ATLAS: Exceeding all expectations

CERN Multimedia

CERN Bulletin

2010-01-01

“One year ago it would have been impossible for us to guess that the machine and the experiments could achieve so much so quickly”, says Fabiola Gianotti, ATLAS spokesperson. The whole chain – from collision to data analysis – has worked remarkably well in ATLAS.   The first LHC proton run undoubtedly exceeded expectations for the ATLAS experiment. “ATLAS has worked very well since the beginning. Its overall data-taking efficiency is greater than 90%”, says Fabiola Gianotti. “The quality and maturity of the reconstruction and simulation software turned out to be better than we expected for this initial stage of the experiment. The Grid is a great success, and right from the beginning it has allowed members of the collaboration all over the world to participate in the data analysis in an effective and timely manner, and to deliver physics results very quickly”. In just a few months of data taking, ATLAS has observed t...

Assessment of the potential consequences of a large primary to secondary leakage accident. Final report

International Nuclear Information System (INIS)

D'Auria, F.S.; Sartmadjiev, A.; Spalj, S.; Macek, J.; Kantee, H.; Elter, J.; Kostka, P.; Bukin, N.; Alexandrov, A.G.; Kristof, M.; Kvizda, B.; Matejovic, P.; Makihara, Y.

2006-01-01

The present paper discusses one of the IAEA's Coordinated Research Projects (CRPs). The CRP was started in 2003 to evaluate complex phenomena of primary to secondary leakage (PRISE) accidents for WWER-440 reactors. The first Research Coordination Meeting (RCM), held in March 2003, identified the possible consequences of PRISE accidents (radioactive release to the atmosphere, pressurized thermal shock, boron dilution, loss of integrity of secondary systems and severe accidents) and designated six task groups to evaluate these, as well as uncertainties associated with PRISE analyses. The second RCM, held in March 2004, discussed the preliminary results of each task group and addressed the main safety concerns related to PRISE phenomena as well as providing recommendations on modelling for PRISE analyses and on operator actions. The third RCM, held in March 2005, discussed the results of the work performed in 2004. The CRP was concluded in 2005. Publication of the final results of the CRP is planned as an IAEA TECDOC. The paper provides a review of the final results of the project. (author)

40 CFR 1045.107 - What are the not-to-exceed emission standards?

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 32 2010-07-01 2010-07-01 false What are the not-to-exceed emission... Emission Standards and Related Requirements § 1045.107 What are the not-to-exceed emission standards? Not...) For engines equipped with a catalyst, use NTE multipliers from the following table across the...

Primary black holes

International Nuclear Information System (INIS)

Novikov, I.; Polnarev, A.

1981-01-01

Proves are searched for of the formation of the so-called primary black holes at the very origin of the universe. The black holes would weigh less than 10 13 kg. The formation of a primary black hole is conditional on strong fluctuations of the gravitational field corresponding roughly to a half of the fluctuation maximally permissible by the general relativity theory. Only big fluctuations of the gravitational field can overcome the forces of the hot gas pressure and compress the originally expanding matter into a black hole. Low-mass black holes have a temperature exceeding that of the black holes formed from stars. A quantum process of particle formation, the so-called evaporation takes place in the strong gravitational field of a black hole. The lower the mass of the black hole, the shorter the evaporation time. The analyses of processes taking place during the evaporation of low-mass primary black holes show that only a very small proportion of the total mass of the matter in the universe could turn into primary black holes. (M.D.)

Mercury in United Kingdom topsoils; concentrations, pools, and Critical Limit exceedances

Energy Technology Data Exchange (ETDEWEB)

Tipping, E., E-mail: et@ceh.ac.uk [Centre for Ecology and Hydrology, Lancaster Environment Centre, Library Avenue, Bailrigg, Lancaster LA1 4AP (United Kingdom); Poskitt, J.M.; Lawlor, A.J.; Wadsworth, R.A. [Centre for Ecology and Hydrology, Lancaster Environment Centre, Library Avenue, Bailrigg, Lancaster LA1 4AP (United Kingdom); Norris, D.A.; Hall, J.R. [Centre for Ecology and Hydrology, Bangor, Gwynedd LL57 2UW (United Kingdom)

2011-12-15

The median total mercury concentration in 898 UK rural topsoils, sampled between 1998 and 2008, was 0.095 {mu}g g{sup -1}. Approximate adjustment for unreactive metal produced an estimate of 0.052 {mu}g g{sup -1} for reactive Hg. The highest concentrations were in the north and west, where organic-rich soils with low bulk densities dominate, but the spatial pattern was quite different if soil Hg pools (mg m{sup -2}) were considered, the highest values being near to the industrial north of England and London. Possible toxic effects of Hg were best evaluated by comparison with soil Critical Limits expressed as ratios of Hg to soil organic matter, or soil solution Hg{sup 2+} concentrations, estimated by chemical speciation modelling. Only a few percent of the rural UK soils showed exceedance, and this also applied to rural soils from the whole of Europe. UK urban and industrial soils had higher Hg concentrations and more cases of exceedance. - Highlights: > Concentrations of Hg in rural soils are highest near to industrial areas and London. > Mercury is strongly associated with soil organic matter. > Only a few percent of UK rural soils have Hg levels higher than Critical Limits. > Critical Limit exceedances are found for 15-30% of urban and industrial soils. - Mercury contents of 898 UK and 868 European rural soils are largely lower than Critical Limit values, but appreciable numbers of soils in UK urban and industrial areas show exceedance.

MLL-ENL cooperates with SCF to transform primary avian multipotent cells.

Science.gov (United States)

Schulte, Cathleen E; von Lindern, Marieke; Steinlein, Peter; Beug, Hartmut; Wiedemann, Leanne M

2002-08-15

The MLL gene is targeted by chromosomal translocations, which give rise to heterologous MLL fusion proteins and are associated with distinct types of acute lymphoid and myeloid leukaemia. To determine how MLL fusion proteins alter the proliferation and/or differentiation of primary haematopoietic progenitors, we introduced the MLL-AF9 and MLL-ENL fusion proteins into primary chicken bone marrow cells. Both fusion proteins caused the sustained outgrowth of immature haematopoietic cells, which was strictly dependent on stem cell factor (SCF). The renewing cells have a long in vitro lifespan exceeding the Hayflick limit of avian cells. Analysis of clonal cultures identified the renewing cells as immature, multipotent progenitors, expressing erythroid, myeloid, lymphoid and stem cell surface markers. Employing a two-step commitment/differentiation protocol involving the controlled withdrawal of SCF, the MLL-ENL-transformed progenitors could be induced to terminal erythroid or myeloid differentiation. Finally, in cooperation with the weakly leukaemogenic receptor tyrosine kinase v-Sea, the MLL-ENL fusion protein gave rise to multilineage leukaemia in chicks, suggesting that other activated, receptor tyrosine kinases can substitute for ligand-activated c-Kit in vivo.

3-D Nanofilm Primary Li Air Battery, Phase I

Data.gov (United States)

National Aeronautics and Space Administration — NASA requires a new primary battery capable of providing specific energy exceeding 2000Wh/kg over an operating temperature range of 0oC to 35oC with a shelf life...

Solution of the ratchet-shakedown Bree problem with an extra orthogonal primary load

International Nuclear Information System (INIS)

Bradford, R.A.W.

2015-01-01

The complete shakedown and ratcheting solution is derived analytically for a flat plate subject to unequal biaxial primary membrane stresses and a cyclic secondary bending stress in one in-plane direction (x). The Tresca yield condition and elastic-perfectly plastic behaviour are assumed. It is shown that the results can be expressed in the form of a “universal” ratchet diagram applicable for all magnitudes of orthogonal load. For sufficiently large cyclic bending stresses, tensile ratcheting can occur in the x direction if the x direction primary membrane stress exceeds half that in the orthogonal direction. Conversely, for sufficiently large cyclic bending stresses ratcheting in the x direction will be compressive if the x direction primary membrane stress is less than half that in the orthogonal direction. When the x direction primary membrane stress is exactly half that in the orthogonal direction ratcheting cannot occur however large the cyclic secondary bending stress. - Highlights: • A complete shakedown and ratcheting solution is derived analytically. • The problem is Bree-like but with an extra orthogonal primary load. • The ratchet diagram can be expressed in a form applicable to any orthogonal load. • Tensile ratcheting can occur if the primary load exceeds half the orthogonal load. • Compressive ratcheting can occur for smaller primary loads

Effects of School Quality, School Citizenship Policy, and Student Body Composition on the Acquisition of Citizenship Competences in the Final Year of Primary Education

Science.gov (United States)

Dijkstra, Anne Bert; Geijsel, Femke; Ledoux, Guuske; van der Veen, Ineke; ten Dam, Geert

2015-01-01

This study examines the effects of general educational quality of schools, school citizenship policy, and ethnic homogeneity of the student body on the acquisition of citizenship competences in the final year of primary education. The theoretical framework is based on developmental, psychological, and sociological studies into effects of social…

Influence of initial heating during final high temperature annealing on the offset of primary and secondary recrystallization in Cu-bearing grain oriented electrical steels

Science.gov (United States)

Rodriguez-Calvillo, P.; Leunis, E.; Van De Putte, T.; Jacobs, S.; Zacek, O.; Saikaly, W.

2018-04-01

The industrial production route of Grain Oriented Electrical Steels (GOES) is complex and fine-tuned for each grade. Its metallurgical process requires in all cases the abnormal grain growth (AGG) of the Goss orientation during the final high temperature annealing (HTA). The exact mechanism of AGG is not yet fully understood, but is controlled by the different inhibition systems, namely MnS, AlN and CuxS, their size and distribution, and the initial primary recrystallized grain size. Therefore, among other parameters, the initial heating stage during the HTA is crucial for the proper development of primary and secondary recrystallized microstructures. Cold rolled 0.3 mm Cu-bearing Grain Oriented Electrical Steel has been submitted to interrupted annealing experiments in a lab tubular furnace. Two different annealing cycles were applied:• Constant heating at 30°C/h up to 1000°C. Two step cycle with initial heating at 100°C/h up to 600°C, followed by 18 h soaking at 600°C and then heating at 30°C/h up to 1050°C. The materials are analyzed in terms of their magnetic properties, grain size, texture and precipitates. The characteristic magnetic properties are analyzed for the different extraction temperatures and Cycles. As the annealing was progressing, the coercivity values (Hc 1.7T [A/m]) decreased, showing two abrupt drops, which can be associated to the on-set of primary and secondary recrystallization. The primary recrystallized grain sizes and recrystallized fractions are fitted to a model using a non-isothermal approach. This analysis shows that, although the resulting grain sizes were similar, the kinetics for the two step annealing were faster due to the lower recovery. The on-set of secondary recrystallization was also shifted to higher temperatures in the case of the continuous heating cycle, which might end in different final grain sizes and final magnetic properties. In both samples, nearly all the observed precipitates are Al-Si-Mn nitrides

Influence of initial heating during final high temperature annealing on the offset of primary and secondary recrystallization in Cu-bearing grain oriented electrical steels

Directory of Open Access Journals (Sweden)

P. Rodriguez-Calvillo

2018-04-01

Full Text Available The industrial production route of Grain Oriented Electrical Steels (GOES is complex and fine-tuned for each grade. Its metallurgical process requires in all cases the abnormal grain growth (AGG of the Goss orientation during the final high temperature annealing (HTA. The exact mechanism of AGG is not yet fully understood, but is controlled by the different inhibition systems, namely MnS, AlN and CuxS, their size and distribution, and the initial primary recrystallized grain size. Therefore, among other parameters, the initial heating stage during the HTA is crucial for the proper development of primary and secondary recrystallized microstructures. Cold rolled 0.3 mm Cu-bearing Grain Oriented Electrical Steel has been submitted to interrupted annealing experiments in a lab tubular furnace. Two different annealing cycles were applied:• Constant heating at 30°C/h up to 1000°C. Two step cycle with initial heating at 100°C/h up to 600°C, followed by 18 h soaking at 600°C and then heating at 30°C/h up to 1050°C. The materials are analyzed in terms of their magnetic properties, grain size, texture and precipitates. The characteristic magnetic properties are analyzed for the different extraction temperatures and Cycles. As the annealing was progressing, the coercivity values (Hc 1.7T [A/m] decreased, showing two abrupt drops, which can be associated to the on-set of primary and secondary recrystallization. The primary recrystallized grain sizes and recrystallized fractions are fitted to a model using a non-isothermal approach. This analysis shows that, although the resulting grain sizes were similar, the kinetics for the two step annealing were faster due to the lower recovery. The on-set of secondary recrystallization was also shifted to higher temperatures in the case of the continuous heating cycle, which might end in different final grain sizes and final magnetic properties. In both samples, nearly all the observed precipitates are Al

Borderline personality disorder in the primary care setting.

Science.gov (United States)

Dubovsky, Amelia N; Kiefer, Meghan M

2014-09-01

Borderline personality disorder is estimated to be present in approximately 6% of outpatient primary care settings. However, the time and energy spent on this population can greatly exceed what primary care doctors are able to spend. This article gives an overview of borderline personality disorder, including the clinical characteristics, epidemiology, and comorbidities, as well as pharmacologic and most important behavioral management. It is our hope that, with improved understanding of the disorder and skills for managing this population, caring for patients with the disorder can be more satisfying and less taxing for both primary care doctors and their patients. Copyright © 2014 Elsevier Inc. All rights reserved.

Clinical and psychosocial predictors of exceeding target length of stay during inpatient stroke rehabilitation.

Science.gov (United States)

Lai, Wesley; Buttineau, Mackenzie; Harvey, Jennifer K; Pucci, Rebecca A; Wong, Anna P M; Dell'Erario, Linda; Bosnyak, Stephanie; Reid, Shannon; Salbach, Nancy M

2017-10-01

In Ontario, Canada, patients admitted to inpatient rehabilitation hospitals post-stroke are classified into rehabilitation patient groups based on age and functional level. Clinical practice guidelines, called quality-based procedures, recommend a target length of stay (LOS) for each group. The study objective was to evaluate the extent to which patients post-stroke at an inpatient rehabilitation hospital are meeting LOS targets and to identify patient characteristics that predict exceeding target LOS. A quantitative, longitudinal study from an inpatient rehabilitation hospital was conducted. Participants included adult patients (≥18 years) with stroke, admitted to an inpatient rehabilitation hospital between 2014 and 2015. The percentage of patients exceeding the recommended target LOS was determined. Logistic regression was performed to identify clinical and psychosocial patient characteristics associated with exceeding target LOS after adjusting for stroke severity. Of 165 patients, 38.8% exceeded their target LOS. Presence of ataxia, recurrent stroke, living alone, absence of a caregiver at admission, and acquiring a caregiver during hospital LOS was each associated with significantly higher odds of exceeding target LOS in comparison to patients without these characteristics after adjusting for stroke severity (p stroke-specific factors may be helpful to adjust LOS expectations and promote efficient resource allocation. This exploratory study was limited to findings from one inpatient rehabilitation hospital. Cross-validation of results using data-sets from multiple rehabilitation hospitals across Ontario is recommended.

Estimating the exceedance probability of rain rate by logistic regression

Science.gov (United States)

Chiu, Long S.; Kedem, Benjamin

1990-01-01

Recent studies have shown that the fraction of an area with rain intensity above a fixed threshold is highly correlated with the area-averaged rain rate. To estimate the fractional rainy area, a logistic regression model, which estimates the conditional probability that rain rate over an area exceeds a fixed threshold given the values of related covariates, is developed. The problem of dependency in the data in the estimation procedure is bypassed by the method of partial likelihood. Analyses of simulated scanning multichannel microwave radiometer and observed electrically scanning microwave radiometer data during the Global Atlantic Tropical Experiment period show that the use of logistic regression in pixel classification is superior to multiple regression in predicting whether rain rate at each pixel exceeds a given threshold, even in the presence of noisy data. The potential of the logistic regression technique in satellite rain rate estimation is discussed.

Primary aromatic amines (PAAs) in black nylon and other food-contact materials, 2004-2009

DEFF Research Database (Denmark)

Trier, Xenia Thorsager; Okholm, B.; Foverskov, Annie

2010-01-01

Primary aromatic amines (PAAs) were analysed by liquid chromatography-tandem mass spectrometry (LC-MS/MS) in migrates from 234 samples of food-contact materials, including black nylon (polyamide) kitchen utensils (n = 136), coloured plastics (28), and clear/printed multilayer film/laminates (41......), from retailers, importers, and food producers. A further 29 utensils in use were obtained from colleagues. Very high PAA migration was found from black nylon kitchen utensils to the food simulant 3% acetic acid: the 'non-detectable' limit (20 mu g aniline equivalents kg-1 food) was exceeded by up...... migration test conditions influenced the final test results. Long-term release of PAAs was fitted by diffusion modelling experiments and long-term release was also seen as expected from used utensils. Toxicologists consider these migration levels of the suspected carcinogenic PAAs as a problem of major...

Smartphone threshold audiometry in underserved primary health-care contexts.

Science.gov (United States)

Sandström, Josefin; Swanepoel, De Wet; Carel Myburgh, Hermanus; Laurent, Claude

2016-01-01

To validate a calibrated smartphone-based hearing test in a sound booth environment and in primary health-care clinics. A repeated-measure within-subject study design was employed whereby air-conduction hearing thresholds determined by smartphone-based audiometry was compared to conventional audiometry in a sound booth and a primary health-care clinic environment. A total of 94 subjects (mean age 41 years ± 17.6 SD and range 18-88; 64% female) were assessed of whom 64 were tested in the sound booth and 30 within primary health-care clinics without a booth. In the sound booth 63.4% of conventional and smartphone thresholds indicated normal hearing (≤15 dBHL). Conventional thresholds exceeding 15 dB HL corresponded to smartphone thresholds within ≤10 dB in 80.6% of cases with an average threshold difference of -1.6 dB ± 9.9 SD. In primary health-care clinics 13.7% of conventional and smartphone thresholds indicated normal hearing (≤15 dBHL). Conventional thresholds exceeding 15 dBHL corresponded to smartphone thresholds within ≤10 dB in 92.9% of cases with an average threshold difference of -1.0 dB ± 7.1 SD. Accurate air-conduction audiometry can be conducted in a sound booth and without a sound booth in an underserved community health-care clinic using a smartphone.

Primary Pulmonary Plasmacytoma with Diffuse Alveolar Consolidation: A Case Report

Directory of Open Access Journals (Sweden)

Zohreh Mohammad Taheri

2010-01-01

Full Text Available Solitary extramedullary plasmacytomas are plasma cell tumors that tend to develop in mucosa-associated lymphoid tissues including the sinonasal or nasopharyngeal regions. Primary plasmacytoma of the lung is exceedingly rare and often presents as a solitary mass or nodule in mid-lung or hilar areas and diagnosed after resection. Herein, we report a case of primary pulmonary plasmacytoma that presented with diffuse alveolar consolidation and diagnosed by transbronchial lung biopsy.

Nutrient intakes of US infants, toddlers, and preschoolers meet or exceed dietary reference intakes.

Science.gov (United States)

Butte, Nancy F; Fox, Mary Kay; Briefel, Ronette R; Siega-Riz, Anna Maria; Dwyer, Johanna T; Deming, Denise M; Reidy, Kathleen C

2010-12-01

To assess the usual nutrient intakes of 3,273 US infants, toddlers, and preschoolers, aged 0 to 47 months, surveyed in the Feeding Infants and Toddlers Study (FITS) 2008; and to compare data on the usual nutrient intakes for the two waves of FITS conducted in 2002 and 2008. The FITS 2008 is a cross-sectional survey of a national random sample of US children from birth through age 47 months. Usual nutrient intakes derived from foods, beverages, and supplements were ascertained using a telephone-administered, multiple-pass 24-hour dietary recall. Infants aged birth to 5 months (n=382) and 6 to 11 months (n=505), toddlers aged 12 to 23 months (n=925), and preschoolers aged 24 to 47 months (n=1,461) were surveyed. All primary caregivers completed one 24-hour dietary recall and a random subsample (n=701) completed a second 24-hour dietary recall. The personal computer version of the Software for Intake Distribution Estimation was used to estimate the 10th, 25th, 50th, 75th, and 90th percentiles, as well as the proportions below and above cutoff values defined by the Dietary Reference Intakes or the 2005 Dietary Guidelines for Americans. Usual nutrient intakes met or exceeded energy and protein requirements with minimal risk of vitamin and mineral deficiencies. The usual intakes of antioxidants, B vitamins, bone-related nutrients, and other micronutrients were adequate relative to the Adequate Intakes or Estimated Average Requirements, except for iron and zinc in a small subset of older infants, and vitamin E and potassium in toddlers and preschoolers. Intakes of synthetic folate, preformed vitamin A, zinc, and sodium exceeded Tolerable Upper Intake Level in a significant proportion of toddlers and preschoolers. Macronutrient distributions were within acceptable macronutrient distribution ranges, except for dietary fat, in some toddlers and preschoolers. Dietary fiber was low in the vast majority of toddlers and preschoolers, and saturated fat intakes exceeded

Real-Time Continuous Response Spectra Exceedance Calculation Displayed in a Web-Browser Enables Rapid and Robust Damage Evaluation by First Responders

Science.gov (United States)

Franke, M.; Skolnik, D. A.; Harvey, D.; Lindquist, K.

2014-12-01

A novel and robust approach is presented that provides near real-time earthquake alarms for critical structures at distributed locations and large facilities using real-time estimation of response spectra obtained from near free-field motions. Influential studies dating back to the 1980s identified spectral response acceleration as a key ground motion characteristic that correlates well with observed damage in structures. Thus, monitoring and reporting on exceedance of spectra-based thresholds are useful tools for assessing the potential for damage to facilities or multi-structure campuses based on input ground motions only. With as little as one strong-motion station per site, this scalable approach can provide rapid alarms on the damage status of remote towns, critical infrastructure (e.g., hospitals, schools) and points of interests (e.g., bridges) for a very large number of locations enabling better rapid decision making during critical and difficult immediate post-earthquake response actions. Details on the novel approach are presented along with an example implementation for a large energy company. Real-time calculation of PSA exceedance and alarm dissemination are enabled with Bighorn, an extension module based on the Antelope software package that combines real-time spectral monitoring and alarm capabilities with a robust built-in web display server. Antelope is an environmental data collection software package from Boulder Real Time Technologies (BRTT) typically used for very large seismic networks and real-time seismic data analyses. The primary processing engine produces continuous time-dependent response spectra for incoming acceleration streams. It utilizes expanded floating-point data representations within object ring-buffer packets and waveform files in a relational database. This leads to a very fast method for computing response spectra for a large number of channels. A Python script evaluates these response spectra for exceedance of one or more

Primary productivity in nearshore waters of Thal, Maharashtra coast

Digital Repository Service at National Institute of Oceanography (India)

Varshney, P.K.; Nair, V.R.; Abidi, S.A.H.

Primary productivity off Thal, Maharashtra, India was evaluated at 3 stations during Feb. 1980 to Jan. 1981. The area was quite turbid and the euphotic zone never exceeded 2.5 m. Column production ranged from 0.69 to 605.21 mg C.m/2.d/2 (av. 78.2 mg...

Protective containment behaviour under exceeded design loads

International Nuclear Information System (INIS)

Holub, I.; Stepan, J.; Maly, J.; Schererova, K.

2003-01-01

The contribution describes the calculation results of the behaviour of containment structure if loaded in excess of its design load. The Temelin NPP comprises two WWER 1000 blocks and containment consists of a pre-stressed reinforced concrete structure with a system of unbonded cables. The objective of the calculations was to determine the level of load caused by the internal pressure and temperature at which the containment protective function would fail. In the first step, the maximum overpressure was determined, which may be transferred by the containment structure. In further steps analyses were made of various combinations of simultaneous pressure and temperature loads. The contribution presents relevant calculation results, including the evaluation of containment structure behaviour including liner under loads that exceed its design parameters. (author)

Knowledge of primary health care and career choice at primary health care settings among final year medical students - challenges to human resources for health in Vietnam.

Science.gov (United States)

Giang, Kim Bao; Minh, Hoang Van; Hien, Nguyen Van; Ngoc, Nguyen Minh; Hinh, Nguyen Duc

2015-01-01

There is a shortage of medical doctors in primary health care (PHC) settings in Vietnam. Evidence about the knowledge medical students have about PHC and their career decision-making is important for making policy in human resources for health. The objective of this study was to analyse knowledge and attitudes about PHC among medical students in their final year and their choice to work in PHC after graduation. A cross-sectional study was conducted among 400 final year general medical students from Hanoi Medical University. Self-administered interviews were conducted. Key variables were knowledge, awareness of the importance of PHC and PHC career choices. Descriptive and analytic statistics were performed. Students had essential knowledge of the concept and elements of PHC and were well aware of its importance. However, only one-third to one half of them valued PHC with regard to their professional development or management opportunities. Less than 1% of students would work at commune or district health facilities after graduation. This study evidences challenges related to increasing the number of medical doctors working in PHC settings. Immediate and effective interventions are needed to make PHC settings more attractive and to encourage medical graduates to start and continue a career in PHC.

ATRF Earns Three Green Globes, Exceeds NIH Building Standards | Poster

Science.gov (United States)

By Ashley DeVine, Staff Writer From project management and energy and water efficiency to emissions and the indoor environment, the Advanced Technology Research Facility (ATRF) was built with sustainability in mind, exceeding the National Institutes of Health’s (NIH’s) building standards and earning three Green Globes from the Green Building Initiative (GBI).

Spatial integration in mouse primary visual cortex

OpenAIRE

Vaiceliunaite, Agne; Erisken, Sinem; Franzen, Florian; Katzner, Steffen; Busse, Laura

2013-01-01

Responses of many neurons in primary visual cortex (V1) are suppressed by stimuli exceeding the classical receptive field (RF), an important property that might underlie the computation of visual saliency. Traditionally, it has proven difficult to disentangle the underlying neural circuits, including feedforward, horizontal intracortical, and feedback connectivity. Since circuit-level analysis is particularly feasible in the mouse, we asked whether neural signatures of spatial integration in ...

A Study on OBE Exceedance Criteria Using the CAV Concept for NPPs in Korea

International Nuclear Information System (INIS)

Park, Se Moon; Cho, Sung Il; Yun, Kwan Hee

2009-01-01

NPPs in Korea have so far complied with the US Regulatory Guide 1.12 Rev.1 (1974) for the seismic monitoring systems. However, researchers in Korea have been considering attempting to comply with Regulatory Guide 1.12 rev.2 (1997) when implementing all future seismic monitoring systems. To comply with the new regulations, Operating Basis Earthquake (OBE) Exceedance Criteria applied with the Cumulative Absolute Velocity (CAV) has to be developed for local use. The CAV was developed in the USA as one reasonable OBE exceedance criterion for NPPs; however, it has not been widely used outside the USA, not-withstanding its solid technical basis. It is, however, expected that the worldwide NPP construction boom will necessitate development and more frequent use of reasonable OBE exceedance criteria. As multi-units (four or more) are situated in one site in Korea, prevention of simultaneous shutdown of multi-unit caused by non damaging earthquakes is very important; otherwise, a serious economic loss could occur, and there could also be a great impact on the stability of the power grid that would arise due to the unnecessary shutdown. Actually, we have had the experience of observing a Peak Ground Acceleration (PGA)-value greater than 0.1g (the current OBE level for Korean NPPs) due to an M=4.8 earthquake (20 th Jan. '07) that did not even cause any damage to the poorly-designed structures nearby. This experience gave a motivation to the KHNP should concern the needs of study on OBE exceedance criteria in view of application of the CAV to Korean seismic situation, which will be more practical. The present paper is intended to show the intermediate result of the research on Operating Basis Earthquake (OBE) exceedance criteria in Korea

41 CFR 102-85.105 - How does an agency pay for customer alterations that exceed the TI allowance?

Science.gov (United States)

2010-07-01

... for customer alterations that exceed the TI allowance? 102-85.105 Section 102-85.105 Public Contracts....105 How does an agency pay for customer alterations that exceed the TI allowance? Amounts exceeding the TI allowance are paid in a one-time lump sum and are not amortized over the term of the occupancy...

An experimental study on developing seismic damage indicator appearing OBE exceedance

International Nuclear Information System (INIS)

Park, D. S.; Kwon, K. J.; Lee, J. L.

2000-01-01

Immediate measurement should be taken depending on the level of seismic damage to nuclear power plants when an earthquake exceeds Operating Base Earthquake by NRC regulatory guide. An earthquake at nuclear plant site is felt with seismic instrument and analyzed by seismic monitoring systems. However, if operators of insufficient knowledge to earthquake can recognize the intensity of the earthquake with a subsidiary indicating model, more immediate response can be conducted. This subsidiary indicating model is called seismic damage indicator. In this regard, an experimental study using shaking table was conducted to develop the seismic damage indicator by CAV and OBE compatible with NRC standard response spectrum. In this test result, stacked acrylic cylinders were manufactured to behave consistently for each direction of seismic load. If the developed SDI is installed in nuclear power plants, it is seemed to be useful in easily determining OBE exceedance easily, and counteracting by plant operator along with the existing seismic monitoring systems

Mixed waste management facility groundwater monitoring report. Fourth quarter 1995 and 1995 summary

International Nuclear Information System (INIS)

1996-03-01

During fourth quarter 1995, seven constituents exceeded final Primary Drinking Water Standards (PDWS) in groundwater samples from downgradient monitoring wells at the Mixed Waste Management Facility. No constituents exceeded final PDWS in samples from the upgradient monitoring wells. As in previous quarters, tritium and trichloroethylene were the most widespread elevated constituents. Chloroethene, gross alpha, lead, mercury, and tetrachloroethylene also exceeded final PDWS in one or more wells. Elevated constituents were found in numerous Aquifer Zone IIB 2 (Water Table) and Aquifer Zone IIB 1 (Barnwell/McBean) wells and in three Aquifer Unit IIA (Congaree) wells. The groundwater flow directions and rates in the three hydrostratigraphic units were similar to those of previous quarters

Large deviation estimates for exceedance times of perpetuity sequences and their dual processes

DEFF Research Database (Denmark)

Buraczewski, Dariusz; Collamore, Jeffrey F.; Damek, Ewa

2016-01-01

In a variety of problems in pure and applied probability, it is of relevant to study the large exceedance probabilities of the perpetuity sequence $Y_n := B_1 + A_1 B_2 + \\cdots + (A_1 \\cdots A_{n-1}) B_n$, where $(A_i,B_i) \\subset (0,\\infty) \\times \\reals$. Estimates for the stationary tail dist......-time exceedance probabilities of $\\{ M_n^\\ast \\}$, yielding a new result concerning the convergence of $\\{ M_n^\\ast \\}$ to its stationary distribution.......In a variety of problems in pure and applied probability, it is of relevant to study the large exceedance probabilities of the perpetuity sequence $Y_n := B_1 + A_1 B_2 + \\cdots + (A_1 \\cdots A_{n-1}) B_n$, where $(A_i,B_i) \\subset (0,\\infty) \\times \\reals$. Estimates for the stationary tail...... distribution of $\\{ Y_n \\}$ have been developed in the seminal papers of Kesten (1973) and Goldie (1991). Specifically, it is well-known that if $M := \\sup_n Y_n$, then ${\\mathbb P} \\left\\{ M > u \\right\\} \\sim {\\cal C}_M u^{-\\xi}$ as $u \\to \\infty$. While much attention has been focused on extending...

Final report, Feedback limitations of photosynthesis

Energy Technology Data Exchange (ETDEWEB)

Sharkey, Thomas D.

1999-07-22

Final report of research on carbon metabolism of photosynthesis. The feedback from carbon metabolism to primary photosynthetic processes is summarized, and a comprehensive list of published scientific papers is provided.

Biomaterials recycling: bioglasses obtained from reuse of hydroxyapatite (HA) bovine bone with term exceeded validity

International Nuclear Information System (INIS)

Silva, A.C.; Santos, S.C.; Braga, F.J.C.; Aparecida, A.H.

2012-01-01

The hydroxyapatite (HA) is a reference bioceramic for bone replacement and regeneration medical practice, becoming one of the most produced and researched bone graft material. Since it is a material for biomedical application, the manufacture and storage of this bioceramic must comply with severe conservation criteria, and its validity date is the lawful major factor for disposal. Materials with the exceeded expiration date are usually discarded and incinerated, resulting in ash, environmental contamination and energy expenditure. This study evaluates the possibility of reuse of bovine HA collected after its validity date as raw material to obtain bioglass, aiming to natural resources saving and environmental emissions mitigation. 45S5 similar compositions were obtained by melting the materials at 1500 ° C, followed by rapid cooling and annealing thermal treatment (500 ° C for 2h), analytical grade chemical reagents were used to set the final composition. The obtained materials were characterized by X-ray diffraction, infrared spectroscopy (FT-IR), and hydrolysis resistance techniques. The results of comparative chemical resistance (Hydrolytic) tests indicate the potential use of the materials developed for bone replacement applications. (author)

Mixed waste management facility groundwater monitoring report. Fourth quarter 1996 and 1996 summary

International Nuclear Information System (INIS)

1997-03-01

During fourth quarter 1996, nine constituents exceeded final Primary Drinking Water Standards (PDWS) in groundwater samples from downgradient monitoring wells at the Mixed Waste Management Facility. No constituents exceeded final PDWS in samples from the upgradient monitoring wells. As in previous quarters, tritium and trichloroethylene were the most widespread elevated constituents. Carbon tetrachloride, chloroethene, chloroform, 1,1-dichloroethylene, dichloromethane, gross alpha, and tetrachloroethylene also exceeded final PDWS in one or more wells. Elevated constituents were found in numerous Aquifer Zone llB2 (Water Table) and Aquifer Zone llB1 (Barnwell/McBean) wells and in six Aquifer Unit IIA (Congaree) wells. The groundwater flow directions and rates in the three hydrostratigraphic units were similar to those of previous quarters

P-Area Acid/Caustic Basin groundwater monitoring report. First quarter 1995

International Nuclear Information System (INIS)

Chase, J.A.

1995-06-01

During first quarter 1995, groundwater from the six PAC monitoring wells at the P-Area Acid/Caustic Basin was analyzed for herbicides/pesticides, indicator parameters, metals, nitrate, adionuclide indicators, and other constituents. Monitoring results that exceeded the final Primary Drinking Water Standards (PDWS) or the Savannah River Site (SRS) flagging criteria or turbidity standard during the quarter are discussed in this report. During first quarter 1995, no constituents exceeded the final PDWS. Aluminum exceeded its SRS Flag 2 criterion in all six PAC wells. Iron and manganese exceeded Flag 2 criteria in three wells, while turbidity was elevated in one well. Groundwater flow direction and rate in the water table beneath the P-Area Acid/Caustic Basin were similar to past quarters

Sound levels in a neonatal intensive care unit significantly exceeded recommendations, especially inside incubators.

Science.gov (United States)

Parra, Johanna; de Suremain, Aurelie; Berne Audeoud, Frederique; Ego, Anne; Debillon, Thierry

2017-12-01

This study measured sound levels in a 2008 built French neonatal intensive care unit (NICU) and compared them to the 2007 American Academy of Pediatrics (AAP) recommendations. The ultimate aim was to identify factors that could influence noise levels. The study measured sound in 17 single or double rooms in the NICU. Two dosimeters were installed in each room, one inside and one outside the incubators, and these conducted measurements over a 24-hour period. The noise metrics measured were the equivalent continuous sound level (L eq ), the maximum noise level (L max ) and the noise level exceeded for 10% of the measurement period (L 10 ). The mean L eq , L 10 and L max were 60.4, 62.1 and 89.1 decibels (dBA), which exceeded the recommended levels of 45, 50 and 65 dBA (p care was correlated to an increased noise level, except for a postconceptional age below 32 weeks. The sound levels significantly exceeded the AAP recommendations, particularly inside incubators. A multipronged strategy is required to improve the sound environment and protect the neonates' sensory development. ©2017 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

H-Area Acid/Caustic Basin Groundwater Monitoring Report

International Nuclear Information System (INIS)

Thompson, C.Y.

1993-03-01

During fourth quarter 1992, samples from the four HAC monitoring wells at the H-Area Acid/Caustic Basin received comprehensive analyses. Monitoring results that exceeded the final Primary Drinking Water Standards (PDWS) or the Savannah River Site (SRS) flagging criteria or turbidity standard during the quarter are the focus of this report. Tritium exceeded the final PDWS in wells HAC 1, 2, 3, and 4 during fourth quarter 1992. Tritium activities in upgradient well HAC 4 were similar to tritium levels in wells HAC 1, 2, and 3. Iron was elevated in well HAC 1, 2, and 3. Specific conductance and manganese were elevated in one downgradient well each. No well samples exceeded the SRS turbidity standard. During 1992, tritium was the only constituent that exceeded the final PDWS. It did so consistently in all four wells during all four quarters, with little variability in activity

Primary vertebral tumours in children

Energy Technology Data Exchange (ETDEWEB)

Kozlowski, K.; Beluffi, G.; Masel, J.; Diard, F.; Ferrari-Ciboldi, F.; Le Dosseur, P.; Labatut, J.

1984-03-01

20 cases of primary benign and malignant bone tumours in children were reported. The most common tumours were Ewing's sarcoma, aneurismal bone cyst, benign osteoblastoma and osteoid osteoma. Some rare primary bone tumours in children (osteochondroma, chondroblastoma 6F, primary lymphoma of bone and neurofibromatosis with unusual cervical spinal changes) were also reported. The authors believe that radiographic findings together with clinical history and clinical examination may yield a high percentage of accurate diagnoses. Although microscopy is essential in the final diagnosis, the microscopic report should be also accepted with caution.

Modelling the risk of Pb and PAH intervention value exceedance in allotment soils by robust logistic regression

International Nuclear Information System (INIS)

Papritz, A.; Reichard, P.U.

2009-01-01

Soils of allotments are often contaminated by heavy metals and persistent organic pollutants. In particular, lead (Pb) and polycyclic aromatic hydrocarbons (PAHs) frequently exceed legal intervention values (IVs). Allotments are popular in European countries; cities may own and let several thousand allotment plots. Assessing soil contamination for all the plots would be very costly. Soil contamination in allotments is often linked to gardening practice and historic land use. Hence, we predict the risk of IV exceedance from attributes that characterize the history and management of allotment areas (age, nearby presence of pollutant sources, prior land use). Robust logistic regression analyses of data of Swiss allotments demonstrate that the risk of IV exceedance can be predicted quite precisely without costly soil analyses. Thus, the new method allows screening many allotments at small costs, and it helps to deploy the resources available for soil contamination surveying more efficiently. - The contamination of allotment soils, expressed as frequency of intervention value exceedance, depends on the age and further attributes of the allotments and can be predicted by logistic regression.

Relating road salt to exceedances of the water quality standard for chloride in New Hampshire streams.

Science.gov (United States)

Trowbridge, Philip R; Kahl, J Steve; Sassan, Dari A; Heath, Douglas L; Walsh, Edward M

2010-07-01

Six watersheds in New Hampshire were studied to determine the effects of road salt on stream water quality. Specific conductance in streams was monitored every 15 min for one year using dataloggers. Chloride concentrations were calculated from specific conductance using empirical relationships. Stream chloride concentrations were directly correlated with development in the watersheds and were inversely related to streamflow. Exceedances of the EPA water quality standard for chloride were detected in the four watersheds with the most development. The number of exceedances during a year was linearly related to the annual average concentration of chloride. Exceedances of the water quality standard were not predicted for streams with annual average concentrations less than 102 mg L(-1). Chloride was imported into three of the watersheds at rates ranging from 45 to 98 Mg Cl km(-2) yr(-1). Ninety-one percent of the chloride imported was road salt for deicing roadways and parking lots. A simple, mass balance equation was shown to predict annual average chloride concentrations from streamflow and chloride import rates to the watershed. This equation, combined with the apparent threshold for exceedances of the water quality standard, can be used for screening-level TMDLs for road salt in impaired watersheds.

Primary bony non-Hodgkin lymphoma of the cervical spine: a case report

Directory of Open Access Journals (Sweden)

Sedrak Mark F

2010-02-01

Full Text Available Abstract Introduction Non-Hodgkin lymphoma primarily originating from the bone is exceedingly rare. To our knowledge, this is the first report of primary bone lymphoma presenting with progressive cord compression from an origin in the cervical spine. Herein, we discuss the unusual location in this case, the presenting symptoms, and the management of this disease. Case presentation We report on a 23-year-old Caucasian-American man who presented with two months of night sweats, fatigue, parasthesias, and progressive weakness that had progressed to near quadriplegia. Magnetic resonance (MR imaging demonstrated significant cord compression seen primarily at C7. Surgical management, with corpectomy and dorsal segmental fusion, in combination with adjuvant chemotherapy and radiation therapy, halted the progression of the primary disease and preserved neurological function. Histological analysis demonstrated an aggressive anaplastic large cell lymphoma. Conclusion Isolated primary bony lymphoma of the spine is exceedingly rare. As in our case, the initial symptoms may be the result of progressive cervical cord compression. Anterior corpectomy with posterolateral decompression and fusion succeeded in preventing progressive neurologic decline and maintaining quality of life. The reader should be aware of the unique presentation of this disease and that surgical management is a successful treatment strategy.

Ballistic Transport Exceeding 28 μm in CVD Grown Graphene.

Science.gov (United States)

Banszerus, Luca; Schmitz, Michael; Engels, Stephan; Goldsche, Matthias; Watanabe, Kenji; Taniguchi, Takashi; Beschoten, Bernd; Stampfer, Christoph

2016-02-10

We report on ballistic transport over more than 28 μm in graphene grown by chemical vapor deposition (CVD) that is fully encapsulated in hexagonal boron nitride. The structures are fabricated by an advanced dry van-der-Waals transfer method and exhibit carrier mobilities of up to three million cm(2)/(Vs). The ballistic nature of charge transport is probed by measuring the bend resistance in cross- and square-shaped devices. Temperature-dependent measurements furthermore prove that ballistic transport is maintained exceeding 1 μm up to 200 K.

Thermal stability and primary phase of Al-Ni(Cu)-La amorphous alloys

International Nuclear Information System (INIS)

Huang Zhenghua; Li Jinfu; Rao Qunli; Zhou Youhe

2008-01-01

Thermal stability and primary phase of Al 85+x Ni 9-x La 6 (x = 0-6) and Al 85 Ni 9-x Cu x La 6 (x = 0-9) amorphous alloys were investigated by X-ray diffraction and differential scanning calorimeter. It is revealed that replacing Ni in the Al 85 Ni 9 La 6 alloy by Cu decreases the thermal stability and makes the primary phase change from intermetallic compounds to single fcc-Al as the Cu content reaches and exceeds 4 at.%. When the Ni and La contents are fixed, replacing Al by Cu increases the thermal stability but also promotes the precipitation of single fcc-Al as the primary phase

Mixed Waste Management Facility (MWMF) groundwater monitoring report. Fourth quarter 1992 and 1992 summary

Energy Technology Data Exchange (ETDEWEB)

1993-03-01

During fourth quarter 1992, nine constituents exceeded final Primary Drinking Water Standards (PDWS) in one or more groundwater samples from monitoring wells at the Mixed Waste Management Facility (MWMF) and adjacent facilities. As in previous quarters, tritium and trichloroethylene were the most widespread constituents. Fifty-seven (48%) of the 120 monitoring wells, contained elevated tritium activities, and 23 (19%) contained elevated trichloroethylene concentrations. Total alpha-emitting radium, tetrachloroethylene, chloroethene, cadmium, 1,1-dichloroethylene, lead, or nonvolatile beta levels exceeded standards in one or more wells. During 1992, elevated levels of 13 constituents were found in one or more of 80 of the 120 groundwater monitoring wells (67%) at the MWMF and adjacent facilities. Tritium and trichloroethylene exceeded their final PDWS more frequently and more consistently than did other constituents. Tritium activity exceeded its final PDWS m 67 wells and trichloroethylene was. elevated in 28 wells. Lead, tetrachloroethylene, total alpha-emitting radium, gross alpha, cadmium, chloroethene, 1,1-dichloroethylene 1,2-dichloroethane, mercury, or nitrate exceeded standards in one or more wells during the year. Nonvolatile beta exceeded its drinking water screening level in 3 wells during the year.

Mixed Waste Management Facility (MWMF) groundwater monitoring report

International Nuclear Information System (INIS)

1993-03-01

During fourth quarter 1992, nine constituents exceeded final Primary Drinking Water Standards (PDWS) in one or more groundwater samples from monitoring wells at the Mixed Waste Management Facility (MWMF) and adjacent facilities. As in previous quarters, tritium and trichloroethylene were the most widespread constituents. Fifty-seven (48%) of the 120 monitoring wells, contained elevated tritium activities, and 23 (19%) contained elevated trichloroethylene concentrations. Total alpha-emitting radium, tetrachloroethylene, chloroethene, cadmium, 1,1-dichloroethylene, lead, or nonvolatile beta levels exceeded standards in one or more wells. During 1992, elevated levels of 13 constituents were found in one or more of 80 of the 120 groundwater monitoring wells (67%) at the MWMF and adjacent facilities. Tritium and trichloroethylene exceeded their final PDWS more frequently and more consistently than did other constituents. Tritium activity exceeded its final PDWS m 67 wells and trichloroethylene was. elevated in 28 wells. Lead, tetrachloroethylene, total alpha-emitting radium, gross alpha, cadmium, chloroethene, 1,1-dichloroethylene 1,2-dichloroethane, mercury, or nitrate exceeded standards in one or more wells during the year. Nonvolatile beta exceeded its drinking water screening level in 3 wells during the year

40 CFR 141.209 - Special notice for nitrate exceedances above MCL by non-community water systems (NCWS), where...

Science.gov (United States)

2010-07-01

... Water Violations § 141.209 Special notice for nitrate exceedances above MCL by non-community water... 40 Protection of Environment 22 2010-07-01 2010-07-01 false Special notice for nitrate exceedances above MCL by non-community water systems (NCWS), where granted permission by the primacy agency under Â...

Primary sclerosing cholangitis and pregnancy

Directory of Open Access Journals (Sweden)

Casper Q. Kammeijer

2011-08-01

Full Text Available Primary sclerosing cholangitis is a progressive disease, and coincidentally in pregnancy it is rare. It is characterized by progressive inflammation and destruction of bile ducts finally resulting in liver failure. A rare case of primary sclerosing cholangitis in pregnancy is presented. The course of the pregnancy was marked by threatened preterm delivery and exacerbation of cholestasis. She was successfully treated with ursodeoxycholic acid (UDCA. Although, primary sclerosing cholangitis has both maternal and fetal effects on pregnancy, the overall outcome is favorable. Only few cases have been reported using high dose ursodeoxycholic acid for primary sclerosing cholangitis in pregnancy, it often improves pruritus but has no protection against stillbirth. Data on the safety to the fetus or neonate and long-term outcome are scarce.

MAXIMIZING PROFIT - OPTICAL TRADITIONAL TRAVEL AGENCIES EXCEEDED

Directory of Open Access Journals (Sweden)

ENEA CONSTANŢA

2013-12-01

Full Text Available Recently concepts of globalized the services the advertising only that and substantial modifications, but that just radicals, in the structure net of touristic states. Is directed to of a new conceive the organic fashions of structures ale net of realized and of casting of guy colaborative, baze on interconexion, the interface and flexible interactions, from which his. I result the competitive advantages popularly the partners of business. The optics traditional agencies of tourings considered the production and the delivery touristic services except through the of a alone objective major prism scilicet maximizarea of the profits, falls to is exceeded. For the past decades ale the century XX, the impact technological changes in the industry services becomes all determine maul influenced the „traditional sectors” in charge, as for example the education, the trade, the touring, the informatics. Certainly, globalized can be interpretation in different senses. Referenced to the touristic services, the globalized is define as be a form an advanced still more complex maul of which nationalization involves a degrees of functional integration between the touristic activities disperse on plans transfrontalier.

Derivation and Mapping of Critical Loads for Nitrogen and Trends in Their Exceedance in Germany

Directory of Open Access Journals (Sweden)

Hans-Dieter Nagel

2001-01-01

Full Text Available The term “critical load” means a quantitative estimate of an exposure to one or more pollutants below which significant harmful effects on specified sensitive elements of the environment do not occur, according to present knowledge. In the case of nitrogen, both oxidised and reduced compounds contribute to the total deposition of acidity, which exceeds critical loads in many forest ecosystems. These also cause negative effects through eutrophication. Critical loads of nitrogen were derived for forest soils (deciduous and coniferous forest, natural grassland, acid fens, heathland, and mesotrophic peat bogs. In Germany, a decrease in sulphur emissions over the past 15 years resulted in a reduced exceedance of critical loads for acid deposition. In the same period it was noted that reduction in the emissions of nitrogen oxides and ammonia remained insignificant. Therefore, emissions of nitrogen compounds have become relatively more important and will continue to threaten ecosystem function and stability. The risk of environmental damage remains at an unacceptable level. The German maps show the degree to which the critical loads are exceeded, and they present current developments and an expected future trend. Results indicate that recovery from pollutant stress occurs only gradually.

Final height after gonadotrophin releasing hormone agonist treatment for central precocious puberty : The Dutch experience

NARCIS (Netherlands)

Mul, D; Oostdijk, W; Otten, BJ; Rouwe, C; Jansen, M; Delemarre-van de Waal, HA; Waelkens, JJJ; Drop, SLS

Final height (FH) data of 96 children (87 girls) treated with GnRH agonist for central precocious puberty were studied. In girls mean FH exceeded initial height prediction by 7.4 (5.7) cm (p <0.001); FH was significantly lower than target height, but still in the genetic target range. When treatment

Final focus systems for linear colliders

International Nuclear Information System (INIS)

Erickson, R.A.

1987-11-01

The final focus system of a linear collider must perform two primary functions, it must focus the two opposing beams so that their transverse dimensions at the interaction point are small enough to yield acceptable luminosity, and it must steer the beams together to maintain collisions. In addition, the final focus system must transport the outgoing beams to a location where they can be recycled or safely dumped. Elementary optical considerations for linear collider final focus systems are discussed, followed by chromatic aberrations. The design of the final focus system of the SLAC Linear Collider (SLC) is described. Tuning and diagnostics and steering to collision are discussed. Most of the examples illustrating the concepts covered are drawn from the SLC, but the principles and conclusions are said to be generally applicable to other linear collider designs as well. 26 refs., 17 figs

What could have caused pre-industrial biomass burning emissions to exceed current rates?

NARCIS (Netherlands)

Werf, van der G.R.; Peters, W.; Leeuwen, van T.T.; Giglio, L.

2013-01-01

Recent studies based on trace gas mixing ratios in ice cores and charcoal data indicate that biomass burning emissions over the past millennium exceeded contemporary emissions by up to a factor of 4 for certain time periods. This is surprising because various sources of biomass burning are linked

What could have caused pre-industrial biomass burning emissions to exceed current rates?

NARCIS (Netherlands)

van der Werf, G. R.; Peters, W.; van Leeuwen, T. T.; Giglio, L.

2012-01-01

Recent studies based on trace gas mixing ratios in ice cores and charcoal data indicate that biomass burning emissions over the past millennium exceeded contemporary emissions by up to a factor of 4 for certain time periods. This is surprising because various sources of biomass burning are linked

75 FR 16645 - Increase in the Primary Nuclear Liability Insurance Premium

Science.gov (United States)

2010-04-02

... Primary Nuclear Liability Insurance Premium AGENCY: Nuclear Regulatory Commission. ACTION: Final rule... impractical. The NRC is amending its regulations to increase the primary premium for liability insurance... protection requirements and indemnity agreements to increase the primary nuclear liability insurance layer...

40 CFR 141.208 - Special notice for exceedance of the SMCL for fluoride.

Science.gov (United States)

2010-07-01

... exceed 2 mg/l because of this cosmetic dental problem. For more information, please call [name of water system contact] of [name of community water system] at [phone number]. Some home water treatment units... drinking water provided by your community water system [name] has a fluoride concentration of [insert value...

F-Area Acid/Caustic Basin groundwater monitoring report. Second quarter 1994

International Nuclear Information System (INIS)

1994-09-01

During second quarter 1994, samples from the FAC monitoring wells at the F-Area Acid/Caustic Basin were collected and analyzed for herbicides/pesticides, indicator parameters, metals, nitrate, radionuclide indicators, volatile organic compounds, and other constituents. Piezometer FAC 5P and monitoring well FAC 6 were dry and could not be sampled. Analytical results that exceeded final Primary Drinking Water Standards (PDWS), other Savannah River Site (SRS) Flag 2 criteria, or the SRS turbidity standard of 50 NTU during the quarter were as follows: gross alpha exceeded the final PDWS and aluminum, iron, manganese, and total organic halogens exceeded the SRS Flag 2 criteria in one or more of the FAC wells. Turbidity exceeded the SRS standard in well FAC 3. Groundwater flow direction and rate in the water table beneath the F-Area Acid/Caustic Basin were similar to past quarters

[Statins and ASS for primary prevention of cardiovascular and cerebrovascular disease].

Science.gov (United States)

Goltz, L; Bodechtel, U; Siepmann, T

2014-02-01

Whereas statins and acetylsalicylic acid (ASA) are considered gold standard for secondary prevention following myocardial infarction or atherotrombotic stroke, there are inconsistent data on the use of these drugs for primary prevention in patients with increased cardiovascular risk. Some meta-analyses indicated that the use of statins and ASA for primary prevention of cardiovascular disease can reduce the risk of cardiovascular events such as ischemic stroke or myocardial infarction. However, the effects of primary prevention with statins and ASA on mortality varied in the data included in these meta-analyses. Therefore the guidelines of the German College of General Practitioners and Family Physicians recommend primary prevention with statins and ASA only in those patients who have a 10-year risk of cardiovascular events which exceeds 20 %. Divergently, primary prevention with ASA is not recommended by the European Society of Cardiology. Observational studies suggested that treatment success of primary prevention with statins and ASA depends on various factors such as adherence to medication and prescription behavior of physicians. This review summarizes the current literature on primary prevention of cardiovascular events with ASA and statins. © Georg Thieme Verlag KG Stuttgart · New York.

Scenarios cancer in primary care.

NARCIS (Netherlands)

Velden, L.F.J. van der; Schellevis, F.G.

2011-01-01

Introduction: Previous studies predicted an increase in both the incidence and prevalence of cancer in the Netherlands. Other studies showed that cancer patients use primary care more frequently than non-cancer patients. Finally, during the “chronic phase” of the disease, task substitution from

UMTRA project: Canonsburg final design

International Nuclear Information System (INIS)

Thiers, G.R.; Guros, F.B.; Smith, E.S.

1984-01-01

Final design for on-site stabilization of over 300,000 cubic yards of abandoned mill tailings in Canonsburg, Pennsylvania, is being completed this Fall. This paper describes design criteria, design procedures, and difficulties encountered for the following required elements: 1. Encapsulation cell; 2. Durability of erosion protection material; 3. Flood control berm; 4. Sedimentation pond; 5. Wastewater treatment plant. The 70,000 cubic yards of the tailings for which radiation levels exceed 100 picocuries per gram will be placed on a 2-ft-thick compacted clay liner and encased by a 3-ft-thick compacted clay cover. The remaining tailings will be covered with at least two feet of clay to prevent radon escape and to reduce rainfall infiltration. Erosion protection will be provided for the encapsulation cell, the drainage swales, and from potential meandering of nearby Chartiers Creek

One-Loop Operation of Primary Heat Transport System in MONJU During Heat Transport System Modifications

International Nuclear Information System (INIS)

Goto, T.; Tsushima, H.; Sakurai, N.; Jo, T.

