data, which coupled mesoscale meteorological forecasting data the U.S. EPA CALMET meteorological data processor, was applied. This methodology is possible because a new and advanced mesoscale forecasting modelling system enables extensive numerical calculations on personal computers. As a result of this advancement, mesoscale forecasting systems can now be coupled with the CALMET meteorological data processor and the CALPUFF air dispersion modelling system to facilitate wind field estimations and air dispersion analysis. (author)

  15. "Hope is that fiery feeling": Using Poetry as Data to Explore the Meanings of Hope for Young People

    Directory of Open Access Journals (Sweden)

    Emily Bishop

    2014-01-01

    Full Text Available Poetic inquiry is a contentious area of qualitative research. In this article, we discuss some of the issues plaguing this field of inquiry. We then analyse a collection of poems about hope written by a sample of young people from Tasmania, Australia. The poems were written as part of the 2011 Tree of Hope project, which utilised multiple, arts-based methods to provide insights into what young people hope for in the future and the role of hope in their lives. Participants utilised one of three poetic structures. While each structure produced distinct themes, a connection between "hope and happiness" overlapped the two structured types of poetry—the acrostic and sense poetry. However, when writing free verse poetry, the expression of additional dimensions of hope, including the flipside of both having hope and losing hope was evident. We conclude that hope is particularly important to young people and that inviting participant-voiced poetry is an effective technique for investigating conceptual topics such as young people and hope. URN: http://nbn-resolving.de/urn:nbn:de:0114-fqs140194

  16. Multiple-port valve

    International Nuclear Information System (INIS)

    Doody, T.J.

    1978-01-01

    A multiple-port valve assembly is designed to direct flow from a primary conduit into any one of a plurality of secondary conduits as well as to direct a reverse flow. The valve includes two mating hemispherical sockets that rotatably receive a spherical valve plug. The valve plug is attached to the primary conduit and includes diverging passageways from that conduit to a plurality of ports. Each of the ports is alignable with one or more of a plurality of secondary conduits fitting into one of the hemispherical sockets. The other hemispherical socket includes a slot for the primary conduit such that the conduit's motion along that slot with rotation of the spherical plug about various axes will position the valve-plug ports in respect to the secondary conduits

  17. 360 PORT MDA - A Strategy to Improve Port Security

    Science.gov (United States)

    2006-09-01

    Participating Agencies (After: Executive Briefing..........................27 Table 6. Designated Joint Operations Center Participants (From: SAFE...Investigations CGIP Coast Guard Intelligence Program CHOC Charleston Harbor Operations Center CIO Command Intelligence Officer CMT Combating Maritime... EXECUTIVE SUMMARY Ports are critical to our economy and national security. Key hubs in the international trade network, U.S. ports accounted for more than

  18. Parental hope for children with advanced cancer.

    Science.gov (United States)

    Kamihara, Junne; Nyborn, Justin A; Olcese, Maura E; Nickerson, Taylor; Mack, Jennifer W

    2015-05-01

    Previous work suggests that parents of children with cancer can remain hopeful despite receiving prognostic information, but we know little about what hope means to such parents, or the extent to which parents can feel hopeful even while facing the child's impending death. We audiotaped conversations between clinicians and parents of 32 children with relapsed or refractory cancer, and then interviewed parents about their hopes and expectations for their child. Parent statements about prognosis in interviews mirrored those made by clinicians during discussions about the child's diagnosis with refractory or relapsed cancer. Clinicians used language referring to hope during these conversations but did not ask parents directly about their hopes. Parents expressed a range of hopes for their children, from hopes related to cure or treatment response, to quality of life, normalcy, and love and relationships for the child. For most parents, expectations about prognosis were not aligned with their hopes for the child; for example, many parents hoped for a cure and also reported that they did not believe cure was possible. Many parents were able to acknowledge this incongruence. Parents accurately conveyed the reality of their child's serious condition in the setting of advanced cancer, and yet maintained hope. Hopes were not limited to hope for cure/treatment response. Clinicians should be encouraged to engage in direct conversations about hope with parents as a means to elicit realistic hopes that can help to focus the most meaningful plans for the child and family. Copyright © 2015 by the American Academy of Pediatrics.

  19. Port Stakeholder Summit - April 2014

    Science.gov (United States)

    EPA's National Port Stakeholders Summit, Advancing More Sustainable Ports, focused on actions to protect air quality while reducing climate risk and supporting economic growth, making ports more environmentally sustainable.

  20. Hope in newly diagnosed cancer patients.

    Science.gov (United States)

    Duggleby, Wendy; Ghosh, Sunita; Cooper, Dan; Dwernychuk, Lynne

    2013-11-01

    Hope is important to cancer patients as it helps them deal with their diagnosis. Little is known about hope in newly diagnosed cancer patients. Based on the Transcending Possibilities conceptual model of hope, the purpose of this study was to examine the relationship of hope with pain, energy, and psychological and demographic characteristics in newly diagnosed adult oncology outpatients. Data from 310 New Patient Assessment Forms from cancer outpatients' health records were collected. Health records from the first six months of 2009 were reviewed and data were collected on hope, energy, pain, depression, anxiety, feeling overwhelmed, and demographic variables. A generalized linear modeling approach was used to study the relationship of hope scores with these variables. Hypothesized variables and variables that were significant at the P = 0.01 level from the univariate analysis were entered into the multivariate model, with hope scores as the dependent variable. Hope scores were significantly negatively related to age (P = 0.02). More specifically, oncology patients who were 65 years of age or older had significantly less hope than those under the age of 65 years (P = 0.01). Gender (P = 0.009) also was a significant factor, with men having higher hope scores than women. No other variables were significant. Older adults comprise the majority of persons in Canada with cancer. The lower hope scores found in this age group compared with their younger counterparts underscore the importance of further research. This study provides a foundation for future research in this important area for oncology patients. Copyright © 2013 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.

  1. 24 CFR 971.11 - HOPE VI developments.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false HOPE VI developments. 971.11... § 971.11 HOPE VI developments. Developments with HOPE VI implementation grants that have approved HOPE... with reasonable revitalization plans. Future HUD actions to approve or deny proposed HOPE VI...

  2. An Analysis of Port Service Quality and Customer Satisfaction: The Case of Korean Container Ports

    Directory of Open Access Journals (Sweden)

    Gi Tae Yeo

    2015-12-01

    Full Text Available Ports play a critical role in the economy of many countries and regions. Failure or unreliability of port services can significantly influence port customers—shipping lines and cargo owners—and result in their dissatisfaction. However, what constitutes port service quality (PSQ and its influence on the satisfaction of port customers has not been well investigated in the literature. Therefore, this study investigates the concept of PSQ and its influence on customer satisfaction in the case of Korean container ports. Following a literature review, a conceptual model of PSQ and its influence on customer satisfaction is proposed. The model was validated through a survey of 313 members of the Korean Port Logistics Association (KPLA. Partial least squares structural equation modeling (PLS-SEM was conducted to confirm the PSQ dimensions and to examine their relationship with customer satisfaction using SmartPLS 3.2.1 software. PSQ is found to be a five-factor construct, and its management, and image and social responsibility factors have significant positive effects on customer satisfaction. In addition to its academic contribution, this study also contributes to management practices because port managers can use the PSQ scale to measure their customers’ satisfaction and justify investments in the quality management of port services.

  3. Hope dies last … A qualitative study into the meaning of hope for people with cancer in the palliative phase.

    Science.gov (United States)

    Nierop-van Baalen, C; Grypdonck, M; van Hecke, A; Verhaeghe, S

    2016-07-01

    Palliative patients may have strong hope, even hope for a cure, despite knowing their prognosis. Health professionals do not always understand patients who have this kind of hope. The aim of this article was to explore the meaning of hope among patients with cancer in the palliative phase. A secondary analysis was conducted including a constant comparative analysis to uncover the processes underlying the maintenance of hope, of previously collected interview data (n = 76). The meaning of hope is related to the importance of the object it is attached to, rather than to a real chance of achieving this object. Hope has a dual function: patients hope because they cannot forsake it and because they benefit so much from it. Hope can spring from many sources and is influenced by various factors. If there are fewer potent sources to tap into, people create hope themselves and this type of self-created hope takes more effort to maintain. Patients use different strategies to increase their hope, described as the 'the work of hope'. A better understanding of the work of hope can lead to better psychosocial support by health professionals. Health professionals convey many messages that affect the work of hope. © 2016 John Wiley & Sons Ltd.

  4. Concerning background from calorimeter ports

    International Nuclear Information System (INIS)

    Digiacomo, N.J.

    1985-01-01

    Any detector system viewing a port or slit in a calorimeter wall will see, in addition to the primary particles of interest, a background of charged and neutral particles and photons generated by scattering from the port walls and by leakage from incompletely contained primary particle showers in the calorimeter near the port. The signal to noise ratio attainable outside the port is a complex function of the primary source spectrum, the calorimeter and port design and, of course, the nature and acceptance of the detector system that views the port. Rather than making general statements about the overall suitability (or lack thereof) of calorimeter ports, we offer here a specific example based on the external spectrometer and slit of the NA34 experiment. This combination of slit and spectrometer is designed for fixed-target work, so that the primary particle momentum spectrum contains higher momentum particles than expected in a heavy ion colliding beam environment. The results are, nevertheless, quite relevant for the collider case

  5. Non-Price Competition in the Port Sector: A Case Study of Ports in Turkey

    OpenAIRE

    Soner Esmer; Hong-Oanh Nguyen, Ph.D.; Yapa Mahinda Bandara, Ph.D.; Kazim Yeni, Ph.D.

    2016-01-01

    Although the port sector has been facing increasing competition, there is limited research on how ports compete using non-price competition strategies. There are a few studies on non-price competition in the port sector. However they mainly focus on the marketing aspect. This paper seeks to fill this gap in the literature, especially from a combined marketing-economic perspective. Especially the paper's main objective is to identify the determinants of non-price competition in the port sector...

  6. Dynamism Patterns of Western Mediterranean Cruise Ports and the Coopetition Relationships Between Major Cruise Ports

    Directory of Open Access Journals (Sweden)

    Esteve-Perez Jeronimo

    2018-03-01

    Full Text Available The Mediterranean Sea has seen an increase of ports hosting cruise ships during the first fifteen years of the 21st century. The increase in cruise ship presence in Mediterranean ports is associated with the dynamism of cruise traffic in recent years, with an average annual growth of 7.45% for cruise passengers worldwide during the period of 1990-2015. Cruise traffic is a maritime business that is primarily composed of two elements, maritime affairs and tourism. This article focuses on the maritime component. With the growth of the cruise industry, cruise lines have been forced to seek new ports to meet demand in an attempt to create differentiated products based on the ports that compose the itinerary. The itinerary system of cruise traffic makes the cruise ports depend on one another to design an itinerary. This feature results in both complex geographic relationships in the design of a cruise itinerary and complex competitive/cooperative relationships between ports. The aim of this article is to present the hierarchic picture of a sample of 29 cruise ports in the Western Mediterranean region during the period of 2000-2015. To achieve this goal, a port size classification is proposed and a shift-share analysis at the inter- and intra-group size level is applied. Moreover, concentration measures are used to determine the changes in the levels of market concentration. Furthermore, a dynamic model is proposed to determine the competitive or cooperative relationships between cruise ports. The proposed model is applied to the largest ports with data from the 2001-2015 period.

  7. Case Studies: Improving Environmental Performance and Economic Prosperity at Ports and in Near-Port Communities

    Science.gov (United States)

    Case Study links for improving environmental performance and economic prosperity at ports and in near-port communities. Case studies on equipment upgrades, jobs and benefits, land use and transportation, port-community engagement, and citizen science.

  8. Vectorization, parallelization and porting of nuclear codes (porting). Progress report fiscal 1999

    Energy Technology Data Exchange (ETDEWEB)

    Kawasaki, Nobuo; Nemoto, Toshiyuki; Kawai, Wataru; Ishizuki, Shigeru [Fujitsu Ltd., Tokyo (Japan); Ogasawara, Shinobu; Kume, Etsuo; Adachi, Masaaki [Japan Atomic Energy Research Inst., Tokai, Ibaraki (Japan). Tokai Research Establishment; Yatake, Yo-ichi [Hitachi Ltd., Tokyo (Japan)

    2001-01-01

    Several computer codes in the nuclear field have been vectorized, parallelized and transported on the FUJITSU VPP500 system, the AP3000 system, the SX-4 system and the Paragon system at Center for Promotion of Computational Science and Engineering in Japan Atomic Energy Research Institute. We dealt with 18 codes in fiscal 1999. These results are reported in 3 parts, i.e., the vectorization and the parallelization part on vector processors, the parallelization port on scalar processors and the porting part. In this report, we describe the porting. In this porting part, the porting of Assisted Model Building with Energy Refinement code version 5 (AMBER5), general purpose Monte Carlo codes far neutron and photon transport calculations based on continuous energy and multigroup methods (MVP/GMVP), automatic editing system for MCNP library code (autonj), neutron damage calculations for materials irradiations and neutron damage calculations for compounds code (SPECTER/SPECOMP), severe accident analysis code (MELCOR) and COolant Boiling in Rod Arrays, Two-Fluid code (COBRA-TF) on the VPP500 system and/or the AP3000 system are described. (author)

  9. The Flexible Port

    NARCIS (Netherlands)

    Taneja, P.

    2013-01-01

    Ports are beset with many uncertainties about their futures. They are confronted with new demands in terms of functions and scales, new external constraints, and changed expectations. The inability to adequately meet these demands can mean costly adaptations for a port, or loss of cargo and

  10. Principal Ports and Facilities

    Data.gov (United States)

    California Natural Resource Agency — The Principal Port file contains USACE port codes, geographic locations (longitude, latitude), names, and commodity tonnage summaries (total tons, domestic, foreign,...

  11. Principal Ports and Facilities

    Data.gov (United States)

    California Department of Resources — The Principal Port file contains USACE port codes, geographic locations (longitude, latitude), names, and commodity tonnage summaries (total tons, domestic, foreign,...

  12. Handling of waste in ports

    International Nuclear Information System (INIS)

    Olson, P.H.

    1994-01-01

    The regulations governing the handling of port-generated waste are often national and/or local legislation, whereas the handling of ship-generated waste is governed by the MARPOL Convention in most parts of the world. The handling of waste consists of two main phases -collection and treatment. Waste has to be collected in every port and on board every ship, whereas generally only some wastes are treated and to a certain degree in ports and on board ships. This paper considers the different kinds of waste generated in both ports and on board ships, where and how it is generated, how it could be collected and treated. The two sources are treated together to show how some ship-generated waste may be treated in port installations primarily constructed for the treatment of the port-generated waste, making integrated use of the available treatment facilities. (author)

  13. 24 CFR 572.1 - Overview of HOPE 3.

    Science.gov (United States)

    2010-04-01

    ... 24 Housing and Urban Development 3 2010-04-01 2010-04-01 false Overview of HOPE 3. 572.1 Section... DEVELOPMENT COMMUNITY FACILITIES HOPE FOR HOMEOWNERSHIP OF SINGLE FAMILY HOMES PROGRAM (HOPE 3) General § 572.1 Overview of HOPE 3. The purpose of the HOPE for Homeownership of Single Family Homes program (HOPE...

  14. Vacuum vessel port structures for ITER-FEAT

    International Nuclear Information System (INIS)

    Utin, Yu.; Ioki, K.; Komarov, V.; Krylov, V.; Kuzmin, E.; Labusov, I.; Miki, N.; Onozuka, M.; Rozov, V.; Sannazzaro, G.; Tesini, A.; Yamada, M.; Barthel, Th.

    2001-01-01

    The equatorial and the upper port structures are the most loaded among those of the ITER-FEAT vacuum vessel (VV). For all of these ports, the VV closure plate and the in-port components are integrated into the port plug. The plugs/port structures are affected by plasma events and must withstand high mechanical loads. Based on typical port plugs, this paper presents the conceptual design of the port structures (with emphasis on the supporting system), and the results of analyses performed

  15. Vacuum vessel port structures for ITER-FEAT

    Energy Technology Data Exchange (ETDEWEB)

    Utin, Yu.; Ioki, K.; Komarov, V.; Krylov, V.; Kuzmin, E.; Labusov, I.; Miki, N.; Onozuka, M.; Rozov, V.; Sannazzaro, G.; Tesini, A.; Yamada, M.; Barthel, Th

    2001-11-01

    The equatorial and the upper port structures are the most loaded among those of the ITER-FEAT vacuum vessel (VV). For all of these ports, the VV closure plate and the in-port components are integrated into the port plug. The plugs/port structures are affected by plasma events and must withstand high mechanical loads. Based on typical port plugs, this paper presents the conceptual design of the port structures (with emphasis on the supporting system), and the results of analyses performed.

  16. Evolution of the Property Value Protection Program -- a study of how a compensation plan to address project-related diminution has evolved to meet changing needs

    International Nuclear Information System (INIS)

    Herod, J.

    2011-01-01

    The Property Value Protection (PVP) Program offers an innovative approach to address the risk of individual property value loss resulting from the cleanup and long-term management of low-level radioactive waste in the Port Hope area. This cleanup is taking place through the Port Hope Area Initiative (PHAI), a federally sponsored waste remediation project. The Program came into effect on October 1, 2001, having been established as a key element of the Legal Agreement for the Port Hope Area Initiative, signed between the Government of Canada and the municipalities of Port Hope and Clarington. The PVP Program was designed in direct response to the concerns expressed by the agreement's two municipal signatories that protection of local property owners from the risk of property value loss was critical to their acceptance of the Port Hope Project and Port Granby Project. The PVP Program compensates owners of residential, commercial or industrial properties for a loss in fair market value on the sale or rental of their properties. Increased mortgage refinancing costs and expenses incurred as a result of delayed sales that can be attributed to the Port Hope Area Initiative are also compensated. (author)

  17. COSIMA-ES-PORT

    DEFF Research Database (Denmark)

    Barfod, Michael Bruhn; Leleur, Steen

    2007-01-01

    This article describes the results of the research project – WP3 East-west, Interreg IIIB – concerning the de¬velop¬ment of a new composite decision model, COSIMA-ES-PORT, for the assessment of three pre-feasibility studies situated at the Port of Esbjerg: a road project, a railway project...... and a multimodal terminal. The three studies indicates that a new road connection to the Port of Esbjerg is a very profitable project due to large travel time savings, whereas a new railway connection is not economically viable. However, a new multimodal terminal is also a very profitable project. The COSIMA...

  18. Non-Price Competition in the Port Sector: A Case Study of Ports in Turkey

    Directory of Open Access Journals (Sweden)

    Soner Esmer

    2016-03-01

    Full Text Available Although the port sector has been facing increasing competition, there is limited research on how ports compete using non-price competition strategies. There are a few studies on non-price competition in the port sector. However they mainly focus on the marketing aspect. This paper seeks to fill this gap in the literature, especially from a combined marketing-economic perspective. Especially the paper's main objective is to identify the determinants of non-price competition in the port sector and evaluate their effect on various aspects of non-price competition. We start with a general conceptual framework to explain how competition in the sector can be affected by various factors and then propose an analytical framework on non-price competition. The analytical model is then used to support the design of a survey questionnaire. Next, hypothesis tests are conducted using exploratory factor analysis (EFA and structural equation modeling (SEM and data collected from a survey of Turkish ports. Based on the analysis results, the implications for port management and future research are also discussed.

  19. Management of Artisanal Fishing Port: a Case Study on Labuhanhaji Fishing Port, South Aceh Regency, Aceh Province

    OpenAIRE

    NurJannah, Betri; ', Syaifuddin; Zain, Jonny

    2014-01-01

    A series survey activity was carried out for evaluating management function atlabuanhaji fishing port, South Aceh regency. This research was emphasis on planning, organizing, action and controlling at management pattern of labuhanhaji fishing port. The facilities of fishing port data and daily activities description of staff at labuhanhaji fishing port was used as additional information and consideration in management of labuhanhaji fishing port. Lack of good management was impact on staff an...

  20. Role of hope in academic and sport achievement.

    Science.gov (United States)

    Curry, L A; Snyder, C R; Cook, D L; Ruby, B C; Rehm, M

    1997-12-01

    Hope is the sum of goal thoughts as tapped by pathways and agency. Pathways reflect the perceived capability to produce goal routes; agency reflects the perception that one can initiate action along these pathways. Using trait and state hope scales, studies explored hope in college student athletes. In Study 1, male and female athletes were higher in trait hope than nonathletes; moreover, hope significantly predicted semester grade averages beyond cumulative grade point average and overall self-worth. In Study 2, with female cross-country athletes, trait hope predicted athletic outcomes; further, weekly state hope tended to predict athletic outcomes beyond dispositional hope, training, and self-esteem, confidence, and mood. In Study 3, with female track athletes, dispositional hope significantly predicted athletic outcomes beyond variance related to athletic abilities and affectivity; moreover, athletes had higher hope than nonathletes.

  1. Holding on to hope: A review of the literature exploring missing persons, hope and ambiguous loss.

    Science.gov (United States)

    Wayland, Sarah; Maple, Myfanwy; McKay, Kathy; Glassock, Geoffrey

    2016-01-01

    When a person goes missing, those left behind mourn an ambiguous loss where grief can be disenfranchised. Different to bereavement following death, hope figures into this experience as a missing person has the potential to return. This review explores hope for families of missing people. Lived experience of ambiguous loss was deconstructed to reveal responses punctuated by hope, which had practical and psychological implications for those learning to live with an unresolved absence. Future lines of enquiry must address the dearth of research exploring the role of hope, unresolved grief, and its clinical implications when a person is missing.

  2. Maximizing port and transportation system productivity by exploring alternative port operation strategies.

    Science.gov (United States)

    2011-06-01

    Seaports are a critical transportation component that supports the nations economy. Many U.S. : ports are now experiencing significant truck congestion at the gate, which decreases the productivity of : ports and truck fleets (e.g. truck wait time...

  3. The nature of hope among Iranian cancer patients.

    Science.gov (United States)

    Afrooz, Rashed; Rahmani, Azad; Zamanzadeh, Vahid; Abdullahzadeh, Farahnaz; Azadi, Arman; Faghany, Safieh; Pirzadeh, Asgar

    2014-01-01

    Hope is an important coping resource for cancer patients. Types and sources of hope and hope- inspiring strategies are not well investigated among Iranian cancer patients. The aims of present study were therefore to investigate the nature of hope and some demographic predictors of hope among Iranian cancer patients. This descriptive-correlational study was undertaken among 200 cancer patients admitted to an educational center affiliated to Ardabil University of Medical Sciences, Iran. Participants were selected using a convenience sampling method. The Herth Hope Index and other validated questionnaires were used to investigate level of hope and types and sources of hope, as well as hope-inspiring strategies. Data were analyzed using SPSS statistical software. The overall score for hope was 31 from total scores ranging between 12 and 48. Some 94% of patients mentioned 'return to normal life' and 'complete healing of disease by drugs and physicians' as their main hopes. The most important sources of hope reported by patients include spiritual resources, family members, healthcare workers, and medicines and treatments available for the disease. Relationship with God, praying/blessing, controlling the signs and symptoms of the disease, and family/health care workers' support were the main hope-inspiring strategies. Patients who had a history of metastasis, or who were older, illiterate, divorced/widowed and lived with their children reported lower levels of hope. On the other hand, employed patients and those with good support from their families had higher levels of hope. The study findings showed moderate to high levels of hope among Iranian cancer patients. Accordingly, the role of spiritual/religion, family members and health care workers should be considered in developing care plans for these patients.

  4. A review of dry ports

    OpenAIRE

    Violeta Roso; Kent Lumsden

    2010-01-01

    The objective of this article is to present the previous research on the dry port concept and to review the world's existing dry ports, that is freight terminals that use the term ‘dry port’ in their name. Therefore, the purpose of this article is to clarify the concept by showing potential discrepancies or agreements between theory and practice. Starting from a literature review on the dry port concept, this article presents a review of existing dry ports in the world. A number of qualitativ...

  5. The tenacity and tenuousness of hope: parental experiences of hope when their child has a poor cancer prognosis.

    Science.gov (United States)

    Barrera, Maru; Granek, Leeat; Shaheed, Jenny; Nicholas, David; Beaune, Laura; D'Agostino, Norma M; Bouffet, Eric; Antle, Beverly

    2013-01-01

    The meaning and role of hope in parents of children with life-threatening illnesses remain relatively unstudied. The objectives of this study were to explore parental hope when a child is being treated for a malignancy resistant to treatment and to identify facilitators and barriers to maintaining hope in this context. Thirty-five parents of children with difficult-to-treat cancer were interviewed 3 months after diagnosis. Line-by-line coding of transcripts was used to establish categories and themes. Constant comparison was used to examine relationships within and across codes and categories. Parental hope was related to the child's cure and future. The concept, however, oscillated between being tenacious and robust, and tenuous and elusive, depending on how the child was responding to treatment and the psychosocial context. Focusing on positive outcomes and experiences, spirituality, and social support facilitated being hopeful. Awareness of negative outcomes, information overload, physical and emotional depletion, and fear and uncertainty challenged parental hope. Developing a model that identifies the nature of parental hope as well as barriers and facilitators to maintaining hope shortly after childhood cancer diagnosis may assist healthcare professionals in supporting parents. Understanding parental hope may assist healthcare professionals to avoid overloading parents with too much information at once. Healthcare professionals can also ensure that social support from family, community, and the medical center is available for parents and that their physical and emotional needs are being met to ensure that they maintain hope to best care for their child with cancer.

  6. Fostering hope in the patient with cancer.

    Science.gov (United States)

    Lichwala, Rebecca

    2014-06-01

    When a patient is diagnosed with cancer, feelings such as fear, anxiety, and hopelessness can negatively affect a person's frame of mind. Hope can help a patient decrease anxiety and increase quality of life. Nurses should assess hope, provide interventions, be empathetic, listen, and treat patients with dignity to help improve hope and quality of life. This article features how hope can have a positive impact and provides specific information about how nurses can promote and foster hope in patients with cancer.

  7. Analyzing Growth Opportunity of Port from the Resource-based Perspective The Case of Port of Tanjung Pelepas Malaysia

    Directory of Open Access Journals (Sweden)

    Muhammad Subhan

    2008-09-01

    Full Text Available Capturing growth opportunity has become a major integral activity of any port to sustain growth and competitive advantage. One of the famous strategies in leveraging sustainable growth and competitive advantage is the resource-based theory application into port strategic management, viewing resources of the port (internal and external and its capabilities as the sources for achieving competitive advantage. In this study, we attempt to identify, exploit, and analyze growth opportunity of a Malaysian port from the perspective of the theory. We analyze the port’s resources in terms of values, uniqueness, inimitability, durability, and substitutability. The result is then compared with its rival ports in the region. This study recognizes that the port has successfully identified and exploited its resources for capturing growth opportunity and competing with other ports in the region. We perceive that the port will sustain its growth and competitive advantage as a major port in the region based on its current performance and rivalry circumstances. This study signifies that the higher the level to which resource-based theory of competitive advantage is applied, the higher and longer the growth and competitive advantage will be achieved by the port.

  8. Port Authority Best Practices

    Science.gov (United States)

    Best practices for port authorities include near-port community collaboration, anti-idling policies, expanding off-peak hours, development of EMS, developing an emissions inventory, education, electric power and substituting trucking for rail or barge.

  9. From Pushing Paper to Pushing Dirt - Canada's Largest LLRW Cleanup Gets Underway - 13111

    International Nuclear Information System (INIS)

    Veen, Walter van; Lawrence, Dave

    2013-01-01

    The Port Hope Project is the larger of the two projects in the Port Hope Area Initiative (PHAI), Canada's largest low level radioactive waste (LLRW) cleanup. With a budget of approximately $1 billion, the Port Hope Project includes a broad and complex range of remedial elements from a state of the art water treatment plant, an engineered waste management facility, municipal solid waste removal, remediation of 18 major sites within the Municipality of Port Hope (MPH), sediment dredging and dewatering, an investigation of 4,800 properties (many of these homes) to identify LLRW and remediation of approximately 450 of these properties. This paper discusses the status of the Port Hope Project in terms of designs completed and regulatory approvals received, and sets out the scope and schedule for the remaining studies, engineering designs and remediation contracts. (authors)

  10. Between hope and hopelessness

    DEFF Research Database (Denmark)

    Andersen, Ingrid Charlotte; Thomsen, Thora Grothe; Bruun, Poul

    2018-01-01

    and seven family members during follow-up visits at hospital and at the participants' homes between 2014 and 2016. A phenomenological-hermeneutical approach was used to interpret the data. RESULTS: 'Between hope and hopelessness' involved frustrations, concerns and doubts, all of which could relate...... to the interaction with healthcare providers. 'Seeking support from healthcare services', 'navigating between healthcare providers' and 'collaborating with healthcare providers at home' could entail opportunities to strengthen self-management and hope; however, it could also entail reduced faith in getting the right...... help and hopelessness. CONCLUSION: During a period of transition after hospitalisation, available and well-coordinated healthcare services, and alliances with healthcare professionals are crucial to COPD patients and their family members in terms of their self-management, hope and well-being....

  11. US Ports of Entry

    Data.gov (United States)

    Department of Homeland Security — HSIP Non-Crossing Ports-of-Entry A Port of Entry is any designated place at which a CBP officer is authorized to accept entries of merchandise to collect duties, and...

  12. Starting manufacturing phase of ITER upper ports

    Energy Technology Data Exchange (ETDEWEB)

    Utin, Yuri, E-mail: yuri.utin@iter.org [ITER Organization, Route de Vinon-sur-Verdon, CS 90 046, 13067 St. Paul Lez Durance Cedex (France); Alekseev, Alexander; Sborchia, Carlo; Choi, Changho; Albin, Vincent; Barabash, Vladimir; Davis, James [ITER Organization, Route de Vinon-sur-Verdon, CS 90 046, 13067 St. Paul Lez Durance Cedex (France); Fabritsiev, Sergey [NTC Sintez, Efremov Inst., 189631 Metallostroy, St. Petersburg (Russian Federation); Giraud, Benoit; Guirao, Julio [ITER Organization, Route de Vinon-sur-Verdon, CS 90 046, 13067 St. Paul Lez Durance Cedex (France); Koenig, Werner [MAN Diesel & Turbo SE, Werftstrasse 17, Deggendorf (Germany); Kedrov, Igor; Kuzmin, Evgeny [NTC Sintez, Efremov Inst., 189631 Metallostroy, St. Petersburg (Russian Federation); Levesy, Bruno; Martinez, Jean-Marc [ITER Organization, Route de Vinon-sur-Verdon, CS 90 046, 13067 St. Paul Lez Durance Cedex (France); Prebeck, Markus [MAN Diesel & Turbo SE, Werftstrasse 17, Deggendorf (Germany); Privalova, Elena [NTC Sintez, Efremov Inst., 189631 Metallostroy, St. Petersburg (Russian Federation); Ranzinger, Franz [MAN Diesel & Turbo SE, Werftstrasse 17, Deggendorf (Germany); Savrukhin, Petr [Russian Federation ITER Domestic Agency, Kurchatov sq.1, 123182 Moscow (Russian Federation); Schiller, Thomas [MAN Diesel & Turbo SE, Werftstrasse 17, Deggendorf (Germany); and others

    2015-10-15

    Highlights: • The port plugs are attached to the ports with high-strength fasteners. • Tightening of the fasteners via inductive heating was tested. • A concept for the port/plug sealing with metal-type gaskets has progressed. • Manufacturing design of the Upper Ports is in progress. • A full-scale mock-up of double-wall part of the port stub extension is in manufacturing process – acceptable final tolerances are expected. - Abstract: The ITER Vacuum Vessel (VV) features upper, equatorial and lower ports. The upper and regular equatorial ports are occupied by the port plugs. Although the port design has been overall completed in the past, the design of some remaining interfaces was still in progress: in particular, the Sealing Flange package, which includes the high-vacuum seals and the plug fasteners. As the ITER construction phase has started, the procurement of the VV ports has been launched. The VV upper ports will be procured by the Russian Federation Domestic Agency. The main suppliers were selected and the manufacturing design of the first parts is in full progress now. Since the VV is classified at nuclear level N2, the design and manufacture of its components are to be compliant with the French RCC-MR code and regulations for nuclear pressure equipment in France. These regulations make a strong impact to the port design and manufacturing process.

  13. Starting manufacturing phase of ITER upper ports

    International Nuclear Information System (INIS)

    Utin, Yuri; Alekseev, Alexander; Sborchia, Carlo; Choi, Changho; Albin, Vincent; Barabash, Vladimir; Davis, James; Fabritsiev, Sergey; Giraud, Benoit; Guirao, Julio; Koenig, Werner; Kedrov, Igor; Kuzmin, Evgeny; Levesy, Bruno; Martinez, Jean-Marc; Prebeck, Markus; Privalova, Elena; Ranzinger, Franz; Savrukhin, Petr; Schiller, Thomas

    2015-01-01

    Highlights: • The port plugs are attached to the ports with high-strength fasteners. • Tightening of the fasteners via inductive heating was tested. • A concept for the port/plug sealing with metal-type gaskets has progressed. • Manufacturing design of the Upper Ports is in progress. • A full-scale mock-up of double-wall part of the port stub extension is in manufacturing process – acceptable final tolerances are expected. - Abstract: The ITER Vacuum Vessel (VV) features upper, equatorial and lower ports. The upper and regular equatorial ports are occupied by the port plugs. Although the port design has been overall completed in the past, the design of some remaining interfaces was still in progress: in particular, the Sealing Flange package, which includes the high-vacuum seals and the plug fasteners. As the ITER construction phase has started, the procurement of the VV ports has been launched. The VV upper ports will be procured by the Russian Federation Domestic Agency. The main suppliers were selected and the manufacturing design of the first parts is in full progress now. Since the VV is classified at nuclear level N2, the design and manufacture of its components are to be compliant with the French RCC-MR code and regulations for nuclear pressure equipment in France. These regulations make a strong impact to the port design and manufacturing process.

  14. Logistics Road map for Smart SeaPorts

    Directory of Open Access Journals (Sweden)

    Khaled Gaber EL Sakty

    2016-12-01

    Full Text Available In the digital world, a smart concept became an essential feature for port organizations to serve as intelligent hubs in the world transport networks.  Smart ports are the trend for the future long-term strategies. Henceforth, ports aims at contributing to sustainable growth by establishing the appropriate conditions for the adoption of new management energy models based on low environmental impact and triggering innovation of both technologies and processes. The scope of this paper is to examine three main issues of smart ports; smart port arctic logistics roadmap, smart port challenges and obstacles in arctic port areas, and the criteria and Key Performance Indicators guiding the assessment of ports against this concept. The main purpose is to develop a smart arctic logistics road map for the future.

  15. Dry Port Development: A Systematic Review

    Directory of Open Access Journals (Sweden)

    Fatimazahra BENTALEB

    2015-12-01

    Full Text Available Studies on dry ports as nodes in multimodal transport have been expanded to decrease the mounting congestion on seaports. The principal objective of this study is to inspect how dry port researches have been conducted from different perspective. This paper tries to recap the existing researches that aimed to study dry port concept via a systematic review, to present a general overview of the researches on our relevant region and propose a classification for these researches. This paper present a systematic review of dry port that looks to illustrate the progress of researches on this area between 1986 and 2015, collecting researches on dry port concept and analyzing the main characteristics of the dry port development and their contribution to the multimodal transport. The results indicated that most dry port studies considerate the strategic level and concentrate in the Asian continent. Studies regarding other decision levels and continents have to be developed in further researches. Although the existing studies make a contribution in dry port concept, they allow gaps in terms of operational and tactical decision levels considering their limited geographical region.

  16. Sisters Hope - the exposed self

    DEFF Research Database (Denmark)

    Lawaetz, Anna; Hallberg, Gry Worre

    Sisters Hope is an art-educational method and a practice-led research tool, rooted in the construction of a fictional parallel universe revolving around the twin sisters Coco and Coca Pebber. Our work is rooted in the ambition to democratize the aesthetic dimension through ‘affective engineering......’ and the establishment of fictional spaces outside the institutional art context. In the Unfolding Academia-context Sisters Hope investigates new forms of research and (re)presentation through the creation of interactive and affective learning-spaces. At Collective Futures Sisters Hope explored questions such as: How...

  17. Strategic Planning for Port Development: Improvement of Container Transit from the Iranian Southern Ports Terminals

    Directory of Open Access Journals (Sweden)

    Homayoun Yousefi

    2013-09-01

    Full Text Available The author attempts to highlight the significance of the Iranian southern ports development strategy planning which allows for the maximum container transit with minimum resources such as service capacities, human resources, and financial potential in order to expand the Iranian container transit. It should be noted that the strategic objectives, the business strategy and its implementation can be arranged only after the port vision and mission obviously delineated. For the purpose of improving the outcome of the ports operational management, it is recommended to concentrate on new strategies such as exploit of transit corridors for development of the Iranian South Ports. The main part of this paper is dedicated to evaluate the role of container transit from the Iranian south ports terminals from various transport corridors in order to improve Maritime Transport in Iran. The importance of defin¬ing the existing and potential competitors at the Persian Gulf and making a comparison between their and our own strengths and weaknesses is of utmost importance. Sometimes, the real business opportunities and threats are placed beyond one’s own line of indus¬try and business. It is therefore necessary to make a careful analysis of the port environment. After the port competition and environment have been analyzed, it would be possible to initiate the building of the SWOT analysis for the Iranian Southern Container Terminals such as Khoramshahr, Imam Khomani, Busher, Bandar Abbas and Chabahar port which have suitable strategic position as transit base in the region. The SWOT analysis method is therefore applied aiming at defining the weaknesses and strengths of the economic subjects as well as opportunities and threats coming from the environment. The next segment of this paper is dedicated to consider the role of dry ports and the International North-South Transit Corridor for the purpose of improving the Iranian container trade.

  18. Social Media Usage Patterns in Port Industry: Implications for Port Promotion and Public Relations

    Directory of Open Access Journals (Sweden)

    Aylin ÇALIŞKAN

    2018-03-01

    Full Text Available While social media has been penetrating the daily lives of individuals, the businesses have started to develop new strategical approaches for using social media tools, since they understand the importance of this new area. This study aims to take a step on the gap about social media marketing in the port industry. The focused sample is container ports located in Turkey, but to gain more meaningful insights, a comparison is also made with the ports of Los Angeles, Rotterdam, and Antwerp. The post set on Facebook, which covers the 8 months’ period, was analyzed through a social media analytics software, and the most attractive topics and engagement levels were determined. It was found that the most attractive posts of ports with high engagement levels do not include any statement, image, or video about port service, infrastructure and superstructure, investments, or success stories. At the end of the study, suggestions are developed by supporting with real cases for ports’ social media management.

  19. Principles of subcutaneous port placement.

    Science.gov (United States)

    Gonda, Shaun J; Li, Ruizong

    2011-12-01

    The introduction of totally implantable subcutaneous devices in the early 1980s provided patients with secure, reliable venous access and also gave them the ability to move more freely and have a more normal lifestyle with these devices in place. The most common totally implantable device used today is the subcutaneous port. These ports consist of an injection port connected to a catheter. Ports provide a number of advantages compared with other venous catheters; the most important is the reduced risk of infection. These devices have significantly lower rates of infection than nontunneled and tunneled catheters. Additional advantages include less frequent irrigation and minimal home care, and they are less prone to environmental or cutaneous contamination when not being accessed. This article will focus on the placement of these ports. Copyright © 2011 Elsevier Inc. All rights reserved.

  20. HomePort

    DEFF Research Database (Denmark)

    Le Guilly, Thibaut; Olsen, Petur; Ravn, Anders Peter

    2013-01-01

    Ambient Intelligence systems use many sensors and actuators, with a diversity of networks, protocols and technologies which makes it impossible to access the devices in a common manner. This paper presents the HomePort software, which provides an open source RESTful interface to heterogeneous...... sensor networks, allowing a simple unified access to virtually any kind of protocol using well known standards. HomePort includes means to provide event notification, as well as a tracing mechanism. The software is implemented and we report on initial experiments and provide an evaluation that shows...

  1. Winning community support through proactive communications

    International Nuclear Information System (INIS)

    Zelmer, R.L.; Stickley, S.; Gerestein, B.

    2006-01-01

    For over 20 years the Low-Level Radioactive Waste Management Office (LLRWMO) has conducted remedial projects in communities across Canada. Through experience in the various social climates of Canadian communities, the LLRWMO has learned that community involvement and communications are integral to a project's overall success. The Port Hope Area Initiative is the largest project ever undertaken by the LLRWMO and all the proactive communications and consultation lessons learned from other projects have been applied in the Port Hope and Port Granby communities. The relationship of trust and credibility built over 20 years of LLRWMO operations in Port Hope provides a firm foundation for moving forward with the cleanup and long-term safe management of approximately two million cubic metres of low-level radioactive waste and contaminated soil in the Port Hope and Port Granby communities. (author)

  2. Adaptive Port Planning under Disruptive Trends with focus on the case of The Port of Kuala Tanjung, Indonesia

    OpenAIRE

    Prakoso Andre; Taneja Poonam; Velinga Tiedo

    2018-01-01

    As a national strategic project, the Port of Kuala Tanjung draws significant attention at national and international level. Considering the semi-greenfield nature of the port, the diverse set of stakeholders, and the prevailing disruptive trends in the world port business, a robust first-phase port layout is required to kick-start the project and guarantee the overall sustainability of the port development. The objective of this research is to identify any uncertain or disruptive trends, both...

  3. Port entry arrangements

    International Nuclear Information System (INIS)

    Chicken, J.C.; King, M.A.

    1978-01-01

    The objective of the paper is to describe the safety scheme port authorities should establish to deal with any contingency that may result from the visit of a nuclear powered ship. The safety scheme should be devised to cover both normal operation and any accident conditions that could arise while the ship is in port. The paper is divided into three parts. The three parts being: background information, general instructions, and emergency procedures. The background information will describe the nature of the hazards a port authority has to be prepared to deal with, and the philosophical basis for a berthing policy. In the part dealing with general instructions the objective of the safety scheme will be described. Also this part will describe the composition of the Port Safety Panel, allocation of responsibilities, passage and berthing arrangements, general safety precautions, records required, and rescue arrangements. In the part dealing with emergency procedures the role of: the Ship's Master, Harbour Authorities, Local Police, and local Health Services are discussed. As an Appendix to the paper a copy of the safety scheme that has been devised for visits of nuclear merchant ships to Southampton is given

  4. Development and preliminary testing of the Schizophrenia Hope Scale, a brief scale to measure hope in people with schizophrenia.