2006-01-01

MONJU is a prototype fast breeder reactor (FBR). Modification work commenced in March 2005. Since June 2004, MONJU has changed to one-loop operation of the primary heat transport system (PHTS) with all of the secondary heat transport systems (SHTS) drained of sodium. The purposes of this change are to shorten the modification period and to reduce the cost incurred for circuit trace heating electrical consumption. Before changing condition, the following issues were investigated to show that this mode of operation was possible. The heat loss from the reactor vessel and the single primary loop must exceed the decay heat by an acceptable margin but the capacity of pre-heaters to keep the sodium within the primary vessel at about 200 deg. C must be maintained. With regard to the heat loss and the decay heat, the estimated heat loss in the primary system was in the range of 90-170 kW in one-loop operation, and the calculated decay heat was 21.2 kW. Although the heat input of the primary pump was considered, it was clear that circuit heat loss greatly exceeded the decay heat. As for pre-heaters, effective capacity was less than the heat loss. Therefore, the temperature of the reactor vessel room was raised to reduce the heat loss. One-loop operation of the PHTS was able to be executed by means of these measures. The cost of electrical consumption in the power plant has been reduced by one-loop operation of the PHTS and the modification period was shortened. (authors)

H-Area Acid/Caustic Basin groundwater monitoring report. Second quarter 1994

International Nuclear Information System (INIS)

1994-09-01

During second quarter 1994, samples collected from the four HAC monitoring wells at the H-Area Acid/Caustic Basin received comprehensive analyses (exclusive of boron and lithium) and turbidity measurements. Monitoring results that exceeded the final Primary Drinking Water Standards (PDWS) or the Savannah River Site (SRS) flagging criteria or turbidity standard during the quarter are the focus of this report. Tritium exceeded the final PDWS in all four HAC wells during second quarter 1994. Carbon tetrachloride exceeded the final PDWS in well HAC 4. Aluminum exceeded its Flag 2 criterion in wells HAC 2, 3, and 4. Iron was elevated in wells HAC 1, 2, and 3. Manganese exceeded its Flag 2 criterion in well HAC 3. Specific conductance and total organic halogens were elevated in well HAC 2. No well samples exceeded the SRS turbidity standard. Groundwater flow direction in the water stable beneath the H-Area Acid/Caustic Basin was to the west during second quarter 1994. During previous quarters, the groundwater flow direction has been consistently to the northwest or the north-northwest. This apparent change in flow direction may be attributed to the lack of water elevations for wells HTF 16 and 17 and the anomalous water elevations for well HAC 2 during second quarter

Effect of the Apulia air quality plan on PM10 and benzo(apyrene exceedances

Directory of Open Access Journals (Sweden)

L. Trizio

2016-03-01

Full Text Available During the last years, several exceedances of PM10 and benzo(apyrene limit values exceedances were recorded in Taranto, a city in southern Italy included in so-called areas at high risk of environmental crisis because of the presence of a heavy industrial district including the largest steel factory in Europe. A study of these critical pollution events showed a close correlation with the wind coming from the industrial site to the adjacent urban area. During 2011, at monitoring sites closes to the industrial area, at least the 65% of PM10 exceedances were related to wind day conditions (characterized by at least 3 consecutive hours of wind coming from 270-360±2deg with an associated speed higher than 7 m/s. For this reason, in 2012 an integrated environmental permit and a regional air quality plan were enacted to reduce pollutant emissions from industrial plants. A study of PM10 levels registered during windy days was performed during critical episodes of pollution highlighting that the difference between windy days and no windy days’ concentrations reduces from 2012 to 2014 in industrial site. False negative events (verified ex-post by observed meteorological data not identified by the forecast model - did not show a significant influence on PM concentration: PM10 values were comparable and sometimes lower than windy days levels. It is reasonable that the new scenario with a relevant reduction emissions form Ilva plant reduced the pollutants contribution from industrial area, contributing to PM10 levels decrease, also in false negative events.

Search for right-handed currents in muon decay: final results

International Nuclear Information System (INIS)

Strovink, M.

1986-01-01

Final results from the Berkeley-Northwestern-TRIUMF muon decay experiment are summarized. If right-handed neutrinos are less massive than ∼ 6 MeV, the mass of a possible right-handed W 2 must exceed 514 GeV (with no mixing of left- and right-handed gauge bosons), or 432 GeV (with any mixing). Stringent limits are also set on left-right mixing, on non-V,A components of charged weak interactions, and on the energy scales for lepton compositeness and family symmetry breaking. 10 refs.; 5 figs

Tank 241-SY-102, January 2000 Compatibility Grab Samples Analytical Results for the Final Report

International Nuclear Information System (INIS)

BELL, K.E.

2000-01-01

This document is the format IV, final report for the tank 241-SY-102 (SY-102) grab samples taken in January 2000 to address waste compatibility concerns. Chemical, radiochemical, and physical analyses on the tank SY-102 samples were performed as directed in Comparability Grab Sampling and Analysis Plan for Fiscal Year 2000 (Sasaki 1999). No notification limits were exceeded. Preliminary data on samples 2SY-99-5, -6, and -7 were reported in ''Format II Report on Tank 241-SY-102 Waste Compatibility Grab Samples Taken in January 2000'' (Lockrem 2000). The data presented here represent the final results

Development of Thresholds and Exceedance Probabilities for Influent Water Quality to Meet Drinking Water Regulations

Science.gov (United States)

Reeves, K. L.; Samson, C.; Summers, R. S.; Balaji, R.

2017-12-01

Drinking water treatment utilities (DWTU) are tasked with the challenge of meeting disinfection and disinfection byproduct (DBP) regulations to provide safe, reliable drinking water under changing climate and land surface characteristics. DBPs form in drinking water when disinfectants, commonly chlorine, react with organic matter as measured by total organic carbon (TOC), and physical removal of pathogen microorganisms are achieved by filtration and monitored by turbidity removal. Turbidity and TOC in influent waters to DWTUs are expected to increase due to variable climate and more frequent fires and droughts. Traditional methods for forecasting turbidity and TOC require catchment specific data (i.e. streamflow) and have difficulties predicting them under non-stationary climate. A modelling framework was developed to assist DWTUs with assessing their risk for future compliance with disinfection and DBP regulations under changing climate. A local polynomial method was developed to predict surface water TOC using climate data collected from NOAA, Normalized Difference Vegetation Index (NDVI) data from the IRI Data Library, and historical TOC data from three DWTUs in diverse geographic locations. Characteristics from the DWTUs were used in the EPA Water Treatment Plant model to determine thresholds for influent TOC that resulted in DBP concentrations within compliance. Lastly, extreme value theory was used to predict probabilities of threshold exceedances under the current climate. Results from the utilities were used to produce a generalized TOC threshold approach that only requires water temperature and bromide concentration. The threshold exceedance model will be used to estimate probabilities of exceedances under projected climate scenarios. Initial results show that TOC can be forecasted using widely available data via statistical methods, where temperature, precipitation, Palmer Drought Severity Index, and NDVI with various lags were shown to be important

EFFECT OF TEMPERATURE ON THE PROCESS OF BEER PRIMARY FERMENTATION

Directory of Open Access Journals (Sweden)

Miriam Solgajová

2013-02-01

Full Text Available Beer is a very popular and widespread drink worldwide. Beer may be defined as a foamy alcoholic drink aerated by carbon dioxide that is formed during fermentation. Sensorial and analytical character of beer is mainly formed during process of primary fermentation. Our work has monitored the influence of temperature of fermentation substrate on the process of primary fermentation during beer production. Obtained values of temperature and apparent extract out of four brews of 10% light hopped wort has been recorded, during the process of primary fermentation carried out in mini brewery of SPU. We have compared our results with theoretical values of primary fermentation process commonly achieved in conditions of industrial breweries. It was found out that our results differ in some ways, moreover they exceed theoretically given values which was caused due to different construction of mini brewery fermentation tank in comparison with industrial brewery technologies. Beer produced in mini brewery of SPU showed in sensorial tests very good quality without any strange odour and any strange taste.

Primary thymic extranodal marginal zone B cell lymphoma as an incidental finding in a Caucasian woman

DEFF Research Database (Denmark)

Krogh Petersen, Jeanette; Larsen, Thomas Stauffer; Møller, Michael Boe

2015-01-01

Primary thymic extranodal marginal zone B cell lymphoma (TML) is an extremely rare lymphoma strongly associated with autoimmune disease. We report an exceedingly rare case of TML found in a non-Asian population. TML was found incidentally in a 60-year-old Caucasian woman with a short history...

Metallurgical Laboratory Hazardous Waste Management Facility groundwater monitoring report: Third quarter 1993

International Nuclear Information System (INIS)

1993-12-01

During third quarter 1993, samples from AMB groundwater monitoring wells at the Metallurgical Laboratory Hazardous Waste Management Facility were analyzed for certain heavy metals, indicator parameters, radionuclides, volatile organic compounds, and other constituents. Eight parameters exceeded standards during the quarter. As in previous quarters, tetrachloroethylene and trichloroethylene exceeded final Primary Drinking Water Standards; and aluminum, iron, lead, manganese, pH, and total organic halogens exceeded the Savannah River Site Flag 2 criteria in one or more of the wells. Groundwater flow direction and rate in the water-table unit were similar to previous quarters

State variation in primary care physician supply: implications for health reform Medicaid expansions.

Science.gov (United States)

Cunningham, Peter J

2011-03-01

Under the Patient Protection and Affordable Care Act (PPACA), Medicaid enrollment is expected to grow by 16 million people by 2019, an increase of more than 25 percent. Given the unwillingness of many primary care physicians (PCPs) to treat new Medicaid patients, policy makers and others are concerned about adequate primary care capacity to meet the increased demand. States with the smallest number of PCPs per capita overall--gen­erally in the South and Mountain West--potentially will see the largest per­centage increases in Medicaid enrollment, according to a new national study by the Center for Studying Health System Change (HSC). In contrast, states with the largest number of PCPs per capita--primarily in the Northeast--will see more modest increases in Medicaid enrollment. Moreover, geograph­ic differences in PCP acceptance of new Medicaid patients reflect differences in overall PCP supply, not geographic differences in PCPs' willingness to treat Medicaid patients. The law also increases Medicaid reimbursement rates for certain services provided by primary care physicians to 100 percent of Medicare rates in 2013 and 2014. However, the reimbursement increases are likely to have the greatest impact in states that already have a large number of PCPs accepting Medicaid patients. In fact, the percent increase of PCPs accepting Medicaid patients in these states is likely to exceed the percent increase of new Medicaid enrollees. The reimbursement increases will have much less impact in states with a relatively small number of PCPs accepting Medicaid patients now because many of these states already reimburse primary care at rates close to or exceeding 100 percent of Medicare. As a result, growth in Medicaid enrollment in these states will greatly outpace growth in the num­ber of primary care physicians willing to treat new Medicaid patients.

The primary case is not enough: Variation among individuals, groups and social networks modify bacterial transmission dynamics.

Science.gov (United States)

Keiser, Carl N; Pinter-Wollman, Noa; Ziemba, Michael J; Kothamasu, Krishna S; Pruitt, Jonathan N

2018-03-01

The traits of the primary case of an infectious disease outbreak, and the circumstances for their aetiology, potentially influence the trajectory of transmission dynamics. However, these dynamics likely also depend on the traits of the individuals with whom the primary case interacts. We used the social spider Stegodyphus dumicola to test how the traits of the primary case, group phenotypic composition and group size interact to facilitate the transmission of a GFP-labelled cuticular bacterium. We also compared bacterial transmission across experimentally generated "daisy-chain" vs. "star" networks of social interactions. Finally, we compared social network structure across groups of different sizes. Groups of 10 spiders experienced more bacterial transmission events compared to groups of 30 spiders, regardless of groups' behavioural composition. Groups containing only one bold spider experienced the lowest levels of bacterial transmission regardless of group size. We found no evidence for the traits of the primary case influencing any transmission dynamics. In a second experiment, bacteria were transmitted to more individuals in experimentally induced star networks than in daisy-chains, on which transmission never exceeded three steps. In both experimental network types, transmission success depended jointly on the behavioural traits of the interacting individuals; however, the behavioural traits of the primary case were only important for transmission on star networks. Larger social groups exhibited lower interaction density (i.e. had a low ratio of observed to possible connections) and were more modular, i.e. they had more connections between nodes within a subgroup and fewer connections across subgroups. Thus, larger groups may restrict transmission by forming fewer interactions and by isolating subgroups that interacted with the primary case. These findings suggest that accounting for the traits of single exposed hosts has less power in predicting transmission

Early glottic cancer: the influence of primary treatment on voice preservation

International Nuclear Information System (INIS)

Lesnicar, Hotimir; Smid, Lojze; Zakotnik, Branko

1996-01-01

Purpose: Retrospective analysis was performed to assess the influence of primary surgical or irradiation treatment on local control, survival, and final preservation of larynx in comparable groups of patients with T1N0 and T2N0 glottic cancer. Methods and Materials: Two hundred sixty-three previously untreated patients with invasive squamous cell carcinoma of the glottis (187T1 and 76T2) were treated with primary radiotherapy (159T1 and 60T2) or primary surgery (28T1 and 16T2) between January 1976 and December 1990, at the University of Ljubljana, Slovenia. Conventional one daily fraction of 2 Gy to doses of 60-74 Gy (median: 65 Gy) were used in 98% of primarily irradiated patients through out the observed period. To enable better comparison between the two treatment groups, primarily irradiated patients were retrospectively stratified by the criteria of suitability for primary voice-sparing operation. Several host, tumor, and treatment parameters were analyzed. Results: Only the stage of the disease significantly influenced both 10-year recurrence-free and disease-specific survival regardless primary treatment modality (p = 0.0002). In all primary irradiated patients local control was significantly better for those with overall treatment time of less than 48 days (p = 0.007). In patients suitable for voice-sparing operation, local control of primarily operated patients was similar to that of patients primarily irradiated with shorter overall treatment time, which was 93 and 88% for T1 and 67 and 64% for T2 tumors, respectively. Ultimate local control in primary surgery and radiotherapy group was 96 and 96% for T1 and 89 and 88% for T2 tumors, respectively. Equal larynx preservation of 100% in T1 and 90% in T2 patients was achieved in finally cured primarily operated patients and those patients primarily irradiated with a shorter overall treatment time. If treatment time was longer than 48 days, significantly worse final larynx preservation of 84% in T1 and 75% in

Impact analysis of TOTEM data at the LHC: black disk limit exceeded

CERN Document Server

Alkin, A; Kovalenko, O; Troshin, S M

2015-01-01

We discuss the profile of the impact--parameter dependent elastic scattering amplitude. Extraction of impact-parameter dependence from the dataset with inclusion of the experimental data on elastic scattering at the LHC energies helps to reveal the asymptotics of hadron interactions. Analysis of the data clearly indicates that the impact-parameter elastic scattering amplitude exceed the black disk limit at the LHC energy 7TeV and the inelastic overlap function reaches its maximum value at $b>0$

Sanitary Landfill Groundwater Monitoring Report, Second Quarter 1999

Energy Technology Data Exchange (ETDEWEB)

Chase, J.

1999-07-29

This report contains analytical data for samples taken during Second Quarter 1999 from wells of the LFW series located at the Sanitary Landfill at the Savannah River Site. The data are submitted in reference to the Sanitary Landfill Operating Permit. The report presents monitoring results that equaled or exceeded the Safe Drinking Water Act final Primary Drinking Water Standards or screening levels, established by the US Environmental Protection Agency, the South Carolina final Primary Drinking Water Standard for lead, or the SRS flagging criteria.

Sanitary landfill groundwater monitoring report, Third Quarter 1999

Energy Technology Data Exchange (ETDEWEB)

Chase, J.

1999-12-08

This report contains analytical data for samples taken during Third Quarter 1999 from wells of the LFW series located at the Sanitary Landfill at the Savannah River Site. The data are submitted in reference to the Sanitary Landfill Operating Permit. The report presents monitoring results that equaled or exceeded the Safe Drinking Water Act final Primary Drinking Water Standards or screening levels, established by the U.S. Environmental Protection Agency, the South Carolina final Primary Drinking Water Standard for lead, or the SRS flagging criteria.

Sanitary landfill groundwater monitoring report, Third Quarter 1999

International Nuclear Information System (INIS)

Chase, J.

1999-01-01

This report contains analytical data for samples taken during Third Quarter 1999 from wells of the LFW series located at the Sanitary Landfill at the Savannah River Site. The data are submitted in reference to the Sanitary Landfill Operating Permit. The report presents monitoring results that equaled or exceeded the Safe Drinking Water Act final Primary Drinking Water Standards or screening levels, established by the U.S. Environmental Protection Agency, the South Carolina final Primary Drinking Water Standard for lead, or the SRS flagging criteria

White dwarf stars exceeding the Chandrasekhar mass limit

Science.gov (United States)

Tomaschitz, Roman

2018-01-01

The effect of nonlinear ultra-relativistic electron dispersion on the mass-radius relation of high-mass white dwarfs is studied. The dispersion is described by a permeability tensor in the Dirac equation, generated by the ionized high-density stellar matter, which constitutes the neutralizing background of the nearly degenerate electron plasma. The electron dispersion results in a stable mass-radius relation for high-mass white dwarfs, in contrast to a mass limit in the case of vacuum permeabilities. In the ultra-relativistic regime, the dispersion relation is a power law whose amplitude and scaling exponent is inferred from mass and radius estimates of two high-mass white dwarfs, Sirius B and LHS 4033. Evidence for the existence of super-Chandrasekhar mass white dwarfs is provided by several Type Ia supernovae (e.g., SN 2013cv, SN 2003fg, SN 2007if and SN 2009dc), whose mass ejecta exceed the Chandrasekhar limit by up to a factor of two. The dispersive mass-radius relation is used to estimate the radii, central densities, Fermi temperatures, bulk and compression moduli and sound velocities of their white dwarf progenitors.

Fluorine-18 fluorodeoxyglucose positron emission tomography/computed tomography in the detection of primary pulmonary angiosarcomas

International Nuclear Information System (INIS)

Krishnamurthy, Arvind; Nayak, Deepika; Ramshankar, Vijayalakshmi; Majhi, Urmila

2015-01-01

Angiosarcoma is a malignant vascular tumor that originates from the mesenchymal cells which have undergone angioblastic differentiation. Pulmonary angiosarcomas are invariably (>90%) metastatic tumors form primaries of the skin, bone, liver, breast, or heart. Primary pulmonary angiosarcomas are exceedingly rare, with just about 20 cases being reported in the literature. We report an additional case with a brief review of the literature of a primary pulmonary angiosarcoma in a 26-year-old lady who presented with intractable hemoptysis. In addition, we highlight the potential of fluorine-18 fluorodeoxyglucose positron emission tomography/computed tomography as an important diagnostic tool in the evaluation of this tumor and thus contribute to the existing sparse literature on this fascinating yet devastating disease

Sanitary landfill groundwater monitoring report. Third quarter 1995

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-11-01

This report contains analytical data for samples taken during third quarter 1995 from wells of the LFW series located at the Sanitary Landfill at the Savannah River Site (SRS). The data are submitted in reference to the Sanitary Landfill Operating Permit (DWP-087A). The report presents monitoring results that equaled or exceeded the Safe Drinking Water Act final Primary Drinking Water Standards (PDWS) or screening levels, established by the U.S. Environmental Protection Agency, the South Carolina final Primary Drinking Water Standard for lead, or the SRS flagging criteria.

Sanitary landfill groundwater monitoring report. Third quarter 1995

International Nuclear Information System (INIS)

1995-11-01

This report contains analytical data for samples taken during third quarter 1995 from wells of the LFW series located at the Sanitary Landfill at the Savannah River Site (SRS). The data are submitted in reference to the Sanitary Landfill Operating Permit (DWP-087A). The report presents monitoring results that equaled or exceeded the Safe Drinking Water Act final Primary Drinking Water Standards (PDWS) or screening levels, established by the U.S. Environmental Protection Agency, the South Carolina final Primary Drinking Water Standard for lead, or the SRS flagging criteria

Steady-state sulfur critical loads and exceedances for protection of aquatic ecosystems in the U.S. Southern Appalachian Mountains.

Science.gov (United States)

McDonnell, Todd C; Sullivan, Timothy J; Hessburg, Paul F; Reynolds, Keith M; Povak, Nicholas A; Cosby, Bernard J; Jackson, William; Salter, R Brion

2014-12-15

Atmospherically deposited sulfur (S) causes stream water acidification throughout the eastern U.S. Southern Appalachian Mountain (SAM) region. Acidification has been linked with reduced fitness and richness of aquatic species and changes to benthic communities. Maintaining acid-base chemistry that supports native biota depends largely on balancing acidic deposition with the natural resupply of base cations. Stream water acid neutralizing capacity (ANC) is maintained by base cations that mostly originate from weathering of surrounding lithologies. When ambient atmospheric S deposition exceeds the critical load (CL) an ecosystem can tolerate, stream water chemistry may become lethal to biota. This work links statistical predictions of ANC and base cation weathering for streams and watersheds of the SAM region with a steady-state model to estimate CLs and exceedances. Results showed that 20.1% of the total length of study region streams displayed ANC high elevation, and cool and moist forested conditions, the percentage of stream length in exceedance was highest for mountain wilderness areas and in national parks, and lowest for privately owned valley bottom land. Exceedance results were summarized by 12-digit hydrologic unit code (subwatershed) for use in developing management goals and policy objectives, and for long-term monitoring. Copyright © 2014 Elsevier Ltd. All rights reserved.

Forecasting of the incorporated energy in the final demand of the brazilian economy in 2005

International Nuclear Information System (INIS)

Cunha, Marcelo Pereira da; Pereira, Jose Tomaz Vieira

2008-01-01

This work presents the application of a methodology for evaluation of the primary energy incorporated by the productive sectors of a economy at the final demand - using of a income-product mode. A methodology is applied in the evaluation of the energy incorporated to 25 sectors of the brazilian economy, by using the the data available in the national counts (IBGE - 2007), and the National Energy Balance for the year 2005 (EPE - 2007). For each sector, the results are presented in terms of the primary energy incorporated (in petroleum equivalent tons per R$ 1,000), of the participation of renewable energy, and the total primary energy distribution for the offered products by the 25 sectors to be consumption by the final demand. Among some interesting results in terms of final demand, it is highlighted the presence of 96.5% of renewable primary energy for the sector of alcohol, and 5.3% for the sector of petroleum refining products sector. In terms of the total energy distribution,the petroleum refining and coke sector were the most significant contribution to the incorporation of primary energy, presenting 16.1% of the total ahead of foods and beverages which presents 12.1%. Related to the final demand components, families consumption was responsible by the 57.7% of the total, the exports with 25.3%, the gross capital formation (investments and stock variations) with 11.3%, and the govern consumption wit 5.7%

Do school inspections improve primary school performance?

OpenAIRE

Dinand Webbink; Rob Luginbuhl; I. de Wolf

2007-01-01

Inspectors from the Dutch Inspectorate of Education inspect primary schools, write inspection reports on each inspected school, and make recommendations as to how each school can improve. We test whether these inspections result in better school performance. Using a fixed-effects model, we find evidence that school inspections do lead to measurably better school performance. Our assessment of school performance is based on the Cito test scores of pupils in their final year of primary school. ...

Tank 241-S-111 08/1999 Compatibility Grab Samples, and Analytical Results for the Final Report [SEC 1 and SEC 2

International Nuclear Information System (INIS)

STEEN, F.H.

1999-01-01

This document is the format IV, final report for the tank 241-S-111 (S-111) grab samples taken in August 1999 to address waste compatibility concerns. Chemical, radiochemical, and physical analyses on the tank S-111 samples were performed as directed in Compatibility Grab Sampling and Analysis Plan for Fiscal Year 1999 (Sasaki 1999a,b). Any deviations from the instructions provided in the tank sampling and analysis plan (TSAP) were discussed in this narrative. The notification limit for 137 Cs was exceeded on two samples. Results are discussed in Section 5.3.2. No other notification limits were exceeded

Tank 241-S-111 08/1999 Compatibility Grab Samples and Analytical Results for the Final Report [SEC 1 and SEC 2

Energy Technology Data Exchange (ETDEWEB)

STEEN, F.H.

1999-12-01

This document is the format IV, final report for the tank 241-S-111 (S-111) grab samples taken in August 1999 to address waste compatibility concerns. Chemical, radiochemical, and physical analyses on the tank S-111 samples were performed as directed in Compatibility Grab Sampling and Analysis Plan for Fiscal Year 1999 (Sasaki 1999a,b). Any deviations from the instructions provided in the tank sampling and analysis plan (TSAP) were discussed in this narrative. The notification limit for {sup 137}Cs was exceeded on two samples. Results are discussed in Section 5.3.2. No other notification limits were exceeded.

Final-Year Students' and Clinical instructors' Experience of Workplace-Based Assessments Used in a Small-Animal Primary-Veterinary-Care Clinical Rotation.

Science.gov (United States)

Weijs, Cynthia A; Coe, Jason B; Hecker, Kent G

2015-01-01

Final-year veterinary students must meet baseline clinical competency upon completion of their training for entry to practice. Workplace-based assessments (WBAs), widely used in human medical training to assess post-graduate students' professionalism and clinical performance, have recently been adopted in undergraduate veterinary clinical teaching environments. WBAs should support veterinary trainees' learning in a clinical teaching environment, though utility of WBAs within veterinary education may differ from that in medical training due to differences in context and in learners' stage of clinical development. We conducted focus groups with final-year veterinary students and clinical instructors following the implementation of three WBAs (Direct Observation of Procedural Skills [DOPS], the Mini-Clinical evaluation exercise [Mini-CEX], and the In-Training Evaluation Report [ITER]) during a small-animal primary-veterinary-care rotation. Students and clinical instructors viewed the DOPS and Mini-CEX as feasible and valuable learning and assessment tools that offered an overall opportunity for timely in-the-moment feedback. Instructors viewed the ITER as less feasible in the context of a service-oriented veterinary clinical teaching environment. Students believed the ITER had potential to be informative, although in its existing application the ITER had limited utility due to time constraints on instructors that prevented them from providing students with individualized and specific feedback. In service-oriented veterinary clinical teaching environments, successful implementation of WBAs requires balancing provision of feedback to students, time demands on clinical instructors, and flexibility of assessment tools.

Strength functions of primary transitions following thermal neutron capture in strontium

International Nuclear Information System (INIS)

Winter, C.; Lieb, K.P.

1989-01-01

The primary E1, M1 and E2 γ-radiation in 87,88,89 Sr observed after thermal neutron capture was compared with the predictions of single particle and giant resonance models. The nuclei feature a wide range of neutron binding energies between 6.3 and 11.1 MeV, which makes a 5.5 MeV spectrum of primary transition energies available for investigation. The (n, γ) reaction was used to estimate the parameters of the spin-flip M1 giant resonance in strontium. The total energy weighted M1 strength of this resonance exceeds the results of shell model and random phase approximation calculations for 90 Zr by a factor of 3-4. The E1 strengths were found to agree with the established giant dipole resonance model. The few data on primary E2 transitions do not allow to differentiate between the giant quadrupole resonance and the single particle models. (orig.)

[Do vitamins from foods fortified exceed the allowed limits? Study carried out in population young adolescent and young adult of the metropolitan region of Chile].

Science.gov (United States)

Freixas Sepúlveda, Alejandra; Díaz Narváez, Víctor Patricio; Durán Agüero, Samuel; Gaete Verdugo, María Cristina

2013-01-01

In order to analyze the usual consumption of vitamins in an adolescent population and young adult in the Metropolitan Region, were 213 food fortified with vitamins of the Chilean market. A survey of consumption and nutrient intake was calculated. The result added vitamins added to food. The normality of the variables of the intake was assessed and data were subjected to analysis of descriptive statisticians and percentiles are determined. Estimated percentages of subjects whose values exceed those fixed for DDR and UL listed for each vitamin and percentage of excess for each case. Discriminant analysis was performed using the M Box test. The correlation canonical and the Statisticians Wilks were estimated. Finally it was estimated the percentage of correctly classified data. Data were processed by the program SPSS 20.0 with a significance level of α ≤ 0.05. The results indicate that you for all the studied vitamins, the percentage of subjects who more than the DDR is for total folate (96.4%) and the lowest percentage is given for the vitamin E and B12 in young adult women. The percentage of subjects who exceed the UL values is greatest for the vitamin B3 (91.9%). According to the canonical correlation, there are differences in behavior between the groups. It is recommended to monitor the behavior and consumption of food fortified with vitamins, especially of the complex B and A. Copyright © AULA MEDICA EDICIONES 2013. Published by AULA MEDICA. All rights reserved.

Metallurgical Laboratory Hazardous Waste Management Facility groundwater monitoring report

International Nuclear Information System (INIS)

Thompson, C.Y.

1993-03-01

During fourth quarter 1992, samples from 18 groundwater monitoring wells of the AMB series at the Metallurgical Laboratory Hazardous Waste Management Facility were analyzed for certain heavy metals, indicator parameters, radionuclides, volatile organic compounds, and other constituents. Six parameters exceeded final Primary Drinking Water Standards (PDWS) and the Savannah River Site Flag 2 criteria during the quarter. The results for fourth quarter 1992 are fairly consistent with the rest of the year's data. Tetrachloroethylene exceeded the final PDWS in well AMB 4D only two of the four quarters; in the other three wells in which it was elevated, it was present at similar levels throughout the year. Trichloroethylene consistently exceeded its PDWS in wells AMB 4A, 4B, 4D, 5, and 7A during the year. Trichloroethylene was elevated in well AMB 6 only during third and fourth quarters and in well AMB 7 only during fourth quarter. Total alpha-emitting radium was above the final PDWS for total radium in well AMB 5 at similar levels throughout the year and exceeded the PDWS during one of the three quarters it was analyzed for (third quarter 1992) in well AMB 10B

Radiological Final Status Survey of the Hammond Depot, Hammond, Indiana

International Nuclear Information System (INIS)

Vitkus, T.J.

2008-01-01

ORISE conducted extensive scoping, characterization, and final status surveys of land areas and structures at the DNSC's Hammond Depot located in Hammond, Indiana in multiple phases during 2005, 2006 and 2007. This report provides a detailed discussion of the radiological survey planning, survey implementation, remediation, and the results for these activities supporting the conclusion that radioactive contamination previously identified at the Hammond Depot (HD) has been reduced to levels such that the site may be released without radiological restrictions. The objective of the radiological final status survey (FSS) was to obtain the data necessary to demonstrate compliance with the U.S. Nuclear Regulatory Commission (NRC)-approved site-specific derived concentration guideline levels (DCGLs) for both structural surfaces and outdoor areas (ORISE 2006a and NRC 2007). The DCGLs were modeled such that any residual licensed material would not exceed the NRC's basic dose limit for license termination of 25 millirem per year (mrem/y)

Genome-wide association study of primary tooth eruption identifies pleiotropic loci associated with height and craniofacial distances

DEFF Research Database (Denmark)

Fatemifar, Ghazaleh; Hoggart, Clive J; Paternoster, Lavinia

2013-01-01

Twin and family studies indicate that the timing of primary tooth eruption is highly heritable, with estimates typically exceeding 80%. To identify variants involved in primary tooth eruption, we performed a population-based genome-wide association study of 'age at first tooth' and 'number of teeth......' using 5998 and 6609 individuals, respectively, from the Avon Longitudinal Study of Parents and Children (ALSPAC) and 5403 individuals from the 1966 Northern Finland Birth Cohort (NFBC1966). We tested 2 446 724 SNPs imputed in both studies. Analyses were controlled for the effect of gestational age, sex...

Phase I Final Scientific Report

Energy Technology Data Exchange (ETDEWEB)

Lu, Xijia [National Energy Technology Lab. (NETL), Albany, OR (United States); Fetvedt, Jeremy [National Energy Technology Lab. (NETL), Albany, OR (United States); Dimmig, Walker [National Energy Technology Lab. (NETL), Albany, OR (United States)

2017-10-15

This Final Scientific Report addresses the accomplishments achieved during Phase I of DE- FE0023985, Coal Syngas Combustor Development for Supercritical CO₂ Power Cycles. The primary objective of the project was to develop a coal syngas-fueled combustor design for use with high-pressure, high-temperature, oxy-fuel, supercritical CO₂ power cycles, with particular focus given to the conditions required by the Allam Cycle. The primary goals, from the Statement of Project Objectives, were to develop: (1) a conceptual design of a syngas-fueled combustor-turbine block for a 300MWe high-pressure, oxy-fuel, sCO2 power plant; (2) the preliminary design of a 5MWt test combustor; and (3) the definition of a combustor test program. Accomplishments for each of these goals are discussed in this report.

Institutional Determinants of Organizational Change in Primary Education in Nineteenth Century America and Britain. Final Report.

Science.gov (United States)

Smelser, Neil J.

Using historical documents, this report traces the development of the system of primary education in Great Britain and the United States. During the period between 1810 and 1870, both Britain and the United States attempted to form an organization for primary schooling and achieved great progress in the institutionalization and growth of mass…

The Cumulative Daily Tolerance Levels of Potentially Toxic Excipients Ethanol and Propylene Glycol Are Commonly Exceeded in Neonates and Infants

DEFF Research Database (Denmark)

Valeur, Kristine Svinning; Hertel, Steen Axel; Lundstrøm, Kaare Engell

2018-01-01

neonates and infants and compare these levels to the tolerance limits found in guidelines published by European Medicines Agency (EMA). As part of the SEEN study, all medicinal products administered to neonates and infants were recorded. All included neonates received ≥2 medicinal products/day and infants...... ≥3 medicinal products/day. Daily excipient levels were calculated based on quantities obtained from manufacturers or databases. Excipient levels were compared to tolerance limits proposed by the EMA. Altogether, 470 neonates and 160 infants were included, recording 4207 prescriptions and 316 products...... exceed tolerance limit of 6 mg/kg/day. Of the total number of prescriptions involving PG-containing medicinal products (n = 174), 70% would alone exceed a maximum tolerance limit of 50 mg/kg/day. Maximal daily exposure to ethanol (1563 mg/kg/day) or PG (954 mg/kg/day) exceeded the tolerance limits...

Water splitting-biosynthetic system with CO₂ reduction efficiencies exceeding photosynthesis.

Science.gov (United States)

Liu, Chong; Colón, Brendan C; Ziesack, Marika; Silver, Pamela A; Nocera, Daniel G

2016-06-03

Artificial photosynthetic systems can store solar energy and chemically reduce CO2 We developed a hybrid water splitting-biosynthetic system based on a biocompatible Earth-abundant inorganic catalyst system to split water into molecular hydrogen and oxygen (H2 and O2) at low driving voltages. When grown in contact with these catalysts, Ralstonia eutropha consumed the produced H2 to synthesize biomass and fuels or chemical products from low CO2 concentration in the presence of O2 This scalable system has a CO2 reduction energy efficiency of ~50% when producing bacterial biomass and liquid fusel alcohols, scrubbing 180 grams of CO2 per kilowatt-hour of electricity. Coupling this hybrid device to existing photovoltaic systems would yield a CO2 reduction energy efficiency of ~10%, exceeding that of natural photosynthetic systems. Copyright © 2016, American Association for the Advancement of Science.

Four-Terminal All-Perovskite Tandem Solar Cells Achieving Power Conversion Efficiencies Exceeding 23%

Energy Technology Data Exchange (ETDEWEB)

Zhu, Kai [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Zhao, Dewei [University of Toledo; Wang, Changlei [University of Toledo; Wuhan University; Song, Zhaoning [University of Toledo; Yu, Yue [University of Toledo; Chen, Cong [University of Toledo; Zhao, Xingzhong [Wuhan University; Yan, Yanfa [University of Toledo

2018-02-09

We report on fabrication of 4-terminal all-perovskite tandem solar cells with power conversion efficiencies exceeding 23% by mechanically stacking semitransparent 1.75 eV wide-bandgap FA0.8Cs0.2Pb(I0.7Br0.3)3 perovskite top cells with 1.25 eV low-bandgap (FASnI3)0.6(MAPbI3)0.4 bottom cells. The top cells use MoOx/ITO transparent electrodes and achieve transmittance up to 70% beyond 700 nm.

Primary Care Practice: Uncertainty and Surprise

Science.gov (United States)

Crabtree, Benjamin F.

I will focus my comments on uncertainty and surprise in primary care practices. I am a medical anthropologist by training, and have been a full-time researcher in family medicine for close to twenty years. In this talk I want to look at primary care practices as complex systems, particularly taking the perspective of translating evidence into practice. I am going to discuss briefly the challenges we have in primary care, and in medicine in general, of translating new evidence into the everyday care of patients. To do this, I will look at two studies that we have conducted on family practices, then think about how practices can be best characterized as complex adaptive systems. Finally, I will focus on the implications of this portrayal for disseminating new knowledge into practice.

Investigation of the possibility of exceeding the Greenwald density limit during ECRH in T-10

International Nuclear Information System (INIS)

Alikaev, V.V.; Borshchegovskii, A.A.; Volkov, V.V.; Dremin, M.M.; Esipchuk, Yu.V.; Kakurin, A.M.; Kirneva, N.A.; Kislov, A.Ya.; Kislov, D.A.; Klimanov, I.V.; Kochin, V.A.; Krupin, V.A.; Krylov, S.V.; Myalton, T.B.; Novikov, A.Yu.; Notkin, G.E.; Pavlov, Yu.D.; Piterskii, V.V.; Poznyak, V.I.; Roi, I.N.

2000-01-01

In T-10 experiments, attempts were made to significantly exceed the Greenwald limit n-bar Gr during high-power (P ab = 750 kW) electron-cyclotron resonance heating (ECRH) and gas puffing. Formally, the density limit (n-bar e ) lim exceeding the Greenwald limit ((n-bar) e ) lim /n-bar Gr = 1.8) was achieved for q L = 8.2. However, as q L decreased, the ratio (n-bar e ) lim /n-bar Gr also decreased, approaching unity at q L ≅ 3. It was suggested that the 'current radius' (i.e., the radius of the magnetic surface enclosing the bulk of the plasma current I p ), rather than the limiter radius, was the parameter governing the value of (n-bar e ) lim . In the ECRH experiments, no substantial degradation of plasma confinement was observed up to n-bar e ∼ 0.9(n-bar e ) lim regardless of the ratio (n(bar sign) e ) lim /n-bar Gr . In different scenarios of the density growth up to (n-bar e ) lim , two types of disruptions related to the density limit were observed

Acceptable-doses exceeding in radionuclides transport

International Nuclear Information System (INIS)

Delabarre, P.

2006-01-01

Without any foregoing signal, the 12-gliding month dose in an employee of a radionuclides transporting firm raised to 44,30 mSv (over the double of the ICRP recommended yearly maximum of 20 mSv). Apart from immediate prohibition of any further professional exposure to ionising radiation for the employee concerned, and an inquiry for possible explanations concerning as well the employer as the employee, an in-depth investigation of the employees previous records took place. Except from the sudden rise, the investigation showed that the personal dosimeter was mostly presented for analysis weeks, even months, too late, what made any immediate action from occupational health and radioprotection side difficult and anyhow far too late. Investigation of the records of the other 30 employees showed that 1) mostly the dosimeters were not presented on the assumed date for analysis, but months to (sometimes) nearly one year late behind schedule 2) for the same job in the same period, registered doses varied from naught to over 8,00 mSv, depending on the employee 3) several employees had a 12-gliding months dose of over 10,00 mSv, even over 15,00 mSv During discussion with employee, employer, occupational physician and an agent of the qualified organisation for dosimeter analysis, the employer was anything but cooperative; the employee also was rather reluctant to answer questions, and given possible causes could not be corroborated. In an attempt to clarify the multiple problems, the Governmental Agency for Nuclear Control was involved, which imposed in a first time a( not very stringent, rather indulgent) action plan. Meanwhile, a written comment on the monthly dosimeter analyses was sent from as well the occupational physician as the analytical firm to the employer and to the concerned employees if a 12-gliding months dose exceeding 10 mSv was determined, without any reaction neither from the employer nor the employees. At the moment of the abstract submission (sept 05

Primary leiomyosarcoma of the seminal vesicle: Case report and review of the literature

International Nuclear Information System (INIS)

Cauvin, Cécile; Moureau-Zabotto, Laurence; Chetaille, Bruno; Hilgers, Werner; Denoux, Yves; Jacquemier, Jocelyne; Guiramand, Jérôme; Sarran, Anthony; Bertucci, François

2011-01-01

Primary leiomyosarcoma of the seminal vesicle is exceedingly rare. We report a case of a 59-year-old man with tumour detected by rectal symptoms and ultrasonography. Computed tomography and magnetic resonance imaging suggested an origin in the right seminal vesicle. Transperineal biopsy of the tumour revealed leiomyosarcoma. A radical vesiculo-prostactectomy with bilateral pelvic lymphadenectomy was performed. Pathological examination showed a grade 2 leiomyosarcoma of the seminal vesicle. The patient received adjuvant radiotherapy. He developed distant metastases 29 months after diagnosis, and received chemotherapy. Metastatic disease was controlled by second-line gemcitabine-docetaxel combination. Fifty-one months after diagnosis of the primary tumour, and 22 months after the first metastases, the patient is alive with excellent performance status, and multiple asymptomatic stable lung and liver lesions. We report the eighth case of primary leiomyosarcoma of the seminal vesicle and the first one with a so long follow-up

Primary leiomyosarcoma of the seminal vesicle: case report and review of the literature.

Science.gov (United States)

Cauvin, Cécile; Moureau-Zabotto, Laurence; Chetaille, Bruno; Hilgers, Werner; Denoux, Yves; Jacquemier, Jocelyne; Guiramand, Jérôme; Sarran, Anthony; Bertucci, François

2011-07-29

Primary leiomyosarcoma of the seminal vesicle is exceedingly rare. We report a case of a 59-year-old man with tumour detected by rectal symptoms and ultrasonography. Computed tomography and magnetic resonance imaging suggested an origin in the right seminal vesicle. Transperineal biopsy of the tumour revealed leiomyosarcoma. A radical vesiculo-prostactectomy with bilateral pelvic lymphadenectomy was performed. Pathological examination showed a grade 2 leiomyosarcoma of the seminal vesicle. The patient received adjuvant radiotherapy. He developed distant metastases 29 months after diagnosis, and received chemotherapy. Metastatic disease was controlled by second-line gemcitabine-docetaxel combination. Fifty-one months after diagnosis of the primary tumour, and 22 months after the first metastases, the patient is alive with excellent performance status, and multiple asymptomatic stable lung and liver lesions. We report the eighth case of primary leiomyosarcoma of the seminal vesicle and the first one with a so long follow-up.

Rapid Antiretroviral Therapy Initiation for Women in an HIV-1 Prevention Clinical Trial Experiencing Primary HIV-1 Infection during Pregnancy or Breastfeeding.

Science.gov (United States)

Morrison, Susan; John-Stewart, Grace; Egessa, John J; Mubezi, Sezi; Kusemererwa, Sylvia; Bii, Dennis K; Bulya, Nulu; Mugume, Francis; Campbell, James D; Wangisi, Jonathan; Bukusi, Elizabeth A; Celum, Connie; Baeten, Jared M

2015-01-01

During an HIV-1 prevention clinical trial in East Africa, we observed 16 cases of primary HIV-1 infection in women coincident with pregnancy or breastfeeding. Nine of eleven pregnant women initiated rapid combination antiretroviral therapy (ART), despite having CD4 counts exceeding national criteria for ART initiation; breastfeeding women initiated ART or replacement feeding. Rapid ART initiation during primary HIV-1 infection during pregnancy and breastfeeding is feasible in this setting.

Rapid Antiretroviral Therapy Initiation for Women in an HIV-1 Prevention Clinical Trial Experiencing Primary HIV-1 Infection during Pregnancy or Breastfeeding.

Directory of Open Access Journals (Sweden)

Susan Morrison

Full Text Available During an HIV-1 prevention clinical trial in East Africa, we observed 16 cases of primary HIV-1 infection in women coincident with pregnancy or breastfeeding. Nine of eleven pregnant women initiated rapid combination antiretroviral therapy (ART, despite having CD4 counts exceeding national criteria for ART initiation; breastfeeding women initiated ART or replacement feeding. Rapid ART initiation during primary HIV-1 infection during pregnancy and breastfeeding is feasible in this setting.

TWRS Final Safety Analysis Report (FSAR) integrated control decision team (ICDT) meetings January 22 - 31,1997

International Nuclear Information System (INIS)

Saladin, V.L.

1997-01-01

U.S. Department of Energy (DOE), Richland Operations Office (RL) letter 97-MSD-163 dated January 15, 1997, directed the Project Hanford Management Contractor (Contractor), Fluor Daniel Hanford, inc., to form a joint RL-Contractor Integrated Control Decision Team (ICDT) to evaluate the Tank Waste Remediation System (TWRS) Final Safety Analysis Report (FSAR) accident scenarios that were identified to be above the risk evaluation guidelines (radiological and/or toxicological) defined by the April 8, 1996, letter from J. Kinzer, RL-TWRS (96-MSO-069) to Dr. A. L. Trego, Westinghouse Hanford Company. The ICDT evaluated six postulated accidents from the draft FSAR which had analyzed consequences above the DOE directed risk evaluation guidelines after controls were applied. The accidents were: (1) Organic Solvent Fires; (2) Organic Salt-Nitrate Fire; (3) Spray Leak; (4) Flammable Gas; (5) Steam Intrusion; and (6) Seismic Event. Five of the postulated accidents exceed radiological risk guidelines. Although the postulated steam intrusion accident does not exceed the radiological risk guidelines, it was considered in the ICDT evaluation because its calculated consequences exceed toxicological risk evaluation guidelines. Figure 1 delineates the mitigated and unmitigated risk evaluations performed for the FSAR

Modeling environmental noise exceedances using non-homogeneous Poisson processes.

Science.gov (United States)

Guarnaccia, Claudio; Quartieri, Joseph; Barrios, Juan M; Rodrigues, Eliane R

2014-10-01

In this work a non-homogeneous Poisson model is considered to study noise exposure. The Poisson process, counting the number of times that a sound level surpasses a threshold, is used to estimate the probability that a population is exposed to high levels of noise a certain number of times in a given time interval. The rate function of the Poisson process is assumed to be of a Weibull type. The presented model is applied to community noise data from Messina, Sicily (Italy). Four sets of data are used to estimate the parameters involved in the model. After the estimation and tuning are made, a way of estimating the probability that an environmental noise threshold is exceeded a certain number of times in a given time interval is presented. This estimation can be very useful in the study of noise exposure of a population and also to predict, given the current behavior of the data, the probability of occurrence of high levels of noise in the near future. One of the most important features of the model is that it implicitly takes into account different noise sources, which need to be treated separately when using usual models.

ST peak during primary percutaneous coronary intervention predicts final infarct size, left ventricular function, and clinical outcome

DEFF Research Database (Denmark)

Lønborg, Jacob Thomsen; Kelbæk, Henning Skov; Holmvang, Lene

2012-01-01

One third of patients treated with primary percutaneous coronary intervention (PCI) for ST-elevation myocardial infarction develop a secondary increase in electrocardiographic ST segment (ST peak) during reperfusion. The purpose was to determine the clinical importance of ST peak during primary PCI....

Children's Exposure to Radon in Nursery and Primary Schools.

Science.gov (United States)

Branco, Pedro T B S; Nunes, Rafael A O; Alvim-Ferraz, Maria C M; Martins, Fernando G; Sousa, Sofia I V

2016-03-30

The literature proves an evident association between indoor radon exposure and lung cancer, even at low doses. This study brings a new approach to the study of children's exposure to radon by aiming to evaluate exposure to indoor radon concentrations in nursery and primary schools from two districts in Portugal (Porto and Bragança), considering different influencing factors (occupation patterns, classroom floor level, year of the buildings' construction and soil composition of the building site), as well as the comparison with IAQ standard values for health protection. Fifteen nursery and primary schools in the Porto and Bragança districts were considered: five nursery schools for infants and twelve for pre-schoolers (seven different buildings), as well as eight primary schools. Radon measurements were performed continuously. The measured concentrations depended on the building occupation, classroom floor level and year of the buildings' construction. Although they were in general within the Portuguese legislation for IAQ, exceedances to international standards were found. These results point out the need of assessing indoor radon concentrations not only in primary schools, but also in nursery schools, never performed in Portugal before this study. It is important to extend the study to other microenvironments like homes, and in time to estimate the annual effective dose and to assess lifetime health risks.

Revised Final DOE10-7-13

Energy Technology Data Exchange (ETDEWEB)

Gilbreath, Bob; Maples, Manuel G

2013-10-07

The project goal was reduction of energy consumption on a group of multi-use buildings. The initial step was to assess the group of buildings and define a set of Energy Conservation Measures (ECM?s) that would return an average energy consumption savings of thirty percent. The assessments defined deficiencies in systems from building envelope to interior lighting. Corrections for the deficiencies were addressed through ECM?s that included: high efficiency lighting, occupancy sensors, programmable thermostats, HVAC upgrades, insulation upgrades, as well as a solar thermal installation to reduce propane consumption. ECM?s were recommended based on calculated energy savings. ECM implementation was performed using licensed professionals across multiple disciplines. Electricians installed new lighting and set up occupancy sensors while plumbers implemented low flow fixtures and insulated water heater systems. A general contractor sealed and repaired building envelopes while overseeing other disciplines. Final energy consumption reductions will exceed thirty percent across nine buildings

Archaeology audit program final report

Energy Technology Data Exchange (ETDEWEB)

NONE

2009-04-15

In order to review oil and gas companies' archaeological management systems, the British Columbia Oil and Gas Commission (OGC) introduced its archaeology audit program (AAP) in April 2008. As part of this audit, twenty six oil and gas companies were selected for an office documentation review and a corresponding field audit. This document presented and described these audit results. The purpose of the final audit report was to provide information to assist oil and gas companies to improve their management systems by increasing the emphasis of the preservation of cultural resources. This report presented an overview of the AAP scope and methodology and provided examples from the audit of both good management practices encountered and practices in which opportunities for improvement to archaeological management systems could be implemented. Recommendations to address improvement opportunities were also discussed. It was concluded that the oil and gas companies subject to the audit were found to have met or exceeded OGC expectations for maintaining archaeological management systems. 2 tabs., 7 figs.

Carbon Capture Methods and Relative Competitiveness of Primary Energies

International Nuclear Information System (INIS)

Amigues, Jean-Pierre; Lafforgue, Gilles; Moreaux, Michel

2016-01-01

We characterise the optimal exploitation paths of two primary energies (coal and solar) that supply the energy needs of two sectors. Sector 1 can reduce its carbon emissions at a reasonable cost thanks to a CCS device. Sector 2 has access only to air capture technology, but at a significantly higher cost. We assume that the atmospheric carbon stock cannot exceed a given ceiling. We show that the optimal approach consists in, first, fully capturing sector-1 emissions before the ceiling is reached and, second, deploying air capture to partially abate sector-2 emissions. The optimal carbon tax should increase in the pre-ceiling phase then decline in stages to zero

An Uncommon Presentation of a Metachronous Testicular Primary Nonseminoma and Seminoma Separated by Two Decades and a Testicular Cancer Literature Review

Directory of Open Access Journals (Sweden)

Dennis Andrew Buck

2017-09-01

Full Text Available Introduction: Testicular cancer is the most common malignancy in men aged 15–40 years [Bols et al.: Philadelphia, Wolters Kluwer, Lippincott Williams & Wilkins, 2011]. Its incidence comprises 0.8% of all male cancers worldwide, with a mortality rate of 0.1%. The incidence has nearly doubled from 1975 to 2007 leading to the concern of environmental causes [Thomas: Am J Epidemiol 2013; 178: 1240–1245]. Testicular cancer presents as a painless testicular mass without transillumination. Testicular cancer is subcategorized under germ cell testicular cancer or sex cord-stromal tumors. Of the germ cell tumors, approximately 90% originate in the testis, with the other 10% being extragonadal [Bols et al.: Philadelphia, Wolters Kluwer, Lippincott Williams & Wilkins, 2011]. Typically, if a patient presents with a testicular mass and is 50 years old or older, the diagnosis of a primary lymphoma is considered until proven otherwise [Bols et al.: Philadelphia, Wolters Kluwer, Lippincott Williams & Wilkins, 2011]. Germ cell testicular cancer is further divided into the subtypes of seminomatous and nonseminomatous; each presents with a unique histology and differing treatment implications. Discussion: Given the uniqueness of our patient’s metachronous second testicular primary, we sought to compare our case findings to available historic publications. We sought to address the issues of the incidence of a second primary testicular malignancy with regard to varying histology, age of incidence, and timing of a second primary testicular cancer, the presence of bowel involvement, and finally a brief discussion of testosterone replacement therapy. Conclusion: A review of our case presents several unique factors. The above varying literature has shown our patient to have met the odds of a contralateral testicular primary development in that he had a nonseminomatous primary, followed by a second testicular primary seminoma. Our patient exceeded the 15-year

An Uncommon Presentation of a Metachronous Testicular Primary Nonseminoma and Seminoma Separated by Two Decades and a Testicular Cancer Literature Review.

Science.gov (United States)

Buck, Dennis Andrew; Smith, Tristan Dean; Montana, Wilbur Nelson

2017-01-01

Testicular cancer is the most common malignancy in men aged 15-40 years [Bols et al.: Philadelphia, Wolters Kluwer, Lippincott Williams & Wilkins, 2011]. Its incidence comprises 0.8% of all male cancers worldwide, with a mortality rate of 0.1%. The incidence has nearly doubled from 1975 to 2007 leading to the concern of environmental causes [Thomas: Am J Epidemiol 2013; 178: 1240-1245]. Testicular cancer presents as a painless testicular mass without transillumination. Testicular cancer is subcategorized under germ cell testicular cancer or sex cord-stromal tumors. Of the germ cell tumors, approximately 90% originate in the testis, with the other 10% being extragonadal [Bols et al.: Philadelphia, Wolters Kluwer, Lippincott Williams & Wilkins, 2011]. Typically, if a patient presents with a testicular mass and is 50 years old or older, the diagnosis of a primary lymphoma is considered until proven otherwise [Bols et al.: Philadelphia, Wolters Kluwer, Lippincott Williams & Wilkins, 2011]. Germ cell testicular cancer is further divided into the subtypes of seminomatous and nonseminomatous; each presents with a unique histology and differing treatment implications. Given the uniqueness of our patient's metachronous second testicular primary, we sought to compare our case findings to available historic publications. We sought to address the issues of the incidence of a second primary testicular malignancy with regard to varying histology, age of incidence, and timing of a second primary testicular cancer, the presence of bowel involvement, and finally a brief discussion of testosterone replacement therapy. A review of our case presents several unique factors. The above varying literature has shown our patient to have met the odds of a contralateral testicular primary development in that he had a nonseminomatous primary, followed by a second testicular primary seminoma. Our patient exceeded the 15-year cumulative risk of contralateral metachronous testicular cancer of 1

Efficiency potential in the district heating sector. Final report

International Nuclear Information System (INIS)

Agrell, P.; Bogetoft, P.; Fristrup, P.; Munksgaard, J.; Pade, L.L.

2003-10-01

This report is the final documentation for the research project 'District heating prices in a liberalised energy market - benchmarking the production of combined heat and power'. The project compares activities for almost 300 companies, members of the Danish District Heating Society. The main aim of the analyses has been to uncover the saving potential by comparing each individual company to the most efficient companies in the sector. The variable costs have been studied, amounting to almost 7 billion Danish kroner a year, and the analyses found saving potential ranging from 5% to 60% dependent on the expectations to flexibility assigned to the individual companies. The data used are not available for the public as they exceed the Danish District Heating Society's annual statistics. (BA)

Piping Flexibility Analysis of the Primary Cooling System of TRIGA 2000 Bandung Reactor due to Earthquake

International Nuclear Information System (INIS)

Rahardjo, H.P.

2011-01-01

Earthquakes in a nuclear installation can overload a piping system which is not flexible enough. These loads can be forces, moments and stresses working on the pipes or equipment. If the load is too large and exceed the allowable limits, the piping and equipment can be damaged and lead to overall system operation failure. The load received by piping systems can be reduced by making adequate piping flexibility, so all the loads can be transmitted homogeneously throughout the pipe without load concentration at certain point. In this research the analysis of piping stress has been conducted to determine the size of loads that occurred in the piping of primary cooling system of TRIGA 2000 Reactor, Bandung if an earthquake happened in the reactor site. The analysis was performed using Caesar II software-based finite element method. The ASME code B31.1 arranging the design of piping systems for power generating system (Power Piping Code) was used as reference analysis method. Modeling of piping systems was based on the cooling piping that has already been installed and the existing data reported in Safety Analysis Reports (SARs) of TRIGA 2000 reactor, Bandung. The quake considered in this analysis is the earthquake that occurred due to the Lembang fault, since it has the Peak Ground Acceleration (PGA) in the Bandung TRIGA 2000 reactor site. The analysis results showed that in the static condition for sustain and expansion loads, the stress fraction in all piping lines does not exceed the allowable limit. However, during operation moment, in dynamic condition, the primary cooling system is less flexible at sustain load, expansion load, and combination load and the stress fraction have reached 95,5%. Therefore a pipeline modification (re-routing) is needed to make pipe stress does not exceed the allowable stress. The pipeline modification was carried out by applied a gap of 3 mm in the X direction of the support at node 25 and eliminate the support at the node 30, also a

Assessing readiness to work in primary health care: the content validity of a self-check tool for physiotherapists and other health professionals.

Science.gov (United States)

Stewart, Jenny; Haswell, Kate

2013-03-01

The New Zealand Primary Health Care Strategy has emphasised the importance of well-coordinated service teams in managing complex chronic conditions. There is international evidence that physiotherapists can contribute effectively to the prevention and management of these conditions. However, there are few examples of physiotherapists in New Zealand (NZ) engaging in primary health care (PHC). It has been recognised that professional development is necessary to optimise physiotherapists' participation in PHC. The aim of this study was to both design a self-check tool that physiotherapists could use as an initial step in preparing to work in PHC and to assess the content validity of the tool. A literature review informed the development of the self-check tool. The tool was reviewed by members of the Physiotherapy New Zealand PHC working party to establish content validity. The tool was found to have excellent content validity with an overall score of 0.937, exceeding the acceptable index of 0.8. Item validity was excellent or acceptable for all except two items, which were subsequently modified in the final tool. This investigation provides initial support for the tool's potential use by physiotherapists as a means of determining their readiness to work in PHC. It could have application beyond individual professional development to the wider context of team and organisational development. Additionally, with minor modifications the tool could have broader application to other professional groups.

Vitamin, Mineral, and Multivitamin Supplements for the Primary Prevention of Cardiovascular Disease and Cancer

Science.gov (United States)

... and Multivitamin Supplements for the Primary Prevention of Cardiovascular Disease and Cancer The U.S. Preventive Services Task Force ( ... and Multivitamin Supplements for the Primary Prevention of Cardiovascular Disease and Cancer. This final recommendation statement applies to ...

Utilization of low- and high-voltage electric equipment at heights exceeding 1000 m above sea level

Energy Technology Data Exchange (ETDEWEB)

Karapetyan, M.M.

1980-01-01

The present-day state of high- and low-voltage equipment utilization at heights exceeding 1000 m above sea level is considered with allowance for the technical requirements applicable to the equipment, as provided for in the GOST (All-Union State Standards), and for the results of scientific research studies. 12 refs.

How to objectively assess jugular primary venous obstruction

Directory of Open Access Journals (Sweden)

Paolo Zamboni

2014-12-01

Full Text Available Last January The Lancet published the article by Traboulsee et al. Prevalence of extracranial venous narrowing on catheter venography in people with multiple sclerosis, their sibilings, and unrelated healthy controls: a blinded, case control study. These Authors confirmed the presence of chronic cerebrospinal venous insufficiency with a high prevalence of about 70% in the Canadian population, but without significant differences between patients and healthy controls, yet. However, they used a criterion never published to assess stenosis, in alternative to the classic measurement of the diameter in the segment immediately preceding the narrowest point. Traboulsee et al. measure the stenosis along the entire length of the internal jugular vein, by comparing the maximum diameter with the narrowest point. It has been demonstrated, from normal anatomy findings, how the jugular bulb diameter normally exceeds 50% of the minimum diameter of the internal jugular vein, clearly showing the reason why Traboulsee et al. did not find significant differences between people with multiple sclerosis, their sibilings, and unrelated healthy controls. Furthermore, as the outcome measure of Traboulsee et al., wall stenosis is a neglected part of primary venous obstruction, because in the majority of cases obstruction is the consequence of intraluminal obstacles, as a considerable part of truncular venous malformations, and/or compression; rarely of external hypoplasia. Finally, several recently published methods can be adopted for objective assessment of restricted jugular flow in course of chronic cerebrospinal venous insufficiency, by the means of non invasive magnetic resonance imaging, ultrasound and plethysmography. This may help us in improving the assessment of cerebral venous return in the near future.

Primary leiomyosarcoma of the seminal vesicle: Case report and review of the literature

Directory of Open Access Journals (Sweden)

Guiramand Jérôme

2011-07-01

Full Text Available Abstract Background Primary leiomyosarcoma of the seminal vesicle is exceedingly rare. Case Presentation We report a case of a 59-year-old man with tumour detected by rectal symptoms and ultrasonography. Computed tomography and magnetic resonance imaging suggested an origin in the right seminal vesicle. Transperineal biopsy of the tumour revealed leiomyosarcoma. A radical vesiculo-prostactectomy with bilateral pelvic lymphadenectomy was performed. Pathological examination showed a grade 2 leiomyosarcoma of the seminal vesicle. The patient received adjuvant radiotherapy. He developed distant metastases 29 months after diagnosis, and received chemotherapy. Metastatic disease was controlled by second-line gemcitabine-docetaxel combination. Fifty-one months after diagnosis of the primary tumour, and 22 months after the first metastases, the patient is alive with excellent performance status, and multiple asymptomatic stable lung and liver lesions. Conclusions We report the eighth case of primary leiomyosarcoma of the seminal vesicle and the first one with a so long follow-up.

The period between exfoliation of primary teeth and the emergence of permanent successors.

Science.gov (United States)

Nyström, M; Peck, L

1989-02-01

The dates of natural exfoliation of primary teeth and of clinical eruption of their successors were recorded in 141 children, a total of 660 teeth. The aim of this investigation was to study the length of the period between these two developmental events. In the mandible, the mean length of the toothless period for the central incisor was 2 weeks and that for the lateral incisors and canines 6 weeks. In the maxilla, the corresponding period was 6 weeks for the central incisor and over 4 months for the lateral incisor and the canine. The mean length of the toothless period was shortest, 0-6 days, between the primary molars and the succeeding premolars. Individual variation was great. No difference was detected between the sexes. In some cases the length of the toothless period for the maxillary lateral incisors and for the canines in both jaws exceeded one year. This was associated with crowding, which caused the premature loss of primary teeth.

Tank 241-AP-103 08/1999 Compatibility Grab Samples, Analytical Results for the Final Report

International Nuclear Information System (INIS)

BELL, K.E.

1999-01-01

This document is the format IV, final report for the tank 241-AP-103 (AP-103) grab samples taken in August 1999 to address waste compatibility concerns. Chemical, radiochemical, and physical analyses on the tank AP-103 samples were performed as directed in ''Compatibility Grub Sampling and Analysis Plan for Fiscal Year 1999'' (Sasaki 1999a). Any deviations from the instructions provided in the tank sampling and analysis plan (TSAP) were discussed in this narrative. No notification limits were exceeded

Methods for estimating annual exceedance-probability discharges and largest recorded floods for unregulated streams in rural Missouri.

Science.gov (United States)

2014-01-01

Regression analysis techniques were used to develop a : set of equations for rural ungaged stream sites for estimating : discharges with 50-, 20-, 10-, 4-, 2-, 1-, 0.5-, and 0.2-percent : annual exceedance probabilities, which are equivalent to : ann...

Tumor development in field-cancerized tissue is inhibited by a double application of Boron neutron capture therapy (BNCT) without exceeding radio-tolerance

International Nuclear Information System (INIS)

Monti Hughes, Andrea; Heber, Elisa M.; Itoiz, Maria E.; Molinari, Ana J.; Garabalino, Marcela A.; Trivillin, Veronica A.; Schwint, Amanda E.; Aromando, Romina F.

2009-01-01

Introduction: BNCT is based on the capture reaction between boron, selectively targeted to tumor tissue, and thermal neutrons which gives rise to lethal, short-range high linear energy transfer particles that selectively damage tumor tissue, sparing normal tissue. We previously evidenced a remarkable therapeutic success of a 'single' application of boron neutron capture therapy (BNCT) mediated by boronophenylalanine (BPA), GB-1(Na 2 10 B 10 H 10 ) or (GB-10+BPA) to treat hamster cheek pouch tumors with no normal tissue radiotoxicity. Based on these results, we developed a model of precancerous tissue in the hamster cheek pouch for long-term studies. Employing this model we evaluated the long-term potential inhibitory effect on the development of second primary tumors from precancerous tissue and eventual radiotoxicity of a single application of BNCT mediated by BPA, GB-10 or (GB-10+BPA), in the RA-6. The clinical rationale of this study was to search for a BNCT protocol that is therapeutic for tumor, not radio-toxic for the normal tissue that lies in the neutron beam path, and exerts the desired inhibitory effect on the development of second primary tumors, without exceeding the radio-tolerance of precancerous tissue, the dose limiting tissue in this case. Second primary tumors that arise in precancerous tissue (also called locoregional recurrences) are a frequent cause of therapeutic failure in head and neck tumors. Aim: Evaluate the radiotoxicity and inhibitory effect of a 'double' application of the same BNCT protocols that were proved therapeutically successful for tumor and precancerous tissue, with a long term follow up (8 months). A 'double' application of BNCT is a potentially useful strategy for the treatment of tumors, in particular the larger ones, but the cost in terms of side-effects in dose-limiting tissues might preclude its application and requires cautious evaluation. Materials and methods: We performed a double application of 1) BPA-BNCT; 2) (GB

Empirical and dynamic primary energy factors

International Nuclear Information System (INIS)

Wilby, Mark Richard; Rodríguez González, Ana Belén; Vinagre Díaz, Juan José

2014-01-01

Current legislation, standards, and scientific research in the field of energy efficiency often make use of PEFs (primary energy factors). The measures employed are usually fixed and based on theoretical calculations. However given the intrinsically variable nature of energy systems, these PEFs should rely on empirical data and evolve in time. Otherwise the obtained efficiencies may not be representative of the actual energy system. In addition, incorrect PEFs may cause a negative effect on the energy efficiency measures. For instance, imposing a high value on the PEF of electricity may discourage the use of renewable energy sources, which have an actual value close to 1. In order to provide a solution to this issue, we propose an application of the Energy Networks (ENs), described in a previous work, to calculate dynamic PEFs based on empirical data. An EN represents an entire energy system both numerically and graphically, from its primary energy sources to their final energy forms, and consuming sectors. Using ENs we can calculate the PEF of any energy form and depict it in a simple and meaningful graph that shows the details of the contribution of each primary energy and the efficiency of the associated process. The analysis of these PEFs leads to significant conclusions regarding the energy models adopted among countries, their evolution in time, the selection of viable ways to improve efficiency, and the detection of best practices that could contribute to the overall energy efficiency targets. - Highlights: • Primary Energy Factors (PEFs) are foundation of much energy legislation and research. • Traditionally, they have been treated as geotemporally invariant. • This work provides a systematic and transparent methodology for adding variability. • It also shows the variability between regions due to market, policy, and technology. • Finally it demonstrates the utility of extended PEFs as a tool in their own right

SisterTalk: final results of a culturally tailored cable television delivered weight control program for Black women

OpenAIRE

Risica, Patricia Markham; Gans, Kim M; Kumanyika, Shiriki; Kirtania, Usree; Lasater, Thomas M

2013-01-01

Background Obesity among Black women continues to exceed that of other women. Most weight loss programs created without reference to specific cultural contexts are less effective for Black than White women. Weight control approaches accessible to Black women and adapted to relevant cultural contexts are important for addressing this problem. This paper reports the final results of SisterTalk, the randomized controlled trial of a cable TV weight control program oriented toward Black women. Met...

Planktivory in the changing Lake Huron zooplankton community: Bythotrephes consumption exceeds that of Mysis and fish

Science.gov (United States)

Bunnell, D.B.; Hunter, R. Douglas; Warner, D.M.; Chriscinske, M.A.; Roseman, E.F.

2011-01-01

Oligotrophic lakes are generally dominated by calanoid copepods because of their competitive advantage over cladocerans at low prey densities. Planktivory also can alter zooplankton community structure. We sought to understand the role of planktivory in driving recent changes to the zooplankton community of Lake Huron, a large oligotrophic lake on the border of Canada and the United States. We tested the hypothesis that excessive predation by fish (rainbow smelt Osmerus mordax, bloater Coregonus hoyi) and invertebrates (Mysis relicta, Bythotrephes longimanus) had driven observed declines in cladoceran and cyclopoid copepod biomass between 2002 and 2007. We used a field sampling and bioenergetics modelling approach to generate estimates of daily consumption by planktivores at two 91-m depth sites in northern Lake Huron, U.S.A., for each month, May-October 2007. Daily consumption was compared to daily zooplankton production. Bythotrephes was the dominant planktivore and estimated to have eaten 78% of all zooplankton consumed. Bythotrephes consumption exceeded total zooplankton production between July and October. Mysis consumed 19% of all the zooplankton consumed and exceeded zooplankton production in October. Consumption by fish was relatively unimportant - eating only 3% of all zooplankton consumed. Because Bythotrephes was so important, we explored other consumption estimation methods that predict lower Bythotrephes consumption. Under this scenario, Mysis was the most important planktivore, and Bythotrephes consumption exceeded zooplankton production only in August. Our results provide no support for the hypothesis that excessive fish consumption directly contributed to the decline of cladocerans and cyclopoid copepods in Lake Huron. Rather, they highlight the importance of invertebrate planktivores in structuring zooplankton communities, especially for those foods webs that have both Bythotrephes and Mysis. Together, these species occupy the epi-, meta- and

48 CFR 736.602-5 - Short selection process for procurements not to exceed the simplified acquisition threshold.

Science.gov (United States)

2010-10-01

... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Short selection process for procurements not to exceed the simplified acquisition threshold. 736.602-5 Section 736.602-5... CONTRACTING CONSTRUCTION AND ARCHITECT-ENGINEER CONTRACTS Architect-Engineer Services 736.602-5 Short...

48 CFR 636.602-5 - Short selection processes for contracts not to exceed the simplified acquisition threshold.

Science.gov (United States)

2010-10-01

... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Short selection processes... ARCHITECT-ENGINEER CONTRACTS Architect-Engineer Services 636.602-5 Short selection processes for contracts not to exceed the simplified acquisition threshold. The short selection process described in FAR 36...

Tank 241-T-204, core 188 analytical results for the final report

Energy Technology Data Exchange (ETDEWEB)

Nuzum, J.L.

1997-07-24

TANK 241-T-204, CORE 188, ANALYTICAL RESULTS FOR THE FINAL REPORT. This document is the final laboratory report for Tank 241 -T-204. Push mode core segments were removed from Riser 3 between March 27, 1997, and April 11, 1997. Segments were received and extruded at 222-8 Laboratory. Analyses were performed in accordance with Tank 241-T-204 Push Mode Core Sampling and analysis Plan (TRAP) (Winkleman, 1997), Letter of instruction for Core Sample Analysis of Tanks 241-T-201, 241- T-202, 241-T-203, and 241-T-204 (LAY) (Bell, 1997), and Safety Screening Data Qual@ Objective (DO) ODukelow, et al., 1995). None of the subsamples submitted for total alpha activity (AT) or differential scanning calorimetry (DC) analyses exceeded the notification limits stated in DO. The statistical results of the 95% confidence interval on the mean calculations are provided by the Tank Waste Remediation Systems Technical Basis Group and are not considered in this report.

Spot volume exceeds 2 million lbs (again); restricted price hits $10/lb

International Nuclear Information System (INIS)

Anon.

1995-01-01

This article is the January 1995 uranium market summary. Volume on the spot concentrates market exceeded 2 million lbs equivalent for the second consecutive month. Six deals took place; four in the spot concentrates market, one in the conversion market, and one in the enrichment market. No deals took place in the medium or long-term market. The upper end of the restricted price range reached $10.00 per lb U3O8, its highest level since December 1993. The lower end of the restricted price range strengthened to $9.75. The lower end of the spot conversion price range strengthed to $5.70 per kg U, and SWU prices firmed to the $75.00 to $87.00 level

Tank 241-SY-102 January 2000 Compatibility Grab Samples Analytical Results for the Final Report [SEC 1 and 2

Energy Technology Data Exchange (ETDEWEB)

BELL, K.E.

2000-05-11

This document is the format IV, final report for the tank 241-SY-102 (SY-102) grab samples taken in January 2000 to address waste compatibility concerns. Chemical, radiochemical, and physical analyses on the tank SY-102 samples were performed as directed in Comparability Grab Sampling and Analysis Plan for Fiscal Year 2000 (Sasaki 1999). No notification limits were exceeded. Preliminary data on samples 2SY-99-5, -6, and -7 were reported in ''Format II Report on Tank 241-SY-102 Waste Compatibility Grab Samples Taken in January 2000'' (Lockrem 2000). The data presented here represent the final results.

Probability of pipe fracture in the primary coolant loop of a PWR plant. Volume 9: PRAISE computer code user's manual. Final report

International Nuclear Information System (INIS)

Lim, E.Y.

1981-08-01

The PRAISE (Piping Reliability Analysis Including Seismic Events) computer code estimates the influence of earthquakes on the probability of failure at a weld joint in the primary coolant system of a pressurized water reactor. Failure, either a through-wall defect (leak) or a complete pipe severance (a large-LOCA), is assumed to be caused by fatigue crack growth of an as-fabricated interior surface circumferential defect. These defects are assumed to be two-dimensional and semi-elliptical in shape. The distribution of initial crack sizes is a function of crack depth and aspect ratio. Crack propagation rates are governed by a Paris-type relationship with separate RMS cyclic stress intensity factors for the depth and length. Both uniform through the wall and radial gradient thermal stresses are included in the calculation of the stress intensity factors. The failure probabilities are estimated by applying Monte Carlo methods to simulate the life histories of the selected weld joint. In order to maximize computational efficiency, a stratified sampling procedure is used to select the initial crack size. Hydrostatic proof test, pre-service inspection, and in-service inspection can be simulated. PRAISE treats the inter-arrival times of operating transients either as a constant or exponentially distributed according to observed or postulated rates. Leak rate and leak detection models are also included. The criterion for complete pipe severance is exceedance of a net section critical stress. Earthquakes of various intensity and arbitrary occurrence times can be modeled. PRAISE presently assumes that exactly one initial defect exists in the weld and that the earthquake of interest is the first earthquake experienced at the reactor

48 CFR 836.602-5 - Short selection process for contracts not to exceed the simplified acquisition threshold.

Science.gov (United States)

2010-10-01

... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Short selection process for contracts not to exceed the simplified acquisition threshold. 836.602-5 Section 836.602-5 Federal... AND ARCHITECT-ENGINEER CONTRACTS Architect-Engineer Services 836.602-5 Short selection process for...

RANKL/RANK/OPG cytokine receptor system: mRNA expression pattern in BPH, primary and metastatic prostate cancer disease.

Science.gov (United States)

Christoph, Frank; König, Frank; Lebentrau, Steffen; Jandrig, Burkhard; Krause, Hans; Strenziok, Romy; Schostak, Martin

2018-02-01

The cytokine system RANKL (receptor activator of NF-κB ligand), its receptor RANK and the antagonist OPG (osteoprotegerin) play a critical role in bone turnover. Our investigation was conducted to describe the gene expression at primary tumour site in prostate cancer patients and correlate the results with Gleason Score and PSA level. Seventy-one samples were obtained from prostate cancer patients at the time of radical prostatectomy and palliative prostate resection (n = 71). Patients with benign prostate hyperplasia served as controls (n = 60). We performed real-time RT-PCR after microdissection of the samples. The mRNA expression of RANK was highest in tumour tissue from patients with bone metastases (p BPH or locally confined tumours, also shown in clinical subgroups distinguished by Gleason Score (BPH tissue but did not exceed as much as in the tumour tissue. We demonstrated that RANK, RANKL and OPG are directly expressed by prostate cancer cells at the primary tumour site and showed a clear correlation with Gleason Score, serum PSA level and advanced disease. In BPH, mRNA expression is also detectable, but RANK expression does not exceed as much as compared to tumour tissue.

Changes in Student Populations and Average Test Scores of Dutch Primary Schools

Science.gov (United States)

Luyten, Hans; de Wolf, Inge

2011-01-01

This article focuses on the relation between student population characteristics and average test scores per school in the final grade of primary education from a dynamic perspective. Aggregated data of over 5,000 Dutch primary schools covering a 6-year period were used to study the relation between changes in school populations and shifts in mean…

How much Baltic salmon can be consumed without exceeding the tolerable safety limit ?

Energy Technology Data Exchange (ETDEWEB)

Kristiansen, H.R. [Mobile Nutrients Ltd. (Denmark)

2004-09-15

Because Baltic salmon is a top predator preying on sprat, herring and tobis, it is very vulnerable to contamination with dioxin and PCBs. The EU safety limit (SL) for fish is 4 picogram (pg) WHOTEQ g{sup -1} fresh fish. In April 2004, Danish commercial salmon fishing was banned to in the Baltic sea around Bornholm and Gotland (mainly ICES areas 25, 26), because the Food Administration reported dioxin levels exceeding the intervention level of 3 pg g{sup -1} fresh salmon. Their report was based on data from 10 individual salmon, and 3 pooled samples, each with 10 salmon. Since dioxins are widespread in the environment, the human population face a trade off to produce sufficient food that is safe to eat and avoid eating contaminated food. The world population is increasing, and the demand for healthy food is steadily increasing. Consequently, there is a need for risk assessments, where the consequences of eating foods with different grades of contamination is evaluated. The evaluation must be based on data of high quality, and because dioxin accumulation is a slow proces, the risk assessments should consider long time periods of months and years instead of days and weeks. The purpose of the present study is to evaluate the statistical variation of dioxin data from Baltic herring and salmon. The data are used to calculate the quantity of herring and salmon, that humans of different body weight can eat without exceeding the tolerable daily intake (TDI). (In dietary recommendations exposure from dairy products etc. must also be taken into account). A PCDD/F box model is proposed that subtract losses during cooking and postprandially.

General aviation accidents related to exceedance of airplane weight/center of gravity limits.

Science.gov (United States)

Boyd, Douglas D

2016-06-01

Obesity, affects a third of the US population and its corollary occupant weight adversely impacts safe flight operations. Increased aircraft weight results in longer takeoff/landing distances, degraded climb gradients and airframe failure may occur in turbulence. In this study, the rate, temporal changes, and lethality of accidents in piston-powered, general aviation aircraft related to exceeding the maximum aircraft weight/center of gravity (CG) limits were determined. Nation-wide person body mass were from the National Health and Nutrition Examination Survey. The NTSB database was used to identify accidents related to operation of aircraft outside of their weight/CG envelope. Statistical analyses employed T-tests, proportion tests and a Poisson distribution. While the average body mass climbed steadily (p<0.001) between 1999 and 2014 the rate of accidents related to exceedance of the weight/CG limits did not change (p=0.072). However, 57% were fatal, higher (p<0.001) than the 21% for mishaps attributed to other causes/factors. The majority (77%) of accidents were due to an overloaded aircraft operating within its CG limits. As to the phase of flight, accidents during takeoff and those occurring enroute carried the lowest (50%) and highest (85%) proportion of fatal accidents respectively. While the rate of general aviation accidents related to operating an aircraft outside of its weight/CG envelope has not increased over the past 15 years, these types of accidents carry a high risk of fatality. Airmen should be educated as to such risks and to dispel the notion held by some that flights may be safely conducted with an overloaded aircraft within its CG limits. Copyright © 2016 Elsevier Ltd. All rights reserved.

Exceedance of critical loads and of critical limits impacts tree nutrition across Europe

DEFF Research Database (Denmark)

Waldner, P.; Thimonier, A.; Graf Pannatier, E.

2015-01-01

solution tended to be related to less favourable nutritional status. Context Forests have been exposed to elevated atmospheric deposition of acidifying and eutrophying sulphur and nitrogen compounds for decades. Critical loads have been identified, below which damage due to acidification and eutrophication...... are not expected to occur. Aims We explored the relationship between the exceedance of critical loads and inorganic nitrogen concentration, the base cation to aluminium ratio in soil solutions, as well as the nutritional status of trees. Methods We used recent data describing deposition, elemental concentrations....... Conclusion The findings support the hypothesis that elevated nitrogen and sulphur deposition can lead to imbalances in tree nutrition....

Primary Coolant pH Control for Soluble Boron-Free PWRs

International Nuclear Information System (INIS)

Cheon, Yang Ho; Lee, Nam Yeong; Park, Byeong Ho; Park, Seong Chan; Kim, Eun Kee

2015-01-01

These should be considered when evaluating and designing the operating pH program for nuclear power plants. This paper discusses the advanced water chemistry strategies to keep pace with the recent global trends related to pH control in the primary water system for soluble boron pressurized water reactor (PWR) plants. Finally, the objective of this work is to study primary coolant pH control for soluble boron-free PWR plants. This paper reviewed the advanced water chemistry strategies to keep pace with the recent global trends related to pH control in the primary water chemistry system for soluble boron PWR plants. The new chemistry trend for the primary coolant is towards adaption of the constant and elevated chemistry. Finally, this work studied primary coolant pH control for soluble boron-free PWR plants. The ammonia-based water chemistry related to pH control for boron-free PWR plants was discussed. The ammonia-based water chemistry is not recommended to avoid fluctuation of the pH value by ammonia radiolysis and to reduce C-14 production in reactor coolant from reaction with dissolved nitrogen. Also, the potassium-based water chemistry related to pH control for boron-free PWR plants was discussed. KOH has a potential as an alternative pH control agent for soluble boron-free PWR plants. The potassium-based water chemistry related to pH control is recommended for boron-free operation as follows

48 CFR 436.602-5 - Short selection process for contracts not to exceed the simplified acquisition threshold.

Science.gov (United States)

2010-10-01

... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Short selection process for contracts not to exceed the simplified acquisition threshold. 436.602-5 Section 436.602-5 Federal... ARCHITECT-ENGINEER CONTRACTS Architect-Engineer Service 436.602-5 Short selection process for contracts not...

Evaluation of bone loss due to primary occlusal trauma in two experimental models of occlusal overload

OpenAIRE

LOPES, Ana Cristina Távora de Albuquerque; TÉO, Mirela Anne Quartaroli; CORRÊA, Mônica Grazieli; ISHIKIRIAMA, Bella Luna Colombini; CAMPOS, Mirella Lindoso Gomes

2016-01-01

Abstract Introduction Primary occlusal trauma (OT) is an injury of the periodontium with normal height as a result of occlusal forces which exceed their adaptive capacity. Objective To evaluate, histometrically, the alveolar bone loss in the furcation region of rats experimentally submitted to 2 models of occlusal overload. Material and method 45 animals randomly divided into 3 groups: Occlusal Interference (OI, n = 15) - fixing an orthodontic wire segment on the occlusal surface of the fi...

78 FR 10269 - National Primary Drinking Water Regulations: Revisions to the Total Coliform Rule

Science.gov (United States)

2013-02-13

... Illness CWS--Community Water System DBP--Disinfection Byproduct DWC--Drinking Water Committee EA--Economic... 141 and 142 National Primary Drinking Water Regulations: Revisions to the Total Coliform Rule; Final...-9684-8] RIN 2040-AD94 National Primary Drinking Water Regulations: Revisions to the Total Coliform Rule...

Waste compatibility safety issues and final results for tank 241-T-110 push mode samples

International Nuclear Information System (INIS)

Nuzum, J.L.

1997-01-01

This document is the final laboratory report for Tank 241-T-110. Push mode core segments were removed from risers 2 and 6 between January 29, 1997, and February 7, 1997. Segments were received and extruded at 222-S Laboratory. Analyses were performed in accordance with Tank 241-T-110 Push Mode Core Sampling and analysis Plan (TSAP) and Safety Screening Data Quality Objective (DQO). None of the subsamples submitted for total alpha activity (AT) or differential scanning calorimetry (DSC) analyses exceeded the notification limits stated in DQO

Primary care training and the evolving healthcare system.

Science.gov (United States)

Peccoralo, Lauren A; Callahan, Kathryn; Stark, Rachel; DeCherrie, Linda V

2012-01-01

With growing numbers of patient-centered medical homes and accountable care organizations, and the potential implementation of the Patient Protection and Affordable Care Act, the provision of primary care in the United States is expanding and changing. Therefore, there is an urgent need to create more primary-care physicians and to train physicians to practice in this environment. In this article, we review the impact that the changing US healthcare system has on trainees, strategies to recruit and retain medical students and residents into primary-care internal medicine, and the preparation of trainees to work in the changing healthcare system. Recruitment methods for medical students include early preclinical exposure to patients in the primary-care setting, enhanced longitudinal patient experiences in clinical clerkships, and primary-care tracks. Recruitment methods for residents include enhanced ambulatory-care training and primary-care programs. Financial-incentive programs such as loan forgiveness may encourage trainees to enter primary care. Retaining residents in primary-care careers may be encouraged via focused postgraduate fellowships or continuing medical education to prepare primary-care physicians as both teachers and practitioners in the changing environment. Finally, to prepare primary-care trainees to effectively and efficiently practice within the changing system, educators should consider shifting ambulatory training to community-based practices, encouraging resident participation in team-based care, providing interprofessional educational experiences, and involving trainees in quality-improvement initiatives. Medical educators in primary care must think innovatively and collaboratively to effectively recruit and train the future generation of primary-care physicians. © 2012 Mount Sinai School of Medicine.

Primary Well Differentiated Breast Liposarcoma with Divergent Cartilagenous Differentiation: A Case Report

Directory of Open Access Journals (Sweden)

Ammar Cherkess Al-Rikabi

2013-03-01

Full Text Available Primary liposarcomas of the female and male breasts are very rare. Heterologous differentiation in adipocytic tumors is also an exceedingly rare phenomenon, which is occasionally reported in the literature. We describe the case of a 22 year-old female who presented with a relatively large left breast mass which was clinically diagnosed as a case of giant fibroadenoma, but histologically showed a well differentiated liposarcoma with evidence of extensive chondroid differentiation. The mammographic and radiological features are presented and correlated with the histopathological appearances together with literature review and comparison with similar reported cases.

Nonsynonymous substitution in abalone sperm fertilization genes exceeds substitution in introns and mitochondrial DNA

Science.gov (United States)

Metz, Edward C.; Robles-Sikisaka, Refugio; Vacquier, Victor D.

1998-01-01

Strong positive Darwinian selection acts on two sperm fertilization proteins, lysin and 18-kDa protein, from abalone (Haliotis). To understand the phylogenetic context for this dramatic molecular evolution, we obtained sequences of mitochondrial cytochrome c oxidase subunit I (mtCOI), and genomic sequences of lysin, 18-kDa, and a G protein subunit. Based on mtDNA differentiation, four north Pacific abalone species diverged within the past 2 million years (Myr), and remaining north Pacific species diverged over a period of 4–20 Myr. Between-species nonsynonymous differences in lysin and 18-kDa exons exceed nucleotide differences in introns by 3.5- to 24-fold. Remarkably, in some comparisons nonsynonymous substitutions in lysin and 18-kDa genes exceed synonymous substitutions in mtCOI. Lysin and 18-kDa intron/exon segments were sequenced from multiple red abalone individuals collected over a 1,200-km range. Only two nucleotide changes and two sites of slippage variation were detected in a total of >29,000 nucleotides surveyed. However, polymorphism in mtCOI and a G protein intron was found in this species. This finding suggests that positive selection swept one lysin allele and one 18-kDa allele to fixation. Similarities between mtCOI and lysin gene trees indicate that rapid adaptive evolution of lysin has occurred consistently through the history of the group. Comparisons with mtCOI molecular clock calibrations suggest that nonsynonymous substitutions accumulate 2–50 times faster in lysin and 18-kDa genes than in rapidly evolving mammalian genes. PMID:9724763

Aespoe Pillar Stability Experiment. Final 2D coupled thermo-mechanical modelling

Energy Technology Data Exchange (ETDEWEB)

Fredriksson, Anders; Staub, Isabelle; Outters, Nils [Golder Associates AB, Uppsala (Sweden)

2004-02-01

A site scale Pillar Stability Experiment is planned in the Aespoe Hard Rock Laboratory. One of the experiment's aims is to demonstrate the possibilities of predicting spalling in the fractured rock mass. In order to investigate the probability and conditions for spalling in the pillar 'prior to experiment' numerical simulations have been undertaken. This report presents the results obtained from 2D coupled thermo-mechanical numerical simulations that have been done with the Finite Element based programme JobFem. The 2D numerical simulations were conducted at two different depth levels, 0.5 and 1.5 m below tunnel floor. The in situ stresses have been confirmed with convergence measurements during the excavation of the tunnel. After updating the mechanical and thermal properties of the rock mass the final simulations have been undertaken. According to the modelling results the temperature in the pillar will increase from the initial 15.2 deg up to 58 deg after 120 days of heating. Based on these numerical simulations and on the thermal induced stresses the total stresses are expected to exceed 210 MPa at the border of the pillar for the level at 0.5 m below tunnel floor and might reach 180-182 MPa for the level at 1.5 m below tunnel floor. The stresses are slightly higher at the border of the confined hole. Upon these results and according to the rock mechanical properties the Crack Initiation Stress is exceeded at the border of the pillar already after the excavation phase. These results also illustrate that the Crack Damage Stress is exceeded only for the level at 0.5 m below tunnel floor and after at least 80 days of heating. The interpretation of the results shows that the required level of stress for spalling can be reached in the pillar.

Extreme Temperature Exceedances Change more Rapidly Under Future Warming in Regions of non-Gaussian Short Temperature Distribution Tails

Science.gov (United States)

Loikith, P. C.; Neelin, J. D.; Meyerson, J.

2017-12-01

Regions of shorter-than-Gaussian warm and cold side temperature distribution tails are shown to occur in spatially coherent patterns in the current climate. Under such conditions, warming may be manifested in more complex ways than if the underlying distribution were close to Gaussian. For example, under a uniform warm shift, the simplest prototype for future warming, a location with a short warm side tail would experience a greater increase in extreme warm exceedances compared to if the distribution were Gaussian. Similarly, for a location with a short cold side tail, a uniform warm shift would result in a rapid decrease in extreme cold exceedances. Both scenarios carry major societal and environmental implications including but not limited to negative impacts on human and ecosystem health, agriculture, and the economy. It is therefore important for climate models to be able to realistically reproduce short tails in simulations of historical climate in order to boost confidence in projections of future temperature extremes. Overall, climate models contributing to the fifth phase of the Coupled Model Intercomparison Project capture many of the principal observed regions of short tails. This suggests the underlying dynamics and physics occur on scales resolved by the models, and helps build confidence in model projections of extremes. Furthermore, most GCMs show more rapid changes in exceedances of extreme temperature thresholds in regions of short tails. Results therefore suggest that the shape of the tails of the underlying temperature distribution is an indicator of how rapidly a location will experience changes to extreme temperature occurrence under future warming.

Metallurgical Laboratory Hazardous Waste Management Facility groundwater monitoring report. Third quarter, 1994

International Nuclear Information System (INIS)

1994-12-01

During third quarter 1994, samples from AMB groundwater monitoring wells at the Metallurgical Laboratory Hazardous Waste Management Facility (Met Lab HWMF) were analyzed for selected heavy metals, indicator parameters, radionuclides, volatile organic compounds, and other constituents. Eight parameters exceeded standards during the quarter. As in previous quarters, tetrachloroethylene and trichloroethylene exceeded final Primary Drinking Water Standards (PDWS). Bis(2-ethylhexyl) phthalate exceeded final PDWS in one well. Aluminum, iron, manganese, tin, and total organic halogens exceeded the Savannah River Site (SRS) Flag 2 criteria. Groundwater flow direction and rate in the M-Area Aquifer Zone were similar to previous quarters. Conditions affecting determination of groundwater flow directions and rates in the Upper Lost Lake Aquifer Zone, Lower Lost Lake Aquifer Zone, and the Middle Sand Aquifer Zone of the Crouch Branch Confining Unit were also similar to previous quarters. During second quarter 1994, SRS received South Carolina Department of Health and Environmental Control approval for constructing five point-of-compliance wells and two plume definition wells near the Met Lab HWMF. This project began in July 1994 and is complete; however, analytical data from these wells is not available yet

[The scientific entertainer in primary health care].

Science.gov (United States)

Ortega-Calvo, Manuel; Santos, José Manuel; Lapetra, José

2012-09-01

The scientific method is capable of being applied in primary care. In this article we defend the role of the "scientific entertainer "as strategic and necessary in achieving this goal. The task has to include playful and light-hearted content. We explore some words in English that may help us to understand the concept of "scientific entertainer" from a semantic point of view (showman, master of ceremonies, entrepreneur, go-between) also in Spanish language (counsellor, mediator, methodologist) and finally in Latin and Greek (tripalium, negotium, chronos, kairos). We define the clinical, manager or research health-worker who is skilled in primary care as a "primarylogist". Copyright © 2011 Elsevier España, S.L. All rights reserved.

Radiotherapy in primary cerebral lymphoma

International Nuclear Information System (INIS)

Legros, L.; Benezery, K.; Lagrange, J.L.

1999-01-01

Primary cerebral lymphoma is a rare disease with an unfavorable prognosis. Whole brain radiotherapy has been the standard treatment, but neither the optimal radiation fields nor optimal dose level of the regimen are as yet firmly establisheD. From this review of the literature, it seems that the whole brain must be treated, and a boost to the area of the primary site must be discussed. With regard to dose, the radiation dose-response relationship is not clearly proven. Yet, a minimum dose of 40 Gy is necessary, and the maximum dose is set at 50 Gy because of late neurological sequelae. Because of the poor prognosis of this disease and the risk of late sequelae, other avenues have been explored. Chemotherapy has been studied, seem to have a survival advantage and combinations of radiotherapy and chemotherapy, especially with high-dose methotrexate. Because primary cerebral lymphoma is an uncommon disease, randomized clinical trials that compare radiotherapy alone to chemotherapy plus radiotherapy may not be feasible. Finally, even if chemotherapy seems to have a survival advantage, the regimen of chemotherapy is still a matter of debate. (authors)

Derivation of criteria for primary circuit activity in an HTGR

International Nuclear Information System (INIS)

Su, S.D.; Barsell, A.W.

1980-11-01

This paper derives specific criteria for the circulating and plateout activity in the primary circuit for a 2170-MW(t) high temperature gas-cooled reactor-gas turbine (HTGR-GT) plant. Results show that for a design basis, (1) the circulating activity should be limited to 14,000 Ci Kr-88 (a principal nuclide) to meet both offsite dose and containment access constraint during normal operation and depressurization accidents, and (2) the plateout inventories for those important nuclides affecting shutdown maintenance should not exceed 10,000 Ci Ag-110m, 45,000 Ci Cs-134 and 130,000 Ci Cs-137. This paper presents bases and methodology for deriving such criteria and compares them with light water reactors. 5 tables

SKB's safety case for a final repository license application

International Nuclear Information System (INIS)

Hedin, Allan; Andersson, Johan

2014-01-01

The safety assessment SR-Site is a main component in SKB's license application, submitted in March 2011, to construct and operate a final repository for spent nuclear fuel at Forsmark in the municipality of Oesthammar, Sweden. Its role in the application is to demonstrate long-term safety for a repository at Forsmark. The assessment relates to the KBS-3 disposal concept in which copper canisters with a cast iron insert containing spent nuclear fuel are surrounded by bentonite clay and deposited at approximately 500 m depth in saturated, granitic rock. The principal regulatory acceptance criterion, issued by the Swedish Radiation Safety Authority (SSM), requires that the annual risk of harmful effects after closure not exceed 10 -6 for a representative individual in the group exposed to the greatest risk. SSM's regulations also imply that the assessment time for a repository of this type is one million years after closure. The licence applied for is one in a stepwise series of permits, each requiring a safety report. The next step concerns a permit to start excavation of the repository and requires a preliminary safety assessment report (PSAR) covering both operational and post-closure safety. Later steps include permission to commence trial operation, to commence regular operation and to close the final repository. (authors)

African Primary Care Research: Quantitative analysis and presentation of results

Science.gov (United States)

Ogunbanjo, Gboyega A.

2014-01-01

Abstract This article is part of a series on Primary Care Research Methods. The article describes types of continuous and categorical data, how to capture data in a spreadsheet, how to use descriptive and inferential statistics and, finally, gives advice on how to present the results in text, figures and tables. The article intends to help Master's level students with writing the data analysis section of their research proposal and presenting their results in their final research report. PMID:26245435

From Normal Schools to Primary Teaching Schools: historic journey of primary teachers’ training schools

Directory of Open Access Journals (Sweden)

Joaquim António Sousa Pintassilgo

2015-02-01

Full Text Available This article provides a brief outline of the teacher training schools in Portugal for what was traditionally known as primary education, starting in the second half of the nineteenth century, when such schools began functioning regularly.  Initially know as Primary Normal Schools, these institutions were renamed in 1930 to Primary Teaching Schools. In the second half of the 1980s, under full democracy, they were phased out, their place being taken by the Higher Schools of Education. In this article we seek to chronicle their evolution with a set of reflections on the ideals professed in their day, which are to be found primarily in training contexts and in textbooks. These principles deal mainly with such issues as the social roles to be played by the primary school teachers, the values inherent to the profession, pedagogical options considered to be legitimate and educational practices thought to be exemplary. We will analyse in particular the importance that the conceptions of the New School had in the construction of identity references during the republican period and their appropriation by the conservative pedagogy that circulated in the New State. We will also take into account the process of feminization, which left its own mark on the development of this teaching sector. Finally, we will outline a model of analysis for training institutions, using as our reference the case of Portugal. 

Amino acid production exceeds plant nitrogen demand in Siberian tundra

Science.gov (United States)

Wild, Birgit; Eloy Alves, Ricardo J.; Bárta, Jiři; Čapek, Petr; Gentsch, Norman; Guggenberger, Georg; Hugelius, Gustaf; Knoltsch, Anna; Kuhry, Peter; Lashchinskiy, Nikolay; Mikutta, Robert; Palmtag, Juri; Prommer, Judith; Schnecker, Jörg; Shibistova, Olga; Takriti, Mounir; Urich, Tim; Richter, Andreas

2018-03-01

Arctic plant productivity is often limited by low soil N availability. This has been attributed to slow breakdown of N-containing polymers in litter and soil organic matter (SOM) into smaller, available units, and to shallow plant rooting constrained by permafrost and high soil moisture. Using 15N pool dilution assays, we here quantified gross amino acid and ammonium production rates in 97 active layer samples from four sites across the Siberian Arctic. We found that amino acid production in organic layers alone exceeded literature-based estimates of maximum plant N uptake 17-fold and therefore reject the hypothesis that arctic plant N limitation results from slow SOM breakdown. High microbial N use efficiency in organic layers rather suggests strong competition of microorganisms and plants in the dominant rooting zone. Deeper horizons showed lower amino acid production rates per volume, but also lower microbial N use efficiency. Permafrost thaw together with soil drainage might facilitate deeper plant rooting and uptake of previously inaccessible subsoil N, and thereby promote plant productivity in arctic ecosystems. We conclude that changes in microbial decomposer activity, microbial N utilization and plant root density with soil depth interactively control N availability for plants in the Arctic.

Uniroyal Chemical`s remediation project meets or exceeds expectations

Energy Technology Data Exchange (ETDEWEB)

Anon,

1997-11-01

Recent remedial actions taken by Uniroyal Chemical Ltd at their Elmira, Ontario, plant have been considered. The company has been manufacturing a wide range of organic chemicals at this plant for use in agriculture and in the plastics and rubber industries since 1942. Historically, wastes were disposed of on-site, which while common practice at the time, caused soil and water contamination by N-nitrosodimethylamine (NDMA), volatile organic compounds such as benzene, toluene, and chlorobenzene, aniline, mercaptobenzothiazole and basic compounds such as ammonia. The local hydrogeology is fairly complex and consists of several aquifers and aquitards of which the Upper Aquifer (UA) and the Municipal Aquifer (MA) have been the primary concern. They have supplied all or part of the drinking water for the Kitchener-Waterloo area and the town of Elmira. After an extensive feasibility study, the decision was made to install shallow extension wells, and a system to treat the groundwater to acceptable criteria to discharge the treated water to the river system. Development of the system, which besides ten extraction wells includes a tertiary treatment process for UV oxidation, was described. The system has been in operation since January 1997. It affords 95 to 98 per cent of containment efficiency, 99 per cent ammonia removal, and 99.97 per cent of NDMA removal. Effluent requirements have been consistently met for all 18 primary contaminants, and no groundwater is being discharged into the river system.

The hadronic final state in the deep inelastic electron-proton scattering. A comparison between the ZEUS data measured 1992 and theoretical models

International Nuclear Information System (INIS)

Schneider, J.L.

1993-12-01

The hadronic final state in deep inelastic e - P collisions has been studied with the 1992 data from the ZEUS detector at HERA. The hadronic final state is described by event topology variables like thrust and sphericity and also by variables like multiplicity and transverse momentum. These quantities require the reconstruction of the particle four moments which are calculated from calorimeter cell clusters (condensates). A detailed Monte-Carlo comparison between final state particles and condensates is presented. ZEUS data and model predictions are compared in the γ * P system. Good agreement between data and models is found in the x-Feynman and transverse momentum spectra and in the seagull plot. Mean thrust and sphericity are measured as functions of the invariant mass W of the hadronic final state. They significantly deviate from the model predictions, as do the mean multiplicities, which exceed the model predictions by about 1 unit. (orig.)

Primary multifocal gliosarcoma of the spinal cord

Directory of Open Access Journals (Sweden)

Ramesh M. Kumar

2016-03-01

Full Text Available Gliosarcoma (GS is a rare and exceedingly malignant neoplasm of the central nervous system. It displays clinical features similar to glioblastoma, yet is histologically unique as it harbors both gliomatous and sarcomatous cellular components. Involvement of the neuroaxis is predominantly limited to the cerebral parenchyma and meninges. Primary GS of the spinal cord is rarely encountered. We report a case of a 54 year old male who presented with 2 months of progressive, bilateral lower extremity sensory deficits. Magnetic resonance imaging of the neuro-axis revealed multiple intradural lesions involving the cervical and thoracic spinal cord without evidence of intracranial involvement. Surgical resection of a dural based, extramedullary cervical lesion and two exophytic, intramedullary thoracic lesions revealed gliosarcoma, WHO grade IV. The patient died approximately 11 months after presentation. This report confirms that GS is not limited to supratentorial involvement and can primarily affect the spinal cord.

Composition and sources of particles in Mannerheimintie during exceedance days of PM{sub 10} limit value in 2009; Hiukkasten koostumus ja laehteet Mannerheimintiellae PM{sub 10}-raja-arvon ylityspaeivinae 2009

Energy Technology Data Exchange (ETDEWEB)

Kupiainen, K.; Stojiljkovic, A.; Ritola, R. (Nordic Envicon Oy, Helsinki (Finland))

2011-06-15

The purpose of the work was to determine sources of thoracic particles (PM{sub 10}) in the center of Helsinki, in Mannerheimintie, in 2009 during the days when the daily average concentration of PM{sub 10} exceeded 50 mug/m3. Work was commissioned by the Helsinki City Public Works department, the Helsinki Environment Centre and the Helsinki Region Environmental Services Authority HSY (formerly YTV). By the end of the year there were altogether 30 exceedance days. The allowed number of exceedance days per year is 35, so the limit value was not exceeded in 2009. HSY is responsible for monitoring the air quality in the Helsinki metropolitan area. The PM{sub 10} monitoring data in combination with electron microscopy based single particle compositional analysis and receptor modeling was used to evaluate dust source contributions on the exceedance days at HSY's air quality monitoring station in Mannerheimintie. Dust sources related to traction control (winter maintenance and pavement wear by studded tyres) contributed most to the PM{sub 10} concentrations in Mannerheimintie. On 12 exceeding days this group accounted for more than 50 % of PM{sub 10} particles, on 3 days the group alone was sufficient to cause the exceedance. On 3 of the exceedance days long-range transboundary air pollution or traffic exhaust emissions were on the same level with the traction control sources. On 11 days the most significant impact came from construction sites. (orig.)

Quasi-ballistic carbon nanotube array transistors with current density exceeding Si and GaAs

Science.gov (United States)

Brady, Gerald J.; Way, Austin J.; Safron, Nathaniel S.; Evensen, Harold T.; Gopalan, Padma; Arnold, Michael S.

2016-01-01

Carbon nanotubes (CNTs) are tantalizing candidates for semiconductor electronics because of their exceptional charge transport properties and one-dimensional electrostatics. Ballistic transport approaching the quantum conductance limit of 2G0 = 4e2/h has been achieved in field-effect transistors (FETs) containing one CNT. However, constraints in CNT sorting, processing, alignment, and contacts give rise to nonidealities when CNTs are implemented in densely packed parallel arrays such as those needed for technology, resulting in a conductance per CNT far from 2G0. The consequence has been that, whereas CNTs are ultimately expected to yield FETs that are more conductive than conventional semiconductors, CNTs, instead, have underperformed channel materials, such as Si, by sixfold or more. We report quasi-ballistic CNT array FETs at a density of 47 CNTs μm−1, fabricated through a combination of CNT purification, solution-based assembly, and CNT treatment. The conductance is as high as 0.46 G0 per CNT. In parallel, the conductance of the arrays reaches 1.7 mS μm−1, which is seven times higher than the previous state-of-the-art CNT array FETs made by other methods. The saturated on-state current density is as high as 900 μA μm−1 and is similar to or exceeds that of Si FETs when compared at and equivalent gate oxide thickness and at the same off-state current density. The on-state current density exceeds that of GaAs FETs as well. This breakthrough in CNT array performance is a critical advance toward the exploitation of CNTs in logic, high-speed communications, and other semiconductor electronics technologies. PMID:27617293

Temperature conditions in an LMFBR power plant from primary sodium to steam circuits

International Nuclear Information System (INIS)

Aubert, M.; Chaumont, J.M.; Mougniot, J.C.; Recolin, J.; Acket.

1977-01-01

The optimization analysis which is presented is based on an evaluation of the tender prior to contracting Super Phenix. Process constraints are reviewed: fuel limitations, turbine, steam generators; parameter selection involves major temperatures (primary ΔT 0 , steam generator water inlet temperature, turbine steam inlet temperature) or minor temperature (secondary sodium); countervailing mechanisms include upward and downward tendencies. The optimum values obtained by the method represent a coherent balanced set of parameters. So, the most significant tendency revealed by an optimization of investment costs involves the advantages of a hot system with a steam temperature above 515 0 C, but the hot temperature range is very limited (3 0 C between the hot primary sodium temperature and the steam temperature) while the cold temperatures cover a much wide range. The tolerance range within which each critical temperature may be selected without exceeding a certain cost margin per KWh is given

Jupiter's Auroral Energy Input Observed by Hisaki/EXCEED and its Modulations by Io's Volcanic Activity

Science.gov (United States)

Tao, C.; Kimura, T.; Tsuchiya, F.; Murakami, G.; Yoshioka, K.; Kita, H.; Yamazaki, A.; Kasaba, Y.; Yoshikawa, I.; Fujimoto, M.

2016-12-01

Aurora is an important indicator representing the momentum transfer from the fast-rotating outer planet to the magnetosphere and the energy input into the atmosphere through the magnetosphere-ionosphere coupling. Long-term monitoring of Jupiter's northern aurora was achieved by the Extreme Ultraviolet (EUV) spectrometer called EXCEED (Extreme Ultraviolet Spectroscope for Exospheric Dynamics) onboard JAXA's Earth-orbiting planetary space telescope Hisaki until today after its launch in September 2013. We have proceeded the statistical survey of the Jupiter's auroral energy input into the upper atmosphere. The auroral electron energy is estimated using a hydrocarbon color ratio (CR) adopted for the wavelength range of EXCEED, and the emission power in the long wavelength range 138.5-144.8 nm is used as an indicator of total emitted power before hydrocarbon absorption and auroral electron energy flux. Temporal dynamic variation of the auroral intensity was detected when Io's volcanic activity and thus EUV emission from the Io plasma torus are enhanced in the early 2015. Average of the total input power over 80 days increases by 10% with sometimes sporadically more than a factor of 3 upto 7, while the CR indicates the auroral electron energy decrease by 20% during the volcanic event compared to the other period. This indicates much more increase in the current system and Joule heating which contributes heating of the upper atmosphere. We will discuss the impact of this event on the upper atmosphere and ionosphere.

Neutron emission effects on final fragments mass and kinetic energy distribution from low energy fission of 234U

International Nuclear Information System (INIS)

Montoya, M.; Rojas, J.; Lobato, I.