    Science.gov (United States)

    Choe, Kwisoon

    2014-06-01

    Hope has received attention as a central component of recovery from mental illness; however, most instruments measuring hope were developed outside the mental health field. To measure the effects of mental health programs on hope in people with schizophrenia, a specialized scale is needed. This study examined the psychometric properties of the newly developed 9-item Schizophrenia Hope Scale (SHS-9) designed to measure hope in individuals with schizophrenia. A descriptive survey design. Participants were recruited from three psychiatric hospitals and two community mental health centers in South Korea. A total of 347 individuals over age 18 with a DSM-IV diagnosis of schizophrenia, schizoaffective, or schizophrenia spectrum disorders (competent to provide written informed consent) participated in this study; 149 (94 men, 55 women) completed a preliminary scale consisting of 40 revised items, and 198 (110 men, 88 women) completed the second scale of 17 items. Scale items were first selected from extensive literature reviews and a qualitative study on hope in people with schizophrenia; the validity and reliability of a preliminary scale was then evaluated by an expert panel and exploratory factor analysis. The remaining 9 items forming the Schizophrenia Hope Scale (SHS-9) were evaluated through confirmatory factor analysis. The SHS-9 demonstrates promising psychometric integrity. The internal consistency alpha coefficient was 0.92 with a score range of 0-18 and a mean total score of 12.06 (SD=4.96), with higher scores indicating higher levels of hope. Convergent validity was established by correlating the SHS-9 to the State-Trait Hope Inventory, r=0.61 (phope accounting for 61.77% of the total item variance. As hope has been shown to facilitate recovery from mental illness, the accurate assessment of hope provided by the short, easy-to-use Schizophrenia Hope Scale (SHS-9) may aid clinicians in improving the quality of life of individuals with schizophrenia. Copyright

  5. Assesment of port governance in Brazil: a managerial perspective on the port of Santos

    OpenAIRE

    Almeida, José Eduardo Costa de

    2015-01-01

    The role of maritime transportation within international trade was drastically revamped during the inception of the globalization process, which enhanced the contribution of ports in world economy as main logistics gateways for global production and trade. As a result, the relationship between ports and governments has changed. Devolution ideologies that had been applied in other industries decades ago were now being considered by governments for the port industry. Many central governments so...

  6. Improving communication on hope in palliative care. A qualitative study of palliative care professionals' metaphors of hope: grip, source, tune, and vision

    NARCIS (Netherlands)

    Olsman, Erik; Duggleby, Wendy; Nekolaichuk, Cheryl; Willems, Dick; Gagnon, Judith; Kruizinga, Renske; Leget, Carlo

    2014-01-01

    Hope is important in palliative care. However, palliative care professionals' perspectives on hope are not well understood. Metaphors of hope are a way of better understanding these perspectives. To describe palliative care professionals' perspectives on hope by examining the hope metaphors they

  7. [Clinical retrospective control study of single-port laparoendoscopic and multi-port laparoscopic ovarian cystectomy].

    Science.gov (United States)

    Liu, X; Wen, M K; Liu, H Y; Sun, D W; Lang, J H; Fan, Q B; Shi, H H

    2017-10-25

    Objective: To investigate clinical outcomes of laparoendoscopic single-site ovarian cystectomy compared with traditional multi-port laparoscopic ovarian cystectomy. Methods: Data of 81 patients with ovarian cystectomy from January 2016 to May 2017, the single-site group ( n= 40) and the multi-port group ( n= 41) in Peking Union Medical College Hospital were retrospectively collected. The outcomes of single-site and multi-port groups were analyzed and compared, including: postoperative fever, operation time, blood loss, hemoglobin change, surgical complications, postoperative pain score, postoperative analgesic requirements, body image scale and cosmetic score, length of hospital stay, postoperative total cost. Results: No complication was found in two groups. No difference was found in postoperative fever, blood loss, hemoglobin change, postoperative pain score, length of hospital stay, and total cost between the two groups (all P> 0.05). Operation time was (50±20) minutes in single-site group, and (40±15) minutes in multi-port group; postoperative analgesic requirements was 28%(11/40) in single-site group, and 7%(4/41) in multi-port group; cosmetic score was 22.6±2.6 in single-site group, and 17.3±2.6 in multi-port group; body image scale was 5.7±1.2 in single-site group, and 6.2±1.2 in multi-port group; these four clinical parameters were statistical differences (all P< 0.05). Conculsion: Laparoendoscopic single-site ovarian cystectomy is feasible and safe, although it could't relieve the postoperative pian, it do offer a higher cosmetic satisfaction.

  8. Container Traffic In European Ports

    Directory of Open Access Journals (Sweden)

    Elen Twrdy

    2004-03-01

    Full Text Available Over the last fifteen years the European transport markethas witnessed a growth of container traffic which today reachesapproximately 50 million TEU per year. From 1997 to 2002,container traffic in the northern European ports increased from14 to 20.6 million TEU per year, in the ports of the westernMedite"anean from 6 to 10 million TEU per year, and in thenorthern Adriatic ports from 0. 69 to 0. 74 million TEU per year.The ports of the northern Adriatic are located in three states(Slovenia, Croatia and Italy with different statuses in relationto the common European market. In addition, different developmentlevels of these states are reflected in different levels ofinternational commercial exchange, the development of the existinginfrastructure and plans for the construction of new infrastructures.However, all three countries share a common goaltoincrease their competitiveness in comparison with the westemEuropean ports.

  9. System аnalysis concession maritime trade ports

    Directory of Open Access Journals (Sweden)

    Y.V. Shmatock

    2015-03-01

    Full Text Available The article proves the significance of maritime commercial ports as strategic for the country. The urgency of port concessions to improve transport infrastructure. The definition of ports in terms of system analysis and determination of management port. Outlined the sequence of system analysis concessions maritime trade ports in the table. Selection of qualified managers is based on the concession tender under prescribed conditions. These criteria should be considered when determining the concessionaire. These stages of the concession tender. Meeting the needs of the economy, international trade, public inquiries into transportation of goods is not possible without the efficient operation of maritime trade ports. Only complex technological modernization of maritime trade ports will enable them to take leadership positions. Tree depicted objectives effectively manage commercial sea port. Therefore, initiation of concessions needs to implement measures to achieve the talented and skillful result.

  10. HOPEFULNESS IN HOPELESSNESS: A HERMENEUTICAL ...

    African Journals Online (AJOL)

    Dean SPGS NAU

    time at Auschwitz that people who lost all hope were the first to die. He writes: ... The future was to be one of happiness to which all men are ... The OT's hope falls short with death. .... Going back in our memory lane, one remembers when.

  11. Oluvil Port Development Project

    DEFF Research Database (Denmark)

    Frigaard, Peter; Margheritini, Lucia

    Oluvil Port Development Project is the first development of a large port infrastructure in the entire eastern coastline of Sri Lanka. The project is supported by the Danish Foreign Ministry. Feasibility studies and detailed design studies were carried out by Lanka Hydraulic Institute Ltd during...... the years 1995 to 2003. The design was reviewed by COWI a/s. Construction of the port was started in 2008. MT Højgaard a/s acted as contractor. The outer breakwaters were constructed as first part of the project. During and after completion of the breakwaters a serious beach erosion and sand accumulation...... has been observed. Severe erosion is seen north of the harbour and some accumulation of sand is seen south of the harbour. On a sandy coastline like the one in Oluvil such erosion problems as observed are very typical. The report: Oluvil Port Development Project: Studies on Beach Erosion written...

  12. Modes of hoping: understanding hope and expectation in the context of a clinical trial of complementary and alternative medicine for chronic pain.

    Science.gov (United States)

    Eaves, Emery R; Ritenbaugh, Cheryl; Nichter, Mark; Hopkins, Allison L; Sherman, Karen J

    2014-01-01

    This article explores the role of hope in participants' assessments of their expectations, experiences and treatment outcomes. Data analysis focused on semi-structured, open-ended interviews with 44 participants, interviewed 3-5 times each over the course of a study evaluating Traditional Chinese Medicine (TCM) for temporomandibular disorders (TMD), a form of chronic orofacial pain. Transcripts were coded and analyzed using qualitative and ethnographic methods. A "Modes of Hoping" (Webb, 2007)(1) framework informed our analysis. Five modes of hoping emerged from participant narratives: Realistic Hope, Wishful Hope, Utopian Hope, Technoscience Hope, and Transcendent Hope. Using this framework, hope is demonstrated as exerting a profound influence over how participants assess and report their expectations. This suggests that researchers interested in measuring expectations and understanding their role in treatment outcomes should consider hope as exercising a multi-faceted and dynamic influence on participants' reporting of expectations and their experience and evaluation of treatment. Copyright © 2014 Elsevier Inc. All rights reserved.

  13. COMPETITION BETWEEN CONTAINER PORTS IN THE NORTHERN ADRIATIC

    OpenAIRE

    Elen Twrdy; Milan Batista

    2014-01-01

    World trade has changed in the last decade such that container traffic flows are oriented towards more parts of the European continent. The European container port system is not a homogeneous set of ports; instead it consists of several big ports (e.g., Rotterdam, Hamburg, Algeciras...) and a large number of medium and small ports. Northern Adriatic (NA) ports, namely Rijeka, Koper, Trieste, Venice and Ravenna, are small ports. Each of these ports have different development plans but in varyi...

  14. Cura animarum as hope care: Towards a theology of the resurrection within the human quest for meaning and hope

    Directory of Open Access Journals (Sweden)

    Daniel J. Louw

    2014-04-01

    Full Text Available The following critical questions are posed: is hope the antidote of dread and despair or a kind of escapism from the harsh realities of anguish and suffering? What is meant by hope in Christian spirituality and how is hope connected to a theology of the resurrection? Is resurrection hope merely a kind of cheap triumphantalism and variant of a theologia gloriae? The basic assumption is that the notion of the resurrection can contribute to ‘the thickening of alternative stories of faith’. A theologia resurrectionis is about the reframing of life by means of a radical paradox: ‘Where, O death is your victory? Where, O death is your sting?’ If pastoral caregiving is indeed about change and hope, the resurrection describes an ontology of hope by which human beings are transformed into a total new being. Beyond the discriminating and stigmatising categories of many social and cultural discourses on our being human, resurrection theology defines hope as a new state of mind and being. The identity of human beings is therefore not determined by descent, gender, race or social status, but by eschatology (new creation. Hope care is primarily about a new courage to be. It opens up different frameworks for meaningful living within the realm of human suffering.

  15. Hope, Life, and Death: A Qualitative Analysis of Dying Cancer Patients' Talk about Hope

    Science.gov (United States)

    Eliott, Jaklin A.; Olver, Ian N.

    2009-01-01

    Although deemed vital to patient well-being, hope in persons who are terminally ill is often thought to be problematic, particularly when centered on cure. As part of a study on end-of-life decision-making, we asked 28 patients with cancer, believed to be within weeks of their death, to talk about hope. Responses were transcribed and discursively…

  16. Measuring hope among families impacted by cognitive impairment.

    Science.gov (United States)

    Hunsaker, Amanda E; Terhorst, Lauren; Gentry, Amanda; Lingler, Jennifer H

    2016-07-01

    The current exploratory investigation aims to establish the reliability and validity of a hope measure, the Herth Hope Index, among families impacted by early cognitive impairment (N = 96). Exploratory factor analysis was used to examine the dimensionality of the measure. Bivariate analyses were used to examine construct validity. The sample had moderately high hope scores. A two-factor structure emerged from the factor analysis, explaining 51.44% of the variance. Both factors exhibited strong internal consistency (Cronbach's alphas ranged from .83 to .86). Satisfaction with social support was positively associated with hope, supporting convergent validity. Neurocognitive status, illness insight, and depression were not associated with hope, indicating discriminant validity. Families impacted by cognitive impairment may maintain hope in the face of a potentially progressive illness, regardless of cognitive status. The Herth Hope Index can be utilized as a reliable and valid measure of hope by practitioners providing support to families impacted by cognitive impairment. © The Author(s) 2014.

  17. 50 CFR 24.12 - Designated ports.

    Science.gov (United States)

    2010-10-01

    ...) The U.S. Department of Agriculture ports at Hilo, Hawaii, and Chicago, Illinois, are designated ports..., Florida Atlanta, Georgia Savannah, Georgia Agana, Guam Hilo, Hawaii Honolulu, Hawaii Wailuku, Maui, Hawaii... Orlando, Florida Honolulu, Hawaii New Orleans, Louisiana Hoboken, New Jersey (Port of New York) Jamaica...

  18. Perancangan Miniatur Traffic Light Dengan Mempergunakan Pengendali Port Paralel

    OpenAIRE

    Eka Wahyudi; Desi Permanasari

    2012-01-01

    Port paralel tentunya sudah tidak asing lagi dalam dunia komputer. Hal tersebut disebabkan karena port paralel merupakan sarana komunikasi yang terdapat pada Personal Computer (PC). Dengan memanfaatkan port tersebut, saat ini komputer juga dapat dipergunakan untuk keperluan pengontrolan/pengendalian rangkaian listrik dengan memanfaatkan port paralel (port printer). Port paralel memiliki kecepatan transfer data yang lebih cepat apabila dibandingkan dengan port serial, maka dari itu port parale...

  19. The Development of the Regional Sea Port Infrastructure on the Basis of Dry Port

    Directory of Open Access Journals (Sweden)

    Aleksandr Nelevich Rakhmangulov

    2016-09-01

    Full Text Available This article contributes to the solution of the relevant problem of the seaport infrastructure development for the purpose of increasing the cargo turnover in the regions of seaport location as well as to improve the quality of freight traffic on the basis of the creation of container hinterlands — dry ports. The options of dry ports as the potentially effective solution to increase the cargo turnover of existing seaports, improve the timeliness of freight transportation and overcome the environmental problems of the regions of seaport location are shown. This work analyzes the transport infrastructure of the region, the cargo turnover of major Russian sea and dry ports as well as the experience of creating dry ports in the Russian Federation and abroad. The authors propose the system of parameters for dry ports, which are recommended for the assessment of seaport infrastructure development scenarios on the stage of strategic planning. The authors have developed the approach of optimal values determination of the main parameters of dry ports by simulation modeling method. The features of construction and research of the simulation models of system “seaport — dry port” in programming software AnyLogic are considered. The results of modeling experiments with a developed simulation model are provided. This model is aimed to assess the maximum estimated capacity of the existing seaport in the conditions of the increasing irregularity of cargo traffic, and also to determine the optimum parameters of the constructed «dry port». The obtained dependencies as a result of modeling experiments prove the adequacy of the selected main parameters of dry ports for the effective evaluation of the scenarios of the strengthening of carrying and estimated capacity of existing seaports on the stage of strategic planning. The article shows that the methodology of this research can be used by the investors and public authorities as grounds for a decision on

  20. The Armour of Hope and other works

    Directory of Open Access Journals (Sweden)

    Kate Just

    2013-01-01

    Full Text Available The series of work entitled 'The Skin of Hope' was produced during a 2012 Australia Council for the Arts studio residency in Barcelona, where I was accompanied by my partner Paula and our adopted daughter, Hope. Blurring the usual divide between familial life and art practice, the residency inspired a series of hand knitted sculptures and photographs weaving an account of the ways that Hope and I acknowledge, bond and imprint each other at skin level. Materialising our past wounds and present, tactile connections, the works include a hanging, child-sized, knitted suit of armour for Hope and a reversible pair of knitted arm-length gloves for me, scar-embroidered with surgical stitches and the words HOPE and MOTHER. Through the slow crafting of the works, and the photographs of us wearing the garments, I reflected on Hope's and my own resilience, repair and capacity to love. In a photographic work featuring Hope's text and drawing of herself on my naked back, I further framed skin as both a receptive and transmissive space, bearing witness to our most intimate moments.

  1. Feeling hopeful inspires support for social change

    NARCIS (Netherlands)

    Greenaway, Katharine H.; Cichocka, Aleksandra; van Veelen, Ruth; Likki, Tiina; Branscombe, Nyla R.

    2014-01-01

    Hope is an emotion that has been implicated in social change efforts, yet little research has examined whether feeling hopeful actually motivates support for social change. Study 1 (N = 274) confirmed that hope is associated with greater support for social change in two countries with different

  2. Hub Status and Indexation of Container Ports

    Directory of Open Access Journals (Sweden)

    Yong-An Park

    2015-06-01

    This study develops two sub-indexes of port classification and capacity, and combines cases of these two sub-indexes into various types in order to find a proper port hub index. The paper demonstrates how different types of port hub index are useful measurements for evaluating outputs and inputs of container ports. In a case analysis we show that the indexes of period variables and lagged variables have more explanatory power with regard to changes of port throughputs and high correlation with inputs.

  3. HOPE udveksling i Europa

    DEFF Research Database (Denmark)

    Pedersen, Ulla

    1996-01-01

    En artikel om deltagelse i HOPE (Hospital Professional Exchange) - 6 ugers studiebesøg på et hospital i udlandet. Ulla Pedersen fortæller om 6 uger med fokus på rehabilitering i det hollandske sundhedsvæsen.......En artikel om deltagelse i HOPE (Hospital Professional Exchange) - 6 ugers studiebesøg på et hospital i udlandet. Ulla Pedersen fortæller om 6 uger med fokus på rehabilitering i det hollandske sundhedsvæsen....

  4. PORT SECURITY-Threats and Vulnerabilities

    OpenAIRE

    Kusi, Bernard

    2015-01-01

    The main objective of this thesis is to identify the threats and the vulnerabilities concerning Takoradi port, and finally recommend measure to overcome the identified threats and vul-nerabilities. Various categories of potential threats and vulnerabilities have been studied throughout the literature review. However, because each port presents a unique sets of threats and vulnerabilities, there was a need to look critically into how Takoradi port operations are being conducted in other to ide...

  5. DEA Window Analysis for Measuring Port Efficiencies in Serbia

    Directory of Open Access Journals (Sweden)

    Danijela Pjevčević

    2012-01-01

    Full Text Available The aim of the paper is to apply Data Envelopment Analysis (DEA method in measuring and analyzing the efficiencies of ports on the river Danube. DEA window analysis is used to determine the efficiency of ports and to observe the possibility of changes in the port efficiency over time. A study is conducted to evaluate the efficiencies of ports on the territory of Serbia in order to identify the sources of inefficiencies and formulate proposals for improving the services of those ports and their operations through a four-year window analysis with port efficiency trends and average efficiencies. The progress is made in the measurement of port efficiency in relation to port productive activities - total area of warehouses, quay length, number of cranes and port throughput, for the Serbian river ports. Keywords: river ports, total area of warehouses, quay length, number of cranes, port throughput, port efficiency, DEA window analysis

  6. Multi-functional use of port areas

    NARCIS (Netherlands)

    Ros, R.; Taneja, P.; Vellinga, T.

    2012-01-01

    The core business of a port is handling vessels and cargo. In addition a landlord Port Authority invests in development of port areas. However, in view of the new trends such as stakeholders interests related to environment and sustainability, it is can be wise to reexamine the business portfolio

  7. Notch filters for port-Hamiltonian systems

    NARCIS (Netherlands)

    Dirksz, D.A.; Scherpen, J.M.A.; van der Schaft, A.J.; Steinbuch, M.

    2012-01-01

    In this paper a standard notch filter is modeled in the port-Hamiltonian framework. By having such a port-Hamiltonian description it is proven that the notch filter is a passive system. The notch filter can then be interconnected with another (nonlinear) port-Hamiltonian system, while preserving the

  8. Port-contact systems in bilateral telemanipulation

    NARCIS (Netherlands)

    Secchi, C; Stramigioli, Stefano; Fantuzzi, C.

    2007-01-01

    In this paper we develop one of the first control applications of the recently proposed port-contact framework. We show how it is possible to model and control a bilateral telemanipulation system using port-contact systems and we develop a port-contact impedance controller that allows to impose a

  9. Port Harcourt Medical Journal

    African Journals Online (AJOL)

    Port Harcourt Medical Journal's objectives are to disseminate medical information from the College of Health Sciences, University of Port Harcourt and the rest of the national and international medical community; act as a medium for the articulation of research and findings from same as well as proceedings of medical ...

  10. Perancangan Miniatur Traffic Light Dengan Mempergunakan Pengendali Port Paralel

    Directory of Open Access Journals (Sweden)

    Eka Wahyudi

    2012-05-01

    Full Text Available Port paralel tentunya sudah tidak asing lagi dalam dunia komputer. Hal tersebut disebabkan karena port paralel merupakan sarana komunikasi yang terdapat pada Personal Computer (PC. Dengan memanfaatkan port tersebut, saat ini komputer juga dapat dipergunakan untuk keperluan pengontrolan/pengendalian rangkaian listrik dengan memanfaatkan port paralel (port printer. Port paralel memiliki kecepatan transfer data yang lebih cepat apabila dibandingkan dengan port serial, maka dari itu port paralel lebih banyak dipergunakan untuk pengendalian nyala lampu (LED. Dengan memanfaatkan bantuan software Saraf Listrik versi 1.01, maka port paralel dapat menjadi alternatif baru untuk pengendalian traffic light.

  11. Port Card Module

    International Nuclear Information System (INIS)

    Utes, M.

    1994-01-01

    The Port Card will be one link in the data acquisition system for the D0 Silicon Vertex Detector. This system consists of the following parts, starting at the detector: Silicon strip detectors are mounted in a spaceframe and wire-bonded to custom bare-die integrated circuits (SVX-II chips) that digitize the charge collected by the strips. The 128-channel chips are mounted on a High-Density Interconnect (HDI) that consists of a small flex circuit that routes control signals and eight data bits for each of three to ten chips onto a common data bus. A cable then routes this bus approximately thirty feet out from the detector to the Port Card. The Port Card houses a commercial chipset that serializes the data in real time and converts the signal into laser light impulses that are then transmitted through a multi-mode optical fiber about 150 feet to a Silicon Acquisition and Readout board (SAR). Here, the data is transformed back to parallel electrical signals that are stored in one of several banks of FIFO memories. The FIFOs place their data onto the VME backplane to a VME Buffer Driver (VBD) which stores the event data in buffers for eventual readout over a thirty-two signal ribbon cable to the Level Two Computers and subsequent tape storage. Control and sequencing of the whole operation starts with the Silicon Acquisition/Readout Controller (SARC) working in tandem with the D0 Clock System. The SARC resides in the same VME crate as the SARs, and transforms signals from the Trigger System into control codes distributed to the various Port Cards via optical fibers operating at 53 Mb/s. It is through these control codes that data taking operations such as data-acquisition, digitization, readout, and various resets can be carried out. The Port Card receives the control codes and manipulates the SVX-II chips in the proper way to effect proper data taking. There will be a total of about 700,000 channels, which translates into about 5580 SVX-II chips, 66 to 100 Port Cards

  12. TRENDS IN CONTEMPORARY PORT SERVICES MARKETS

    Directory of Open Access Journals (Sweden)

    Hanna Klimek

    2014-12-01

    Full Text Available This article describes the issues associated with functioning of contemporary seaport services markets. The growth of international supply chains, technical progress and the integration processes in shipping, growth of containerization, increasing competition in the seaport services markets and environmental protection regulations make it necessary for port service providers to adapt to the changing expectations and requirements of their customers, both shippers and, especially maritime, carriers. Thus, the activities they undertake are associated with making investments to ensure an adequate capacity to handle cargo, passengers and means of transport, required quality of service, but also with appropriate organization of port supply centres and lead to an improvement of their competitiveness. Both the factors associated with the external and internal environment of seaports affect the changes in the relationship between the supply and demand on port services markets. Contemporary port services markets are characterized by certain phenomena which can be a sign of their adaptation and development. The aim of this article is to present the essence of the port services market and its relationship with the environment, which subject to rapid and significant changes, creates new conditions for the operation of port supply centres and the entire port services market.

  13. US Army Corps of Engineers Ports, Geographic WGS84, BTS (2006) [usace_port_BTS_2006

    Data.gov (United States)

    Louisiana Geographic Information Center — Contains physical information on commercial facilities at the principal U.S. Coastal, Great Lakes and Inland Ports. The data consists of listings of port area's...

  14. The Challenges of Malaysian Dry Ports Development

    Directory of Open Access Journals (Sweden)

    Jagan Jeevan

    2015-03-01

    Full Text Available This paper examines the functions and challenges of dry ports development in Malaysia through 11 face-to-face interviews with dry port stakeholders. The findings reveal that Malaysian dry ports are developed to accelerate national and international business, to activate intermodalism in the nation, to promote regional economic development and to enhance seaport competitiveness. Malaysian dry ports perform the function of transport and logistics, information processing, seaports and value-added services. Challenges facing Malaysian dry ports include insufficient railway tracks, unorganized container planning on the rail deck, highly dependent on single mode of transportation, poor recognition from the seaport community, and competition from localized seaports. This paper further indicates strategies for coping with these challenges and identifies future opportunities for Malaysian dry ports development.

  15. Benchmark dynamics in the environmental performance of ports.

    Science.gov (United States)

    Puig, Martí; Michail, Antonis; Wooldridge, Chris; Darbra, Rosa Mari

    2017-08-15

    This paper analyses the 2016 environmental benchmark performance of the port sector, based on a wide representation of EcoPorts members. This is the fifth time that this study has been conducted as an initiative of the European Sea Ports Organisation (ESPO). The data and results are derived from the Self-Diagnosis Method (SDM), a concise checklist against which port managers can self-assess the environmental management of their port in relation to the performance of the EcoPorts membership. The SDM tool was developed in the framework of the ECOPORTS project (2002-2005) and it is managed by ESPO. A total number of 91 ports from 20 different European Maritime States contributed to this evaluation. The main results are that air quality remains as the top environmental priority of the respondent ports, followed by energy consumption and noise. In terms of environmental management, the study confirms that key components are commonly implemented in the majority of European ports. 94% of contributing ports have a designated environmental manager, 92% own an environmental policy and 82% implement an environmental monitoring program. Waste is identified as the most monitored issue in ports (80%), followed by energy consumption (73%) and water quality (70%). Copyright © 2017 Elsevier Ltd. All rights reserved.

  16. [Single-port laparoscopic cholecystectomy: advantages and disadvantages].

    Science.gov (United States)

    Alekberzade, A V; Lipnitsky, E M; Krylov, N N; Sundukov, I V; Badalov, D A

    2016-01-01

    To analyze the outcomes of single-port laparoscopic cholecystectomy. Early and long-term postoperative period has been analyzed in 240 patients who underwent laparoscopic cholecystectomy (LCE) including 120 cases of single-port technique and 120 cases of four-port technique. Both groups were compared in surgical time, pain syndrome severity (visual analog scale), need for analgesics, postoperative complications, hospital-stay, daily activity recovery and return to physical work, patients' satisfaction of surgical results and their aesthetic effect. It was revealed that single-port LCE is associated with lower severity of postoperative pain, quick recovery of daily activity and return to physical work, high satisfaction of surgical results and their aesthetic effect compared with four-port LCE. Disadvantages of single-port LCE include longer duration of surgery, high incidence of postoperative umbilical hernia. However hernia was predominantly observed during the period of surgical technique development. Further studies to standardize, evaluate the safety and benefits of single-port LCE are necessary.

  17. Improving communication on hope in palliative care. A qualitative study of palliative care professionals' metaphors of hope: grip, source, tune, and vision.

    Science.gov (United States)

    Olsman, Erik; Duggleby, Wendy; Nekolaichuk, Cheryl; Willems, Dick; Gagnon, Judith; Kruizinga, Renske; Leget, Carlo

    2014-11-01

    Hope is important in palliative care. However, palliative care professionals' perspectives on hope are not well understood. Metaphors of hope are a way of better understanding these perspectives. To describe palliative care professionals' perspectives on hope by examining the hope metaphors they spontaneously used to describe their own hope and their perspectives on the hope of patients and their families. Semistructured interviews with palliative care professionals were recorded, transcribed, and analyzed using a narrative approach. Results were discussed until the researchers reached consensus and reinforced by other health-care professionals and by observing several palliative care settings. The 64 participants (mean (SD) age, 48.42 (9.27) years and 72% female) were physicians (41%), nurses (34%), chaplains (20%), or other professionals (5%), working in Canada (19%) or The Netherlands (81%). Participants described the hope of patients, their families, or themselves as a 1) grip, which implied safety; 2) source, which implied strength; 3) tune, which implied harmony; and 4) vision, which implied a positive perspective. Compared with Dutch participants, Canadian participants generally put more emphasis on spirituality and letting go of their own hope as a grip (safety). Compared with other included professionals, physicians used hope as a grip (safety) most often, whereas chaplains used hope as a tune (harmony) most often. Our findings help to increase the understanding of hope and contribute to improving communication skills in palliative care professionals. Copyright © 2014 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

  18. Meta-Analyses of Predictors of Hope in Adolescents.

    Science.gov (United States)

    Yarcheski, Adela; Mahon, Noreen E

    2016-03-01

    The purposes of this study were to identify predictors of hope in the literature reviewed, to use meta-analysis to determine the mean effect size (ES) across studies between each predictor and hope, and to examine four moderators on each predictor-hope relationship. Using preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines for the literature reviewed, 77 published studies or doctoral dissertations completed between 1990 and 2012 met the inclusion criteria. Eleven predictors of hope were identified and each predictor in relation to hope was subjected to meta-analysis. Five predictors (positive affect, life satisfaction, optimism, self-esteem, and social support) of hope had large mean ESs, 1 predictor (depression) had a medium ES, 4 predictors (negative affect, stress, academic achievement, and violence) had small ESs, and 1 predictor (gender) had a trivial ES. Findings are interpreted for the 11 predictors in relation to hope. Limitations and conclusions are addressed; future studies are recommended. © The Author(s) 2014.

  19. The Practice of Guangzhou Port Planning Environmental Impact Assessment

    Science.gov (United States)

    Wang, Ning; Zhao, Junjie; Shou, Youping; Qiao, Jianzhe; Dong, Shipei; Zhang, Lu

    2018-01-01

    In this paper, the effects of the implementation of Guangzhou port plan were analyzed from hydrological condition, water environment and ecological environment. Regional water environmental carrying capacity was analyzed. Guangzhou port is a main port in the coast of China, it is an important port of foreign trade in south China, it is an important port for energy supplies and raw materials in Guangdong province [1]. With the shipping channel condition improvement and the construction of large specialized container port area, Guangzhou port will gradually become trunk line port of container transport in south China.

  20. The radiation analyses of ITER lower ports

    International Nuclear Information System (INIS)

    Petrizzi, L.; Brolatti, G.; Martin, A.; Loughlin, M.; Moro, F.; Villari, R.

    2010-01-01

    The ITER Vacuum Vessel has upper, equatorial, and lower ports used for equipment installation, diagnostics, heating and current drive systems, cryo-vacuum pumping, and access inside the vessel for maintenance. At the level of the divertor, the nine lower ports for remote handling, cryo-vacuum pumping and diagnostic are inclined downwards and toroidally located each every 40 o . The cryopump port has additionally a branch to allocate a second cryopump. The ports, as openings in the Vacuum Vessel, permit radiation streaming out of the vessel which affects the heating in the components in the outer regions of the machine inside and outside the ports. Safety concerns are also raised with respect to the dose after shutdown at the cryostat behind the ports: in such zones the radiation dose level must be kept below the regulatory limit to allow personnel access for maintenance purposes. Neutronic analyses have been required to qualify the ITER project related to the lower ports. A 3-D model was used to take into account full details of the ports and the lower machine surroundings. MCNP version 5 1.40 has been used with the FENDL 2.1 nuclear data library. The ITER 40 o model distributed by the ITER Organization was developed in the lower part to include the relevant details. The results of a first analysis, focused on cryopump system only, were recently published. In this paper more complete data on the cryopump port and analysis for the remote handling port and the diagnostic rack are presented; the results of both analyses give a complete map of the radiation loads in the outer divertor ports. Nuclear heating, dpa, tritium production, and dose rates after shutdown are provided and the implications for the design are discussed.

  1. Hope, self-efficacy, spiritual well-being and job satisfaction.

    Science.gov (United States)

    Duggleby, Wendy; Cooper, Dan; Penz, Kelly

    2009-11-01

    Hope, self-efficacy, spiritual well-being and job satisfaction. This paper is a report of a study of the relations of spiritual well-being, global job satisfaction, and general self-efficacy to hope in Continuing Care Assistants. Healthcare providers have described their hope as an important part of their work and a form of work motivation. Hope may be an important factor in preventing burnout and improving job satisfaction. A concurrent triangulation mixed method design was used. Sixty-four Continuing Care Assistants (personal care aides) who registered for a 'Living with Hope' Conference completed a demographic form, Herth Hope Index, Global Job Satisfaction Questionnaire, Spiritual Well-Being Scale, General Self-Efficacy Scale, and a hope questionnaire. Data were collected in 2007. The response rate was 58%. Using linear regression, 29.9% of the variance in Herth Hope Index score was accounted for by scores from the General Self-Efficacy Scale and Spiritual Well-Being Scale. General Self-efficacy scores (positive relationship) and Spiritual Well-Being scores (negative relationship) accounted for a significant part of the variance. Qualitative data supported all findings, with the exception of the negative relationship between hope and spiritual well-being; participants wrote that faith, relationships, helping others and positive thinking helped them to have hope. They also wrote that hope had a positive influence on their job satisfaction and performance. Hope is an important concept in the work life of Continuing Care Assistants. Supportive relationships, adequate resources, encouragement by others, and improving perceptions of self-efficacy (ability to achieve goals in their workplace) may foster their hope.

  2. Testing and Analysis of Sensor Ports

    Science.gov (United States)

    Zhang, M.; Frendi, A.; Thompson, W.; Casiano, M. J.

    2016-01-01

    This Technical Publication summarizes the work focused on the testing and analysis of sensor ports. The tasks under this contract were divided into three areas: (1) Development of an Analytical Model, (2) Conducting a Set of Experiments, and (3) Obtaining Computational Solutions. Results from the experiment using both short and long sensor ports were obtained using harmonic, random, and frequency sweep plane acoustic waves. An amplification factor of the pressure signal between the port inlet and the back of the port is obtained and compared to models. Comparisons of model and experimental results showed very good agreement.

  3. The Property Value Protection Program - How the Compensation Plan is Working and Evolving to Meet Changing Needs - 13149

    International Nuclear Information System (INIS)

    Faught, Jeff; Herod, Judy; Mahabir, Alexandra

    2013-01-01

    The Property Value Protection (PVP) Program offers an innovative approach to address the risk of individual property value loss resulting from the cleanup and long-term management of historic low level radioactive waste in the Port Hope area in Southern Ontario, Canada. This cleanup is taking place through the Port Hope Area Initiative (PHAI), a federally sponsored waste remediation project. The PVP Program came into effect on October 1, 2000, having been established as a key element of the PHAI Legal Agreement between the Government of Canada and the municipalities of Port Hope and Clarington. The PVP Program was designed in direct response to the concern expressed by the agreement's two municipal signatories that protection of local property owners from the risk of property value loss was critical to their acceptance of the Port Hope and Port Granby projects. The PVP Program compensates owners of residential, commercial or industrial properties for a loss in fair market value on the sale or rental of their properties. Increased mortgage refinancing costs and expenses incurred as a result of delayed sales that can be attributed to the Port Hope Area Initiative are also compensated. (authors)

  4. The Property Value Protection Program - How the Compensation Plan is Working and Evolving to Meet Changing Needs - 13149

    Energy Technology Data Exchange (ETDEWEB)

    Faught, Jeff; Herod, Judy; Mahabir, Alexandra [Atomic Energy of Canada Limited, Port Hope, Ontario (Canada)

    2013-07-01

    The Property Value Protection (PVP) Program offers an innovative approach to address the risk of individual property value loss resulting from the cleanup and long-term management of historic low level radioactive waste in the Port Hope area in Southern Ontario, Canada. This cleanup is taking place through the Port Hope Area Initiative (PHAI), a federally sponsored waste remediation project. The PVP Program came into effect on October 1, 2000, having been established as a key element of the PHAI Legal Agreement between the Government of Canada and the municipalities of Port Hope and Clarington. The PVP Program was designed in direct response to the concern expressed by the agreement's two municipal signatories that protection of local property owners from the risk of property value loss was critical to their acceptance of the Port Hope and Port Granby projects. The PVP Program compensates owners of residential, commercial or industrial properties for a loss in fair market value on the sale or rental of their properties. Increased mortgage refinancing costs and expenses incurred as a result of delayed sales that can be attributed to the Port Hope Area Initiative are also compensated. (authors)

  5. The content of hope in ambulatory patients with colon cancer.

    Science.gov (United States)

    Beckman, Emily S; Helft, Paul R; Torke, Alexia M

    2013-01-01

    Although hope is a pervasive concept in cancer treatment, we know little about how ambulatory patients with cancer define or experience hope. We explored hope through semistructured interviews with ten patients with advanced (some curable, some incurable) colon cancer at one Midwestern, university-based cancer center. We conducted a thematic analysis to identify key concepts related to patient perceptions of hope. Although we did ask specifically about hope, patients also often revealed their hopes in response to indirect questions or by telling stories about their cancer experience. We identified four major themes related to hope: 1) hope is essential, 2) a change in perspective, 3) the content of hope, and 4) communicating about hope. The third theme, the content of hope, included three subthemes: a) the desire for normalcy, b) future plans, and c) hope for a cure. We conclude that hope is an essential concept for patients undergoing treatment for cancer as it pertains to their psychological well-being and quality of life, and hope for a cure is not and should not be the only consideration. In a clinical context, the exploration of patients' hopes and aspirations in light of their cancer diagnosis is important because it provides a frame for understanding their goals for treatment. Exploration of the content of patients' hope can not only help to illuminate misunderstandings but also clarify how potential treatments may or may not contribute to achieving patients' goals.

  6. Keeping hope possible: a grounded theory study of the hope experience of parental caregivers who have children in treatment for cancer.

    Science.gov (United States)

    Bally, Jill M G; Duggleby, Wendy; Holtslander, Lorraine; Mpofu, Christopher; Spurr, Shelley; Thomas, Roanne; Wright, Karen

    2014-01-01

    Hope has been found to support parents as they care for their child with a life-limiting or life-threatening illness. However, very little research focuses on the nursing care of parents of pediatric oncology patients, and therefore, nurses may have difficulty in understanding and supporting parental well-being. The purpose of this qualitative study was to gain an understanding of the experience of hope for parents who care for their child in treatment for cancer. Using purposive theoretical sampling, 16 parents participated in this study. Thirty-three open-ended, face-to-face interviews were conducted, and 14 parent journals were collected. Analysis of the data was conducted using Charmaz's constructivist grounded theory approach. A developing, substantive grounded theory was constructed. Parental hope was described as an essential, powerful, deliberate, life-sustaining, dynamic, cyclical process that was anchored in time; was calming and strengthening; and provided inner guidance through the challenging experience of preparing for the worst and hoping for the best. Parents' main concern was "fearing the loss of hope," which was ameliorated by the basic social process of "keeping hope possible" through accepting reality, establishing control, restructuring hope, and purposive positive thinking. Parents journeyed through numerous transitions related to the treatment of cancer that caused feelings of uncertainty, anxiety, stress, and loss of control. Hope was identified as vital to parents. To minimize these adverse experiences, nurses can support parents' ability to keep hope possible and thus to optimize their well-being by understanding, assessing, and supporting parental hope.

  7. Adaptive Port Planning under Disruptive Trends with focus on the case of the Port of Kuala Tanjung, Indonesia

    NARCIS (Netherlands)

    Taneja, P.; Velinga, Tiedo

    2018-01-01

    As a national strategic project, the Port of Kuala Tanjung draws significant attention at national and international level. Considering the semi-greenfield nature of the port, the diverse set of stakeholders, and the prevailing disruptive trends in the world port business, a robust first-phase

  8. Types of hope and action styles of adolescents

    Directory of Open Access Journals (Sweden)

    Aleksandra Myślińska

    2016-04-01

    Full Text Available The problem discussed in this article concerns the relationship between hope and action styles in adolescents. An action style is a way in which man perceives and responds to the outside world, and it may be aimed at securing oneself or interacting with the surroundings. The main aim of this analysis was to find out if, and to what degree, the level of hope is connected with action styles. The following hypotheses are proposed: H – 1. There is a relationship between hope and an action style. H- 2. Persons with different types of hope are characterised by different styles of action. H – 3. Persons with a high level of hope have a cooperation -oriented style. H – 4. Persons with a low level of hope are often characterised by a style aimed at protecting themselves. 149 persons aged 17 – 18 participated in the study. The following methods were used: the Basic Hope Inventory (BHI-12 – compiled by Trzebiński and M. Zięba, the Hope for Success Questionnaire (KNS – adaptation of C. R. Snyder’s questionnaire made by M. Łaguna, J. Trzebiński and M. Zięba, as well as the Action Styles Questionnaire by Z. Uchnast . The results obtained have allowed the researchers to form the opinion that hope helps individuals function better in the world. The way in which a person perceives the world and their own capabilities translates into the style of action which they choose. A person who is full of hope seeks self -actualisation as well as cooperation with others.

  9. Cyber security in ports: Business as usual

    OpenAIRE

    Moerel, Lokke; Dezeure, Freddy

    2017-01-01

    Our paper summarizes the risks and provides concrete and pragmatic proposals to increase substantially the cyber maturity and resilience in the ports by organizing training and awareness raising, fostering cooperation and information exchange both between the stakeholders in the ports and across the ports and integrating the cyber risk into the physical security risk management processes and structures already in place within the ports. This also involves a higher degree of oversight by the P...

  10. Faith, hope and love in sport

    Directory of Open Access Journals (Sweden)

    Jernej Pisk

    2017-11-01

    Full Text Available In the Christian religious tradition, theological virtues of faith, hope and love have a central role. Along with the cardinal virtues of prudence, justice, fortitude and temperance they present the whole of the good human life. While cardinal virtues can be cultivated by human will, faith, hope and love are given by God and therefore open ‘natural’ human life on Earth toward transcendent spiritual realities. Human beings as bio-psycho-social and spiritual beings incorporate theological virtues in all the activities of their life. In sport, faith, hope and love have an important, though often neglected, role. On a practical level faith can be recognized in any relation between athlete and coach. To trust one’s coach, without any guarantee that the outcome of prescribed workouts will lead to the desired results, needs strong faith, trust and confidence. Moreover, faith is the virtue that makes sport so attractive also for spectators even to the point of being a ‘secular’ religion for the masses. Hope is the virtue of ‘not yet’ or of something ‘being on its way’. For most athletes, daily workouts are not a goal, but just the means to that end. Any reason for doing sports needs a hope behind it in order to move or will oneself to action. Along with hope, understood as a golden mean, we find despair on the one hand and ‘false hope’ on the other. Both are corruptions of hope seen daily in the world of sport. To manage hope in sport practices correctly offers a path to success in sport at all levels. Love is at the apex of the theological virtues. There are many formulations of love both in ancient Greek and Roman times: eros, agape, caritas, amor. Each has its special characteristic meaning also in sport. In sport we can see laughter and tears because any love is connected with highest human joy and deepest depression. Yet, in summation, it is argued that love in sport must be understood as the binding force and source of

  11. Slewing Port Jib Cranes

    Directory of Open Access Journals (Sweden)

    Boris Visočnik

    2002-09-01

    Full Text Available The paper presents slewing port cra11es with a luffing jib.The advantages of slewing port jib cranes are high lifting capacities,high speeds of re-loading and excellent mobility since theyare capable of load lifting, travelling, luffing and slewing. Thepaper gives a detailed description of their characteristics suchas the highest reached load-canying capacities, speeds of motionand accelerations. It also presents the crane assembly,driving mechanisms, loads and load cases, transport by shipsand testing of lifting capacity. As a practical example the paperpresents the slewing port jib crane with the capacity of25!15!5 tat a 27/37/40 m radius made by the Slovenian companyMetalna Maribor for the shipyard 3. Maj, Rijeka, Croatia.