2008-01-01

The standard deviation of the final kinetic energy distribution (σ e ) as a function of mass of final fragments (m) from low energy fission of 234 U, measured with the Lohengrin spectrometer by Belhafaf et al., presents a peak around m = 109 and another around m = 122. The authors attribute the first peak to the evaporation of a large number of neutrons around the corresponding mass number, i.e. there is no peak on the standard deviation of the primary kinetic energy distribution (σ E ) as a function of primary fragment mass (A). The second peak is attributed to a real peak on σ E (A). However, theoretical calculations related to primary distributions made by H.R. Faust and Z. Bao do not suggest any peak on σ E (A). In order to clarify this apparent controversy, we have made a numerical experiment in which the masses and the kinetic energy of final fragments are calculated, assuming an initial distribution of the kinetic energy without structures on the standard deviation as function of fragment mass. As a result we obtain a pronounced peak on σ e (m) curve around m = 109, a depletion from m = 121 to m = 129, and an small peak around m = 122, which is not as great as that measured by Belhafaf et al. Our simulation also reproduces the experimental results on the yield of the final mass Y(m), the average number of emitted neutrons as a function of the provisional mass (calculated from the values of the final kinetic energy of the complementary fragments) and the average value of fragment kinetic energy as a function of the final mass. From our results we conclude that there are no peaks on the σ E (A) curve, and the observed peaks on σ e (m) are due to the emitted neutron multiplicity and the variation of the average fragment kinetic energy as a function of primary fragment mass. (Author)

Identifying Areas of Primary Care Shortage in Urban Ohio

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Hsin-Chung Liao

Full Text Available ABSTRACT: This study considers both spatial and a-spatial variables in examining accessibility to primary healthcare in the three largest urban areas of Ohio (Cleveland, Columbus, and Cincinnati. Spatial access emphasizes the importance of geographic barriers between individuals and primary care physicians, while a-spatial variables include non-geographic barriers or facilitators such as age, sex, race, income, social class, education, living conditions and language skills. Population and socioeconomic data were obtained from the 2000 Census, and primary care physician data for 2008 was provided by the Ohio Medical Board. We first implemented a two-step method based on a floating catchment area using Geographic Information Systems to measure spatial accessibility in terms of 30-minute travel times. We then used principal component analysis to group various socio-demographic variables into three groups: (1 socioeconomic disadvantages, (2 living conditions, and (3 healthcare needs. Finally, spatial and a-spatial variables were integrated to identify areas with poor access to primary care in Cleveland, Columbus, and Cincinnati. KEYWORDS: Geographic information systems, healthcare access, spatial accessibility, primary care shortage areas

IEA-R1 renewed primary coolant piping system stress analysis

International Nuclear Information System (INIS)

Fainer, Gerson; Faloppa, Altair A.; Oliveira, Carlos A. de; Mattar Neto, Miguel

2015-01-01

A partial replacement of the IEA-R1 piping system was conducted in 2014. The aim of this work is to perform the stress analysis of the renewed primary piping system of the IEA-R1, taking into account the as built conditions and the pipe modifications. The nuclear research reactor IEA-R1 is a pool type reactor designed by Babcox-Willcox, which is operated by IPEN since 1957. The primary coolant system is responsible for removing the residual heat of the Reactor core. As a part of the life management, a regular inspection detected some degradation in the primary piping system. In consequence, part of the piping system was replaced. The partial renewing of the primary piping system did not imply in major piping layout modifications. However, the stress condition of the piping systems had to be reanalyzed. The structural stress analysis of the primary piping systems is now presented and the final results are discussed. (author)

Susceptibility of forests in the northeastern USA to nitrogen and sulfur deposition: critical load exceedance and forest health

Science.gov (United States)

N. Duarte; L.H. Pardo; M.J. Robin-Abbott

2013-01-01

The objectives of this study were to assess susceptibility to acidification and nitrogen (N) saturation caused by atmospheric deposition to northeastern US forests, evaluate the benefits and shortcomings of making critical load assessments using regional data, and assess the relationship between expected risk (exceedance) and forest health. We calculated the critical...

Developmental Surveillance and Screening Practices by Pediatric Primary Care Providers: Implications for Early Intervention Professionals

Science.gov (United States)

Porter, Sallie; Qureshi, Rubab; Caldwell, Barbara Ann; Echevarria, Mercedes; Dubbs, William B.; Sullivan, Margaret W.

2016-01-01

This study used a survey approach to investigate current developmental surveillance and developmental screening practices by pediatric primary care providers in a diverse New Jersey county. A total of 217 providers were contacted with a final sample size of 57 pediatric primary care respondents from 13 different municipalities. Most providers…

Magnitude of flood flows for selected annual exceedance probabilities for streams in Massachusetts

Science.gov (United States)

Zarriello, Phillip J.

2017-05-11

The U.S. Geological Survey, in cooperation with the Massachusetts Department of Transportation, determined the magnitude of flood flows at selected annual exceedance prob­abilities (AEPs) at streamgages in Massachusetts and from these data developed equations for estimating flood flows at ungaged locations in the State. Flood magnitudes were deter­mined for the 50-, 20-, 10-, 4-, 2-, 1-, 0.5-, and 0.2-percent AEPs at 220 streamgages, 125 of which are in Massachusetts and 95 are in the adjacent States of Connecticut, New Hamp­shire, New York, Rhode Island, and Vermont. AEP flood flows were computed for streamgages using the expected moments algorithm weighted with a recently computed regional skew­ness coefficient for New England.Regional regression equations were developed to estimate the magnitude of floods for selected AEP flows at ungaged sites from 199 selected streamgages and for 60 potential explanatory basin characteristics. AEP flows for 21 of the 125 streamgages in Massachusetts were not used in the final regional regression analysis, primarily because of regulation or redundancy. The final regression equations used general­ized least squares methods to account for streamgage record length and correlation. Drainage area, mean basin elevation, and basin storage explained 86 to 93 percent of the variance in flood magnitude from the 50- to 0.2-percent AEPs, respec­tively. The estimates of AEP flows at streamgages can be improved by using a weighted estimate that is based on the magnitude of the flood and associated uncertainty from the at-site analysis and the regional regression equations. Weighting procedures for estimating AEP flows at an ungaged site on a gaged stream also are provided that improve estimates of flood flows at the ungaged site when hydrologic characteristics do not abruptly change.Urbanization expressed as the percentage of imperviousness provided some explanatory power in the regional regression; however, it was not statistically

Atmospheric dry and wet deposition of sulphur and nitrogen species and assessment of critical loads of acidic deposition exceedance in South Africa

Directory of Open Access Journals (Sweden)

Stuart J. Piketh

2011-03-01

Full Text Available We tested the hypothesis that acidic atmospheric pollution deposition, originating from the South African central industrial area, poses an environmental threat across a larger region within the dispersal footprint. A network of 37 passive monitoring sites to measure SO₂ and NO₂ was operated from August 2005 to September 2007. The area extended over the entire northern and eastern interior of South Africa. Monitoring locations were chosen to avoid direct impacts from local sources such as towns, mines and highways. Dry deposition rates of SO₂ and NO₂ were calculated from the measured concentrations. Concentrations of sulphur and nitrogen species in wet deposition from a previous study were used in conjunction with measured rainfall for the years 2006 and 2007 to estimate the wet deposition over the region. The calculated total (non-organic acidic deposition formed the basis for an assessment of exceedance of critical loads based on sensitivity of the regional soils. Regional soil sensitivity was determined by combining two major soil attributes available in the World Inventory of Soil Emission Potentials (International Soil Reference and Information Centre. Results indicate that certain parts of the central pollution source area on the South African Highveld have the potential for critical load exceedance, while limited areas downwind show lower levels of exceedance. Areas upwind and remote areas up and downwind, including forested areas of the Drakensberg escarpment, do not show any exceedance of the critical loads.

Nearly half of the adolescents in an Italian school-based study exceeded the recommended upper limits for daily caffeine consumption.

Science.gov (United States)

Santangelo, Barbara; Lapolla, Rosa; Rutigliano, Irene; Pettoello Mantovani, Massimo; Campanozzi, Angelo

2018-06-01

No data are available on caffeine consumption among Italian adolescents. We investigated caffeine intake from coffee, soft drinks and energy drinks in a sample of Italian adolescents and determined if they exceeded the recommended limits. The study comprised 1213 adolescents with a mean age of 15.1 years (range 12-19) from four schools in Foggia, southern Italy. Caffeine intake was assessed using an anonymous self-reported questionnaire during the 2013/2014 school year. We calculated the percentage of daily caffeine consumers, their mean intake of caffeine from beverages and the contribution of each beverage category to the total caffeine intake. Approximately 76% of the sample consumed caffeine every day, amounting to 125.5 ± 69.2 mg/day and 2.1 ± 1.2 mg/kg/day. When we applied the reference values from the Academy of Pediatrics, we found that 46% of the adolescents exceeded the recommended upper limits. Coffee was the most frequently consumed caffeinated drink and the main contributor to daily caffeine intake. More than three quarters (76%) of the Italian adolescents in our study drank coffee on a daily basis and nearly half (46%) exceeded the recommended upper limits. Strategies are needed to reduce caffeine consumption by adolescents. ©2018 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

Phosphate bonded ceramics as candidate final-waste-form materials

International Nuclear Information System (INIS)

Singh, D.; Wagh, A.S.; Cunnane, J.; Sutaria, M.; Kurokawa, S.; Mayberry, J.

1994-04-01

Room-temperature setting phosphate-bonded ceramics were studied as candidate materials for stabilization of DOE low-level problem mixed wastes which cannot be treated by other established stabilization techniques. Phosphates of Mg, Mg-Na, Al and Zr were studied to stabilize ash surrogate waste containing RCRA metals as nitrates and RCRA organics. We show that for a typical loading of 35 wt.% of the ash waste, the phosphate ceramics pass the TCLP test. The waste forms have high compression strength exceeding ASTM recommendations for final waste forms. Detailed X-ray diffraction studies and differential thermal analyses of the waste forms show evidence of chemical reaction of the waste with phosphoric acid and the host matrix. The SEM studies show evidence of physical bonding. The excellent performance in the leaching tests is attributed to a chemical solidification and physical as well as chemical bonding of ash wastes in these phosphate ceramics

Metallic and Non-Metallic Materials for the Primary Support Structure

International Nuclear Information System (INIS)

RA Wolf; RP Corson

2006-01-01

The primary support structure (PSS) is required for mechanical support of reactor module (RM) components and mounting of the RM to the spacecraft. The PSS would provide support and accept all loads associated with dynamic (e. g., launch and maneuvering) or thermally induced loading. Prior to termination of NRPCT involvement in Project Prometheus, the NRPCT Mechanical Systems team developed preliminary finite element models to gain a basic understanding of the behavior of the structure, but optimization of the models, specification of the final design, and materials selection were not completed. The Space Plant Materials team had evaluated several materials for potential use in the primary support structure, namely titanium alloys, beryllium, aluminum alloys and carbon-carbon composites. The feasibility of application of each material system was compared based on mass, stiffness, thermal expansion, and ease of fabrication. Due to insufficient data on environmental factors, such as temperatures and radiation, and limited modeling support, a final materials selection was not made

Adenylate cyclase regulates elongation of mammalian primary cilia

International Nuclear Information System (INIS)

Ou, Young; Ruan, Yibing; Cheng, Min; Moser, Joanna J.; Rattner, Jerome B.; Hoorn, Frans A. van der

2009-01-01

The primary cilium is a non-motile microtubule-based structure that shares many similarities with the structures of flagella and motile cilia. It is well known that the length of flagella is under stringent control, but it is not known whether this is true for primary cilia. In this study, we found that the length of primary cilia in fibroblast-like synoviocytes, either in log phase culture or in quiescent state, was confined within a range. However, when lithium was added to the culture to a final concentration of 100 mM, primary cilia of synoviocytes grew beyond this range, elongating to a length that was on average approximately 3 times the length of untreated cilia. Lithium is a drug approved for treating bipolar disorder. We dissected the molecular targets of this drug, and observed that inhibition of adenylate cyclase III (ACIII) by specific inhibitors mimicked the effects of lithium on primary cilium elongation. Inhibition of GSK-3β by four different inhibitors did not induce primary cilia elongation. ACIII was found in primary cilia of a variety of cell types, and lithium treatment of these cell types led to their cilium elongation. Further, we demonstrate that different cell types displayed distinct sensitivities to the lithium treatment. However, in all cases examined primary cilia elongated as a result of lithium treatment. In particular, two neuronal cell types, rat PC-12 adrenal medulla cells and human astrocytes, developed long primary cilia when lithium was used at or close to the therapeutic relevant concentration (1-2 mM). These results suggest that the length of primary cilia is controlled, at least in part, by the ACIII-cAMP signaling pathway.

Adenylate cyclase regulates elongation of mammalian primary cilia

Energy Technology Data Exchange (ETDEWEB)

Ou, Young; Ruan, Yibing; Cheng, Min; Moser, Joanna J. [Department of Biochemistry and Molecular Biology, Faculty of Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, Alberta, T2N 4N1 (Canada); Rattner, Jerome B. [Department of Cell Biology and Anatomy, Faculty of Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, Alberta, T2N 4N1 (Canada); Hoorn, Frans A. van der, E-mail: fvdhoorn@ucalgary.ca [Department of Biochemistry and Molecular Biology, Faculty of Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, Alberta, T2N 4N1 (Canada)

2009-10-01

The primary cilium is a non-motile microtubule-based structure that shares many similarities with the structures of flagella and motile cilia. It is well known that the length of flagella is under stringent control, but it is not known whether this is true for primary cilia. In this study, we found that the length of primary cilia in fibroblast-like synoviocytes, either in log phase culture or in quiescent state, was confined within a range. However, when lithium was added to the culture to a final concentration of 100 mM, primary cilia of synoviocytes grew beyond this range, elongating to a length that was on average approximately 3 times the length of untreated cilia. Lithium is a drug approved for treating bipolar disorder. We dissected the molecular targets of this drug, and observed that inhibition of adenylate cyclase III (ACIII) by specific inhibitors mimicked the effects of lithium on primary cilium elongation. Inhibition of GSK-3{beta} by four different inhibitors did not induce primary cilia elongation. ACIII was found in primary cilia of a variety of cell types, and lithium treatment of these cell types led to their cilium elongation. Further, we demonstrate that different cell types displayed distinct sensitivities to the lithium treatment. However, in all cases examined primary cilia elongated as a result of lithium treatment. In particular, two neuronal cell types, rat PC-12 adrenal medulla cells and human astrocytes, developed long primary cilia when lithium was used at or close to the therapeutic relevant concentration (1-2 mM). These results suggest that the length of primary cilia is controlled, at least in part, by the ACIII-cAMP signaling pathway.

The primary exposure standard for Co-60 gamma radiation: characteristics and measurements procedures

International Nuclear Information System (INIS)

Laitano, R.F.; Toni, M.P.

1983-01-01

A description is given of a cavity ionization chamber used, as a primary exposure standard, at the Laboratorio di Metrologia delle Radiazioni Ionizzanti of the ENEA in Italy. The primary standard is designed to make absolute measurements of exposure due to the Co-60 gamma radiation. The procedures for the realizationof the exposure unit are also described. Finally results of some international comparisons are reported

A revised formula for 3-body recombination that cannot exceed the unitarity limit

International Nuclear Information System (INIS)

Greene, Chris H.; Esry, B.D.; Suno, H.

2004-01-01

We discuss the recent developments in theory and experiment that bear on our understanding of three-body recombination at ultracold temperatures. Some of these predictions include the fourth-power dependence of the three-body rate on the two-body scattering lenght a, the appearance of quantum mechanical shape resonance and Feshbach resonances, and the existence of destructive interference minima at large positive scattering lenghts. At very large scattering lenghts, however, the a 4 dependence of the recombination rate eventually will exceed the unitarity limit. We propose in this paper a simple way to correct this problem, permitting an approximate extension of previous predictions to slightly higher energies above the three-body fragmentation threshold. A preliminary comparison is carried out with a very recent experiment by Grimm and coworkers, showing reasonable agreement

Primary extrahepatic hydatid cyst of the soft tissue: a case report

Directory of Open Access Journals (Sweden)

Guraya Salman

2012-11-01

Full Text Available Abstract Introduction Hydatid disease of the soft tissue is an exceedingly uncommon site to be affected by the tapeworm Echinococcus. The presentation is often vague and misleading. The diagnostic armamentarium has to be supplemented by a meticulously taken history and clinical examination. Case presentation The present case report describes a 33-year-old Saudi male with a painless swelling in the right buttock which turned out to be a primary hydatid disease of the soft tissue. The lump was successfully excised surgically and the patient had an uneventful discharge. Conclusion Surgical excision of the extrahepatic hydatid disease remains the mainstay of treatment; although medical treatment is available for the recurrent and disseminated disease.

Edgemont uranium mill decommissioning, Fall River County, South Dakota (adoption as a final environmental impact statement (EIS) of the Nuclear Regulatory Commission's final EIS of September 1982): final environmental impact statement

International Nuclear Information System (INIS)

Anon.

1983-01-01

Decommissioning of the existing uranium milling facilities at Edgemont, South Dakota is proposed. In this adoption by the Tennessee Valley Authority of the Nuclear Regulatory Commission's final environmental impact statement on the decommissioning, no significant deviations from that statement are presented. The project would prevent human exposure to radioactive material emitted by the defunct mill and its ancillary facilities. Reclamation of mill and waste impoundment sites would ensure their future usefulness for wildlife habitat and other purposes. Grading operations could result in occasional particulate levels that exceed federal air quality standards. As much as 105 acre-feet of water could be removed from the Pahasapa Aquifer. Disturbance of soils at the sites would degrade the quality of these soils. Approximately 501 acres of land, including 30 acres of land to be used as haul roads, would be denuded; 86 acres of farmland within the disposal site would be lost. All aquatic communities in Cottonwood Creek would be destroyed during cleanup operations, although the creek would be repopulated. Winddown tailings would increase downwind radiation levels during decommissioning activities

Clinical Features of Ground Glass Opacity-Dominant Lung Cancer Exceeding 3.0 cm in the Whole Tumor Size.

Science.gov (United States)

Suzuki, Shigeki; Sakurai, Hiroyuki; Yotsukura, Masaya; Masai, Kyohei; Asakura, Keisuke; Nakagawa, Kazuo; Motoi, Noriko; Watanabe, Shun-Ichi

2018-05-01

Ground glass opacity (GGO)-dominant lung adenocarcinoma sized 3.0 cm or less in the whole tumor size is widely known to have an excellent prognosis and is regarded as early lung cancer. However, the characteristics and prognosis of lung cancer showing GGO exceeding 3.0 cm remains unclear. From 2002 through 2012, we reviewed 3,735 lung cancers that underwent complete resection at our institution. We identified 160 lung cancers (4.3%) showing GGO exceeding 3.0 cm on thin-section computed tomography and divided them into three types by the consolidation/tumor ratio (CTR) using cutoff values of 0.25 and 0.5. We compared the characteristics and prognosis among these types. Type A (CTR, 0 to ≤0.25), type B (CTR, >0.25 to ≤0.5), and type C (CTR, >0.5 to 3.0 cm can be considered to be in a group of patients with nodal-negative disease and an excellent prognosis. Copyright © 2018 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Medications for the Risk Reduction of Primary Breast Cancer in Women

Science.gov (United States)

... This final recommendation statement does not apply to women who have a history of blood clots, stroke, or “mini-stroke” (when ... of Primary Breast Cancer in Women If a woman has a family history of breast cancer or is concerned about her ...

A Challenging Case of Primary Breast Hodgkin's Lymphoma.

Science.gov (United States)

Zarnescu, Narcis Octavian; Iliesiu, Andreea; Procop, Alexandru; Tampa, Mircea; Matei, Clara; Sajin, Maria; Costache, Mariana; Dumitru, Adrian; Lazaroiu, Anca Mihaela

2015-03-01

Primary breast lymphoma (PBL) is a rare entity accounting for less than 1% of all breast malignancies. Diagnostic criteria for primary Hodgkin's lymphoma of the breast are: the presence of sufficient tissue for diagnosis, close interaction between mammary tissue and lymphomatous infiltrate and no evidence or prior diagnosis of widespread lymphoma. Our case illustrates an unusual presentation of Hodgkin's lymphoma of the breast: clinically as inflammatory breast cancer and core biopsy as granulomatous mastitis, the final diagnosis requiring surgical biopsy. Current information regarding this entity is scant, mainly build upon its rarity. In this paper we assess the clinical presentation, the step-by-step diagnosis, the treatment and the importance of immunohistochemistry in this uncommon condition.

Neutron emission effects on final fragments mass and kinetic energy distribution from low energy fission of {sup 234}U

Energy Technology Data Exchange (ETDEWEB)

Montoya, M.; Rojas, J. [Instituto Peruano de Energia Nuclear, Av. Canada 1470, Lima 41 (Peru); Lobato, I. [Facultad de Ciencias, Universidad Nacional de Ingenieria, Av. Tupac Amaru 210, Apartado Postal 31-139, Lima (Peru)]. e-mail: mmontoya@ipen.gob.pe

2008-07-01

The standard deviation of the final kinetic energy distribution ({sigma}{sub e}) as a function of mass of final fragments (m) from low energy fission of {sup 234}U, measured with the Lohengrin spectrometer by Belhafaf et al., presents a peak around m = 109 and another around m = 122. The authors attribute the first peak to the evaporation of a large number of neutrons around the corresponding mass number, i.e. there is no peak on the standard deviation of the primary kinetic energy distribution ({sigma}{sub E}) as a function of primary fragment mass (A). The second peak is attributed to a real peak on {sigma}{sub E}(A). However, theoretical calculations related to primary distributions made by H.R. Faust and Z. Bao do not suggest any peak on {sigma}{sub E}(A). In order to clarify this apparent controversy, we have made a numerical experiment in which the masses and the kinetic energy of final fragments are calculated, assuming an initial distribution of the kinetic energy without structures on the standard deviation as function of fragment mass. As a result we obtain a pronounced peak on {sigma}{sub e} (m) curve around m = 109, a depletion from m = 121 to m = 129, and an small peak around m = 122, which is not as great as that measured by Belhafaf et al. Our simulation also reproduces the experimental results on the yield of the final mass Y(m), the average number of emitted neutrons as a function of the provisional mass (calculated from the values of the final kinetic energy of the complementary fragments) and the average value of fragment kinetic energy as a function of the final mass. From our results we conclude that there are no peaks on the {sigma}{sub E} (A) curve, and the observed peaks on {sigma}{sub e} (m) are due to the emitted neutron multiplicity and the variation of the average fragment kinetic energy as a function of primary fragment mass. (Author)

Myxedema coma of both primary and secondary origin, with non-classic presentation and extremely elevated creatine kinase.

Science.gov (United States)

Benvenga, S; Squadrito, S; Saporito, F; Cimino, A; Arrigo, F; Trimarchi, F

2000-09-01

Myxedema coma is a rare, often fatal endocrine emergency that concerns elderly patients with long-standing primary hypothyroidism; myxedema coma of central origin is exceedingly rare. Here, we report a 37-year-old woman in whom classical symptoms of hypothyroidism had been absent. Six years earlier, she had severe obstetric hemorrhage and, shortly after, two subsequent episodes of pericardial effusion. On the day of admission, pericardiocentesis was performed for the third episode of pericardial effusion. Because of the subsequent grave arrhythmias and unconsciousness, she was transferred to our ICU. Prior to the endocrine consultation, a silent myocardial infarction had been suspected, based on the extremely high serum levels of creatine kinase (CK) and isoenzyme CK-MB. However, based on thyroid sonography, pituitary computed tomography, elevated titers of antithyroid antibodies and pituitary stimulation tests, the final diagnosis was myxedema coma of dual origin: an atrophic variant of Hashimoto's thyroiditis and post-necrotic pituitary atrophy (Sheehan syndrome). Substitutive therapy caused a prompt clinical amelioration and normalization of CK levels. Our patient is the first case of myxedema coma of double etiology, and illustrates how its presentation deviates markedly from the one endocrinologists and physicians at ICU are prepared to encounter. In addition, cardiac problems as those of our patient should not discourage from substitutive treatment (using L-thyroxine and the gastrointestinal route of absorption), if the age is relatively low.

76 FR 6455 - Final Programmatic Environmental Impact Statement (PEIS) for the Growth, Realignment, and...

Science.gov (United States)

2011-02-04

... alternative, the Army would retain its aviation force structure at its current levels, configurations, and.... The primary environmental issues evaluated include impacts to air quality, soil, airspace, cultural... DEPARTMENT OF DEFENSE Department of the Army Final Programmatic Environmental Impact Statement...

Brown tumors of the anterior skull base as the initial manifestation of true normocalcemic primary hyperparathyroidism: report of three cases and review of the literature.

Science.gov (United States)

Khalatbari, Mahmoud Reza; Hamidi, Mehrdokht; Moharamzad, Yashar; Setayesh, Ali; Amirjamshidi, Abbas

2013-01-01

Brown tumor is a bone lesion secondary to hyperparathyroidism of various etiologies. Skeletal involvement in primary hyperparathyroidism secondary to parathyroid adenoma is very uncommon and brown tumor has become extremely a rare clinical entity. Hyperparathyroidism is usually associated with high levels of serum calcium. Brown tumor as the only and initial symptom of normocalcemic primary hyperparathyroidism is extremely rare. Moreover, involvement of the skull base and the orbit is exceedingly rare. The authors would report three cases of brown tumor of the anterior skull base that were associated with true normocalcemic primary hyperparathyroidism. Clinical manifestations, neuroimaging findings, pathological findings, diagnosis and treatment of the patients are discussed and the relevant literature is reviewed.

Physical characteristics that predict final basal insulin dose in type 2 diabetes mellitus, with a special focus on BMI

NARCIS (Netherlands)

Simon, A. C. R.; Bolli, G. B.; Dain, M.-P.; Wang, E.; Holleman, F.

2014-01-01

The possibility to predict final insulin dose based on patient's characteristics would allow for efficient titration for patients with higher dose needs. The primary aim of this post-hoc analysis of the L2T3 study was to determine predictors for final dose. Specifically, we focused on the

20 CFR 641.740 - How will the Department determine whether a grantee fails, meets, or exceeds the expected levels...

Science.gov (United States)

2010-04-01

... determine whether a grantee fails, meets, or exceeds the expected levels of performance for the core indicators and what will be the consequences of failing to meet expected levels of performance? (a) Aggregate... determine if a national grantee has met the expected levels of performance (including any adjustments to...

Gusts and shear within hurricane eyewalls can exceed offshore wind turbine design standards

Science.gov (United States)

Worsnop, Rochelle P.; Lundquist, Julie K.; Bryan, George H.; Damiani, Rick; Musial, Walt

2017-06-01

Offshore wind energy development is underway in the U.S., with proposed sites located in hurricane-prone regions. Turbine design criteria outlined by the International Electrotechnical Commission do not encompass the extreme wind speeds and directional shifts of hurricanes stronger than category 2. We examine a hurricane's turbulent eyewall using large-eddy simulations with Cloud Model 1. Gusts and mean wind speeds near the eyewall of a category 5 hurricane exceed the current Class I turbine design threshold of 50 m s-1 mean wind and 70 m s-1 gusts. Largest gust factors occur at the eye-eyewall interface. Further, shifts in wind direction suggest that turbines must rotate or yaw faster than current practice. Although current design standards omit mention of wind direction change across the rotor layer, large values (15-50°) suggest that veer should be considered.

African primary care research: Choosing a topic and developing a proposal

Directory of Open Access Journals (Sweden)

Bob Mash

2014-02-01

Full Text Available This is the first in a series of articles on primary care research in the African context. The aim of the series is to help build capacity for primary care research amongst the emerging departments of family medicine and primary care on the continent. Many of the departments are developing Masters of Medicine programmes in Family Medicine and their students will all be required to complete research studies as part of their degree. This series is being written with this audience in particular in mind – both the students who must conceptualise and implement a research project as well as their supervisors who must assist them.This article gives an overview of the African primary care context, followed by a typology of primary care research. The article then goes on to assist the reader with choosing a topic and defining their research question. Finally the article addresses the structure and contents of a  research proposal and the ethical issues that should be considered.

Primary experimental results of wire-array Z-pinches on PTS

Energy Technology Data Exchange (ETDEWEB)

Huang, X. B., E-mail: caephxb2003@aliyun.com; Zhou, S. T., E-mail: caephxb2003@aliyun.com; Ren, X. D., E-mail: caephxb2003@aliyun.com; Dan, J. K., E-mail: caephxb2003@aliyun.com; Wang, K. L., E-mail: caephxb2003@aliyun.com; Zhang, S. Q., E-mail: caephxb2003@aliyun.com; Li, J., E-mail: caephxb2003@aliyun.com; Xu, Q., E-mail: caephxb2003@aliyun.com; Cai, H. C., E-mail: caephxb2003@aliyun.com; Duan, S. C., E-mail: caephxb2003@aliyun.com; Ouyang, K., E-mail: caephxb2003@aliyun.com; Chen, G. H., E-mail: caephxb2003@aliyun.com; Ji, C., E-mail: caephxb2003@aliyun.com; Wang, M., E-mail: caephxb2003@aliyun.com; Feng, S. P., E-mail: caephxb2003@aliyun.com; Yang, L. B., E-mail: caephxb2003@aliyun.com; Xie, W. P., E-mail: caephxb2003@aliyun.com; Deng, J. J., E-mail: caephxb2003@aliyun.com [Key Lab of Pulsed Power, Institute of Fluid Physics, CAEP, P.O. Box 919-108, Mianyang, Sichuan 621999 (China)

2014-12-15

The Primary Test Stand (PTS) developed at the China Academy of Engineering Physics is a multiterawatt pulsed power driver, which can deliver a ∼10 MA, 70 ns rise-time (10%-90%) current to a short circuit load and has important applications in Z-pinch driven inertial confinement fusion and high energy density physics. In this paper, primary results of tungsten wire-array Z-pinch experiments on PTS are presented. The load geometries investigated include 15-mm-tall cylindrical single and nested arrays with diameter ranging from 14.4-26.4 mm, and consisting of 132∼276 tungsten wires with 5∼10 μm in diameter. Multiple diagnostics were fielded to determine the characteristics of x-ray radiations and to obtain self-emitting images of imploding plasmas. X-ray power up to 80 TW with ∼3 ns FWMH is achieved by using nested wire arrays. The total x-ray energy exceeds 500 kJ and the peak radiation temperature is about 150 eV. Typical velocity of imploding plasmas goes around 3∼5×10{sup 7} cm/s and the radial convergence ratio is between 10 and 20.

Perfusion lung scanning: differentiation of primary from thromboembolic pulmonary hypertension

International Nuclear Information System (INIS)

Lisbona, R.; Kreisman, H.; Novales-Diaz, J.; Derbekyan, V.

1985-01-01

Of eight patients with pulmonary arterial hypertension, final diagnosis established by autopsy or angiography, four had primary hypertension and four hypertension from thromboembolism. The perfusion lung scan was distinctly different in the two groups. The lung scan in primary pulmonary hypertension was associated with nonsegmental, patchy defects of perfusion, while in thromboembolic hypertensives it was characterized by segmental and/or lobar defects of perfusion with or without subsegmental defects. The perfusion lung scan is a valuable, noninvasive study in the evaluation of the patient with pulmonary hypertension of undetermined cause and in the exclusion of occult large-vessel pulmonary thromboembolism

Radon in indoor air of primary schools: determinant factors, their variability and effective dose.

Science.gov (United States)

Madureira, Joana; Paciência, Inês; Rufo, João; Moreira, André; de Oliveira Fernandes, Eduardo; Pereira, Alcides

2016-04-01

Radon is a radioactive gas, abundant in granitic areas, such as in the city of Porto at the north-east of Portugal. This gas is a recognized carcinogenic agent, being appointed by the World Health Organization as the leading cause of lung cancer after smoking. The aim of this preliminary survey was to determine indoor radon concentrations in public primary schools, to analyse the main factors influencing their indoor concentration levels and to estimate the effective dose in students and teachers in primary schools. Radon concentrations were measured in 45 classrooms from 13 public primary schools located in Porto, using CR-39 passive radon detectors for about 2-month period. In all schools, radon concentrations ranged from 56 to 889 Bq/m(3) (mean = 197 Bq/m(3)). The results showed that the limit of 100 Bq/m(3) established by WHO IAQ guidelines was exceeded in 92 % of the measurements, as well as 8 % of the measurements exceeded the limit of 400 Bq/m(3) established by the national legislation. Moreover, the mean annual effective dose was calculated as 1.25 mSv/y (ranging between 0.58 and 3.07 mSv/y), which is below the action level (3-10 mSv). The considerable variability of radon concentration observed between and within floors indicates a need to monitor concentrations in several rooms for each floor. A single radon detector for each room can be used, provided that the measurement error is considerably lower than variability of radon concentration between rooms. The results of the present survey will provide useful baseline data for adopting safety measures and dealing effectively with radiation emergencies. In particular, radon remediation techniques should be used in buildings located in the highest radon risk areas of Portugal. The results obtained in the current study concerning radon levels and their variations will be useful to optimize the design of future research surveys.

Tank 214-AW-105, grab samples, analytical results for the final report

International Nuclear Information System (INIS)

Esch, R.A.

1997-01-01

This document is the final report for tank 241-AW-105 grab samples. Twenty grabs samples were collected from risers 10A and 15A on August 20 and 21, 1996, of which eight were designated for the K Basin sludge compatibility and mixing studies. This document presents the analytical results for the remaining twelve samples. Analyses were performed in accordance with the Compatibility Grab Sampling and Analysis Plan (TSAP) and the Data Quality Objectives for Tank Farms Waste Compatibility Program (DO). The results for the previous sampling of this tank were reported in WHC-SD-WM-DP-149, Rev. 0, 60-Day Waste Compatibility Safety Issue and Final Results for Tank 241-A W-105, Grab Samples 5A W-95-1, 5A W-95-2 and 5A W-95-3. Three supernate samples exceeded the TOC notification limit (30,000 microg C/g dry weight). Appropriate notifications were made. No immediate notifications were required for any other analyte. The TSAP requested analyses for polychlorinated biphenyls (PCB) for all liquids and centrifuged solid subsamples. The PCB analysis of the liquid samples has been delayed and will be presented in a revision to this document

The image of mathematics held by Irish post-primary students

Science.gov (United States)

Lane, Ciara; Stynes, Martin; O'Donoghue, John

2014-08-01

The image of mathematics held by Irish post-primary students was examined and a model for the image found was constructed. Initially, a definition for 'image of mathematics' was adopted with image of mathematics hypothesized as comprising attitudes, beliefs, self-concept, motivation, emotions and past experiences of mathematics. Research focused on students studying ordinary level mathematics for the Irish Leaving Certificate examination - the final examination for students in second-level or post-primary education. Students were aged between 15 and 18 years. A questionnaire was constructed with both quantitative and qualitative aspects. The questionnaire survey was completed by 356 post-primary students. Responses were analysed quantitatively using Statistical Package for the Social Sciences (SPSS) and qualitatively using the constant comparative method of analysis and by reviewing individual responses. Findings provide an insight into Irish post-primary students' images of mathematics and offer a means for constructing a theoretical model of image of mathematics which could be beneficial for future research.

Assessing the Primary Schools--A Multi-Dimensional Approach: A School Level Analysis Based on Indian Data

Science.gov (United States)

Sengupta, Atanu; Pal, Naibedya Prasun

2012-01-01

Primary education is essential for the economic development in any country. Most studies give more emphasis to the final output (such as literacy, enrolment etc.) rather than the delivery of the entire primary education system. In this paper, we study the school level data from an Indian district, collected under the official DISE statistics. We…

Post-Primary Students' Images of Mathematics: Findings from a Survey of Irish Ordinary Level Mathematics Students

Science.gov (United States)

Lane, Ciara; Stynes, Martin; O'Donoghue, John

2016-01-01

A questionnaire survey was carried out as part of a PhD research study to investigate the image of mathematics held by post-primary students in Ireland. The study focused on students in fifth year of post-primary education studying ordinary level mathematics for the Irish Leaving Certificate examination--the final examination for students in…

The Puzzle of HCN in Comets: Is it both a Product and a Primary Species?

Science.gov (United States)

Mumma, Michael J.; Bonev, Boncho P.; Charnley, Steven B.; Cordiner, Martin A.; DiSanti, Michael A.; Gibb, Erika L.; Magee-Sauer, Karen; Paganini, Lucas; Villanueva, Geronimo L.

2014-11-01

Hydrogen cyanide has long been regarded as a primary volatile in comets, stemming from its presence in dense molecular cloud cores and its supposed storage in the cometary nucleus. Here, we examine the observational evidence for and against that hypothesis, and argue that HCN may also result from near-nucleus chemical reactions in the coma. The distinction (product vs. primary species) is important for multiple reasons: 1. HCN is often used as a proxy for water when the dominant species (H2O) is not available for simultaneous measurement, as at radio wavelengths. 2. HCN is one of the few volatile carriers of nitrogen accessible to remote sensing. If HCN is mainly a product species, its precursor becomes the more important metric for compiling a taxonomic classification based on nitrogen chemistry. 3. The stereoisomer HNC is now confirmed as a product species. Could reaction of a primary precursor (X-CN) with a hydrocarbon co-produce both HNC and HCN? 4. The production rate for CN greatly exceeds that of HCN in some comets, demonstrating the presence of another (more important) precursor of CN. Several puzzling lines of evidence raise issues about the origin of HCN: a. The production rates of HCN measured through rotational (radio) and vibrational (infrared) spectroscopy agree in some comets - in others the infrared rate exceeds the radio rate substantially. b. With its strong dipole moment and H-bonding character, HCN should be linked more strongly in the nuclear ice to other molecules with similar properties (H2O, CH3OH), but instead its spatial release in some comets seems strongly coupled to volatiles that lack a dipole moment and thus do not form H-bonds (methane, ethane). c. The nucleus-centered rotational temperatures measured for H2O and other species (C2H6, CH3OH) usually agree within error, but those for HCN are often slightly smaller. d. In comet ISON, ALMA maps of HCN and the dust continuum show a slight displacement 80 km) in the centroids. We will

Neurological and neurophysiological examinations of workers exposed to arsenic levels exceeding hygiene standards

Directory of Open Access Journals (Sweden)

Halina Sińczuk-Walczak

2014-12-01

Full Text Available Objectives: The assessment of the neurotoxic effect of arsenic (As and its inorganic compounds is still the subject of interest due to a growing As application in a large array of technologies and the need to constantly verify the principles of prevention and technological parameters. The aim of this study was to determine the status of the nervous system (NS in workers exposed to As at concentrations exceeding hygiene standards (Threshold Limit Values (TLV – 10 μg/m3, Biological Exposure Index (BEI – 35 μg/l and to analyze the relationship between the NS functional state, species of As in urine and As levels in the workplace air. Material and Methods: The study group comprised 21 men (mean age: 47.43±7.59 employed in a copper smelting factory (mean duration of employment: 22.29±11.09. The control group comprised 16 men, matched by age and work shifts. Arsenic levels in the workplace air (As-A ranged from 0.7 to 92.3 μg/m3; (M = 25.18±28.83. The concentration of total arsenic in urine (Astot-U ranged from 17.35 to 434.68 μg/l (M = 86.82±86.6. Results: Syndrome of peripheral nervous system (PNS was manifested by extremity fatigue (28.6%, extremity pain (33.3% and paresthesia in the lower extremities (33.3%, as well as by neuropathy-type mini-symptoms (23.8%. Electroneurographic (ENeG tests of peroneal nerves showed significantly decreased response amplitude with normal values of motor conduction velocity (MCV. Stimulation of sural nerves revealed a significantly slowed sensory conduction velocity (SCV and decreased sensory potential amplitude. Neurophysiological parameters and the results of biological and environmental monitoring showed a relationship between Astot, AsIII (trivalent arsenic, the sum of iAs (AsIII+AsV (pentavalent arsenic+MMA (monomethylarsonic acid concentration in urine and As levels in the air. Conclusions: The results of the study demonstrate that occupational exposure to inorganic arsenic levels exceeding hygiene

Composition and sources of particles in Mannerheimintie during exceedance days of PM{sub 10} limit value in 2010; Hiukkasten koostumus ja laehteet Mannerheimintiellae PM{sub 10}-raja-arvon ylityspaeivinae 2010

Energy Technology Data Exchange (ETDEWEB)

Kupiainen, K.; Niemi, J.; Ritola, R.; Stojiljkovic, A.

2012-02-15

The purpose of the work was to determine sources of respirable particles (PM{sub 10}) in the center of Helsinki, at the measurement station in Mannerheimintie traffic site, in 2010 during the days when the daily average concentration of PM{sub 10} exceeded 50 mug/m3. By the end of the year (2010) the number of this kind of days was 24. The allowed number of exceedance days per year is 35, so the limit value was not exceeded in 2010. Similar work has been carried out in 2008 and 2009 and this report also summarizes results from all three years. HSY is responsible for monitoring the air quality in the Helsinki metropolitan area. The PM{sub 10} monitoring data in combination with electron microscopy based single particle compositional analysis and receptor modeling was used to evaluate dust source contributions on the exceedance days at HSY's air quality monitoring station in Mannerheimintie. According to the study the most significant source of PM{sub 10} particles in Mannerheimintie in 2010 was the dust sources related to traction control (winter-sanding and -salting of streets, pavement wear by studded tyres). Results from 2008 and 2009 show similar tendency. Also dust from construction sites contribute to airborne particle concentrations, timing of this source varies depending on the year. In 2010 particles from construction sites contributed to the exceedances that took place in late spring and early summer. Long-range transboundary air pollution also caused high concentrations of particles and contributed to some of the exceedances in 2008-2010. In late July and early August in 2010, long-range transboundary particles from the forest fires in Russia caused high particle concentrations in Helsinki metropolitan area and elsewhere in Southern Finland. Based on the results, the most significant means to reduce the airborne concentrations and to prevent the exceedance of the limit value are those that aim at mitigating street dust. In Helsinki, the means to

Brazilian energy balance 2011 - year 2010. Final report; Balanco energetico nacional 2011 - ano base 2010. Relatorio final

Energy Technology Data Exchange (ETDEWEB)

NONE

2011-07-01

The Brazilian energy balance - BEB - is divided into eight chapters and ten annexes, whose contents are as follow: chapter 1 - Energy Analysis and Aggregated Data - presents energy highlights per source in 2010 and analyses the evolution of the internal offer of energy and its relationship with economic growth in 2010; chapter 2 - Energy Supply and Demand by Source - has the accountancy, per primary and secondary energy sources, of the production, import, export, variation of stocks, losses, adjustments, desegregated total per socioeconomic sector in the country; chapter 3 - Energy Consumption by Sector - presents the final energy consumption classified by primary and secondary source for each sector of the economy; chapter 4 - Energy Imports and Exports - presents the evolution of the data on the import and export of energy and the dependence on external energy; chapter 5 - Balance of Transformation Centers - presents the energy balances for the energy transformation centers including their losses; chapter 6 - Energy Resources and Reserves - has the basic concepts use in the survey of resources and reserves of primary energy sources, with the evolution of the data from 1974 to 2010, through graphs and tables; chapter 7 - Energy and Socioeconomics - contains a comparison of energy, economic and population parameters, specific consumption, energy intensities, average prices and spending on petroleum imports; chapter 8 - State Energy Data - presents energy data for the states by Federal Unit, main energy source production, energy installations, reserves and hydraulic potential. (author)

An integrated approach to identify the origin of PM10 exceedances.

Science.gov (United States)

Amodio, M; Andriani, E; de Gennaro, G; Demarinis Loiotile, A; Di Gilio, A; Placentino, M C

2012-09-01

This study was aimed to the development of an integrated approach for the characterization of particulate matter (PM) pollution events in the South of Italy. PM(10) and PM(2.5) daily samples were collected from June to November 2008 at an urban background site located in Bari (Puglia Region, South of Italy). Meteorological data, particle size distributions and atmospheric dispersion conditions were also monitored in order to provide information concerning the different features of PM sources. The collected data allowed suggesting four indicators to characterize different PM(10) exceedances. PM(2.5)/PM(10) ratio, natural radioactivity, aerosol maps and back-trajectory analysis and particle distributions were considered in order to evaluate the contribution of local anthropogenic sources and to determine the different origins of intrusive air mass coming from long-range transport, such as African dust outbreaks and aerosol particles from Central and Eastern Europe. The obtained results were confirmed by applying principal component analysis to the number particle concentration dataset and by the chemical characterization of the samples (PM(10) and PM(2.5)). The integrated approach for PM study suggested in this paper can be useful to support the air quality managers for the development of cost-effective control strategies and the application of more suitable risk management approaches.

Primary Breast Angiosarcoma: Avoiding a Common Trap

Directory of Open Access Journals (Sweden)

Christine Desbiens

2011-01-01

Full Text Available Background. Primary breast angiosarcoma is a rare entity. Case. Initial diagnosis was a benign hemangioma at core biopsy. Wide local excision was performed, with positive margins. Pathology after surgery reported a moderately differentiated angiosarcoma. Tumor was finally treated using mastectomy and radiations. She developed a second angiosarcoma in contralateral breast, with an initial diagnosis on core biopsy of an atypical vascular lesion and was again treated using mastectomy and radiations. She developed bones and lung metastases. Conclusion. Primary breast angiosarcoma is a rare entity often difficult to diagnose on core biopsy, and a benign differential diagnosis is frequent. A highly vascular breast mass should always be considered malignant until proven otherwise. Surgical treatment seems to be the best course of action. There is a lack of data proving efficacy of adjuvant chemotherapy and radiation therapy.

A primary mirror metrology system for the GMT

Science.gov (United States)

Rakich, A.

2016-07-01

The Giant Magellan Telescope (GMT)1 is a 25 m "doubly segmented" telescope composed of seven 8.4 m "unit Gregorian telescopes", on a common mount. Each primary and secondary mirror segment will ideally lie on the geometrical surface of the corresponding rotationally symmetrical full aperture optical element. Therefore, each primary and conjugated secondary mirror segment will feed a common instrument interface, their focal planes co-aligned and cophased. First light with a subset of four unit telescopes is currently scheduled for 2022. The project is currently considering an important aspect of the assembly, integration and verification (AIV) phase of the project. This paper will discuss a dedicated system to directly characterize the on-sky performance of the M1 segments, independently of the M2 subsystem. A Primary Mirror Metrology System (PMS) is proposed. The main purpose of this system will be to he4lp determine the rotation axis of an instrument rotator (the Gregorian Instrument Rotator or GIR in this case) and then to characterize the deflections and deformations of the M1 segments with respect to this axis as a function of gravity and temperature. The metrology system will incorporate a small (180 mm diameter largest element) prime focus corrector (PFC) that simultaneously feeds a risk reduction during AIV; it allows an on-sky characterization of the primary mirror segments and cells, without the complications of other optical elements. The PMS enables a very useful alignment strategy that constrains each primary mirror segments' optical axes to follow the GIR axis to within a few arc seconds. An additional attractive feature of the incorporation of the PMS into the AIV plan, is that it allows first on-sky telescope operations to occur with a system of considerably less optical and control complexity than the final doubly segmented Gregorian telescope configuration. This paper first discusses the strategic rationale for a PMS. Next the system itself is

Metallurgical Laboratory Hazardous Waste Management Facility groundwater monitoring report. First quarter 1995

International Nuclear Information System (INIS)

1995-06-01

During first quarter 1995, samples from AMB groundwater monitoring wells at the Metallurgical Laboratory Hazardous Waste Management Facility (Met Lab HWMF) were analyzed for selected heavy metals, field measurements, radionuclides, volatile organic compounds, and other constituents. Six parameters exceeded standards during the quarter. As in previous quarters, tetrachloroethylene and trichloroethylene exceeded final Primary Drinking Water Standards (PDWS). Total organic halogens exceeded its Savannah River Site (SRS) Flag 2 criterion during first quarter 1995 as in fourth quarter 1994. Aluminum, iron, and manganese, which were not analyzed for during fourth quarter 1994, exceeded the Flag 2 criteria in at least two wells each during first quarter 1995. Groundwater flow direction and rate in the M-Area Aquifer Zone were similar to previous quarters. Conditions affecting the determination of groundwater flow directions and rates in the Upper Lost Lake Aquifer Zone, Lower Lost Lake Aquifer Zone, and the Middle Sand Aquifer Zone of the Crouch Branch Confining Unit were also similar to previous quarters

Liposomal clodronate selectively eliminates microglia from primary astrocyte cultures

Directory of Open Access Journals (Sweden)

Kumamaru Hiromi

2012-05-01

Full Text Available Abstract Background There is increasing interest in astrocyte biology because astrocytes have been demonstrated to play prominent roles in physiological and pathological conditions of the central nervous system, including neuroinflammation. To understand astrocyte biology, primary astrocyte cultures are most commonly used because of the direct accessibility of astrocytes in this system. However, this advantage can be hindered by microglial contamination. Although several authors have warned regarding microglial contamination in this system, complete microglial elimination has never been achieved. Methods The number and proliferative potential of contaminating microglia in primary astrocyte cultures were quantitatively assessed by immunocytologic and flow cytometric analyses. To examine the utility of clodronate for microglial elimination, primary astrocyte cultures or MG-5 cells were exposed to liposomal or free clodronate, and then immunocytologic, flow cytometric, and gene expression analyses were performed. The gene expression profiles of microglia-eliminated and microglia-contaminated cultures were compared after interleukin-6 (IL-6 stimulation. Results The percentage of contaminating microglia exceeded 15% and continued to increase because of their high proliferative activity in conventional primary astrocyte cultures. These contaminating microglia were selectively eliminated low concentration of liposomal clodronate. Although primary microglia and MG-5 cells were killed by both liposomal and free clodronate, free clodronate significantly affected the viability of astrocytes. In contrast, liposomal clodronate selectively eliminated microglia without affecting the viability, proliferation or activation of astrocytes. The efficacy of liposomal clodronate was much higher than that of previously reported methods used for decreasing microglial contamination. Furthermore, we observed rapid tumor necrosis factor-α and IL-1b gene induction in

Lead in drinking water: sampling in primary schools and preschools in south central Kansas.

Science.gov (United States)

Massey, Anne R; Steele, Janet E

2012-03-01

Studies in Philadelphia, New York City, Houston, Washington, DC, and Greenville, North Carolina, have revealed high lead levels in drinking water. Unlike urban areas, lead levels in drinking water in suburban and rural areas have not been adequately studied. In the study described in this article, drinking water in primary schools and preschools in five suburban and rural south central Kansas towns was sampled to determine if any exceeded the U.S. Environmental Protection Agency (U.S. EPA) guidance level for schools and child care facilities of 20 parts per billion (ppb). The results showed a total of 32.1% of the samples had detectable lead levels and 3.6% exceeded the U.S. EPA guidance level for schools and child care providers of 20 ppb. These results indicate that about one-third of the drinking water consumed by children age six and under in the five suburban and rural south central Kansas towns studied has some lead contamination, exposing these children to both short-term and long-term health risks. The authors suggest a need for increased surveillance of children's drinking water in these facilities.

Primary solitary peritoneal tumor of the abdominal wall-report of a rare case and review of the literature.

Science.gov (United States)

Efthimiadis, Christoforos; Ioannidis, Aristeidis; Kofina, Konstantinia; Grigoriou, Marios

2017-06-01

Abdominal wall tumors are sometimes diagnosed as metastases of ovarian cancer, however, primary peritoneal tumors should be taken into consideration in the final diagnosis. A 49-year-old female patient was admitted in our Department for the excision of a pulpable abdominal wall lump, with no other abnormalities shown on imaging investigation. On histology examination, the excised specimen revealed characteristics of metastatic high-grade serous ovarian carcinoma. Total hysterectomy, bilateral oophorectomy, omentectomy and appendectomy were performed. No signs of malignancy were proved on histology, leading to the final diagnosis of a primary serous peritoneal tumor. This is the third described case of solitary primary serous peritoneal tumor located in the abdominal wall. This condition should be included in the differential diagnosis of a probable metastatic ovarian carcinoma, as both present similar histologic characteristics.

Saugus River and Tributaries Flood Damage Reduction Study; Lynn, Malden, Revere and Saugus, Massachusetts. Section 2. Final Environmental Impact Statement and Final Environmental Impact Report

Science.gov (United States)

1989-12-01

sensitive marine aquatic life although the less stringent acute criteria were usually met. Mercury appears to exceed the chronic criteria frequently while...other metals showing occasional exceedances include copper, zinc, lead, chromium and nickel. Acute criteria is also occasionally exceeded by copper. b...Main Report A- ppendices Sea Level Rise Chapter 8 P. 14 A-C,G,H Secondary & Cumulative Para. 7.206 Impacts Section 404(b)(1) After EIS/EIR Evaluation

Response Load Extrapolation for Wind Turbines during Operation Based on Average Conditional Exceedance Rates

DEFF Research Database (Denmark)

Toft, Henrik Stensgaard; Naess, Arvid; Saha, Nilanjan

2011-01-01

to cases where the Gumbel distribution is the appropriate asymptotic extreme value distribution. However, two extra parameters are introduced by which a more general and flexible class of extreme value distributions is obtained with the Gumbel distribution as a subclass. The general method is implemented...... within a hierarchical model where the variables that influence the loading are divided into ergodic variables and time-invariant non-ergodic variables. The presented method for statistical response load extrapolation was compared with the existing methods based on peak extrapolation for the blade out......The paper explores a recently developed method for statistical response load (load effect) extrapolation for application to extreme response of wind turbines during operation. The extrapolation method is based on average conditional exceedance rates and is in the present implementation restricted...

Navy radon assessment and mitigation program: Final report

International Nuclear Information System (INIS)

1994-10-01

This final report encompasses the events from the beginning of the Navy Radon Assessment and Mitigation Program to the closure of the program on October 31, 1994. Included in the report are discussions of the phases of the program including screening, assessment, mitigation, and post-mitigation. The primary discussion involves screening and assessment. The report addresses recommendations made to the Naval Facilities Engineering Command by the Hazardous Waste Remedial Actions Program of Martin Marietta Energy Systems, Inc., and the final decisions that were made. Special emphasis is placed on quality assurance/quality control (QA/QC), since QA/QC was given top priority during the implementation of this program. Included in the discussion on QA/QC are ana overview of the measurement process, positive and negative controls, replicated measurements, and application of chamber exposures to data calibration. The report concludes with a discussion of testing considerations for naval facilities and radon mitigation considerations for the Department of the Navy

Was it worthwhile? Where have the benefits of rooftop solar photovoltaic generation exceeded the cost?

Science.gov (United States)

Vaishnav, Parth; Horner, Nathaniel; Azevedo, Inês L.

2017-09-01

We estimate the lifetime magnitude and distribution of the private and public benefits and costs of currently installed distributed solar PV systems in the United States. Using data for recently-installed systems, we estimate the balance of benefits and costs associated with installing a non-utility solar PV system today. We also study the geographical distribution of the various subsidies that are made available to owners of rooftop solar PV systems, and compare it to distributions of population and income. We find that, after accounting for federal subsidies and local rebates and assuming a discount rate of 7%, the private benefits of new installations will exceed private costs only in seven of the 19 states for which we have data and only if customers can sell excess power to the electric grid at the retail price. These states are characterized by abundant sunshine (California, Texas and Nevada) or by high electricity prices (New York). Public benefits from reduced air pollution and climate change impact exceed the costs of the various subsidies offered system owners for less than 10% of the systems installed, even assuming a 2% discount rate. Subsidies flowed disproportionately to counties with higher median incomes in 2006. In 2014, the distribution of subsidies was closer to that of population income, but subsidies still flowed disproportionately to the better-off. The total, upfront, subsidy per kilowatt of installed capacity has fallen from 5200 in 2006 to 1400 in 2014, but the absolute magnitude of subsidy has soared as installed capacity has grown explosively. We see considerable differences in the balance of costs and benefits even within states, indicating that local factors such as system price and solar resource are important, and that policies (e.g. net metering) could be made more efficient by taking local conditions into account.

Most American Academy of Orthopaedic Surgeons' online patient education material exceeds average patient reading level.

Science.gov (United States)

Eltorai, Adam E M; Sharma, Pranav; Wang, Jing; Daniels, Alan H

2015-04-01

Advancing health literacy has the potential to improve patient outcomes. The American Academy of Orthopaedic Surgeons' (AAOS) online patient education materials serve as a tool to improve health literacy for orthopaedic patients; however, it is unknown whether the materials currently meet the National Institutes of Health/American Medical Association's recommended sixth grade readability guidelines for health information or the mean US adult reading level of eighth grade. The purposes of this study were (1) to evaluate the mean grade level readability of online AAOS patient education materials; and (2) to determine what proportion of the online materials exceeded recommended (sixth grade) and mean US (eighth grade) reading level. Reading grade levels for 99.6% (260 of 261) of the online patient education entries from the AAOS were analyzed using the Flesch-Kincaid formula built into Microsoft Word software. Mean grade level readability of the AAOS patient education materials was 9.2 (SD ± 1.6). Two hundred fifty-one of the 260 articles (97%) had a readability score above the sixth grade level. The readability of the AAOS articles exceeded the sixth grade level by an average of 3.2 grade levels. Of the 260 articles, 210 (81%) had a readability score above the eighth grade level, which is the average reading level of US adults. Most of the online patient education materials from the AAOS had readability levels that are far too advanced for many patients to comprehend. Efforts to adjust the readability of online education materials to the needs of the audience may improve the health literacy of orthopaedic patients. Patient education materials can be made more comprehensible through use of simpler terms, shorter sentences, and the addition of pictures. More broadly, all health websites, not just those of the AAOS, should aspire to be comprehensible to the typical reader.

Spectrum of abdominal organ injury in a primary blast type

Directory of Open Access Journals (Sweden)

Amin Abid

2009-12-01

Full Text Available Abstract Introduction Abdominal organ injury in a primary blast type is always challenging for diagnosis. Air containing abdominal viscera is most vulnerable to effects of primary blast injury. In any patient exposed to a primary blast wave who presents with an acute abdomen, an abdominal organ injury is to be kept in a clinical suspicion. Aim Study various abdominal organ injuries occurring in a primary type of blast injury. Material and methods: All those who had exploratory laparotomy for abdominal organ injuries after a primary blast injury for a period of 10 years from January 1998 - January 2008 were included in this retrospective study. Results Total 154 patients had laparotomy for abdominal organ injuries with a primary blast type of injury. Small intestine was damaged in 48 patients (31.1% followed by spleen in 22.7% cases. 54 patients (35.06% had more than one organ injured. Liver laceration was present in 30 patients (19.48%. Multiple small gut perforations were present in 37 patients (77.08%. Negative laparotomy was found in 5 patients (3.24% whereas 3 (1.94% had re-exploration. Mortality was present in 6 patients (3.89%. Conclusions Primary blast injury causes varied abdominal organ injuries. Single or multiple organ damage can be there. Small intestine is commonest viscera injured. Laparotomy gives final diagnosis.

Diagnosing ADHD in Danish primary school children

DEFF Research Database (Denmark)

Tegtmejer, Thyge; Hjörne, Eva; Säljö, Roger

2018-01-01

This study of institutional categorization reports an investigation of the practices, procedures and assumptions of psychiatric staff members when diagnosing ADHD. The main data upon which the study is based consist of transcribed audio recordings of meetings in the psychiatric clinic. Here...... children referred from primary schools on the suspicion of ADHD are attended to. The tools and procedures for gathering information are shown to produce decontextualized and individualizing representations of children’s conduct. The evaluation against a number of norms is found to be central. Finally...

[Primary headache and depression].

Science.gov (United States)

Gesztelyi, Gyöngyi

2004-11-28

Primary headaches--mainly tension-type headache and migraine--affect a significant portion of the population. Depression is also highly prevalent. The co-existence of a primary headache and depression in the same patient therefore might be a coincidence due to the high prevalence of these conditions, but there might be a causal relationship between them, or headaches and depression might have a common background. This review of the literature summarizes the features of the relationship between primary headaches and depression. Depression is more prevalent in headache patients than in the headache-free population. Prospective epidemiological studies suggest a common genetic, biochemical or environmental background behind primary headaches and depression. This theory is supported by the role of the same neurotransmitter systems (mostly serotonin and dopamine) in headaches as well as in depression. Comorbid depression is associated with female gender, higher age, and higher frequency of headaches. Most depression inventories--questionnaires used to screen for the severity of depressive symptoms--contain transdiagnostic items, therefore their use in their original form is limited in organic diseases: due to the somatic items they might overestimate the severity of depression. When examining a headache patient special attention should be paid to the recognition of comorbid depression. The diagnosis of suspected mood disorder could be supported by using simple screening methods, such as the original or the abbreviated versions of standard depression inventories, but the final diagnosis of major depression needs psychiatric evaluation. Quality of life of the headache patient is affected not only by the characteristics of pain (frequency, duration, severity) but also by the disability caused by headache and the associating mood disorder. Recognizing coexisting mood disorder and disability helps to make the best treatment choice for the acute and preventive treatment of

The Final Merger of Massive Black Holes: Recoils, Gravitational Waves, and Electromagnetic Signatures

Science.gov (United States)

Centrella, Joan M.

2010-01-01

The final merger of two massive black holes produces a powerful burst of gravitational radiation, emitting more energy than all the stars in the observable universe combined. The resulting gravitational waveforms will be easily detectable by the space-based LISA out to redshifts z greater than 10, revealing the masses and spins of the black holes to high precision. If the merging black holes have unequal masses, or asymmetric spins, the final black hole that forms can recoil with a velocity exceeding 1000 km/s. And, when the black holes merge in the presence of gas and magnetic fields, various types of electromagnetic signals may also be produced. For more than 30 years, scientists have tried to compute black hole mergers using the methods of numerical relativity. The resulting computer codes have been plagued by instabilities, causing them to crash well before the black holes in the binary could complete even a single orbit. Within the past few years, however, this situation has changed dramatically, with a series of remarkable breakthroughs. This talk will focus on new results that are revealing the dynamics and waveforms of binary black hole mergers, recoil velocities, and the possibility of accompanying electromagnetic outbursts.

A new methodology for cost-effectiveness studies of domestic radon remediation programmes: Quality-adjusted life-years gained within Primary Care Trusts in Central England

International Nuclear Information System (INIS)

Coskeran, Thomas; Denman, Antony; Phillips, Paul; Gillmore, Gavin; Tornberg, Roger

2006-01-01

Radon is a naturally occurring radioactive gas, high levels of which are associated with geological formations such as those found in Northamptonshire and North Oxfordshire in the UK. The UK's National Radiological Protection Board have designated both districts as radon Affected Areas. Radiation levels due to radon, therefore, exceed 200 Bq m -3 , the UK's domestic Action Level, in over one percent of domestic properties. Because of radon's radioactivity, exposure to the gas can potentially cause lung cancer, and has been linked to some 2000 deaths a year in the UK. Consequently, when radiation levels exceed the Action Level, remediation against radon's effects is recommended to householders. This study examines the cost-effectiveness of remediation measures in Northamptonshire and North Oxfordshire by estimating cost per quality-adjusted life-year gained in four Primary Care Trusts, organisations that play a key public health policy role in the UK's National Health Service. The study is the first to apply this approach to estimating the cost-effectiveness of radon remediation programmes. Central estimates of cost per quality-adjusted life-year in the four Primary Care Trusts range from Pounds 6143 to Pounds 10 323. These values, when assessed against generally accepted criteria, suggest the remediation programmes in the trusts were cost-effective. Policy suggestions based on the estimates, and designed to improve cost-effectiveness further, are proposed for the four Primary Care Trusts and the UK's National Health Service

Effect of long-term resistance exercise on body composition, blood lipid factors, and vascular compliance in the hypertensive elderly men

OpenAIRE

Kim, Hyun-Sub; Kim, Dae-Geun

2013-01-01

Hypertension is designated as either essential (primary) hypertension or secondary hypertension and is defined as a consistently elevated blood pressure exceeding 140/90 mmHg. Hypertension is called ?the silent killer? because it often causes no symptoms for many years, even decades, until it finally damages certain critical organs. In various causes of hypertension, obesity is an increasing health problem worldwide, and several epidemiological studies have identified a positive association b...

Final report for the DOE Metal Hydride Center of Excellence.

Energy Technology Data Exchange (ETDEWEB)

Keller, Jay O.; Klebanoff, Leonard E.

2012-01-01

This report summarizes the R&D activities within the U.S. Department of Energy Metal Hydride Center of Excellence (MHCoE) from March 2005 to June 2010. The purpose of the MHCoE has been to conduct highly collaborative and multi-disciplinary applied R&D to develop new reversible hydrogen storage materials that meet or exceed DOE 2010 and 2015 system goals for hydrogen storage materials. The MHCoE combines three broad areas: mechanisms and modeling (which provide a theoretically driven basis for pursuing new materials), materials development (in which new materials are synthesized and characterized) and system design and engineering (which allow these new materials to be realized as practical automotive hydrogen storage systems). This Final Report summarizes the organization and execution of the 5-year research program to develop practical hydrogen storage materials for light duty vehicles. Major results from the MHCoE are summarized, along with suggestions for future research areas.

Parental Support Exceeds Parenting Style for Promoting Active Play in Preschool Children

Science.gov (United States)

Schary, David P.; Cardinal, Bradley J.; Loprinzi, Paul D.

2012-01-01

Emerging evidence suggests that parenting style may directly or indirectly influence school-aged children's activity behaviour. Given that relatively fewer studies have been conducted among preschool-aged children, this study's primary purpose was to examine the direct relationships between parental support and parenting style on preschool…

Did European temperatures in 1540 exceed present-day records?

Science.gov (United States)

Orth, Rene; Vogel, Martha M.; Luterbacher, Jürg; Pfister, Christian; Seneviratne, Sonia I.

2017-04-01

There is strong evidence that the year 1540 was exceptionally dry and warm in Central Europe. Here we infer 1540 summer temperatures from the number of dry days (NDDs) in spring (March-May) and summer (June-August) in 1540 derived from historical documentary evidence published elsewhere, and compare our estimates with present-day temperatures. We translate the NDD values into temperature distributions using a linear relationship between modeled temperature and NDD from a 3000 year pre-industrial control simulation with the Community Earth System Model (CESM). Our results show medium confidence that summer mean temperatures (T JJA) and maximum temperatures (TXx) in Central Europe in 1540 were warmer than the respective present-day mean summer temperatures (assessed between 1966-2015). The model-based reconstruction suggests further that with a probability of 40%-70%, the highest daily temperatures in 1540 were even warmer than in 2003, while there is at most a 20% probability that the 1540 mean summer temperature was warmer than that of 2003 in Central Europe. As with other state-of-the-art analyses, the uncertainty of the reconstructed 1540 summer weather in this study is considerable, for instance as extrapolation is required because 1540-like events are not captured by the employed Earth system model (ESM), and neither by other ESMs. However, in addition to paleoclimatological approaches we introduce here an independent methodology to estimate 1540 temperatures, and contribute consequently to a reduced overall uncertainty in the analysis of this event. The characterization of such events and the related climate system functioning is particularly relevant in the context of global warming and the corresponding increase of extreme heat wave magnitude and occurrence frequency. Orth, R., M.M. Vogel, J. Luterbacher, C. Pfister, and S.I. Seneviratne, (2016): Did European temperatures in 1540 exceed present-day records? Env. Res. Lett., 11, 114021, doi: 10.1088/1748-9326/11/11/114021

Final Technical Report Microwave Assisted Electrolyte Cell for Primary Aluminum Production

Energy Technology Data Exchange (ETDEWEB)

Xiaodi Huang; J.Y. Hwang

2007-04-18

This research addresses the high priority research need for developing inert anode and wetted cathode technology, as defined in the Aluminum Industry Technology Roadmap and Inert Anode Roadmap, with the performance targets: a) significantly reducing the energy intensity of aluminum production, b) ultimately eliminating anode-related CO2 emissions, and c) reducing aluminum production costs. This research intended to develop a new electrometallurgical extraction technology by introducing microwave irradiation into the current electrolytic cells for primary aluminum production. This technology aimed at accelerating the alumina electrolysis reduction rate and lowering the aluminum production temperature, coupled with the uses of nickel based superalloy inert anode, nickel based superalloy wetted cathode, and modified salt electrolyte. Michigan Technological University, collaborating with Cober Electronic and Century Aluminum, conducted bench-scale research for evaluation of this technology. This research included three sub-topics: a) fluoride microwave absorption; b) microwave assisted electrolytic cell design and fabrication; and c) aluminum electrowinning tests using the microwave assisted electrolytic cell. This research concludes that the typically used fluoride compound for aluminum electrowinning is not a good microwave absorbing material at room temperature. However, it becomes an excellent microwave absorbing material above 550°C. The electrowinning tests did not show benefit to introduce microwave irradiation into the electrolytic cell. The experiments revealed that the nickel-based superalloy is not suitable for use as a cathode material; although it wets with molten aluminum, it causes severe reaction with molten aluminum. In the anode experiments, the chosen superalloy did not meet corrosion resistance requirements. A nicked based alloy without iron content could be further investigated.

Mechanical damage and corrosion in the primary system purification cooler

International Nuclear Information System (INIS)

Sainz, R.A.; Fiorini, R.H.; Semino, C.J.

1987-01-01

Through the routine measurements of tritium activity and isotopic content in the exchanger's cooling water, a loss of heavy water was detected. During the decommissioning programmed for October 1986, the equipment was dismantled and the tubes losses were identified through helium fugue tests; subsequently, a 100% inspection of the tubes by atmospheric currents were performed, verifying reductions exceeding 50% of the original width in 70 tubes of the first section at the top plate level. These indications were verified through the study of the two extracted tubes, one of them observing a passing failure where marks appeared at all levels of the support and corrosion plates through splits at the top plates level. The corrosion causes were due to the low cooling flow which results from the primary system's reduction regarding the purification flow design, thus permitting the deposits accumulation. (Author)

Advanced Carbon Fluorides For Primary Lithium Batteries

Directory of Open Access Journals (Sweden)

Guérin K.

2017-01-01

Full Text Available Li-CFx battery using a specific fluorinated nanocarbon as cathode material exhibits a capacity exceeding the expected theoretical value when used as an electrode material in primary lithium battery. Carbon nanodiscs were partially fluorinated by atomic fluorine released by thermal decomposition of TbF4, and the capacity of this material was up to 1180 mAh.g−1, whereas a theoretical value of 847 mAh.g−1 for the CF0.95 sample was calculated. The obtained value is also higher than the maximum one of 865 mAh.g−1 expected for CF1 carbon fluorides. The discharge mechanism was investigated using mainly SEM and solid state NMR in order to understand this “extracapacity”. Both the unfluorinated carbon and the LiF covering, which is formed outside the carbon lattice during the discharge mechanism, play a key role for the achievement of the extracapacity by the consumption of Li+ to form Li2F+ species stabilized by the carbon host structure formed after the electrochemical defluorination.

Phenix Power Plant Decommissioning Project. Treatment of the Primary Cold Trap

International Nuclear Information System (INIS)

Deluge, M.

2008-01-01

Phenix is a sodium-cooled fast neutron reactor located at the CEA's Rhone Valley Center where it was commissioned in 1974. It has an electric power rating of 250 MW and is operated jointly by the CEA and EDF. Its primary role today is to investigate the transmutation of long-lived radioactive waste into shorter-lived wasteform. Its final shutdown is scheduled for the beginning of 2009. In this context the Phenix Power Plant Decommissioning Project was initiated in 2003. It covers the definitive cessation of plant operation and the dismantling (D and D) operations together with the final shutdown preparatory phase. The final shutdown phase includes the operations authorized within the standard operating methodological framework. The dismantling phase also comprises treatment of sodium-bearing waste and dismantling of the nuclear facilities (reactor block, shielded cells, etc.). Treatment of the Phenix primary cold trap is scheduled to begin in 2016. The analysis program includes the following steps: - Accurately determine the contamination in the trap by carrying out gamma spectrometry measurement campaigns from 2007 to 2013 (the remaining difficulty will be to accurately determine the distribution of the contamination). - Validate the safety studies for the ELA facility. This work is currently in progress; ELA will be commissioned following inactive qualification testing. - Proceed with cutting tests on the knit mesh filter, which are scheduled to begin in 2008

What could have caused pre-industrial biomass burning emissions to exceed current rates?

Directory of Open Access Journals (Sweden)

G. R. van der Werf

2013-01-01

Full Text Available Recent studies based on trace gas mixing ratios in ice cores and charcoal data indicate that biomass burning emissions over the past millennium exceeded contemporary emissions by up to a factor of 4 for certain time periods. This is surprising because various sources of biomass burning are linked with population density, which has increased over the past centuries. We have analysed how emissions from several landscape biomass burning sources could have fluctuated to yield emissions that are in correspondence with recent results based on ice core mixing ratios of carbon monoxide (CO and its isotopic signature measured at South Pole station (SPO. Based on estimates of contemporary landscape fire emissions and the TM5 chemical transport model driven by present-day atmospheric transport and OH concentrations, we found that CO mixing ratios at SPO are more sensitive to emissions from South America and Australia than from Africa, and are relatively insensitive to emissions from the Northern Hemisphere. We then explored how various landscape biomass burning sources may have varied over the past centuries and what the resulting emissions and corresponding CO mixing ratio at SPO would be, using population density variations to reconstruct sources driven by humans (e.g., fuelwood burning and a new model to relate savanna emissions to changes in fire return times. We found that to match the observed ice core CO data, all savannas in the Southern Hemisphere had to burn annually, or bi-annually in combination with deforestation and slash and burn agriculture exceeding current levels, despite much lower population densities and lack of machinery to aid the deforestation process. While possible, these scenarios are unlikely and in conflict with current literature. However, we do show the large potential for increased emissions from savannas in a pre-industrial world. This is mainly because in the past, fuel beds were probably less fragmented compared to the

Neoexpression of a functional primary cilium in colorectal cancer cells

Directory of Open Access Journals (Sweden)

Blanche Sénicourt

2016-05-01

Full Text Available The Hedgehog (HH signaling pathway is involved in the maintenance of numerous cell types both during development and in the adult. Often deregulated in cancers, its involvement in colorectal cancer has come into view during the last few years, although its role remains poorly defined. In most tissues, the HH pathway is highly connected to the primary cilium (PC, an organelle that recruits functional components and regulates the HH pathway. However, normal epithelial cells of the colon display an inactive HH pathway and lack a PC. In this study, we report the presence of the PC in adenocarcinoma cells of primary colorectal tumors at all stages. Using human colorectal cancer cell lines we found a clear correlation between the presence of the PC and the expression of the final HH effector, GLI1, and provide evidence of a functional link between the two by demonstrating the recruitment of the SMO receptor to the membrane of the primary cilium. We conclude that the primary cilium directly participates in the HH pathway in colorectal cancer cells.

Primary solitary peritoneal tumor of the abdominal wall—report of a rare case and review of the literature

Science.gov (United States)

Efthimiadis, Christoforos; Ioannidis, Aristeidis; Grigoriou, Marios

2017-01-01

Abstract Abdominal wall tumors are sometimes diagnosed as metastases of ovarian cancer, however, primary peritoneal tumors should be taken into consideration in the final diagnosis. A 49-year-old female patient was admitted in our Department for the excision of a pulpable abdominal wall lump, with no other abnormalities shown on imaging investigation. On histology examination, the excised specimen revealed characteristics of metastatic high-grade serous ovarian carcinoma. Total hysterectomy, bilateral oophorectomy, omentectomy and appendectomy were performed. No signs of malignancy were proved on histology, leading to the final diagnosis of a primary serous peritoneal tumor. This is the third described case of solitary primary serous peritoneal tumor located in the abdominal wall. This condition should be included in the differential diagnosis of a probable metastatic ovarian carcinoma, as both present similar histologic characteristics. PMID:28616156

26 CFR 1.593-2 - Additions to reserve for bad debts where surplus, reserves, and undivided profits equal or exceed...

Science.gov (United States)

2010-04-01

... 26 Internal Revenue 7 2010-04-01 2010-04-01 true Additions to reserve for bad debts where surplus... bad debts where surplus, reserves, and undivided profits equal or exceed 12 percent of deposits or... profits, and reserves at the beginning of the taxable year, a reasonable addition to the reserve for bad...

Application of at-site peak-streamflow frequency analyses for very low annual exceedance probabilities

Science.gov (United States)

Asquith, William H.; Kiang, Julie E.; Cohn, Timothy A.

2017-07-17

The U.S. Geological Survey (USGS), in cooperation with the U.S. Nuclear Regulatory Commission, has investigated statistical methods for probabilistic flood hazard assessment to provide guidance on very low annual exceedance probability (AEP) estimation of peak-streamflow frequency and the quantification of corresponding uncertainties using streamgage-specific data. The term “very low AEP” implies exceptionally rare events defined as those having AEPs less than about 0.001 (or 1 × 10–3 in scientific notation or for brevity 10–3). Such low AEPs are of great interest to those involved with peak-streamflow frequency analyses for critical infrastructure, such as nuclear power plants. Flood frequency analyses at streamgages are most commonly based on annual instantaneous peak streamflow data and a probability distribution fit to these data. The fitted distribution provides a means to extrapolate to very low AEPs. Within the United States, the Pearson type III probability distribution, when fit to the base-10 logarithms of streamflow, is widely used, but other distribution choices exist. The USGS-PeakFQ software, implementing the Pearson type III within the Federal agency guidelines of Bulletin 17B (method of moments) and updates to the expected moments algorithm (EMA), was specially adapted for an “Extended Output” user option to provide estimates at selected AEPs from 10–3 to 10–6. Parameter estimation methods, in addition to product moments and EMA, include L-moments, maximum likelihood, and maximum product of spacings (maximum spacing estimation). This study comprehensively investigates multiple distributions and parameter estimation methods for two USGS streamgages (01400500 Raritan River at Manville, New Jersey, and 01638500 Potomac River at Point of Rocks, Maryland). The results of this study specifically involve the four methods for parameter estimation and up to nine probability distributions, including the generalized extreme value, generalized

The not-so-harmless maxillary primary first molar extraction.

Science.gov (United States)

Northway, W M

2000-12-01

Premature loss of primary molars has been associated with space loss and eruptive difficulties, especially when the loss occurs to the primary second molars and when it occurs early. This has not been thought to be the case for primary first molars. The author revisited 13 cases from an earlier study on the effects of premature loss of maxillary primary molars. These longitudinal cases were scrutinized, using serial panoramic radiographs, to explain the irregular response in terms of dental migration. The author presents two case reports. In the earlier study, the author used digitized study casts and the concept of D + E space--the space occupied by the primary first and second molars--to describe the dental migration that occurred after premature tooth loss. Using analysis of variance on data generated using an instrument capable of measuring in tenths of millimeters, the author produced findings regarding the amount of space loss, rate of space loss, effect of age at loss, amount of space regained at the time of replacement by the permanent tooth and effect on Angle's classification. Finally, the author created a simulation describing directional change; this revealed that the maxillary primary first molar loss resulted in a mesial displacement of the permanent canine during eruption. When the maxillary primary first molar is lost prematurely, the first premolar erupts in a more mesial direction than normal, as a result of the mesial incline of the primary second molar, and consumes the space of the permanent canine, which becomes blocked out. Rather than use a space maintainer after the premature loss of the maxillary primary first molar, the author suggests, clinicians can choose from a number of other options for preventing the first premolar from erupting too far in a mesial direction.

Cutaneous manifestations of primary immunodeficiency

Directory of Open Access Journals (Sweden)

Safa Abdelhakim

2017-01-01

Full Text Available Primary immunodeficiency diseases (PIDs are a group of rare, chronic disorders with deficient or malfunctioning immune system. It commonly affects the hematopoietic system, with skin the second most affected organ. Skin involvement is observed in half of pediatric PID cases and often precedes the final diagnosis. Skin infections and eczemas are the two most common manifestations in PID.[1] Skin manifestations associated with PIDs can be of infectious and noninfectious causes. Common noninfectious causes are eczema, erythroderma, cutaneous granulomas, dysplasia, vasculitis, and telangiectasia. It is important to be aware of skin manifestations in pediatric patients as early detection of PID may aid in the management of serious immunologic conditions and prevent associated morbidity and mortality.

[Specificities of the logopenic variant of primary progressive aphasia].

Science.gov (United States)

Magnin, E; Teichmann, M; Martinaud, O; Moreaud, O; Ryff, I; Belliard, S; Pariente, J; Moulin, T; Vandel, P; Démonet, J-F

2015-01-01

The logopenic variant of primary progressive aphasia is a syndrome with neuropsychological and linguistic specificities, including phonological loop impairment for which diagnosis is currently mainly based on the exclusion of the two other variants, semantic and nonfluent/agrammatic primary progressive aphasia. The syndrome may be underdiagnosed due (1) to mild language difficulties during the early stages of the disease or (2) to being mistaken for mild cognitive impairment or Alzheimer's disease when the evaluation of episodic memory is based on verbal material and (3) finally, it is not uncommon that the disorders are attributed to psychiatric co-morbidities such as, for example, anxiety. Moreover, compared to other variants of primary progressive aphasia, brain abnormalities are different. The left temporoparietal junction is initially affected. Neuropathology and biomarkers (cerebrospinal fluid, molecular amyloid nuclear imaging) frequently reveal Alzheimer's disease. Consequently this variant of primary progressive aphasia does not fall under the traditional concept of frontotemporal lobar degeneration. These distinctive features highlight the utility of correct diagnosis, classification, and use of biomarkers to show the neuropathological processes underlying logopenic primary progressive aphasia. The logopenic variant of primary progressive aphasia is a specific form of Alzheimer's disease frequently presenting a rapid decline; specific linguistic therapies are needed. Further investigation of this syndrome is needed to refine screening, improve diagnostic criteria and better understand the epidemiology and the biological mechanisms involved. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

Dinosaurs in decline tens of millions of years before their final extinction.

Science.gov (United States)

Sakamoto, Manabu; Benton, Michael J; Venditti, Chris

2016-05-03

Whether dinosaurs were in a long-term decline or whether they were reigning strong right up to their final disappearance at the Cretaceous-Paleogene (K-Pg) mass extinction event 66 Mya has been debated for decades with no clear resolution. The dispute has continued unresolved because of a lack of statistical rigor and appropriate evolutionary framework. Here, for the first time to our knowledge, we apply a Bayesian phylogenetic approach to model the evolutionary dynamics of speciation and extinction through time in Mesozoic dinosaurs, properly taking account of previously ignored statistical violations. We find overwhelming support for a long-term decline across all dinosaurs and within all three dinosaurian subclades (Ornithischia, Sauropodomorpha, and Theropoda), where speciation rate slowed down through time and was ultimately exceeded by extinction rate tens of millions of years before the K-Pg boundary. The only exceptions to this general pattern are the morphologically specialized herbivores, the Hadrosauriformes and Ceratopsidae, which show rapid species proliferations throughout the Late Cretaceous instead. Our results highlight that, despite some heterogeneity in speciation dynamics, dinosaurs showed a marked reduction in their ability to replace extinct species with new ones, making them vulnerable to extinction and unable to respond quickly to and recover from the final catastrophic event.

Dinosaurs in decline tens of millions of years before their final extinction

Science.gov (United States)

Sakamoto, Manabu; Benton, Michael J.

2016-05-01

Whether dinosaurs were in a long-term decline or whether they were reigning strong right up to their final disappearance at the Cretaceous-Paleogene (K-Pg) mass extinction event 66 Mya has been debated for decades with no clear resolution. The dispute has continued unresolved because of a lack of statistical rigor and appropriate evolutionary framework. Here, for the first time to our knowledge, we apply a Bayesian phylogenetic approach to model the evolutionary dynamics of speciation and extinction through time in Mesozoic dinosaurs, properly taking account of previously ignored statistical violations. We find overwhelming support for a long-term decline across all dinosaurs and within all three dinosaurian subclades (Ornithischia, Sauropodomorpha, and Theropoda), where speciation rate slowed down through time and was ultimately exceeded by extinction rate tens of millions of years before the K-Pg boundary. The only exceptions to this general pattern are the morphologically specialized herbivores, the Hadrosauriformes and Ceratopsidae, which show rapid species proliferations throughout the Late Cretaceous instead. Our results highlight that, despite some heterogeneity in speciation dynamics, dinosaurs showed a marked reduction in their ability to replace extinct species with new ones, making them vulnerable to extinction and unable to respond quickly to and recover from the final catastrophic event.

Positive and negative gain exceeding unity magnitude in silicon quantum well metal-oxide-semiconductor transistors

Science.gov (United States)

Hu, Gangyi; Wijesinghe, Udumbara; Naquin, Clint; Maggio, Ken; Edwards, H. L.; Lee, Mark

2017-10-01

Intrinsic gain (AV) measurements on Si quantum well (QW) n-channel metal-oxide-semiconductor (NMOS) transistors show that these devices can have |AV| > 1 in quantum transport negative transconductance (NTC) operation at room temperature. QW NMOS devices were fabricated using an industrial 45 nm technology node process incorporating ion implanted potential barriers to define a lateral QW in the conduction channel under the gate. While NTC at room temperature arising from transport through gate-controlled QW bound states has been previously established, it was unknown whether the quantum NTC mechanism could support gain magnitude exceeding unity. Bias conditions were found giving both positive and negative AV with |AV| > 1 at room temperature. This result means that QW NMOS devices could be useful in amplifier and oscillator applications.

Predictive factors for postoperative visual function of primary chronic rhegmatogenous retinal detachment after scleral buckling.

Science.gov (United States)

Fang, Wei; Li, Jiu-Ke; Jin, Xiao-Hong; Dai, Yuan-Min; Li, Yu-Min

2016-01-01

To evaluate predictive factors for postoperative visual function of primary chronic rhegmatgenous retinal detachment (RRD) after sclera buckling (SB). Totally 48 patients (51 eyes) with primary chronic RRD were included in this prospective interventional clinical cases study, which underwent SB alone from June 2008 to December 2014. Age, sex, symptoms duration, detached extension, retinal hole position, size, type, fovea on/off, proliferative vitreoretinopathy (PVR), posterior vitreous detachment (PVD), baseline best corrected visual acuity (BCVA), operative duration, follow up duration, final BCVA were measured. Pearson correlation analysis, Spearman correlation analysis and multivariate linear stepwise regression were used to confirm predictive factors for better final visual acuity. Student's t-test, Wilcoxon two-sample test, Chi-square test and logistic stepwise regression were used to confirm predictive factors for better vision improvement. Baseline BCVA was 0.8313±0.6911 logMAR and final BCVA was 0.4761±0.4956 logMAR. Primary surgical success rate was 92.16% (47/51). Correlation analyses revealed shorter symptoms duration (r=0.3850, P=0.0053), less detached area (r=0.5489, Ppredictive factors were better baseline BCVA [partial R-square (PR(2))=0.5316, Ppredictive factors for better vision improvement were better baseline vision [odds ratio (OR) =50.369, P=0.0041] and longer follow up duration (OR=1.144, P=0.0067). Independent predictive factors for better visual outcome of primary chronic RRD after SB are better baseline BCVA, shorter symptoms duration, shorter operative duration and longer follow up duration, while independent predictive factors for better vision improvement after operation are better baseline vision and longer follow up duration.

Operational monitoring of temperature and state of stress of primary collectors, their stud bolts and cover and temperatures of steam generator's pressure vessel at the nuclear power unit WWER 440

International Nuclear Information System (INIS)

Matal, O.; Simo, T.; Holy, F.; Vejvoda, S.

1992-01-01

Both primary collectors of the WWER 440 steam generator (STGE) are vertically positioned inside the STGE pressure vessel and connected in their lower part to the primary piping and closed at their upper part by primary covers. The primary cover is pushed against the primary collector flange by 20 stud bolts. Two nickel packing rings are fitted between the primary cover and collector. A leakage in the collector-cover junction could cause flow of the radioactive water into the clean secondary water. If the junction is made in accordance with the Soviet standard design the computed stresses exceed the allowable value in the stud bolts by a factor of 1.5. Therefore an improved design of the primary collector - primary cover flange joint was designed and tested on one STGE at a WWER 440 nuclear power unit in Czechoslovakia. The paper describes the system of joint properties measurement, gives some substantial characteristics of the new stud bolts and primary cover design and comments on significant measured results of state of stress and temperatures in comparison with the operational regime of the STGE. (orig.)

Estimating risks for water-quality exceedances of total-copper from highway and urban runoff under predevelopment and current conditions with the Stochastic Empirical Loading and Dilution Model (SELDM)

Science.gov (United States)

Granato, Gregory E.; Jones, Susan C.; Dunn, Christopher N.; Van Weele, Brian

2017-01-01

The stochastic empirical loading and dilution model (SELDM) was used to demonstrate methods for estimating risks for water-quality exceedances of event-mean concentrations (EMCs) of total-copper. Monte Carlo methods were used to simulate stormflow, total-hardness, suspended-sediment, and total-copper EMCs as stochastic variables. These simulations were done for the Charles River Basin upstream of Interstate 495 in Bellingham, Massachusetts. The hydrology and water quality of this site were simulated with SELDM by using data from nearby, hydrologically similar sites. Three simulations were done to assess the potential effects of the highway on receiving-water quality with and without highway-runoff treatment by a structural best-management practice (BMP). In the low-development scenario, total copper in the receiving stream was simulated by using a sediment transport curve, sediment chemistry, and sediment-water partition coefficients. In this scenario, neither the highway runoff nor the BMP effluent caused concentration exceedances in the receiving stream that exceed the once in three-year threshold (about 0.54 percent). In the second scenario, without the highway, runoff from the large urban areas in the basin caused exceedances in the receiving stream in 2.24 percent of runoff events. In the third scenario, which included the effects of the urban runoff, neither the highway runoff nor the BMP effluent increased the percentage of exceedances in the receiving stream. Comparison of the simulated geometric mean EMCs with data collected at a downstream monitoring site indicates that these simulated values are within the 95-percent confidence interval of the geometric mean of the measured EMCs.

Top studies relevant to primary care practice.

Science.gov (United States)

Perry, Danielle; Kolber, Michael R; Korownyk, Christina; Lindblad, Adrienne J; Ramji, Jamil; Ton, Joey; Allan, G Michael

2018-04-01

To summarize 10 high-quality studies from 2017 that have strong relevance to primary care practice. Study selection involved routine literature surveillance by a group of primary care health professionals. This included screening abstracts of important journals and Evidence Alerts, as well as searching the American College of Physicians Journal Club. Topics of the 2017 articles include whether treating subclinical hypothyroidism improves outcomes or symptoms; whether evolocumab reduces cardiovascular disease as well as low-density lipoprotein levels; whether lifestyle interventions reduce medication use in patients with diabetes; whether vitamin D prevents cardiovascular disease, cancer, or upper respiratory tract infections; whether canagliflozin reduces clinical events in patients with diabetes; how corticosteroid injections affect knee osteoarthritis; whether drained abscesses benefit from antibiotic treatment; whether patients with diabetes benefit from bariatric surgery; whether exenatide reduces clinical events in patients with diabetes; and whether tympanostomy tubes affect outcomes in recurrent acute otitis media or chronic otitis media. We provide brief summaries, context where needed, and final recommendations for 10 studies with potential effects on primary care. We also briefly review 5 "runner-up" studies. Research from 2017 produced several high-quality studies in diabetes management. These have demonstrated benefit for alternative therapies and offered evidence not previously available. This year's selection of studies also provided information on a variety of conditions and therapies that are, or might become, more common in primary care settings. Copyright© the College of Family Physicians of Canada.

EDUCATION OF VOLITIVE QUALITIES IN PRIMARY SCHOOLSTUDENTS

Directory of Open Access Journals (Sweden)

Pablo Ángel Martínez-Morales

2016-07-01

Full Text Available The paper aims to present the results of the application of the methodology developed by the author, as a scientific result of his doctoral studies, aimed at the education of volitional qualities self control and perseverance, respect to teaching in primary school students. The evaluation of the methodology was carried out through a pretest and posttest pre-experiment with only one group, an intentional sample of two groups, one from third and one from fourth grade. Observation of teaching activities used and techniques designed to ascertain the level of knowledge, emotional bond and behavioral manifestations in primary school students in relation to volitional qualities in study. It was found, when analyzing the final results, positive changes in self-control and perseverance in the school sample, compared to the initial stage of the pre - experiment. These results were verified statistically by applying Spearman ́s rank correlation coefficient test and Wilcoxon ́s peer and allocated ranks, using SPSS.

Diversification of the Primary Antibody Repertoire by AID-Mediated Gene Conversion.

Science.gov (United States)

Lanning, Dennis K; Knight, Katherine L

2015-01-01

Gene conversion, mediated by activation-induced cytidine deaminase (AID), has been found to contribute to generation of the primary antibody repertoire in several vertebrate species. Generation of the primary antibody repertoire by gene conversion of immunoglobulin (Ig) genes occurs primarily in gut-associated lymphoid tissues (GALT) and is best described in chicken and rabbit. Here, we discuss current knowledge of the mechanism of gene conversion as well as the contribution of the microbiota in promoting gene conversion of Ig genes. Finally, we propose that the antibody diversification strategy used in GALT species, such as chicken and rabbit, is conserved in a subset of human and mouse B cells.

Global biomass production potentials exceed expected future demand without the need for cropland expansion.

Science.gov (United States)

Mauser, Wolfram; Klepper, Gernot; Zabel, Florian; Delzeit, Ruth; Hank, Tobias; Putzenlechner, Birgitta; Calzadilla, Alvaro

2015-11-12

Global biomass demand is expected to roughly double between 2005 and 2050. Current studies suggest that agricultural intensification through optimally managed crops on today's cropland alone is insufficient to satisfy future demand. In practice though, improving crop growth management through better technology and knowledge almost inevitably goes along with (1) improving farm management with increased cropping intensity and more annual harvests where feasible and (2) an economically more efficient spatial allocation of crops which maximizes farmers' profit. By explicitly considering these two factors we show that, without expansion of cropland, today's global biomass potentials substantially exceed previous estimates and even 2050s' demands. We attribute 39% increase in estimated global production potentials to increasing cropping intensities and 30% to the spatial reallocation of crops to their profit-maximizing locations. The additional potentials would make cropland expansion redundant. Their geographic distribution points at possible hotspots for future intensification.

Napsin A levels in epithelial lining fluid as a diagnostic biomarker of primary lung adenocarcinoma.

Science.gov (United States)

Uchida, Akifumi; Samukawa, Takuya; Kumamoto, Tomohiro; Ohshige, Masahiro; Hatanaka, Kazuhito; Nakamura, Yoshihiro; Mizuno, Keiko; Higashimoto, Ikkou; Sato, Masami; Inoue, Hiromasa

2017-12-12

It is crucial to develop novel diagnostic approaches for determining if peripheral lung nodules are malignant, as such nodules are frequently detected due to the increased use of chest computed tomography scans. To this end, we evaluated levels of napsin A in epithelial lining fluid (ELF), since napsin A has been reported to be an immunohistochemical biomarker for histological diagnosis of primary lung adenocarcinoma. In consecutive patients with indeterminate peripheral lung nodules, ELF samples were obtained using a bronchoscopic microsampling (BMS) technique. The levels of napsin A and carcinoembryonic antigen (CEA) in ELF at the nodule site were compared with those at the contralateral site. A final diagnosis of primary lung adenocarcinoma was established by surgical resection. We performed BMS in 43 consecutive patients. Among patients with primary lung adenocarcinoma, the napsin A levels in ELF at the nodule site were markedly higher than those at the contralateral site, while there were no significant differences in CEA levels. Furthermore, in 18 patients who were undiagnosed by bronchoscopy and finally diagnosed by surgery, the napsin A levels in ELF at the nodule site were identically significantly higher than those at the contralateral site. In patients with non-adenocarcinoma, there were no differences in napsin A levels in ELF. The area under the receiver operator characteristic curve for identifying primary lung adenocarcinoma was 0.840 for napsin A and 0.542 for CEA. Evaluation of napsin A levels in ELF may be useful for distinguishing primary lung adenocarcinoma.

Primary energy implications of different design strategies for an apartment building

International Nuclear Information System (INIS)

Tettey, Uniben Yao Ayikoe; Dodoo, Ambrose; Gustavsson, Leif

2016-01-01

In this study, we explored the effects of different design strategies on final and primary energy use for production and operation of a newly constructed apartment building. We analysed alternatives of the building “As built” as well as to energy efficiency levels of the Swedish building code and passive house criteria. Our approach is based on achieving improved versions of the building alternatives from combination of design strategies giving the lowest space heating and cooling demand and primary energy use, respectively. We found that the combination of design strategies resulting in the improved building alternatives varies depending on the approach. The improved building alternatives gave up to 19–34% reduction in operation primary energy use compared to the initial alternatives. The share of production primary energy use of the improved building alternatives was 39–54% of the total primary energy use for production, space heating, space cooling and ventilation over 50-year lifespan, compared to 31–42% for the initial alternatives. This study emphasises the importance of incorporating appropriate design strategies to reduce primary energy use for building operation and suggests that combining such strategies with careful choice of building frame materials could result in significant primary energy savings in the built environment. - Highlights: • Primary energy implications of different design strategies were analysed. • The improved building alternatives had 19–34% lower operation primary energy use. • The improved building alternatives had higher production primary energy use. • Still, the improved building alternatives had lower overall primary energy use. • Design strategies should be combined with careful building frame material choice.

Prototypical spent nuclear fuel rod consolidation equipment: Phase 2, Final design report: Volume 1, Detailed design

International Nuclear Information System (INIS)

Blissell, W.H.; Ciez, A.P.; Goedicke, F.E.; Bessko, C.

1987-01-01

This document describes the Westinghouse Final Design for the Prototypical Spent Fuel Consolidation Equipment Demonstration Project. This design represents a fully qualified, licensable, cost effective spent fuel rod consolidation system. As a result of significant concerns raised by DOE and its Technical Review Committee during the 30% Design Review, significant changes were made to the original Preliminary Design resulting from Phase I activities. These changes focused on increased automation, end fitting removal, the rod pulling process and the need to maintain the consolidation canisters as clean as possible. As a result of these changes, the new system is greatly enhanced with a much greater probability of meeting or exceeding the project functional requirements. As a result of delays in resolving cost and contractual differences, additional bench testing was not conducted during Phase II. It is however our belief that the current design exceeds the 90% confidence level required by DOE because of the confidence gained from the Phase I tests, the additional engineering detail completed and the fact that our rod pulling tool has been demonstrated in a similar application at Oconee while our ID tube cutter is a modified (mounting method only) off-the-shelf design. 7 refs., 49 figs., 36 tabs

The development of a server NTP for a primary stallion of time and frequency

International Nuclear Information System (INIS)

Abid, Bilel; Dridi, Chaima

2008-01-01

Given the recent developments of the measure atomic time, the CNSTN proposes to realize a project that is the first of its kind in our country; this project is to develop a service atomic time - to build an atomic clock. Our objective in this project is to achieve the final task, so we prepared the final step is the release time from an analog signal and the developed an NTP server for a standard primary time and frequency sample. (author)

Evaluating Post-School Transition of Secondary Students with Moderate to Severe Handicaps. Final Report.

Science.gov (United States)

Bruininks, Robert H.; Thurlow, Martha L.

The final report describes a 3-year project which had four primary objectives: (1) development of a followup system feasible for schools to use to obtain information on individuals with handicaps who leave school; (2) data collection on three special education samples; (3) data analysis to evaluate long-term effects of secondary programs and…

Oxalate quantification in hemodialysate to assess dialysis adequacy for primary hyperoxaluria.

Science.gov (United States)

Tang, Xiaojing; Voskoboev, Nikolay V; Wannarka, Stacie L; Olson, Julie B; Milliner, Dawn S; Lieske, John C

2014-01-01

Patients with primary hyperoxaluria (PH) overproduce oxalate which is eliminated via the kidneys. If end-stage kidney disease develops they are at high risk for systemic oxalosis, unless adequate oxalate is removed during hemodialysis (HD) to equal or exceed ongoing oxalate production. The purpose of this study was to validate a method to measure oxalate removal in this unique group of dialysis patients. Fourteen stable patients with a confirmed diagnosis of PH on HD were included in the study. Oxalate was measured serially in hemodialysate and plasma samples in order to calculate rates of oxalate removal. HD regimens were adjusted according to a given patient's historical oxalate production, amount of oxalate removal at dialysis, residual renal clearance of oxalate, and plasma oxalate levels. After a typical session of HD, plasma oxalate was reduced by 78.4 ± 7.7%. Eight patients performed HD 6 times/week, 2 patients 5 times/week, and 3 patients 3 times/week. Combined oxalate removal by HD and the kidneys was sufficient to match or exceed endogenous oxalate production. After a median period of 9 months, pre-dialysis plasma oxalate was significantly lower than initially (75.1 ± 33.4 vs. 54.8 ± 46.6 mmol/l, p = 0.02). This methodology can be used to individualize the dialysis prescription of PH patients to prevent oxalosis during the time they are maintained on HD and to reduce risk of oxalate injury to a transplanted kidney.

The Fate of DDH Hips Showing Cartilaginous or Fibrous Tissue-filled Joint Spaces Following Primary Reduction.

Science.gov (United States)

Kim, Hui Taek; Lee, Tae Hoon; Ahn, Tae Young; Jang, Jae Hoon

Because the use of magnetic resonance imaging is still not universal for the patients with developmental dysplasia of the hip patients, orthopaedists do not generally distinguish widened joint spaces which are "empty" after primary treatment (and therefore still reducible), from those which are filled and much more difficult to treat. To date no studies have focused on the latter hips. We treated and observed the outcomes for 19 hips which showed filled joint spaces after primary treatment. We retrospectively reviewed 19 cases of developmental dysplasia of the hip: (1) who showed a widened joint space on radiographs after primary treatment; and (2) whose magnetic resonance imaging showed that the widened joint space was accompanied by acetabular cartilage hypertrophy and/or was filled with fibrous tissues. All patients were over 1 year old at the time of primary reduction (reduction was closed in 4 patients, open in 6, and open with pelvic osteotomy in 9). Thirteen patients received at least 1 secondary treatment. Final results were classified using a modified Severin classification. Final outcomes were satisfactory in 10 (52.6%) and unsatisfactory in 9 (47.4%). The widened joint spaces gradually filled with bone, resulting in a shallow acetabulum in the patients with unsatisfactory results. Of 9 patients who underwent combined pelvic osteotomy at the time of primary reduction, results were satisfactory in 6 (66.7%), whereas all patients who had only closed or open primary reduction had unsatisfactory results. Combined pelvic osteotomy at the time of primary reduction is advisable in hips with widened joint spaces. However, hips with filled joint spaces after primary treatment often have unsatisfactory results even after additional pelvic and/or femoral osteotomy. Level IV-prognostic study.

Identity of primary health care nurses: perception of "doing everything"

Directory of Open Access Journals (Sweden)

Marcelo Costa Fernandes

Full Text Available ABSTRACT Objective: To analyze, in the speeches of nurses, the habitus that conforms their professional identity in the primary health care area. Method: Qualitative study, carried out from March to October 2015, with nurses of primary healthcare units in the cities of Cajazeiras, in the state of Paraíba, and Maracanaú, in the state of Ceará. Data were collected by means of semi-structured interviews, and analyzed through discourse analysis. Results: Nurses, in their practice and perception, perceive that professional identity is linked to the meaning that involves the word "everything". This situation constitutes a habitus that directs the range of daily actions, often distant from the profession's core of knowledge. Final considerations: Trying to be and do everything in primary health care involves negative repercussions in the professional identity of nurses. Strategic guidance is necessary in order to achieve and embrace elements that reflect the essence of this category.

Analysis of neutron spectrum effects on primary damage in tritium breeding blankets

Energy Technology Data Exchange (ETDEWEB)

Choi, Yong Hee, E-mail: cyh871@snu.ac.kr [School of Energy Systems Engineering, Seoul National University, 599 Gwanak-ro, Gwanak-gu, Seoul 151-744 (Korea, Republic of); Joo, Han Gyu [School of Energy Systems Engineering, Seoul National University, 599 Gwanak-ro, Gwanak-gu, Seoul 151-744 (Korea, Republic of)

2012-07-15

The effect of neutron spectrum on primary damages in a structural material of a tritium breeding blanket is investigated with a newly established recoil spectrum estimation system. First, a recoil spectrum generation code is developed to obtain the energy spectrum of primary knock-on atoms (PKAs) for a given neutron spectrum utilizing the latest ENDF/B data. Secondly, a method for approximating the high energy tail of the recoil spectrum is introduced to avoid expensive molecular dynamics calculations for high energy PKAs using the concept of recoil energy of the secondary knock-on atoms originated by the INtegration of CAScades (INCAS) model. Thirdly, the modified spectrum is combined with a set of molecular dynamics calculation results to estimate the primary damage parameters such as the number of surviving point defects. Finally, the neutron spectrum is varied by changing the material of the spectral shifter and the result in primary damage parameters is examined.

Analysis of neutron spectrum effects on primary damage in tritium breeding blankets

Science.gov (United States)

Choi, Yong Hee; Joo, Han Gyu

2012-07-01

The effect of neutron spectrum on primary damages in a structural material of a tritium breeding blanket is investigated with a newly established recoil spectrum estimation system. First, a recoil spectrum generation code is developed to obtain the energy spectrum of primary knock-on atoms (PKAs) for a given neutron spectrum utilizing the latest ENDF/B data. Secondly, a method for approximating the high energy tail of the recoil spectrum is introduced to avoid expensive molecular dynamics calculations for high energy PKAs using the concept of recoil energy of the secondary knock-on atoms originated by the INtegration of CAScades (INCAS) model. Thirdly, the modified spectrum is combined with a set of molecular dynamics calculation results to estimate the primary damage parameters such as the number of surviving point defects. Finally, the neutron spectrum is varied by changing the material of the spectral shifter and the result in primary damage parameters is examined.

Ethical aspects of final disposal. Final report

International Nuclear Information System (INIS)

Baltes, B.; Leder, W.; Achenbach, G.B.; Spaemann, R.; Gerhardt, V.

2003-01-01

In fulfilment of this task the Federal Environmental Ministry has commissioned GRS to summarise the current national and international status of ethical aspects of the final disposal of radioactive wastes as part of the project titled ''Final disposal of radioactive wastes as seen from the viewpoint of ethical objectives''. The questions arising from the opinions, positions and publications presented in the report by GRS were to serve as a basis for an expert discussion or an interdisciplinary discussion forum for all concerned with the ethical aspects of an answerable approach to the final disposal of radioactive wastes. In April 2001 GRS held a one-day seminar at which leading ethicists and philosophers offered statements on the questions referred to above and joined in a discussion with experts on issues of final disposal. This report documents the questions that arose ahead of the workshop, the specialist lectures held there and a summary of the discussion results [de

Discussion in primary ecological environmental problems and relevant countermeasures in China

International Nuclear Information System (INIS)

An Yongfeng

2003-01-01

On the basis of sufficient statistical data, the primary ecological environmental problems, including water/soil loss and dissertation, water resource shortage and water pollution, deterioration of air quality and air pollution, despoilation of biodiversity, and environmental pollution, are listed in this paper. In addition, the causes of these problems are analyzed. Finally, relevant strategies and measures for environmental protection are brought forward. (authors)

Long-term outcome of urethroplasty after failed urethrotomy versus primary repair.

Science.gov (United States)

Barbagli, G; Palminteri, E; Lazzeri, M; Guazzoni, G; Turini, D

2001-06-01

A urethral stricture recurring after repeat urethrotomy challenges even a skilled urologist. To address the question of whether to repeat urethrotomy or perform open reconstructive surgery, we retrospectively review a series of 93 patients comparing those who underwent primary repair versus those who had undergone urethrotomy and underwent secondary treatment. From 1975 to 1998, 93 males between age 13 and 78 years (mean 39) underwent surgical treatment for bulbar urethral stricture. In 46 (49%) of the patients urethroplasty was performed as primary repair, and in 47 (51%) after previously failed urethrotomy. The strictures were localized in the bulbous urethra without involvement of penile or membranous tracts. The etiology was ischemic in 37 patients, traumatic in 23, unknown in 17 and inflammatory in 16. To simplify evaluation of the results, the clinical outcome was considered either a success or a failure at the time any postoperative procedure was needed, including dilation. In our 93 patients primary urethroplasty had a final success rate of 85%, and after failed urethrotomy 87%. Previously failed urethrotomy did not influence the long-term outcome of urethroplasty. The long-term results of different urethroplasty techniques had a final success rate ranging from 77% to 96%. We conclude that failed urethrotomy does not condition the long-term result of surgical repair. With extended followup, the success rate of urethroplasty decreases with time but it is in fact still higher than that of urethrotomy.

Employing the Five-Factor Mentoring Instrument: Analysing Mentoring Practices for Teaching Primary Science

Science.gov (United States)

Hudson, Peter; Usak, Muhammet; Savran-Gencer, Ayse

2009-01-01

Primary science education is a concern around the world and quality mentoring within schools can develop pre-service teachers' practices. A five-factor model for mentoring has been identified, namely, personal attributes, system requirements, pedagogical knowledge, modelling, and feedback. Final-year pre-service teachers (mentees, n = 211) from…

Mathematical modeling of atmospheric fine particle-associated primary organic compound concentrations

Science.gov (United States)

Rogge, Wolfgang F.; Hildemann, Lynn M.; Mazurek, Monica A.; Cass, Glen R.; Simoneit, Bernd R. T.

1996-08-01

An atmospheric transport model has been used to explore the relationship between source emissions and ambient air quality for individual particle phase organic compounds present in primary aerosol source emissions. An inventory of fine particulate organic compound emissions was assembled for the Los Angeles area in the year 1982. Sources characterized included noncatalyst- and catalyst-equipped autos, diesel trucks, paved road dust, tire wear, brake lining dust, meat cooking operations, industrial oil-fired boilers, roofing tar pots, natural gas combustion in residential homes, cigarette smoke, fireplaces burning oak and pine wood, and plant leaf abrasion products. These primary fine particle source emissions were supplied to a computer-based model that simulates atmospheric transport, dispersion, and dry deposition based on the time series of hourly wind observations and mixing depths. Monthly average fine particle organic compound concentrations that would prevail if the primary organic aerosol were transported without chemical reaction were computed for more than 100 organic compounds within an 80 km × 80 km modeling area centered over Los Angeles. The monthly average compound concentrations predicted by the transport model were compared to atmospheric measurements made at monitoring sites within the study area during 1982. The predicted seasonal variation and absolute values of the concentrations of the more stable compounds are found to be in reasonable agreement with the ambient observations. While model predictions for the higher molecular weight polycyclic aromatic hydrocarbons (PAH) are in agreement with ambient observations, lower molecular weight PAH show much higher predicted than measured atmospheric concentrations in the particle phase, indicating atmospheric decay by chemical reactions or evaporation from the particle phase. The atmospheric concentrations of dicarboxylic acids and aromatic polycarboxylic acids greatly exceed the contributions that

Staff Helping Attain Relevant Education (Project SHARE): Final Evaluation Report, 1992-93. OREA Report.

Science.gov (United States)

Ranadive, Jyoti

Project SHARE (Staff Helping Attain Relevant Education), a project funded by Title VII of the Elementary and Secondary Education Act, was in its third and final year of operation in 1992-93, in eight primary schools in the Bronx, Brooklyn, and Manhattan (New York). The project served 141 limited English proficient students from low-income families…

Dripping and evolution behavior of primary slag bearing TiO2 through the coke packed bed in a blast-furnace hearth

Science.gov (United States)

Liu, Yan-xiang; Zhang, Jian-liang; Wang, Zhi-yu; Jiao, Ke-xin; Zhang, Guo-hua; Chou, Kuo-chih

2017-02-01

To investigate the flow of primary slag bearing TiO2 in the cohesive zone of blast furnaces, experiments were carried out based on the laboratory-scale packed bed systems. It is concluded that the initial temperature of slag dripping increases with decreasing FeO content and increasing TiO2 content. The slag holdup decreases when the FeO content is in the range of 5wt%-10wt%, whereas it increases when the FeO content exceeds 10wt%. Meanwhile, the slag holdup decreases when the TiO2 content increases from 5wt% to 10wt% but increases when the TiO2 content exceeds 10wt%. Moreover, slag/coke interface analysis shows that the reaction between FeO and TiO2 occurs between the slag and the coke. The slag/coke interface is divided into three layers: slag layer, iron-rich layer, and coke layer. TiO2 in the slag is reduced by carbon, and the generated Ti diffuses into iron.