  12. Research on variable swirl intake port for high-speed multivalve DI diesel engine. Effects of port configuration on flow characteristics and swirl generation capacity; 4 ben kogata kosoku DI diesel engine no kahen swirl kyuki port ni kansuru kenkyu. Kyuki port haichi ga ryudo tokusei to swirl seino ni oyobosu eikyo

    Energy Technology Data Exchange (ETDEWEB)

    Kawashima, J; Ogawa, H; Tsuru, Y [Nissan Motor Co. Ltd., Tokyo (Japan)

    1997-10-01

    In our previous papers, the variable swirl intake port system which can control a wide swirl ratio range (from 4 to 10) was described. This system consisted of two separate intake ports, one of them has a flow control valve for changing the swirl ratio. In this type of variable swirl system, some variations of port combination, port shape, and position can be designed. In this paper, the intake flow characteristics of various port combinations were analyzed on the basis of a steady-state air flow test and 3-dimensional computations. The results indicate that the total performance of the twin ports can be estimated from that of a single port in any kind of port combination. Some difference in flow patterns were found in a variety of port combinations even if each swirl ratio is similar. The selected port combinations in our previous study are good for a wide swirl control range. 11 refs., 9 figs., 1 tab.

  13. Two-port robotic hysterectomy: a novel approach.

    Science.gov (United States)

    Moawad, Gaby N; Tyan, Paul; Khalil, Elias D Abi

    2018-03-24

    The objective of the study was to demonstrate a novel technique for two-port robotic hysterectomy with a particular focus on the challenging portions of the procedure. The study is designed as a technical video, showing step-by-step a two-port robotic hysterectomy approach (Canadian Task Force classification level III). IRB approval was not required for this study. The benefits of minimally invasive surgery for gynecological pathology have been clearly documented in multiple studies. Patients had fewer medical and surgical complications postoperatively, better cosmesis and quality of life. Most gynecological surgeons require 3-5 ports for the standard gynecological procedure. Even though the minimally invasive multiport system provides an excellent safety profile, multiple incisions are associated with a greater risk for morbidity including infection, pain, and hernia. In the past decade, various new methods have emerged to minimize the number of ports used in gynecological surgery. The interventions employed were a two-port robotic hysterectomy, using a camera port plus one robotic arm, with a focus on salpingectomy and cuff closure. We describe a transvaginal and a transabdominal approach for salpingectomy and a novel method for cuff closure. The transvaginal and transabdominal techniques for salpingectomy for two-port robotic-assisted hysterectomy provide excellent tension and exposure for a safe procedure without the need for an extra port. We also describe a transvaginal technique to place the vaginal cuff on tension during closure. With the necessary set of skills on a carefully chosen patient, two-port robotic-assisted total laparoscopic hysterectomy is a feasible procedure.

  14. [Subcutaneous implantation type central venous port management in patients with malignant tumors effect of different antiseptic agents on central venous port-related infection].

    Science.gov (United States)

    Sato, Junya; Kumagai, Masumi; Kato, Kenichi; Akahane, Akio; Suzuki, Michiko; Kashiwaba, Masahiro; Sone, Miyuki; Kudo, Kenzo

    2014-08-01

    Subcutaneous implantation type central venous ports(CV ports)are used in chemotherapy. Here, we prospectively examined the frequency of CV port-related infections when the disinfectant was changed from 10% povidone iodine to 1% chlorhexidine ethanol or 70% ethanol. The subjects were patients with malignant tumors, who had newly been implanted with CV ports. We examined CV port-related infections at 1 week after CV port implantation and every 2 weeks thereafter, following sterilization upon insertion of a Huber needle to the CV port. CV port evulsion due to CV port-related infection was noted in 3 patients(4.8%)in whom 15%chlorhexidine ethanol was used(n=62)and in 2 patients(3.3%)in whom 70% ethanol was used(n=60). Infection rates per 1,000 days of CV port use were 1.48% and 1.01%, respectively. Thus, the outcomes of sterilization using 1% chlorhexidine ethanol and 70% ethanol did not differ significantly from those on using 10% povidone iodine for sterilization, based on preliminary results at our institution(3 of 59 patients[5.1%]had port evulsion due to CV port-related infection and the infection rate per 1,000 days of CV port use was 1.47%, Akahane et al, 2012). Chlorhexidine ethanol and ethanol are very convenient to use because they dry quickly and do not need discoloration. Accordingly, chlorhexidine ethanol and ethanol might be useful in CV port management.

  15. Maintaining hope at the 11th hour: authenticity buffers the effect of limited time perspective on hope.

    Science.gov (United States)

    Davis, William E; Hicks, Joshua A

    2013-12-01

    Four studies tested the hypothesis that limited time perceptions are associated with lower levels of hope, and that this effect is buffered by high levels of authenticity. Study 1 (n = 256) utilized a cross-sectional design in which participants completed dispositional measures of time perspective, hope, and authenticity. Three subsequent studies tested our hypothesis experimentally. In a pilot study (n = 124), participants reported their perceived authenticity, future time perspective (FTP) was manipulated (limited vs. open-ended), and state hope was assessed. Study 2 (n = 156) introduced a new manipulation of FTP, and Study 3 (n = 242) replicated Study 2 with the addition of a neutral control condition. Across all studies, individuals who perceived time as limited reported lower levels of hope relative to those who perceived time as open-ended (or those in a neutral control condition), but, importantly, this effect was attenuated for highly authentic individuals.

  16. Systems theory of interconnected port contact systems

    NARCIS (Netherlands)

    Eberard, D.; Maschke, B.M.; Schaft, A.J. van der

    2005-01-01

    Port-based network modeling of a large class of complex physical systems leads to dynamical systems known as port-Hamiltonian systems. The key ingredient of any port-Hamiltonian system is a power-conserving interconnection structure (mathematically formalized by the geometric notion of a Dirac

  17. Ports and Terminals : Planning and Functional Design

    NARCIS (Netherlands)

    Groenveld, R.; Velsink, H.

    1993-01-01

    1. Maritime transport, means and commodities 3. Principles of integrated port planning 4. Planning and design of a port's water areas 5. Port terminals - introduction 6. Conventional general cargo terminals 7. Container terminals 8. Oil & liquid gas terminals 9. Dry bulk cargo terminals 10. Fishery

  18. Conservative systems with ports on contact manifolds

    NARCIS (Netherlands)

    Eberard, D.; Maschke, B.M.; van der Schaft, Arjan; Piztek, P.

    In this paper we propose an extension of port Hamiltonian systems, called conservative systems with ports, which encompass systems arising from the Irreversible Thermodynamics. Firstly we lift a port Hamiltonian system from its state space manifold to the thermodynamic phase space to a contact

  19. Single port VATS: recent developments in Asia.

    Science.gov (United States)

    Yu, Peter S Y; Capili, Freddie; Ng, Calvin S H

    2016-03-01

    Single port video-assisted thoracic surgery (VATS) is the most recent evolution in minimally invasive thoracic surgery. With increasing global popularity, the single port VATS approach has been adopted by experienced thoracic surgeons in many Asian countries. From initial experience of single port VATS lobectomy to the more complex sleeve resection procedures now forming part of daily practice in some Asia institutes, the region has been the proving ground for single port VATS approaches' feasibility and safety. In addition, certain technical refinements in single port VATS lung resection and lymph node dissection have also sprung from Asia. Novel equipment designed to facilitate single port VATS allowing further reduce access trauma are being realized by the partnership between surgeons and the industries. Advanced thoracoscopes and staplers that are narrower and more maneuverable are particularly important in the smaller habitus of patients from Asia. These and similar new generation equipment are being applied to single port VATS in novel ways. As dedicated thoracic surgeons in the region continue to striving for excellence, innovative ideas in single incision access including subxiphoid and embryonic natural-orifice transluminal endoscopic surgery (e-NOTES) have been explored. Adjunct techniques and technology used in association with single port VATS such as non-intubated surgery, hybrid operating room image guidance and electromagnetic navigational bronchoscopy are all in rapid development in Asia.

  20. Dual-port distal gastrectomy for the early gastric cancer

    OpenAIRE

    Kashiwagi, Hiroyuki; Kumagai, Kenta; Monma, Eiji; Nozue, Mutsumi

    2014-01-01

    Background Although recent trends in laparoscopic procedures have been toward minimizing the number of incisions, four or five ports are normally required to complete laparoscopic gastrectomy because of the complexity of this procedure. Multi-channel ports, such as the SILS port (Covidien, JAPAN), are now available and are crucial for performing single-incision laparoscopic surgery (SILS) or reduced port surgery (RPS). We carried out reduced port distal gastrectomy (RPDG) using a dual-port me...

  1. Hope as a Predictor of Interpersonal Suicide Risk

    Science.gov (United States)

    Davidson, Collin L.; Wingate, LaRicka R.; Rasmussen, Kathy A.; Slish, Meredith L.

    2009-01-01

    The current study hypothesized that (1) hope would negatively predict burdensomeness, thwarted belongingness, and acquired capability to enact lethal injury; (2) hope would negatively predict suicidal ideation; and (3) the interpersonal suicide risk factors would predict suicidal ideation. Results indicated that hope negatively predicted…

  2. Analysis of laparoscopic port site complications: A descriptive study.

    Science.gov (United States)

    Karthik, Somu; Augustine, Alfred Joseph; Shibumon, Mundunadackal Madhavan; Pai, Manohar Varadaraya

    2013-04-01

    The rate of port site complications following conventional laparoscopic surgery is about 21 per 100,000 cases. It has shown a proportional rise with increase in the size of the port site incision and trocar. Although rare, complications that occur at the port site include infection, bleeding, and port site hernia. To determine the morbidity associated with ports at the site of their insertion in laparoscopic surgery and to identify risk factors for complications. Prospective descriptive study. In the present descriptive study, a total of 570 patients who underwent laparoscopic surgeries for various ailments between August 2009 and July 2011 at our institute were observed for port site complications prospectively and the complications were reviewed. Descriptive statistical analysis was carried out in the present study. The statistical software, namely, SPSS 15.0 was used for the analysis of the data. Of the 570 patients undergoing laparoscopic surgery, 17 (3%) had developed complications specifically related to the port site during a minimum follow-up of three months; port site infection (PSI) was the most frequent (n = 10, 1.8%), followed by port site bleeding (n = 4, 0.7%), omentum-related complications (n = 2; 0.35%), and port site metastasis (n = 1, 0.175%). Laparoscopic surgeries are associated with minimal port site complications. Complications are related to the increased number of ports. Umbilical port involvement is the commonest. Most complications are manageable with minimal morbidity, and can be further minimized with meticulous surgical technique during entry and exit.

  3. Challenges and Strategies of Abidjan Port-Hinterland Connectivity

    Directory of Open Access Journals (Sweden)

    Gamassa Pascal Kany Prud’ome

    2017-01-01

    Full Text Available Abidjan port-hinterland is composed of three countries which include Ivory Coast, Mali and Burkina Faso. The fast economic growth of the above countries resulted to a greater demand for the foreign goods from their population, causing a congestion problem at Abidjan port. Because of this problem, the connectivity movement between the port and its hinterland has considerably slowed down. In this article a qualitative methodology is used to analyse the Abidjan port-hinterland connectivity. The constant delays of the train services, the road congestion and the lack of coordination and communication between Abidjan port and its hinterland customers are the main presented challenges. The results of this research demonstrate that the poor quality roads and railways and the lack of a new dry port in Ivory Coast greatly affects the fluidity of the Abidjan port-hinterland connectivity. This article suggests some strategies on how to solve the current challenges and will be helpful in deciding on how the Abidjan port should be developed better and improve its connectivity with its hinterland.

  4. The impact of an emerging port on the carbon dioxide emissions of inland container transport: An empirical study of Taipei port

    International Nuclear Information System (INIS)

    Liao, C.-H.; Tseng, P.-H.; Cullinane, Kevin; Lu, C.-S.

    2010-01-01

    This study analyzes the changes in carbon dioxide (CO 2 ) emissions resulting from the movement of containers from established ports through the emerging port of Taipei in Northern Taiwan. An activity-based emissions model is used to estimate the CO 2 emissions of container transport under four scenarios where there are switches of market share from existing ports to the emerging port. The results show that there are greater reductions in CO 2 when transhipment routes are changed from the ports of Kaohsiung, Taichung and Keelung to the emerging port of Taipei. The paper concludes that the analytical approach adopted in the paper can help decision-makers understand potential CO 2 emissions reduction strategies in the route selection of inland container transportation and such consideration should provide a broader and more meaningful basis for the socio-economic evaluation of port investment projects.

  5. Process and overview of diagnostics integration in ITER ports

    International Nuclear Information System (INIS)

    Drevon, J.M.; Walsh, M.; Andrew, P.; Barnsley, R.; Bertalot, L.; Bock, M. de; Bora, D.; Bouhamou, R.; Direz, M.F.; Encheva, A.; Fang, T.; Feder, R.; Giacomin, T.; Hellermann, M. von; Jakhar, S.; Johnson, D.; Kaschuk, Y.; Kusama, Y.; Lee, H.G.; Levesy, B.

    2013-01-01

    Highlights: ► An overview of the Port Integration hardware for tenant system hosting inside ITER diagnostics ports is given. ► The main challenges for diagnostic port integration engineering are presented. ► The actions taken for a common modular approach and a coordinated design are detailed. -- Abstract: ITER will have a set of 45 diagnostics to ensure controlled operation. Many of them are integrated in the ITER ports. This paper addresses the integration process of the diagnostic systems and the approach taken to enable coordinated progress. An overview of the Port Integration hardware introduces the various structures needed for hosting tenant systems inside ITER diagnostics ports. The responsibilities of the different parties involved (ITER Organization and the Domestic Agencies) are outlined. The main challenges for diagnostic port integration engineering are summarized. The plan for a common approach to design and manufacture of the supporting structures, in particular the Port Plug is detailed. A coordinated design including common components and a common approach for neutronic analyses is proposed. One particular port, the equatorial port 11, is used to illustrate the approach

  6. Ports, policies and interventions in ports in Portugal - 20th Century

    OpenAIRE

    Dias, Emílio Brògueira; Alves, Jorge Fernandes

    2010-01-01

    Ce texte, inspiré des données issues des travaux des deux auteurs, aborde, de manière synthétique, les grandes lignes des transformations portuaires au Portugal, à travers un panorama des différents ports et de leur évolution. Cet exposé se focalise sur les exemples les plus significatifs que sont les ports de Leixões, Aveiro, Lisbonne, Setubal et Sines. This text, based on the data used in previous works by the authors, seeks to assess briefly, the main lines of transformations in Portuga...

  7. Wounds caused by contact with muzzle-lift relief ports (Mag-Na-Port).

    Science.gov (United States)

    Rogers, D R; Shem, R J

    1992-12-01

    Fan-shaped stippled burns were produced on the skin when a revolver whose barrel had been modified by the Mag-Na-Port process was fired twice with the side of the muzzle in contact. A grazing wound was produced by one bullet, and an oblique entry was produced by the other. The characteristics of Mag-Na-Port wounds and test shots are described, and these are compared with test shots from two other higher power revolvers.

  8. Port performance evaluation tool based on microsimulation model

    Directory of Open Access Journals (Sweden)

    Tsavalista Burhani Jzolanda

    2017-01-01

    Full Text Available As port performance is becoming correlative to national competitiveness, the issue of port performance evaluation has significantly raised. Port performances can simply be indicated by port service levels to the ship (e.g., throughput, waiting for berthing etc., as well as the utilization level of equipment and facilities within a certain period. The performances evaluation then can be used as a tool to develop related policies for improving the port’s performance to be more effective and efficient. However, the evaluation is frequently conducted based on deterministic approach, which hardly captures the nature variations of port parameters. Therefore, this paper presents a stochastic microsimulation model for investigating the impacts of port parameter variations to the port performances. The variations are derived from actual data in order to provide more realistic results. The model is further developed using MATLAB and Simulink based on the queuing theory.

  9. Analysis of laparoscopic port site complications: A descriptive study

    Directory of Open Access Journals (Sweden)

    Somu Karthik

    2013-01-01

    Full Text Available Context: The rate of port site complications following conventional laparoscopic surgery is about 21 per 100,000 cases. It has shown a proportional rise with increase in the size of the port site incision and trocar. Although rare, complications that occur at the port site include infection, bleeding, and port site hernia. Aims: To determine the morbidity associated with ports at the site of their insertion in laparoscopic surgery and to identify risk factors for complications. Settings and Design: Prospective descriptive study. Materials and Methods: In the present descriptive study, a total of 570 patients who underwent laparoscopic surgeries for various ailments between August 2009 and July 2011 at our institute were observed for port site complications prospectively and the complications were reviewed. Statistical Analysis Used: Descriptive statistical analysis was carried out in the present study. The statistical software, namely, SPSS 15.0 was used for the analysis of the data. Results: Of the 570 patients undergoing laparoscopic surgery, 17 (3% had developed complications specifically related to the port site during a minimum follow-up of three months; port site infection (PSI was the most frequent (n = 10, 1.8%, followed by port site bleeding (n = 4, 0.7%, omentum-related complications (n = 2; 0.35%, and port site metastasis (n = 1, 0.175%. Conclusions: Laparoscopic surgeries are associated with minimal port site complications. Complications are related to the increased number of ports. Umbilical port involvement is the commonest. Most complications are manageable with minimal morbidity, and can be further minimized with meticulous surgical technique during entry and exit.

  10. Analysis of laparoscopic port site complications: A descriptive study

    Science.gov (United States)

    Karthik, Somu; Augustine, Alfred Joseph; Shibumon, Mundunadackal Madhavan; Pai, Manohar Varadaraya

    2013-01-01

    CONTEXT: The rate of port site complications following conventional laparoscopic surgery is about 21 per 100,000 cases. It has shown a proportional rise with increase in the size of the port site incision and trocar. Although rare, complications that occur at the port site include infection, bleeding, and port site hernia. AIMS: To determine the morbidity associated with ports at the site of their insertion in laparoscopic surgery and to identify risk factors for complications. SETTINGS AND DESIGN: Prospective descriptive study. MATERIALS AND METHODS: In the present descriptive study, a total of 570 patients who underwent laparoscopic surgeries for various ailments between August 2009 and July 2011 at our institute were observed for port site complications prospectively and the complications were reviewed. STATISTICAL ANALYSIS USED: Descriptive statistical analysis was carried out in the present study. The statistical software, namely, SPSS 15.0 was used for the analysis of the data. RESULTS: Of the 570 patients undergoing laparoscopic surgery, 17 (3%) had developed complications specifically related to the port site during a minimum follow-up of three months; port site infection (PSI) was the most frequent (n = 10, 1.8%), followed by port site bleeding (n = 4, 0.7%), omentum-related complications (n = 2; 0.35%), and port site metastasis (n = 1, 0.175%). CONCLUSIONS: Laparoscopic surgeries are associated with minimal port site complications. Complications are related to the increased number of ports. Umbilical port involvement is the commonest. Most complications are manageable with minimal morbidity, and can be further minimized with meticulous surgical technique during entry and exit. PMID:23741110

  11. Hope as experienced in women newly diagnosed with gynaecological cancer

    DEFF Research Database (Denmark)

    Hammer, Kristianna; Mogensen, Ole; Hall, Elisabeth O C

    2009-01-01

    cancer diagnosis made the women oscillate between hope and hopelessness, between positive expectations of getting cured and frightening feelings of the disease taking over. Five major interrelated themes of hope were identified: hope of being cured, cared for and getting back to normal, hope as being...... at a gynaecological department of a Danish university hospital. The women, aged 24-87 (median 52yrs), were diagnosed with ovarian, endometrial, cervical and vulvar cancer. RESULTS: Hope was found to be connected to both diagnosis, cure, family life and life itself and closely tied to hopelessness. The newly received...... active and feeling well, hope as an internal power to maintain integration, hope as significant relationships and hope as fighting against hopelessness. Thus, hope was woven together with hopelessness in a mysterious way; it took command through inner strength and courage based on a trust in being cured...

  12. Vectorization, parallelization and porting of nuclear codes (porting). Progress report fiscal 1998

    International Nuclear Information System (INIS)

    Nemoto, Toshiyuki; Kawai, Wataru; Ishizuki, Shigeru; Kawasaki, Nobuo; Kume, Etsuo; Adachi, Masaaki; Ogasawara, Shinobu

    2000-03-01

    Several computer codes in the nuclear field have been vectorized, parallelized and transported on the FUJITSU VPP500 system, the AP3000 system and the Paragon system at Center for Promotion of Computational Science and Engineering in Japan Atomic Energy Research Institute. We dealt with 12 codes in fiscal 1998. These results are reported in 3 parts, i.e., the vectorization and parallelization on vector processors part, the parallelization on scalar processors part and the porting part. In this report, we describe the porting. In this porting part, the porting of Monte Carlo N-Particle Transport code MCNP4B2 and Reactor Safety Analysis code RELAP5 on the AP3000 are described. In the vectorization and parallelization on vector processors part, the vectorization of General Tokamak Circuit Simulation Program code GTCSP, the vectorization and parallelization of Molecular Dynamics Ntv Simulation code MSP2, Eddy Current Analysis code EDDYCAL, Thermal Analysis Code for Test of Passive Cooling System by HENDEL T2 code THANPACST2 and MHD Equilibrium code SELENEJ on the VPP500 are described. In the parallelization on scalar processors part, the parallelization of Monte Carlo N-Particle Transport code MCNP4B2, Plasma Hydrodynamics code using Cubic Interpolated propagation Method PHCIP and Vectorized Monte Carlo code (continuous energy model/multi-group model) MVP/GMVP on the Paragon are described. (author)

  13. Single port laparoscopic ileocaecal resection for Crohn's disease: a multicentre comparison with multi-port laparoscopy

    NARCIS (Netherlands)

    Carvello, M.; de Groof, E. J.; de Buck van Overstraeten, A.; Sacchi, M.; Wolthuis, A. M.; Buskens, C. J.; D'Hoore, A.; Bemelman, W. A.; Spinelli, A.

    2018-01-01

    AimSingle port (SP) ileocaecal resection (ICR) is an established technique but there are no large studies comparing SP and multi-port (MP) laparoscopic surgery in Crohn's disease (CD). The aim of this study was to compare postoperative pain scores and analgesia requirements after SP and MP

  14. The color and texture of hope: some preliminary findings and implications for hope theory and counseling among diverse racial/ethnic groups.

    Science.gov (United States)

    Chang, Edward C; Banks, Kira Hudson

    2007-04-01

    To clarify and extend Snyder's (1994, 2002) hope theory to a more diverse population, this study examined variations in agentic and pathways thinking, and their relations with social problem solving, affect, and with life satisfaction across a college student sample of 46 European Americans, 30 African Americans, 33 Latinos, and 46 Asian Americans. Although comparative results indicated variations in levels of hope components across the 4 racial/ethnic groups, correlational results indicated that the manner in which hope components related to measures of behavior and adjustment were similar across groups. Regression results indicated similarities and differences in predictors of hope components across the different racial/ethnic groups. Potential implications for promoting hope in working with diverse college students are discussed. (c) 2007 APA, all rights reserved.

  15. Hope, Perceived Financial Risk and Propensity for Indebtedness

    Directory of Open Access Journals (Sweden)

    Lucia Barros

    2012-10-01

    Full Text Available Hope is an important construct in marketing, since it is an antecedent of important marketing variables, such as trust, expectation and satisfaction (MacInnis & Mello, 2005. Specifically, literature suggests that hope plays an important influence in risk perception (MacInnis & Mello, 2005 and propensity for indebtedness (Fleming, 2008. Thus, we aim to investigate the relationships among hope, risk perception related to purchasing and consumption and propensity for indebtedness by conducting two empirical studies. The first is a laboratory experiment, which accessed hope and risk perception of getting a mortgage loan. The second is a survey, investigating university students’ propensity to get indebted to pay for their university tuition, analyzed through the Structural Equations Modeling method. These studies found that higher levels of hope predicted an increase in the propensity to accept the mortgage loan, independent of actual risks, and an increase in the propensity of college students to get indebted to pay for their studies. In addition, the first study suggests that hope may lead to a decrease in risk perception, which, however, wasn’t confirmed by the second study. Finally, this research offers some methodological contributions, using an experimental approach to understand hope and its relationship with perceived financial risk and propensity for indebtedness.

  16. Port Sunlight, essai architectural et social

    OpenAIRE

    Machet, Laurence

    2017-01-01

    The purpose of this article is to examine the city of Port Sunlight, its history, design and originality. Created by William Lever in 1888 in order to house his newly-built soap factory, Port Sunlight is part of the numerous “factory villages” built in the wake of the industrial revolution according to philanthropic and utilitarian principles. But this article intends to show that Port Sunlight differs from other factory towns. Its careful design, elaborate architecture and public facilities ...

  17. Assessing Port Governance, Devolution and Terminal Performance in Nigeria

    Directory of Open Access Journals (Sweden)

    D. E. Onwuegbuchunam

    2018-02-01

    Full Text Available Concerns about performance and efficiency in port terminals led many national governments to embark on port reforms. The Federal government of Nigeria, for example, adopted the Landlord port model which brought about concessioning of port terminals to private operators. Despite high investments in terminal facilities by the private terminal operators, there are still complaints about level of service offered to port users. This paper applied key performance indicator metrics and parameters of queuing model in assessing performance of Nigeria’s concessioned port terminals. Data for the study were obtained from terminal level records of cargo and ship handling activities for years 2000 to 2015. Major findings indicate that cargo and vessel throughputs improved after the reforms in the six ports examined. However, much variability was observed in trends in ships’ turnround times across all ports after the concession policy implementation. Additional results from the queuing model analysis suggest that the high ships turnround times observed in some ports are associated to delays in ship operation at the berths. The paper recommends that policy interventions be focused on ship operations at the berths as a step in improving service level in the port terminals.

  18. Port-Orford-Cedar Root Disease

    Science.gov (United States)

    Lewis F. Roth; Robert D. Jr. Harvey; John T. Kliejunas

    1987-01-01

    The most serious disease of Port-Orford-cedar (Chamaecyparis lawsoniana (A. Murr.) Parl.) is a root disease caused by the fungus Phytophthora lateralis. Nursery stock, ornamentals, and timber trees are subject to attack. Other species of Chamaecyparis are less susceptible than Port-Orford-cedar, and trees of other genera are not affected.

  19. Education for Peace and a Pedagogy of Hope

    Science.gov (United States)

    Carl, A. E.

    2011-01-01

    There are many approaches and arguments on how hope could be given to children in a society characterised by violence and conflict, hope that may contribute towards optimising their potential. This article focuses on the notion and meaning of Peace Education, what the possible link between Peace Education and a Pedagogy of Hope might be and…

  20. Port pricing : principles, structure and models

    OpenAIRE

    Meersman, Hilde; Strandenes, Siri Pettersen; Van de Voorde, Eddy

    2014-01-01

    Price level and price transparency are input to shippers’ choice of supply chain and transport mode. In this paper, we analyse current port pricing structures in the light of the pricing literature and consider opportunities for improvement. We present a detailed overview of pricing criteria, who sets prices and who ultimately foots the bill for port-of-call charges, cargo-handling fees and congestion charges. Current port pricing practice is based on a rather linear structure and fails to in...

  1. Ports Primer: 7.1 Environmental Impacts

    Science.gov (United States)

    Port operations can lead to environmental impacts on air, water and land. Many communities with environmental justice concerns also experience disparities in health outcomes that they attribute to exposure to emissions from port operations.

  2. Ports Primer: 7.0 Environmental Impacts

    Science.gov (United States)

    Port operations can lead to environmental impacts on air, water and land. Many communities with environmental justice concerns also experience disparities in health outcomes that they attribute to exposure to emissions from port operations.

  3. The Laughter as Hope Principle

    Directory of Open Access Journals (Sweden)

    Mateus Domingues da Silva

    2015-04-01

    Full Text Available The work aims to establish a parallel between the concept of laughter and the Hope Principle of Ernst Bloch, differentiating their relationship between the pursuit of individual happiness, said to be ideological, deceptive and precarious, and the pursuit of collective happiness, altruistic, that despite utopian it is also true and real, just for being selfless and real because, as a collective expression, indicating concretely and politically, is a real possibility.Keywords: Laughter, Hope Principle, Ernest Bloch, altruism.

  4. The Armour of Hope and other works

    OpenAIRE

    Just, Kate

    2013-01-01

    The series of work entitled 'The Skin of Hope' was produced during a 2012 Australia Council for the Arts studio residency in Barcelona, where I was accompanied by my partner Paula and our adopted daughter, Hope. Blurring the usual divide between familial life and art practice, the residency inspired a series of hand knitted sculptures and photographs weaving an account of the ways that Hope and I acknowledge, bond and imprint each other at skin level. Materialising our past wounds and present...

  5. Colonial Origins of the Port of Buenaventura

    Directory of Open Access Journals (Sweden)

    Alonso Valencia Llano

    2014-07-01

    Full Text Available This article studies the origins of the Port of Buenaventura in the New Kingdom of Granada. It begins with the process of exploration of the coastal territory in order to highlight the different sites in which it was situated, demonstrating that it began as a river port and was later resituated and gradually converted into a maritime port. In addition, this article analyzes the problems it faced, such as the dificulty of communication with the interior of the country, the indigenous resistance that caused the destruction of the town, and inally the necessity of populating the zone with black slaves in order to exploit the mining border. This study also discusses how this port was controlled by the elite of the city of Cali, until the Republican period when it became the sole Colombian port on the Paciic Ocean.

  6. Ports Primer: 3.3 Federal and International Governance

    Science.gov (United States)

    State and local governments are important players in port governance and in oversight of transportation projects that may affect ports. Private corporations may also play a role if they lease or own a terminal at a port.

  7. An integrated port camera and display system for laparoscopy.

    Science.gov (United States)

    Terry, Benjamin S; Ruppert, Austin D; Steinhaus, Kristen R; Schoen, Jonathan A; Rentschler, Mark E

    2010-05-01

    In this paper, we built and tested the port camera, a novel, inexpensive, portable, and battery-powered laparoscopic tool that integrates the components of a vision system with a cannula port. This new device 1) minimizes the invasiveness of laparoscopic surgery by combining a camera port and tool port; 2) reduces the cost of laparoscopic vision systems by integrating an inexpensive CMOS sensor and LED light source; and 3) enhances laparoscopic surgical procedures by mechanically coupling the camera, tool port, and liquid crystal display (LCD) screen to provide an on-patient visual display. The port camera video system was compared to two laparoscopic video systems: a standard resolution unit from Karl Storz (model 22220130) and a high definition unit from Stryker (model 1188HD). Brightness, contrast, hue, colorfulness, and sharpness were compared. The port camera video is superior to the Storz scope and approximately equivalent to the Stryker scope. An ex vivo study was conducted to measure the operative performance of the port camera. The results suggest that simulated tissue identification and biopsy acquisition with the port camera is as efficient as with a traditional laparoscopic system. The port camera was successfully used by a laparoscopic surgeon for exploratory surgery and liver biopsy during a porcine surgery, demonstrating initial surgical feasibility.

  8. Radiologically-placed venous ports in children under venous anesthesia

    International Nuclear Information System (INIS)

    Jang, Joo Yeon; Jeon, Ung Bae; Choo, Ki Seok; Hwang, Jae Yeon; Kim, Yong Woo; Lee, Yun Jin; Nam, Sang Ool; Lim, Young Tak

    2015-01-01

    To evaluate the efficacy and safety of radiologic venous port placement in children under venous anesthesia. Between April 2009 and July 2011, 44 ports were implanted in 41 children (24 boys, 17 girls). The age of patients ranged from 9 months to 19 years (mean, 6.5 years) and their body weights ranged from 6.8 kg to 56.3 kg (mean, 23.2 kg). Right internal jugular vein access was used in 42 ports, right subclavian vein in 1, and left subclavian in 1. Durability and complications of port implantation were reviewed. The technical success rate was 100%. The catheter life was 10-661 days (mean 246 days). Two patients died during the follow-up period, 21 and 6 ports were removed at the end of treatment or as a result of complications, respectively. One port was removed and replaced by a Hickmann catheter. Three ports were explanted due to port-related sepsis, one due to a catheter kink, and two for unexplained fever or insertion site pain. The overall port-related infection was 3 cases (6.8%, 0.28/1000 catheter days). Venous port placement by interventional radiologists in children under intravenous sedation is relatively safe, with a high rate of technical success and low rate of complications.

  9. Radiologically-placed venous ports in children under venous anesthesia

    Energy Technology Data Exchange (ETDEWEB)

    Jang, Joo Yeon; Jeon, Ung Bae; Choo, Ki Seok; Hwang, Jae Yeon; Kim, Yong Woo; Lee, Yun Jin; Nam, Sang Ool; Lim, Young Tak [Pusan National University School of Medicine, Yangsan (Korea, Republic of)

    2015-02-15

    To evaluate the efficacy and safety of radiologic venous port placement in children under venous anesthesia. Between April 2009 and July 2011, 44 ports were implanted in 41 children (24 boys, 17 girls). The age of patients ranged from 9 months to 19 years (mean, 6.5 years) and their body weights ranged from 6.8 kg to 56.3 kg (mean, 23.2 kg). Right internal jugular vein access was used in 42 ports, right subclavian vein in 1, and left subclavian in 1. Durability and complications of port implantation were reviewed. The technical success rate was 100%. The catheter life was 10-661 days (mean 246 days). Two patients died during the follow-up period, 21 and 6 ports were removed at the end of treatment or as a result of complications, respectively. One port was removed and replaced by a Hickmann catheter. Three ports were explanted due to port-related sepsis, one due to a catheter kink, and two for unexplained fever or insertion site pain. The overall port-related infection was 3 cases (6.8%, 0.28/1000 catheter days). Venous port placement by interventional radiologists in children under intravenous sedation is relatively safe, with a high rate of technical success and low rate of complications.

  10. Overtopping hazards to port activities: Application of a new methodology to risk management (POrt Risk MAnagement Tool)

    International Nuclear Information System (INIS)

    Alises, Ana; Molina, Rafael; Gómez, Rebeca; Pery, Pascual; Castillo, Carmen

    2014-01-01

    In the past 20 years, the need of ports to serve a fleet whose dimensions are continuously increasing due to economies of scale, has derived on a port infrastructures growth with a trend to look for greater drafts at deeper waters and therefore the protection structures built in the last years have been increasingly exposed to severer maritime climate action. Consequently, overtopping phenomenon has been identified as a potential risk factor able to cause structural damages and operative failure modes to vulnerable economic activities located at these port facilities. Port activities must be developed ensuring operative and safety conditions what imply reducing uncertainties of overtopping phenomena by using prediction methods which may allow overtopping risk management. This paper provides a risk assessment methodology which is integrated into an overtopping risk management framework to cope with safety problems in port exploitation. Overtopping risk value is measured by combining probability of occurrence of an undesirable event together with its consequences, estimated in terms of costs or delays and given in base of the vulnerability of the affected port system. The development of this methodology is described and finally applied to a real case study what seems to reinforce the validity of the proposed method to overtopping risk assessment. - Highlights: • Infrastructure risk assessment involves both probabilistic and economic techniques. • Risk equation is posed by the combination of probability, vulnerability and cost. • Port infrastructures' vulnerability level depends on climate agents' action. • Economic value of natural hazards consequences is linked with vulnerability level. • Project planning process should be done taking into account the project's risk distribution

  11. Hope in severe disease: a review of the literature on the construct and the tools for assessing hope in the psycho-oncologic setting.

    Science.gov (United States)

    Piccinelli, Claudia; Clerici, Carlo Alfredo; Veneroni, Laura; Ferrari, Andrea; Proserpio, Tullio

    2015-01-01

    Research on the topic of hope began a long time ago but, more recently, interest in this construct has focused mainly on the development of psychometric tools for its assessment. The 2 steps of the present article are defining the construct of hope by completing a preliminary review of the literature and analyzing the tools used to assess hope in the setting of oncologic medicine, conducting a systematic review of the existing scientific literature. Our study was conducted in 2 stages. The first stage involved a nonsystematic preliminary review of the literature, the second a systematic search in all the medical journals contained in the Medline database as of 2012. The literature identified at the first stage was divided according to several topical categories, i.e., theoretical, empirical, and clinical works on the construct of hope. In the second systematic search, we identified the main psychometric tools used to measure hope in the field of clinical oncology and assessed their validity. A total of 22 articles were identified. What emerged when we pooled the findings of our 2 lines of research was that, despite its broad theoretical definitions, the construct of hope can be broken down to a few constituent elements when hope is studied using currently available psychometric tools. In particular, these identified constituent elements were coping, spiritual well-being, quality of life, distress, and depression. The factors contained in the construct of hope include temporality, future, expectancy, motivation, and interconnectedness. The review of the scientific literature does not reveal a clear definition of hope. Multidisciplinary studies are needed to communicate different perspectives (medical, psychological, spiritual, theological) among each other for better definition of the constituent elements of hope in order to support the hope with specific interventions.

  12. Renegotiating hope while living with lymphoedema after cancer: a qualitative study.

    Science.gov (United States)

    Hamilton, R; Thomas, R

    2016-09-01

    Hope is defined as a multi-dimensional life force, a coping resource and a necessity for coping with illness. Concepts of normalcy, hope and loss are explored in this qualitative study and positioned within recent scholarship on hope in cancer survivors. The experiences of 13 participants (11 women, 2 men) in two Canadian provinces who were living with lymphoedema secondary to cancer were analysed. For these participants, hope assumed various meanings. For some, hope was seen as passive inaction, whereas hope for others was positive and action-oriented, even when faced with the uncertainty of chronic illness. Hope for the individual with lymphoedema is also juxtaposed with hope associated with cancer treatment where a desired return to normal is the object of hope and paramount to coping. However, when met with the chronic nature of lymphoedema, the hope of a return to normalcy is lost and the meaning, direction and actions of hope must be renegotiated. © 2015 John Wiley & Sons Ltd.

  13. Slewing Port Jib Cranes

    OpenAIRE

    Boris Visočnik; Stojan Kravanja

    2002-01-01

    The paper presents slewing port cranes with a luffing jib. The advantages of slewing port jib cranes are high lifting capacities, high speeds of re-loading and excellent mobility since they are capable of load lifting, travelling, luffing and slewing. The paper gives a detailed description of their characteristics such as the highest reached load-carrying capacities, speeds of motion and accelerations. It also presents the crane assembly, driving mechanisms, loads and load cases, transport by...

  14. Securing a port's future through Circular Economy: Experiences from the Port of Gävle in contributing to sustainability.

    Science.gov (United States)

    Carpenter, Angela; Lozano, Rodrigo; Sammalisto, Kaisu; Astner, Linda

    2018-03-01

    Ports are an important player in the world, due to their role in global production and distributions systems. They are major intermodal transport hubs, linking the sea to the land. For all ports, a key requirement for commercial and economic viability is to retain ships using them and to remain accessible to those ships. Ports need to find approaches to help them remain open. They must ensure their continued economic viability. At the same time, they face increasing pressure to become more environmentally and socially conscious. This paper examines the approach taken by the Port of Gävle, Sweden, which used contaminated dredged materials to create new land using principles of Circular Economy. The paper demonstrates that using Circular Economy principles can be a viable way of securing a port's future and contributing to its sustainability, and that of the city/region where it operates. Copyright © 2018 Elsevier Ltd. All rights reserved.

  15. Management Through Hope

    DEFF Research Database (Denmark)

    Papazu, Irina

    2016-01-01

    fieldwork conducted on Samsø in 2013 and 2014, the paper takes as its starting point a citizens’ meeting in which a new renewable energy project is proposed by a municipal coordinator. This meeting, in which the municipal coordinator exhibits a “change management” attitude, fails to win the citizens......’ support and becomes an entry point into an investigation of how the REI project developers managed to get the island community to actively support the project. A gateway to the past, the meeting allows the author to ethnographically describe the unobserved events of 1997-2007. Findings – The argument...... is that the REI project developers practised management through hope or “hope management”, in contrast to “change management”, creating a project that succeeded in accomplishing its goals of changing the island due to its openness, its rootedness in the island community’s past, and the project developers’ ability...

  16. Queuing theory models used for port equipment sizing

    Science.gov (United States)

    Dragu, V.; Dinu, O.; Ruscă, A.; Burciu, Ş.; Roman, E. A.

    2017-08-01

    The significant growth of volumes and distances on road transportation led to the necessity of finding solutions to increase water transportation market share together with the handling and transfer technologies within its terminals. It is widely known that the biggest times are consumed within the transport terminals (loading/unloading/transfer) and so the necessity of constantly developing handling techniques and technologies in concordance with the goods flows size so that the total waiting time of ships within ports is reduced. Port development should be achieved by harmonizing the contradictory interests of port administration and users. Port administrators aim profit increase opposite to users that want savings by increasing consumers’ surplus. The difficulty consists in the fact that the transport demand - supply equilibrium must be realised at costs and goods quantities transiting the port in order to satisfy the interests of both parties involved. This paper presents a port equipment sizing model by using queueing theory so that the sum of costs for ships waiting operations and equipment usage would be minimum. Ship operation within the port is assimilated to a mass service waiting system in which parameters are later used to determine the main costs for ships and port equipment.

  17. Exploring the relationship between hope and burnout in competitive sport.

    Science.gov (United States)

    Gustafsson, Henrik; Hassmén, Peter; Podlog, Leslie

    2010-12-01

    Researchers have postulated that hope may be an important factor associated with burnout. Consistent with hope theory contentions, low-hope individuals may be susceptible to burnout because they are prone to experience goal blockage, frustration, and negative affect, all of which likely increase the risk of burnout. We examined the relationship between hope and athlete burnout among 178 competitive athletes (63 females and 115 males) aged 15-20 years. Hope was significantly and negatively correlated with all three burnout subscales: emotional/physical exhaustion, a reduced sense of accomplishment, and sport devaluation. Moreover, results of a multivariate analysis of variance showed that low-hope athletes scored significantly higher than medium- and high-hope athletes on all three burnout dimensions. Finally, results revealed that agency thinking was a significant predictor of all burnout dimensions. Frustration over unmet goals and a perceived lack of agency, a characteristic of low-hope athletes, might pose a risk factor in athlete burnout, whereas being able to maintain hope appears to be associated with health and well-being.

  18. Adding some context to port marketing: Exploring the content and measurement of market orientation in the port industry

    OpenAIRE

    Kounoupas, Evangelos; Pardali, Angeliki

    2015-01-01

    Understanding and responding to customer needs is the essence of the marketing concept and as such it has been discussed in various fields of business and economic literature. Port economics and management literature has thoroughly investigated areas such as port efficiency and effectiveness, understanding and overcoming competitive pressures and identifying the sources of potential sustainable competitive advantage. In line with this discussion, albeit with a significant time delay, port eco...