Final-year veterinary students' perceptions of their communication competencies and a communication skills training program delivered in a primary care setting and based on Kolb's Experiential Learning Theory.

Science.gov (United States)

Meehan, Michael P; Menniti, Marie F

2014-01-01

Veterinary graduates require effective communication skills training to successfully transition from university into practice. Although the literature has supported the need for veterinary student communication skills training programs, there is minimal research using learning theory to design programs and explore students' perceptions of such programs. This study investigated veterinary students' perceptions of (1) their communication skills and (2) the usefulness of a communication skills training program designed with Kolb's Experiential Learning Theory (ELT) as a framework and implemented in a primary care setting. Twenty-nine final-year veterinary students from the Ontario Veterinary College attended a 3-week communication skills training rotation. Pre- and post-training surveys explored their communication objectives, confidence in their communication skills, and the usefulness of specific communication training strategies. The results indicated that both before and after training, students were most confident in building rapport, displaying empathy, recognizing how bonded a client is with his or her pet, and listening. They were least confident in managing clients who were angry or not happy with the charges and who monopolized the appointment. Emotionally laden topics, such as breaking bad news and managing euthanasia discussions, were also identified as challenging and in need of improvement. Interactive small-group discussions and review of video-recorded authentic client appointments were most valuable for their learning and informed students' self-awareness of their non-verbal communication. These findings support the use of Kolb's ELT as a theoretical framework and of video review and reflection to guide veterinary students' learning of communication skills in a primary care setting.

Dietary Habits of Greek Primary School Children

Science.gov (United States)

Piperakis, S. M.; Papadimitriou, V.; Zafiropoulou, M.; Piperakis, A. S.; Zisis, P.

2007-06-01

The purpose of this study was to assess Greek primary (1st to 6th grade) school children's dietary habits and the factors influencing them. Our results show that children know the value of different foods. The socio-economic status of father has no effect on the attitude of children towards choosing their diet, however, mothers' educational status appears to have an effect on their children's behaviour. Place of residence (urban or semi-rural areas) and gender does not influence their knowledge about different diets. It was, finally, shown that as children grow older they tend to eat less healthy foods.

Influence of primary-particle density in the morphology of agglomerates.

Science.gov (United States)

Camejo, M D; Espeso, D R; Bonilla, L L

2014-07-01

Agglomeration processes occur in many different realms of science, such as colloid and aerosol formation or formation of bacterial colonies. We study the influence of primary-particle density in agglomerate structures using diffusion-controlled Monte Carlo simulations with realistic space scales through different regimes (diffusion-limited aggregation and diffusion-limited colloid aggregation). The equivalence of Monte Carlo time steps to real time scales is given by Hirsch's hydrodynamical theory of Brownian motion. Agglomerate behavior at different time stages of the simulations suggests that three indices (the fractal exponent, the coordination number, and the eccentricity index) characterize agglomerate geometry. Using these indices, we have found that the initial density of primary particles greatly influences the final structure of the agglomerate, as observed in recent experimental works.

Urachal-sigmoid fistula managed by laparoscopic assisted high anterior resection, primary anastomosis and en bloc resection of the urachal cyst and involved bladder.

Science.gov (United States)

Sakata, Shinichiro; Grundy, Joshua; Naidu, Sanjeev; Gillespie, Christopher

2016-08-01

Sigmoid-urachal fistula is exceedingly rare in adults and only a few cases have been reported in the world literature. We present the case of a 54-year-old man with symptomatic sigmoid-urachal fistula managed successfully with a laparoscopic assisted high anterior resection, primary anastomosis and an en bloc resection of the urachal cyst and the involved cuff of bladder. © 2016 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and John Wiley & Sons Australia, Ltd.

Physician's self-perceived abilities at primary care settings in Indonesia.

Science.gov (United States)

Istiono, Wahyudi; Claramita, Mora; Ekawati, Fitriana Murriya; Gayatri, Aghnaa; Sutomo, Adi Heru; Kusnanto, Hari; Graber, Mark Alan

2015-01-01

Southeast Asian countries with better-skilled primary care physicians have been shown to have better health outcomes. However, in Indonesia, there has been a large number of inappropriate referrals, leading to suboptimal health outcomes. This study aimed to examine the reasons underlying the unnecessary referrals as related to Indonesian physicians' standard of abilities. This was a multiple-case study that explored physicians' self-evaluation of their abilities. Self-evaluation questionnaires were constructed from the Indonesian Standards of Physicians Competences of 2006-2012 (ISPC), which is a list of 155 diseases. This study was undertaken in three cities, three towns, and one "border-less developed" area during 2011-2014. The study involved 184 physicians in those seven districts. Data were collected using one-on-one, in-depth interviews, focus group discussions (FGDs), and clinical observations. This study found that primary care physicians in Indonesia felt that they were competent to handle less than one-third of "typical" primary care cases. The reasons were limited understanding of person-centered care principles and limited patient care services to diagnosis and treatment of common biomedical problems. Additionally, physical facilities in primary care settings are lacking. Strengthening primary health care in Indonesia requires upscaling doctors' abilities in managing health problems through more structured graduate education in family medicine, which emphasizes the bio-psycho-socio-cultural background of persons; secondly, standardizing primary care facilities to support physicians' performance is critical. Finally, a strong national health policy that recognizes the essential role of primary care physicians in health outcomes is an urgent need.

Tank 241-S-106, cores 183, 184 and 187 analytical results for the final report

International Nuclear Information System (INIS)

Esch, R.A.

1997-01-01

This document is the final laboratory report for tank 241-S-106 push mode core segments collected between February 12, 1997 and March 21, 1997. The segments were subsampled and analyzed in accordance with the Tank Push Mode Core Sampling and Analysis Plan (TSAP), the Tank Safety Screening Data Quality Objective (Safety DQO), the Historical Model Evaluation Data Requirements (Historical DQO) and the Data Quality Objective to Support Resolution of the Organic Complexant Safety Issue (Organic DQO). The analytical results are included in Table 1. Six of the twenty-four subsamples submitted for the differential scanning calorimetry (DSC) analysis exceeded the notification limit of 480 Joules/g stated in the DQO. Appropriate notifications were made. Total Organic Carbon (TOC) analyses were performed on all samples that produced exotherms during the DSC analysis. All results were less than the notification limit of three weight percent TOC. No cyanide analysis was performed, per agreement with the Tank Safety Program. None of the samples submitted for Total Alpha Activity exceeded notification limits as stated in the TSAP. Statistical evaluation of results by calculating the 95% upper confidence limit is not performed by the 222-S Laboratory and is not considered in this report. No core composites were created because there was insufficient solid material from any of the three core sampling events to generate a composite that would be representative of the tank contents

Regenerative nodular hyperplasia, portal vein thrombosis and primary myelofibrosis: an unusual triple association.

Science.gov (United States)

Sández Montagut, Víctor Manuel; Giráldez Gallego, Álvaro; Ontanilla Clavijo, Guilermo

2018-03-01

We report a case of a regenerative nodular hyperplasia with a portal vein cavernomatosis with a subsequent progression to symptomatic, occlusive thrombosis of the superior mesenteric vein. A thorough investigation resulted in a final diagnosis of primary myelofibrosis associated with the V617F mutation in the JAK2 gene.

10 CFR 503.32 - Lack of alternate fuel supply at a cost which does not substantially exceed the cost of using...

Science.gov (United States)

2010-01-01

... 10 Energy 4 2010-01-01 2010-01-01 false Lack of alternate fuel supply at a cost which does not... (CONTINUED) ALTERNATE FUELS NEW FACILITIES Permanent Exemptions for New Facilities § 503.32 Lack of alternate... alternate fuel supply at a cost which does not substantially exceed the cost of using imported petroleum. To...

The clinical pathological features, diagnosis, treatment and prognosis of small intestine primary malignant tumors.

Science.gov (United States)

Guo, Xiaochuan; Mao, Zhiyuan; Su, Dan; Jiang, Zhaocai; Bai, Li

2014-04-01

The aim of the study was to describe and analyze the clinicopathological features and diagnosis of Chinese patients with small intestine primary malignant tumors and to explore the best therapy to small bowel adenocarcinoma (SBA). More than 26,000 patients with digestive tract malignant tumors received treatment in PLA hospital from 2000 to 2011, and among them, there were 887 patients who had small intestine primary malignant tumors, and 666 of 887 patients had the completed basic clinical documents. We retrospectively analyzed the correlation between clinical and pathological features of the 666 patients and analyzed the survival and prognosis of 173 SBA patients with follow-up data. Both the number of patients with primary malignant tumors of the small intestine and the number of patients who received chemotherapy showed an increasing trend. The ratio of male to female was 1.58:1. The male patients significantly exceed the female patients with tumors of non-ampullary duodenum, jejunum and duodenal ampulla; and most of the patients are over 60 years of age. For patients burdened with either of the pathological types of tumors, the males exceeded the females, but there was no significant difference. Abdominal pain was the main clinical manifestation for patients with tumors of non-ampullary duodenum, jejunum and ileum, and the most common clinical manifestations were jaundice and abdominal pain for patients with ampullary duodenal tumors, adenocarcinoma, neuroendocrine tumors and sarcoma. In addition, patients with stromal tumors were prone to gastrointestinal bleeding. Gastrointestinal endoscopy was the most common examinational procedure. Patients under 60 years of age were prone to surgery and chemotherapy after surgery, and patients over 60 years of age were prone to supportive treatment and chemotherapy without surgery. The medium overall survival of patients who received surgery without chemotherapy, chemotherapy after surgery, chemotherapy without surgery

"I Don't Really Understand Probability at All": Final Year Pre-Service Teachers' Understanding of Probability

Science.gov (United States)

Maher, Nicole; Muir, Tracey

2014-01-01

This paper reports on one aspect of a wider study that investigated a selection of final year pre-service primary teachers' responses to four probability tasks. The tasks focused on foundational ideas of probability including sample space, independence, variation and expectation. Responses suggested that strongly held intuitions appeared to…

Seismic tests in sodium of the SPX-1 primary pump shaft carried out in the CPV-1 test rig at ENEA-Brasimone

International Nuclear Information System (INIS)

Contardi, T.; Rapezzi, L.; Le Coz, P.; Tigeot, Y.; Partiti, C.; Zola, M.; Denimal, P.

1988-01-01

Dynamic tests were carried out by ISMES, on behalf of ENEA and CEA and in co-operation with FIAT/TTG, on a SPX-1 primary pump shaft. These tests were conducted, mainly in sodium, in the CPV-1 test rig at the ENEA Brasimone Center. The excitation was applied to the flange supporting the hydrostatic bearing. After some preliminary analysis performed in absence of liquid sodium and at ambient temperature, the following tests were performed on the rig filled with sodium at operating temperature: (A) sine sweeps between 1 and 15 Hz, (B) ambient vibration investigation, and (C) seismic tests with a SSE acceleration time-history (20 s duration) calculated by CEA at hydrostatic bearing level. Two sets of seismic tests were carried out, each time increasing amplitudes up to 70% of SSE. This value was not exceeded for safety reasons and actuator power limit. The first set of tests began in nominal operating conditions; when 70% of SSE was reached, pressure feed to hydrostatic bearing was reduced lowering its effective support. This simulated a larger earthquake. The second set of tests was representative of SPX-1 pump actual operating conditions, because both hydrostatic bearing pressure and shaft rotating speed were simultaneously reduced following the primary pump characteristic curve. The tests allowed the SPX-1 pump rotating set to be widely qualified. Among the main results, it is worth noting that the stiffness of the hydrostatic bearing system was generally compatible with seismic requirements. Finally, it is worth pointing out that, in order to allow the above-mentioned tests to be carried out, a full seismic qualification of the CPV-1 test rig was necessary: thus, this rig might be used in the future for further seismic tests on LMFBR components and systems in sodium. (author). Figs and tabs

Effects of Various Physical Education Curriculum on Motor Skills in Students of Final Grades in Primary School

Directory of Open Access Journals (Sweden)

Milovan Ljubojević

2016-02-01

Full Text Available Results of many researches conducted in field of physical education show that the physical education curriculum is not on the appropriate and satisfactory level. The goal of this study is to determine effects of standard and experimental education curriculum on motor skills. This study lasted for one school year, and it was conducted on the sample consisting of 113 boys, divided into control (physical education and experimental group (basketball. In order to asses motor space, following variables of Eurofit battery of tests were monitored: flamingo, hand tapping, seated forward bend (modified functional reach test, long jump, dynamo-metrics of dominant hand, lay – sit for 30'', pull-up endurance, and pin running on 10x5m. Analysis of the results during the final measurement showed that students of control group had better results in final measurement in comparison to the initial one in six out of eight variables. Students of the experimental group had improved results in 7 out of 8 variables. Experimental education curriculum with emphasize on basketball contributed to development of motor skills of students, but not at the level that would imply superiority over the control – standard education curriculum.

Comparison of mathematical problem solving strategies of primary school pupils

OpenAIRE

Wasilewská, Eliška

2016-01-01

The aim of this dissertation is to describe the role of educational strategy especially in field of the teaching of mathematics and to compare the mathematical problem solving strategies of primary school pupils which are taught by using different educational strategies. In the theoretical part, the main focus is on divergent educational strategies and their characteristics, next on factors affected teaching/learning process and finally on solving the problems. The empirical part of the disse...

Gonioscopy in primary angle closure glaucoma.

Science.gov (United States)

Bruno, Christina A; Alward, Wallace L M

2002-06-01

Primary angle closure is a condition characterized by obstruction to aqueous humor outflow by the peripheral iris, and results in changes in the iridocorneal angle that are visible through gonioscopic examination. Gonioscopy in these eyes, however, can be difficult. This chapter discusses techniques that might help in the examination. These include beginning the examination with the inferior angle, methods to help in looking over the iris, cycloplegia, locating the corneal wedge, indentation, van Herick estimation, examining the other eye, and topical glycerin. Finally, there is a discussion about the pathology associated with the closed angle, with emphasis on the appearance of iris bombé, plateau iris, and the distinction between iris processes and peripheral anterior synechiae.

Factors associated with professional satisfaction in primary care: Results from EUprimecare project.

Science.gov (United States)

Sanchez-Piedra, Carlos Alberto; Jaruseviciene, Lina; Prado-Galbarro, Francisco Javier; Liseckiene, Ida; Sánchez-Alonso, Fernando; García-Pérez, Sonia; Sarria Santamera, Antonio

2017-12-01

Given the importance of primary care to healthcare systems and population health, it seems crucial to identify factors that contribute to the quality of primary care. Professional satisfaction has been linked with quality of primary care. Physician dissatisfaction is considered a risk factor for burnout and leaving medicine. This study explored factors associated with professional satisfaction in seven European countries. A survey was conducted among primary care physicians. Estonia, Finland, Germany and Hungary used a web-based survey, Italy and Lithuania a telephone survey, and Spain face to face interviews. Sociodemographic information (age, sex), professional experience and qualifications (years since graduation, years of experience in general practice), organizational variables related to primary care systems and satisfaction were included in the final version of the questionnaire. A logistic regression analysis was performed to assess the factors associated with satisfaction among physicians. A total of 1331 primary care physicians working in primary care services responded to the survey. More than half of the participants were satisfied with their work in primary care services (68.6%). We found significant associations between satisfaction and years of experience (OR = 1.01), integrated network of primary care centres (OR = 2.8), patients having direct access to specialists (OR = 1.3) and professionals having access to data on patient satisfaction (OR = 1.3). Public practice, rather than private practice, was associated with lower primary care professional satisfaction (OR = 0.8). Elements related to the structure of primary care are associated with professional satisfaction. At the individual level, years of experience seems to be associated with higher professional satisfaction.

Mixed Waste Management Facility (MWMF) groundwater monitoring report: Third quarter 1993

Energy Technology Data Exchange (ETDEWEB)

1993-12-01

During third quarter 1993, eight constituents exceeded final Primary Drinking Water Standards in groundwater samples from downgradient monitoring wells at the Mixed Waste Management Facility, the Old Burial Ground, the E-Area Vaults, and the proposed Hazardous Waste/Mixed Waste Disposal Vaults. As in previous quarters, tritium and trichloroethylene were the most widespread constituents Chloroethene (vinyl chloride), 1,1-dichloroethylene, dichloromethane (methylene chloride), lead, mercury, or tetrachloroethylene also exceeded standards in one or more wells. The elevated constituents were found in Aquifer Zone IIB{sub 2} (Water Table) and Aquifer Zone IIB{sub 1} (Barnwell/McBean) wells. No elevated constituents were exhibited in Aquifer Unit IIA (Congaree) wells. The groundwater flow directions and rates in the three hydrostratigraphic units were similar to those of previous quarters.

Mixed Waste Management Facility (MWMF) groundwater monitoring report. First quarter 1993

Energy Technology Data Exchange (ETDEWEB)

1993-06-01

During first quarter 1993, eight constituents exceeded final Primary Drinking Water Standards in groundwater samples from downgradient monitoring wells at the Mixed Waste anagement Facility, the Old Burial Ground, the E-Area Vaults, and the proposed Hazardous Waste/Mixed Waste Disposal Vaults (HWMWDV). As in previous quarters, tritium and trichloroethylene were the most widespread constituents. Tetrachloroethylene, chloroethene, 1,1-dichloroethylene, gross alpha, lead, or nonvolatile beta levels also exceeded standards in one or more wells. The elevated constituents were found primarily in Aquifer Zone IIB{sub 2} (Water Table) and Aquifer Zone IIB{sub 1}, (Barnwell/McBean) wells. However, several Aquifer Unit IIA (Congaree) wells also contained elevated constituent levels. The groundwater flow directions and rates in the three hydrostratigraphic units were similar to previous quarters.

Mixed Waste Management Facility (MWMF) groundwater monitoring report

International Nuclear Information System (INIS)

1993-06-01

During first quarter 1993, eight constituents exceeded final Primary Drinking Water Standards in groundwater samples from downgradient monitoring wells at the Mixed Waste anagement Facility, the Old Burial Ground, the E-Area Vaults, and the proposed Hazardous Waste/Mixed Waste Disposal Vaults (HWMWDV). As in previous quarters, tritium and trichloroethylene were the most widespread constituents. Tetrachloroethylene, chloroethene, 1,1-dichloroethylene, gross alpha, lead, or nonvolatile beta levels also exceeded standards in one or more wells. The elevated constituents were found primarily in Aquifer Zone IIB 2 (Water Table) and Aquifer Zone IIB 1 , (Barnwell/McBean) wells. However, several Aquifer Unit IIA (Congaree) wells also contained elevated constituent levels. The groundwater flow directions and rates in the three hydrostratigraphic units were similar to previous quarters

Infection or Glioma? The False Dilemma of Primary Central Nervous System Histiocytic Sarcoma.

Science.gov (United States)

Clifton, William; Akinduro, Oluwaseun Oluwadara; Lopez-Chiriboga, Sebastian; Whitaker, Dale Alan; Reimer, Ronald

2017-10-01

Primary central nervous system (CNS) histiocytic sarcoma is an extremely rare lymphoproliferative disorder that affects the CNS and behaves aggressively. Only 27 cases of primary CNS histiocytic sarcoma have been reported. The paucity of literature on this entity has made diagnosis and treatment difficult both for the surgeon and the pathologist. In this case of primary CNS histiocytic sarcoma, a middle-aged woman presented from an outside institution with a supposed cerebellar abscess. Intraoperative frozen pathology was initially interpreted as high-grade glioma; however, final pathology demonstrated histiocytic sarcoma. This report makes a significant contribution to the literature on this rare malignant disease by outlining a similar presentation among several cases and providing a thorough overview of existing criteria for diagnosis and management. Copyright © 2017 Elsevier Inc. All rights reserved.

Primary Angiosarcoma of the Spleen: An Oncological Enigma

Directory of Open Access Journals (Sweden)

Myoteri Despoina

2014-01-01

Full Text Available Introduction. Primary splenic angiosarcoma is an extremely unusual neoplasm originating from sinusoidal vascular endothelium. Surgical extirpation is the mainstay of treatment of this highly malignant disease. Case Presentation. An 82-year-old woman was admitted with left pleural effusion and a palpable left upper quadrant abdominal mass, secondary to splenomegaly by two large splenic tumors. Classic open splenectomy was performed and angiosarcoma of the spleen was the final histopathological diagnosis, which was primary since no other disease site was revealed. Discussion. The incidence of the disease is 0.14–0.23 cases per million, with slight male predominance. Etiology is not established and clinical presentation may confuse even experienced physicians. Imaging modalities cannot differentiate the lesion from other vascular splenic neoplasms and the correct diagnosis is mainly set after histopathological examination of the resected spleen. As with other sarcomas, surgery is the only curative approach, while chemo- and radiotherapy have poor results. Prognosis remains dismal.

Primary anastomosis or ostomy in necrotizing enterocolitis?

Science.gov (United States)

Haricharan, Ramanathapura N; Gallimore, Jade Palazzola; Nasr, Ahmed

2017-11-01

In neonates requiring operation for necrotizing enterocolitis (NEC), the complications due to enterostomy (ES) and the need for another operation to restore continuity have prompted several surgeons to employ primary anastomosis (PA) after resection as the operative strategy of choice. Our objective was to compare primary anastomosis to stoma formation in this population using systematic review and meta-analysis. Publications describing both interventions were identified by searching multiple databases. Appropriate studies that reported outcomes after PA and ES for NEC were included for analysis that was performed using the MedCalc3000 software. Results are reported as odds ratios (OR, 95% CI). No randomized trials were identified. Twelve studies were included for the final analysis. Neonates who underwent PA were associated with significantly less risk of mortality when compared to those who underwent ES (OR 0.34, 95% CI 0.17-0.68, p 0.002), possibly due to differences in severity of NEC. Although the types of complications in these groups were different, there was no significant difference in risk of complication (OR 0.86, 0.55-1.33, p 0.50). In neonates undergoing an operation for severe NEC, there is no significant difference in the risk of complications between primary anastomosis and enterostomy. A definitive suggestion cannot be made regarding the choice of one operative strategy over another.

Relationship between Mental Health and Burden among Primary Caregivers of Outpatients with Schizophrenia.

Science.gov (United States)

Yu, Wenjun; Chen, Jia; Hu, Jize; Hu, JingChu

2018-01-24

There is growing recognition that caring for a patient with schizophrenia often results in high levels of perceived burden and poorer overall mental health for caregivers. A quantitative cross-sectional design and standardized instruments were used to collect data from 355 primary caregivers of adults in outpatient care with schizophrenia in China. Structural equation modeling was used to examine the association between caregiver burden and mental health among primary caregivers and whether this association is influenced by personality, coping style, and family functioning, based on a diathesis-stress perspective. Goodness-of-fit indices (χ 2 /df = 1.406, GFI = 0.919, CFI = 0.957, etc.) confirmed that the modified model fit the data well. In line with the diathesis-stress model, and with this study's hypotheses, we found that caregiver burden was significantly related to mental health outcomes directly. The final model showed that personality traits, coping style, and family function influenced the relationship between caregiver burden and mental health. The neuroticism personality traits have a direct effect on caregiver burden and family functioning in this sample. Coping style had a direct effect on the caregiver burden, and family functioning had a direct effect on the caregiver burden. Our final model about primary caregivers can be applied clinically to predict mental health outcomes from caregiver burden. © 2018 Family Process Institute.

Some aspects of floor spectra of 1DOF nonlinear primary structures

International Nuclear Information System (INIS)

Politopoulos, I.; Feau, C.

2007-01-01

In this paper the influence of the nonlinear behaviour of the primary structure on floor spectra is investigated by means of simple models. The general trends of floor spectra for different types of nonlinear behaviour of one degree of freedom (1DOF) primary structure are shown and we point out their common futures and their differences. A special attention is given to the cases of elastoplastic and nonlinear elastic behaviours and methods to determine an equivalent linear oscillator are proposed. The properties (frequency and damping) of this equivalent linear oscillator are quite different from the properties of equivalent linear oscillators commonly considered in practice. In particular, in the case of elastoplastic behaviour, there is no frequency shift and damping is smaller than assumed by other methods commonly used. In the case of nonlinear elastic behaviour, the concept of an equivalent frequency which is a random variable is used. Finally, a design floor spectrum of primary structures, exhibiting energy dissipating nonlinear behaviour is proposed. (authors)

Improving Communication About Serious Illness in Primary Care: A Review.

Science.gov (United States)

Lakin, Joshua R; Block, Susan D; Billings, J Andrew; Koritsanszky, Luca A; Cunningham, Rebecca; Wichmann, Lisa; Harvey, Doreen; Lamey, Jan; Bernacki, Rachelle E

2016-09-01

The Institute of Medicine recently called for systematic improvements in clinician-led conversations about goals, values, and care preferences for patients with serious and life-threatening illnesses. Studies suggest that these conversations are associated with improved outcomes for patients and their families, enhanced clinician satisfaction, and lower health care costs; however, the role of primary care clinicians in driving conversations about goals and priorities in serious illness is not well defined. To present a review of a structured search of the evidence base about communication in serious illness in primary care. MEDLINE was searched, via PubMed, on January 19, 2016, finding 911 articles; 126 articles were reviewed and selected titles were added from bibliography searches. Review of the literature informed 2 major topic areas: the role of primary care in communication about serious illness and clinician barriers and system failures that interfere with effective communication. Literature regarding the role that primary care plays in communication focused primarily on the ambiguity about whether primary care clinicians or specialists are responsible for initiating conversations, the benefits of primary care clinicians and specialists conducting conversations, and the quantity and quality of discussions. Timely and effective communication about serious illness in primary care is hampered by key clinician barriers, which include deficits in knowledge, skills, and attitudes; discomfort with prognostication; and lack of clarity about the appropriate timing and initiation of conversations. Finally, system failures in coordination, documentation, feedback, and quality improvement contribute to lack of conversations. Clinician and system barriers will challenge primary care clinicians and institutions to meet the needs of patients with serious illness. Ensuring that conversations about goals and values occur at the appropriate time for seriously ill patients will

Toil and Trouble Confirmed: The Demise of Hallowe'en in English Primary Schools

Science.gov (United States)

Plater, Mark

2007-01-01

The claim that Hallowe'en has been eliminated from English primary schools is tested through empirical research in south-east England. The reasons given by teachers for their inclusion or non-inclusion of the subject are then explored. Finally, questions are raised about the implications of the findings for children's ongoing personal development,…

Tank 241-T-201, core 192 analytical results for the final report

Energy Technology Data Exchange (ETDEWEB)

Nuzum, J.L.

1997-08-07

This document is the final laboratory report for Tank 241-T-201. Push mode core segments were removed from Riser 3 between April 24, 1997, and April 25, 1997. Segments were received and extruded at 222-S Laboratory. Analyses were performed in accordance with Tank 241-T-201 Push Mode Core Sampling and Analysis Plan (TSAP) (Hu, 1997), Letter of Instruction for Core Sample Analysis of Tanks 241-T-201, 241-T-202, 241-T-203, and 241-T-204 (LOI) (Bell, 1997), Additional Core Composite Sample from Drainable Liquid Samples for Tank 241-T-2 01 (ACC) (Hall, 1997), and Safety Screening Data Quality Objective (DQO) (Dukelow, et al., 1995). None of the subsamples submitted for total alpha activity (AT) or differential scanning calorimetry (DSC) analyses exceeded the notification limits stated in DQO. The statistical results of the 95% confidence interval on the mean calculations are provided by the Tank Waste Remediation Systems Technical Basis Group, and are not considered in this report.

Tank 241-T-201, core 192 analytical results for the final report

International Nuclear Information System (INIS)

Nuzum, J.L.

1997-01-01

This document is the final laboratory report for Tank 241-T-201. Push mode core segments were removed from Riser 3 between April 24, 1997, and April 25, 1997. Segments were received and extruded at 222-S Laboratory. Analyses were performed in accordance with Tank 241-T-201 Push Mode Core Sampling and Analysis Plan (TSAP) (Hu, 1997), Letter of Instruction for Core Sample Analysis of Tanks 241-T-201, 241-T-202, 241-T-203, and 241-T-204 (LOI) (Bell, 1997), Additional Core Composite Sample from Drainable Liquid Samples for Tank 241-T-2 01 (ACC) (Hall, 1997), and Safety Screening Data Quality Objective (DQO) (Dukelow, et al., 1995). None of the subsamples submitted for total alpha activity (AT) or differential scanning calorimetry (DSC) analyses exceeded the notification limits stated in DQO. The statistical results of the 95% confidence interval on the mean calculations are provided by the Tank Waste Remediation Systems Technical Basis Group, and are not considered in this report

How Primary Education students organize the planning of the written

Directory of Open Access Journals (Sweden)

José Luis Gallego Ortega

2013-05-01

Full Text Available The present paper deals with a study aimed at providing an insight into how students with Primary Education plan their written expression. The exploratory and qualitative investigation resorts to the “collective case study” and it is used the “cognitive interview” to obtain the items, applying the “content analysis” in the interpretation of them. This research has allowed us to identify the process in content organization, how students make these operations and the main difficulties founded in it. The results of the research show that, although these students normally make the operations of this textual organization process, they have important difficulties regarding the general planning of the ideas in a text. Finally, this article gives some guidelines for the teaching of writing structure in Primary Education students.

Thermal pre-treatment of primary and secondary sludge at 70ºC prior to anaerobic digestion

DEFF Research Database (Denmark)

Skiadas, Ioannis V.; Gavala, H.N.; Lu, Jingquan

2005-01-01

. The present study investigates the effect of the pre-treatment at 70 degrees C on thermophilic (55 degrees C) anaerobic digestion of primary and secondary sludge in continuously operated digesters. Thermal pre-treatment of primary and secondary sludge at 70 degrees C enhanced the removal of organic matter...... and the methane production during the subsequent anaerobic digestion step at 55 degrees C. It also greatly contributed to the destruction of pathogens present in primary sludge. Finally it results in enhanced microbial activities of the subsequent anaerobic step suggesting that the same efficiencies in organic...... matter removal and methane recovery could be obtained at lower HRTs....

Role of primary substrate composition and concentration on attenuation of trace organic chemicals in managed aquifer recharge systems

KAUST Repository

Alidina, Mazahirali

2014-11-01

This study was undertaken to investigate the role of primary substrate composition and concentration on the attenuation of biodegradable emerging trace organic chemicals (TOrCs) in simulated managed aquifer recharge (MAR) systems. Four sets of soil columns were established in the laboratory, each receiving synthetic feed solutions comprising different ratios and concentrations of peptone-yeast and humic acid as the primary substrate to investigate the effect on removal of six TOrCs (atenolol, caffeine, diclofenac, gemfibrozil, primidone, and trimethoprim). Based on abiotic control experiments, adsorption was not identified as a significant attenuation mechanism for primidone, gemfibrozil and diclofenac. Caffeine, atenolol and trimethoprim displayed initial adsorptive losses, however, adsorption coefficients derived from batch tests confirmed that adsorption was limited and in the long-term experiment, biodegradation was the dominant attenuation process. Within a travel time of 16h, caffeine - an easily degradable compound exhibited removal exceeding 75% regardless of composition or concentration of the primary substrate. Primidone - a poorly degradable compound, showed no removal in any column regardless of the nature of the primary substrate. The composition and concentration of the primary substrate, however, had an effect on attenuation of moderately degradable TOrCs, such as atenolol, gemfibrozil and diclofenac, with the primary substrate composition seeming to have a larger impact on TOrC attenuation than its concentration. When the primary substrate consisted mainly of refractory substrate (humic acid), higher removal of the moderately degradable TOrCs was observed. The microbial communities in the columns receiving more refractory carbon, were noted to be more diverse and hence likely able to express a wider range of enzymes, which were more suitable for TOrC transformation. The effect of the primary substrate on microbial community composition, diversity

Role of primary substrate composition and concentration on attenuation of trace organic chemicals in managed aquifer recharge systems.

Science.gov (United States)

Alidina, Mazahirali; Li, Dong; Ouf, Mohamed; Drewes, Jörg E

2014-11-01

This study was undertaken to investigate the role of primary substrate composition and concentration on the attenuation of biodegradable emerging trace organic chemicals (TOrCs) in simulated managed aquifer recharge (MAR) systems. Four sets of soil columns were established in the laboratory, each receiving synthetic feed solutions comprising different ratios and concentrations of peptone-yeast and humic acid as the primary substrate to investigate the effect on removal of six TOrCs (atenolol, caffeine, diclofenac, gemfibrozil, primidone, and trimethoprim). Based on abiotic control experiments, adsorption was not identified as a significant attenuation mechanism for primidone, gemfibrozil and diclofenac. Caffeine, atenolol and trimethoprim displayed initial adsorptive losses, however, adsorption coefficients derived from batch tests confirmed that adsorption was limited and in the long-term experiment, biodegradation was the dominant attenuation process. Within a travel time of 16 h, caffeine - an easily degradable compound exhibited removal exceeding 75% regardless of composition or concentration of the primary substrate. Primidone - a poorly degradable compound, showed no removal in any column regardless of the nature of the primary substrate. The composition and concentration of the primary substrate, however, had an effect on attenuation of moderately degradable TOrCs, such as atenolol, gemfibrozil and diclofenac, with the primary substrate composition seeming to have a larger impact on TOrC attenuation than its concentration. When the primary substrate consisted mainly of refractory substrate (humic acid), higher removal of the moderately degradable TOrCs was observed. The microbial communities in the columns receiving more refractory carbon, were noted to be more diverse and hence likely able to express a wider range of enzymes, which were more suitable for TOrC transformation. The effect of the primary substrate on microbial community composition, diversity

Electricity of nuclear origin and primary and end-use energy consumption; Electricite nucleaire et consommation d'energie primaire et finale

Energy Technology Data Exchange (ETDEWEB)

NONE

2008-07-01

In France, the electricity of nuclear origin corresponds to about 40% of the primary energy consumption, while electricity as a whole represents about 23% of the end-use energy. This apparent paradox can be explained by 2 methodological points: 1 - the primary energy consumption, in the case of electricity, includes only the energy of nuclear, hydraulic, wind, photovoltaic and geothermal origin. On the other hand, the end-use energy consumption includes all forms of electricity consumed, i.e. the electricity of both primary and secondary origin. 2 - By international convention, the coefficients used to convert MWth into tpe (ton of petroleum equivalent) can change according to two factors: the power generation source and the type of kWh considered, either produced or consumed. The coexistence of different concepts and definitions is justified by the different usages made with them. Therefore, calculations referring to different definitions or equivalence coefficients are not immediately comparable. (J.S.)

Adoption of information technology in primary care physician offices in New Zealand and Denmark, part 5: final comparisons

Directory of Open Access Journals (Sweden)

Denis Protti

2009-03-01

Full Text Available This is the last in a series of five papers about the use of computing technology in general practitioner (GP practices in Denmark and New Zealand. This paper introduces a unique comparison instrument developed for this study using the best evidence available namely data was pulled from centralised databases and was indisputable (e.g. percentage of primary care physicians who send medication prescriptions electronically to pharmacies. Where the data was simply not available, estimates were made. Since the reliability of the data on the use of computers by primary care physicians is so variable and in some case simply not available, the authors also introduce the use of a Cochrane-like confidence factor (CF to each comparison measure. The paper draws particular attention to the fact that both countries have a highly visible central unifying body or what might be called a Health System Integrator; though Denmark s Medcom is a pseudo government agency New Zealand's HealthLink is a private company, both play critical roles in the success story of these two countries.

Mixed Waste Salt Encapsulation Using Polysiloxane - Final Report

International Nuclear Information System (INIS)

Miller, C.M.; Loomis, G.G.; Prewett, S.W.

1997-01-01

A proof-of-concept experimental study was performed to investigate the use of Orbit Technologies polysiloxane grouting material for encapsulation of U.S. Department of Energy mixed waste salts leading to a final waste form for disposal. Evaporator pond salt residues and other salt-like material contaminated with both radioactive isotopes and hazardous components are ubiquitous in the DOE complex and may exceed 250,000,000 kg of material. Current treatment involves mixing low waste percentages (less than 10% by mass salt) with cement or costly thermal treatment followed by cementation to the ash residue. The proposed technology involves simple mixing of the granular salt material (with relatively high waste loadings-greater than 50%) in a polysiloxane-based system that polymerizes to form a silicon-based polymer material. This study involved a mixing study to determine optimum waste loadings and compressive strengths of the resultant monoliths. Following the mixing study, durability testing was performed on promising waste forms. Leaching studies including the accelerated leach test and the toxicity characteristic leaching procedure were also performed on a high nitrate salt waste form. In addition to this testing, the waste form was examined by scanning electron microscope. Preliminary cost estimates for applying this technology to the DOE complex mixed waste salt problem is also given

137Cs activity concentration in wild boar meat may still exceed the permitted levels

Directory of Open Access Journals (Sweden)

Rachubik J.

2012-04-01

Full Text Available The radiocaesium activity concentration may still remain high in natural products such as game meat, wild mushrooms, and forest berries even more than two decades after the Chernobyl accident. The results of regular control studies of game meat conducted in Poland showed wild boars as the most contaminated game animals. It is well documented that some mushrooms, readily consumed by animals, show high ability to accumulate caesium radioisotopes. Bay bolete, one of the most wide-spread mushroom species in Poland, reveals a unique radiocaesium accumulation feature. Moreover, deer truffle, containing also particularly high levels of radiocaesium, could be another radionu-clide source for wild boars. Furthermore, animals consuming deer truffles could digest contaminated soil components. Among 94 wild boar meat samples analysed in 2008–2009, two exceeded the permitted level. Hence, some precautions should be taken in the population with an elevated intake of wild boar meat. Moreover, since each hunted wild boar is examined for the presence of Trichinella larvae, regular measurements of radiocaesium concentrations in these animals may be advisable for enhancing consumer safety.

137Cs activity concentration in wild boar meat may still exceed the permitted levels

Science.gov (United States)

Rachubik, J.

2012-04-01

The radiocaesium activity concentration may still remain high in natural products such as game meat, wild mushrooms, and forest berries even more than two decades after the Chernobyl accident. The results of regular control studies of game meat conducted in Poland showed wild boars as the most contaminated game animals. It is well documented that some mushrooms, readily consumed by animals, show high ability to accumulate caesium radioisotopes. Bay bolete, one of the most wide-spread mushroom species in Poland, reveals a unique radiocaesium accumulation feature. Moreover, deer truffle, containing also particularly high levels of radiocaesium, could be another radionu-clide source for wild boars. Furthermore, animals consuming deer truffles could digest contaminated soil components. Among 94 wild boar meat samples analysed in 2008-2009, two exceeded the permitted level. Hence, some precautions should be taken in the population with an elevated intake of wild boar meat. Moreover, since each hunted wild boar is examined for the presence of Trichinella larvae, regular measurements of radiocaesium concentrations in these animals may be advisable for enhancing consumer safety.

Clean Energy Works Oregon Final Technical Report

Energy Technology Data Exchange (ETDEWEB)

Jacob, Andria [City of Portland; Cyr, Shirley [Clean Energy Works

2013-12-31

In April 2010, the City of Portland received a $20 million award from the U.S. Department of Energy, as part of the Energy Efficiency and Conservation Block Grant program. This award was appropriated under the American Recovery and Reinvestment Act (ARRA), passed by President Obama in 2009. DOE’s program became known as the Better Buildings Neighborhood Program (BBNP). The BBNP grant objectives directed the City of Portland Bureau of Planning and Sustainability (BPS) as the primary grantee to expand the BPS-led pilot program, Clean Energy Works Portland, into Clean Energy Works Oregon (CEWO), with the mission to deliver thousands of home energy retrofits, create jobs, save energy and reduce carbon dioxide emissions.The Final Technical Report explores the successes and lessons learned from the first 3 years of program implementation.

Inpatient Consults and Complications During Primary Total Joint Arthroplasty in a Bundled Care Model.

Science.gov (United States)

Baumgartner, Billy T; Karas, Vasili; Kildow, Beau J; Cunningham, Daniel J; Klement, Mitchell R; Green, Cindy L; Attarian, David E; Seyler, Thorsten M

2018-04-01

The Centers for Medicare and Medicaid Services (CMS) are implementing changes in hospital reimbursement models for total joint arthroplasty (TJA), moving to value-based bundled payments from the fee-for-service model. The purpose of this study is to identify consults and complications during the perioperative period that increase financial burden. We combined CMS payment data for inpatient, professional, and postoperative with retrospective review of patients undergoing primary TJA and developed profiles of patients included in the Comprehensive Care for Joint Replacement bundle undergoing TJA. Statistical comparison of episode inpatient events and payments was conducted. Multiple regression analysis was adjusted for length of stay, disposition, and Charlson-Deyo comorbidity profile. Median total payment was $21,577.36, which exceeded the median bundle target payment of $20,625.00. Adjusted analyses showed that psychiatry consults (increase of $73,123.32; P care unit admission ($14,078.37; P care unit admission, and medical/psychiatric consultation exceeded the CMS target. Although study results showed typical complication rates, acute inpatient consultation significantly increased utilization beyond the CMS target even when adjusted for length of stay, patient comorbidities, and discharge. Needed medical care should continue to be a priority for inpatients, and allowance for individual outliers should be considered in policy discussions. Copyright © 2017 Elsevier Inc. All rights reserved.

77 FR 59747 - Repeal of the Final Rule Imposing Special Measures and Withdrawal of the Findings of Primary...

Science.gov (United States)

2012-10-01

... Money Laundering Concern of November 25, 2003, issued pursuant to 31 U.S.C. 5318A of the Bank Secrecy... amends the anti-money laundering provisions of the BSA, codified at 12 U.S.C. 1829b, 12 U.S.C. 1951-1959..., or type of account is of ``primary money laundering concern,'' to require domestic financial...

Investigating Primary School Mathematics Teachers’ Deductive Reasoning Ability through Varignon’s Theorem

Science.gov (United States)

Jupri, A.

2017-09-01

The responsibility to promote the growth of deductive reasoning ability of school students through learning mathematics is in the hand of mathematics teachers and particularly primary school mathematics teachers. However, how we can make sure whether teachers are able to do so. To investigate this issue, we conducted a three-step of an exploratory survey study. First, we designed tasks from the Varignon’s theorem. Second, we administered an individual written test involving twenty master students of primary education program, in which they are prospective of and primary school mathematics teachers. Finally, we address the results in the light of Van Hiele theory. The results showed that participated students lack of deductive reasoning ability in the context of geometry. For further research, we wonder whether the designed tasks are also applicable to assess student deductive reasoning ability if the students have acquired appropriate teaching.

Public health and primary care: struggling to "win friends and influence people".

Science.gov (United States)

Mayes, Rick; McKenna, Sean

2011-01-01

Why are the goals of public health and primary care less politically popular and financially supported than those of curative medicine? A major part of the answer to this question lies in the fact that humans often worry wrongly by assessing risk poorly. This reality is a significant obstacle to the adequate promotion of and investment in public health, primary care, and prevention. Also, public health's tendency to infringe on personal privacy-as well as to call for difficult behavioral change-often sparks intense controversy and interest group opposition that discourage broader political support. Finally, in contrast to curative medicine, both the cost-benefit structure of public health (costs now, benefits later) and the way in which the profession operates make it largely invisible to and, thus, underappreciated by the general public. When curative medicine works well, most everybody notices. When public health and primary care work well, virtually nobody notices.

Investigation of primary cooling water chemistry following the partial meltdown of Pu-Be neutron source in Tehran Research Reactor Core (TRR)

Energy Technology Data Exchange (ETDEWEB)

Aghoyeh, Reza Gholizadeh [School of Research and Development of Nuclear Reactors and Accelerators, Nuclear Science and Technology Research Institute (NSTRI), Atomic Energy Organization of Iran (AEOI), P.O. Box: 14155-1339, Tehran (Iran, Islamic Republic of); Khalafi, Hossein, E-mail: hkhalafi@aeoi.org.i [School of Research and Development of Nuclear Reactors and Accelerators, Nuclear Science and Technology Research Institute (NSTRI), Atomic Energy Organization of Iran (AEOI), P.O. Box: 14155-1339, Tehran (Iran, Islamic Republic of)

2011-03-15

Research highlights: Effect of Pu-Be neutron source meltdown in core on reactor water chemistry. Water chemistry of primary cooling before, during and after of above incident was compared. Training importance. Management of nuclear incident and accident. - Abstract: Effect of Pu-Be neutron source meltdown in core on reactor water chemistry was main aim of this study. Leaving the neutron source in the core after reactor power exceeds a few hundred Watts was the main reason for its partial meltdown. Water chemistry of primary cooling before, during and after of above incident was compared. Activity of some radio-nuclides such as Ba-140, La-140, I-131, I-132, Te-132 and Xe-135 increased. Other radio-nuclides such as Nd-147, Xe-133, Sr-91, I-133 and I-135 are also detected which were not existed before this incident.

Classroom Listening Conditions in Indian Primary Schools: A Survey of Four Schools

Directory of Open Access Journals (Sweden)

Gayathri Sundaravadhanan

2017-01-01

Full Text Available Introduction: Background noise affects the listening environment inside classrooms, especially for younger children. High background noise level adversely affects not only student speech perception but also teacher vocal hygiene. The current study aimed to give an overview of the classroom listening conditions in selected government primary schools in India. Materials and Methods: Noise measurements were taken in 23 classrooms of four government primary schools in southern India, using a type 2 sound level meter. In each classroom measurements were taken in occupied and unoccupied conditions. Teacher voice level was measured in the same classrooms. In addition, the classroom acoustical conditions were observed and the reverberation time for each classroom was calculated. Results: The mean occupied noise level was 62.1 dBA and 65.6 dBC, and the mean unoccupied level was 62.2 dBA and 65 dBC. The mean unamplified teacher speech-to-noise ratio was 10.6 dBA. Both the occupied and unoccupied noise levels exceeded national and international recommended levels and the teacher speech-to-noise ratio was also found to be inadequate in most classrooms. The estimated reverberation time in all classrooms was greater than 2.6 seconds, which is almost double the duration of accepted standards. In addition, observation of classrooms revealed insufficient acoustical treatment to effectively reduce internal and external noise and minimize reverberation. Conclusion: The results of this study point out the need to improve the listening environment for children in government primary schools in India.

Final Technical Report 09 LW 112

Energy Technology Data Exchange (ETDEWEB)

Lenhoff, R J

2010-11-28

Since the development of new antibiotics is out-paced by the emergence of bacterial resistance to existing antibiotics, it is crucial to understand the genetic mechanisms underlying resistance existing antibiotics. At the center of this mystery is a poorly understood phenomenon, heteroresistance: the coexistence of multiple subpopulations with varying degrees of antibiotic resistance. A better understanding of the fundamental basis of heteroresistance could result in sorely needed breakthroughs in treatment options. This project proposed to leverage a novel microfluidic (microchemostat) technology to probe the heteroresistance phenomenon in bacteria, with the aim of restoring the efficacy of existing {beta}-lactam antibiotics. The clinically important bacteria Methicillin Resistant S. aureus (MRSA) was used as the test case of bacteria that exhibits antibiotic heteroresistance. MRSA is difficult to treat because it is resistant to all {beta}-lactam antibiotics, as well as other classes of antimicrobials. Whereas {beta}-lactams such as methicillin and oxacillin are the preferred antibiotics to treat S. aureus infections due to their efficacy and low side effects, accurate determination and use of oxacillin/methicillin dosage is hampered by heteroresistance. In fact, invasive MRSA infections now account for about 95,000 deaths per year, a number that exceeds the deaths due to either influenza or HIV (12). In some MRSA strains, two subpopulations of cells may coexist: both populations carry the mecA gene that confers resistance, but mecA is differentially expressed so that only a small number of cells are observed during in vitro testing. Why this occurs is not understood. Prior experiments have sought to explain this phenomenon with conflicting results, with technology being the primary barrier to test the system sufficiently. This is the final report on work accomplished under the Lab-wide LDRD project 09-LW-112. This project was awarded to Frederick Balagadde who

Final Hazard Categorization for the Remediation of Six 300-FF-2 Operable Unit Solid Waste Burial Grounds

International Nuclear Information System (INIS)

Ludowise, J.D.

2006-01-01

This report provides the final hazard categorization (FHC) for the remediation of six solid waste disposal sites (referred to as burial grounds) located in the 300-FF-2 Operable Unit (OU) on the Hanford Site. These six sites (618-1, 618-2, 618-3, 618-7, 618-8, and 618-13 Burial Grounds) were determined to have a total radionuclide inventory (WCH 2005a, WCH 2005d, WCH 2005e and WCH 2006b) that exceeds the DOE-STD-1027 Category 3 threshold quantity (DOE 1997) and are the subject of this analysis. This FHC document examines the hazards, identifies appropriate controls to manage the hazards, and documents the FHC and commitments for the 300-FF-2 Burial Grounds Remediation Project

Final Hazard Categorization for the Remediation of Six 300-FF-2 Operable Unit Solid Waste Burial Grounds

Energy Technology Data Exchange (ETDEWEB)

J. D. Ludowise

2006-12-12

This report provides the final hazard categorization (FHC) for the remediation of six solid waste disposal sites (referred to as burial grounds) located in the 300-FF-2 Operable Unit (OU) on the Hanford Site. These six sites (618-1, 618-2, 618-3, 618-7, 618-8, and 618-13 Burial Grounds) were determined to have a total radionuclide inventory (WCH 2005a, WCH 2005d, WCH 2005e and WCH 2006b) that exceeds the DOE-STD-1027 Category 3 threshold quantity (DOE 1997) and are the subject of this analysis. This FHC document examines the hazards, identifies appropriate controls to manage the hazards, and documents the FHC and commitments for the 300-FF-2 Burial Grounds Remediation Project.

Energy Impact Illinois - Final Technical Report

Energy Technology Data Exchange (ETDEWEB)

Olson, Daniel [Senior Energy Efficiency Planner; Plagman, Emily [Senior Energy Planner; Silberhorn, Joey-Lin [Energy Efficiency Program Assistant

2014-02-18

Energy Impact Illinois (EI2) is an alliance of government organizations, nonprofits, and regional utility companies led by the Chicago Metropolitan Agency for Planning (CMAP) that is dedicated to helping communities in the Chicago metropolitan area become more energy efficient. Originally organized as the Chicago Region Retrofit Ramp-Up (CR3), EI2 became part of the nationwide Better Buildings Neighborhood Program (BBNP) in May 2010 after receiving a $25 million award from the U.S. Department of Energy (DOE) authorized through the American Recovery and Reinvestment Act of 2009 (ARRA). The program’s primary goal was to fund initiatives that mitigate barriers to energy efficiency retrofitting activities across residential, multifamily, and commercial building sectors in the seven-county CMAP region and to help to build a sustainable energy efficiency marketplace. The EI2 Final Technical Report provides a detailed review of the strategies, implementation methods, challenges, lessons learned, and final results of the EI2 program during the initial grant period from 2010-2013. During the program period, EI2 successfully increased direct retrofit activity in the region and was able to make a broader impact on the energy efficiency market in the Chicago region. As the period of performance for the initial grant comes to an end, EI2’s legacy raises the bar for the region in terms of helping homeowners and building owners to take action on the continually complex issue of energy efficiency.

Laser Shot Peening System Final Report CRADA No. TC-1369-96

Energy Technology Data Exchange (ETDEWEB)

Stuart, B. C. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Harris, F. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2017-09-27

This CRADA project was established with a primary goal to develop a laser shot peening system which could operate at production throughput rates and produce the desired depth and intensity of induced shots. The first objective was to understand all parameters required for acceptable peening, including pulse energy, pulse temporal format, pulse spatial format, sample configuration and tamping mechanism. The next objective was to demonstrate the technique on representative samples and then on representative parts. The final objective was to implement the technology into a meaningful industrial peen.

Assessment of effects of Fort St. Vrain HTGR primary coolant on Alloy 800. Final report

International Nuclear Information System (INIS)

Trester, P.W.; Johnson, W.R.; Simnad, M.T.; Burnette, R.D.; Roberts, D.I.

1982-08-01

A comprehensive review was conducted of primary helium coolant chemistry data, based on current and past operating histories of helium-cooled, high-temperature reactors (HTGRs), including the Fort St. Vrain (FSV) HTGR. A reference observed FSV reactor coolant environment was identified. Further, a slightly drier expected FSV coolant chemistry was predicted for reactor operation at 100% of full power. The expected environment was compared with helium test environments used in the US, United Kingdom, Germany, France, and Japan. Based on a comprehensive review and analysis of mechanical property data reported for Alloy 800 tested in controlled-impurity helium environments (and in air when appropriate for comparison), an assessment was made of the effect of FSV expected helium chemistry on material properties of alloy 800, with emphasis on design properties of the Alloy 800 material utilized in the FSV steam generators

Effects of climate warming on net primary productivity in China during 1961-2010.

Science.gov (United States)

Gu, Fengxue; Zhang, Yuandong; Huang, Mei; Tao, Bo; Guo, Rui; Yan, Changrong

2017-09-01

The response of ecosystems to different magnitudes of climate warming and corresponding precipitation changes during the last few decades may provide an important reference for predicting the magnitude and trajectory of net primary productivity (NPP) in the future. In this study, a process-based ecosystem model, Carbon Exchange between Vegetation, Soil and Atmosphere (CEVSA), was used to investigate the response of NPP to warming at both national and subregional scales during 1961-2010. The results suggest that a 1.3°C increase in temperature stimulated the positive changing trend in NPP at national scale during the past 50 years. Regardless of the magnitude of temperature increase, warming enhanced the increase in NPP; however, the positive trend of NPP decreased when warming exceeded 2°C. The largest increase in NPP was found in regions where temperature increased by 1-2°C, and this rate of increase also contributed the most to the total increase in NPP in China's terrestrial ecosystems. Decreasing precipitation depressed the positive trend in NPP that was stimulated by warming. In northern China, warming depressed the increasing trend of NPP and warming that was accompanied by decreasing precipitation led to negative changing trends in NPP in large parts of northern China, especially when warming exceeded 2°C. However, warming stimulated the increase in NPP until warming was greater than 2°C, and decreased precipitation helped to increase the NPP in southern China.

Using the Fennema-Sherman Mathematics Attitude Scales with lower-primary teachers

Science.gov (United States)

Ren, Lixin; Green, Jennifer L.; Smith, Wendy M.

2016-06-01

The Fennema-Sherman Mathematics Attitude Scales (FSMAS) are among the most popular instruments used in studies of attitudes toward mathematics. However, the FSMAS has been mainly used among student populations and rarely used with teachers. In the present study, three scales from the FSMAS— Confidence, Effectance Motivation, and Anxiety—were revised and used with lower-primary (kindergarten to third grade) teachers. This study includes three parts: (1) a pilot study to ensure the modifications made to the FSMAS were appropriate to use with teachers, (2) confirmatory factor analyses to assess the factor structure of the revised FSMAS with 225 lower-primary teachers, and (3) measurement invariance analyses using data from a similar sample of 171 lower-primary teachers to examine whether the revised FSMAS measures each construct in the same way as in the previous sample. The final three-factor model, after removing three problematic items, achieves acceptable model fit, with each construct meeting all conditions for strict measurement invariance. Additionally, repeated measures analyses were performed on data collected from 39 in-service lower-primary teachers who participated in an elementary mathematics specialist program to examine the use of the revised FSMAS in program evaluation. Overall results suggest that researchers and program evaluators may use the revised FSMAS to reliably measure lower-primary teachers' mathematical attitudes, and it can be a valuable tool for evaluating the effectiveness of professional development programs.