  19. Catheter fracture of intravenous ports and its management.

    Science.gov (United States)

    Wu, Ching-Yang; Fu, Jui-Ying; Feng, Po-Hao; Kao, Tsung-Chi; Yu, Sheng-Yueh; Li, Hao-Jui; Ko, Po-Jen; Hsieh, Hung-Chang

    2011-11-01

    Intravenous ports are widely used for oncology patients. However, catheter fractures may lead to the need for re-intervention. We aimed to identify the risk factors associated with catheter fractures. Between January 1 and December 31, 2006, we retrospectively reviewed the clinical data and plain chest films of 1,505 patients implanted with an intravenous port at Chang Gung Memorial Hospital. Different vascular sites were compared using the chi-square or Fisher's exact test for categorical variables, and the t test was used for continuous variables with normal distribution; P port type Arrow French (Fr.) 8.1 (P port and catheter removal is recommended. Female gender, intravenous port implantation via the subclavian route, and the Arrow Fr. 8.1 port were found to be risk factors. Patients with these risk factors should be monitored closely to avoid catheter fractures.

  20. The ethics of providing hope in psychotherapy.

    Science.gov (United States)

    Dembo, Justine Sarah; Clemens, Norman A

    2013-07-01

    The instillation of hope is a common factor in most psychotherapies. A considerable literature exists on the ethics of providing false or positively biased hope in non-psychiatric medical settings, and ethicists have generally concluded that this practice is unethical. However, the literature on the ethics of encouraging hope in psychotherapy, especially in the case of treatment-resistant mental illness, is sparse. The author explores two clinical cases with the intention of examining the nature of hope, false hope, positive illusions, and denial, as they relate to our definitions of mental health and psychotherapy. The cases highlight the ethics of balancing an acknowledgment of likely treatment futility with a desire to hope. Clinical psychological studies on depressive realism and optimistic bias indicate that some degree of positive bias, referred to by some authors as "the optimal margin of illusion," is in fact necessary to promote what we define as "good mental health;" conversely, stark realism is correlated with mild to moderate depression. An examination of the existential literature, including Ernest Becker's work, The Denial of Death, indicates that without the defense mechanism of denial, human beings tend to experience paralytic despair as a result of being fallible, mortal creatures in a frightening world. The combination of these diverse bodies of literature, along with the surprising outcomes of our case examples, leads to an unexpected conclusion: it may occasionally be ethical to encourage some degree of optimistic bias, and perhaps even positive illusion, when treating patients in psychotherapy.

  1. Metrics of hope: disciplining affect in oncology.

    Science.gov (United States)

    Brown, Nik

    2015-03-01

    This article explores the emergence of a 'regime of hope' in the context of oncology care, practice and research. More specifically, my focus is the emergence, since the 1970s or so, of hope scales and indexes used to metricise the emotional states of cancer patients. These usually take the form of psychometric tests designed and deployed in order to subject affective life to calculative and rational scrutiny. This article locates this within the tensions of a 'turn' towards the emotions in critical social science literature. Scholarship has, for instance, been anxious not to deny the embodied reality of affectivity and the emotions. But it has been equally important to recognise the extent to which emotions are discursively ordered and structured as objects and effects of power. This article charts the emergence of hope scales historically alongside wider historical forces in the metrification of life and health and more specifically the emotions. It locates hope scales in a post-war climate of individual resilience and perseverant enterprise and the significance of hope as a naturalised vitalistic attribute of biopolitical life. © The Author(s) 2014.

  2. Feasibility of Reduced Port Laparoscopic Colectomy for Colon Cancer.

    Science.gov (United States)

    Tsutsumi, Soichi; Morita, Hiroki; Fujii, Takaaki; Suto, Toshinaga; Yajima, Reina; Takada, Takahiro; Asao, Takayuki; Kuwano, Hiroyuki

    2015-06-01

    Reduced port laparoscopic surgery has recently emerged as a method to improve the cosmetic results of conventional laparoscopic surgery. We reported our technique of reduced port laparoscopic colectomy using 3-port and short-time outcomes. Between 2005 and 2012, we performed 161 reduced port laparoscopic colectomies using the 3-port technique. Data analyzed in-cluded age, gender, body mass index (BMI), duration of surgery, number of harvested lymph nodes, and duration of hospital stay. All of the cases were successfully performed using the 3-port procedure. The median durations of surgery and postoperative hospital stay were 140 mm (range 75-463 mm) and 9 days (range 5-38 days), respectively. No mortality was associated with this technique. Reduced port laparoscopic colectomy is feasible and may have advantages over conventional laparoscopic colectomy.

  3. Classification and prediction of port variables

    Energy Technology Data Exchange (ETDEWEB)

    Molina Serrano, B.

    2016-07-01

    Many variables are included in planning and management of port terminals. They can beeconomic, social, environmental and institutional. Agent needs to know relationshipbetween these variables to modify planning conditions. Use of Bayesian Networks allowsfor classifying, predicting and diagnosing these variables. Bayesian Networks allow forestimating subsequent probability of unknown variables, basing on know variables.In planning level, it means that it is not necessary to know all variables because theirrelationships are known. Agent can know interesting information about how port variablesare connected. It can be interpreted as cause-effect relationship. Bayesian Networks can beused to make optimal decisions by introduction of possible actions and utility of theirresults.In proposed methodology, a data base has been generated with more than 40 port variables.They have been classified in economic, social, environmental and institutional variables, inthe same way that smart port studies in Spanish Port System make. From this data base, anetwork has been generated using a non-cyclic conducted grafo which allows for knowingport variable relationships - parents-children relationships-. Obtained network exhibits thateconomic variables are – in cause-effect terms- cause of rest of variable typologies.Economic variables represent parent role in the most of cases. Moreover, whenenvironmental variables are known, obtained network allows for estimating subsequentprobability of social variables.It has been concluded that Bayesian Networks allow for modeling uncertainty in aprobabilistic way, even when number of variables is high as occurs in planning andmanagement of port terminals. (Author)

  4. Occupational hazards to health of port workers.

    Science.gov (United States)

    Wang, Yukun; Zhan, Shuifen; Liu, Yan; Li, Yan

    2017-12-01

    The aim of this article is to reduce the risk of occupational hazards and improve safety conditions by enhancing hazard knowledge and identification as well as improving safety behavior for freight port enterprises. In the article, occupational hazards to health and their prevention measures of freight port enterprises have been summarized through a lot of occupational health evaluation work, experience and understanding. Workers of freight port enterprises confront an equally wide variety of chemical, physical and psychological hazards in production technology, production environment and the course of labor. Such health hazards have been identified, the risks evaluated, the dangers to health notified and effective prevention measures which should be put in place to ensure the health of the port workers summarized. There is still a long way to go for the freight port enterprises to prevent and control the occupational hazards. Except for occupational hazards and their prevention measures, other factors that influence the health of port workers should also be paid attention to, such as age, work history, gender, contraindication and even the occurrence and development rules of occupational hazards in current production conditions.

  5. INSTITUTIONAL AND MANAGEMENT STRUCTURE OF RUSSIAN ARCTIC SEA PORTS

    Directory of Open Access Journals (Sweden)

    P. A. Bryzgalov

    2012-01-01

    Full Text Available Institutional and management structure of any sea port is a system of interaction between commercial enterprises engaged in cargo operations in port, a subsidiary of Rosmorport FSUE, Sea Port Authority and a number of services (immigration, customs and sanitary-veterinary. Institutional and management structure of some Russian Arctic sea ports is significantly different from the typical one resulting in management problems for these socially significant objects of the Russian Arctic. A plan is proposed to improve the organizational and administrative structure of these ports based on the use of domestic and international experience in port infrastructure management including effective cooperation between the state and the private business.

  6. Peripheral Venous Access Ports: Outcomes Analysis in 109 Patients

    International Nuclear Information System (INIS)

    Bodner, Leonard J.; Nosher, John L.; Patel, Kaushik M.; Siegel, Randall L.; Biswal, Rajiv; Gribbin, Christopher E.; Tokarz, Robert

    2000-01-01

    Purpose: To perform a retrospective outcomes analysis of central venous catheters with peripheral venous access ports, with comparison to published data.Methods: One hundred and twelve central venous catheters with peripherally placed access ports were placed under sonographic guidance in 109 patients over a 4-year period. Ports were placed for the administration of chemotherapy, hyperalimentation, long-term antibiotic therapy, gamma-globulin therapy, and frequent blood sampling. A vein in the upper arm was accessed in each case and the catheter was passed to the superior vena cava or right atrium. Povidone iodine skin preparation was used in the first 65 port insertions. A combination of Iodophor solution and povidone iodine solution was used in the last 47 port insertions. Forty patients received low-dose (1 mg) warfarin sodium beginning the day after port insertion. Three patients received higher doses of warfarin sodium for preexistent venous thrombosis. Catheter performance and complications were assessed and compared with published data.Results: Access into the basilic or brachial veins was obtained in all cases. Ports remained functional for a total of 28,936 patient days. The port functioned in 50% of patients until completion of therapy, or the patient's expiration. Ports were removed prior to completion of therapy in 18% of patients. Eleven patients (9.9% of ports placed) suffered an infectious complication (0.38 per thousand catheter-days)-in nine, at the port implantation site, in two along the catheter. In all 11 instances the port was removed. Port pocket infection in the early postoperative period occurred in three patients (4.7%) receiving a Betadine prep vs two patients (4.2%) receiving a standard O.R. prep. This difference was not statistically significant (p = 0.9). Venous thrombosis occurred in three patients (6.8%) receiving warfarin sodium and in two patients (3%) not receiving warfarin sodium. This difference was not statistically significant

  7. Soil contamination issues at U.S. ports

    International Nuclear Information System (INIS)

    Rice, D.W.; Hagner, D.

    1991-01-01

    This paper reports that seven large and medium size west coast ports were surveyed during August 1990 to determine their involvement with hydrocarbon contaminated soils and activities associated with the characterization and remediation of these soils. All ports surveyed indicated that hey have hydrocarbon contaminated soil problems. Although other west coast ports do not have the scale of petroleum transfer and storage facilities that the Prot of Los Angeles has, all ports had tenants with bulk oil or fuel storage in aboveground tanks and were undertaking characterization and remediation work. Hydrocarbon contaminated soil problems were associated with these facilities or with decommissioned facilities of this type

  8. Analyzing Growth Opportunity of Port from the Resource-based Perspective The Case of Port of Tanjung Pelepas Malaysia

    OpenAIRE

    Subhan, Muhammad; Abdul Ghani, Ahmad Bashawir

    2008-01-01

    Capturing growth opportunity has become a major integral activity of any port to sustain growth and competitive advantage. One of the famous strategies in leveraging sustainable growth and competitive advantage is the resource-based theory application into port strategic management, viewing resources of the port (internal and external) and its capabilities as the sources for achieving competitive advantage. In this study, we attempt to identify, exploit, and analyze growth opportunity of a Ma...

  9. Step-wise integration of single-port laparoscopic surgery into routine colorectal surgical practice by use of a surgical glove port.

    Science.gov (United States)

    Hompes, R; Lindsey, I; Jones, O M; Guy, R; Cunningham, C; Mortensen, N J; Cahill, R A

    2011-06-01

    The cost associated with single-port laparoscopic access devices may limit utilisation of single-port laparoscopic surgery by colorectal surgeons. This paper describes a simple and cheap access modality that has facilitated the widespread adoption of single-port technology in our practice both as a stand-alone procedure and as a useful adjunct to traditional multiport techniques. A surgical glove port is constructed by applying a standard glove onto the rim of the wound protector/retractor used during laparoscopic resectional colorectal surgery. To illustrate its usefulness, we present our total experience to date and highlight a selection of patients presenting for a range of elective colorectal surgery procedures. The surgical glove port allowed successful completion of 25 single-port laparoscopic procedures (including laparoscopic adhesiolysis, ileo-rectal anastomosis, right hemicolectomy, total colectomy and low anterior resection) and has been used as an adjunct in over 80 additional multiport procedures (including refashioning of a colorectal anastomosis made after specimen extraction during a standard multiport laparoscopic anterior resection). This simple, efficient device can allow use of single-port laparoscopy in a broader spectrum of patients either in isolation or in combination with multiport surgery than may be otherwise possible for economic reasons. By separating issues of cost from utility, the usefulness of the technical advance inherent within single-port laparoscopy for colorectal surgery can be better appreciated. We endorse the creative innovation inherent in this approach as surgical practice continues to evolve for ever greater patient benefit.

  10. 78 FR 24069 - Safety Zone; 12th Annual Saltwater Classic; Port Canaveral Harbor; Port Canaveral, FL

    Science.gov (United States)

    2013-04-24

    ... under Executive Order 13045, Protection of Children from Environmental Health Risks and Safety Risks. This rule is not an economically significant rule and does not create an environmental risk to health...-AA00 Safety Zone; 12th Annual Saltwater Classic; Port Canaveral Harbor; Port Canaveral, FL AGENCY...

  11. Research for Foreign Advanced Ports for Protection and Development Experience

    Science.gov (United States)

    Zhang, Lu; Tian, Mingjing; Zhao, Junjie; Shou, Youping; Wang, Ning; Qiao, Jianzhe; Li, Guanglou

    2018-04-01

    Into the twenty-first century, the process globalization of economic and trade is getting faster and faster, As of 2014, China's annual port trading amount topped the world, But in the port of environmental protection sustainable development approach with foreign advanced port environmental management concept has a big gap. Combined with the present situation of modern ports in China. Drawing lessons from foreign advanced environmental protection idea of port, in order to promote the protection of port environment in our country. The experience of protection and development of foreign advanced port environment will be discussed and discussed.

  12. Spirituality, hope, and self-sufficiency among low-income job seekers.

    Science.gov (United States)

    2015-04-01

    Self-sufficiency (SS) is an important social welfare policy goal in the United States, yet little is known about the process that leads to SS. To address this gap in the literature, this study examined the relationship between spirituality, hope, and SS among a sample of low-income job seekers (N = 116). It was hypothesized that spirituality would be related to hope, and that hope, in turn, would be related to SS. Using survey data from two workforce development agencies, this hypothesis was confirmed-hope fully mediated the relationship between spirituality and SS. Of the two factors through which hope is commonly operationalized-agency and pathways-supplemental analysis suggested that spirituality only affects SS through the agency channel. To help foster hope in direct practice settings, it is suggested that social workers might employ spiritually modified cognitive-behavioral therapy protocols. Macrostructural interventions that block the pathway component of hope are also suggested to help reverse exclusion from labor market entry. As such, hope needs to be addressed comprehensively-intrapsychically and macrostructurally-to effect bottom-up change for SS. Engendering hope may assist clients overcome some of the many challenges they encounter on the journey to SS.

  13. Posttraumatic growth and hope in parents of children with cancer.

    Science.gov (United States)

    Hullmann, Stephanie E; Fedele, David A; Molzon, Elizabeth S; Mayes, Sunnye; Mullins, Larry L

    2014-01-01

    Posttraumatic growth (PTG), a positive change in values and major life goals experienced as a result of the struggle with a highly challenging life circumstance, has been shown to be related to the construct of hope, the belief that goals can be met. To date, no studies have examined the relationship between PTG and hope in parents of children with cancer. Participants were parents (N = 85) of children and adolescents (ages 2-18 years, M = 7.72 years) receiving treatment for cancer. Parents completed a demographic questionnaire, the Posttraumatic Growth Inventory (PTGI), and Hope Scale (HS). Hope was found to be related to PTG in parents of children with cancer, with higher levels of hope associated with greater PTG. Exploratory analyses on the subscales of the PTGI revealed that hope was also related to higher scores on the Relating to Others, New Possibilities, Personal Strength, and Appreciation of Life subscales. Spiritual change was not related to hope in parents. Findings suggest that experiencing hope during the pediatric cancer experience may facilitate posttraumatic growth in parents. The construct of hope may be an important target of intervention for promoting positive adjustment in this population.

  14. The Implications of the Growth of Port Throughput on the Port Capacity: the Case of Malaysian Major Container Seaports

    Directory of Open Access Journals (Sweden)

    J. Jeevan

    2015-12-01

    Full Text Available Malaysia, situated between East and West, is an interface in world maritime trade, playing a crucial role in the business of moving container boxes in South-eastern parts of Asia. The prominent container terminals in Malaysia such as Port Klang and Port of Tanjung Pelepas are positioned among the top twenty ports in terms of volume handled. The annual average growth of throughputs in Malaysian container ports increased more than three-fold from the year 2000 to 2010. Within this context, the development of Malaysian seaports has been significantly influenced by three forces: increased use of containerisation, significant growth in domestic economic activities and ever-changing patterns in both supply and demand chains, all of which have led to increased transshipment activities and altered shipping routes. This phenomenon has brought dynamic change to Malaysian container ports, resulting in the establishment of new terminals and adapting emerging technology to enhance the ports' ability to accommodate larger vessels and an increased number of containers. This paper aims to present the development of Malaysian container seaports by addressing changes to acreage size and handling volumes during the last three decades. The results of the analysis suggest that major Malaysian ports are experiencing an exponential growth in container trade with the expansion of port capacity following trade growth and need effective strategies to reduce the operational pressures of Malaysian seaports. The results of this research offer directions for development strategies of seaports by utilising the existing inland freight facilities as an effective strategy for capacity enhancement and develop efficient distribution network to meet future demands.

  15. Self-esteem and hopefulness in adolescents with cancer.

    Science.gov (United States)

    Ritchie, M A

    2001-02-01

    Increased survivorship in childhood cancer has raised questions about adolescents' psychosocial functioning during the treatment experience and long-term adaptation as cancer survivors. This descriptive correlation study examines the relationships among the stages of adolescence, gender, self-esteem, and hopefulness in a sample of 45 adolescents with cancer. The perceived level of self-esteem was measured by using the Coopersmith Self-Esteem Inventory; the amount of hopefulness was measured by using the Hopefulness Scale for Adolescents. Mean scores for self-esteem and hopefulness were comparable to normative data reported for healthy adolescents on each scale. Perceived level of self-esteem and hopefulness did not significantly differ between boys and girls overall; early, middle, and late adolescents; or between boys and girls within each stage of adolescence. A stepwise multiple regression analysis showed self-esteem and the early stage of adolescence accounted for 27.3% (R2 = .306) of the variance in hopefulness scores. Self-esteem was the most significant predictor (F = 12.456, p = .001), explaining 20.7% of the variance (R2 = .225, p = .001). This study contributes to nursing the knowledge of the psychosocial response and the treatment experience in adolescents with cancer. These results can be used in future research to develop and test nursing actions that can influence a perceived sense of self-esteem and hopefulness and potentially allow for continued psychosocial development and effective coping among these adolescents during treatment and into survivorship.

  16. Vectorization, parallelization and porting of nuclear codes on the VPP500 system (porting). Progress report fiscal 1996

    Energy Technology Data Exchange (ETDEWEB)

    Nemoto, Toshiyuki [Fujitsu Ltd., Tokyo (Japan); Kawasaki, Nobuo; Tanabe, Hidenobu [and others

    1998-01-01

    Several computer codes in the nuclear field have been vectorized, parallelized and transported on the FUJITSU VPP500 system at Center for Promotion of Computational Science and Engineering in Japan Atomic Energy Research Institute. These results are reported in 3 parts, i.e., the vectorization part, the parallelization part and the porting part. In this report, we describe the porting. In this porting part, the porting of reactor safety analysis code RELAP5/MOD3.2 and RELAP5/MOD3.2.1.2, nuclear data processing system NJOY and 2-D multigroup discrete ordinate transport code TWOTRAN-II are described. And also, a survey for the porting of command-driven interactive data analysis plotting program IPLOT are described. In the parallelization part, the parallelization of 2-Dimensional relativistic electromagnetic particle code EM2D, Cylindrical Direct Numerical Simulation code CYLDNS and molecular dynamics code for simulating radiation damages in diamond crystals DGR are described. And then, in the vectorization part, the vectorization of two and three dimensional discrete ordinates simulation code DORT-TORT, gas dynamics analysis code FLOWGR and relativistic Boltzmann-Uehling-Uhlenbeck simulation code RBUU are described. (author)

  17. A modified method using a two-port approach for accessing the hilar vasculature without transferring an endostapler from camera port to utility port during thoracoscopic right upper lobectomy.

    Science.gov (United States)

    Jiao, W; Zhao, Y; Xuan, Y; Wang, M

    2015-02-01

    For thoracoscopic upper lobectomies, most cutting endostaplers must be inserted through the camera port when using a two-port approach. Access to the hilar vasculature through only the utility port remains a challenge. In this study, we describe a procedure to access the hilar vasculature without transferring the endostapler site during a thoracoscopic right upper lobectomy. A 2.5-cm utility anterior incision was made in the fourth intercostal space. The posterior mediastinal visceral pleura were dissected to expose the posterior portion of the right upper bronchus and the anterior trunk of the right pulmonary artery. The pleura over the right hilar vasculature were then peeled with an electrocoagulation hook. The anterior trunk of the right pulmonary artery was then transected with a cutting endostapler through the utility port firstly. This crucial maneuver allowed the endostapler access to the right upper lobe pulmonary vein. The hilar structures were then easily handled in turn. This novel technique was performed successfully in 32 patients, with no perioperative deaths. The average operation time was 120.6 min (range 75-180 min). This novel technique permits effective control of the hilar vessels through the utility port, enabling simple, safe, quick and effective resection.

  18. Assessing the port to port risk of vessel movements vectoring non-indigenous marine species within and across domestic Australian borders.

    Science.gov (United States)

    Campbell, Marnie L; Hewitt, Chad L

    2011-07-01

    Biofouling of vessels is implicated as a high risk transfer mechanism of non-indigenous marine species (NIMS). Biofouling on international vessels is managed through stringent border control policies, however, domestic biofouling transfers are managed under different policies and legislative arrangements as they cross internal borders. As comprehensive guidelines are developed and increased compliance of international vessels with 'clean hull' expectations increase, vessel movements from port to port will become the focus of biosecurity management. A semi-quantitative port to port biofouling risk assessment is presented that evaluates the presence of known NIMS in the source port and determines the likelihood of transfer based on the NIMS association with biofouling and environmental match between source and receiving ports. This risk assessment method was used to assess the risk profile of a single dredge vessel during three anticipated voyages within Australia, resulting in negligible to low risk outcomes. This finding is contrasted with expectations in the literature, specifically those that suggest slow moving vessels pose a high to extreme risk of transferring NIMS species.

  19. Hope for recovery - how clinicians may facilitate this in their work.

    Science.gov (United States)

    Hobbs, Mia; Baker, Martyn

    2012-04-01

    The importance of having hope for recovery has been highlighted in numerous qualitative studies of recovery. It is identified as a vital part of this process, and guidelines suggest that service providers should therefore facilitate hope in their clinical work; however, they do not indicate how this guidance can be operationalised. To identify the sources of hope for recovery based on the accounts of people with experience of recovery; to ascertain how these accounts show service providers can facilitate such hope in their therapeutic work. Semi-structured interviews were conducted with eight people with experience of recovering from mental health problems. A grounded theory analysis was undertaken. A model conceptualising the role of hope in recovery was developed with three categories: "influence of others on hope", "personal hope" and "doing recovery". The model indicates a complex interaction between hope and recovery with an important role for social context and interpersonal relationships, including those with clinicians. Mental health service providers occupy a powerful position in relation to service users' hope, and must carefully consider how they communicate their own hopefulness about clients' recovery. Suggestions are made about facilitating hope for recovery.

  20. Robotic right middle lobectomy with a subxiphoid utility port.

    Science.gov (United States)

    Jayakumar, Shruti; Nardini, Marco; Papoulidis, Pavlos; Dunning, Joel

    2018-06-01

    We present the case of a 74-year-old man with Stage IIa pulmonary adenocarcinoma, for which he underwent a robotic right middle lobectomy. A 4-armed, 5-port approach was used. Four intercostal ports were created above the ninth rib using the Cerfolio's technique. The subxiphoid port was created in the midline, 5 cm down from the xiphisternum. The robot offers higher image quality, depth perception and improved articulation of the instruments, allowing for more accurate dissection and stitching. The usage of a subxiphoid utility port reduces the clashing between instruments, offers a good angle for stapling and provides a direct view of the instruments entering into the chest. Specimen removal through the subxiphoid port may reduce postoperative pain and enhance patient recovery. The use of the subxiphoid approach as a utility port for robotic surgery is promising and may be a suitable replacement for the traditional utility port.

  1. HomePort

    DEFF Research Database (Denmark)

    Madsen, Per Printz

    2009-01-01

    In the last couple of year's computer based home control systems are getting more and more common in modern homes. For instance these systems take care of light control, heat control and security systems.  The latest trend is to use wireless communication like Z-Wave and ZigBee to interconnect...... different components in these systems. One of the characteristics is that each system, like for instance heat and light, has their own specific way of using the communication system.   This paper describes a way to connect different home control systems through an intelligent gateway, called a Home......Port. The HomePort consists of a number of Subsystem communication drivers, a virtual communication layer, an interpreter and a PC- based compiler for a high level control language, called GIL (Gateway intelligence language). The focus in this paper will be on the upper two layers in the Home...

  2. The VisPort Project: Visualization of Port Logistics

    Science.gov (United States)

    Katsioloudis, Petros J.; Watson, Ginger

    2011-01-01

    There is concern about the diminishing availability of skilled personnel that can operate in the wide variety of disciplines associated with port operations. Increasing cargo volume, combined with a shrinking workforce, could potentially create alarming situations in the future, hence the motivation to publicize to current students the breadth and…

  3. Enabling information sharing in a port

    DEFF Research Database (Denmark)

    Olesen, Peter Bjerg; Hvolby, Hans-Henrik; Dukovska-Popovska, Iskra

    2012-01-01

    Ports are integral parts of many supply chains and are as such a contributing factor to the overall efficiency of the supply chain. Ports are also dynamic entities where things changes continuously. The dynamic nature of ports is also a problem when trying to optimise the utilisation of resources...... and ensure a low lead-time. Information sharing is a very important tool to reduce the effect of dynamism. This paper attempts to explain how information sharing is enabled in such an environment, and which considerations are relevant, both in regards to the information and required technology. The paper...

  4. Port Environmental Management Challenges, Possibilities and Innovations in a Globalization Context

    Directory of Open Access Journals (Sweden)

    Dione Iara Silveira Kitzmann

    2014-12-01

    Full Text Available Port activity within an overall port environmental system encompassing the whole coastal area in which ports are situated constitutes an important analytical tool. The considerable potential for controlling and influencing activities that occur in the same geographical area means that ports generate significant positive and negative environmental impacts. This importance and the significant expansion of the Brazilian port sector in recent years gave rise to the need for Port Environmental Management (GAP based on internationally accepted environmental standards. This article discusses nested elements in the concept of port environmental management which take into account new realities of Brazilian ports as well as international standards concerning environmentally appropriate measures for the sector. New international technical proposals are discussed with regard to Brazilian port policy and the port of Rio Grande (Rio Grande do Sul State is used as a case study, highlighting its structures and the model of port environmental management being implemented.

  5. Efficiency analysis of container ports and terminals

    OpenAIRE

    Liu, Q.

    2010-01-01

    In the past two decades the steady growth of seaborne trade has resulted in the increase of container ships, container ports and their terminals. The structure of the shipping market is, moreover, continuously evolving. On the carrier side, shipping companies form consortia and alliances; on the port side, global terminal operators and dedicated container terminals are emerging. The aim of this research is to evaluate the efficiency of container ports and terminals and to study...

  6. An analysis of the development of port operation in Da Nang Port, Vietnam

    Science.gov (United States)

    Nguyen, T. D. H.; Cools, M.

    2018-04-01

    This paper presents the current operating status in Da Nang Port, Vietnam in the period 2012-2016. The port operation had positive changes that were reflected by a significant increase in total throughputs, especially containerized cargo volumes. Classical decomposition techniques are used to find trend-cycle and seasonal components of monthly throughput flows. Appropriate predictive models of different kinds of throughputs are proposed. Finally, a development strategy towards containerization and investment policies in facilities, equipment, and infrastructure are suggested based on the predictive results.

  7. Nuclear analysis of the ITER Cryopump Ports

    International Nuclear Information System (INIS)

    Moro, Fabio; Villari, Rosaria; Flammini, Davide; Antipenkov, Alexander; Dremel, Matthias; Levesy, Bruno; Loughlin, Michael; Juarez, Rafael; Perez, Lucia; Petrizzi, Luigino

    2015-01-01

    Highlights: • Evaluation the shielding effectiveness of the TCPHs by means of 3-D neutrons and gamma maps. • Assessment of the nuclear heating induced by neutron and photons on the TCP and TCPHs. • Calculation of the dose rate at 12 days after shutdown in the maintenance area of the Lower Ports with the Advanced D1S method, in order to verify the design target (100 μSv/h). • Potential improvements of the shielding configuration aimed at the reduction of the dose level in the Port Cell have been proposed and discussed. - Abstract: The ITER machine will be equipped with 6 torus Cryopumps (TCP) that are positioned in their housings (TCPH) and integrated into the cryostat walls at B1 level in the port cells. A comprehensive nuclear analysis of the Cryopump Ports #4 and #12 has been carried out by means of the MCNP-5 Monte Carlo code in a full 3-D geometry, providing guidelines for the design of the embedded components. Radiation transport calculations have been performed in order to determine the radiation field inside the Lower Ports, up the Port Cell: 3-D neutrons and gamma maps have been provided in order to evaluate the shielding effectiveness of the TCPHs. Nuclear heating induced by neutron and photons have been estimated on the TCP and TCPH to assess the nuclear loads during plasma operations. The shutdown dose rate in the maintenance area of the Lower Ports has been assessed with the Advanced D1S method to verify the design limits.

  8. Nuclear analysis of the ITER Cryopump Ports

    Energy Technology Data Exchange (ETDEWEB)

    Moro, Fabio, E-mail: fabio.moro@enea.it [ENEA, Fusion Technical Unit, Nuclear Technologies Laboratory, Via Enrico Fermi 45, 00044 Frascati, Rome (Italy); Villari, Rosaria; Flammini, Davide [ENEA, Fusion Technical Unit, Nuclear Technologies Laboratory, Via Enrico Fermi 45, 00044 Frascati, Rome (Italy); Antipenkov, Alexander; Dremel, Matthias; Levesy, Bruno; Loughlin, Michael [ITER Organization, Route de Vinon sur Verdon, 13115 Saint Paul-lez-Durance (France); Juarez, Rafael; Perez, Lucia [UNED, Energetic Engineering Department, C/Juan del Rosal 12, Madrid (Spain); Petrizzi, Luigino [European Commission, DG Research & Innovation G5, CDMA 00/030, B-1049 Brussels (Belgium)

    2015-10-15

    Highlights: • Evaluation the shielding effectiveness of the TCPHs by means of 3-D neutrons and gamma maps. • Assessment of the nuclear heating induced by neutron and photons on the TCP and TCPHs. • Calculation of the dose rate at 12 days after shutdown in the maintenance area of the Lower Ports with the Advanced D1S method, in order to verify the design target (100 μSv/h). • Potential improvements of the shielding configuration aimed at the reduction of the dose level in the Port Cell have been proposed and discussed. - Abstract: The ITER machine will be equipped with 6 torus Cryopumps (TCP) that are positioned in their housings (TCPH) and integrated into the cryostat walls at B1 level in the port cells. A comprehensive nuclear analysis of the Cryopump Ports #4 and #12 has been carried out by means of the MCNP-5 Monte Carlo code in a full 3-D geometry, providing guidelines for the design of the embedded components. Radiation transport calculations have been performed in order to determine the radiation field inside the Lower Ports, up the Port Cell: 3-D neutrons and gamma maps have been provided in order to evaluate the shielding effectiveness of the TCPHs. Nuclear heating induced by neutron and photons have been estimated on the TCP and TCPH to assess the nuclear loads during plasma operations. The shutdown dose rate in the maintenance area of the Lower Ports has been assessed with the Advanced D1S method to verify the design limits.

  9. A pragmatist approach to the hope discourse in health care research.

    Science.gov (United States)

    Herrestad, Henning; Biong, Stian; McCormack, Brendan; Borg, Marit; Karlsson, Bengt

    2014-07-01

    Hope is a central concept in nursing and other fields of health care. However, there is no consensus about the concept of hope. We argue that seeking consensus is futile given the multifaceted and multidimensional nature of the concept, but instead we encourage in-depth studies of the assumptions behind talk about hope in specific contexts. Our approach to the 'science of hope' is inspired by philosophical pragmatism. We argue that hope is a concept that opens different rooms for action in different contexts and that accordingly, all hope interventions are contextually sensitive. Careful attention to how the relative positions and power of nurses and patients influence what can be inferred from their different ways of talking about hope may make hopeful conversations more meaningful in health care relationships. © 2014 John Wiley & Sons Ltd.

  10. Fuzzy MCDM Approach for Evaluating Intangible Resources Affecting Port Service Quality

    Directory of Open Access Journals (Sweden)

    Ji Yeong Pak

    2015-12-01

    Full Text Available Intangible resources consist of soft resources such as knowledge, information and capabilities. It is important for ports to enhance intangible as well as tangible resources to obtain sustainable competitive advantage. In this connection, this study aims to identify port intangible resources which may contribute to the delivery of port service quality and to propose a fuzzy TOPSIS approach to solve the port choice problem focusing on intangible resources. Fuzzy TOPSIS is appropriate to assist decision making with ambiguous and uncertain problems such as port choice with respect to intangible resources. In this paper, five port intangible resources were identified and evaluated and five leading container ports in the Asia-Pacific region were assessed in terms of their intangible resources. A survey questionnaire was sent to 21 experts who are working in shipping companies in Korea and involved in the selection of ports. It was found that customer and relational resource contributes most to the delivery of port service quality while Hong Kong appeared to be the port where intangible resources were most highly evaluated. This research helps to enrich the literature on port service quality and port choice evaluation. Its findings can also be used as guidelines for port managers to prioritise resources that may have greater influence on the delivery of port service quality and the subsequent training and education programs.

  11. Rotterdam as a World Port City

    NARCIS (Netherlands)

    Wouter Jacobs; Menno Huijs; Isabelle Vries

    2015-01-01

    Most studies and models on the port-city interface focus on the inevitable process in which ports and cities grow apart, both spatially and economically. What is often overlooked is the relationships that remain in the form of maritime business services (finance, insurance, legal). These maritime

  12. Complications after implantation of subcutaneous central venous ports (PowerPortⓇ

    Directory of Open Access Journals (Sweden)

    Takatoshi Nakamura

    2017-05-01

    Conclusion: PowerPort is a multifunctional port. Benign disease was a risk factor for postoperative complications. Because many types of subcutaneously implanted ports are used in our hospital, we had to inform the hospital staff about the functions of PowerPort.

  13. Final design of ITER port plug test facility

    Energy Technology Data Exchange (ETDEWEB)

    Cerisier, Thierry, E-mail: thierry.cerisier@yahoo.fr [ITER Organization, Route de Vinon-sur-Verdon, CS 90046, St Paul-lez-Durance Cedex, 13067 (France); Levesy, Bruno [ITER Organization, Route de Vinon-sur-Verdon, CS 90046, St Paul-lez-Durance Cedex, 13067 (France); Romannikov, Alexander [Institution “Project Center ITER”, Kurchatov sq. 1, Building 3, Moscow 123182 (Russian Federation); Rumyantsev, Yuri [JSC “Cryogenmash”, Moscow reg., Balashikha 143907 (Russian Federation); Cordier, Jean-Jacques; Dammann, Alexis [ITER Organization, Route de Vinon-sur-Verdon, CS 90046, St Paul-lez-Durance Cedex, 13067 (France); Minakov, Victor; Rosales, Natalya; Mitrofanova, Elena [JSC “Cryogenmash”, Moscow reg., Balashikha 143907 (Russian Federation); Portone, Sergey; Mironova, Ekaterina [Institution “Project Center ITER”, Kurchatov sq. 1, Building 3, Moscow 123182 (Russian Federation)

    2016-11-01

    Highlights: • We introduce the port plug test facility (purpose and status of the design). • We present the PPTF sub-systems. • We present the environmental and functional tests. • We present the occupational and nuclear safety functions. • We conclude on the achievements and next steps. - Abstract: To achieve the overall ITER machine availability target, the availability of diagnostics and heating port plugs shall be as high as 99.5%. To fulfill this requirement, it is mandatory to test the port plugs at operating temperature before installation on the machine and after refurbishment. The ITER port plug test facility (PPTF) is composed of several test stands that can be used to test the port plugs whereas at the end of manufacturing (in a non-nuclear environment), or after refurbishment in the ITER hot cell facility. The PPTF provides the possibility to perform environmental (leak tightness, vacuum and thermo-hydraulic performances) and functional tests (radio frequency acceptance tests, behavior of the plugs’ steering mechanism and calibration of diagnostics) on upper and equatorial port plugs. The final design of the port plug test facility is described. The configuration of the standalone test stands and the integration in the hot cell facility are presented.

  14. Severe Neutropenia at the Time of Implantable Subcutaneous Chest Port Insertion Is Not a Risk Factor for Port Removal at a Tertiary Pediatric Center.

    Science.gov (United States)

    Hoss, Daniel R; Bedros, Antranik A; Mesipam, Avinash; Criddle, Jared; Smith, Jason C

    2017-03-01

    To determine if severe neutropenia at the time of chest port insertion is a risk factor for port removal and central catheter-associated bloodstream infection (CCABSI) in pediatric patients. From May 2007 to June 2015, 183 consecutive patients (mean age, 9.9 y; range, 0.75-21 y) had a port inserted at a single tertiary pediatric center. Seventy-two had severe neutropenia at the time of port insertion (absolute neutrophil count [ANC] range, 0-500/mm 3 ; mean, 185/mm 3 ). Follow-up until port removal or death and CCABSI events were recorded. Within the first 30 days, similar incidences of CCABSI (12.5% of patients with severe neutropenia [n = 9] vs 4.5% of patients without [n = 5]), port removal for infection (2.8% [n = 2] vs 2.7% [n = 3]), and local port infection (2.8% [n = 2] vs 0.9% [n = 1]) were observed in both groups (P > .05), but the rate of CCABSI per 1,000 catheter-days was higher for patients with severe neutropenia (P = .045). Overall, similar incidences of CCABSI (18.1% [n = 13] vs 16.2% [n = 18]), port removal for infection (2.8% [n = 2] vs 7.2% [n = 8]), local port infection (2.8% [n = 2] vs 2.7% [n = 3]), and CCABSIs per 1,000 catheter-days (0.332 vs 0.400) were observed in both groups (P > .05). Port placement in patients with severe neutropenia can be performed without an increased incidence of port removal for infection. The majority of CCABSIs were successfully treated without port removal. Copyright © 2016 SIR. Published by Elsevier Inc. All rights reserved.

  15. EVALUATING THE COMPETITION DYNAMICS OF CONTAINER PORTS IN THE NORTH ADRIATIC

    OpenAIRE

    Twrdy, Elen; Batista, Milan

    2014-01-01

    World trade has changed in the last decade and the container traffic flows are oriented towards several parts of the European continent. A European container port system is not a homogenous set of ports, but is established of several large ports (Rotterdam, Hamburg, Algeciras...) and a large number of medium- and small-sized ports. North Adriatic (NA) ports belong to this category of ports and in this paper we have analysed the container flows and the throughput attained in these ports.

  16. 78 FR 36014 - Deepwater Port License Application: Liberty Natural Gas, LLC, Port Ambrose Deepwater Port

    Science.gov (United States)

    2013-06-14

    ... timeline for processing an application. When MarAd and USCG determine that an application contains the... that Port Ambrose falls within the proposed area of interest for the New York Power Authority Long Island-New York City Offshore Wind Project. This project will be acknowledged and considered in the...

  17. The feeling of hope in cancer patients: an existential analysis

    Directory of Open Access Journals (Sweden)

    Catarina Aparecida Sales

    2014-10-01

    Full Text Available This study aimed at unveiling the feeling of hope in people who experience cancer in their existence. Qualitative study based on Heidegger’s phenomenology, performed with eight cancer patients assisted in a philanthropic organization, between December 2013 and February 2014, in a northwestern city in Paraná, Brazil, using the following guiding question: “How do you perceive the feeling of hope at this time in your life?” The analysis resulted in the ontological themes: searching for hope in dealing with cancer, and experiencing feelings of hope and despair in being with others. Patients revealed mixed feelings, going from the lack of hope at the time of diagnosis to a rekindling of hope, as well as those who never lost the will to live. We conclude that living with cancer causes extreme feelings; and hope emerges as a feeling capable of influencing and causes an expressive impact in coping with that.

  18. Is single port enough in minimally surgery for pneumothorax?

    Science.gov (United States)

    Ocakcioglu, Ilhan; Alpay, Levent; Demir, Mine; Kiral, Hakan; Akyil, Mustafa; Dogruyol, Talha; Tezel, Cagatay; Baysungur, Volkan; Yalcinkaya, Irfan

    2016-01-01

    Video-assisted thoracoscopic surgery is a widespread used procedure for treatment of primary spontaneous pneumothorax patients. In this study, the adaptation of single-port video-assisted thoracoscopic surgery approach to primary spontaneous pneumothorax patients necessitating surgical treatment, with its pros and cons over the traditional two- or three-port approaches are examined. Between January 2011 and August 2013, 146 primary spontaneous pneumothorax patients suitable for surgical treatment are evaluated prospectively. Indications for surgery included prolonged air leak, recurrent pneumothorax, or abnormal findings on radiological examinations. Visual analog scale and patient satisfaction scale score were utilized. Forty triple-port, 69 double-port, and 37 single-port operations were performed. Mean age of 146 (126 male, 20 female) patients was 27.1 ± 16.4 (range 15-42). Mean operation duration was 63.59 ± 26 min; 61.7 for single, 64.2 for double, and 63.8 min for triple-port approaches. Total drainage was lower in the single-port group than the multi-port groups (P = 0.001). No conversion to open thoracotomy or 30-day hospital mortality was seen in our group. No recurrence was seen in single-port group on follow-up period. Visual analog scale scores on postoperative 24th, 48th, and 72nd hours were 3.42 ± 0.94, 2.46 ± 0.81, 1.96 ± 0.59 in the single-port group; significantly lower than the other groups (P = 0.011, P = 0.014, and P = 0.042, respectively). Patient satisfaction scale scores of patients in the single-port group on 24th and 48th hours were 1.90 ± 0.71 and 2.36 ± 0.62, respectively, indicating a significantly better score than the other two groups (P = 0.038 and P = 0.046). This study confirms the competency of single-port procedure in first-line surgical treatment of primary spontaneous pneumothorax.

  19. Single-port laparoscopic myomectomy using a new single-port transumbilical morcellation system: initial clinical study.

    Science.gov (United States)

    Kim, Yong-Wook; Park, Byung-Joon; Ro, Duck-Yeong; Kim, Tae-Eung

    2010-01-01

    To evaluate the feasibility of single-port laparoscopic myomectomy with transumbilical morcellation and suturing. Continuing prospective study (Canadian Task Force classification II-3). University hospital. Fifteen patients who underwent single-port laparoscopic myomectomy between September 2008 and October 2009 to remove single or multiple uterine myomas, at least 1 in each patient measuring greater than 4 cm in diameter. All single-port laparoscopic myomectomy procedures were performed by a single surgeon (Dr. Y.W. Kim). Myomas were extracted transumbilically by cutting the myomas into smaller pieces with a knife or a conventional electromechanical morcellator. After making a single 1.5- to 2.0-cm umbilical incision, the single-port system, created with a wound retractor and a surgical glove, was inserted. All operations were performed using conventional rigid straight laparoscopic instruments. Laparoscopic suturing was performed in intramural myomas and some subserosal myomas. Patient mean (SD; range) age was 38.3 (5.6; 29-49) years. The number of myomas per patient was 1.6 (1.4; 1-6). The diameter of the largest myomas was 6.1 (1.5; 4.2-9.6) cm. In 4 patients, only a knife was required for transumbilical extraction of myomas, and in 11 patients, transumbilical morcellation with an electromechanical morcellator with or without a knife was used. Transumbilical drainage tubes were inserted into the pelvic cavity in 11 of 15 patients. Operative time was 96.7 (33.8; 35-150) minutes. The decrease in postoperative hemoglobin concentration was 1.8 (1.2; 0.4-3.6) g/dL. During the operations, no patients required blood transfusion. No patients developed postoperative fever. Neither bowel injury nor urinary tract injury occurred in any patient. The postoperative hospital stay was 3.1 (0.8; 2-4) days. Single-port transumbilical morcellation using a conventional electromechanical morcellator with or without a knife is feasible. Single-port laparoscopic myomectomy is an

  20. Beauty and Hope: A Moral Beauty Intervention

    Science.gov (United States)

    Diessner, Rhett; Rust, Teri; Solom, Rebecca C.; Frost, Nellie; Parsons, Lucas

    2006-01-01

    Pedagogical intervention regarding engagement with natural, artistic and moral beauty can lead to an increase in trait hope. In a quasi-experimental design with college students the intervention group showed significantly higher gain scores on trait hope than did the comparison group; the effect size was moderate. The experimental group also…

  1. Hope for Animals

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 20; Issue 8. Hope for Animals. Prasanna Venkhatesh V. Book Review Volume 20 Issue 8 August 2015 pp 753-754. Fulltext. Click here to view fulltext PDF. Permanent link: https://www.ias.ac.in/article/fulltext/reso/020/08/0753-0754. Author Affiliations.

  2. Free Port of Vladivostok: Development Conditions, Prospects, Risks

    Directory of Open Access Journals (Sweden)

    Elena Viktorovna Krasova

    2015-12-01

    Full Text Available One of the priority directions of Russia’s state policy with regard to territories’ development is the development of the Far Eastern region. The free port of Vladivostok is one of the key projects that are currently being implemented in the southern part of Primorsky Krai and they focus on boosting the socio-economic development of Vladivostok city, Primorsky Krai and the Far Eastern region as a whole. The goal of this research is to consider the conceptual issues of the free port of Vladivostok, to outline the conditions and prospects of its operation and identify risks associated with its future development. The article defines the modern concept of “free port”, characterizes historical experience of the “free port” regime in Vladivostok in the end of the 19th century, substantiates the strategic importance of using the free port of Vladivostok as a tool of intensive growth of Russian Far Eastern territories. The article also discloses the essence of the free port of Vladivostok as a means to promote free entrepreneurship, which is used to increase freight traffic through the port of Vladivostok, increase foreign trade, attract new investments, create new industries and develop the port’s infrastructure. The article provides a review of the main tax benefits and perspectives of the free port of Vladivostok in terms of the gross regional product formation. Analyzing the mechanisms of effective functioning of the free port of Vladivostok, the authors identify the short-term (mid-term and long-term priorities and operational risks for the free port of Vladivostok. The article also touches upon some issues concerning the response of some foreign countries to the creation of the free port of Vladivostok

  3. On Distributed Port-Hamiltonian Process Systems

    NARCIS (Netherlands)

    Lopezlena, Ricardo; Scherpen, Jacquelien M.A.

    2004-01-01

    In this paper we use the term distributed port-Hamiltonian Process Systems (DPHPS) to refer to the result of merging the theory of distributed Port-Hamiltonian systems (DPHS) with the theory of process systems (PS). Such concept is useful for combining the systematic interconnection of PHS with the

  4. Intracorporeal hybrid single port vs conventional laparoscopic appendectomy in children

    Directory of Open Access Journals (Sweden)

    Paul Anthony Karam

    2016-12-01

    Full Text Available Transumbilical laparoscopic assisted appendectomy combines laparoscopic single port dissection with open appendectomy after exteriorization of the appendix through the port site. Compared to the conventional three-port approach, this technique provides an alternative with excellent cosmetic outcome. We developed a safe and effective technique to perform an intracorporeal single port appendectomy, using the same laparoscope employed in the extracorporeal procedure. Retrospective review of 71 consecutively performed intracorporeal single port appendectomies and 30 conventional three-port appendectomies in children 6 to 17 years of age. A straight 10-mm Storz telescope with inbuilt 6 mm working channel is used to dissect the appendix, combined with one port-less 2.3 mm percutaneous grasper. Polymer WECK® hem-o-lock® clips are applied to seal the base of the appendix and the appendiceal vessels. No intraoperative complications were reported with the hybrid intracorporeal single port appendectomy or three-port appendectomy. There were two post-operative complications in the group treated with the single port hybrid technique: one intra-abdominal abscess and one surgical site infection. Groups did not differ in age, weight, and types of appendicitis. Operative times were shorter for the hybrid technique (70 vs 79 minutes but did not differ significantly (P=0.19. This modified technique to a previously described single port extracorporeal appendectomy is easy to master and implement. It provides exposure similar to a three-port laparoscopic appendectomy, while maintaining virtually scarless results and potentially reduces the risk for surgical site infections compared to the extracorporeal technique.

  5. 33 CFR 165.761 - Security Zones; Port of Palm Beach, Port Everglades, Port of Miami, and Port of Key West, Florida.

    Science.gov (United States)

    2010-07-01

    ... of the law enforcement boats and cruise ship tenders which will mark a transit lane in channel. (ii... east of the law enforcement vessels and cruise ship tenders, which will mark a transit lane in the..., tug boats and contracted security vessels may assist the Coast Guard Captain of the Port under the...

  6. The Port Service Ecosystem Research Based on the Lotka-Volterra Model

    Directory of Open Access Journals (Sweden)

    Li Wenjuan

    2017-11-01

    Full Text Available Under the new normal of China’s economy, the competition among the port enterprises is not only the competition of the core competence of the port, the port industry chain or the port supply chain, but also the competition of the port service ecosystem. In this paper, the concept and characteristics of the port service ecosystem is discussed, a hierarchical model of the port service ecosystem is constructed. As an extended logistic model, Lotka-Volterra model is applied to study the competitive co-evolution and mutually beneficial co-evolution of enterprises in the port service ecosystem. This paper simulates the co-evolution of enterprises in the port service ecosystem by using MATLAB programming. The simulation results show that the breadth of the niche of the enterprises is changing with the change of the competition coefficient and the coefficient of mutual benefit in the port service ecosystem. Based on that, some proposals are put forward to ensure the healthy and orderly development of the port service ecosystem.

  7. FIRST SINGLE-PORT LAPAROSCOPIC PANCREATECTOMY IN BRAZIL

    Directory of Open Access Journals (Sweden)

    Marcel Autran Cesar MACHADO

    2013-12-01

    Full Text Available Context Pancreatic surgery is an extremely challenging field, and the management of pancreatic diseases continues to evolve. In the past decade, minimal access surgery is moving towards minimizing the surgical trauma by reducing numbers and size of the port. In the last few years, a novel technique with a single-incision laparoscopic approach has been described for several laparoscopic procedures. Objectives We present a single-port laparoscopic spleen-preserving distal pancreatectomy. To our knowledge, this is the first single-port pancreatic resection in Brazil and Latin America. Methods A 33-year-old woman with neuroendocrine tumor underwent spleen-preserving distal pancreatectomy via single-port approach. A single-incision advanced access platform with gelatin cap, self-retaining sleeve and wound protector was used. Results Operative time was 174 minutes. Blood loss was minimal, and the patient did not receive a transfusion. The recovery was uneventful, and the patient was discharged on postoperative day 4. Conclusions Single-port laparoscopic spleen-preserving distal pancreatectomy is feasible and can be safely performed in specialized centers by skilled laparoscopic surgeons.

  8. Specialization and Flexibility in Port Cargo Handling

    Directory of Open Access Journals (Sweden)

    Hakkı KİŞİ

    2016-11-01

    Full Text Available Cargo handling appears to be the fundamental function of ports. In this context, the question of type of equipment and capacity rate need to be tackled with respect to cargo handling principles. The purpose of this study is to discuss the types of equipment to be used in ports, relating the matter to costs and capacity. The question is studied with a basic economic theoretical approach. Various conditions like port location, size, resources, cargo traffic, ships, etc. are given parameters to dictate the type and specification of the cargo handling equipment. Besides, a simple approach in the context of cost capacity relation can be useful in deciding whether to use specialized or flexible equipment. Port equipment is sometimes expected to be flexible to handle various types of cargo as many as possible and sometimes to be specialized to handle one specific type of cargo. The cases that might be suitable for those alternatives are discussed from an economic point of view in this article. Consequently, effectiveness and efficiency criteria play important roles in determining the handling equipment in ports.

  9. Effect of storytelling on hopefulness in girl students.

    Science.gov (United States)

    Shafieyan, Shima; Soleymani, Mohammad Reza; Samouei, Raheleh; Afshar, Mina

    2017-01-01

    One of the methods that help students in learning critical thinking and decision-making skills is storytelling. Story helps the students to place themselves in the same situation as the main protagonist and try different ways and finally select and implement the best possible method. The goal of this study is to investigate the effect of storytelling on hopefulness of students, age 8-11 in Isfahan's 2 nd educational district. This is an applied, quasi-experimental study. The study population comprised of 34 randomly selected students attending one of the schools in Isfahan's 2 nd educational district. The data gathering tool was the standard Kazdin hopefulness scale (α = 0.72) and data were gathered before and after 8 storytelling sessions for the intervention group. The gathered data were analyzed using descriptive and analytical (paired and independent t -test) with the help of SPSS Version 18 software. The study's findings showed a significant difference in the average hopefulness score of students in study group in pre- and posttest ( P = 0.04). Furthermore, independent t -test results showed a significant difference in hopefulness score of intervention and control ( P = 0.001). The average hopefulness score of the control group after storytelling sessions was higher than that of the intervention and control. The results show the effectiveness of storytelling as a method for improving hopefulness in students.

  10. O discurso político da agroecologia no MST: O caso do Assentamento 17 de Abril em Eldorado dos Carajás, Pará

    Directory of Open Access Journals (Sweden)

    Caetano De’ Carli

    2013-10-01

    Full Text Available O presente artigo visa debater a agroecologia enquanto discurso político. Parte‑se das pesquisas de Altieri, Nichols, Gliessman, Gúzman, Cristoffoli, entre outros autores, para evidenciar as trajetórias da agroecologia enquanto ciência e as tentativas da sua materialização em áreas da reforma agrária. Após essas perspectivas, aborda‑se a agroecologia na prática política do Movimento dos Trabalhadores Rurais Sem‑Terra, tanto no que se refere às suas experiências‑modelos como ao discurso político que assume, em contraposição com o modelo hegemônico da Revolução Verde. Por fim, debruça‑se sobre o caso do Assentamento 17 de Abril em Eldorado dos Carajás, ressaltando como esse discurso político representa uma importante estratégia do MST em relação a uma mudança de paradigma na mentalidade dos assentados e das lideranças locais do movimento, destacando ser esse um importante passo para a materialização de produções agropecuárias alternativas nas áreas de reforma agrária no Brasil.

  11. Laser treatment of Port-wine stains

    OpenAIRE

    Boffa, Michael J.

    2001-01-01

    A state-of-the-art pulsed dye laser machine to treat port-wine stains and other vascular lesions has been available in the Malta Health Service since 1999. This article reviews the pathophysiology and clinical features of port- wine stains and describes the principles of laser treatment for this condition.

  12. CDC Vital Signs: New Hope for Stopping HIV

    Science.gov (United States)

    ... 27 MB] Read the MMWR Science Clips New Hope for Stopping HIV Testing and Medical Care Save ... acquired immunodeficiency syndrome) and early death. There's new hope today for stopping HIV in the US. Medicines ( ...

  13. Optimal location of dry ports in the Pan-Pearl River Delta

    Directory of Open Access Journals (Sweden)

    Wu Qitao

    2017-01-01

    Full Text Available Dry ports have become a very important part of globalization and a cornerstone in port competitiveness. Based on the analytic hierarchy process, this paper established the dry port index system to evaluate the potential location of dry ports linked to the port system in the Pearl River Delta, in a case study covering 115 cities in the Pan - Pearl River Delta. The results show that it is optimal to locate 21 dry ports in the research region, and each dry port serves different areas. There are 4 optimal transport corridors for the dry port logistic network, including Guangzhou- Kunming transport corridor, Guangzhou-Chengdu transport corridor, Guangzhou-Changsha transport corridor and Shenzhen-Nanchang transport corridor.

  14. Comparison of differences between ports for radioactive material transport

    International Nuclear Information System (INIS)

    Massey, C.D.; Wheeler, T.A.; Yoshimura, H.R.

    1994-01-01

    Recent controversy and litigation over the import/export of radioactive materials into and out of the United States via United States ports has centered on differences between ports, especially differences in surrounding population densities, and also whether reliance on one or a few ports poses unacceptable risks for these ports and the surrounding populations. This study examines the results of risk analyses from several recent environmental assessments dealing with import/export of various types of radioactive materials ranging from uranium hexafluoride to spent nuclear fuel. Since an intermodal transfer is always involved, the maritime and intermodal transportation is broken down into its component activities and segments; each is determined separately. The results indicate that most of the potential exposure occurs during routine handling of packages during intermodal transfer. Since handling of containerized cargo is highly standardized at ports around the world, differences between ports are of secondary importance. The risks associated with any overland transport from port to inland destination are primarily a function of distance for a given package type

  15. Simulation model for port shunting yards

    Science.gov (United States)

    Rusca, A.; Popa, M.; Rosca, E.; Rosca, M.; Dragu, V.; Rusca, F.

    2016-08-01

    Sea ports are important nodes in the supply chain, joining two high capacity transport modes: rail and maritime transport. The huge cargo flows transiting port requires high capacity construction and installation such as berths, large capacity cranes, respectively shunting yards. However, the port shunting yards specificity raises several problems such as: limited access since these are terminus stations for rail network, the in-output of large transit flows of cargo relatively to the scarcity of the departure/arrival of a ship, as well as limited land availability for implementing solutions to serve these flows. It is necessary to identify technological solutions that lead to an answer to these problems. The paper proposed a simulation model developed with ARENA computer simulation software suitable for shunting yards which serve sea ports with access to the rail network. Are investigates the principal aspects of shunting yards and adequate measures to increase their transit capacity. The operation capacity for shunting yards sub-system is assessed taking in consideration the required operating standards and the measure of performance (e.g. waiting time for freight wagons, number of railway line in station, storage area, etc.) of the railway station are computed. The conclusion and results, drawn from simulation, help transports and logistics specialists to test the proposals for improving the port management.

  16. Ultimate journey of the terminally ill: Ways and pathways of hope.

    Science.gov (United States)

    Daneault, Serge; Lussier, Véronique; Mongeau, Suzanne; Yelle, Louise; Côté, Andréanne; Sicotte, Claude; Paillé, Pierre; Dion, Dominique; Coulombe, Manon

    2016-08-01

    To better understand the role of hope among terminally ill cancer patients. Qualitative analysis. A tertiary specialized cancer centre in Canada. Cancer patients in palliative care with an estimated remaining life expectancy of 12 months or less (N = 12) and their loved ones (N = 12) and treating physicians (N = 12). Each patient underwent up to 3 interviews and identified a loved one who participated in 1 interview. Treating physicians were also interviewed. All interviews were fully transcribed and analyzed by at least 2 investigators. Interviews were collected until saturation occurred. Seven attributes describe the experiences of palliative cancer patients and their caregivers: hope as an irrational phenomenon that is a deeply rooted, affect-based response to adversity; initial hope for miraculous healing; hope as a phenomenon that changes over time, evolving in different ways depending on circumstances; hope for prolonged life when there is no further hope for cure; hope for a good quality of life when the possibility of prolonging life becomes limited; a lack of hope for some when treatments are no longer effective in curbing illness progression; and for others hope as enjoying the present moment and preparing for the end of life. Approaches aimed at sustaining hope need to reflect that patients' reactions might fluctuate between despair and a form of acceptance that leads to a certain serenity. Clinicians need to maintain some degree of hope while remaining as realistic as possible. The findings also raise questions about how hope influences patients' perceptions and acceptance of their treatments. Copyright© the College of Family Physicians of Canada.

  17. PC interfacing using Centronics, RS232 and game ports

    CERN Document Server

    An, Pei

    1998-01-01

    The main links with your PC and the outside world are the centronic port, used for connecting the printer, the RS232 port, used for the mouse, and the games port for a joystick. This book explores how these input/output (I/O) ports can be put to use through a range of other interfacing applications. This is especially useful for laptop and palmtop PCs which cannot be fitted with internal I/O cards. A novel approach is taken by this book, combining the hardware through which the ports can be explored, and the software programming needed to carry out a range of experiments.Circuits are p

  18. The Call to Teach and Teacher Hopefulness

    Science.gov (United States)

    Bullough, Robert V., Jr.; Hall-Kenyon, Kendra M.

    2011-01-01

    The purpose of this paper is to explore teacher motivation and well-being. Our analysis focuses on two central concepts, the notion of a "calling to teach" and of teacher "hopefulness." Data from 205 preservice and inservice teachers were collected to determine teachers' sense of calling and level of hope. Results indicate that overwhelmingly,…

  19. Regional Hub port development : the case of Montevideo, Uruguay

    OpenAIRE

    Wilmsmeier, Gordon; Martínez Zarzoso, Inmaculada; Fiess, Norbert

    2011-01-01

    This paper reflects on port development in Uruguay in an environment of trilateral interport competition. The regional characteristics of port development in terms of their geographical, functional and operational characteristics are discussed by analysing the port system’s evolution. The case of Montevideo as the success or failure of a regional hub port development strategy is analysed in detail. Particular attention is given to the evolution and impact of the liner shipping service network...

  20. Predictors of hope among women with breast cancer during chemotherapy

    Directory of Open Access Journals (Sweden)

    Alessandra Cristina Sartore Balsanelli

    Full Text Available Abstract OBJECTIVE Identifying the predictors of hope in patients with breast cancer during chemotherapy treatment. METHOD A prospective longitudinal study. The sample was composed of 122 women who responded to the instruments of hope, anxiety and depression, coping, fatigue, religiosity and self-esteem in the first and last cycle of chemotherapy. These variables were used in adjusting the logistic regression model that characterized multivariate statistics, allowing identification of predictor variables. RESULT The increase of hope at the end of chemotherapy treatment was statistically significant (p = 0.012. The delay in undergoing treatment from the onset of breast cancer symptoms, Karnofsky Performance Status, depression, self-esteem and pain were characterized as factors being associated to hope by univariate analysis. Among the variables analyzed, pain was the only predicting factor of hope. CONCLUSION Pain was the predicting factor in this sample. Hope increased during treatment and revealed the following associated factors: Karnofsky Performance Status, delay in starting the treatment, depression, self-esteem and pain. This study brought forth a multidisciplinary contribution, allowing for understanding the factors that can influence hope and presenting support to nursing care. The data evidenced conditions of improvement or worsening of hope, which requires interdisciplinary attention in Oncology.

  1. 77 FR 47522 - Special Local Regulation; Port Huron Offshore Gran Prix, St. Clair River; Port Huron, MI

    Science.gov (United States)

    2012-08-09

    ... 13045, Protection of Children from Environmental Health Risks and Safety Risks. This rule is not an economically significant rule and does not create an environmental risk to health or risk to safety that may...-AA08 Special Local Regulation; Port Huron Offshore Gran Prix, St. Clair River; Port Huron, MI AGENCY...

  2. Port Site Infections After Laparoscopic Cholecystectomy

    Directory of Open Access Journals (Sweden)

    Mumtaz KH Al-Naser

    2017-06-01

    Full Text Available Background: Port site infection (PSI is an infrequent surgical site infection that complicates laparoscopic surgery but has a considerable influence in the overall outcome of laparoscopic cholecystectomy. The aim of this study was to evaluate factors that influence PSI after laparoscopic cholecystectomies and to analyze which of these factors can be modified to avoid PSI in a trail to achieve maximum laparoscopic advantages. Methods: A prospective descriptive qualitative study conducted on patients who underwent laparoscopic cholecystectomies. Swabs were taken for culture & sensitivity in all patients who developed PSI. Exploration under general anaesthesia, for patients, had deep surgical site infections and wound debridement was done, excisional biopsies had been taken for histopathological studies, and tissue samples for polymerase chain reaction for detection of mycobacterium tuberculosis was done. All patients were followed up for six months postoperatively. Factors as gender, site of infected port, type of microorganism, acute versus chronic cholecystitis, type of infection (superficial or deep infection and intraoperative spillage of stones, bile or pus were analyzed in our sample. Results: Port site infection rate was recorded in 40/889 procedures (4.5%, higher rates were observed in male patients 8/89 (8.9%, in acute cholecystitis 13/125 (10.4%, when spillage of bile, stones or pus occurred 24/80 (30%, and at epigastric port 32/40 (80%. Most of the PSI were superficial infections 77.5% with non-specific microorganism 34/40 (85%. Conclusion: There is a significant association of port site infection with spillage of bile, stones, or pus, with the port of gallbladder extraction and with acute cholecystitis. Especial consideration should be taken in chronic deep surgical site infection as mycobacterium tuberculosis could be the cause. Most of the PSIs are superficial and more common in males.

  3. Comfort and hope in the preanesthesia stage in patients undergoing surgery.

    Science.gov (United States)

    Seyedfatemi, Naima; Rafii, Forough; Rezaei, Mahboubeh; Kolcaba, Katharine

    2014-06-01

    Comfort and hope have been identified as important components in the care of perianesthesia patients. The purpose of this study was to explore the relationship between comfort and hope in the preanesthesia stage in patients undergoing surgery. A descriptive cross-sectional survey was conducted with 191 surgical patients. Data were collected using the Perianesthesia Comfort Questionnaire and Herth Hope Index. Direct and significant relationships were observed between comfort and hope (P≤.001, r=0.65). Also, significant relationships were observed between educational level and marital status with comfort (P≤.01). The relationship between educational level and hope was significant (P≤.001). Significant relationships were also observed between gender and marital status with hope (P≤.01). Overall, this study showed that a significant relationship exists between comfort and hope. Additionally, some demographic characteristics influenced comfort and hope in these patients. Health care providers should arrange the environment in a way that allows the surgical patients to experience comfort and hope and recognize the impact of personal characteristics when caring for surgical patients, particularly in the preanesthesia stage. Copyright © 2014 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.

  4. Towards port sustainability through probabilistic models: Bayesian networks

    Directory of Open Access Journals (Sweden)

    B. Molina

    2018-04-01

    Full Text Available It is necessary that a manager of an infrastructure knows relations between variables. Using Bayesian networks, variables can be classified, predicted and diagnosed, being able to estimate posterior probability of the unknown ones based on known ones. The proposed methodology has generated a database with port variables, which have been classified as economic, social, environmental and institutional, as addressed in of smart ports studies made in all Spanish Port System. Network has been developed using an acyclic directed graph, which have let us know relationships in terms of parents and sons. In probabilistic terms, it can be concluded from the constructed network that the most decisive variables for port sustainability are those that are part of the institutional dimension. It has been concluded that Bayesian networks allow modeling uncertainty probabilistically even when the number of variables is high as it occurs in port planning and exploitation.

  5. PERFORMANCE ASSESSMENT IN OPERATING DRY PORTS

    Directory of Open Access Journals (Sweden)

    Ciortescu Cezar-Gabriel

    2010-12-01

    Full Text Available In this paper, an approach for recognizing and defining correct and operable performance will be presented with the purpose of evaluating the effectiveness and efficiency of processes in dry ports (inland intermodal hubs. The challenge in evaluating the possible improvements of the underlying processes lies in the special nature and the complex structure of dry ports. It is important to consider that all the processes are highly interconnected and that changes in parameters in one process also have an impact on parameters in other processes. Furthermore, the performance of dry ports, seen as the backbone of the system, has a significant impact on the overall performance of the whole transportation network.

  6. U.S. port commerce in radioactive materials

    International Nuclear Information System (INIS)

    Marti, B.E.

    1987-01-01

    Much attention has focused on the movement of radioactive materials over land transport systems. On the other hand, maritime flow and associated throughput studies of such substances have been neglected. Although several peaks and troughs are evident between 1972 and 1981, radioactive tonnage moving through U.S. port facilities steadily increasing. In the ten-year period assessed, total radioactive materials handled at U.S. ports expanded by over 19,000 tons, which amounts to almost a 173 percent growth rate. The purpose of this exploratory research is threefold. First, it identifies all U.S. ports which were involved in loading or discharging radioactive materials. The major goal of the identification process is to broaden public awareness of these types of movement. Second, it classifies U.S. seaports based on the magnitude of radioactive tonnage handled. The function of the classification is to impose some order on the varied data, while at the same time categorizing large, medium, and small facilities. Finally, it seeks to verify whether or not a long term trend exists. The objective of the verification process is to ascertain if the distribution of radioactive materials handled at individual ports has remained constant. Port safety and contingency planning are clearly within the purview of coastal zone management. The results of this preliminary research should form a foundation for future studies which compare and evaluate local, state, and federal regulatory policy pertaining to port operations involving radioactive materials, including waste

  7. Hub port competition and welfare effects of strategic privatization

    NARCIS (Netherlands)

    Czerny, A.I.; Hoffler, F.; Mun, S.

    2014-01-01

    Private operation of port facilities is becoming increasingly common worldwide. We investigate the effect of port privatization in a setting with two ports located in different countries, each serving their home market but also competing for the transshipment traffic from a third region. Each

  8. The Aggregate Planning For Trucking Operation in Cikarang Dry Port

    Directory of Open Access Journals (Sweden)

    Dwi Puspita Sari Utami

    2015-06-01

    Full Text Available Abstract. Cikarang Dry Port currently is the only dry port in Indonesia. This Dry Port has a role to connect or extend the Sea Port to the industrial areas located far from Sea Port. Thus, it creates a value added and also reduce costs. One of the operations done in Cikarang Dry Port is trucking operation. This research aims to examine the planning of 2014 trucking activity in Cikarang Dry Port to determine the right number of the truck that will be best occupied to manage all demands. The analysis begins with demand forecasting by using a moving average method of 12 months or one year period in 2013 which will be used as main information to develop the plans. There are three plans developed in this research. Based on the three plans, Plan A with minimum trucking plan with subcontracting is the most profitable which gives the highest profitability of Rp. 374,984,625. Recommendation for this research is using the current minimum number of 39 trucks rent with additional subcontracting when the demand is exceeding the capacity, thus, Cikarang Dry Port can occupy all demands and gain more profits. Keywords: Aggregate Planning; Scheduling; Trucking Operation; Moving Average; Cikarang Dry Port

  9. The Aggregate Planning For Trucking Operation in Cikarang Dry Port

    Directory of Open Access Journals (Sweden)

    Dwi Puspita Sari Utami

    2015-07-01

    Full Text Available Abstract. Cikarang Dry Port currently is the only dry port in Indonesia. This Dry Port has a role to connect or extend the Sea Port to the industrial areas located far from Sea Port. Thus, it creates a value added and also reduce costs. One of the operations done in Cikarang Dry Port is trucking operation. This research aims to examine the planning of 2014 trucking activity in Cikarang Dry Port to determine the right number of the truck that will be best occupied to manage all demands. The analysis begins with demand forecasting by using a moving average method of 12 months or one year period in 2013 which will be used as main information to develop the plans. There are three plans developed in this research. Based on the three plans, Plan A with minimum trucking plan with subcontracting is the most profitable which gives the highest profitability of Rp. 374,984,625. Recommendation for this research is using the current minimum number of 39 trucks rent with additional subcontracting when the demand is exceeding the capacity, thus, Cikarang Dry Port can occupy all demands and gain more profits.Keywords: Aggregate Planning; Scheduling; Trucking Operation; Moving Average; Cikarang Dry Port

  10. Inspiring hope-A physician's responsibility, translating the science into clinical practice.

    Science.gov (United States)

    Temple, Walley J

    2018-03-01

    Giving hope to patients is our responsibility. It is the essence of a meaningful practice in medicine. Science now allows us to understand this complex and multidimensional human dynamic, and translate it into clinical practice. Quantitative research has shown hope is strong even in terminal illness. Through qualitative methodology hope fostering strategies and hope hindering behaviors have been identified. This exciting new knowledge facilitates the challenging task of disclosure of bad news while enabling hope. © 2017 Wiley Periodicals, Inc.

  11. Hope pictured in drawings by women newly diagnosed with gynecological cancer

    DEFF Research Database (Denmark)

    Hammer, Kristianna; Hall, Elisabeth; Mogensen, Ole

    2013-01-01

    BACKGROUND:: In mysterious ways, hope makes life meaningful even in chaotic and uncontrolled situations. When a woman is newly diagnosed with gynecologic cancer, hope is ineffable and needs exploring. Drawings help express ineffable phenomena. OBJECTIVE:: The aim of the study was to explore how...... women newly diagnosed with gynecologic cancer express the meaning of hope in drawings. METHOD:: Participants were 15 women who on the same day had received the diagnosis of gynecologic cancer. They were between 24 and 87 years (median, 52 years) with a variety of gynecologic cancer diagnoses. Data from...... 15 drawings and postdrawing interviews with the women were analyzed using visual and hermeneutic phenomenology. RESULTS:: Three themes emerged: hope as a spirit to move on, hope as energy through nature, and hope as a communion with families. CONCLUSION:: Hope as pictured in drawings often appears...

  12. The construction strategy and measures for ecological analysis of China's ports

    Science.gov (United States)

    Zhang, Lu; Zhao, Junjie; Shou, Youping; Wang, Ning; Qiao, Jianzhe; Tian, Mingjing

    2018-04-01

    The Port is an important transport hub, one of the important infrastructure of the national economy, the corresponding regional development has a great role in promoting.The construction of the port has been developed rapidly, but it has also brought about more serious environmental problems. Therefore, this paper discusses the nature of ecological ports, summarized the experience of ecological protection measures on the international advanced ports and port construction ecology. The central idea is to explore the construction of ecological port ideas and development countermeasures.

  13. Are we connected? : Ports in Global Networks

    NARCIS (Netherlands)

    R.A. Zuidwijk (Rob)

    2015-01-01

    markdownabstractAbstract Global supply chains are built on organizational, information, and logistics networks. Ports are connected via these networks and also need to connect these networks. Synchromodality is an innovative concept for container transportation, and the port plays an important

  14. Adaptation and validation of The Hope Index for Brazilian adolescents Adaptação e validação da The Hope Index para adolescentes Brasileiros

    Directory of Open Access Journals (Sweden)

    Juliana Cerentini Pacico

    2011-01-01

    Full Text Available This study aimed at adapting and validating the Staats Hope Index for Brazilian adolescents. Participants were 450 high school students aged from 14 to 18 years old being 56% females. They responded to the Staats Hope Index, Adult Dispositional Hope Scale, Revised Life Orientation Test (LOT-R and Rosenberg Self-Esteem Scale. A factor analysis extracted two factors, replicating the structure of the original scale. Coefficients alphas were .83 and .81, for each factor, respectively. The correlations of the Hope Index factors with dispositional hope, optimism and self-esteem were similar to the findings reported in the literature and indicated convergent validity. The results indicate that the Hope Index is valid to be used in Brazil and that hope is perceived similarly by Brazilians and Americans despite of some cultural differences.O objetivo deste estudo foi adaptar e validar a escala The Hope Index para adolescentes brasileiros. Participaram 450 estudantes do ensino médio, sendo 56% do sexo feminino. As idades variaram entre 14 e 18 anos. Os instrumentos utilizados foram the Hope Index, Adult Dispositional Hope Scale, Revised Life Orientation Test (LOT-R e Rosenberg Self-esteem Scale. A análise fatorial revelou duas dimensões, conforme a estrutura original da escala com valores do coeficiente alfa de 0,83 e 0,81. As correlações dos fatores da escala The Hope Index com esperança disposicional, otimismo e autoestima foram similares aos achados da literatura e indicam validade convergente. Esses resultados indicam que a escala é válida para uso no Brasil e que Brasileiros e Americanos percebem a esperança de modo similar, apesar de algumas diferenças culturais.

  15. Vectorization, parallelization and porting of nuclear codes. 2001

    International Nuclear Information System (INIS)

    Akiyama, Mitsunaga; Katakura, Fumishige; Kume, Etsuo; Nemoto, Toshiyuki; Tsuruoka, Takuya; Adachi, Masaaki

    2003-07-01

    Several computer codes in the nuclear field have been vectorized, parallelized and transported on the super computer system at Center for Promotion of Computational Science and Engineering in Japan Atomic Energy Research Institute. We dealt with 10 codes in fiscal 2001. In this report, the parallelization of Neutron Radiography for 3 Dimensional CT code NR3DCT, the vectorization of unsteady-state heat conduction code THERMO3D, the porting of initial program of MHD simulation, the tuning of Heat And Mass Balance Analysis Code HAMBAC, the porting and parallelization of Monte Carlo N-Particle transport code MCNP4C3, the porting and parallelization of Monte Carlo N-Particle transport code system MCNPX2.1.5, the porting of induced activity calculation code CINAC-V4, the use of VisLink library in multidimensional two-fluid model code ACD3D and the porting of experiment data processing code from GS8500 to SR8000 are described. (author)

  16. The stress-buffering effects of hope on adjustment to multiple sclerosis.

    Science.gov (United States)

    Madan, Sindia; Pakenham, Kenneth I

    2014-12-01

    Hope is an important resource for coping with chronic illness; however, the role of hope in adjusting to multiple sclerosis (MS) has been neglected, and the mechanisms by which hope exerts beneficial impacts are not well understood. This study aims to examine the direct and stress-moderating effects of dispositional hope and its components (agency and pathways) on adjustment to MS. A total of 296 people with MS completed questionnaires at time 1 at 12 months later and time 2. Focal predictors were stress, hope, agency and pathways, and the adjustment outcomes were anxiety, depression, positive affect, positive states of mind and life satisfaction. Results of regression analyses showed that as predicted, greater hope was associated with better adjustment after controlling for the effects of time 1 adjustment and relevant demographics and illness variables. However, these direct effects of hope were subsumed by stress-buffering effects. Regarding the hope components, the beneficial impacts of agency emerged via a direct effects mechanism, whereas the effects of pathways were evidenced via a moderating mechanism. Findings highlight hope as an important protective coping resource for coping with MS and accentuate the roles of both agency and pathways thinking and their different modes of influence in this process.

  17. In psoriasis, levels of hope and quality of life are linked.

    Science.gov (United States)

    Hawro, Tomasz; Maurer, Marcus; Hawro, Marlena; Kaszuba, Andrzej; Cierpiałkowska, Lidia; Królikowska, Monika; Zalewska, Anna

    2014-09-01

    Psychological resources such as hope have been suggested to positively influence quality of life (QoL) in chronic disorders. Here, we determined hope levels of psoriasis vulgaris in-patients and analyzed their relation to QoL. A total of 60 (29 male) patients were assessed for their QoL with a generic tool (WHOQOL-BREF) and a skin disease-specific instrument, the Dermatology Life Quality Index (DLQI). Hope levels were determined by use of the Basic Hope Inventory. We found a positive correlation between hope and all domains of WHOQOL-BREF (physical: r = 0.446, p = 0.000; psychological r = 0.464, p = 0.000; social r = 0.302, p = 0.019; environmental r = 0.480, p = 0000; and global r = 0.501, p = 0.000) and a negative correlation with DLQI (r = -0.281, p = 0.030) indicating higher QoL in patients with high hope. Hope was not correlated with disease severity or duration. Hope may play a substantial role in preventing QoL impairment in psoriasis. Psychotherapeutic interventions aimed at strengthening hope could improve QoL in this condition.

  18. Cyber security in ports : Business as usual

    NARCIS (Netherlands)

    Moerel, Lokke; Dezeure, Freddy

    2017-01-01

    Our paper summarizes the risks and provides concrete and pragmatic proposals to increase substantially the cyber maturity and resilience in the ports by organizing training and awareness raising, fostering cooperation and information exchange both between the stakeholders in the ports and across the

  19. Neutronics analysis for integration of ITER diagnostics port EP10

    Energy Technology Data Exchange (ETDEWEB)

    Colling, Bethany, E-mail: bethany.colling@ccfe.ac.uk [Culham Centre for Fusion Energy, Culham Science Centre, Abingdon, Oxon OX14 3DB (United Kingdom); Department of Engineering, Lancaster University, Lancashire LA1 4YR (United Kingdom); Eade, Tim [Culham Centre for Fusion Energy, Culham Science Centre, Abingdon, Oxon OX14 3DB (United Kingdom); Joyce, Malcolm J. [Department of Engineering, Lancaster University, Lancashire LA1 4YR (United Kingdom); Pampin, Raul; Seyvet, Fabien [Fusion for Energy, Josep Pla 2, Torres Diagonal Litoral B3, 08019 Barcelona (Spain); Turner, Andrew [Culham Centre for Fusion Energy, Culham Science Centre, Abingdon, Oxon OX14 3DB (United Kingdom); Udintsev, Victor [ITER Organization, Route de Vinon-sur-Verdon, CS 90 046, 13067 St. Paul Lez Durance Cedex (France)

    2016-11-01

    Shutdown dose rate calculations have been performed on an integrated ITER C-lite neutronics model with equatorial port 10. A ‘fully shielded’ configuration, optimised for a given set of diagnostic designs (i.e. shielding in all available space within the port plug drawers), results in a shutdown dose rate in the port interspace, from the activation of materials comprising equatorial port 10, in excess of 2000 μSv/h. Achieving dose rates of 100 μSv/h or less, as required in areas where hands-on maintenance can be performed, in the port interspace region will be challenging. A combination of methods will need to be implemented, such as reducing mass and/or the use of reduced activation steel in the port interspace, optimisation of the diagnostic designs and shielding of the port interspace floor. Further analysis is required to test these options and the ongoing design optimisation of the EP10 diagnostic systems.

  20. Autism, "recovery (to normalcy)", and the politics of hope.

    Science.gov (United States)

    Broderick, Alicia A

    2009-08-01

    This article draws on the traditions of critical discourse analysis (N. Fairclough, 1995, 2001; M. Foucault, 1972, 1980; J. P. Gee, 1999) in critically examining the discursive formation of "recovery" from autism in applied behavioral analysis (ABA) discourse and its relationship to constructs of hope. Constituted principally in the work of O. I. Lovaas (1987) and C. Maurice (1993), and central to ABA discourse on recovery, has been the construction of a particular vision of hope that has at least 2 integral conceptual elements: (a) Hope for recovery within ABA discourse is constructed in binary opposition to hopelessness, and (b) recovery within ABA discourse is discursively constructed as "recovery (to normalcy)." The author analyzes these 2 pivotal ABA texts within the context of an analysis of other uses of the term recovery in broader bodies of literature: (a) within prior autism-related literature, particularly autobiography, and (b) within literature emanating from the psychiatric survivors' movement. If, indeed, visions of hope inform educational policy and decision making, this analysis addresses S. Danforth's (1997) cogent query, "On what basis hope?", and asserts that moral and political commitments should be central sources of visions of hope and, therefore, inform educational policy and decision making for young children with labels of autism.

  1. Herth hope index: psychometric testing of the Chinese version.

    Science.gov (United States)

    Chan, Keung Sum; Li, Ho Cheung William; Chan, Sally Wai-Chi; Lopez, Violeta

    2012-09-01

    This article is a report on psychometric testing of the Chinese version of the herth hope index. The availability of a valid and reliable instrument that accurately measures the level of hope in patients with heart failure is crucial before any hope-enhancing interventions can be appropriately planned and evaluated. There is no such instrument for Chinese people. A test-retest, within-subjects design was used. A purposive sample of 120 Hong Kong Chinese patients with heart failure between the ages of 60 and 80 years admitted to two medical wards was recruited during an 8-month period in 2009. Participants were asked to respond to the Chinese version of the herth hope index, Hamilton depression rating scale and Rosenberg's self-esteem scale. The internal consistency, content validity and construct validity and test-retest reliability of the Chinese version of the herth hope index were assessed. The newly translated scale demonstrated adequate internal consistency, good content validity and appropriate convergent and discriminant validity. Confirmatory factor analysis added further evidence of the construct validity of the scale. Results suggest that the newly translated scale can be used as a self-report assessment tool in assessing the level of hope in Hong Kong Chinese patients with heart failure. © 2011 Blackwell Publishing Ltd.

  2. Surface sediment quality relative to port activities: A contaminant-spectrum assessment.

    Science.gov (United States)

    Yu, Shen; Hong, Bing; Ma, Jun; Chen, Yongshan; Xi, Xiuping; Gao, Jingbo; Hu, Xiuqin; Xu, Xiangrong; Sun, Yuxin

    2017-10-15

    Ports are facing increasing environmental concerns with their importance to the global economy. Numerous studies indicated sediment quality deterioration in ports; however, the deterioration is not discriminated for each port activity. This study investigated a spectrum of contaminants (metals and organic pollutants) in surface sediments at 20 sampling points in Port Ningbo, China, one of the top five world ports by volume. The spectrum of contaminants (metals and organic pollutants) was quantified following marine sediment quality guidelines of China and USA and surface sediment quality was assessed according to thresholds of the two guidelines. Coupling a categorical matrix of port activities with the matrix of sedimentary contaminants revealed that contaminants were highly associated with the port operations. Ship repair posed a severe chemical risk to sediment. Operations of crude oil and coal loadings were two top activities related to organic pollutants in sediments while port operations of ore and container loadings discharged metals. Among the 20 sampling points, Cu, Zn, Pb, and DDT and its metabolites were the priority contaminants influencing sediment quality. Overall, surface sediments in Port Ningbo had relatively low environmental risks but ship repair is an environmental concern that must be addressed. This study provides a practical approach for port activity-related quality assessment of surface sediments in ports that could be applicable in many world sites. Copyright © 2017 Elsevier B.V. All rights reserved.