Narrative Finality

Directory of Open Access Journals (Sweden)

Armine Kotin Mortimer

1981-01-01

Full Text Available The cloturai device of narration as salvation represents the lack of finality in three novels. In De Beauvoir's Tous les hommes sont mortels an immortal character turns his story to account, but the novel makes a mockery of the historical sense by which men define themselves. In the closing pages of Butor's La Modification , the hero plans to write a book to save himself. Through the thrice-considered portrayal of the Paris-Rome relationship, the ending shows the reader how to bring about closure, but this collective critique written by readers will always be a future book. Simon's La Bataille de Pharsale , the most radical attempt to destroy finality, is an infinite text. No new text can be written. This extreme of perversion guarantees bliss (jouissance . If the ending of De Beauvoir's novel transfers the burden of non-final world onto a new victim, Butor's non-finality lies in the deferral to a future writing, while Simon's writer is stuck in a writing loop, in which writing has become its own end and hence can have no end. The deconstructive and tragic form of contemporary novels proclaims the loss of belief in a finality inherent in the written text, to the profit of writing itself.

Multi-Point Combustion System: Final Report

Science.gov (United States)

Goeke, Jerry; Pack, Spencer; Zink, Gregory; Ryon, Jason

2014-01-01

A low-NOx emission combustor concept has been developed for NASA's Environmentally Responsible Aircraft (ERA) program to meet N+2 emissions goals for a 70,000 lb thrust engine application. These goals include 75 percent reduction of LTO NOx from CAEP6 standards without increasing CO, UHC, or smoke from that of current state of the art. An additional key factor in this work is to improve lean combustion stability over that of previous work performed on similar technology in the early 2000s. The purpose of this paper is to present the final report for the NASA contract. This work included the design, analysis, and test of a multi-point combustion system. All design work was based on the results of Computational Fluid Dynamics modeling with the end results tested on a medium pressure combustion rig at the UC and a medium pressure combustion rig at GRC. The theories behind the designs, results of analysis, and experimental test data will be discussed in this report. The combustion system consists of five radially staged rows of injectors, where ten small scale injectors are used in place of a single traditional nozzle. Major accomplishments of the current work include the design of a Multipoint Lean Direct Injection (MLDI) array and associated air blast and pilot fuel injectors, which is expected to meet or exceed the goal of a 75 percent reduction in LTO NOx from CAEP6 standards. This design incorporates a reduced number of injectors over previous multipoint designs, simplified and lightweight components, and a very compact combustor section. Additional outcomes of the program are validation that the design of these combustion systems can be aided by the use of Computational Fluid Dynamics to predict and reduce emissions. Furthermore, the staging of fuel through the individually controlled radially staged injector rows successfully demonstrated improved low power operability as well as improvements in emissions over previous multipoint designs. Additional comparison

Relationships among exceedences of metals criteria, the results of ambient bioassays, and community metrics in mining-impacted streams.

Science.gov (United States)

Griffith, Michael B; Lazorchak, James M; Herlihy, Alan T

2004-07-01

If bioassessments are to help diagnose the specific environmental stressors affecting streams, a better understanding is needed of the relationships between community metrics and ambient criteria or ambient bioassays. However, this relationship is not simple, because metrics assess responses at the community level of biological organization, while ambient criteria and ambient bioassays assess or are based on responses at the individual level. For metals, the relationship is further complicated by the influence of other chemical variables, such as hardness, on their bioavailability and toxicity. In 1993 and 1994, U.S. Environmental Protection Agency (U.S. EPA) conducted a Regional Environmental Monitoring and Assessment Program (REMAP) survey on wadeable streams in Colorado's (USA) Southern Rockies Ecoregion. In this ecoregion, mining over the past century has resulted in metals contamination of streams. The surveys collected data on fish and macroinvertebrate assemblages, physical habitat, and sediment and water chemistry and toxicity. These data provide a framework for assessing diagnostic community metrics for specific environmental stressors. We characterized streams as metals-affected based on exceedence of hardness-adjusted criteria for cadmium, copper, lead, and zinc in water; on water toxicity tests (48-h Pimephales promelas and Ceriodaphnia dubia survival); on exceedence of sediment threshold effect levels (TELs); or on sediment toxicity tests (7-d Hyalella azteca survival and growth). Macroinvertebrate and fish metrics were compared among affected and unaffected sites to identify metrics sensitive to metals. Several macroinvertebrate metrics, particularly richness metrics, were less in affected streams, while other metrics were not. This is a function of the sensitivity of the individual metrics to metals effects. Fish metrics were less sensitive to metals because of the low diversity of fish in these streams.

Final Report

Energy Technology Data Exchange (ETDEWEB)

Gurney, Kevin R. [Arizona Univ., Mesa, AZ (United States)

2015-01-12

This document constitutes the final report under DOE grant DE-FG-08ER64649. The organization of this document is as follows: first, I will review the original scope of the proposed research. Second, I will present the current draft of a paper nearing submission to Nature Climate Change on the initial results of this funded effort. Finally, I will present the last phase of the research under this grant which has supported a Ph.D. student. To that end, I will present the graduate student’s proposed research, a portion of which is completed and reflected in the paper nearing submission. This final work phase will be completed in the next 12 months. This final workphase will likely result in 1-2 additional publications and we consider the results (as exemplified by the current paper) high quality. The continuing results will acknowledge the funding provided by DOE grant DE-FG-08ER64649.

Evaluation of heat exchange performance for primary pressurized water cooler in HTTR

International Nuclear Information System (INIS)

Tochio, Daisuke; Nakagawa, Shigeaki

2006-01-01

In High Temperature Engineering Test Reactor (HTTR), the rated thermal power of 30 MW, the generated heat at reactor core is finally dissipated at the air-cooler by way of the heat exchangers of the primary cooling system, such as the primary pressurized water cooler (PPWC) and the intermediate heat exchanger (IHX). The heat exchangers in the primary cooling system are required the heat exchange performance to remove reactor generated heat 30 MW under the condition of reactor coolant outlet temperature 850degC/950degC. Therefore, the heat exchanges are required to satisfy the design criteria of heat exchange performance. In this report, heat exchange performance data of the rise-to-power-up test and the in-service operation for the PPWC in the main cooling system was evaluated. Moreover, the evaluated values were compared with the design values, and it is confirmed that PPWC has the required heat exchange performance in the design. (author)

Primary Mucinous Adenocarcinoma of the Vermiform Appendix with High Grade Microsatellite Instability

Directory of Open Access Journals (Sweden)

Moritz Komm, Michaela Kronawitter-Fesl, Marcus Kremer, Ludwig Lutz, Elke Holinski-Feder, Reinhard Kopp

2011-01-01

Full Text Available Primary adenocarcinoma of the vermiform appendix is a rare entity and is frequently discovered by the pathologist following appendectomy for suspected appendicitis.We present a 42-year-old male with primary mucinous adenocarcinoma of the appendix initially presenting symptoms of acute appendicitis. Histological investigation of the appendectomy specimen showed a mucinous adenocarcinoma and the patient was treated by secondary right hemicolectomy giving the final histopathological classification of an UICC IIIC tumor. Since the patient fulfills the revised Bethesda criteria analysis of immunoreactivity of DNA mismatch repair proteins was performed showing loss of MLH1 and MSH2 expression associated with high microsatellite instability (MSI-H, not yet reported for primary mucinous appendiceal carcinoma. Further genetic analysis for DNA mismatch repair gene mutations were negative. The patient received intensified adjuvant chemotherapy according to the FOLFOX-4-scheme, since MSI-H colorectal carcinomas might show lower response rates following standard 5-FU-based adjuvant chemotherapy.

[Analysis of the activity of mobile rehabilitation-physiotherapy units in primary care].

Science.gov (United States)

López-Liria, Remedios; Padilla Góngora, David; Catalán Matamoros, Daniel; Arrebola López, Clara; Garrido Fernández, Pablo; Martínez Cortés, María Del Carmen; Zurita Ortega, Félix

2010-05-01

To describe the home care provided by mobile rehabilitation-physiotherapy teams as a response to the needs of the dependent population, the characteristics of their application, and the results they have on patients and their functional independence. A descriptive, cross-sectional study from 2004 to June 2007. Community setting. Mobile rehabilitation-physiotherapy teams from Primary Care in Almeria. A total of 1093 patients were included in the programme. Data were collected on, the state of the patients' health (primary disabling process, reasons for inclusion in the treatment, initial and final functional assessment and Barthel Index); details of physiotherapy treatment, and number of sessions. Of the total sample, the mean age was 78 years and 64.2% were female. The mean waiting time for their assessment was 4 days and there was a wide variety of primary disabling processes described. There was a high percentage of symptoms of severe motor deterioration, pain and muscle weakness. Physiotherapy treatment was given in 88.6%, physiotherapy and occupational therapy in 11.1%, and orthopaedic treatment in 0.3%, of the patients. The mean number of sessions was 12.85. The variation in the Barthel Index after the final therapy was given was, 61.9% for kinesiotherapy, 10.2% combined with electrotherapy, and 14.5% for kinesiotherapy and carer education. Valuable information is provided as regards the characteristics of the geriatric and dependent population, as well as the physiotherapy help they are receiving, and also how the procedure is carried out. Copyright 2009 Elsevier España, S.L. All rights reserved.

Technical meeting on progress in managing, and limiting the consequences of events exceeding the design basis

International Nuclear Information System (INIS)

Fabian, H.

2004-01-01

The Technical Groups on 'Reactor Safety' and 'Thermodynamics and Fluid Dynamics' of the Kerntechnische Gesellschaft e.V. organized a joint technical meeting on 'Progress in Managing, and Limiting the Consequences of, Events Exceeding the Design Basis' at the FTU Training Center of the Karlsruhe Research Center. The topic chosen, the papers presented, the presenters, and the non-technical part of the program met with lively interest on the part of institutions in the nuclear field. These were the objectives of the technical meeting: - Establishing a forum for communicating relevant topics. - In-depth discussion of the main topic, i.e. the advanced development of reactor safety, research in the field, and its application, in twenty selected papers presented by speakers from different institutions. - Presentation of topical work in a nuclear technology institution, the Karlsruhe Research Center. (orig.) [de

Using the Van Hiele theory to analyze primary school teachers' written work on geometrical proof problems

Science.gov (United States)

Jupri, A.

2018-05-01

The lack of ability of primary school teachers in deductive thinking, such as doing geometrical proof, is an indispensable issue to be dealt with. In this paper, we report on results of a three-step of the field document study. The study was part of a pilot study for improving deductive thinking ability of primary school teachers. First, we designed geometrical proof problems adapted from literature. Second, we administered an individual written test involving nine master students of primary education program, in which they are having experiences as primary school mathematics teachers. Finally, we analyzed the written work from the view of the Van Hiele theory. The results revealed that even if about the half of the teachers show ability in doing formal proof, still the rest provides inappropriate proving. For further investigation, we wonder whether primary school teachers would show better deductive thinking if the teaching of geometry is designed in a systematic and appropriate manner according to the Van Hiele theory.

The flow measurement plan for the primary system of SMART

International Nuclear Information System (INIS)

Lee, Jun; Seo, J. K.; Park, C. T.; Yoon, J. H.; Cho, B. H.; Lee, D. J.

2001-08-01

It is the common features of the integrated reactor that the main components of the primary system are installed within the reactor vessel, and so there are no any flow pipes connecting the reactor coolant pumps or steam generators. Due to no any flow pipes, it is impossible to measure the differential pressure at the primary system of the integrated reactor, and it also makes impossible measure the primary coolant flow rate. SMART is also a integrated reactor type, and have a problem as same as the above case. The objective of the study is to draw up the flow measurement plan for the primary system of SMART. In this study, firstly we reviewed the flow measurement methods at the primary system for the existing commercial nuclear power reactors. As a result of the review, we selected preliminarily the 3 methods which is a good possibility of application to SMART. The 3 methods are as follows. Flow measurement method by MCP rotation speed, flow measurement method by HBM, flow measurement method by pump motor power. For the above methods, we have evaluated whether they actually can be applied to SMART, and also have set up the concrete methodology. Finally we have made a selection of the above methods as the flow measurement plan for the primary system of SMART. Peculiarly, we did not found out a precedent which the direct pump motor power-flow rate curve is used as the flow measurement method in the existing commercial nuclear power reactors. Therefore, to use this method for SMART, it is needed to bear the follow-up measures in mind. The follow-up measures is included in this report

Tank 241-T-105, cores 205 and 207 analytical results for the final report

International Nuclear Information System (INIS)

Esch, R.A.

1997-01-01

This document is the final laboratory report for tank 241-T-105 push mode core segments collected between June 24, 1997 and June 30, 1997. The segments were subsampled and analyzed in accordance with the Tank Push Mode Core Sampling and Analysis Plan (TSAP) (Field,1997), the Tank Safety Screening Data Quality Objective (Safety DQO) (Dukelow, et al., 1995) and Tank 241-T-105 Sample Analysis (memo) (Field, 1997a). The analytical results are included in Table 1. None of the subsamples submitted for the differential scanning calorimetry (DSC) analysis or total alpha activity (AT) exceeded the notification limits as stated in the TSAP (Field, 1997). The statistical results of the 95% confidence interval on the mean calculations are provided by the Tank Waste Remediation Systems (TWRS) Technical Basis Group in accordance with the Memorandum of Understanding (Schreiber, 1997) and not considered in this report

Assessments of the thermal evolution for a radioactive waste final repository using analytical methods

International Nuclear Information System (INIS)

Radut, A. C.; Roman, M. R.; Florea, S.; Ionescu, D. V.; Olteanu, G.; Valeca, S.

2016-01-01

In the designing process for a radioactive final repository concept, the temperature evolution over time is a significant issue for the stability and long-term safety of entire emplacement. In particular, the maximum value of temperature in the whole structure, during time, must not exceed a certain safety value which depends, beside other criteria, on the bulk material of the repository. A computer code TEMPROC, based on analytical model for the transient thermal heat conduction, described in this paper, was developed inside ''Fuel Performance''Department from ICN Pitesti, in order to evaluate the waste repository's temperature distribution. The program was developed under ''Microsoft FORTRAN Power Station''platform that provides IMSL subroutines library support for numeric algorithm. So the program is relative small, with a good calculus speed. The numerical results obtained with TEMPROC computer code, have been acceptably compared with similar existing data from scientific literature [1]. (authors)

Physician′s self-perceived abilities at primary care settings in Indonesia

Directory of Open Access Journals (Sweden)

Wahyudi Istiono

2015-01-01

Full Text Available Background: Southeast Asian countries with better-skilled primary care physicians have been shown to have better health outcomes. However, in Indonesia, there has been a large number of inappropriate referrals, leading to suboptimal health outcomes. This study aimed to examine the reasons underlying the unnecessary referrals as related to Indonesian physicians′ standard of abilities. Materials and Methods: This was a multiple-case study that explored physicians′ self-evaluation of their abilities. Self-evaluation questionnaires were constructed from the Indonesian Standards of Physicians Competences of 2006-2012 (ISPC, which is a list of 155 diseases. This study was undertaken in three cities, three towns, and one "border-less developed" area during 2011-2014. The study involved 184 physicians in those seven districts. Data were collected using one-on-one, in-depth interviews, focus group discussions (FGDs, and clinical observations. Results: This study found that primary care physicians in Indonesia felt that they were competent to handle less than one-third of "typical" primary care cases. The reasons were limited understanding of person-centered care principles and limited  patient care services to diagnosis and treatment of common biomedical problems. Additionally, physical facilities in primary care settings are lacking. Discussions and Conclusions: Strengthening primary health care in Indonesia requires upscaling doctors′ abilities in managing health problems through more structured graduate education in family medicine, which emphasizes the bio-psycho-socio-cultural background of persons; secondly, standardizing primary care facilities to support physicians′ performance is critical. Finally, a strong national health policy that recognizes the essential role of primary care physicians in health outcomes is an urgent need.

Final Technical Report

Energy Technology Data Exchange (ETDEWEB)

Schuur, Edward [Northern Arizona Univ., Flagstaff, AZ (United States); Luo, Yiqi [Univ. of Oklahoma, Norman, OK (United States)

2016-12-01

This final grant report is a continuation of the final grant report submitted for DE-SC0006982 as the Principle Investigator (Schuur) relocated from the University of Florida to Northern Arizona University. This report summarizes the original project goals, as well as includes new project activities that were completed in the final period of the project.

Digital clubbing in primary intestinal lymphangiectasia: a case report.

Science.gov (United States)

Wiedermann, Christian J; Kob, Michael; Benvenuti, Stefano; Carella, Rodolfo; Lucchin, Lucio; Piazzi, Lucia; Chilovi, Fausto; Mazzoleni, Guido

2010-08-01

Primary intestinal lymphangiectasia (PIL), also known as Waldmann's disease, is a rare disorder characterized by dilated intestinal lacteals resulting in lymph leakage into the small bowel lumen and responsible for protein-losing enteropathy leading to lymphopenia, hypoalbuminemia and hypogammaglobulinemia. The symptoms usually start in early infancy. We report a case of secondary hyperparathyroidism, osteopenia, monoclonal gammopathy and digital clubbing in a 57-year-old patient with a 12-year history of discontinuous diarrhea. Malabsorption with inability to gain weight, and finally weight loss and formation of leg edema were associated with protein-losing enteropathy. A low-fat diet associated with medium-chain triglyceride supplementation was clinically effective as medical management in reducing diarrhea and leg edema, and promoting weight gain. Double-balloon enteroscopy and small bowel biopsy histopathology confirmed dilated intestinal lacteals. Digital clubbing associated with primary intestinal lymphangiectasia which may causally be related to chronic platelet excess has not been reported before.

PRIMARY SCHOOL TEACHERS’ PERCEPTION ABOUT CURRICULUM 2013 ASSESSMENT SYSTEM

Directory of Open Access Journals (Sweden)

Ika Maryani

2017-05-01

Full Text Available The research is intended to find out: 1the level of primary school teacher understanding of Curriculum 2013, 2. The level of teacher understanding on the authentic assessment, 3The difficulties faced by the teacher when doing authentic assessment, and 4The effort of the teacher to solve those difficulties. In collecting the data, the researcher used questionnaires and interviews to the primary school teachers in Yogyakarta, then analyzed the data using statistic descriptive analysis technique. The results of this research showed that: a most of the teachers didn’t understand the Curriculum 2013, yet they were not given any training before; b teachers’ understanding in authentic assessment system were low; c the teacher were lack of the ability to define the  competence, indicators, learning objectives, and also arranging of assessment instrument and final report, d the teacher effort to solve those difficulties were by joining the training peer discussion, and mentoring by Education Department as well as to the higher education institution.

The Copenhagen primary care differential count (CopDiff) database

DEFF Research Database (Denmark)

Andersen, Christen Bertel L; Siersma, V.; Karlslund, W.

2014-01-01

BACKGROUND: The differential blood cell count provides valuable information about a person's state of health. Together with a variety of biochemical variables, these analyses describe important physiological and pathophysiological relations. There is a need for research databases to explore assoc...... the construction of the Copenhagen Primary Care Differential Count database as well as the distribution of characteristics of the population it covers and the variables that are recorded. Finally, it gives examples of its use as an inspiration to peers for collaboration.......BACKGROUND: The differential blood cell count provides valuable information about a person's state of health. Together with a variety of biochemical variables, these analyses describe important physiological and pathophysiological relations. There is a need for research databases to explore...... Practitioners' Laboratory has registered all analytical results since July 1, 2000. The Copenhagen Primary Care Differential Count database contains all differential blood cell count results (n=1,308,022) from July 1, 2000 to January 25, 2010 requested by general practitioners, along with results from analysis...

When real life wind speed exceeds design wind assumptions

Energy Technology Data Exchange (ETDEWEB)

Winther-Jensen, M; Joergensen, E R [Risoe National Lab., Roskilde (Denmark)

1999-03-01

Most modern wind turbines are designed according to a standard or a set of standards to withstand the design loads with a defined survival probability. Mainly the loads are given by the wind conditions on the site defining the `design wind speeds`, normally including extreme wind speeds given as an average and a peak value. The extreme wind speeds are normally (e.g. in the upcoming IEC standard for wind turbine safety) defined as having a 50-year recurrence period. But what happens when the 100 or 10,000 year wind situation hits a wind turbine? Results on wind turbines of wind speeds higher than the extreme design wind speeds are presented based on experiences especially from the State of Gujarat in India. A description of the normal approach of designing wind turbines in accordance with the standards in briefly given in this paper with special focus on limitations and built-in safety levels. Based on that, other possibilities than just accepting damages on wind turbines exposed for higher than design wind speeds are mentioned and discussed. The presentation does not intend to give the final answer to this problem but is meant as an input to further investigations and discussions. (au)

Mixed Waste Management Facility (MWMF) groundwater monitoring report. Fourth quarter 1993 and 1993 summary

Energy Technology Data Exchange (ETDEWEB)

Butler, C.T.

1994-03-01

During fourth quarter 1993, 10 constituents exceeded final Primary Drinking Water Standards in groundwater samples from downgradient monitoring wells at the Mixed Waste Management Facility, the Old Burial Ground, the E-Area Vaults, and the proposed Hazardous Waste/Mixed Waste Disposal Vaults. As in previous quarters, tritium and trichloroethylene were the most widespread elevated constituents. Carbon tetrachloride, chloroform, chloroethane (vinyl chloride), 1,1-dichloroethylene, dichloromethane (methylene chloride), lead, mercury, or tetrachloroethylene also exceeded standards in one or more wells. Elevated constituents were found in numerous Aquifer Zone 2B{sub 2} (Water Table) and Aquifer Zone 2B{sub 1}, (Barnwell/McBean) wells and in two Aquifer Unit 2A (Congaree) wells. The groundwater flow direction and rates in the three hydrostratigraphic units were similar to those of previous quarters.

Comparison between Primary Teacher Educators' and Primary School Teachers' Beliefs of Primary Geography Education Quality

Science.gov (United States)

Bent, Gert Jan; Bakx, Anouke; den Brok, Perry

2016-01-01

In this study teacher educators' beliefs concerning primary geography education have been investigated and compared with primary school teachers' beliefs. In this study 45 teacher educators and 489 primary school teachers completed a questionnaire, and nine teacher educators have been interviewed as well. It has been found that teacher educators…

Final technical report for DE-SC00012633 AToM (Advanced Tokamak Modeling)

Energy Technology Data Exchange (ETDEWEB)

Holland, Christopher [Univ. of California, San Diego, CA (United States); Orlov, Dmitri [Univ. of California, San Diego, CA (United States); Izzo, Valerie [Univ. of California, San Diego, CA (United States)

2018-02-05

This final report for the AToM project documents contributions from University of California, San Diego researchers over the period of 9/1/2014 – 8/31/2017. The primary focus of these efforts was on performing validation studies of core tokamak transport models using the OMFIT framework, including development of OMFIT workflow scripts. Additional work was performed to develop tools for use of the nonlinear magnetohydrodynamics code NIMROD in OMFIT, and its use in the study of runaway electron dynamics in tokamak disruptions.

Comparison of pulsed fluoroscopy by direct control using a grid-controlled x-ray tube with pulsed fluoroscopy by primary control

International Nuclear Information System (INIS)

Chida, Koichi; Zuguchi, Masayuki; Ito, Daisuke; Sato, Kunihiko; Shimura, Hirotaka; Sasaki, Masatoshi

2001-01-01

Interventional radiology (IVR) procedures may involve high radiation doses that are potentially harmful to the patient. In IVR procedures, pulsed fluoroscopy can greatly decrease the radiation that the physician and patient receive. There are two types of pulsed fluoroscopy: direct control and primary (indirect) control. The purpose of this study was to compare pulsed fluoroscopy by direct control, using a grid-controlled x-ray tube, with pulsed fluoroscopy using primary control. For both types of pulsed fluoroscopy, we measured the waveforms (x-ray tube voltage, x-ray tube current, and x-ray output) and the relative radiation dose. In addition, we compared the decrease in radiation during pulsed fluoroscopy using a care filter. The studies were performed using a Siemens Bicor Plus x-ray System (direct control) and a Siemens Multistar Plus x-ray System (primary control). Using primary pulse control, a 50% decrease in the x-ray output waveform took approximately 0.5-1.0 msec, or longer with a lower x-ray tube current. Using direct pulse control, a 50% decrease in the x-ray output waveform took approximately 0.1 msec, and was independent of x-ray tube current. The rate of radiation reduction with primary pulse control using the care filter with a lower x-ray tube current had a slope exceeding 10%. Pulsed fluoroscopy by direct control using a grid-controlled x-ray tube permits an optimal radiation dose. To decrease the radiation in primary pulse control, a care filter must be used, particularly with a lower x-ray tube current. (author)

Risk assessment of coumarin using the bench mark dose (BMD) approach: children in Norway which regularly eat oatmeal porridge with cinnamon may exceed the TDI for coumarin with several folds.

Science.gov (United States)

Fotland, T Ø; Paulsen, J E; Sanner, T; Alexander, J; Husøy, T

2012-03-01

Coumarin is a naturally occurring flavouring substance in cinnamon and many other plants. It is known that coumarin can cause liver toxicity in several species, and it is considered a non-genotoxic carcinogen in rodents. By using the bench mark dose approach we re-assessed coumarin toxicity and established a new TDI for coumarin of 0.07 mg/kg bw/day. Oral intake of coumarin is related to consumption of cinnamon-containing foods and food supplements. Cinnamon is a widely used spice in Norway, and can be used as topping on oatmeal porridge. Based on analyses of coumarin in Norwegian foods, intake calculations for children and adults were conducted, and a risk assessment of coumarin in the Norwegian population was performed. Intake estimates of coumarin show that small children eating oatmeal porridge several times a week sprinkled with cinnamon could have a coumarin intake of 1.63 mg/kg bw/day and may exceeding the TDI with several folds. Adults drinking cinnamon-based tea and consuming cinnamon supplements also can exceed TDI. The coumarin intake could exceed the TDI by 7- to 20-fold in some intake scenarios. Such large daily exceedances of TDI, even for a limited time period of 1-2 weeks, cause concern of adverse health effects. Copyright © 2011 Elsevier Ltd. All rights reserved.

Characterization of primary cutaneous CD8+/CD30+ lymphoproliferative disorders.

Science.gov (United States)

Martires, Kathryn J; Ra, Seong; Abdulla, Farah; Cassarino, David S

2015-11-01

CD30 primary cutaneous lymphoproliferative diseases include both lymphomatoid papulosis (LyP) and primary cutaneous anaplastic large cell lymphoma (PCALCL). The neoplastic cell of most primary CD30 lymphoproliferative disorders is CD4 positive. The terminology LyP "type D" has been used to describe a growing number of cases of LyP with a predominantly CD8 infiltrate. PCALCL with a CD8 phenotype has also been described, which presents a particularly difficult diagnostic and management challenge, given the difficulty in distinguishing it histologically from other cytotoxic lymphomas such as primary cutaneous aggressive epidermotropic CD8 cytotoxic T-cell lymphoma and CD8 gamma/delta and natural killer/T-cell lymphoma. We report 7 additional cases of these rare cutaneous CD8/CD30 lymphoproliferative disorders. We also present a unique case of CD8/CD30 LyP with histologic similarities to LyP type B. In all 7 of our cases of CD8 LyP and CD8 anaplastic large cell lymphoma, we found focal to diffuse MUM-1 positivity. We propose that MUM-1 may represent an adjunctive marker for CD8 lymphoproliferative disease. Finally, we review the current literature on cases of CD8 LyP and PCALCL. For the 106 cases examined, we found similar clinical and histologic features to those reported for traditional CD4CD30 LyP and PCALCL.

Explaining the absence of Co-58 radiation fields around CANDU reactor primary circuit

International Nuclear Information System (INIS)

Burrill, K.A.; Guzonas, D.A.

2002-01-01

Radiation fields from Co-58 are rarely detected in CANDU plants. For example, Ge(Li) surveys of the Inconel 600 steam generators at some CANDU plants may show radiation attributed to Co-58 only early in plant life, and most artefacts removed from the primary circuit later in plant operation show no Co-58 present. However, Pressurized Water Reactor plants experience relatively large fields from Co-58 on their isothermal piping, e.g., steam generator channel head, and steam generators tube sampling programs do show deposits in the tubes with significant Co-58 compared to other radionuclides such as Co-60. CANDU reactors have high concentrations of dissolved iron due to the extensive use of carbon steel for the isothermal piping, e.g., feeders, headers, and steam generator channel heads. A dissolved iron transport diagram that was proposed recently for the primary circuit of CANDU plants has been validated by comparison of predicted deposit weights with plant deposit data from various components. One feature of the diagram is dissolved iron precipitation inside the steam generators tubes. An hypothesis is advanced here in which precipitating dissolved iron is proposed to occlude dissolved nickel. This removal mechanism may prevent the solubility of dissolved nickel from being exceeded anywhere around the primary circuit. In particular, this mechanism could avoid NiO precipitation in the core and the generation of large quantities of Co-58. Using this mechanism along with the known solubility behaviour of NiO with temperature, a dissolved nickel transport diagram has been proposed for CANDU plants. (authors)

Configuration analysis of pipe support for primary cooling using Ps + Caepipe code

International Nuclear Information System (INIS)

Sitandung, Y. B.; Pustandyo, W.; Sujalmo, S.

1998-01-01

Pipe stress evaluation and support loads has been analyzed on piping segment of RSG-GAS primary cooling system. This paper describes an analysis method of piping system with the use of computer Code PS + CAEPIPE Version 3.4.05.W. From the selected pipe segment, the data of pipe characteristic, material properties, operation condition, equipment and supports were used input. The final evaluation result of primary cooling pipe segment show that actual stress dead weight and seismic load are less than allowable limits (stress ratio 0.101 for deadweight 0.35 for seismic load). From the above ratio, it can be concluded that ratio of pipe support configuration to stress distribution is acceptable, and based on analysis result, the Code used by INTERATOM was sufficiently accurate

Classroom-Based Assessment and the Issue of Continuity between Primary and Secondary School Languages Programs

Science.gov (United States)

Hill, Kathryn

2010-01-01

This article presents selected findings from an ethnographic study of classroom-based assessment practices in languages classrooms (Indonesian) in the final year of primary (Year 6) and the first year of secondary (Year 7), respectively. In particular, the paper focuses on differences between the respective year levels in how learning was assessed…

{sup 68}Ga-PSMA-11 PET/CT in primary staging of prostate cancer: PSA and Gleason score predict the intensity of tracer accumulation in the primary tumour

Energy Technology Data Exchange (ETDEWEB)

Uprimny, Christian; Kroiss, Alexander Stephan; Decristoforo, Clemens; Guggenberg, Elisabeth von; Kendler, Dorota; Scarpa, Lorenza; Di Santo, Gianpaolo; Roig, Llanos Geraldo; Maffey-Steffan, Johanna; Virgolini, Irene Johanna [Medical University Innsbruck, Department of Nuclear Medicine, Innsbruck (Austria); Fritz, Josef [Medical University Innsbruck, Department of Medical Statistics, Informatics and Health Economics, Innsbruck (Austria); Horninger, Wolfgang [Medical University Innsbruck, Department of Urology, Innsbruck (Austria)

2017-06-15

Prostate cancer (PC) cells typically show increased expression of prostate-specific membrane antigen (PSMA), which can be visualized by {sup 68}Ga-PSMA-11 PET/CT. The aim of this study was to assess the intensity of {sup 68}Ga-PSMA-11 uptake in the primary tumour and metastases in patients with biopsy-proven PC prior to therapy, and to determine whether a correlation exists between the primary tumour-related {sup 68}Ga-PSMA-11 accumulation and the Gleason score (GS) or prostate-specific antigen (PSA) level. Ninety patients with transrectal ultrasound biopsy-proven PC (GS 6-10; median PSA: 9.7 ng/ml) referred for {sup 68}Ga-PSMA-11 PET/CT were retrospectively analysed. PET images were analysed visually and semiquantitatively by measuring the maximum standardized uptake value (SUV{sub max}). The SUV{sub max} of the primary tumour and pathologic lesions suspicious for lymphatic or distant metastases were then compared to the physiologic background activity of normal prostate tissue and gluteal muscle. The SUV{sub max} of the primary tumour was assessed in relation to both PSA level and GS. Eighty-two patients (91.1%) demonstrated pathologic tracer accumulation in the primary tumour that exceeded physiologic tracer uptake in normal prostate tissue (median SUV{sub max}: 12.5 vs. 3.9). Tumours with GS of 6, 7a (3+4) and 7b (4+3) showed significantly lower {sup 68}Ga-PSMA-11 uptake, with median SUV{sub max} of 5.9, 8.3 and 8.2, respectively, compared to patients with GS >7 (median SUV{sub max}: 21.2; p < 0.001). PC patients with PSA ≥10.0 ng/ml exhibited significantly higher uptake than those with PSA levels <10.0 ng/ml (median SUV{sub max}: 17.6 versus 7.7; p < 0.001). In 24 patients (26.7%), 82 lymph nodes with pathologic tracer accumulation consistent with metastases were detected (median SUV{sub max}: 10.6). Eleven patients (12.2%) revealed 55 pathologic osseous lesions suspicious for bone metastases (median SUV{sub max}: 11.6). The GS and PSA level correlated with

Final Report For The Erosion And Corrosion Analysis Of Waste Transfer Primary Pipeline Sections From 241-SY Tank Farm

International Nuclear Information System (INIS)

Page, J. S.; Wyrwas, R. B.; Cooke, G. A.

2012-01-01

Three sections of primary transfer pipeline removed from the 241-SY Tank Farm in Hanford's 200 West area, labeled as SN-285, SN-286, and SN-278, were analyzed for the presence and amount of corrosion and erosion on the inside surface of the transfer pipe. All three sections of pipe, ranging in length between 6 and 8 in., were received at the 222-S Laboratory still in the pipe-in-pipe assembly. The annular spaces were filled with urethane foam injected into the pipes for as low as reasonably achievable (ALARA) purposes. The 3-in. primary transfer pipes were first separated from the outer encasement, 6-in. pipes. The pipes were cut into small sections, or coupons, based upon the results of a non-destructive pipe wall thickness measurement which used an ultrasonic transducer. Following removal of the foam, the coupons were subjected to a series of analytical methods utilizing both optical microscopy and scanning electron microscopy to obtain erosion and corrosion information. The ultrasonic transducer analysis of the SN-285 primary pipe did not show any thinned locations in the pipe wall which were outside the expected range for the 3-in. schedule 40 pipe of 216 mils. A coupon was cut from the thinnest area on the pipe, and analysis of the inside surface, which was in contact with the tank waste, revealed a continuous layer of corrosion ∼ 100 11m (4 mils) thick under a semi-continuous layer of tank waste residue ∼ 20 11m (1 mil) thick. This residue layer was composed of an amorphous phase rich in chromium, magnesium, calcium, and chlorine. Small pits were detected throughout the inside pipe surface with depths up to ∼ 50 11m (2 mils). Similarly, the SN-286 primary pipe did not show, by the ultrasonic transducer measurements, any thinned locations in the pipe wall which were outside the expected range for this pipe. Analysis of the coupon cut from the pipe section showed the presence of a tank waste layer containing sodium aluminate and phases rich in iron

40 CFR 61.134 - Standard: Naphthalene processing, final coolers, and final-cooler cooling towers.

Science.gov (United States)

2010-07-01

... coolers, and final-cooler cooling towers. 61.134 Section 61.134 Protection of Environment ENVIRONMENTAL... Standard: Naphthalene processing, final coolers, and final-cooler cooling towers. (a) No (“zero”) emissions are allowed from naphthalene processing, final coolers and final-cooler cooling towers at coke by...

Depression, anxiety and somatization in primary care: syndrome overlap and functional impairment.

Science.gov (United States)

Löwe, Bernd; Spitzer, Robert L; Williams, Janet B W; Mussell, Monika; Schellberg, Dieter; Kroenke, Kurt

2008-01-01

To determine diagnostic overlap of depression, anxiety and somatization as well as their unique and overlapping contribution to functional impairment. Two thousand ninety-one consecutive primary care clinic patients participated in a multicenter cross-sectional survey in 15 primary care clinics in the United States (participation rate, 92%). Depression, anxiety, somatization and functional impairment were assessed using validated scales from the Patient Health Questionnaire (PHQ) (PHQ-8, eight-item depression module; GAD-7, seven-item Generalized Anxiety Disorder Scale; and PHQ-15, 15-item somatic symptom scale) and the Short-Form General Health Survey (SF-20). Multiple linear regression analyses were used to investigate unique and overlapping associations of depression, anxiety and somatization with functional impairment. In over 50% of cases, comorbidities existed between depression, anxiety and somatization. The contribution of the commonalities of depression, anxiety and somatization to functional impairment substantially exceeded the contribution of their independent parts. Nevertheless, depression, anxiety and somatization did have important and individual effects (i.e., separate from their overlap effect) on certain areas of functional impairment. Given the large syndrome overlap, a potential consideration for future diagnostic classification would be to describe basic diagnostic criteria for a single overarching disorder and to optionally code additional diagnostic features that allow a more detailed classification into specific depressive, anxiety and somatoform subtypes.

Sanitary landfill groundwater monitoring report: First quarter 1997

Energy Technology Data Exchange (ETDEWEB)

Chase, J.A.

1997-05-01

This report contains analytical data for samples taken during first quarter 1997 from wells of the LFW series located at the Sanitary Landfill at the Savannah River Site (SRS). The data are submitted in reference to the Sanitary Landfill Operating permit (DWP-087A). The report presents monitoring results that equaled or exceeded the Safe Drinking Water Act final primary Drinking Water Standards (PDWS) or screening levels, established by the U.S. Environmental Protection Agency, the South Carolina final Primary Drinking Water Standard for lead, or the SRS flagging criteria. Wells LFW6R, LFW8R, LFW10A, LFW18, LFW21, and LFW23R were not sampled due to their proximity to the Sanitary Landfill Closure Cap activities. Wells LFW61D and LFW62D are Purge Water Containment Wells and contain mercury. These wells were not sampled since the purge water cannot be treated at the M-1 Air Stripper until the NPDES permit for the stripper is modified.

[Analysis of prevalence of self-reported hearing loss and associated factors: primary versus proxy informant].

Science.gov (United States)

Quevedo, André Luis Alves de; Leotti, Vanessa Bielefeldt; Goulart, Bárbara Niegia Garcia de

2017-07-03

The objective was to evaluate differences between prevalence rates for self-reported hearing loss and associated factors, obtained from responses by primary and proxy informants in a Population-Based Study on Human Communication Disorders (DCH-POP in Portuguese). This was a study on epidemiological methods using data from a cross-sectional household survey with a sample of 1,253 individuals from Southern Brazil. To verify differences between prevalence rates comparing primary informants and proxy informants, we used the chi-square or Fisher's exact test for categorical variables and Mann-Whitney for continuous variables. The log-binomial model was adjusted for hearing loss as the dependent variable, considering three datasets: the entire sample, only primary informants, and only proxy informants, estimating association by prevalence ratios. In the final models, only the independent variables age and dizziness were associated with hearing loss, independently of the dataset that was used. Proxy informants generally underestimated the prevalence rates for the target outcomes, when compared to primary informants.

Achieving Value in Primary Care: The Primary Care Value Model.

Science.gov (United States)

Rollow, William; Cucchiara, Peter

2016-03-01

The patient-centered medical home (PCMH) model provides a compelling vision for primary care transformation, but studies of its impact have used insufficiently patient-centered metrics with inconsistent results. We propose a framework for defining patient-centered value and a new model for value-based primary care transformation: the primary care value model (PCVM). We advocate for use of patient-centered value when measuring the impact of primary care transformation, recognition, and performance-based payment; for financial support and research and development to better define primary care value-creating activities and their implementation; and for use of the model to support primary care organizations in transformation. © 2016 Annals of Family Medicine, Inc.

Upgrade of the NCSU PULSTAR instrumentation power channels. Final technical report, September 1, 1992 - August 31, 1994

International Nuclear Information System (INIS)

Perez, P.B.

1998-01-01

The Nuclear Reactor Program at North Carolina State University initiated an upgrade program at the NCSU PULSTAR Reactor in 1990. The originally supplied instrumentation has been replaced with solid-state and current technology equipment. The financial assistance from the US Department of Energy has been the primary source of support. This is the final report for the Instrumentation Upgrade

Air pollution by ozone in Europe in summer 2003 - Overview of exceedances of EC ozone threshold values during the summer season April-August 2003 and comparisons with previous years

Energy Technology Data Exchange (ETDEWEB)

Fiala, J.; Cernikovsky, L.; Leeuw, F. de; Kurfuerst, P.; Aalst, R. van (eds.)

2003-07-01

In the period 1995-2003 of reporting tinder the old ozone directive, there has been little or no change in the reported exceedances of ozone threshold values. This is not unexpected as reductions in the EU emissions of nitrogen oxides and nonmethane volatile organic compounds, the main ozone precursors, have so far been limited - about 30 % between 1990 and 2000. 2010 under the national emission teilings directive. While peak ozone concentrations seem to go down, ozone concentration statistics relevant to the target values set in the new ozone directive show little or no reduction in the period 1996-2000. Very few stations actually show a significant downward trend for these stabstics. The threshold for warning the population continues to be exceeded on a few occasions Bach year, while the threshold for informing the population is exceeded at riost stations in most countries (outside northern Europe and Ireland) each year, generally more so in warm summers. These exceedances are likely to retur in years with temperatures above the long-term average until there is a substantially larger decrease in precursor emissions. A further reduction of about 30 % is foreseen towards Under current legislation and with the rate of turnover of the vehicle fleet, furtber reductions will gradually occur towards 2010, and further reductions may be necessary to achieve the target values of the new ozone directive. Note that, due to the uncertainties caused by year-to-year meteorological variations and the changes in the monitoring station configuration, these conclusions are tentative. (au)

The Cost-Effectiveness of Dual Mobility Implants for Primary Total Hip Arthroplasty: A Computer-Based Cost-Utility Model.

Science.gov (United States)

Barlow, Brian T; McLawhorn, Alexander S; Westrich, Geoffrey H

2017-05-03

Dislocation remains a clinically important problem following primary total hip arthroplasty, and it is a common reason for revision total hip arthroplasty. Dual mobility (DM) implants decrease the risk of dislocation but can be more expensive than conventional implants and have idiosyncratic failure mechanisms. The purpose of this study was to investigate the cost-effectiveness of DM implants compared with conventional bearings for primary total hip arthroplasty. Markov model analysis was conducted from the societal perspective with use of direct and indirect costs. Costs, expressed in 2013 U.S. dollars, were derived from the literature, the National Inpatient Sample, and the Centers for Medicare & Medicaid Services. Effectiveness was expressed in quality-adjusted life years (QALYs). The model was populated with health state utilities and state transition probabilities derived from previously published literature. The analysis was performed for a patient's lifetime, and costs and effectiveness were discounted at 3% annually. The principal outcome was the incremental cost-effectiveness ratio (ICER), with a willingness-to-pay threshold of $100,000/QALY. Sensitivity analyses were performed to explore relevant uncertainty. In the base case, DM total hip arthroplasty showed absolute dominance over conventional total hip arthroplasty, with lower accrued costs ($39,008 versus $40,031 U.S. dollars) and higher accrued utility (13.18 versus 13.13 QALYs) indicating cost-savings. DM total hip arthroplasty ceased being cost-saving when its implant costs exceeded those of conventional total hip arthroplasty by $1,023, and the cost-effectiveness threshold for DM implants was $5,287 greater than that for conventional implants. DM was not cost-effective when the annualized incremental probability of revision from any unforeseen failure mechanism or mechanisms exceeded 0.29%. The probability of intraprosthetic dislocation exerted the most influence on model results. This model

Primary fibromyalgia

DEFF Research Database (Denmark)

Jacobsen, S; Jensen, L T; Foldager, M

1990-01-01

Serum concentrations of procollagen type III aminoterminal peptide have previously been reported to be low in some patients with primary fibromyalgia and the aim of this study was to determine if such patients differ clinically from primary fibromyalgia patients with normal levels of procollagen...... type III aminoterminal peptide. Subjective symptoms, tender points and dynamic muscle strength in 45 women with primary fibromyalgia were related to serum concentrations of procollagen type III aminoterminal peptide. Patients with low serum concentrations of procollagen type III aminoterminal peptide...... concentrations of procollagen type III aminoterminal peptide of primary fibromyalgia patients are connected to the disease impact....

Prevention of infection in children and adolescents with primary immunodeficiency disorders.

Science.gov (United States)

Papadopoulou-Alataki, Efimia; Hassan, Amel; Davies, E Graham

2012-12-01

Primary Immunodeficiency diseases (PIDs) are a heterogenous group of inherited disorders that may involve one or multiple components of the immune system. PIDs are uncommon, chronic and severe disorders, in which patients cannot mount a sufficiently protective immune response, leading to an increased susceptibility to infections. This review addresses the current practices for the prevention of infection in children and adolescents with PIDs, particular covering immunisations and antimicrobial prophylaxis. Over recent years, there have been major advances in molecular and cellular understanding in the field of PIDs. Many different disorders are recognised with variable spectra of infection susceptibility depending on the particular aspects of the immune response that are affected. Immunoglobulin prophylaxis is the mainstay of treatment for PIDs and provides passive protection. Prophylactic antimicrobials are efficacious in children and adolescents with predominant defects in primary T cell immunodeficiency diseases and phagocytic disorders, and also with predominant defects in antibody production. Prophylactic antibiotics are suggested for patients with antibody deficiency diseases if recurrent infections exceed three per year, if severe infections occur despite adequate immunoglobulin replacement and in hypogammaglobulinaemic patients who have bronchiectasis. Certain immunisations are effective in antibody deficiencies, T cell deficiencies, complement deficiencies and phagocytic disorders. There are remarkably few published data relating to clinical management aimed at preventing infectious complications in children and adolescents with PIDs. The cornerstones of the prevention of infection in most PID patients are: antimicrobial prophylaxis, appropriate vaccination, immunoglobulin replacement, for the more severe cases, and regular ongoing follow-up.

African Primary Care Research: qualitative data analysis and writing results.

Science.gov (United States)

Mabuza, Langalibalele H; Govender, Indiran; Ogunbanjo, Gboyega A; Mash, Bob

2014-06-05

This article is part of a series on African primary care research and gives practical guidance on qualitative data analysis and the presentation of qualitative findings. After an overview of qualitative methods and analytical approaches, the article focuses particularly on content analysis, using the framework method as an example. The steps of familiarisation, creating a thematic index, indexing, charting, interpretation and confirmation are described. Key concepts with regard to establishing the quality and trustworthiness of data analysis are described. Finally, an approach to the presentation of qualitative findings is given.

Rapidly star-forming galaxies adjacent to quasars at redshifts exceeding 6.

Science.gov (United States)

Decarli, R; Walter, F; Venemans, B P; Bañados, E; Bertoldi, F; Carilli, C; Fan, X; Farina, E P; Mazzucchelli, C; Riechers, D; Rix, H-W; Strauss, M A; Wang, R; Yang, Y

2017-05-24

The existence of massive (10 11 solar masses) elliptical galaxies by redshift z ≈ 4 (refs 1, 2, 3; when the Universe was 1.5 billion years old) necessitates the presence of galaxies with star-formation rates exceeding 100 solar masses per year at z > 6 (corresponding to an age of the Universe of less than 1 billion years). Surveys have discovered hundreds of galaxies at these early cosmic epochs, but their star-formation rates are more than an order of magnitude lower. The only known galaxies with very high star-formation rates at z > 6 are, with one exception, the host galaxies of quasars, but these galaxies also host accreting supermassive (more than 10 9 solar masses) black holes, which probably affect the properties of the galaxies. Here we report observations of an emission line of singly ionized carbon ([C ii] at a wavelength of 158 micrometres) in four galaxies at z > 6 that are companions of quasars, with velocity offsets of less than 600 kilometres per second and linear offsets of less than 100 kiloparsecs. The discovery of these four galaxies was serendipitous; they are close to their companion quasars and appear bright in the far-infrared. On the basis of the [C ii] measurements, we estimate star-formation rates in the companions of more than 100 solar masses per year. These sources are similar to the host galaxies of the quasars in [C ii] brightness, linewidth and implied dynamical mass, but do not show evidence for accreting supermassive black holes. Similar systems have previously been found at lower redshift. We find such close companions in four out of the twenty-five z > 6 quasars surveyed, a fraction that needs to be accounted for in simulations. If they are representative of the bright end of the [C ii] luminosity function, then they can account for the population of massive elliptical galaxies at z ≈ 4 in terms of the density of cosmic space.

Decommissioning and dismantling: evaluation of possible radiological impacts from exceeding clearance levels at nuclear facilities. Final report

International Nuclear Information System (INIS)

Kirchhoff, J.; Stasch, W.P.; Thierfeldt, S.; Kugeler, E.

2001-01-01

On June 14, 2000 the German power utilities have reached an agreement with the German government (energy consent). According to that all nuclear power plants in Germany shall be shut down approximately until the year 2020 and shall be decommissioned afterwards. Almost 95% of the mass of a nuclear power plant can be re-used or recycled as normal material and waste after the necessary handling (decontamination) and clearance measurements. For the release of the entire mass of a NPP several hundreds of thousand radioactivity measurements (so called free release measurements) are necessary. With this huge number of measurements mistakes cannot be excluded. The study includes several radiological scenarios which could result from mistakes during the release/clearance procedure. The radiation doses calculated during the simulation show that some faulty releases can give rise to doses above the trivial dose level of some 10 μSv. An effective dose up to 400 μSv for individuals has been determined. However, with a high certainty it can be excluded that the individual effective dose will reach the range of 1000 μSv even with a hypothetical consideration of a concatenation of several conditions. Because of the low probability of appearance and their minimal radiological effects mistakes during the release procedure pose no hazards. (orig.) [de

SCC growth behaviors of austenitic stainless steels in simulated PWR primary water

Science.gov (United States)

Terachi, T.; Yamada, T.; Miyamoto, T.; Arioka, K.

2012-07-01

The rates of SCC growth were measured under simulated PWR primary water conditions (500 ppm B + 2 ppm Li + 30 cm3/kg-H2O-STP DH2) using cold worked 316SS and 304SS. The direct current potential drop method was applied to measure the crack growth rates for 53 specimens. Dependence of the major engineering factors, such as yield strength, temperature and stress intensity was systematically examined. The rates of crack growth were proportional to the 2.9 power of yield strength, and directly proportional to the apparent yield strength. The estimated apparent activation energy was 84 kJ/mol. No significant differences in the SCC growth rates and behaviors were identified between 316SS and 304SS. Based on the measured results, an empirical equation for crack growth rate was proposed for engineering applications. Although there were deviations, 92.8% of the measured crack growth rates did not exceed twice the value calculated by the empirical equation.

Tritium oxide uptake and desorption kinetics in a primary producer: chlorella pyrenoidosa

International Nuclear Information System (INIS)

Dunstall, T.G.

1983-01-01

The alga Chlorella pyrenoidosa grown in batch culture under chronic tritium oxide exposure was used to model behavior of tritium at the primary producer level of an aquatic food chain. The specific activity ratio of organically bound tritium to medium tritium increased during initial growth stages, then reached an asymptotic steady state value of 0.59 after approximately seven cell doublings. The intracellular to extracellular concentrations of tritium oxide appeared to be in equilibrium. Loss of previously formed organically bound tritium in cells transferred to tritium-free media averaged less than 5 % for exponential growth phase cultures which had undergone more than three cell doublings. Over a comparable time period, a greater loss of organically bound tritium from stationary cells (average 13.4 %) was attributed to increased degradative metabolism in senescent cultures. Concentration of tritium in organically bound form may exceed environmental tritium oxide levels under dynamic conditions in which a pulse of tritium oxide to the environment is dissipated over time

Preliminary case studies of economy and energy profiles for Ireland during 1979-1990. Final report

Energy Technology Data Exchange (ETDEWEB)

Henry, E W

1981-01-01

How Irish 1985 Energy Demand Model (EDM) case study results have been optimized on the supply side, by means of the EFOM model and software, are described. The 1985 case study results are for low, likely, and high cases. The Low case represents a 1985 Irish economic profile for real GNP being 54% greater thand the GNP of 1974. The Likely case relates to 1985 real GNP being 70% greater than that of 1974, and the High to real GNP being 92% greater. The 1985 final energy results emerging from the case studies are tabulated, showing quantities of final energy required by each of the 13 sectors of the Irish EDM. In all three case studies, 5 of the 13 demand sectors take in aggregate more than 76% of the total energy; these five sectors, in decreasing size of demand, are: other household uses; other industries; private transport; cement; other services. The preparation for EFOM is described. The optimal final energy flows, with some comparisons with the non-optimal inital flows, are considered. The gross primary energy quantity and cost underlying the optimal final energy flows are examined in detail.

Energetics and kinetics of primary charge separation in bacterial photosynthesis.

Science.gov (United States)

LeBard, David N; Kapko, Vitaliy; Matyushov, Dmitry V

2008-08-21

We report the results of molecular dynamics (MD) simulations and formal modeling of the free-energy surfaces and reaction rates of primary charge separation in the reaction center of Rhodobacter sphaeroides. Two simulation protocols were used to produce MD trajectories. Standard force-field potentials were employed in the first protocol. In the second protocol, the special pair was made polarizable to reproduce a high polarizability of its photoexcited state observed by Stark spectroscopy. The charge distribution between covalent and charge-transfer states of the special pair was dynamically adjusted during the simulation run. We found from both protocols that the breadth of electrostatic fluctuations of the protein/water environment far exceeds previous estimates, resulting in about 1.6 eV reorganization energy of electron transfer in the first protocol and 2.5 eV in the second protocol. Most of these electrostatic fluctuations become dynamically frozen on the time scale of primary charge separation, resulting in much smaller solvation contributions to the activation barrier. While water dominates solvation thermodynamics on long observation times, protein emerges as the major thermal bath coupled to electron transfer on the picosecond time of the reaction. Marcus parabolas were obtained for the free-energy surfaces of electron transfer by using the first protocol, while a highly asymmetric surface was obtained in the second protocol. A nonergodic formulation of the diffusion-reaction electron-transfer kinetics has allowed us to reproduce the experimental results for both the temperature dependence of the rate and the nonexponential decay of the population of the photoexcited special pair.

Final project report: TA-35 Los Alamos Power Reactor Experiment No. II (LAPRE II) decommissioning project

International Nuclear Information System (INIS)

Montoya, G.M.