  3. INSTITUTIONAL BARRIERS TO PORT INFRASTRUCTURE AND HARBOR DEVELOPMENT

    Directory of Open Access Journals (Sweden)

    Roger R. STOUGH

    2005-01-01

    Full Text Available Ports and their regions have experienced at least a century of crisis from wars (e.g., World War I and II, technological change (e.g., containerization and information and computer technology, political change (e.g., end of the Cold War and liberalization of commerce and trade in countries like China and India and globalization. As such ports have needed to adjust to these conditions to maintain their competitiveness. They have done this by adapting their physical and institutional infrastructures and the adoption of new technologies. In this paper it is argued however that institutional adaptation is the most important way in which ports have changed in pursuit of sustained competitiveness. The paper defines institutions in keeping with the view of the new institutional economists and develops an institutional typology for framing the analyses of four case studies of ports and/or their regions that faced crisis conditions. The case studies include an analysis of the problems and responses made by the ports and then an institutional examination and evaluation of the adjustment process pursued. Conclusions are made as working hypotheses about the process of institutional adjustment to competitiveness crises of ports and their regions and directions for future research are presented.

  4. Preemptive strikes: Fear, hope, and defensive aggression.

    Science.gov (United States)

    Halevy, Nir

    2017-02-01

    Preemptive strikes are costly and harmful. Existing models of defensive aggression focus narrowly on the role fear plays in motivating preemptive strikes. Theoretically integrating the literatures on conflict, decision making, and emotion, the current research investigated how specific emotions associated with certainty or uncertainty, including fear, anger, disgust, hope, and happiness, influence preemptive strikes. Study 1 demonstrated that hope negatively predicts defensive exits from relationships in choice dilemmas. Studies 2 and 3 experimentally manipulated risk of being attacked in an incentivized, interactive decision making task-the Preemptive Strike Game. Risk of being attacked fueled preemptive strikes; reduced feelings of hope partially mediated this effect in Study 3. Studies 4 and 5 investigated preemptive strikes under uncertainty (rather than risk). In Study 4, reasoning about the factors that make one trustful of others curbed preemptive strikes; cogitating about the factors that underlie discrete emotions, however, did not influence defensive aggression. Study 5 demonstrated that the valence and uncertainty appraisals of incidental emotions interact in shaping preemptive strikes. Specifically, recalling an autobiographical emotional experience that produced hope significantly decreased attack rates relative to fear, happiness, and a control condition. Fear, anger, disgust, and happiness were either unrelated to preemptive strikes or showed inconsistent relationships with preemptive strikes across the 5 studies. These findings shed light on how emotions shape defensive aggression, advance knowledge on strategic choice under risk and uncertainty, and demonstrate hope's positive effects on social interactions and relationships. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  5. Three port converters used as interface in photovoltaic energy systems

    Directory of Open Access Journals (Sweden)

    Sarab Al-Chlaihawi

    2018-04-01

    Full Text Available The aim of this paper is to derive and study a full-bridge three-port converter. Based on the standard design of full-bridge converter, we have modeled and derived a three port converter. The three port converter can be used in renewable energy scenarios, such as solar cells or wind turbines connected to the input port. The input can be taken from two-ports simultaneously or from one port at a time. In order to balance the power mismatch between the input port and load port, the batteries are attached to the third port, to ensure there are no discrepancies in the power generated at the input and power demand at the load. In order to ensure isolation and reduced voltage stress on the switches, a high frequency transformer is also used in the design. The overall design contains four switches, and four diodes. MOSFETs are the strongest candidate for the switches owing to their high switching speed, lower losses and high resistance to higher voltage. Moreover, a buck-boost structure is modeled in order to ensure that it can work for a wide variety of different applications by adjusting the duty cycle of the switches properly. To minimize the switching losses in the converter, Zero-Voltage Switching (ZVS is also achievable in the modeled system.

  6. Risk factors for venous port migration in a single institute in Taiwan.

    Science.gov (United States)

    Fan, Wen-Chieh; Wu, Cheng-Han; Tsai, Ming-Ju; Tsai, Ying-Ming; Chang, Hsu-Liang; Hung, Jen-Yu; Chen, Pei-Huan; Yang, Chih-Jen

    2014-01-14

    An implantable port device provides an easily accessible central route for long-term chemotherapy. Venous catheter migration is one of the rare complications of venous port implantation. It can lead to side effects such as pain in the neck, shoulder, or ear, venous thrombosis, and even life-threatening neurologic problems. To date, there are few published studies that discuss such complications. This retrospective study of venous port implantation in a single center, a Taiwan hospital, was conducted from January 2011 to March 2013. Venous port migration was recorded along with demographic and characteristics of the patients. Of 298 patients with an implantable import device, venous port migration had occurred in seven, an incidence rate of 2.3%. All seven were male and had received the Bard port Fr 6.6 which had smaller size than TYCO port Fr 7.5 and is made of silicon. Significantly, migration occurred in male patients (P = 0.0006) and in those with lung cancer (P = 0.004). Multivariable logistic regression analysis revealed that lung cancer was a significant risk factor for port migration (odds ratio: 11.59; P = 0.0059). The migration rate of the Bard port Fr 6.6 was 6.7%. The median time between initial venous port implantation and port migration was 35.4 days (range, 7 to 135 days) and 71.4% (5/7) of patients had port migration within 30 days after initial port implantation. Male sex and lung cancer are risk factors for venous port migration. The type of venous port is also an important risk factor.

  7. Lung cancer mortality (1950-80) in relation to radon daughter exposure in a cohort of workers at the Eldorado Port Radium uranium mine: possible modification of risk by exposure rate

    International Nuclear Information System (INIS)

    Howe, G.R.; Nair, R.C.; Newcombe, H.B.; Miller, A.B.; Burch, J.D.; Abbatt, J.D.

    1987-01-01

    A cohort study of 2103 workers employed between 1942 and 1960 at a uranium mine in the Northwest Territories, Canada, was conducted. A total of 57 lung cancer deaths was observed (expected = 24.73, P less than .0001). There was a highly significant linear relationship between exposure and increased risk of lung cancer, giving estimates for the relative and attributable risk coefficients of 0.27 per working level month (WLM) and 3.10 per WLM per 10(6) person-years. These risk coefficients were substantially less than those estimated from the experience of miners in the Beaverlodge mine, which have previously been reported. Any biases in the present estimates are likely to have been upward, and therefore they probably represent an upper limit. The major difference between the two mine cohorts is in the exposure rate, since the Port Radium miners were exposed to much greater concentrations of radon daughters than the Beaverlodge miners. It is postulated that risk of lung cancer from radon daughter exposure may be modified by exposure rate, for which hypothesis there is some support from other epidemiologic data

  8. Test Port for Fiber-Optic-Coupled Laser Altimeter

    Science.gov (United States)

    Ramos Izquierdo, Luis; Scott, V. Stanley; Rinis, Haris; Cavanaugh, John

    2011-01-01

    A test port designed as part of a fiber optic coupled laser altimeter receiver optical system allows for the back-illumination of the optical system for alignment verification, as well as illumination of the detector(s) for testing the receiver electronics and signal-processing algorithms. Measuring the optical alignment of a laser altimeter instrument is difficult after the instrument is fully assembled. The addition of a test port in the receiver aft-optics allows for the back-illumination of the receiver system such that its focal setting and boresight alignment can be easily verified. For a multiple-detector receiver system, the addition of the aft-optics test port offers the added advantage of being able to simultaneously test all the detectors with different signals that simulate the expected operational conditions. On a laser altimeter instrument (see figure), the aft-optics couple the light from the receiver telescope to the receiver detector(s). Incorporating a beam splitter in the aft-optics design allows for the addition of a test port to back-illuminate the receiver telescope and/or detectors. The aft-optics layout resembles a T with the detector on one leg, the receiver telescope input port on the second leg, and the test port on the third leg. The use of a custom beam splitter with 99-percent reflection, 1-percent transmission, and a mirrored roof can send the test port light to the receiver telescope leg as well as the detector leg, without unduly sacrificing the signal from the receiver telescope to the detector. The ability to test the receiver system alignment, as well as multiple detectors with different signals without the need to disassemble the instrument or connect and reconnect components, is a great advantage to the aft-optics test port. Another benefit is that the receiver telescope aperture is fully back-illuminated by the test port so the receiver telescope focal setting vs. pressure and or temperature can be accurately measured (as

  9. Economic Contribution of Regional Feeder Ports to The Local Economy In Indonesia

    Directory of Open Access Journals (Sweden)

    Ibnu Syabri

    2017-07-01

    Full Text Available Indonesia regional feeder ports’ main function is to serve marine transport activities between regency/city in a province in limited quantities. The intention of the government to make marine transportation as the backbone of national logistic transportation system puts these ports to an important position, as suppliers for the main and/or collector ports and as goods distribution centers for the region from the bigger ports. Not only as a provider of accessibility between regions, regional feeder ports should be seen as an investation to boost regional economy. This study aims to explain the influences of regional feeder ports on regency/city economy, based on the port types: (1 cargo ports, and (2 cargo & passengers ports. Results showed that both types of ports have positive influences on the regency/city economy, although it is not related to region’s economic base sector. Cargo ports which are mainly located on west area of Indonesia, supports the region’s economy more than cargo & passenger ports which are mainly located on the east.

  10. 77 FR 31841 - Hope Gas, Inc.; Notice of Baseline Filing

    Science.gov (United States)

    2012-05-30

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. PR12-23-001] Hope Gas, Inc.; Notice of Baseline Filing Take notice that on May 16, 2012, Hope Gas, Inc. (Hope Gas) submitted a revised baseline filing of their Statement of Operating Conditions for services provided under Section 311 of the...

  11. 77 FR 26535 - Hope Gas, Inc.; Notice of Baseline Filing

    Science.gov (United States)

    2012-05-04

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. PR12-23-000] Hope Gas, Inc.; Notice of Baseline Filing Take notice that on April 26, 2012, Hope Gas, Inc. (Hope Gas) submitted a baseline filing of their Statement of Operating Conditions for services provided under Section 311 of the...

  12. Transferring hope

    DEFF Research Database (Denmark)

    Høyen, Marianne

    in yet another educational intitiative. As educated fast-track teachers they enter settings where they face social and cultural challenges, as they are not educated the way the local teachers and the teacher's union prefers. These teachers therefore have to build their hope for the future from three...... their academic and vocational qualifications were viewed adversely. I explore how the informants construct their new working life under these conditions through narratives about past and future. Drawing on Bruner’s Life as Narrative (2004), I study their use of language, comparing the discourse around...

  13. Organizing Hope

    DEFF Research Database (Denmark)

    Jensen, Boris Brorman; Hjemdal, Tor Inge

    2012-01-01

    Greenland has four municipalities and four Mayors. All four Mayors were invited to Ilulissat in February 2012 to meet with the Possible Greenland team. On the second day of the seminar the Mayor of Qaasuitsup Municipality Jess Svane had to fly up north to Nutaarmiut and assist the small community...... after a young man killed three family members and wounded four others. Tor Inge Hjemdal and Boris Brorman Jensen met with the other three mayors: Simon Simonsen, Asii Chemnitz Narup and Hermann Berthelsen to discuss their hopes and concerns for Greenland....

  14. Strategic and Operational Plan Implementation of Seaports (Utilization Jeddah Port

    Directory of Open Access Journals (Sweden)

    Akram Elentably

    2015-12-01

    Full Text Available The Port of Jeddah (Port released the initial version of this Strategic Plan in 2006. It was developed by Port staff, along with input, as a five-year rolling plan designed to guide the Port’s future development while keeping in mind the needs of our tenants, local community members and stakeholders, and the nation. This is the second update to the Strategic Plan since its initial release. While the Port’s overarching principles – commitment to environmental stewardship, addressing tenant needs, goods movement, economic development, and security – have remained largely unchanged, it is important for us to adapt our strategies to meet the challenges of an ever changing local and global environment. The Port is among the world’s premier ports and is a critical hub for global trade. This prominence brings with it responsibilities and expectations for the highest possible standards for efficiency, safety and security, and environmental leadership. The Port is the nation’s busiest container port and part of the world’s busiest port complex, handling 3.7 million twenty-foot equivalent units in 2013. Global trade and goods movement is Western kingdom of Saudi Arabia’s strongest industries in terms of jobs and economic activity. The Port of Jeddah powers these industries, handling almost more than a quarter of the cargo that enters the kingdom of Saudi Arabia annually. Through the Port’s activities, a lot of jobs are created in western kingdom of Saudi Arabia and over five hundred thousand nationwide. In order to maintain our position among the world’ the kingdom of Saudi Arabia premier ports, the Port is continually addressing the demands for providing modern and efficient cargo handling terminals as well as transportation and infrastructure projects. Protecting one of the nation’s most vital economic hubs is also an ongoing challenge. Finally, promoting a sustainable “grow green” philosophy and ensuring that we are the leader

  15. Lessons from Hurricane Sandy for port resilience.

    Science.gov (United States)

    2013-12-01

    New York Harbor was directly in the path of the most damaging part of Hurricane Sandy causing significant impact on many of the : facilities of the Port of New York and New Jersey. The U.S. Coast Guard closed the entire Port to all traffic before the...

  16. Working with Nature in Wadden Sea Ports

    NARCIS (Netherlands)

    Baptist, M.J.; Eekelen, van E.; Dankers, P.J.T.; Grasmeijer, B.; Kessel, van T.; Maren, van D.S.

    2017-01-01

    Wadden Sea ports are situated at the border of the UNESCO World Heritage site Wadden Sea. Because of the protected status of this area, developing new economic activities is not straightforward. However, maintaining and developing port activities is needed to safeguard the economic viability of the

  17. Ports and innovation

    NARCIS (Netherlands)

    Taneja, P.; Vellinga, T.; Van Schuylenburg, M.

    2012-01-01

    A volatile environment, dynamic markets, and challenges created by new environmental and social consideration demand innovative solutions. Innovation is the implementation of ideas to create value. It promises ports resilience into the future. In this paper we trace some recent successful

  18. A Conceptual Model of Excellent Performance Mode of Port Enterprise Logistics Management

    Directory of Open Access Journals (Sweden)

    Jiang He

    2017-11-01

    Full Text Available Port as one of the key hubs of international logistics, which has become the main part and the base of global logistics management. The port enterprises, plays an important role in the global supply chain. However, due to the lack of understanding in port supply chain management, coordination between the port enterprises, the integration of business process is not perfect, the lack of information sharing between various organizations, ports enterprises usually failed to fully play its positive role. Based on this, the paper makes the port enterprises as the research object, and introduces the excellent performance mode into the port enterprises. In order to study the port enterprises how to carry out effective quality management, and formation the coordination and integration of upstream and downstream of enterprises, so as to realize the competitive advantage in port logistics.

  19. The motivational properties of hope in goal striving

    NARCIS (Netherlands)

    Nelissen, R.M.A.

    2017-01-01

    We argue that hope is not an expectancy based on beliefs about pathways to desired goals and personal capacities to act on them, but an experience of the mere possibility of a desired outcome. We propose that in the latter sense, hope has unique motivational consequences for goal striving.

  20. Single port Billroth I gastrectomy

    Directory of Open Access Journals (Sweden)

    Jeremy R Huddy

    2013-01-01

    Full Text Available Introduction: Experience has allowed increasingly complex procedures to be undertaken by single port surgery. We describe a technique for single port Billroth I gastrectomy with a hand-sewn intracorporeal anastomosis in the resection of a benign tumour diagnosed incidentally on a background of cholelithiasis. Materials and Methods: Single port Billroth I gastrectomy and cholecystectomy was performed using a transumbilical quadport. Flexible tipped camera and straight conventional instruments were used throughout the procedure. The stomach was mobilised including a limited lymph node dissection and resection margins in the proximal antrum and duodenum were divided with a flexible tipped laparoscopic stapler. The lesser curve was reconstructed and an intracorporal hand sewn two layer end-to-end anastomosis was performed using unidirectional barbed sutures. Intraoperative endoscopy confirmed the anastomosis to be patent without leak. Results: Enteral feed was started on the day of surgery, increasing to a full diet by day 6. Analgesic requirements were a patient-controlled analgesia morphine pump for 4 postoperative days and paracetamol for 6 days. There were no postoperative complications and the patient was discharged on the eighth day. Histology confirmed gastric submucosal lipoma. Discussion: As technology improves more complex procedures are possible by single port laparoscopic surgery. In this case, flexible tipped cameras and unidirectional barbed sutures have facilitated an intracorporal hand-sewn two layer end-to-end anastomosis. Experience will allow such techniques to become mainstream.

  1. Hope voor het MKB : goede resultaten na toepassing Human Oriented Production Engineering (HOPE)

    NARCIS (Netherlands)

    Verweij, M.J.

    1997-01-01

    De doorlooptijd werd 40% korter, de kwaliteitsproblemen namen af en de voorraden slonken met een kwart. Het Belgische bedrijf Verhaegen was zeer tevreden over de resultaten van de methode HOPE (Human Oriented Production Engineering). Dit Europeese project richt zich op het midden- en kleinbedrijf.

  2. Rasch Analysis of the Locus-of-Hope Scale. Brief Report

    Science.gov (United States)

    Gadiana, Leny G.; David, Adonis P.

    2015-01-01

    The Locus-of-Hope Scale (LHS) was developed as a measure of the locus-of-hope dimensions (Bernardo, 2010). The present study adds to the emerging literature on locus-of-hope by assessing the psychometric properties of the LHS using Rasch analysis. The results from the Rasch analyses of the four subscales of LHS provided evidence on the…

  3. Development of the alternate entry port for the ATF

    International Nuclear Information System (INIS)

    Parsa, Z.

    1993-05-01

    We discussed a second entry port for the Accelerator Test Facility (ATF) injection system at Brookhaven National Laboratory, which consists of a photocathode rf gun and a straight - ahead beamline directly into the 50 MeV linac. The proposed second entry port should improve the beam quality and lower the emittance needed for FEL (Free Electron Laser), and laser - acceleration experiments. A discussion on the laser driven high brightness photoelectrons through the primary entry port (a low energy 180 degrees achromatic double bend transport line) now in operation, and a beam analysis for the proposed secondary port is also given

  4. Integration of Land and Sea in a Port Area: A Case Study of the Port of Koper

    Science.gov (United States)

    Ažman Momirski, Lucija

    2017-10-01

    The spatial plan for a port based on land reclamation, existing land, or a combination of both should be designed in line with both reliable data for the existing situation and precise goals based on a well-founded vision by the port authority. In ports, human activities are concentrated in the limited space of the coastal belt, where they threaten the vulnerable equilibrium of the environment. Integrated multifunctional planning of ports is necessary for the sustainability of such plans. In this process, the relation between the environment and the economy is often neglected because the ecosystem—the totality of living organisms—which is fully dependent on biological, chemical, and physical factors, prevails. This method, also called building with nature, is the basis for integrated coastal zone development and management. It emphasizes the flexible integration of land and sea, which respects and uses forces and materials present in nature, and which is an essential interaction between man and environment. Strict ecological planning conditions and the public interest obliged the Port of Koper to modify its urban planning strategies and redefine its relationship with all bordering areas. The extension of two piers and construction of a third one was the result of functional factors, infrastructure connections, technical possibilities, and environmental requirements. Solutions that were relevant for distributing cargo on the docks had to adjust to the width of the basins for manoeuvring ships. Various types of construction restrict water flow under piers, thereby accelerating biomass degradation. Environmental aspects created conditions and requirements for pier construction.

  5. Dry Port Location Problem: A Hybrid Multi-Criteria Approach

    Directory of Open Access Journals (Sweden)

    BENTALEB Fatimazahra

    2016-03-01

    Full Text Available Choosing a location for a dry port is a problem which becomes more essential and crucial. This study deals with the problem of locating dry ports. On this matter, a model combining multi-criteria (MACBETH and mono-criteria (BARYCENTER methods to find a solution to dry port location problem has been proposed. In the first phase, a systematic literature review was carried out on dry port location problem and then a methodological classification was presented for this research. In the second phase, a hybrid multi-criteria approach was developed in order to determine the best dry port location taking different criteria into account. A Computational practice and a qualitative analysis from a case study in the Moroccan context have been provided. The results show that the optimal location is very convenient with the geographical region and the government policies.

  6. Interface Circuit For Printer Port

    Science.gov (United States)

    Tucker, Jerry H.; Yadlowsky, Ann B.

    1991-01-01

    Electronic circuit, called printer-port interface circuit (PPI) developed to overcome certain disadvantages of previous methods for connecting IBM PC or PC-compatible computer to other equipment. Has both reading and writing modes of operation. Very simple, requiring only six integrated circuits. Provides for moderately fast rates of transfer of data and uses existing unmodified circuit card in IBM PC. When used with appropriate software, circuit converts printer port on IBM PC, XT, AT, or compatible personal computer to general purpose, 8-bit-data, 16-bit address bus that connects to multitude of devices.

  7. Port-site metastases following robot-assisted laparoscopic surgery for gynecological malignancies.

    Science.gov (United States)

    Lönnerfors, Celine; Bossmar, Thomas; Persson, Jan

    2013-12-01

    To evaluate the incidence and possible predictors associated with port-site metastases following robotic surgery. Prospective study. University Hospital. Women with gynecological cancer. The occurrence of port-site metastases in the first 475 women undergoing robotic surgery for gynecological cancer was reviewed. Rate of port-site metastases. A port-site metastasis was detected in nine of 475 women (1.9%). Eight women had either an unexpected locally advanced disease or lymph-node metastases at the time of surgery. All nine women received postoperative adjuvant therapy. Women with ≥ stage III endometrial cancer and women with node positive cervical cancer had a significantly higher risk of developing a port-site metastasis, as did women with high-risk histology endometrial cancer. Port-site metastases were four times more likely to occur in a specimen-retrieval port. One (0.2%) isolated port-site metastasis was detected. The median time to occurrence of a port-site metastasis was 6 months (range 2-19 months). Six of the nine women (67%) have died and their median time of survival from recurrence was 4 months (range 2-16 months). In women with gynecological cancer, the incidence of port-site metastases following robotic surgery was 1.9%. High-risk histology and/or advanced stage of disease at surgery seem to be contributing factors. © 2013 Nordic Federation of Societies of Obstetrics and Gynecology.

  8. Performance Effects of the Corporatisation of Port of Rotterdam Authority

    NARCIS (Netherlands)

    P.W. de Langen (Peter); C. Heij (Christiaan)

    2013-01-01

    textabstractPort of Rotterdam Authority is a publicly owned but corporatized port development company. In 2004, this organisation was transformed from a municipal department to an independently operating company. The corporatisation intended to improve the overall performance of the port of

  9. HOPE: Just-in-time Python compiler for astrophysical computations

    Science.gov (United States)

    Akeret, Joel; Gamper, Lukas; Amara, Adam; Refregier, Alexandre

    2014-11-01

    HOPE is a specialized Python just-in-time (JIT) compiler designed for numerical astrophysical applications. HOPE focuses on a subset of the language and is able to translate Python code into C++ while performing numerical optimization on mathematical expressions at runtime. To enable the JIT compilation, the user only needs to add a decorator to the function definition. By using HOPE, the user benefits from being able to write common numerical code in Python while getting the performance of compiled implementation.

  10. Translating Music into Hope | NIH MedlinePlus the Magazine

    Science.gov (United States)

    ... contents Translating Music into Hope Follow us Translating Music into Hope Black Eyed Peas’ Taboo talks about ... for years as a member of the hit music group Black Eyed Peas. He shares his recent ...

  11. Studies of the terrestrial environment and ambient air quality in the vicinity of the Eldorado Resources Ltd. Refinery at Blind River, Ontario 1981-1987

    Energy Technology Data Exchange (ETDEWEB)

    Spires, A.C.; Negusanti, J.J.; Bazinet, D.J.

    1989-08-01

    In 1981, a program was initiated to obtain background data on soils and vegetation in the vicinity of the Eldorado uranium trioxide plant in Blind River, Ontario prior to operational startup in 1983. Soil and vegetation samples have been collected annually for chemical analyses at 7 plot sites between 1981 and 1987. All samples were anlayzed for U, Cu, Ni, Pb, Zn, Co, Fe, S, Ca, Mg, and K. Of these elements, only uranium showed an increase in concentration in foliage samples collected in close proximity to the refinery following startup. Uranium accumulation occurred in red and white pine needles up to a level of 100 [mu]g/g. Uranium levels found in all soil and wild edible samples were considered normal. The increase of uranium content observed over time in the collected vegetation samples shows deposition from the refinery is being retained in annual vegetation and accumulated in conifers. Since uranium levels are low in soil, the levels in vegetation result from deposition and not uptake. A high-volume air sampling program was also initiated in 1982 in Blind River. Air sampler filters were weighed to determine total suspended particulate and were subjected to radiological analysis. Particulate levels were found to be low and no increase in particulate or radiological parameter levels was observed since the startup of the refinery. 9 refs., 4 figs., 17 tabs.

  12. The Relationship between Hope and Self-Esteem in Patients with Leukemia

    Science.gov (United States)

    Parvan, Kobra; Jabbarzadeh Tabrizi, Faranak; Rahmani, Azad; Ghojazadeh, Morteza; Azadi, Arman; Golchin, Mehri

    2015-01-01

    Introduction: Patients with hematologic malignancies often experience many emotional reactions which are different based on patient’s culture. Indeed culture determines the different ways that patients understand cancer. Accordingly, the aim of this study was to determine the relationship of self-esteem and hope among Iranian cancer patients. Methods: This descriptive-correlational study was undertaken among 85 leukemic patients admitted to Shahid Ghazi hospital in East-Azerbaijan province, Iran. They were selected using consecutive sampling method. Persian form of Hearth Hope Index and Coppersmith Self-Esteem Inventory were used to identify patients’ hope and self-esteem. The data were analyzed using SPSS version 13.0. Results: The overall scores of hope and self-esteem were 33.05 (5.24) and 94.61 (11.51), respectively. There was a positive correlation between hope and self-esteem (rs = 0.73, n = 85, P self-esteem and hope relationship could be similar in different cultures. The findings of this study indicate that nurses could be helpful through designing and implementing appropriate educational programs in order to enhance hope and self-esteem of leukemia patients. PMID:26464838

  13. Port interface requirements

    International Nuclear Information System (INIS)

    O'Neil, R.

    1978-01-01

    In a land-based reactor programme the Administration are usually confronted with a specific design in a particular environment. Safety and Reliability criteria necessary to the designer can be specified on the basis of acceptable risk to the population. However for the successful implementation of a nuclear ship programme on a broad commercial basis it is necessary to have agreed standards of risks from ships yet to be designed and agreed standards of acceptable risks to the population at likely ports of call yet to be specified, consulted, or agreed. At first sight it would seem that this double uncertainty must either lead to unnecessarily high safety standards for the ship or unacceptably conservative standards for berth selection. The paper discusses the problem and proposes a possible solution based on the concept of a 'Standard Port' and a 'Standard Ship' and indicates the level of risk implied by such a concept

  14. Hope and fatigue in chronic illness: The role of perceived stress.

    Science.gov (United States)

    Hirsch, Jameson K; Sirois, Fuschia M

    2016-04-01

    Fatigue is a debilitating symptom of chronic illness that is deleteriously affected by perceived stress, a process particularly relevant to inflammatory disease. Hopefulness, a goal-based motivational construct, may beneficially influence stress and fatigue, yet little research has examined these associations. We assessed the relation between hope and fatigue, and the mediating effect of stress, in individuals with fibromyalgia, arthritis, and inflammatory bowel disease. Covarying age, sex, and pain, stress partially mediated the association between hope and fatigue; those with greater hope reported less stress and consequent fatigue. Therapeutically, bolstering hope may allow proactive management of stressors, resulting in less fatigue. © The Author(s) 2014.

  15. Visual Support for Porting Large Code Bases

    NARCIS (Netherlands)

    Broeksema, Bertjan; Telea, Alexandru

    2011-01-01

    We present a tool that helps C/C++ developers to estimate the effort and automate software porting. Our tool supports project leaders in planning a porting project by showing where a project must be changed, how many changes are needed, what kinds of changes are needed, and how these interact with

  16. Two-port Laparoscopic-assisted Appendicectomy Under Local ...

    African Journals Online (AJOL)

    Journal of Surgical Technique and Case Report | Jul-Dec 2011 | Vol-3 | Issue-2. 84. Two-port Laparoscopic-assisted ... appendicectomy (LAA) using the two-port technique under local anesthesia in adults. As a pilot study we .... of failure are the reasons for avoidance of using local anesthesia for surgical procedures.

  17. Reaping a Harvest of Hope - Continuum Magazine | NREL

    Science.gov (United States)

    Reaping a Harvest of Hope On May 4, 2007, an EF-5 tornado-the highest rating of tornados-tore Reaping a Harvest of Hope Five years after a devastating tornado, Greensburg, Kansas, has new energy and a city also relied on NREL's life-cycle cost analysis and its extensive energy project development and

  18. Use of CFD in development of intake ports for diesel engines

    International Nuclear Information System (INIS)

    Alcenius, T.

    2002-01-01

    The design of intake ports for diesel engines is difficult due to the many competing requirements of the cylinder head design. When the concept design is completed, the typical course for verification and optimization of the port is through steady state flow testing. In the past, optimization of the port was considered a 'black art' as the final shape of the port and its performance was tied directly to the experience of the port development engineer. As CFD has been increasingly used to analyze various aspects of engine performance, an obvious area to explore is its use to predict steady state port flow performance prior to fabrication of any test hardware. A study was carried out to evaluate the usefulness of CFD in predicting steady state flow bench results and to provide insight into the fluid mechanics of the port flow to assist in the flow bench development. Port flow testing was carried out on a baseline diesel engine port for a range of valve lifts from zero to just above the maximum valve lift. This experimental test data was used to calculate flow coefficients and swirl ratios (an indicator of mean air motion in the cylinder). Subsequently, CFD models were generated that replicated the flow bench set-up. Three valve lifts across the valve lift range were chosen for the comparison. Results of the analysis were used to calculate flow coefficients and swirl ratios. Computed results were then compared to the experiments to determine their accuracy and a detailed review of the CFD results was conducted to understand the flow in the port. Modifications were made to the port from recommendations made based on the CFD results. The ports were then retested to determine the effectiveness of the recommendations. Finally, the results are discussed as to their meaning and usefulness for design programs. (author)

  19. Spatial Determinants of Import Traffic Distribution At Port Harcourt (Nigeria

    Directory of Open Access Journals (Sweden)

    Soddy I. Inyang

    2013-07-01

    Full Text Available This paper highlights the result of a study carried out to examine the Geographic determinants of import traffic distribution at the Port Harcourt Port. A substantial aspect of the study involved building a regression model to estimate import distribution from the Port. The import function was specified in log-linear form. The adequacy of the model was then tested; this, involved statistical experiments to obtain the R-squared, as well as t and f values. Further test on the adequacy of the nwdel was conducted through diagnostic exercises designed to check for inulticollinedrity and heteroscedasticity, in the data used. Results obtained show that road distance and manufacturing industries are significant Geographic determinants of import Cargo distribution at the study Port. It is therefore important to lake the two variables into account in any policy or planning exercise at Port Harcourt Port.

  20. The role of sea ports in end-to-end maritime transport chain emissions

    International Nuclear Information System (INIS)

    Gibbs, David; Rigot-Muller, Patrick; Mangan, John; Lalwani, Chandra

    2014-01-01

    This paper's purpose is to investigate the role of sea ports in helping to mitigate the GHG emissions associated with the end-to-end maritime transport chain. The analysis is primarily focused on the UK, but is international in application. The paper is based on both the analysis of secondary data and information on actions taken by ports to reduce their emissions, with the latter data collected for the main UK ports via their published reports and/or via interviews. Only a small number of ports (representing 32% of UK port activity) actually measure and report their carbon emissions in the UK context. The emissions generated by ships calling at these ports are analysed using a method based on Department for Transport Maritime Statistics Data. In addition, a case example (Felixstowe) of emissions associated with HGV movements to and from ports is presented, and data on vessel emissions at berth are also considered. Our analyses indicate that emissions generated by ships during their voyages between ports are of a far greater magnitude than those generated by the port activities. Thus while reducing the ports' own emissions is worthwhile, the results suggest that ports might have more impact through focusing their efforts on reducing shipping emissions. - Highlights: • Investigates role of ports in mitigating GHG emissions in the end-to-end maritime transport chain. • Emissions generated both by ports and by ships calling at ports are analysed. • Shipping's emissions are far greater than those generated by port activities. • Ports may have more impact through focusing efforts on reducing shipping's emissions. • Options for ports to support and drive change in the maritime sector also considered

  1. Pollution prevention at ports: clearing the air

    International Nuclear Information System (INIS)

    Bailey, Diane; Solomon, Gina

    2004-01-01

    Seaports are major hubs of economic activity and of environmental pollution in coastal urban areas. Due to increasing global trade, transport of goods through ports has been steadily increasing and will likely continue to increase in the future. Evaluating air pollution impacts of ports requires consideration of numerous sources, including marine vessels, trucks, locomotives, and off-road equipment used for moving cargo. The air quality impacts of ports are significant, with particularly large emissions of diesel exhaust, particulate matter, and nitrogen oxides. The health effects of these air pollutants to residents of local communities include asthma, other respiratory diseases, cardiovascular disease, lung cancer, and premature mortality. In children, there are links with asthma, bronchitis, missed school days, and emergency room visits. The significance of these environmental health impacts requires aggressive efforts to mitigate the problem. Approaches to mitigation encompass a range of possibilities from currently available, low-cost approaches, to more significant investments for cleaner air. Examples of the former include restrictions on truck idling and the use of low-sulfur diesel fuel; the latter includes shore-side power for docked ships, and alternative fuels. A precautionary approach to port-related air pollution would encourage local production of goods in order to reduce marine traffic, greener design for new terminals, and state-of-the art approaches to emissions-control that have been successfully demonstrated at ports throughout the world

  2. CEA engineering studies and integration of the ITER diagnostic port plugs

    International Nuclear Information System (INIS)

    Doceul, L.; Walker, C.; Ingesson, C.; Ciattaglia, E.; Chappuis, P.; Portafaix, C.; Salasca, S.; Thomas, E.; Tremblay, G.; Bruyere, C.

    2007-01-01

    Most of the ITER diagnostic system is integrated in port plugs, which are water cooled stainless steel structures inserted into the vacuum-vessel ports. The port plug must perform basic functions such as providing neutron and gamma shielding, supporting the first wall armour and shielding blanket material, closing the vacuum vessel ports, while supporting the diagnostic equipment. CEA has contributed to the engineering activities on the port plugs and has more particularly focused on the design and diagnostic integration in the representative equatorial port plug Eq no. 01. The specific CEA contributions have been the engineering, structural and thermal analysis. These detailed analyses have highlighted some design issues which were worked out through different solutions. This paper contains a description of the engineering activities performed such as: the conceptual design of the Eq no. 01 port plug, the static mechanical calculations, the dynamic calculation to estimate the dynamic amplification factor due to the resonance phenomenon, the thermal assessment under the neutronic load and the seismic response of the port plug inside the vacuum vessel

  3. CEA engineering studies and integration of the ITER diagnostic port plugs

    Energy Technology Data Exchange (ETDEWEB)

    Doceul, L. [Association Euratom-CEA sur la Fusion Controlee, Centre d' Etudes de Cadarache, F-13108 Saint-Paul-Lez-Durance Cedex (France)], E-mail: louis.doceul@cea.fr; Walker, C. [ITER International Team, Boltzmannstr. 2, D-85748 Garching bei Muenchen (Germany); Ingesson, C.; Ciattaglia, E. [EFDA CSU - Garching, Boltzmannstr. 2, D-85748 Garching bei Muenchen (Germany); Chappuis, P.; Portafaix, C.; Salasca, S.; Thomas, E.; Tremblay, G.; Bruyere, C. [Association Euratom-CEA sur la Fusion Controlee, Centre d' Etudes de Cadarache, F-13108 Saint-Paul-Lez-Durance Cedex (France)

    2007-10-15

    Most of the ITER diagnostic system is integrated in port plugs, which are water cooled stainless steel structures inserted into the vacuum-vessel ports. The port plug must perform basic functions such as providing neutron and gamma shielding, supporting the first wall armour and shielding blanket material, closing the vacuum vessel ports, while supporting the diagnostic equipment. CEA has contributed to the engineering activities on the port plugs and has more particularly focused on the design and diagnostic integration in the representative equatorial port plug Eq no. 01. The specific CEA contributions have been the engineering, structural and thermal analysis. These detailed analyses have highlighted some design issues which were worked out through different solutions. This paper contains a description of the engineering activities performed such as: the conceptual design of the Eq no. 01 port plug, the static mechanical calculations, the dynamic calculation to estimate the dynamic amplification factor due to the resonance phenomenon, the thermal assessment under the neutronic load and the seismic response of the port plug inside the vacuum vessel.

  4. Engineering activities on the ITER representative diagnostic equatorial port plug

    International Nuclear Information System (INIS)

    Meunier, L.; Doceul, L.; Salasca, S.; Martins, J.-P.; Jullien, F.; Dechelle, Christian; Bidaud, Pierre; Pilard, Vincent; Terra, Alexis; Ogea, Mathieu; Ciattaglia, Emanuela; Walker, Christopher

    2009-01-01

    Most of ITER diagnostic systems are integrated in port plugs, which are water cooled stainless steel structures inserted into the vacuum vessel ports. The port plug must provide basic functions such as neutron and gamma shielding, supporting the first wall armour (BSM), closing the vacuum vessel ports, while supporting the diagnostic equipments. ITER diagnostic port plug must resist a severe environment like high temperature due to neutron interaction with the structures and high electromechanical loading during disruptions events. CEA has contributed to the design and integration tasks in the frame of the representative equatorial port plug EQ no. 01, in particular on the engineering, structural and thermal finite element analysis. These detailed analyses have highlighted some design issues which were worked out through different solutions. This paper contains a description of the engineering activities performed such as: -The static mechanical calculations of the top plate closure system under disruption load. -The static mechanical calculations of the BSM attachment to the port plug. These two first studies led to design changes proposals which significantly improved the behaviour of the structures but also showed that the safety margin with respect to design limits is quite low. -The design of a Diagnostic Shield Module (DSM) integrated inside the port plug and a proposition of attachment scheme, with respect to disruption loads. The manufacturing of the DSM has been taken into account, as well as diagnostic integration inside the structure and maintenance aspects. -The thermal assessment of the port plug under neutronic load during normal operation, with the optimization of the cooling system. The maximum temperature calculated in normal operation has been reduced from 900 deg. C to less than 400 deg. C in the front plate; and the cooling arrangement at the back of the port plug has been simplified without important temperature increase.

  5. Engineering activities on the ITER representative diagnostic equatorial port plug

    Energy Technology Data Exchange (ETDEWEB)

    Meunier, L. [Association Euratom CEA, CEA/DSM/IRFM (France)], E-mail: lmeunier@cea.fr; Doceul, L.; Salasca, S.; Martins, J.-P.; Jullien, F.; Dechelle, Christian; Bidaud, Pierre; Pilard, Vincent; Terra, Alexis; Ogea, Mathieu [Association Euratom CEA, CEA/DSM/IRFM (France); Ciattaglia, Emanuela [EFDA CSU, Garching (Germany); Walker, Christopher [ITER International Organisation (France)

    2009-06-15

    Most of ITER diagnostic systems are integrated in port plugs, which are water cooled stainless steel structures inserted into the vacuum vessel ports. The port plug must provide basic functions such as neutron and gamma shielding, supporting the first wall armour (BSM), closing the vacuum vessel ports, while supporting the diagnostic equipments. ITER diagnostic port plug must resist a severe environment like high temperature due to neutron interaction with the structures and high electromechanical loading during disruptions events. CEA has contributed to the design and integration tasks in the frame of the representative equatorial port plug EQ no. 01, in particular on the engineering, structural and thermal finite element analysis. These detailed analyses have highlighted some design issues which were worked out through different solutions. This paper contains a description of the engineering activities performed such as: -The static mechanical calculations of the top plate closure system under disruption load. -The static mechanical calculations of the BSM attachment to the port plug. These two first studies led to design changes proposals which significantly improved the behaviour of the structures but also showed that the safety margin with respect to design limits is quite low. -The design of a Diagnostic Shield Module (DSM) integrated inside the port plug and a proposition of attachment scheme, with respect to disruption loads. The manufacturing of the DSM has been taken into account, as well as diagnostic integration inside the structure and maintenance aspects. -The thermal assessment of the port plug under neutronic load during normal operation, with the optimization of the cooling system. The maximum temperature calculated in normal operation has been reduced from 900 deg. C to less than 400 deg. C in the front plate; and the cooling arrangement at the back of the port plug has been simplified without important temperature increase.

  6. Image-guided placement of port catheters: is there an increased risk of infection if the port is immediately accessed and used?

    Science.gov (United States)

    Salazar, Gloria; Yeddula, Kalpana; Wicky, Stephan; Oklu, Ramhi; Ganguli, Suvranu; Waltman, Arthur C; Walker, Thomas G; Kalva, Sanjeeva P

    2013-01-01

    To compare complication rates in patients who have port-a-catheters inserted and left accessed for immediate use and those who have ports inserted but not accessed. In this retrospective, IRB-approved study, medical records of patients who received a port catheter between 9/2009 and 2/2010 were reviewed. The data collected included patient demographics, diagnosis, procedure and complications. The patients were categorized into two groups: accessed (patients in whom the port was accessed with a Huber needle for immediate intravenous use and the patient left the procedure area with needle indwelling) and control (patients in whom the ports were not accessed). Complications were classified according to Society of Interventional Radiology guidelines. Results are given as mean ±SD. Statistical analysis was performed with student t test and statistical significance was considered at Pports were placed in 465 patients (Men: 206); 10.7% in the accessed group (n=50, age: 60±13.9) and 89.3% in the control group (n=417, age: 59±13.5). There were no statistically significant differences in patient demographics between the groups. The overall complication rate was 0.6% (n=3). Two complications (hematoma causing skin necrosis and thrombosis of the port) occurred in the control group and one (infection) in the accessed group. Infection rates after procedures were 2% (1/50) in the accessed group and 0% (0/417) in the control group. There was no statistically significant difference in overall complication (P=.1) and infection (P=.1) rates among the groups. Leaving the port accessed immediately after placement does not increase the risk of infection or other complications.

  7. A Comparative Study of Acute and Chronic Pain between Single Port and Triple Port Video-assisted Thoracic Surgery for Lung Cancer

    Directory of Open Access Journals (Sweden)

    Caiwei LI

    2018-04-01

    Full Text Available Background and objective Through the comparative analysis of the acute and chronic pain postoperative between the single port and triple port video-assisted thoracic surgery to seek the better method which can reduce the incidence of acute and chronic pain in patients with lung cancer. Methods Data of 232 patients who underwent single port -VATS (n=131 or triple port VATS (n=101 for non-small cell lung cancer (NSCLC on January 1, 2016 to June 30, 2017 in our hospital were analyzed. The clinical and operative data were assessed, numeric rating scale (NRS was used to evaluate the mean pain score on the 1th, 2th, 3th, 7th, 14th days, 3th months and 6th months postoperative. Results Both groups were similar in clinical characteristics, there were no perioperative death in two groups. In the 1th, 2th, 7th, 14th days and 3th, 6th months postoperative, the NRS score of the single port group was superior, and the difference was significant compared with the triple port (P0.05. Univariate and multivariate analysis of the occurrence on the chronic pain showed that the operation time, surgical procedure and the 14th NRS score were risk factors for chronic pain (P<0.05. Conclusion The single port thoracoscopic surgery has an advantage in the incidence of acute and chronic pain in patients with non-small cell lung cancer. Shorter operative time can reduce the occurrence of chronic pain. The 14th day NRS score is a risk factor for chronic pain postoperative.

  8. Clinical predictors of port infections within the first 30 days of placement.

    Science.gov (United States)

    Bamba, Ravinder; Lorenz, Jonathan M; Lale, Allison J; Funaki, Brian S; Zangan, Steven M

    2014-03-01

    To identify risk factors for port infections within 30 days of placement. A retrospective chart review of port placements from 2002-2009 was conducted. Patients who had port removals secondary to infection within the first 30 days of placement were included. This group of patients was compared with a control group of patients with ports with no evidence of infection. For every one patient with a port infection, two control subjects were chosen of the same gender and new port placement during the same month as the corresponding patient with an infected port. From 2002-2009, 4,404 ports were placed. Of the 4,404 patients, 33 (0.7%) were found to have a port infection within 30 days of placement. Compared with the control group, the early infection group had a higher prevalence of leukopenia (21.2% vs 6.1%, P = .039) and thrombocytopenia (33% vs 12%, P = .0158). There was also a higher prevalence of an inpatient hospital stay during port placement and high international normalized ratio in the early infection group. Low preoperative white blood cell and platelet counts were risk factors for early infection. Abnormal coagulation profiles and inpatient access of ports after placement could be additional risk factors. Copyright © 2014 SIR. Published by Elsevier Inc. All rights reserved.

  9. Zero Temperature Hope Calculations

    International Nuclear Information System (INIS)

    Rozsnyai, B. F.

    2002-01-01

    The primary purpose of the HOPE code is to calculate opacities over a wide temperature and density range. It can also produce equation of state (EOS) data. Since the experimental data at the high temperature region are scarce, comparisons of predictions with the ample zero temperature data provide a valuable physics check of the code. In this report we show a selected few examples across the periodic table. Below we give a brief general information about the physics of the HOPE code. The HOPE code is an ''average atom'' (AA) Dirac-Slater self-consistent code. The AA label in the case of finite temperature means that the one-electron levels are populated according to the Fermi statistics, at zero temperature it means that the ''aufbau'' principle works, i.e. no a priory electronic configuration is set, although it can be done. As such, it is a one-particle model (any Hartree-Fock model is a one particle model). The code is an ''ion-sphere'' model, meaning that the atom under investigation is neutral within the ion-sphere radius. Furthermore, the boundary conditions for the bound states are also set at the ion-sphere radius, which distinguishes the code from the INFERNO, OPAL and STA codes. Once the self-consistent AA state is obtained, the code proceeds to generate many-electron configurations and proceeds to calculate photoabsorption in the ''detailed configuration accounting'' (DCA) scheme. However, this last feature is meaningless at zero temperature. There is one important feature in the HOPE code which should be noted; any self-consistent model is self-consistent in the space of the occupied orbitals. The unoccupied orbitals, where electrons are lifted via photoexcitation, are unphysical. The rigorous way to deal with that problem is to carry out complete self-consistent calculations both in the initial and final states connecting photoexcitations, an enormous computational task. The Amaldi correction is an attempt to address this problem by distorting the

  10. Strategic port development

    DEFF Research Database (Denmark)

    Olesen, Peter Bjerg; Dukovska-Popovska, Iskra; Steger-Jensen, Kenn

    2012-01-01

    This paper proposes a framework for strategic development of a port’s collaboration with its hinterland. The framework is based on literature relevant to port development and undertakes market perspective by considering import/export data relevant for the region of interest. The series of steps...

  11. Port-wine stain

    Science.gov (United States)

    ... About MedlinePlus Show Search Search MedlinePlus GO GO About MedlinePlus Site Map FAQs Customer Support Health Topics Drugs & Supplements Videos & Tools Español You Are Here: Home → Medical Encyclopedia → Port-wine stain URL of this page: //medlineplus.gov/ency/ ...

  12. Port wine stain on a child's face (image)

    Science.gov (United States)

    Port wine stains are always present at birth. In an infant, they are flat, pink, vascular lesions. Common locations ... may be present anywhere on the body. Port wine stains may appear in association with other syndromes.

  13. The state-of-the-art port of entry workshop

    Energy Technology Data Exchange (ETDEWEB)

    Godfrey, B.

    1995-05-01

    The increased demand for freight movements through international ports of entry and the signing of the North American Free Trade Agreement (NAFTA) have increased freight traffic at border ports of entry. The State-of-the-Art Port of Entry Workshop initiated a dialogue among technologists and stakeholders to explore the potential uses of technology at border crossings and to set development priorities. International ports of entry are both information and labor intensive, and there are many promising technologies that could be used to provide timely information and optimize inspection resources. Participants universally held that integration of technologies and operations is critical to improving port services. A series of Next Steps was developed to address stakeholder issues and national priorities, such as the National Transportation Policy and National Drug Policy. This report documents the views of the various stakeholders and technologists present at the workshop and outlines future directions of study.

  14. Structural Analysis for an Upper Port of the ITER Vacuum Vessel

    International Nuclear Information System (INIS)

    Yun-Seok Hong; Kwon, T. K.; Ahn, H. J.; Kim, Y.K.; Lee, C.D.

    2006-01-01

    The ITER vacuum vessel (VV) has numerous openings for the port structures including upper, equatorial, and lower ports used for equipment installation, utility feed through, vacuum pumping, and access into the vessel for maintenance. Every upper port, slanted upward slightly, has a trapezoidal/rectangular cross-section and consists of a port stub, a stub extension and a port extension with a connecting duct. To investigate the structural integrity and to increase the structural reliability of the VV and ports, the structural analyses of the upper port structure have been performed. The global structural analysis of the upper port with the in-port components has been carried out. The local analyses of a tangential key, an upper port flange, a connecting duct and a sealing unit have been performed. The design loads are dead weight, normal and abnormal pressure load, electromagnetic load, and seismic load in consideration of the dynamic amplification factors. The stress analyses were performed in a nonlinear elastic approach taking into account the contact surface between port extension flange and port plug flange. Two advanced designs from the ITER international team have been reviewed. To verify the strength of the reinforcing ribs for the connecting duct and of the fastening/sealing units, the local analyses utilizing the sub-modeling technique have been performed. The ASME code and the ITER design criteria were applied for the evaluation of the structural analysis results from the global and local analyses. The clearance between a port and a plug to accommodate the plug deformation has been assessed. The upper port flange based on the original design could withstand design loads, but there could be a gap on the flange surface under the design condition. The modified flange design, which is under the bolt friction only without tangential key was proposed. The deflection of the plug for an advanced design with a removable flange is higher than that for the original

  15. Smartphone audio port data collection cookbook

    Directory of Open Access Journals (Sweden)

    Kyle Forinash

    2018-06-01

    Full Text Available The audio port of a smartphone is designed to send and receive audio but can be harnessed for portable, economical, and accurate data collection from a variety of sources. While smartphones have internal sensors to measure a number of physical phenomena such as acceleration, magnetism and illumination levels, measurement of other phenomena such as voltage, external temperature, or accurate timing of moving objects are excluded. The audio port cannot be only employed to sense external phenomena. It has the additional advantage of timing precision; because audio is recorded or played at a controlled rate separated from other smartphone activities, timings based on audio can be highly accurate. The following outlines unpublished details of the audio port technical elements for data collection, a general data collection recipe and an example timing application for Android devices.

  16. ECSPECT prospective multicentre registry for single-port laparoscopic colorectal procedures

    DEFF Research Database (Denmark)

    Weiss, Helmut; Zorron, R; Vestweber, K-H

    2017-01-01

    BACKGROUND: The international multicentre registry ECSPECT (European Consensus of Single Port Expertise in Colorectal Treatment) was established to evaluate the general feasibility and safety of single-port colorectal surgery with regard to preoperative risk assessment. METHODS: Consecutive...... patients undergoing single-port colorectal surgery were enrolled from 11 European centres between March 2010 and March 2014. Data were analysed to assess patient-, technique- and procedure-dependent parameters. A validated sex-adjusted risk chart was developed for prediction of single-port colorectal...

  17. Current epidemiology of hypertension in Port Harcourt metropolis ...

    African Journals Online (AJOL)

    Current epidemiology of hypertension in Port Harcourt metropolis, Rivers State ... the University of Port Harcourt Teaching Hospital formed the cohort for this study. ... is high and only a small fraction of hypertensives are aware of their condition.

  18. Hope, Coping, and Quality of Life in Adults with Myasthenia Gravis.

    Science.gov (United States)

    Koopman, Wilma J; LeBlanc, Nicole; Fowler, Sue; Nicolle, Michael W; Hulley, Denise

    2016-01-01

    Myasthenia gravis significantly impacts quality of life. However, the relationship between hope, coping, and quality of life (QOL)in myasthenia patients has not been studied (Kulkantrakorn & Jarungkiatkul, 2009; Raggi et al., 2010). The aim of this study was to explore the relationship between hope, coping, and quality of life in adults with myasthenia gravis. Subjects with MG (n = 100) completed six questionnaires, including a demographic profile, the Myasthenia Gravis Activities of Daily Living Scale (MG-ADL), Herth Hope Index (HHI), Jalowiec Coping Scale (JCS), Myasthenia Gravis Quality-of-Life Scale (MG-QOL15), and Short Form Health Survey (SF-36v2). Mean hope scores indicated a high level of hope. An optimistic coping style was the most common and effective coping strategy identified by subjects. Positive thinking and humour were also frequently used strategies. Participants identified quality of life as good tolerability, above general population mental well-being, and below general populationphysical well-being. Participants who identified good quality of life had low scores on the MG-QOL15 scale and high scores on the SF36v2. Hope and independence for activities of daily living were found to correlate with improved quality of life and mental well-being(p life in the relationship between hope and coping. Hope and coping were not important factors for well-being or quality of life. Nurses caring for adults with myasthenia gravis should use interventions that continue to support hope, quality of life, and coping throughout the unpredictable and chronic course of MG.

  19. Characterization of the near-source population around five candidate ports.

    Science.gov (United States)

    Our results indicate that environmental justice issues continue to be a concern in port areas. Within the 10 km domain of the port boundary, the Ports of Houston and Virginia had the greatest disparities in median income combined with the greater percentages of Blacks (in Virgini...

  20. Restoring Hope: You Can Help Save A Life

    Science.gov (United States)

    Department of Defense Submit Search Restoring Hope Sep. 1, 2010 You Can Help Save A Life More Focus Needed to of Staff Videos Pentagon Channel Restoring Hope: 90 min. Special - Part 1 | Part 2 More Pentagon Prevention Month: Marine Corps Team Helps Save Lives. I Will Never Quit on Life Sept.8, 2010 - Mrs. Mullen on

  1. Hope as a Political Virtue | Moellendorf | Philosophical Papers

    African Journals Online (AJOL)

    ... understand why it is a political virtue of persons. I also argue that securing the institutional bases of hope is a virtue of state institutions, particularly in states in transition from severe injustice. And, finally, when the bases are secure, a person who fails to hope for the political future is in that regard prima facie blameworthy.

  2. [Hope as psychological resource for nurturant professionals (medicine case study)].

    Science.gov (United States)

    Водопьянова, Наталия Е; Чикер, Вера А; Потявина, Валерия В

    In the article, the issues concerning hope, which is one of the most important resources for specialists of many nurturant professions, are observed. The theoretical analysis of hope and its categorization from the perspective of subjective and resource-based view is given. The special scientific and practical interest to human subjective and personal resources is determined by their unique role not only in human life support, but also in overcoming hard situations and extreme obstacles, including crisis situations in professional activity, with the example of the profession of a doctor. The aim of the empirical research is studying the correlation between hope and such manifestations of subjective regulations medical practice as inner subjective control and failure avoidance motivation. 120 doctors (60 men and 60 women) working in St. Petersburg hospitals took part in the research. Several research methods were used, such as 'Resource map' application form, R. Snyder's hope scale adapted by K. Muzdybayev, 'Subjective control level' method by E. Bazhin, E. Golynkina and L. Etkind, 'Failure avoidance motivation' method by T. Ehlers. Doctors think that Hope and Optimism are among important components of their professional practice, together with willing features helping them to reach their goals (such as persistence, patience, eagerness, insistence and endurance) and such personal qualities as self-assuredness, motion control in different situations, ability to solve hard problems. According the data of correlation and regression analyses, the anticipation that hope is determined by high level of inner control locus and low failure avoidance motivation (responsibility for patients' lives) within medical practice. Most doctors have average or high level of hope, which lets determine this personal disposition quality as one of the important ones for this profession. Being the positive result of professional practice and not depending on the doctors' sex and

  3. FHWA operations support : port peak pricing program evaluation

    Science.gov (United States)

    2009-01-01

    This report evaluates the applicability, Federal policy implications, and possible public and private sector roles related to peak pricing strategies at ports and intermodal facilities in the U.S. A number of ports and intermodal terminals are consid...

  4. Vectorization, parallelization and porting of nuclear codes on the VPP500 system (porting). Progress report fiscal 1997

    International Nuclear Information System (INIS)

    Ishizuki, Shigeru; Nemoto, Toshiyuki; Kawai, Wataru; Watanabe, Hideo; Tanabe, Hidenobu; Kawasaki, Nobuo; Adachi, Masaaki; Ogasawara, Shinobu; Kume, Etsuo

    1999-05-01

    Several computer codes in the nuclear field have been vectorized, parallelized and transported on the FUJITSU VPP500 system and/or the AP3000 system at Center for Promotion of Computational Science and Engineering in Japan Atomic Energy Research Institute. We dealt with 14 codes in fiscal 1997. These results are reported in 3 parts, i.e., the vectorization part, the parallelization part and the porting part. In this report, we describe the porting. In this porting part, the porting of transient reactor analysis code TRAC-BF1 and Monte Carlo radiation transport code MCNP4A on the AP3000 are described. In addition, a modification of program libraries for command-driven interactive data analysis plotting program IPLOT is described. In the vectorization part, the vectorization of multidimensional two-fluid model code ACE-3D for evaluation of constitutive equations, statistical decay code SD and three-dimensional thermal analysis code for in-core test section (T2) of HENDEL SSPHEAT are described. In the parallelization part, the parallelization of cylindrical direct numerical simulation code CYLDNS44N, worldwide version of system for prediction of environmental emergency dose information code WSPEEDI, extension of quantum molecular dynamics code EQMD and three-dimensional non-steady compressible fluid dynamics code STREAM are described. (author)

  5. "Think positively": Parkinson's disease, biomedicine, and hope in contemporary Germany.

    Science.gov (United States)

    Metzler, Ingrid; Just, Paul

    2017-06-01

    Narratives of hope shape contemporary engagements with Parkinson's disease. On the one hand, a "biomedical narrative of hope" promises that biomedical research will help to transform this treatable but incurable disease into a curable one in the future. On the other hand, a more individual "illness narrative of hope" encourages patients to influence the course of Parkinson's disease by practicing self-care and positive thinking. This article asks how these two narratives of hope interact. It bases its argument on an analysis of data from 13 focus groups conducted in Germany in 2012 and 2014 with patients with Parkinson's disease and their relatives. Participants were asked to have their say on clinical trials for advanced therapies for Parkinson's disease and, while doing so, envisioned their biosocial selves in the present and the future. Three "modes of being" for patients were drawn from this body of data: a "users on stand-by" mode, an "unengaged" mode, and an "experimental pioneers" mode. Both narratives of hope were important to all three modes, yet they were mobilized at different frequencies and also had different statuses. While the biomedical narrative of hope was deemed an important "dream of the future" that participants passively supported without having to make it their own, the illness narrative of hope was a truth discourse that took an imperative form: having Parkinson's disease implied the need to maintain a positive attitude.

  6. The “diamond port configuration”: A standardised laparoscopic ...

    African Journals Online (AJOL)

    This covered patient position, port insertion, technical aspects of intestinal resection and perioperative management. In particular, a diamond configuration for ports was agreed upon. Data were prospectively collected, and included patient demographics, operative times, conversion rates and postoperative outcomes.

  7. Structural Analysis of Port Brand Equity Using Structural Equation Modeling1

    Directory of Open Access Journals (Sweden)

    Taehwee Lee

    2014-12-01

    Full Text Available Port competition, especially in the Northeast Asia (NEA region, can be described as a price war. In this price competition, it is necessary to build up the brand concept to acquire higher market share. This paper aims to provide structural relationships for port brand equity (PBE and explore the PBE stages statistically. The stages are divided into three steps: port service quality as the precedent of PBE, the PBE dimensions (brand awareness [BA] and brand loyalty [BL], and the antecedent of PBE (overall value of brand equity [OVBE]. From a survey conducted with port users in Korea, the empirical results revealed several significant relationship: between tangibles (TA dimension of port service quality and BL, between the empathy (EMP dimension of port service quality and both BA and BL, and between BA and BL and OVBE. From the empirical analysis, this study suggests both managerial and academic contributions for port managers and scholars for further policy development and research in this important area.

  8. Effectively reducing emissions from ports

    Energy Technology Data Exchange (ETDEWEB)

    Fazlagic, Ismir; Martelin, Marcus; Skinner, Ryan

    2010-09-15

    Commercial ships calling at more and more ports worldwide can now turn off their diesel engines and tap into cleaner energy sources provided by electrical connections from shore. The technology to make this possible has been in place for over a decade. With a global technology standard due to be ratified by three technical bodies in 2010, high-voltage shore connections will soon get much more attention. Environmentally-minded ports, governments and shipowners are all tuning in to the benefits of supplying electricity to ships at berth. ABB presents the challenge, the technical solution and the business case for all parties involved.

  9. INSTITUTIONAL BARRIERS TO EFFICIENT POLICY INTERVENTION IN THE EUROPEAN PORT SECTOR

    Directory of Open Access Journals (Sweden)

    Barry UBBELS

    2005-01-01

    Full Text Available Despite the growing role of private involvement in recent port developments, most maritime trade is still largely handled in ports where investments, pricing and other managerial decisions are, to a varying extent, dependent, or at least influenced by public bodies. This paper shows that the extent and type of public intervention differs considerably between ports in the Hamburg-Le Havre range. The wide variety in ownership, financing and management of ports throughout Europe indicates that there is no level playing field at present. Because ports operate in an increasingly competitive environment (intensified by globalisation trends and the completion of the internal market, this may lead to situations of unfair competition. The European Union emphasises the importance of a more harmonised approach of port regulation by national governments (in terms of financing and pricing of infrastructure. Given the differences in (national port management styles and the low levels of transparency, the creation of a level playing field in the European port industry seems far away. This suggests the presence of a major institutional difference in European transport policy that hampers efficient policy intervention.

  10. A cost-effective peripheral venous port system placed at the bedside.

    Science.gov (United States)

    Finney, R; Albrink, M H; Hart, M B; Rosemurgy, A S

    1992-07-01

    High costs and a paucity of available operating time have led us to seek alternatives to operatively placed vascular access systems. This prospective study is the initial report of a peripheral port system (P.A.S. PORT System, Pharmacia Deltec, Inc.) placed at the bedside. Seventy-nine patients (52 male, 27 female), ages 3-92 years, had ports implanted by surgical residents with attending supervision. Sixty-eight (86%) received the P.A.S. PORT for long-term antibiotics, antifungal, or antiviral therapy; four (5%) for TPN infusion; three (4%) for blood products; two (3%) for chemotherapy; and two (3%) for iv narcotics. Ports were placed in 10 (13%) HIV(+) patients, three (4%) who were fully anticoagulated, and one who was a hemophiliac with a platelet count of zero. Eight patients (10%) developed superficial phlebitis, all of which resolved with nonsteroidal anti-inflammatory agents within 48 hr without port removal. Seven patients (9%) had their port removed due to infection. The average hospital charge to place the P.A.S. PORT System was $1488.00 vs $2811.00 for a tunneled external chest catheter and $3729.00 for the placement of a chest port. Bedside insertion of vascular access devices can be safely performed with acceptable infection rates allowing more efficient use of hospital operating rooms and with substantial cost savings.

  11. Shutdown dose rate contribution from diagnostics in ITER upper port 18

    Energy Technology Data Exchange (ETDEWEB)

    Cheon, M.S., E-mail: munseong@nfri.re.kr [National Fusion Research Institute, Daejeon (Korea, Republic of); Pak, S.; An, Y.H.; Seon, C.R.; Lee, H.G. [National Fusion Research Institute, Daejeon (Korea, Republic of); Bertalot, L.; Krasilnikov, V. [ITER Organization, St Paul-lez-Durance (France); Zvonkov, A. [Agency ITER-RF, Moscow (Russian Federation)

    2016-11-01

    Highlights: • The Shutdown Dose Rate in the interspace of ITER upper port 18 was evaluated. • VUV spectrometer is the dominant contributor to the average SDR. • The existence and size of the blanket cooling pipes impacts significantly on SDR. - Abstract: D-T operation of ITER plasma will produce high-energy fusion neutrons those can activate materials around the place where human-access is necessary. The interspace of the diagnostic port is one of the area where human-access is necessary for the maintenance of diagnostic systems installed at the port, so it is important to evaluate a dose rate of the interspace area in order to comply with ALARA principle. The shutdown dose rate (SDR) in the interspace of ITER upper port 18 was evaluated by the Direct 1-Step (D1S) method using MCNP5 code. This port contains three diagnostics: Vacuum Ultra-Violet (VUV) Spectrometer, Neutron Activation System (NAS), and Upper Vertical Neutron Camera (UVNC). The contribution of each diagnostic in the port was evaluated by running separate upper port MCNP models those contain individual diagnostic only, and the total dose rate contribution was evaluated with the model which was fully integrated with all the diagnostics. The effect of the opening around the upper port plug and of the other ports was also investigated. The purpose of this assessment is to provide the shielding design basis for the preliminary design of the diagnostic integration in the port. The method and result of the calculation will be presented in this paper.

  12. Port type is a possible risk factor for implantable venous access port-related bloodstream infections and no sign of local infection predicts the growth of gram-negative bacilli.

    Science.gov (United States)

    Hsu, Jui-Feng; Chang, Hsu-Liang; Tsai, Ming-Ju; Tsai, Ying-Ming; Lee, Yen-Lung; Chen, Pei-Huan; Fan, Wen-Chieh; Su, Yu-Chung; Yang, Chih-Jen

    2015-09-30

    Implantable venous access port (IVAP)-related blood stream infections (BSIs) are one of the most common complications of implantable venous ports. The risk factors and pathogens for IVAP-related BSIs are still controversial. We retrospectively reviewed all patients who received IVAPs at a Hospital in Taiwan from January 1, 2011 to June 31, 2014. Two types of venous port, BardPort® 6.6 fr (Bard port) and Autosuture Chemosite® 7.5 fr (TYCO port) were used. All patients with clinically proven venous port-related BSIs were enrolled. A total of 552 patients were enrolled. There were 34 episodes of IVAP-related BSIs during the study period for a total incidence of 0.177 events/1000 catheter days. Port type (TYCO vs. Bard, HR = 7.105 (95% confidence interval (CI), 1.688-29.904), p = 0.0075), age > 65 years (HR = 2.320 (95 % CI, 1.179-4.564), p = 0.0148), and lung cancer (HR = 5.807 (95% CI, 2.946-11.447), p port infections. We also found that no local sign of infection was significantly associated with the growth of gram-negative bacilli (p = 0.031). TYCO venous ports, age > 65 years, and lung cancer were all significant risk factors for IVAP-related BSIs, and no sign of infection was significantly associated with the growth of gram-negative bacilli.

  13. Port Harcourt Medical Journal, a paradigm shift | Eke | Port Harcourt ...

    African Journals Online (AJOL)

    Port Harcourt Medical Journal, a paradigm shift. N Eke. Abstract. No Abstract. Full Text: EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · http://dx.doi.org/10.4103/0795-3038.179439 · AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians · for Authors ...

  14. What hope is there for South Africa? A public theological reflection ...

    African Journals Online (AJOL)

    A public theological reflection on the role of the church as a bearer of hope for the future. ... HTS Teologiese Studies / Theological Studies ... Next, a nuanced understanding of hope is presented by adopting a public theological methodology that brings dominant theological perspectives on eschatological hope into dialogue ...

  15. Comparison of Inversion (“flipping”) Rates Among Different Port Designs: A Single-Center Experience

    International Nuclear Information System (INIS)

    Etezadi, Vahid; Trerotola, Scott O.

    2017-01-01

    PurposeTo compare incidence of port inversion among different types of implantable venous access devices.Materials and Methods Records of patients who underwent imaging-guided subcutaneous port placement without port fixation between July 2001 and April 2015 were reviewed with use of a quality assurance database. 1930 patients with complete follow-up (death or explant) were included in the study. Collected data included date and indication for port placement, port type, venous access site, immediate and long-term complications, indication for removal, and total number of catheter days. BMI of patients with inverted ports was also calculated.Results Port inversion within the pocket was observed in 18 patients (0.9%) including 7/82 (9%) of Dignity ports, 4/126 (3%) of Vaxcel plastic arm ports, 3/142 (2%) of Smartports, 2/100 (2%) of Powerports, 1/14 (7%) of Vaccess ports, and 1/1421 (0.07%) of Vortex LP ports. Among these designs, the inversion rate was significantly lower in Vortex LP ports (0.1%) (P < 0.05). There was a trend toward higher inversion rate of Dignity ports, which have a rectangular design with a relatively narrow base. Mean dwell in inverted ports was 114 days (7–580).Conclusion The incidence of port inversion without suture fixation of the port base to the pocket is extremely low. The present study shows differences in inversion incidence based on port design.Level of Evidence: Case Series, Level IV.

  16. Comparison of Inversion (“flipping”) Rates Among Different Port Designs: A Single-Center Experience

    Energy Technology Data Exchange (ETDEWEB)

    Etezadi, Vahid, E-mail: vahid.etezadi@umm.edu; Trerotola, Scott O., E-mail: streroto@uphs.upenn.edu [University of Pennsylvania Medical Center, Division of Interventional Radiology, Department of Radiology (United States)

    2017-04-15

    PurposeTo compare incidence of port inversion among different types of implantable venous access devices.Materials and Methods Records of patients who underwent imaging-guided subcutaneous port placement without port fixation between July 2001 and April 2015 were reviewed with use of a quality assurance database. 1930 patients with complete follow-up (death or explant) were included in the study. Collected data included date and indication for port placement, port type, venous access site, immediate and long-term complications, indication for removal, and total number of catheter days. BMI of patients with inverted ports was also calculated.Results Port inversion within the pocket was observed in 18 patients (0.9%) including 7/82 (9%) of Dignity ports, 4/126 (3%) of Vaxcel plastic arm ports, 3/142 (2%) of Smartports, 2/100 (2%) of Powerports, 1/14 (7%) of Vaccess ports, and 1/1421 (0.07%) of Vortex LP ports. Among these designs, the inversion rate was significantly lower in Vortex LP ports (0.1%) (P < 0.05). There was a trend toward higher inversion rate of Dignity ports, which have a rectangular design with a relatively narrow base. Mean dwell in inverted ports was 114 days (7–580).Conclusion The incidence of port inversion without suture fixation of the port base to the pocket is extremely low. The present study shows differences in inversion incidence based on port design.Level of Evidence: Case Series, Level IV.

  17. The Effectiveness of Cognitive-Behavioral Therapy on Bereaved University Students' Hope

    Directory of Open Access Journals (Sweden)

    Seyyed Nahid Hosseininezhad

    2016-05-01

    Full Text Available The present research aims to study the effectiveness of cognitive-behavioral therapy (CBT on bereaved students' hope. This is an applied research of quasi-experimental type and pretest and posttest design with control group. We selected 30 bereaved university students using stratified sampling method. We used Schneider Hope Questionnaire as the pretest-posttest in the research and analyzed using the statistical method of covariance analysis. The data analysis results indicate that cognitive-behavioral therapy increases bereaved students' hope and there is a significant difference between the two groups. The results of this study show that cognitive-behavioral group therapy influences hope and increases bereaved students' hope by helping them in their emotional discharge and acceptance of death.

  18. Managing Risks in Dry Port Operations

    OpenAIRE

    Ciortescu Cezar-Gabriel; Pãvãla?cu Narcis Sebastian

    2012-01-01

    The purpose of this paper is to have an in-depth look into the phenomenon of risk assessment and risk management strategies in managing dry port operations as an integrated part into international containerized freight trade. The fact that world crises take the form of disruptions, bankruptcies, breakdowns, macroeconomic and political changes, and disasters leads to higher risks and makes risk management more and more difficult. This paper aims to discuss the theory behind the dry port concep...

  19. Hope and hopelessness as predictors of suicide ideation in Hungarian college students.

    Science.gov (United States)

    Chang, Edward C

    2017-08-01

    This study investigated whether hopelessness and dispositional hope predict suicide ideation in 395 Hungarian college students. Both hopelessness and hope uniquely predicted suicide ideation, a pattern that remained unchanged even after controlling for psychological symptoms. Moreover, a significant Hopelessness × Hope interaction predicted suicide ideation. Present findings highlight how hope buffers the association between hopelessness and suicide risk in college students.

  20. Detailed Design and Fabrication Method of the ITER Vacuum Vessel Ports

    International Nuclear Information System (INIS)

    Hee-Jae Ahn; Kwon, T.H.; Hong, Y.S.

    2006-01-01

    The engineering design of the ITER vacuum vessel (VV) has been progressed by the ITER International Team (IT) with the cooperation of several participant teams (PT). The VV and ports are the components allocated to Korea for the construction of the ITER. Hyundai Heavy Industries has been involved in the structural analysis, detailed design and development of the fabrication method of the upper and lower ports within the framework of the ITER transitional arrangements (ITA). The design of the port structures has been investigated to validate and to improve the conceptual designs of the ITER IT and other PT. The special emphasis was laid on the flange joint between the port extension and the in-port plug to develop the design of the upper port. The modified design with a pure friction type flange with forty-eight pieces of bolts instead of the tangential key is recommended. Furthermore, the alternative flange designs developed by the ITER IT have been analyzed in detail to simplify the lip seal maintenance into the port flange. The structural analyses of the lower RH port have been also performed to verify the capacity for supporting the VV. The maximum stress exceeds the allowable value at the reinforcing block and basement. More elaborate local models have been developed to mitigate the stress concentration and to modify the component design. The fabrication method and the sequence of the detailed fabrication for the ports are developed focusing on the cost reduction as well as the simplification. A typical port structure includes a port stub, a stub extension and a port extension with a connecting duct. The fabrication sequence consists of surface treatment, cutting, forming, cleaning, welding, machining, and non-destructive inspection and test. Tolerance study has been performed to avoid the mismatch of each fabricated component and to obtain the suitable tolerances in the assembly at the shop and site. This study is based on the experience in the fabrication of

  1. Reshuffle lifts French synchrotron hopes

    CERN Multimedia

    McCabe, H

    2000-01-01

    The sacking of Claude Allegre as research minister has raised doubts over the level of France's promised participation in the construction of Diamond but reawakened French hopes that the synchrotron Soleil may now be built (1 page).

  2. Remote Handling behind port plug in ITER

    International Nuclear Information System (INIS)

    Bede, O.; Neuberger, H.

    2006-01-01

    Different Test Blanket Modules (TBM) will be used in succession in the same equatorial ports of ITER. The remote handling operations for connection/disconnection of an interface between the port plug of the EU-HCPB-TBM and the port cell equipment are investigated with the goal to reach a quick and simple TBM exchange procedure. This paper describes the operations and systems which are required for connection of the TBM to its supply lines at this interface. The interface is located inside the free space of the port plug flange between the port plug shield and the bioshield of the port cell behind. The approach of the operation place is only available through a narrow gate in the bioshield opened temporarily during maintenance periods. This gate limits the dimensions of the whole system and its tools. The current design of the EU-HCPB-TBM foresees up to 9 supply lines which have to be connected inside the free space of one half of the port plug flange. The connection operations require positioning and adjustment of the tools for each pipe separately. Despite the strict circumstances it is still possible to find such an industrial jointed-arm robot with sufficient payload, which can penetrate into the working area. A mechanical system is necessary to move the robot from its storing place in the hot cell to the port plug on 6 m distance. Each operation requires different end-of-arm tools. The most special one is a pipe positioner tool, which can position and pull the pipe ends to each other and align the tool before welding and hold them in proper position during the welding process. Weld seams can be made by orbital welding tool. The pipe positioner tool has to provide place for welding tool. Using of inbore tool is impossible because pipes have no open ends where the tool could leave it. Orbital tool must be modified to meet requirements of remote handling because it is designed for human handling. The coolant is helium, so for eliminating the leak of helium it is

  3. Soft-Tissue-Anchored Transcutaneous Port for Long-Term Percutaneous Transhepatic Biliary Drainage

    International Nuclear Information System (INIS)

    Nyman, Rickard; Ekloef, Hampus; Eriksson, Lars-Gunnar; Karlsson, Britt-Marie; Rasmussen, Ib; Lundgren, Dan; Thomsen, Peter

    2005-01-01

    Purpose. A transcutaneous port (T-port) has been developed allowing easy exchange of a catheter, which was fixed inside the device, using the Seldinger technique. The objective of the study was to test the T-port in patients who had percutaneous transhepatic biliary drainage (PTBD). Methods. The T-port, made of titanium, was implanted using local anesthesia in 11 patients (mean age 65 years, range 52-85 years) with biliary duct obstruction (7 malignant and 4 benign strictures). The subcutaneous part of the T-port consisted of a flange with several perforations allowing ingrowth of connective tissue. The T-port allowed catheter sizes of 10 and 12 Fr. Results. All wounds healed uneventfully and were followed by a stable period without signs of pronounced inflammation or infection. It was easy to open the port and to exchange the drainage tube. The patient's quality of life was considerably improved even though several patients had problems with repeated bile leakage due to frequent recurrent obstructions of the tubes. The ports were implanted for a mean time of 9 months (range 2-21 months). Histologic examination in four cases showed that the port was well integrated into the soft tissue. Tilting of the T-port in two cases led to perforation of the skin by the subcutaneous part of the ports, which were removed after 7 and 8 months. Conclusion. The T-port served as an excellent external access to the biliary ducts. The drainage tubes were well fixed within the ports. The quality of life of the patients was considerably improved. Together with improved aesthetic appearance they found it easier to conduct normal daily activities and personal care. However, the problem of recurrent catheter obstruction remained unsolved

  4. Safety and Effectiveness of Percutaneously Inserted Peritoneal Ports Compared to Surgically Inserted Ports in a Retrospective Study of 87 Patients with Ovarian Carcinoma over a 10-Year Period

    International Nuclear Information System (INIS)

    Woodley-Cook, Joel; Tarulli, Emidio; Tan, Kong T.; Rajan, Dheeraj K.; Simons, Martin E.

    2016-01-01

    PurposePlacement of peritoneal ports has become a favorable technique for direct chemotherapy infusion in treating peritoneal metastases from ovarian cancer. We aim to outline an approach to the percutaneous insertion of peritoneal ports and to characterize success and complication rates compared to surgically inserted ports.Materials and MethodsRetrospective analysis was collected from 87 patients who had peritoneal port insertion (28 inserted surgically and 59 percutaneously) for treatment of peritoneal metastases from ovarian cancer from July 2004 to July 2014. Complications were classified according to the SIR Clinical Practice Guidelines as major or minor.ResultsTechnical success rates for surgically and percutaneously inserted ports were 100 and 96.7 %, respectively (p = 0.44), with the two percutaneous failures successful at a later date. There were no major complications in either group. Minor complication rates for surgically versus percutaneously inserted ports were 46.4 versus 22.0 %, respectively (p = 0.02). The infection rate for surgically inserted versus percutaneously inserted ports was 14.3 and 0 %, respectively (p = 0.002). The relative risk of developing a complication from percutaneous peritoneal port insertion without ascites was 3.4 (p = 0.04). For percutaneously inserted ports, the mean in-room procedure time was 81 ± 1.3 min and mean fluoroscopy time was 5.0 ± 4.5 min.ConclusionPercutaneously inserted peritoneal ports are a safe alternative to surgically inserted ports, demonstrating similar technical success and lower complication rates.

  5. Safety and Effectiveness of Percutaneously Inserted Peritoneal Ports Compared to Surgically Inserted Ports in a Retrospective Study of 87 Patients with Ovarian Carcinoma over a 10-Year Period

    Energy Technology Data Exchange (ETDEWEB)

    Woodley-Cook, Joel, E-mail: jwoodleycook@gmail.com [The Scarborough Hospital, Vascular and Interventional Radiology, Department of Diagnostic Imaging (Canada); Tarulli, Emidio; Tan, Kong T.; Rajan, Dheeraj K.; Simons, Martin E. [University of Toronto, Vascular and Interventional Radiology, Department of Medical Imaging, University Health Network (Canada)

    2016-11-15

    PurposePlacement of peritoneal ports has become a favorable technique for direct chemotherapy infusion in treating peritoneal metastases from ovarian cancer. We aim to outline an approach to the percutaneous insertion of peritoneal ports and to characterize success and complication rates compared to surgically inserted ports.Materials and MethodsRetrospective analysis was collected from 87 patients who had peritoneal port insertion (28 inserted surgically and 59 percutaneously) for treatment of peritoneal metastases from ovarian cancer from July 2004 to July 2014. Complications were classified according to the SIR Clinical Practice Guidelines as major or minor.ResultsTechnical success rates for surgically and percutaneously inserted ports were 100 and 96.7 %, respectively (p = 0.44), with the two percutaneous failures successful at a later date. There were no major complications in either group. Minor complication rates for surgically versus percutaneously inserted ports were 46.4 versus 22.0 %, respectively (p = 0.02). The infection rate for surgically inserted versus percutaneously inserted ports was 14.3 and 0 %, respectively (p = 0.002). The relative risk of developing a complication from percutaneous peritoneal port insertion without ascites was 3.4 (p = 0.04). For percutaneously inserted ports, the mean in-room procedure time was 81 ± 1.3 min and mean fluoroscopy time was 5.0 ± 4.5 min.ConclusionPercutaneously inserted peritoneal ports are a safe alternative to surgically inserted ports, demonstrating similar technical success and lower complication rates.

  6. Treatment of acute appendicitis with one-port transumbilical ...

    African Journals Online (AJOL)

    Background: Laparoscopic appendectomy is a feasible and safe alternative to open appendectomy for uncomplicated appendicitis. In the past decade several laparoscopic procedures have been described using one or more ports. We report our experience in treating acute appendicitis with one-port transumbilical ...

  7. Port supply chain integration : analyzing biofuel supply chains

    NARCIS (Netherlands)

    Stevens, Leonie C. E.; Vis, Iris F. A.

    2016-01-01

    This paper focuses on port supply chain integration to strengthen operational and business performance. We provide a structured and comprehensive method to enable port supply chain integration and demonstrate its applicability to the biofuel supply chain. We define the value proposition, role,

  8. Environmental reform of West and Central Africa ports

    NARCIS (Netherlands)

    Barnes-Dabban, Harry; Koppen, Van Kris; Mol, Arthur

    2017-01-01

    West and Central Africa ports have historically not paid much attention to environmental issues. In the past decade, however, environmental concerns are beginning to emerge with pockets of innovative responses to environmental risks as the ports undergo institutional and infrastructural reform –

  9. The Long Shadow of Port Infrastructure in Germany

    DEFF Research Database (Denmark)

    Mitze, Timo Friedel; Breidenbach, Philipp

    2016-01-01

    . Since it is very likely that results from least square estimations suffer from endogeneity problems, we base the identification on exogenous long-run instruments. In particular, port facilities built before the industrial revolution provide an adequate instrument for current port infrastructure since...

  10. A Study on the Securement of the Competitiveness of Gyeong-In Port

    Directory of Open Access Journals (Sweden)

    Woo-chul Ahn

    2014-08-01

    Full Text Available Through empirical study of current port selection factors of import and export companies in metropolitan areas trading with China, which are likely to use Gyeong-In Port in the future due to its geographical proximity, the tendency of its use by manufacturing companies in relevant areas is analyzed, and problems and ways to strengthen the competitiveness of Gyeong-In Port are explored. Study results show that transshipment routes between nearby ports need to be established in the medium to long term. In the short term, direct routes to Qingdao Port and Tianjin Port need to be vitalized. Based on analysis results of priority and satisfaction in port selection factors, cargo volumes should be secured by providing various incentives to Gimpo terminal at Gyeong-In Port and using aggressive marketing from a logistics company on commission. A clear management strategy and active cooperation among the government, project operators of K-water, and terminal operation companies are necessary.

  11. Assessment of Ports for Offshore Wind Development in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Elkinton, Chris [DNV GL; Blatiak, Alicia; Ameen, Hafsa

    2014-03-21

    As offshore wind energy develops in the United States, port facilities will become strategic hubs in the offshore wind farm supply chain because all plant and transport logistics must transit through these facilities. Therefore, these facilities must provide suitable infrastructure to meet the specific requirements of the offshore wind industry. As a result, it is crucial that federal and state policy-makers and port authorities take effective action to position ports in the offshore wind value chain to take best advantage of their economic potential. The U.S. Department of Energy tasked the independent consultancy GL Garrad Hassan (GL GH) with carrying out a review of the current capability of U.S. ports to support offshore wind project development and an assessment of the challenges and opportunities related to upgrading this capability to support the growth of as many as 54 gigawatts of offshore wind installed in U.S. waters by 2030. The GL GH report and the open-access web-based Ports Assessment Tool resulting from this study will aid decision-makers in making informed decisions regarding the choice of ports for specific offshore projects, and the types of investments that would be required to make individual port facilities suitable to serve offshore wind manufacturing, installation and/or operations. The offshore wind industry in the United States is still in its infancy and this study finds that additional port facilities capable of supporting offshore wind projects are needed to meet the anticipated project build-out by 2030; however, no significant barriers exist to prevent the development of such facilities. Furthermore, significant port capabilities are in place today with purpose-build port infrastructure currently being built. While there are currently no offshore wind farms operating in the United States, much of the infrastructure critical to the success of such projects does exist, albeit in the service of other industries. This conclusion is based

  12. Hope and Mental Health in Young Adult College Students: An Integrative Review.

    Science.gov (United States)

    Griggs, Stephanie

    2017-02-01

    One in five young adults are diagnosed with a mental illness and many experience psychological distress during their first year of college due to new pressures in academia. The purpose of the current integrative review was to describe and synthesize hope and mental health in young adults in college. PubMed, CINAHL, and PsycINFO were searched for articles published in peer-reviewed journals from 2011-2016. Twenty empirical works were selected for inclusion and five themes emerged: (a) Hope is Associated With Improved Coping, (b) Hope is Associated With Improved Well-Being, (c) Hope is a Moderator Between Depression and Negative Life Events, (d) Hope is a Protective Factor in Suicide, and (e) Hope is a Factor in Healthy Behavior Engagement. Hope may be a protective factor in suicide and negative, self-deprecatory thinking. Further research is needed to determine if increasing hope in young adult college students will decrease the risk of suicide and non-suicidal self-injury, increase healthy behavior engagement, and improve coping and well-being. [Journal of Psychosocial Nursing and Mental Health Services, 55(2), 28-35.]. Copyright 2017, SLACK Incorporated.

  13. Transgressive Hybrids as Hopeful Monsters.

    Science.gov (United States)

    Dittrich-Reed, Dylan R; Fitzpatrick, Benjamin M

    2013-06-01

    The origin of novelty is a critical subject for evolutionary biologists. Early geneticists speculated about the sudden appearance of new species via special macromutations, epitomized by Goldschmidt's infamous "hopeful monster". Although these ideas were easily dismissed by the insights of the Modern Synthesis, a lingering fascination with the possibility of sudden, dramatic change has persisted. Recent work on hybridization and gene exchange suggests an underappreciated mechanism for the sudden appearance of evolutionary novelty that is entirely consistent with the principles of modern population genetics. Genetic recombination in hybrids can produce transgressive phenotypes, "monstrous" phenotypes beyond the range of parental populations. Transgressive phenotypes can be products of epistatic interactions or additive effects of multiple recombined loci. We compare several epistatic and additive models of transgressive segregation in hybrids and find that they are special cases of a general, classic quantitative genetic model. The Dobzhansky-Muller model predicts "hopeless" monsters, sterile and inviable transgressive phenotypes. The Bateson model predicts "hopeful" monsters with fitness greater than either parental population. The complementation model predicts both. Transgressive segregation after hybridization can rapidly produce novel phenotypes by recombining multiple loci simultaneously. Admixed populations will also produce many similar recombinant phenotypes at the same time, increasing the probability that recombinant "hopeful monsters" will establish true-breeding evolutionary lineages. Recombination is not the only (or even most common) process generating evolutionary novelty, but might be the most credible mechanism for sudden appearance of new forms.

  14. Port Regionalization and Landlocked Hinterland: The Czech Republic

    Directory of Open Access Journals (Sweden)

    Jean Paul Rodrigue

    2016-09-01

    Full Text Available The expansion of the European Union (EU and economic growth have propelled the development of intermodal transportation and logistics activities in Central and Eastern Europe (CEE. Yet, the inland location of most CEE economies requires improved connectivity to port terminals on both the Atlantic/Baltic and Mediterranean/Black Sea ranges. The paper provides a broader research perspective on inland logistics platforms focusing on the CEE region, particularly as it concerns the role of the public sector in port hinterland infrastructure development. The paper identifies the current bottlenecks in logistics activity in regard to the whole range of the national transport chains. A dual regionalization process is taking place between the ports of the Northern and Mediterranean ranges and that the Northern Range is more effective at servicing the CEE region, including the Czech Republic, in spite of the proximity advantage of Mediterranean ports.

  15. Ramifications of single-port laparoscopic surgery: measuring differences in task performance using simulation.

    Science.gov (United States)

    Conway, Nathan E; Romanelli, John R; Bush, Ron W; Seymour, Neal E

    2014-02-01

    Single-port laparoscopic surgery imposes unique psychomotor challenges. We used surgical simulation to define performance differences between surgeons with and without single-port clinical experience and examined whether a short course of training resulted in improved performance. Study participants were assigned to 3 groups: resident group (RES), experienced laparoscopic surgeons with (SP) and without (LAP) prior single-port laparoscopic experience. Participants performed the Fundamentals of Laparoscopic Surgery precision cutting task on a ProMIS trainer through conventional ports or with articulating instruments via a SILS Port (Covidien, Inc). Two iterations of each method were performed. Then, 6 residents performed 10 successive single-port iterations to assess the effect of practice on task performance. The SP group had faster task times for both laparoscopic (P = .0486) and single-port (P = .0238) methods. The LAP group had longer path lengths for the single-port task than for the laparoscopic task (P = .03). The RES group was slower (P = .0019), with longer path length (P = .0010) but with greater smoothness (P = .0186) on the single-port task than the conventional laparoscopic task. Resident performance task time (P = .005) and smoothness (P = .045) improved with successive iterations. Our data show that surgeons with clinical single-port surgery experience perform a simulated single-port surgical task better than inexperienced single-port surgeons. Furthermore, this performance is comparable to that achieved with conventional laparoscopic techniques. Performance of residents declined dramatically when confronted with the challenges of the single-port task but improved with practice. These results suggest a role for lab-based single-port training.

  16. Work Hope: The Role of Personal and Social Factors and Family Support

    Directory of Open Access Journals (Sweden)

    leila vahid dastjerdi

    2016-01-01

    Full Text Available The purpose of the present study was to investigate the related factors on work hope in University of Isfahan's Students. It was a descriptive, correlational study. The statistical samples of the study comprised of all of the students in the University of Isfahan in 2014-15. The sample including 300 students was selected through relatively stratified sampling in the University of Isfahan. The work hope scale, general self-efficacy questionnaire, differential status identity scale, time perspective questionnaires and perceived social support scale were used in collecting the data. The results of path analysis showed that family support indirectly related to work hope through social prestige and social power. Besides, family support indirectly related to self-efficacy through social power. Among the dimensions of perceived social status, social power was found to be indirectly related to work hope through self-efficacy, and social prestige found to be directly related to work hope. Further, self-efficacy was related to work hope both directly and indirectly. Among the aspects of time perspective, the present hedonistic was significantly and positively related to work hope; however, present fatalistic was significantly and negatively related to work hope. In general, the results showed that the self-efficacy, social prestige, social support, present hedonistic, present fatalistic and family support could predict work hope.

  17. The Relationship between Hope and Self-Esteem in Patients with Leukemia

    Directory of Open Access Journals (Sweden)

    Kobra Parvan

    2015-09-01

    Full Text Available Introduction: Patients with hematologic malignancies often experience many emotional reactions which are different based on patient’s culture. Indeed culture determines the different ways that patients understand cancer. Accordingly, the aim of this study was to determine the relationship of self-esteem and hope among Iranian cancer patients. Methods: This descriptive-correlational study was undertaken among 85 leukemic patients admitted to Shahid Ghazi hospital in East-Azerbaijan province, Iran. They were selected using consecutive sampling method. Persian form of Hearth Hope Index and Coppersmith Self-Esteem Inventory were used to identify patients’ hope and self-esteem. The data were analyzed using SPSS version 13.0. Results: The overall scores of hope and self-esteem were 33.05 (5.24 and 94.61 (11.51, respectively. There was a positive correlation between hope and self-esteem (rs = 0.73, n = 85, P < 0.001.Conclusion: Although culture determines the different ways that patients understand cancer, but it seems that the self-esteem and hope relationship could be similar in different cultures. The findings of this study indicate that nurses could be helpful through designing and implementing appropriate educational programs in order to enhance hope and self-esteem of leukemia patients.

  18. 7 CFR 319.8-22 - Ports of entry or export.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 5 2010-01-01 2010-01-01 false Ports of entry or export. 319.8-22 Section 319.8-22... SERVICE, DEPARTMENT OF AGRICULTURE FOREIGN QUARANTINE NOTICES Foreign Cotton and Covers Miscellaneous Provisions § 319.8-22 Ports of entry or export. When ports of entry or export are not specifically designated...

  19. Four-port mode-selective silicon optical router for on-chip optical interconnect.

    Science.gov (United States)

    Jia, Hao; Zhou, Ting; Fu, Xin; Ding, Jianfeng; Zhang, Lei; Yang, Lin

    2018-04-16

    We propose and demonstrate a four-port mode-selective optical router on a silicon-on-insulator platform. The passive routing property ensures that the router consumes no power to establish the optical links. For each port, input signals with different modes are selectively routed to the target ports through the pre-designed architecture. In general, the device intrinsically supports broadcasting of multiplexed signals from one port to the other three ports through mode division multiplexing. In some applications, the input signal from one port would only be sent to another port as in reconfigurable optical routers. The prototype is constructed by mode multiplexers/de-multiplexers and single-mode interconnect waveguides between them. The insertion losses for all optical links are lower than 8.0 dB, and the largest optical crosstalk values are lower than -18.7 dB and -22.0 dB for the broadcasting and port-to-port routing modes, respectively, at the wavelength range of 1525-1565 nm. In order to verify the routing functionality, a 40-Gbps bidirectional data transmission experiment is performed. The device offers a promising building block for passive routing by utilizing the dimension of the modes.

  20. 7 CFR 319.55-3 - Ports of entry.

    Science.gov (United States)

    2010-01-01

    ... through Mexican border ports and such other ports as may later be approved by the Plant Protection and... Plant Protection and Quarantine Programs. (c) Pending development of adequate treating facilities in... Regulations of the Department of Agriculture (Continued) ANIMAL AND PLANT HEALTH INSPECTION SERVICE...

  1. Safety shield for vacuum/pressure chamber viewing port

    Science.gov (United States)

    Shimansky, R. A.; Spencer, R. S. (Inventor)

    1981-01-01

    Observers are protected from flying debris resulting from a failure of a vacuum or pressure chamber viewing port following an implosion or explosion by an optically clear shatter resistant safety shield which spaced apart from the viewing port on the outer surface of the chamber.

  2. Numerical simulation on bake-out of the ITER diagnostic upper port plug

    International Nuclear Information System (INIS)

    Pak, S.; Pitcher, C.S.; Kalish, M.R.; Cheon, M.S.; Seon, C.R.; Lee, H.G.

    2010-01-01

    The diagnostic upper port plug in ITER is fixed to the upper port of the vacuum vessel as a cantilevered beam with bolts and forms a primary vacuum boundary. It needs to be baked out for outgassing before normal operation. This study calculated the required bake-out time and the transient thermal stress during baking for the diagnostic upper port plug. The calculation was done through numerical simulation. The analysis took into consideration the gradual temperature increase of working fluid. In order to look into the effect of radiation heat transfer from the upper port plug to the vacuum vessel port, the upper vacuum vessel port was included in this analysis.

  3. Optimisation of ported yield of hemispherical ported microparticles for soft tissue augmentation

    CSIR Research Space (South Africa)

    Barnard, A

    2011-05-01

    Full Text Available degradation period and biocompatibility. Micro-porous particles are useful in soft-tissue bulking due to their relatively large surface area, low density and high degree of porosity. In this study, the authors have developed ported porous PCL particles...

  4. 33 CFR 125.11 - Form of Coast Guard Port Security Card.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Form of Coast Guard Port Security... WATERFRONT FACILITIES OR VESSELS § 125.11 Form of Coast Guard Port Security Card. The Coast Guard Port... data. ...

  5. A mixed method thematic review: the importance of hope to the dying patient.

    Science.gov (United States)

    Broadhurst, Kathleen; Harrington, Ann

    2016-01-01

    To review the literature and investigate the meaning of hope to patients receiving palliative care and to examine the themes that foster hope in those patients. Hope is often linked to the future and is a significant factor for patients dealing with adversity, such as a terminal illness. The concept of hope is underreported in the literature. Mixed method thematic review. CINAHL, Scopus, PsychINFO, Informit, PubMed, Science Direct, ProQuest, Web of Science and Google Scholar online databases were searched using keywords and inclusion and exclusion criteria published between 2003-2013. Twelve qualitative articles were thematically analysed using Braun and Clarke's (2006) steps to ascertain major themes and sub-themes. On analysis, the remaining three mixed method studies were found to reflect the themes generated by the qualitative studies. Seven key themes that increased hope were found: disease status; positive personal relationships; positive character traits; quality of life; setting and achieving goals; spirituality/religion; and hope after death. The importance of hope to dying patients was established. Hope is a very complex and personal phenomena requiring hope-enhancing strategies to be individualized. More research is needed with groups whose culture, youth or type of illness may affect their ability to foster and maintain hope. © 2015 John Wiley & Sons Ltd.

  6. The Effect of Stress Management Training on Hope in Hemodialysis Patients.

    Science.gov (United States)

    Poorgholami, Farzad; Abdollahifard, Sareh; Zamani, Marzieh; Kargar Jahromi, Marzieh; Badiyepeyma Jahromi, Zohreh

    2015-11-18

    Chronic renal failure exposes patients to the risk of several complications, which will affect every aspect of patient's life, and eventually his hope. This study aims to determine the effect of stress management group training on hope in hemodialysis patients. In this quasi-experimental single-blind study, 50 patients with renal failure undergoing hemodialysis at Motahari Hospital in Jahrom were randomly divided into stress management training and control groups. Sampling was purposive, and patients in stress management training group received 60-minute in-person training by the researcher (in groups of 5 to 8 patients) before dialysis, over 5 sessions, lasting 8 weeks, and a researcher-made training booklet was made available to them in the first session. Patients in the control group received routine training given to all patients in hemodialysis department. Patients' hope was recorded before and after intervention. Data collection tools included demographic details form, checklist of problems of hemodialysis patients and Miller hope scale (MHS). Data were analyzed in SPSS-18, using Chi-square, one-way analysis of variance, and paired t-test. Fifty patients were studied in two groups of 25 each. No significant difference was observed between the two groups in terms of age, gender, or hope before intervention. After 8 weeks of training, hope reduced from 95.92±12.63 to 91.16±11.06 (P=0.404) in the control group, and increased from 97.24±11.16 to 170.96±7.99 (P=0.001) in the stress management training group. Significant differences were observed between the two groups in hope scores after the intervention. Stress management training by nurses significantly increased hope in hemodialysis patients. This low cost intervention can be used to improve hope in hemodialysis patients.

  7. Cost Consequences of a Port-Related Supply Chain Disruption

    Directory of Open Access Journals (Sweden)

    Hui Shan LOH

    2015-09-01

    Full Text Available Port functionality is a significant and important aspect of cargo transportation. Previous studies have identified a list of port-related supply chain disruption threats and developed a management model that seeks to address these threats. This paper adds value to these related studies by comparing four consequences of an example of these threats: (1 avoidance of disruption, (2 mitigation of disruption, (3 deviation of transportation plan and (4 delays and deviation of transportation plan. The impact of these consequences is simulated in a case study using data from a chemical manufacturer based in Singapore. This paper quantitatively measures the impact of a port-related threat on supply chains and thus highlights the importance of port-related supply chain disruption management.

  8. Hope and cardiovascular health-promoting behaviour: education alone is not enough.

    Science.gov (United States)

    Feldman, David B; Sills, Jonathan R

    2013-01-01

    We investigated hope's ability to predict cardiovascular disease (CVD) knowledge and health-promoting behaviours. Snyder defined hope as the combination of goal-directed planning and motivation, and theorised that high-hope people seek knowledge relevant to goal pursuits. We surveyed 391 Latino and Asian participants undergoing CVD risk screening, nearly all immigrants to the USA. This was a particularly important sample because, in general, these populations are considered underserved and under-researched. Pre-screening hope levels were measured. After screening and education, participants rated perceived importance of behaviour change. Behaviour change (salt/fat intake, exercise, CVD information-seeking and visiting a physician) and CVD knowledge were assessed one month later by telephone. Unexpectedly, hope did not predict knowledge. However, hope predicted self-reported behaviour change, though results differed by ethnicity. Among Asian individuals, hope × knowledge predicted reduced salt/fat, CVD information-seeking and physician visits. Among Latino individuals, hope × perceived importance of diet change predicted reduced salt/fat and hope × perceived importance of exercise change predicted increased exercise.

  9. [A Comparative Study of Acute and Chronic Pain between Single Port and Triple Port Video-assisted Thoracic Surgery for Lung Cancer].

    Science.gov (United States)

    Li, Caiwei; Xu, Meiqing; Xu, Guangwen; Xiong, Ran; Wu, Hanran; Xie, Mingran

    2018-04-20

    Through the comparative analysis of the acute and chronic pain postoperative between the single port and triple port video-assisted thoracic surgery to seek the better method which can reduce the incidence of acute and chronic pain in patients with lung cancer. Data of 232 patients who underwent single port -VATS (n=131) or triple port VATS (n=101) for non-small cell lung cancer (NSCLC) on January 1, 2016 to June 30, 2017 in our hospital were analyzed. The clinical and operative data were assessed, numeric rating scale (NRS) was used to evaluate the mean pain score on the 1th, 2th, 3th, 7th, 14th days, 3th months and 6th months postoperative. Both groups were similar in clinical characteristics, there were no perioperative death in two groups. In the 1th, 2th, 7th, 14th days and 3th, 6th months postoperative, the NRS score of the single port group was superior, and the difference was significant compared with the triple port (P0.05). Univariate and multivariate analysis of the occurrence on the chronic pain showed that the operation time, surgical procedure and the 14th NRS score were risk factors for chronic pain (Pport thoracoscopic surgery has an advantage in the incidence of acute and chronic pain in patients with non-small cell lung cancer. Shorter operative time can reduce the occurrence of chronic pain. The 14th day NRS score is a risk factor for chronic pain postoperative.

  10. What Happens at the House of Hope | NIH MedlinePlus the Magazine

    Science.gov (United States)

    ... of Hope Follow us What Happens at the House of Hope? Discovery documentary showcases important research at ... at the Clinical Center also known as the “House of Hope.” Two of the patients have cancer ...

  11. 33 CFR 165.813 - Security Zones; Ports of Houston and Galveston, TX.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Security Zones; Ports of Houston... Security Zones; Ports of Houston and Galveston, TX. (a) Location. Within the Ports of Houston and Galveston... yards of a cruise ship unless expressly authorized by the Coast Guard Captain of the Port Houston...

  12. The Role of Hope for Adolescents with a Chronic Illness: An Integrative Review.

    Science.gov (United States)

    Griggs, Stephanie; Walker, Rachel K

    2016-01-01

    Hope is a human strength essential for adolescents' enduring and coping with chronic illness however, the role of hope is not well understood in this population. This integrative review describes what is currently known about the role of hope in adolescents with a chronic illness. A methodological review using an integrative approach by R. Whittemore and K. Knafl (2005) was performed. MEDLINE via Pubmed; CINAHL; PyscINFO and Google scholar were searched for articles published in peer-reviewed journals from 1995 to 2015, using search terms 'hope and chronic illness' with age limiters for all except Google scholar (title search of "hope and adolescents"). Of the 197 studies initially retrieved: a total of 27 quantitative studies, 8 qualitative studies and 19 theoretical works were selected for review. Seven themes emerged including that hope: (i) promotes health (ii) facilitates coping and adjustment, (iii) enhances quality of life, (iv) is essential in purpose in life and illness (v) improves self-esteem, (vi) is an important factor in resilience and (vii) affects maturation. Persons reporting higher levels of hope find multiple routes to goals, view setbacks as challenges, and better manage psychological symptoms. Although theory and a limited body of empirical research to date suggest a link between hopeful thinking and physical health, the specific mechanisms remain unclear. As hope is linked to resilience, further research should explore whether adolescents with higher hope return to baseline faster than their lower hope counterparts. Copyright © 2016 Elsevier Inc. All rights reserved.

  13. Hope, emotion regulation, and psychosocial well-being in patients newly diagnosed with cancer.

    Science.gov (United States)

    Peh, Chao Xu; Kua, Ee Heok; Mahendran, Rathi

    2016-05-01

    Patients newly diagnosed with cancer are often confronted with feelings of uncertainty and life threat. A significant proportion may report impairments in psychosocial well-being. Previous studies examining protective psychological factors such as hope and emotion regulation (ER) have yet to investigate these processes concurrently within a common self-regulation framework and/or focus on newly diagnosed patients. The present study aimed to examine how hope and ER may relate to psychosocial outcomes of patients newly diagnosed with cancer. The present study used a cross-sectional design with self-report questionnaires. Participants were newly diagnosed patients (N = 101) recruited from three cancer therapy clinics in a hospital. Patients completed measures of hope, ER (cognitive reappraisal and expressive suppression), and psychosocial well-being (life satisfaction and negative affectivity). Findings showed that (1) hope and reappraisal, but not suppression, were associated with well-being and (2) the interaction between hope and reappraisal was associated with well-being; reappraisal was not associated with well-being in high hope patients, while high reappraisal was associated with better well-being in low hope patients. Individual differences in hope and reappraisal appeared to be associated with psychosocial outcomes in newly diagnosed cancer patients. Hopeful thinking appeared to benefit patients' psychosocial well-being. In addition, an interaction effect between hope and reappraisal suggested that reappraisal as an ER strategy may be particularly adaptive for patients with low hope.

  14. A Location-Allocation Model for Seaport-Dry Port System Optimization

    Directory of Open Access Journals (Sweden)

    Xuejun Feng

    2013-01-01

    Full Text Available Seaports participate in hinterland economic development through partnerships with dry ports, and the combined seaport-dry port network serves as the backbone of regional logistics. This paper constructs a location-allocation model for the regional seaport-dry port network optimization problem and develops a greedy algorithm and a genetic algorithm to obtain its solution. This model is applicable to situations under which the geographic distribution of demand is known. A case study involving configuration of dry ports near the west bank of the Taiwan Strait is conducted, and the model is successfully applied.

  15. Sustainability as a procurement criterion for port investments

    NARCIS (Netherlands)

    Broesterhuizen, E.F.M.; Vellinga, T.; Docters van Leeuwen, L.; Taneja, P.; Zwakhals, J.W.; Nijdam, M.H.

    2012-01-01

    Ports are known to be one of the most polluting sectors, and therefore provide an opportunity to reduce emission significantly. Until now, the attention has been given to reduction of emissions in transport and shipping. The scope of research must expand to include port infrastructures, which should

  16. Exploration of an ancient port: Elephanta Island (Bombay)

    Digital Repository Service at National Institute of Oceanography (India)

    Rao, S.R.; Gaur, A; Tripati, S.

    of amphora sherds were recovered from the site. Morabandar was busy port during 4th-5th century AD as a large number of coins of this period have been found. While Shetbandar served as port till modern period. Onshore and inter tidal zone explorations brought...

  17. 76 FR 36318 - Safety Zone; Waterway Closure, Morgan City-Port Allen Route From Mile Marker 0 to Port Allen Lock

    Science.gov (United States)

    2011-06-22

    ... Executive Order 13045, Protection of Children from Environmental Health Risks and Safety Risks. This rule is not an economically significant rule and does not create an environmental risk to health or risk to...-AA00 Safety Zone; Waterway Closure, Morgan City-Port Allen Route From Mile Marker 0 to Port Allen Lock...

  18. Land-cover mapping of Red Rock Canyon National Conservation Area and Coyote Springs, Piute-Eldorado Valley, and Mormon Mesa Areas of Critical Environmental Concern, Clark County, Nevada

    Science.gov (United States)

    Smith, J. LaRue; Damar, Nancy A.; Charlet, David A.; Westenburg, Craig L.

    2014-01-01

    DigitalGlobe’s QuickBird satellite high-resolution multispectral imagery was classified by using Visual Learning Systems’ Feature Analyst feature extraction software to produce land-cover data sets for the Red Rock Canyon National Conservation Area and the Coyote Springs, Piute-Eldorado Valley, and Mormon Mesa Areas of Critical Environmental Concern in Clark County, Nevada. Over 1,000 vegetation field samples were collected at the stand level. The field samples were classified to the National Vegetation Classification Standard, Version 2 hierarchy at the alliance level and above. Feature extraction models were developed for vegetation on the basis of the spectral and spatial characteristics of selected field samples by using the Feature Analyst hierarchical learning process. Individual model results were merged to create one data set for the Red Rock Canyon National Conservation Area and one for each of the Areas of Critical Environmental Concern. Field sample points and photographs were used to validate and update the data set after model results were merged. Non-vegetation data layers, such as roads and disturbed areas, were delineated from the imagery and added to the final data sets. The resulting land-cover data sets are significantly more detailed than previously were available, both in resolution and in vegetation classes.

  19. Students’ voice: The hopes and fears of student-teacher candidates

    Directory of Open Access Journals (Sweden)

    Shirli Shoyer

    2016-12-01

    Full Text Available It is widely claimed that learners interpret new information and experiences through their existing network of knowledge, experience, and beliefs. Research on professional identities of teachers highlight the impact of biographical factors such as teachers schooling experiences, motivations for entering teacher education programs, their initial teacher education experiences and contexts of professional practice, as influential of “construction, deconstruction and reconstruction” of teachers’ professional identities and the kind of teachers they become. The study investigates teacher education candidates’ hopes and fears concerning their future career as teachers. An open-ended questionnaire was distributed to 90 candidates in a teacher education college. The qualitative analysis identifies the domains of candidates’ hope and fears. The findings reveal that candidates expressed more hopes then fears. Their hopes and fears correspond with qualities of the “good teacher” and effective teaching. The study can support the development of prospective teachers towards expertise in teaching and assist program designers and educators in strengthening education programs by catering for students’ needs, taking into consideration their hopes and concerns.

  20. Symptomatic Tarlov Cysts: Surgical Treatment by Subcutaneous Infusion Port.

    Science.gov (United States)

    Huang, Ying; Zhu, Tong; Lin, Hongyi; Li, Jing; Zeng, Tao; Lin, Jian

    2018-05-01

    The treatment of Tarlov cysts is challenging and difficult. The objective of our study was to describe the security and efficacy of the subcutaneous infusion port for drainage of symptomatic Tarlov cysts. The authors executed a retrospective review of data from 5 symptomatic Tarlov cysts patients who were treated using a subcutaneous infusion port from June 2014 to July 2017. Numerical Rating Scale scores and the Japanese Orthopedic Association scores of back pain were analyzed. Complications and adverse effects on postoperative days 1, 7, 14, and 28 were also analyzed. The mean follow-up was 12.6 months. Five adults (3 females and 2 males) who had been symptomatic received a subcutaneous infusion port. After treatment, all patients experienced pain relief and pain alleviation lasted from 1 day to 3 years without complications and adverse effects. A subcutaneous infusion port is a useful treatment option for symptomatic Tarlov cysts. When the patients' symptoms returned and the cysts repressurized, we quickly and simply drained the cysts by using the infusion port. Copyright © 2018 Elsevier Inc. All rights reserved.

  1. Biopsychosocial correlates of hope in Asian patients with cancer: a systematic review.

    Science.gov (United States)

    Mahendran, Rathi; Chua, Shi Min; Lim, Haikel A; Yee, Isaac J; Tan, Joyce Y S; Kua, Ee Heok; Griva, Konstadina

    2016-10-06

    To examine the factors associated with hope and hopelessness in patients with cancer in Asian countries, and the instruments used to measure hope and hopelessness. A comprehensive systematic review was conducted with search terms, including cancer, hope, hopelessness and individual Asian country names, on CINAHL, Embase, PsycINFO, PubMed and Scopus databases. Only quantitative studies on adult cancer populations in Asia examining hope or hopelessness were included. A total of 2062 unique articles were retrieved from the databases, and 32 studies were selected for inclusion in this review. Hope and hopelessness were most frequently measured with the Herth Hope Index and the Mental Adjustment to Cancer Scale, respectively. The biopsychosocial factors that were most consistently associated with hope and hopelessness included sociodemographic variables (education, employment and economic status); clinical factors (cancer stage, physical condition and symptoms); and psychosocial factors (emotional distress, social support and connections, quality of life, control or self-efficacy, as well as adjustment and resilience). There is a need for more studies from South and Southeast Asia as most studies hailed from East Asia. This review highlighted the possibility of cultural differences influencing factors related to hope, suggesting that cross-cultural studies specifically would facilitate understanding behind these variations, although future reviews on hope should also include studies on hopelessness for a comprehensive understanding of the concept. Finally, more longitudinal research could be conducted to assess whether the factors associated with hope and hopelessness change over time and disease progression. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  2. Sustaining hope as a moral competency in the context of aggressive care.

    Science.gov (United States)

    Peter, Elizabeth; Mohammed, Shan; Simmonds, Anne

    2015-11-01

    Nurses who provide aggressive care often experience the ethical challenge of needing to preserve the hope of seriously ill patients and their families without providing false hope. The purpose of this inquiry was to explore nurses' moral competence related to fostering hope in patients and their families within the context of aggressive technological care. A secondary purpose was to understand how this competence is shaped by the social-moral space of nurses' work in order to capture how competencies may reflect an adaptation to a less than ideal work environment. A critical qualitative approach was used. Fifteen graduate nursing students from various practice areas participated. After receiving ethics approval from the university, signed informed consent was obtained from participants before they were interviewed. One overarching theme 'Mediating the tension between providing false hope and destroying hope within biomedicine' along with three subthemes, including 'Reimagining hopeful possibilities', 'Exercising caution within the social-moral space of nursing' and 'Maintaining nurses' own hope', was identified, which represents specific aspects of this moral competency. This competency represents a complex, nuanced and multi-layered set of skills in which nurses must be well attuned to the needs and emotions of their patients and families, have the foresight to imagine possible future hopes, be able to acknowledge death, have advanced interpersonal skills, maintain their own hope and ideally have the capacity to challenge those around them when the provision of aggressive care is a form of providing false hope. The articulation of moral competencies may support the development of nursing ethics curricula to prepare future nurses in a way that is sensitive to the characteristics of actual practice settings. © The Author(s) 2014.

  3. Attachment, hope, and participation: Testing an expanded model of Snyder's hope theory for prediction of participation for individuals with spinal cord injury.

    Science.gov (United States)

    Blake, John; Yaghmaian, Rana; Brooks, Jessica; Fais, Connor; Chan, Fong

    2018-05-01

    The aim of the study was to test an expanded model of Snyder's hope theory for prediction of participation for individuals with spinal cord injury (SCI). Statistical model testing focused on evaluation of hope theory constructs (i.e., agency thoughts and pathways thoughts) as serial mediators of relationships between attachment and community participation. Quantitative, cross-sectional, descriptive design using multiple regression and correlational techniques. The sample comprised 108 persons with SCI recruited from spinal cord injury advocacy organizations in the United States, the United Kingdom, and Canada. Secure attachment, avoidant attachment, anxious attachment, and the hope constructs were significantly related to participation. Significant mediational effects were observed when agency thoughts and pathways thoughts were specified as mediators in series between attachment and community participation for people with SCI (i.e., agency specified as M1 and pathways specified as M2). Results provide support for Snyder's theoretical conceptualization and the use of hope-based interventions by rehabilitation practitioners for improving global participation outcomes for people with SCI who experience attachment-related difficulties. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

  4. Organizational and Managerial Structures, Financing and Other Elements of the Port System of Slovenia

    Directory of Open Access Journals (Sweden)

    Milojka Počuča

    2007-01-01

    Full Text Available The article gives a presentation of the port system of theRepublicof Slovenia and of the organizational, ownership andmanagerial structure of Slovenia's only cargo port in Koper.The analysis of the organizational, ownership and managerialstructure was carried out according to the methodology appliedin the European project entitled "Commission Staff WorkingProject on Public Financing and Charging Practices in theCommunity Sea Port Sector". The article performs a compara·tive analysis of the port of Koper with other ports of the EU inthe domain of organization, ownership and management, publicfinancing, accountancy monitoring of public money investedin the port infrastructure, principles of cost recovery ofinvested capital and possibilities of access of port operators tothe port infrastructure of the Slovenian cargo port. The articlepoints to the possibilities of ownership and managementchanges in the port of Koper.

  5. A web-based screening tool for near-port air quality assessments

    Science.gov (United States)

    The Community model for near-PORT applications (C-PORT) is a screening tool with an intended purpose of calculating differences in annual averaged concentration patterns and relative contributions of various source categories over the spatial domain within about 10 km of the port...

  6. Deepwater Ports in US waters as of August 2013

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Deepwater Port Licensing Program is the application process designed to promote the construction of LNG and oil deepwater ports. This license system was...

  7. HOPE: A Python just-in-time compiler for astrophysical computations

    Science.gov (United States)

    Akeret, J.; Gamper, L.; Amara, A.; Refregier, A.

    2015-04-01

    The Python programming language is becoming increasingly popular for scientific applications due to its simplicity, versatility, and the broad range of its libraries. A drawback of this dynamic language, however, is its low runtime performance which limits its applicability for large simulations and for the analysis of large data sets, as is common in astrophysics and cosmology. While various frameworks have been developed to address this limitation, most focus on covering the complete language set, and either force the user to alter the code or are not able to reach the full speed of an optimised native compiled language. In order to combine the ease of Python and the speed of C++, we developed HOPE, a specialised Python just-in-time (JIT) compiler designed for numerical astrophysical applications. HOPE focuses on a subset of the language and is able to translate Python code into C++ while performing numerical optimisation on mathematical expressions at runtime. To enable the JIT compilation, the user only needs to add a decorator to the function definition. We assess the performance of HOPE by performing a series of benchmarks and compare its execution speed with that of plain Python, C++ and the other existing frameworks. We find that HOPE improves the performance compared to plain Python by a factor of 2 to 120, achieves speeds comparable to that of C++, and often exceeds the speed of the existing solutions. We discuss the differences between HOPE and the other frameworks, as well as future extensions of its capabilities. The fully documented HOPE package is available at http://hope.phys.ethz.ch and is published under the GPLv3 license on PyPI and GitHub.

  8. Operational Optimization in Port Container Terminals

    DEFF Research Database (Denmark)

    As a result of the significant increase in worldwide containerized transportation the development of efficient handling systems in marine terminals has become very important for port competitiveness. In order to optimize the productivity the total handling time for containers in the terminal must...... be minimized. An overview of the different operational problems in port container terminals is presented and an aggregated model and solution approach is shown. Next, there will be focused on the yard storage problem and a mathematical formulation and solution proposals will be presented....

  9. Environmental and health impact assessment for ports in Thailand.

    Science.gov (United States)

    Chanchang, Chamchan; Sithisarankul, Pornchai; Supanitayanon, Thanawat

    2016-01-01

    Port development in Thailand is an essential part of the national maritime interest in connection with ship and shore activities. The growth of maritime industry and transportation has led to the expansion of ports' areas and capacity. Each port type causes different environmental impacts. Therefore, the Port Authority of Thailand has set up guidelines on ports' environmental management. This is divided into 3 major phases; namely, planning, construction and operation commencement periods. The Report of Environmental and Health Impact Assessment (EIA, HIA and EHIA) is regarded as the environmental management process in the planning period. It is a key tool to anticipate and prevent any adverse effects that might occur on the environment as well as community health resulting from the project implementation. This measure, in turn, creates advance preparation on both the preventive and problem-solving means before the project gets off the ground. At present, the majority of new projects on port development have still been in the process of information gathering for EHIA submission. Some cannot start to operate due to their EHIA failure. For example, the Tha-sala port which did not pass EHIA, mainly because emphasis had been focused on adhering to legal regulations without taking into consideration the in-depth analysis of data being conducted by community entities in the area. Thus caused the project to be finally abolished. Impact assessment on environment and health should be aimed at detailed understanding of the community in each particular area so that effective data of objective achievement in preventing environmental problems could actually be carried out and welcomed by the concerned society.

  10. HFB : A FASTBUS multi event double port buffer memory

    International Nuclear Information System (INIS)

    Cerrito, L.; Lebbolo, H.

    1986-01-01

    The authors describe here the FB double port buffer memory developed at the LPNHE of the University Paris VI. Its purposes are to make available same features useful in the High Energy environment, to reduce, for a given amount of memory, the dead time data collection in a large size (in term of read-out channels) High Energy experiment and to get a buffer of memory as cheap and reliable as possible. The FB protocol, on the crate and cable side, is exploited using the coupler on 4 PAL's developed by G.Fremont and E.Sanchis. The DATA-Space is divided in 4 independent smaller blocks in a way such that a block can be accessed from a port while a different block is accessed from the other port. The two ports are: A, the FB crate port and B, the FB cable port. The buffer works as a rotary FIFO, looping over the 4 blocks of memory, but allowing for any random access. A mechanism is implemented on the board in order to be able to link different modules placed everywhere. If there are m modules, the looping will be around m 4 memory blocks. A multi event function is implemented on the board. HFB is quiped of two NTA for the DATA-Space on the port ''A'', and a flag to choose between them, to allow for a FB spying of DATA during the DAS dead time. HFB is a buffer of memory which can be used at each stage of a DAS: Frontend, Intermediate (MEB) or final, being completely FB standard. The HFB was designed for the LEP data acquisition system

  11. The Power of Hope

    Science.gov (United States)

    Larson, Scott

    2013-01-01

    Many youth who have experienced pain and trauma have learned to survive. But surviving is not the same as thriving. Humans are able to flourish only as they find hope. How can adults help youth envision positive futures? One strategy is to help youth to have a concrete vision of a future worth having. One exercise asks young people to write their…

  12. Developing Port Klang as National Load Centre and Regional Hub Through Synchronized Supply Chain and Efficient Port Operation

    OpenAIRE

    Fong, Loo Ming

    2007-01-01

    The ocean covers more than two third of the earth’s surface and this provides immense maritime opportunities in marine transportation and trade. Ships that ply the maritime domain are primary mode of transportation and carry about 80% of the world trade volume (Organisation of Economic Cooperation and Development, OECD July 2003). Port Operations and ancillary services such as freight forwarding, shipping play an enormous role in generating economic growth. Seaborne trades through port termin...

  13. A Mixed Integer Programming for Port Anzali Development Plan

    OpenAIRE

    Mahdieh Allahviranloo

    2009-01-01

    This paper introduces a mixed integer programming model to find the optimum development plan for port Anzali. The model minimizes total system costs taking into account both port infrastructure costs and shipping costs. Due to the multipurpose function of the port, the model consists of 1020 decision variables and 2490 constraints. Results of the model determine the optimum number of berths that should be constructed in each period and for each type of cargo. In addition to, the results of se...

  14. Two port network analysis for three impedance based oscillators

    KAUST Repository

    Said, Lobna A.

    2011-12-01

    Two-port network representations are applied to analyze complex networks which can be dissolved into sub-networks connected in series, parallel or cascade. In this paper, the concept of two-port network has been studied for oscillators. Three impedance oscillator based on two port concept has been analyzed using different impedance structures. The effect of each structure on the oscillation condition and the frequency of oscillation have been introduced. Two different implementations using MOS and BJT have been introduced. © 2011 IEEE.

  15. Dual-port distal gastrectomy for the early gastric cancer.

    Science.gov (United States)

    Kashiwagi, Hiroyuki; Kumagai, Kenta; Monma, Eiji; Nozue, Mutsumi

    2015-06-01

    Although recent trends in laparoscopic procedures have been toward minimizing the number of incisions, four or five ports are normally required to complete laparoscopic gastrectomy because of the complexity of this procedure. Multi-channel ports, such as the SILS port (Covidien, JAPAN), are now available and are crucial for performing single-incision laparoscopic surgery (SILS) or reduced port surgery (RPS). We carried out reduced port distal gastrectomy (RPDG) using a dual-port method with a SILS port. Ten patients who were diagnosed as early stage gastric cancer were offered the RPDG. Mean age and body mass index (BMI) were 68.1 and 21.4, respectively. No distant metastasis or regional lymph node swelling was seen in any case. A 5-mm flexible scope (Olympus, JAPAN) and SILS port were used and a nylon ligature with a straight needle, instead of a surgical instrument, was available to raise the gastric wall. The average operative time was 266.9 ± 38.3 min and blood loss was 37.8 ± 56.8 ml. Patients recovered well and experienced no complications after surgery. All patients could tolerate soft meals on the first day after surgery and the average hospital stay was 8.1 days. Past conventional LAG cases were evaluated to compare the short-term outcome and no difference was seen in the mean operative time or operative blood loss. The length of hospital stay after surgery was shorter for the RPDG group than the conventional operation group (p < 0.0001). Interestingly, the trend of serum CRP elevation after surgery was lower in the RPDG group than the conventional LAG group (p = 0.053). Although the benefits of RPS have not been established, this type of surgery may be expected to have some advantages. Cosmetic benefits and shorter hospital stays are clear advantages. Less invasiveness can be expected according to the trend of serum CRP elevation after RPDG.

  16. Investing in Port Infrastructure to Lower Trade Costs in East Asia

    Directory of Open Access Journals (Sweden)

    Kazutomo Abe

    2011-06-01

    Full Text Available We examine how port infrastructure affects trade and role of transport costs in driving exports and imports for East Asia. Existing studies use survey indexes to explain transport costs. These do not link investment in port infrastructure to transport costs. We include in our estimates a variable to represent the congestion of the ports to explain the transport costs. We find that the port congestion has significantly increased the transport costs from East Asia to the United States. Our analysis suggests that increase in port capacity by 10 percent could cut transport cost in East Asia by up to three percent. This translates into a 0.3 to 0.5 percent across-the-board tariff cut.

  17. Ergon-trial: ergonomic evaluation of single-port access versus three-port access video-assisted thoracic surgery.

    Science.gov (United States)

    Bertolaccini, Luca; Viti, Andrea; Terzi, Alberto

    2015-10-01

    Single-port access video-assisted thoracic surgery (VATS), a technique progressively developed from the standard three-port approach in minimally invasive surgery, offers ergonomic advantages but also new challenges for the surgeon. We compared the ergonomics of three-port versus single-port VATS. Posture analysis of surgeons was evaluated during 100 consecutive VATS wedge resections (50 triportal vs. 50 uniportal). Technically demanding procedures (major lung resection) were excluded. Operating table height, monitor height, distance and inclination were adjusted according to operator preference. Body posture was assessed by measuring head-trunk axial rotation and head flexion. Perceived physical strain was self-evaluated on the Borg Category Ratio (CR-10) scale. Mental workload was assessed with the National Aeronautics Space Administration-Task Load indeX (NASA-TLX), a multidimensional tool that rates workloads on six scales (mental, physical and temporal demand; effort; performance; frustration). All procedures were completed without complications. Head-trunk axial rotation was significantly reduced and neck flexion significantly improved in uniportal VATS. Viewing direction significantly declined (p = 0.01), body posture as measured on the Borg CR-10 scale was perceived as more stressful and the NASA-TLX score for overall workload was higher (p = 0.04) during triportal VATS. The NASA-TLX score for frustration was higher with uniportal VATS (p = 0.02), but the score for physical demand was higher in triportal VATS (p = 0.006). The surgeon can maintain a more neutral body posture during uniportal VATS by standing straight and facing the monitor with only minimal neck extension/rotation; however, frustration is greater than with triportal VATS.

  18. 33 CFR 80.1440 - Port Allen, Kauai, HI.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Port Allen, Kauai, HI. 80.1440 Section 80.1440 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY INTERNATIONAL NAVIGATION RULES COLREGS DEMARCATION LINES Pacific Islands § 80.1440 Port Allen, Kauai, HI. A line drawn from...

  19. Very High Frequency Two-Port Characterization of Transistors

    DEFF Research Database (Denmark)

    Hertel, Jens Christian; Nour, Yasser; Jørgensen, Ivan Harald Holger

    To properly use transistors in VHF converters, they need to be characterized under similar conditions. This research presents a two-port method, using a network analyzer (NWA) with a S-port setup. The method is a one-shot method, providing fast results of the off-state parasitics of the transistors....

  20. Hope and Life Satisfaction in Black College Students Coping with Race-Related Stress

    Science.gov (United States)

    Danoff-Burg, Sharon; Prelow, Hazel M.; Swenson, Rebecca R.

    2004-01-01

    This exploratory study examined the effects of hope and coping with race-related stress on life satisfaction in Black college students. Findings indicated that students with high hope had greater coping efficacy and used more problem-focused coping than students with low hope. Neither coping nor hope had a direct effect on life satisfaction.…