1993-02-01

This final report addresses the decommissioning of the LAPRE II Reactor, safety enclosure, fuel reservoir tanks, emergency fuel recovery system, primary pump pit, secondary loop, associated piping, and the post-remediation activities. Post-remedial action measurements are also included. The cost of the project including, Phase I assessment and Phase II remediation was approximately $496K. The decommissioning operation produced 533 M 3 of mixed waste

Kyoto and beyond : A plan of action to meet and exceed Manitoba's Kyoto targets

International Nuclear Information System (INIS)

2002-10-01

This document represents the next step in Manitoba's effort to mitigate the effects of climate change. A message from the Manitoba Premier and the Minister of Conservation of Manitoba are included in the introduction. The Action Plan is based in part on the discussion among climate experts and public input gathered in the course of the 2001 task force and the 2001 public forum on climate change. A rise in average global temperatures is affecting most of the planet, which is due in part to the upsetting of the balance of greenhouse gases in the atmosphere as a result of human activities. It is affecting weather patterns, water, agriculture, forests, health and welfare, and life in the North. The Manitoba government is committed to meeting and exceeding the reduction targets set under the Kyoto Protocol through renewable electricity, Selkirk conversion, ethanol, methane capture, and other measures targeted toward industry. Energy efficiency also plays a big part in the process of reducing greenhouse gas emissions. The government is leading by example, and also investing in knowledge. It is promoting technology development and innovation while enhancing awareness and understanding. All sectors are being encouraged to implement appropriate measures. The various initiatives undertaken by each department and organization under each of those headings are described. figs

The use of statins in primary prevention

Directory of Open Access Journals (Sweden)

Stürzlinger, Heidi

2006-04-01

Full Text Available Background: The use of statins in secondary prevention of cardiovascular events is well established. However, there is ongoing discussion about the use of statins in the context of primary prevention. Moreover statins - besides cholesterol-lowering effects - are assumed to have pleiotropic effects. Positive impacts on diseases like stroke, Alzheimer's disease or osteoporosis are discussed but still have to be proven. Objectives: The aim of this report is first to investigate the efficacy and effectiveness of statins in primary prevention of cardiovascular and non-cardiovascular events and second to examine the economic implications for Germany - particularly in comparison to existing prevention programs. Finally ethical questions are considered. Methods: A systematic literature search was performed for the period between 1998 and 2004 which yielded 3704 abstracts. Overall 43 articles were included for assessment and 167 for background information, according to predefined selection criteria. Results: Most studies within the context of primary prevention describe significant risk reductions with regard to cardiovascular events; yet no significant results according to the reduction of the overall mortality rate can be seen. With respect to stroke, osteoporosis and Alzheimer's disease results are inconsistent. Regarding cost-effectiveness of primary prevention with statins results turn out to be inconsistent as well or even negative for populations with low to moderate risk. For groups with high cardiovascular risk the intervention is mostly assessed to be cost-effective. No cost-effectiveness study for Germany was found. According to a rough estimate of future expenses statin drug expenses of the German legal health insurance might increase at least by 50% in the case of an enlargement of the group of recipients. Discussion: To thoroughly estimate the cost-effectiveness of the use of statins in primary prevention in Germany a model calculation

Update on Primary Biliary Cirrhosis

Directory of Open Access Journals (Sweden)

Jenny Heathcote

2000-01-01

Full Text Available The diagnosis of primary biliary cirrhosis (PBC is most often made in the asymptomatic phase, sometimes before the development of abnormal liver biochemistry. The antimitochondrial antibody remains the predominant hallmark, although not all patients test positive, even when the most sensitive techniques are used. The etiology of PBC remains elusive; studies suggest that the interlobular bile duct destruction is immune based, and associated autoimmune diseases are common. There are no surrogate markers that predict outcome in asymptomatic patients, whose chance of survival is less than that of age- and sex-matched populations but much better than the median survival of eight years in patients with symptomatic PBC. Symptoms common in this disease are fatigue, pruritus and xanthelasma, as well as complications of portal hypertension and osteoporosis. Treatment includes symptomatic and preventive measures, as well as specific therapeutic measures. Immunosuppressive therapy has yielded disappointing results in the long term management of PBC, and the only therapy shown to improve survival is the hydrophobic dihydroxy bile acid ursodeoxycholic acid. Treatment at a dose of 13 to 15 mg/kg/day is optimal, given in separate doses or as a single dose at least 4 h from giving the oral anion exchange resin cholestyramine, which may be used to control pruritus. However, liver transplantation remains the only cure for this disease, and the best postoperative survival is seen in patients whose serum bilirubin does not exceed 180 µmol/L at the time of liver transplantation. Recurrence takes place but is rarely symptomatic and does not deter from the benefits of transplantation.

IEA-R1 primary and secondary coolant piping systems coupled stress analysis

International Nuclear Information System (INIS)

Fainer, Gerson; Faloppa, Altair A.; Oliveira, Carlos A.; Mattar Neto, Miguel

2013-01-01

The aim of this work is to perform the stress analysis of a coupled primary and secondary piping system of the IEA-R1 based on tridimensional model, taking into account the as built conditions. The nuclear research reactor IEA-R1 is a pool type reactor projected by Babcox-Willcox, which is operated by IPEN since 1957. The operation to 5 MW power limit was only possible after the conduction of life management and modernization programs in the last two decades. In these programs the components of the coolant systems, which are responsible for the water circulation into the reactor core to remove the heat generated inside it, were almost totally refurbished. The changes in the primary and secondary systems, mainly the replacement of pump and heat-exchanger, implied in piping layout modifications, and, therefore, the stress condition of the piping systems had to be reanalyzed. In this paper the structural stress assessment of the coupled primary and secondary piping systems is presented and the final results are discussed. (author)

Schedulability Analysis for Java Finalizers

DEFF Research Database (Denmark)

Bøgholm, Thomas; Hansen, Rene Rydhof; Søndergaard, Hans

2010-01-01

Java finalizers perform clean-up and finalisation of objects at garbage collection time. In real-time Java profiles the use of finalizers is either discouraged (RTSJ, Ravenscar Java) or even disallowed (JSR-302), mainly because of the unpredictability of finalizers and in particular their impact...... on the schedulability analysis. In this paper we show that a controlled scoped memory model results in a structured and predictable execution of finalizers, more reminiscent of C++ destructors than Java finalizers. Furthermore, we incorporate finalizers into a (conservative) schedulability analysis for Predictable Java...... programs. Finally, we extend the SARTS tool for automated schedulability analysis of Java bytecode programs to handle finalizers in a fully automated way....

Can brief behavioral health interventions reduce suicidal and self-harm ideation in primary care patients?

Science.gov (United States)

Dueweke, Aubrey R; Rojas, Sasha M; Anastasia, Elizabeth A; Bridges, Ana J

2017-09-01

We examined whether brief behavioral health visits reduced suicidal and self-harm ideation among primary care patients and compared the effectiveness of interventions that targeted ideation directly (i.e., safety planning) with those that targeted ideation indirectly through management of underlying mental illness (e.g., behavioral activation). We examined first- and last-visit data from 31 primary care patients with suicidal or self-harm ideation seen by behavioral health consultants. Patients reported significantly lower frequencies of suicidal and self-harm ideation at their final visit than at their initial visit. Patients whose ideation was targeted directly showed greater improvements than patients whose ideation was targeted indirectly. Although preliminary, results suggest mild to moderate suicidal ideation could be addressed in primary care through integration of behavioral health consultants into the medical team. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

[Heart failure in primary care: Attitudes, knowledge and self-care].

Science.gov (United States)

Salvadó-Hernández, Cristina; Cosculluela-Torres, Pilar; Blanes-Monllor, Carmen; Parellada-Esquius, Neus; Méndez-Galeano, Carmen; Maroto-Villanova, Neus; García-Cerdán, Rosa Maria; Núñez-Manrique, M Pilar; Barrio-Ruiz, Carmen; Salvador-González, Betlem

2018-04-01

To determine the attitudes, knowledge, and self-care practices in patients with heart failure (HF) in Primary Care, as well as to identify factors associated with better self-care. Cross-sectional and multicentre study. Primary Care. Subjects over 18 years old with HF diagnosis, attended in 10 Primary Health Care Centres in the Metropolitan Area of Barcelona. Self-care was measured using the European Heart Failure Self-Care Behaviour Scale. Sociodemographic and clinical characteristics, tests on attitudes (Self-efficacy Managing Chronic Disease Scale), knowledge (Patient Knowledge Questionnaire), level of autonomy (Barthel), and anxiety and depression screening (Goldberg Test), were also gathered in an interview. A multivariate mixed model stratified by centre was used to analyse the adjusted association of covariates with self-care. A total of 295 subjects (77.6%) agreed to participate, with a mean age of 75.6 years (SD: 11), 56.6% women, and 62% with no primary education. The mean self-care score was 28.65 (SD: 8.22), with 25% of patients scoring lower than 21 points. In the final stratified multivariate model (n=282; R 2 conditional=0.3382), better self-care was associated with higher knowledge (coefficient, 95% confidence interval: -1.37; -1.85 to -0.90), and coronary heart disease diagnosis (-2.41; -4.36: -0.46). Self-care was moderate. The correlation of better self-care with higher knowledge highlights the opportunity to implement strategies to improve self-care, which should consider the characteristics of heart failure patients attended in Primary Care. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

Fuel Rod Consolidation Project: Phase 2, Final report: Volume 1

International Nuclear Information System (INIS)

1987-01-01

This design report describes the NUS final design of the Prototype Spent Nuclear Fuel Rod Consolidation System. This summary presents the approach and the subsequent sections describe, in detail, the final design. Detailed data, drawings, and the design Basis Accident Report are provided in Volumes II thru V. The design as presented, represents one cell of a multicell facility for the dry consolidation of any type of PWR and BWR fuel used in the United States LWR industry that will exceed 1% of the fuel inventory at the year 2000. The system contains the automatically-controlled equipment required to consolidate 750MT (heavy metal)/year, at 75% availability. The equipment is designed as replaceable components using state-of-the-art tchnology. The control system utilizes the most advanced commercially available equipment on the market today. Two state-of-the-art advanced servo manipulators are provided for system maintenance. In general the equipment is designed utilizing fabricated and commercial components. For example, the main drive systems use commercially available roller screws. These rollers screws have 60,000 hours of operation in nuclear power plants and have been used extensively in other applications. The motors selected represent the most advanced designed servo motors on the market today for the precision control of machinery. In areas where precise positioning was not required, less expensive TRW Globe motors were selected. These are small compact motors with a long history of operations in radiation environments. The Robotic Bridge Transporters are modified versions of existing bridge cranes for remote automatic operations. Other equipment such as the welder for fuel canister closure operations is a commercially available product with an operating history applicable to this process. In general, this approach was followed throughout the design of all the equipment and will enable the system to be developed without costly development programs

[Surgical Diagnosis and Treatment of Primary Hyperthyroidism Complicated with Occult Thyroid Carcinoma].

Science.gov (United States)

Wu, Xin; Yu, Jian-chun; Kang, Wei-ming; Ma, Zhi-qiang; Ye, Xin

2015-08-01

To evaluate the surgical diagnosis and treatment of primary hyperthyroidism complicated with occult thyroid carcinoma. Data of 51 cases of primary hyperthyroidism complicated with occult thyroid carcinoma admitted during January 2004 to November 2014 were analyzed retrospectively. The incidence of occult thyroid carcinoma was 5.03% in hyperthyroidism,and 47 cases (92.16%) were female. The preoperative diagnosis of all these 51 cases was primary hyperthyroidism and 11 cases were diagnosed thyroid carcinoma at the same time;25 cases were diagnosed thyroid carcinoma by frozen section and the remaining 26 cases were diagnosed by postoperative pathology. Finally,26 cases underwent subtotal thyroidectomy,4 cases underwent total thyroidectomy, and 21 cases underwent total thyroidectomy with lymphadenectomy. The tumor size ranged from 0.1 to 1.0 cm [mean:(0.63 ± 0.35) cm]. The lesions were less than or equal to 0.5 cm in 28 cases (54.9%). The follow-up lasted from 1 to 121 months [mean:(28.6 ± 22.7)months] in 43 patients,and all of them survived. Primary hyperthyroidism complicated with occult thyroid carcinoma is commonly found in female patients. Preoperative diagnosis is difficult. Ultrasound is the major examining method. Frozen section can increase the detection rate. The postoperative prognosis of hyperthyroidism complicated with occult thyroid carcinoma is satisfactory.

Students' participation in Hult Prize and their decision for entrepreneurship: Data gathered from Hult Prize 2018 regional finals in Nigeria.

Science.gov (United States)

Oluwatobi, Stephen; Oshokoya, Damilare; Atayero, Aderemi; Oludayo, Olumuyiwa; Nsofor, Colette; Oyebode, Adeola

2018-08-01

This data article is an expression of data that reflects how students' participation in the Hult Prize 2018 regional finals affects their decision to become entrepreneurs. The primary data was sourced using a questionnaire developed with Google doc form. Out of 120 students that participated in the Hult Prize 2018 regional finals in Nigeria, 103 of them responded. Their responses are as presented in this article. Such will be relevant to researchers who want to find out why students desire to become entrepreneurs and the best approach and timing to enable them.

Understanding integrated care: a comprehensive conceptual framework based on the integrative functions of primary care.

Science.gov (United States)

Valentijn, Pim P; Schepman, Sanneke M; Opheij, Wilfrid; Bruijnzeels, Marc A

2013-01-01

Primary care has a central role in integrating care within a health system. However, conceptual ambiguity regarding integrated care hampers a systematic understanding. This paper proposes a conceptual framework that combines the concepts of primary care and integrated care, in order to understand the complexity of integrated care. The search method involved a combination of electronic database searches, hand searches of reference lists (snowball method) and contacting researchers in the field. The process of synthesizing the literature was iterative, to relate the concepts of primary care and integrated care. First, we identified the general principles of primary care and integrated care. Second, we connected the dimensions of integrated care and the principles of primary care. Finally, to improve content validity we held several meetings with researchers in the field to develop and refine our conceptual framework. The conceptual framework combines the functions of primary care with the dimensions of integrated care. Person-focused and population-based care serve as guiding principles for achieving integration across the care continuum. Integration plays complementary roles on the micro (clinical integration), meso (professional and organisational integration) and macro (system integration) level. Functional and normative integration ensure connectivity between the levels. The presented conceptual framework is a first step to achieve a better understanding of the inter-relationships among the dimensions of integrated care from a primary care perspective.

Using exceedance probabilities to detect anomalies in routinely recorded animal health data, with particular reference to foot-and-mouth disease in Viet Nam.

Science.gov (United States)

Richards, K K; Hazelton, M L; Stevenson, M A; Lockhart, C Y; Pinto, J; Nguyen, L

2014-10-01

The widespread availability of computer hardware and software for recording and storing disease event information means that, in theory, we have the necessary information to carry out detailed analyses of factors influencing the spatial distribution of disease in animal populations. However, the reliability of such analyses depends on data quality, with anomalous records having the potential to introduce significant bias and lead to inappropriate decision making. In this paper we promote the use of exceedance probabilities as a tool for detecting anomalies when applying hierarchical spatio-temporal models to animal health data. We illustrate this methodology through a case study data on outbreaks of foot-and-mouth disease (FMD) in Viet Nam for the period 2006-2008. A flexible binomial logistic regression was employed to model the number of FMD infected communes within each province of the country. Standard analyses of the residuals from this model failed to identify problems, but exceedance probabilities identified provinces in which the number of reported FMD outbreaks was unexpectedly low. This finding is interesting given that these provinces are on major cattle movement pathways through Viet Nam. Copyright © 2014 Elsevier Ltd. All rights reserved.

Decommissioning of the MTR-605 process water building at the Idaho National Engineering Laboratory. Final report

International Nuclear Information System (INIS)

Browder, J.H.; Wills, E.L.

1985-01-01

Decontamination and decommissioning (D and D) of the unused radioactively contaminated portions of the MTR-605 building at the Test Reactor Area of the Idaho National Engineering Laboratory has been completed; this final report describes the D and D project. The building is a two-story concrete structure that was used to house piping systems to channel and control coolant water flow for the Materials Testing Reactor (MTR), a 40 MW (thermal) light water test reactor that was operated from 1952 until 1970 and then deactivated. D and D project objectives were to reduce potential environmental and radioactive contamination hazards to levels as low a reasonably achievable. Primary tasks of the D and D project were: to remove contaminated piping (about 400 linear ft of 36- and 30-in.-dia stainless steel pipe) and valves from the primary coolant pipe tunnels, to remove a primary coolant pump and piping, and to remove the three 8-ft-dia by 25-ft-long evaporators from the building second floor

Primary epiploic appendagitis: US and CT findings

International Nuclear Information System (INIS)

Molla, E.; Ripolles, T.; Martinez, M.J.; Morote, V.; Rosello-Sastre, E.

1998-01-01

A retrospective review is presented of seven cases of epiploic appendagitis, with surgical confirmation in one case. The main clinico-analytical data and the US and CT findings are described, as well as the histopathologic features in the sole case that underwent surgical resection. We also calculated the frequency of this entity in patients undergoing emergency abdominal US on clinical suspicion of diverticulitis. In all seven cases the clinico-analytical evidence was nonspecific (localized acute abdominal pain and slight leukocytosis), mimicking in six cases the clinical presentation of sigmoid diverticulitis and in one case that of acute appendicitis. US imaging findings were characteristic: a hyperechoic mass localized under the point of maximum pain, adjacent to the anterior peritoneal wall and fixed during deep breathing. In none of the cases did color Doppler US show flow. CT findings were also typical and showed a mass with a peripheral hyperattenuated rim surrounding an area of fatty attenuation. Overall 7.1 % of patients investigated to exclude sigmoid diverticulitis finally showed findings of primary epiploic appendagitis. Primary epiploic appendagitis thus shows characteristic US and CT findings that allow its diagnosis and follow-up. This entity is much more frequent than previously reported, especially in patients referred for US to exclude sigmoid diverticulitis. (orig.)

DIMEC - Final Report

DEFF Research Database (Denmark)

Conrad, Finn

1997-01-01

Final report of the research project DIMEC - Danish InfoMechatronic Control supported by the Danish Technical Research Council, STVF.......Final report of the research project DIMEC - Danish InfoMechatronic Control supported by the Danish Technical Research Council, STVF....

Primary Care Providers' Perspectives on Errors of Omission.

Science.gov (United States)

Poghosyan, Lusine; Norful, Allison A; Fleck, Elaine; Bruzzese, Jean-Marie; Talsma, AkkeNeel; Nannini, Angela

2017-01-01

Despite recent focus on patient safety in primary care, little attention has been paid to errors of omission, which represent significant gaps in care and threaten patient safety in primary care but are not well studied or categorized. The purpose of this study was to develop a typology of errors of omission from the perspectives of primary care providers (PCPs) and understand what factors within practices lead to or prevent these omissions. A qualitative descriptive design was used to collect data from 26 PCPs, both physicians and nurse practitioners, from the New York State through individual interviews. One researcher conducted all interviews, which were audiotaped, transcribed verbatim, and analyzed in ATLAS.ti, Berlin by 3 researchers using content analysis. They immersed themselves into data, read transcripts independently, and conducted inductive coding. The final codes were linked to each other to develop the typology of errors of omission and the themes. Data saturation was reached at the 26th interview. PCPs reported that omitting patient teaching, patient followup, emotional support, and addressing mental health needs were the main categories of errors of omission. PCPs perceived that time constraints, unplanned patient visits and emergencies, and administrative burden led to these gaps in care. They emphasized that organizational support and infrastructure, effective teamwork and communication, and preparation for the patient encounter were important safeguards to prevent errors of omission within their practices. Errors of omission are common in primary care and could threaten patient safety. Efforts to eliminate them should focus on strengthening organizational attributes of practices, improving teamwork and communication, and assigning manageable workload to PCPs. Practice and policy change is necessary to address gaps in care and prevent them before they result in patient harm. © Copyright 2017 by the American Board of Family Medicine.

Continued development of modeling tools and theory for rf heating. Final report

International Nuclear Information System (INIS)

Smithe, D.N.

1998-01-01

The work performed during the grant has been reported long before this date, specifically in: (1) the grant's annual performance report for 1991, MRC/WDC-R-277; (2) the published AIP Conference Proceedings number-sign 244, Radio Frequency Power in Plasmas, Charleston, SC 1991, ''Evaluation of Wave Dispersion, Mode-Conversion, and Damping for ECRH with Exact Relativistic Corrections,'' by D.N. Smithe and P.L. Colestock; and (3) an unpublished paper entitled ''Temperature Anisotropy and Rotation Upgrades to the ICRF Modules in SNAP and TRANSP'', presented at the 1992 ICRF Modeling and Theory Workshop, at the Princeton Plasma Physics Laboratory. This final report contains copies of number (1). The specifics of the grant's final months' activities, which to the authors recollection have never been reported to the DOE, are as follows. The original grant, which was to terminate August 15, 1991, was extended without additional funds to October 31, 1992. The primary reason for the extension was to permit attendance at the 1992 ICRF Modeling and Theory Workshop at the Princeton Plasma Physics Laboratory (PPPL), which was finally held August 17--18, 1992, after having been rescheduled several times during the summer of 1992. The body of this report contains copies of the 1991 annual report, which gives detailed discussion of the work accomplished

Amenorrhea - primary

Science.gov (United States)

... of periods - primary Images Primary amenorrhea Normal uterine anatomy (cut section) Absence of menstruation (amenorrhea) References Bulun SE. The physiology and pathology of the female reproductive axis. In: ...

Primary pulmonary immunity to a soluble antigen in the dog

International Nuclear Information System (INIS)

Weissman, D.N.; Bice, D.E.; Muggenburg, B.A.; Schuyler, M.R.

1988-01-01

In order to study primary lung immunity to soluble antigen, Beagle dogs underwent trans-bronchoscopic instillation of 10 mg keyhole limpet hemocyanin (KLH) into the right cardiac lobe and saline into the left cardiac lobe. Over the next 3 wk, specific immune responses were monitored in blood and bronchoalveolar lavage (BAL) fluids obtained from immunized and control lung lobes. Primary lung immunization of dogs with KLH resulted in easily measurable specific IgG, IgM, and IgA responses in blood and bronchoalveolar lavage fluids. Important class differences were noted to exist for these responses. Levels of specific IgG and IgA in BAL remained elevated at 21 days after immunization, while BAL-specific IgM levels fell to control values by 12 days after immunization. In unimmunized lung lobes, specific antibody levels in BAL and production of specific antibody by bronchoalveolar lavage cells was far greater for IgG than for IgM or IgA. Finally, despite easily detectable specific IgA in serum and BAL fluid, production of specific IgA by peripheral blood mononuclear cells or bronchoalveolar lavage cells after primary lung immunization with KLH could not be demonstrated, suggesting that specific IgA was produced by a compartment of cells poorly sampled in blood and BAL. (author)

Primary pulmonary immunity to a soluble antigen in the dog

Energy Technology Data Exchange (ETDEWEB)

Weissman, D N; Bice, D E; Muggenburg, B A; Schuyler, M R

1988-12-01

In order to study primary lung immunity to soluble antigen, Beagle dogs underwent trans-bronchoscopic instillation of 10 mg keyhole limpet hemocyanin (KLH) into the right cardiac lobe and saline into the left cardiac lobe. Over the next 3 wk, specific immune responses were monitored in blood and bronchoalveolar lavage (BAL) fluids obtained from immunized and control lung lobes. Primary lung immunization of dogs with KLH resulted in easily measurable specific IgG, IgM, and IgA responses in blood and bronchoalveolar lavage fluids. Important class differences were noted to exist for these responses. Levels of specific IgG and IgA in BAL remained elevated at 21 days after immunization, while BAL-specific IgM levels fell to control values by 12 days after immunization. In unimmunized lung lobes, specific antibody levels in BAL and production of specific antibody by bronchoalveolar lavage cells was far greater for IgG than for IgM or IgA. Finally, despite easily detectable specific IgA in serum and BAL fluid, production of specific IgA by peripheral blood mononuclear cells or bronchoalveolar lavage cells after primary lung immunization with KLH could not be demonstrated, suggesting that specific IgA was produced by a compartment of cells poorly sampled in blood and BAL. (author)

Recycling of fresh concrete exceeding and wash water in concrete mixing plants

Directory of Open Access Journals (Sweden)

Férriz Papí, J. A.

2014-03-01

Full Text Available The exceeding concrete and washing equipment water are a matter to solve in concrete production. This paper explains several possibilities for recycling and analyses the products obtained with one recycling equipment. The objective of this work is to study the possibility to increase the percentage of recycling in new mixes. The developed study relates wash water density and fine particles content. Besides, mortar and concrete samples were tested introducing different quantities of these fine particles, substituting cement, sand or only as an addition. Consistency, compressive strength, setting time, absorption, and capillarity were tested. The results indicated an improvement of the studied properties in some percentages when substituting sand. It confirms the possibility to introduce larger quantities of wash water in new concrete mixes, with corrections in sand quantity depending on water density.Los hormigones frescos sobrantes y aguas procedentes de la limpieza de equipos son un inconveniente a resolver en las plantas de hormigón. Este artículo explica varias posibilidades de reciclado y analiza los productos obtenidos en un equipo reciclador concreto, con el objetivo de estudiar el incremento del porcentaje de reciclaje en nuevas amasadas. El estudio realizado relaciona la densidad del agua de lavado y el contenido de partículas finas. Además, ensaya muestras de mortero y hormigón realizando sustituciones de estas partículas finas por cemento, arena o simplemente como adición. Determina consistencia, resistencia a compresión, principio y fin de fraguado, absorción y capilaridad. Los resultados indicaron un incremento general de las propiedades estudiadas en algunos porcentajes de sustitución por arena. Ello confirma la posibilidad de introducir mayores cantidades de agua de lavado en nuevas amasadas de hormigón, mediante correcciones en la dosificación de arena en función de la densidad del agua.

An interesting case of primary spinal arachnoiditis.

LENUS (Irish Health Repository)

Vaughan, Denis

2012-02-27

Spinal arachnoiditis describes inflammation of the meninges, subarachnoid space and, in most cases, also involve the pial layer. The vast majority of cases described are secondary and are preceded by a known event, for example,. trauma, infections or irritative substances. Here, we present the case of primary spinal arachnoiditis. A 35-year-old lady was referred to the neurosurgical services in Dublin, Ireland with a 15-month history of progressive, right lower limb weakness. Magnetic resonance imaging revealed cystic distortion of the lumbar spinal canal extending up to the conus. Initially, an L2-L4 laminectomy was performed revealing thickened and adherent arachnoid with a large cyst in the spinal canal. Four months after initial operation, the patient represented with bilateral lower limb weakness and loss of detrusor function. Repeat magnetic resonance imaging was performed, which showed the development of a syrinx in the patient\\'s thoracic spine. We then performed a T9-T10 laminectomy, midline myelotomy and insertion of a syringe-arachnoid shunt. Post-operative imaging showed resolution of the syrinx and a vast improvement in lower limb power. The patient also regained bladder control. In conclusion, spinal arachnoiditis is a clearly defined pathological and radiological entity with a highly variable clinical presentation. It is exceedingly difficult to treat as there is no recognised treatment currently, with most interventions aimed at symptomatic relief.

Experimental simulation of low rate primary coolant leaks. For the case of vessel head penetrations affected by through wall cracking

International Nuclear Information System (INIS)

You, D.; Feron, D.; Turluer, G.

2002-01-01

An experimental simulation of primary coolant leaks was carried out to determine how the composition of the leaking liquid would change. The experiment used the EVA experimental setup, specially designed for quantitatively investigating concentration phenomena driven by evaporation. The test showed that the final composition, obtained from a solution representative of the primary coolant at the beginning of the cycle, is highly concentrated and slightly acid. The experimental results are compared with those obtained using the MULTEQ software. (authors)

Primary Trainee Teachers' Attitudes to and Use of Computer and Technology in Mathematics: The Case of Turkey

Science.gov (United States)

Dogan, Mustafa

2010-01-01

This study explores Turkish primary mathematics trainee teachers' attitudes to computer and technology. A survey was conducted with a self constructed questionnaire. Piloting, factor and reliability ([alpha] = 0.94) analyses were performed. The final version of the questionnaire has three parts with a total of 48 questions including a Likert type…

Final Technical Report

Energy Technology Data Exchange (ETDEWEB)

Glasser, Alan H. [Fusion Theory and Computation Inc., Kingston, WA (United States)

2018-02-02

Final technical report on DE-SC0016106. This is the final technical report for a portion of the multi-institutional CEMM project. This report is centered around 3 publications and a seminar presentation, which have been submitted to E-Link.

Direct observation of weight-related communication in primary care: a systematic review.

Science.gov (United States)

McHale, Calum T; Laidlaw, Anita H; Cecil, Joanne E

2016-08-01

Primary care is ideally placed to play an effective role in patient weight management; however, patient weight is seldom discussed in this context. A synthesis of studies that directly observe weight discussion in primary care is required to more comprehensively understand and improve primary care weight-related communication. To systematically identify and examine primary care observational research that investigates weight-related communication and its relationship to patient weight outcomes. A systematic review of literature published up to August 2015, using seven electronic databases (including MEDLINE, Scopus and PsycINFO), was conducted using search terms such as overweight, obese and/or doctor-patient communication. Twenty papers were included in the final review. Communication analysis focused predominantly on 'practitioner' use of specific patient-centred communication. Practitioner use of motivational interviewing was associated with improved patient weight-related outcomes, including patient weight loss and increased patient readiness to lose weight; however, few studies measured patient weight-related outcomes. Studies directly observing weight-related communication in primary care are scarce and limited by a lack of focus on patient communication and patient weight-related outcomes. Future research should measure practitioner and patient communications during weight discussion and their impact on patient weight-related outcomes. This knowledge may inform the development of a communication intervention to assist practitioners to more effectively discuss weight with their overweight and/or obese patients. © The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

[Risk factors and burnout levels in Primary Care nurses: A systematic review].

Science.gov (United States)

Gómez-Urquiza, Jose L; Monsalve-Reyes, Carolina S; San Luis-Costas, Concepción; Fernández-Castillo, Rafael; Aguayo-Estremera, Raimundo; Cañadas-de la Fuente, Guillermo A

2017-02-01

To determine the risk factors and levels of burnout in Primary Care nurses. A systematic review was performed. CINAHL, CUIDEN, LILACS, PubMed, ProQuest, ScienceDirect and Scopus databases were consulted. Search equations were 'burnout AND community health nursing' and 'burnout AND primary care nursing'. The search was performed in October 2015. The final sample was n=12 studies. Quantitative primary studies that used Maslach Burnout Inventory for burnout assessment in Primary Care nurses were included without restriction by publication date. The main variables were the mean and standard deviation of the three burnout dimensions, high, medium and low prevalence rates of each dimension, and socio-demographic, occupational and psychological variables that potentially influence burnout level. Studies show high prevalence rates, generally between 23% and 31%, of emotional exhaustion. The prevalence rates of high depersonalisation and low personal accomplishment show heterogeneity, varying between 8%-32% and 4%-92% of the sample, respectively. Studies show that older nurses with more seniority, anxiety and depression, among other variables, have higher burnout levels, while nurses with higher salary, high job satisfaction, organisational support, and good self-concept have less burnout. High emotional exhaustion is the main affected dimension of burnout in Primary Care nursing. There is heterogeneity in depersonalisation and personal accomplishment. Burnout must be prevented in these professionals, by increasing protective factors and monitoring its appearance in those with risk factors. Copyright © 2016 Elsevier España, S.L.U. All rights reserved.

Primary explosives

Energy Technology Data Exchange (ETDEWEB)

Matyas, Robert; Pachman, Jiri [Pardubice Univ. (Czech Republic). Faculty of Chemical Technology

2013-06-01

The first chapter provides background such as the basics of initiation and differences between requirements on primary explosives used in detonators and igniters. The authors then clarify the influence of physical characteristics on explosive properties, focusing on those properties required for primary explosives. Furthermore, the issue of sensitivity is discussed. All the chapters on particular groups of primary explosives are structured in the same way, including introduction, physical and chemical properties, explosive properties, preparation and documented use.

Effects of morphology and wavelength on the measurement accuracy of soot volume fraction by laser extinction

Science.gov (United States)

Wang, Ya-fei; Huang, Qun-xing; Wang, Fei; Chi, Yong; Yan, Jian-hua

2018-01-01

A novel method to evaluate the quantitative effects of soot morphology and incident wavelength on the measurement accuracy of soot volume fraction, by the laser extinction (LE) technique is proposed in this paper. The results indicate that the traditional LE technique would overestimate soot volume fraction if the effects of morphology and wavelength are not considered. Before the agglomeration of isolated soot primary particles, the overestimation of the LE technique is in the range of 2-20%, and rises with increasing primary particle diameter and with decreasing incident wavelength. When isolated primary particles are agglomerated into fractal soot aggregates, the overestimation would exceed 30%, and rise with increasing primary particle number per soot aggregate, fractal dimension and fractal prefactor and with decreasing incident wavelength to a maximum value of 55%. Finally, based on these results above, the existing formula of the LE technique gets modified, and the modification factor is 0.65-0.77.

Flood inundation maps and water-surface profiles for tropical storm Irene and selected annual exceedance probability floods for Flint Brook and the Third Branch White River in Roxbury, Vermont

Science.gov (United States)

Ahearn, Elizabeth A.; Lombard, Pamela J.

2014-01-01

Flint Brook, a tributary to the Third Branch White River in Roxbury, Vermont, has a history of flooding the Vermont Fish and Wildlife Department’s Roxbury Fish Culture Station (the hatchery) and surrounding infrastructure. Flooding resulting from tropical storm Irene on August 28–29, 2011, caused widespread destruction in the region, including extensive and costly damages to the State-owned hatchery and the transportation infrastructure in the Town of Roxbury, Vermont. Sections of State Route 12A were washed out, and several bridges and culverts on Oxbow Road, Thurston Hill Road, and the New England Central Railroad in Roxbury were heavily damaged. Record high peak-discharge estimates of 2,140 cubic feet per second (ft3/s) and 4,320 ft3/s were calculated for Flint Brook at its confluence with the Third Branch White River and for the Third Branch White River at about 350 feet (ft) downstream from the hatchery, respectively. The annual exceedance probabilities (AEPs) of the peak discharges for Flint Brook and the Third Branch White River were less than 0.2 percent (less than a one in 500 chance of occurring in a given year). Hydrologic and hydraulic analyses of Flint Brook and the Third Branch White River were done to investigate flooding at the hatchery in Roxbury and support efforts by the Federal Emergency Management Agency to assist State and local mitigation and reconstruction efforts. During the August 2011 flood, the majority of flow from Flint Brook (97 percent or 2,070 ft3/s) diverged from its primary watercourse due to a retaining wall failure immediately upstream of Oxbow Road and inundated the hatchery. Although a minor amount of flow from the Third Branch White River could have overtopped State Route 12A and spilled into the hatchery, the Third Branch White River did not cause flood damages or exacerbate flooding at the hatchery during the August 2011 flood. The Third Branch White River which flows adjacent to the hatchery does not flood the hatchery

Primary Orgasmic Dysfunction: Diagnostic Considerations and Review of Treatment

Science.gov (United States)

Andersen, Barbara L.

2009-01-01

As a diagnostic category, primary orgasmic dysfunction includes all women who have never experienced orgasm under any circumstances except sleep or fantasy. However, the research samples of nonorgasmic women in clinical reports and empirical investigations are heterogeneous with regard to disruption of earlier phases of the sexual response cycle and emotional concomitants of the dysfunction. The major treatment models—systematic desensitization, sensate focus, directed masturbation, and hypnosis—are presented, and empirical support is reviewed. Separate discussion is included for investigations comparing treatment modalities. Finally, a strategy for future programmatic sex therapy research is suggested within the broader context of psychotherapy outcome research. PMID:6828600

Toward a minimum branching fraction for dark matter annihilation into electromagnetic final states

International Nuclear Information System (INIS)

Dent, James B.; Scherrer, Robert J.; Weiler, Thomas J.

2008-01-01

Observational limits on the high-energy neutrino background have been used to place general constraints on dark matter that annihilates only into standard model particles. Dark matter particles that annihilate into neutrinos will also inevitably branch into electromagnetic final states through higher-order tree and loop diagrams that give rise to charged leptons, and these charged particles can transfer their energy into photons via synchrotron radiation or inverse Compton scattering. In the context of effective field theory, we calculate the loop-induced branching ratio to charged leptons and show that it is generally quite large, typically > or approx. 1%, when the scale of the dark matter mass exceeds the electroweak scale, M W . For a branching fraction >or approx. 3%, the synchrotron radiation bounds on dark matter annihilation are currently stronger than the corresponding neutrino bounds in the interesting mass range from 100 GeV to 1 TeV. For dark matter masses below M W , our work provides a plausible framework for the construction of a model for 'neutrinos-only' dark matter annihilations.

Near-optimal Downlink precoding of a MISO system for a secondary network under the SINR constraints of a primary network

KAUST Repository

Park, Kihong

2013-04-01

In this paper, we study a multiple-input single-output cognitive radio (CR) system where only the primary base station (BS) has multiple antennas. We consider a rate maximization problem of the secondary network under signal-to-interference-plus-noise-ratio constraints on the primary network in order to guarantee the quality-of-service for the latter network. While the interference due to the secondary transmission in the conventional underlay CR approach may severely degrade the performance of the primary network, we propose a primary BS-aided approach in which the primary BS helps relay the secondary users\\' signals instead of allowing them to communicate with each other via a direct path between them. In addition, an algorithm to find a near-optimal beamforming solution at the primary BS is proposed. Finally, based on some selected numerical results, we show that the proposed scheme outperforms the conventional underlay CR configuration over a wide transmit power range. © 2013 IEEE.

The effect of low-Dye taping on plantar pressures, during gait, in subjects with navicular drop exceeding 10 mm.

Science.gov (United States)

Lange, Belinda; Chipchase, Lucy; Evans, Angela

2004-04-01

A preintervention and postintervention, repeated-measures experimental design. To investigate the immediate effect of low-Dye taping on peak and mean plantar pressures during gait in subjects with navicular drop exceeding 10 mm. Low-Dye taping is commonly used to support the longitudinal and transverse arches of the foot in an attempt to reduce the effects of symptoms associated with excessive pronation. Plantar pressure measurement has been used as an indirect indicator of pronation during gait. METHOD AND MEASURES: The right foot of 60 subjects was tested using the Emed-AT system to obtain plantar pressure values. Subjects performed 6 barefoot walks over the Emed pressure platform while taped and a further 6 walks while untaped. Plantar pressures were recorded. Each footprint obtained was divided into 10 sections or 'masks.' Average peak and mean plantar pressure values (N/cm2) were calculated for both taped and untaped walks for each mask. Paired t tests demonstrated significant changes in peak plantar pressure in 8 of the 10 areas of the foot and significant changes in mean plantar pressure in 9 of the 10 areas of the foot. Low-Dye taping significantly decreased pressure under the heel and the medial and middle forefoot, while increasing pressure under the lateral midfoot and under the toes. A significant decrease in mean plantar pressure was observed under the lateral forefoot, while no significant difference was demonstrated in peak plantar pressure under this area. The area under the medial midfoot demonstrated no significant change in either peak or mean pressure. Low-Dye taping significantly altered peak and mean plantar pressure values in subjects with navicular drop exceeding 10 mm. In particular, peak and mean plantar pressure increased under the lateral midfoot and under the toes, and decreased under the heel and forefoot, suggesting that a decrease in the amount of pronation occurred.

Multiple primary cancer

International Nuclear Information System (INIS)

Jung, Gyu Sik; Lee, Ouk; Kim, So Sun; Kim, Ho Joon; Chun, Byung Hee; Joh, Young Duck

1989-01-01

It is rare for one human being to be afflicted with more than one cancer. However with further advances in therapeutic regimens, histopathologic observation, diagnostic modalities, and increased curiosity, there are increasing number of case reports of multiple primary cancer. The present study evaluates 25 histologically confirmed cases of multiple primary cancer from 1974 to 1988 at Kosin Medical Center. The most frequent site of the first primary cancer in male was stomach and in female, uterine cervix. The first primary cancer in female occurred in endocrine-related organs (breast, uterus and thyroid) in 63.6 percent. Synchronous cancers are diagnosed simultaneously or within an interval of about six months and synchronous cancers were 16 out of 25 cases. Metachronous cancers are diagnosed at interval of more than six months. There were 9 metachronous cancers and average interval between the first and second primary cancer was 22.8 months. The incidence of multiple primary cancer was 0.11 percent. The average age was 51.9 years at the time of the first primary cancer (53.1 years in male and 50.3 years in female). CT scan was most helpful in early detection of multiple primary cancers facilitating biopsy and surgery. Multiple primary cancers are beyond the medical curiosity. Early diagnosis of the disease and careful follow-up study, based on an awareness of the possibility of second cancers, will substantially increase the survival of these patients

Characteristics of fibromyalgia in Muslim Bedouin women in a primary care clinic.

Science.gov (United States)

Peleg, Roni; Ablin, Jacob N; Peleg, Aya; Neumann, Lily; Rabia, Rasmia Abu; Buskila, Dan

2008-06-01

Fibromyalgia (FM) has been described and studied in various sociocultural settings in both developed and developing countries. To study the clinical manifestations of FM and to describe its effect on quality of life in the unique setting of Muslim Bedouin women in the southern Israel Negev desert area. One hundred two Bedouin women were recruited from a primary health care clinic in the Negev area. All patients fulfilled American College of Rheumatology criteria for the diagnosis of FM. Tenderness was assessed by manual dolorimetry and the fibromyalgia impact questionnaire was utilized to estimate the severity of FM symptoms. Anxiety and depression were assessed by the Arthritis Impact Measurement Scales subscales and quality of life was evaluated by the SF-36 questionnaire. The study population was characterized by a low educational level, a high rate of consanguinity, a high number of children per mother, and a high rate of polygamy. There was a high frequency of classic FM symptoms such as pain and fatigue, as well as anxiety and depression. The overall impact of FM on quality of life was exceedingly high (8.9 on a scale of 0 to 10). FM is relatively common in the unique setting of Muslim Bedouin women and has a very significant impact on their quality of life as well as on their dependents. Physicians involved in the primary care of this population should be attentive to the manifestations of FM and related disorders.

PTB’s Primary Clock CS1: First Results After Its Reconstruction

Science.gov (United States)

1996-12-01

intense atomic beam and the frequency instability up (7 = 1 s) is predicted to be 4.10- la , based on the 62.5 Hz linewidth and the signal-to-noise...will be put into final operation as a clock again. REFERENCES [I] K. Dorenwendt 1986, "Realization and dissemination of the second, " Metrologia ...T. HeindorfT, R. Schroder, and B. Fischer 1996, "The P T B primary clod CS3: type B evaluation of its standard uncertainty," Metrologia , 33, 249

Roll-coating fabrication of flexible large area small molecule solar cells with power conversion efficiency exceeding 1%

DEFF Research Database (Denmark)

Liu, Wenqing; Liu, Shiyong; Zawacka, Natalia Klaudia

2014-01-01

All solution-processed flexible large area small molecule bulk heterojunction solar cells were fabricated via roll-coating technology. Our devices were produced from slot-die coating on a lab-scale mini roll-coater under ambient conditions without the use of spin-coating or vacuum evaporation.......01%, combined with an open circuit voltage of 0.73 V, a short-circuit current density of 3.13 mA cm (2) and a fill factor of 44% were obtained for the device with SM1, which was the first example reported for efficient roll-coating fabrication of flexible large area small molecule solar cells with PCE exceeding...... methods. Four diketopyrrolopyrrole based small molecules (SMs 1-4) were utilized as electron donors with (6,6)phenyl- C61-butyric acid methyl ester as an acceptor and their photovoltaic performances based on roll-coated devices were investigated. The best power conversion efficiency (PCE) of 1...

Brazilian energy balance 2015: year 2014 - final report; Balanco energetico nacional 2015: ano base 2014 - relatorio final

Energy Technology Data Exchange (ETDEWEB)

NONE

2015-07-01

The Balance (BEB) contains the accounting relative to energy supply and consumption, as well the conversion processes and foreign trade. It presents in a single document the historical series of these operations and information about reserves, installed capacities and Federal States data. The BEB is divided into eight chapters and ten annexes, whose contents are as follow. Chapters' content can be described as follows: Chapter 1 - Energy Analysis and Aggregated Data - presents energy highlights per source in 2014 and analyses the evolution of the domestic energy supply and its relationship with economic growth. Chapter 2 - Energy Supply and Demand by Source - has the accountancy, per primary and secondary energy sources, of the production, import, export, variation of stocks, losses, adjustments, disaggregated total per socioeconomic sector in the country. Chapter 3 - Energy Consumption by Sector - presents the final energy consumption classified by primary and secondary source for each sector of the economy. Chapter 4 - Energy Imports and Exports - presents the evolution of the data on the import and export of energy and the dependence on external energy. Chapter 5 - Balance of Transformation Centers - presents the energy balances for the energy transformation centers including their losses. Chapter 6 - Energy Resources and Reserves - has the basic concepts use in the survey of resources and reserves of primary energy sources. Chapter 7 - Energy and Socio economics - contains a comparison of energy, economic and population parameters, specific consumption, energy intensities, average prices and spending on petroleum imports. Chapter 8 - State Energy Data - presents energy data for the states by Federal Unit, main energy source production, energy installations, reserves and hydraulic potential. Relating to annexes the current structure is presented bellow: Annex I - Installed Capacity - shows the installed capacity of electricity generation, the installed

Pressure Pump Power Control in the Primary Circuit of the Heat Exchange System

Directory of Open Access Journals (Sweden)

Shilin Aleksandr

2017-01-01

Full Text Available In this paper we consider the problem of speed in hot water systems where highly efficient plate heat exchanger is used. Especially marked the problem which is connected with long transition drive of constant speed exceeding the time of the heat exchanger accumulative tank emptying more than twice. As a regulating element in the heat exchange system there was proposed to use asynchronous electric drive of pressure pump in the primary circuit of the heat exchanger. For correct use of such electric drive we solved the problem of control object mathematical model synthesis, which has non-linear properties, in particular, the transfer coefficient of the circuit can vary in more than 6 times. At the same time there was revealed the dependence of the transfer coefficient on the motor speed, which must be considered in the controller synthesis. In conclusion we suggested the solutions of regulators synthesis tasks with customizable settings for speed and switchable structure between relay λ and PI regulators.

Primary studies on particle recovery of swipe samples for nuclear safeguards

International Nuclear Information System (INIS)

Fan Wang; Yan Chen; Yong-gang Zhao; Yan Zhang; Tong-xing Wang; Jing-huai Li; Zhi-yuan Chang; Hai-ping Cui

2013-01-01

Environmental sampling plays a significant role in nuclear safeguards. Isotopic ratio in uranium-bearing particles from swipe samples provides important information for detecting undeclared activities. Particle recovery which is the primary step of particle analysis, would affect the following analysis. The particle recovery efficiency of ultrasoneration recovery and vacuum suction-impact recovery were measured by alpha spectrometer with standard particles produced via aerosol spray pyrolysis method. The conditions of ultrasoneration were optimized and both recovery methods were evaluated. Finally, a procedure of particle recovery for unknown swipe samples was set up. (author)

Primary power supply of repetitive pulsed intense current accelerator charged by capacitance of energy store

International Nuclear Information System (INIS)

Chen Jun; Yang Jianhua; Shu Ting; Zhang Jiande; Zhou Xiang; Wen Jianchun

2008-01-01

The primary power supply of repetitive pulsed intense current accelerator charged by capacitance of energy store is studied. The principle of primary power supply circuit and its time diagram of switches are presented. The circuit is analyzed and some expressions are got, especially, the usable voltage scope of capacitance of energy store, and the correlation between the parameters of circuit and time delay, which is between the turn-on of the charging circuit of capacitance of energy store and the circuit of recuperation. The time delay of 256 x 256 lookup table is made with the instruction of theory and the simulation of the actual parameters of circuits. The table is used by the control program to control the repetitive operating of the actual pulsed intense current accelerator. Finally, some conclusions of the primary power supply of repetitive pulsed intense current accelerator charged by capacitance of energy store are got. (authors)

Optic Neuropathy Associated with Primary Sjögren's Syndrome: A Case Series.

Science.gov (United States)

Bak, Eunoo; Yang, Hee Kyung; Hwang, Jeong-Min

2017-04-01

To determine the diverse clinical features of optic neuropathy associated with primary Sjögren's syndrome in Korean patients. Five women with acute and/or chronic optic neuropathy who were diagnosed as primary Sjögren's syndrome were retrospectively evaluated. Primary Sjögren's syndrome was diagnosed by signs and symptoms of keratoconjunctivitis sicca, positive serum anti-Ro/SSA and/or anti-La/SSB antibodies, and/or minor salivary gland biopsy. All patients underwent a complete ophthalmologic examination. Among the five patients diagnosed as optic neuropathy related to primary Sjögren's syndrome, four patients had bilateral optic neuropathy and one patient was unilateral. The clinical course was chronic in three patients and one of them showed acute exacerbation and was finally diagnosed with neuromyelitis optica spectrum disorder. The other two patients presented as acute optic neuritis and one was diagnosed with neuromyelitis optica spectrum disorder. Sicca symptoms were present in four patients, but only two patients reported these symptoms before the onset of optic neuropathy. Patients showed minimal response to systemic corticosteroids or steroid dependence, requiring plasmapheresis in the acute phase and immunosuppressive agents for maintenance therapy. Optic neuropathy associated with primary Sjögren's syndrome may show variable clinical courses, including acute optic neuritis, insidious progression of chronic optic atrophy, or in the context of neuromyelitis optica spectrum disorders. Optic neuropathy may be the initial manifestation of primary Sjögren's syndrome without apparent sicca symptoms, which makes the diagnosis often difficult. The presence of specific antibodies including anti-Ro/SSA, anti-La/SSB, and anti-aquaporin-4 antibodies are supportive for the diagnosis and treatment in atypical cases of optic neuropathy.

Normocalcemic Primary Hyperparathyroidism

Science.gov (United States)

Cusano, Natalie E.; Silverberg, Shonni J.; Bilezikian, John P.

2013-01-01

Primary hyperparathyroidism, a common endocrine disorder, is traditionally defined by hypercalcemia and elevated levels of parathyroid hormone (PTH). A newer presentation of primary hyperparathyroidism has been described over the past decade, in which PTH is elevated but serum calcium is consistently normal, in the absence of secondary causes of hyperparathyroidism, such as renal disease or vitamin D deficiency. Recognition of this phenotype of primary hyperparathyroidism, normocalcemic primary hyperparathyroidism, supports a biphasic chronological time course in some individuals in which PTH levels are first elevated but serum calcium is normal, followed by the development of frank hypercalcemia. This review focuses on the available literature regarding this newly described phenotype of primary hyperparathyroidism. PMID:23374739

Control of fluxes towards antibiotics and the role of primary metabolism in production of antibiotics

DEFF Research Database (Denmark)

Gunnarsson, Nina; Eliasson Lantz, Anna; Nielsen, Jacob

2004-01-01

Yield improvements in antibiotic-producing strains have classically been obtained through random mutagenesis and screening. An attractive alternative to this strategy is the rational design of producer strains via metabolic engineering, an approach that offers the possibility to increase yields...... in the metabolic network. Here we describe and discuss available methods for identification of these steps, both in antibiotic biosynthesis pathways and in the primary metabolism, which serves as the supplier of precursors and cofactors for the secondary metabolism. Finally, the importance of precursor...... and cofactor supply from primary metabolism in the biosynthesis of different types of antibiotics is discussed and recent developments in metabolic engineering towards increased product yields in antibiotic producing strains are reviewed....

How to evaluate the risks of exceeding limits: geostatistical models and their application to air pollution

International Nuclear Information System (INIS)

Fouquet, Ch. de; Deraisme, J.; Bobbia, M.

2007-01-01

Geo-statistics is increasingly applied to the study of environmental risks in a variety of sectors, especially in the fields of soil decontamination and the evaluation of the risks due to air pollution. Geo-statistics offers a rigorous stochastic modeling approach that makes it possible to answer questions expressed in terms of uncertainty and risk. This article focusses on nonlinear geo-statistical methods, based on the Gaussian random function model, whose essential properties are summarised. We use two examples to characterize situations where direct and thus rapid methods provide appropriate solutions and cases that inevitably require more laborious simulation techniques. Exposure of the population of the Rouen metropolitan area to the risk of NO 2 pollution is assessed by simulations, but the surface area where the pollution exceeds the threshold limit can be easily estimated with nonlinear conditional expectation techniques. A second example is used to discuss the bias introduced by direct simulation, here of a percentile of daily SO 2 concentration for one year in the city of Le Havre; an operational solution is proposed. (authors)

Primary hepatic lymphoma presenting as fulminant hepatic failure with hyperferritinemia: A case report

Directory of Open Access Journals (Sweden)

Haider Fyeza S

2008-08-01

Full Text Available Abstract Introduction Primary hepatic lymphoma is an unusual form of non-Hodgkin's lymphoma that usually presents with constitutional symptoms, hepatomegaly and signs of cholestatic jaundice. Diffuse hepatic infiltration is uncommon and presentation with acute hepatic failure even more rare. The presence of markedly elevated ferritin levels can complicate the evaluation process and suggest alternative diagnoses. We present the case of a middle-aged woman exhibiting pancytopenia, hyperferritinemia and rapidly deteriorating to develop acute hepatic failure. Her initial clinical picture led to a working diagnosis of adult onset Still's disease with probable hemophagocytic syndrome before her worsening liver function necessitated a percutaneous liver biopsy and establishment of the final diagnosis of primary hepatic lymphoma. Conclusion Primary hepatic lymphoma is an uncommon malignancy and its manifestation as progressive hepatitis or acute fulminant hepatic failure can be difficult to diagnose. The presence of constitutional symptoms, pancytopenia and high ferritin levels can complicate the evaluation process. A liver biopsy early in the course of liver dysfunction may establish the diagnosis without a higher risk of bleeding complications seen once liver failure sets in.

The primary care amplification model: taking the best of primary care forward

Directory of Open Access Journals (Sweden)

Nicholson Caroline

2008-12-01

Full Text Available Abstract Background Primary care internationally is approaching a new paradigm. The change agenda implicit in this threatens to de-stabilise and challenge established general practice and primary care. Discussion The Primary Care Amplification Model offers a means to harness the change agenda by 'amplifying' the strengths of established general practices around a 'beacon' practice. Conclusion Such 'beacon' practices can provide a mustering point for an expanded scope of practice for primary care, integrated primary/secondary service delivery, interprofessional learning, relevant local clinical research, and a focus on local service innovation, enhancing rather than fragmenting the collective capacity of existing primary care.

Key technical issues associated with a method of pulse compression. Final technical report

International Nuclear Information System (INIS)

Hunter, R.O. Jr.

1980-06-01

Key technical issues for angular multiplexing as a method of pulse compression in a 100 KJ KrF laser have been studied. Environmental issues studied include seismic vibrations man-made vibrations, air propagation, turbulence, and thermal gradient-induced density fluctuations. These studies have been incorporated in the design of mirror mounts and an alignment system, both of which are reported. A design study and performance analysis of the final amplifier have been undertaken. The pulse compression optical train has been designed and assessed as to its performance. Individual components are described and analytical relationships between the optical component size, surface quality, damage threshold and final focus properties are derived. The optical train primary aberrations are obtained and a method for aberration minimization is presented. Cost algorithms for the mirrors, mounts, and electrical hardware are integrated into a cost model to determine system costs as a function of pulse length, aperture size, and spot size

Permanence of suppression of the primary immune response in rainbow trout, Salmo gairdneri, sublethally exposed to tritiated water during embryognesis

International Nuclear Information System (INIS)

Strand, J.A.; Fujihara, M.P.; Poston, T.M.; Abernethy, C.S.

1982-01-01

Previous experiments demonstrated that antibody synthesis in response to a challenge from the bacterium, Flexibacter columnaris, was significantly suppressed in juvenile (5 month) rainbow trout following exposure to tritium at doses as low as 4.0 rads when administered during the first 20 days of embryogenesis. In continuing studies, a secondary challenge to columnaris cells delivered to yearling (17 month) trout was used to test the hypothesis that early embryonic exposure to tritium irradiation (0, 0.04, 0.4, 4.0, and 40.0 rads) resulted in permanent injury to the primary immune process. Results indicated that under the prescribed experimental conditions, suppression of the primary immune response was permanent; that is, the degree of injury in yearling fish (17 months) equaled or exceeded that found in juvenile fish (5 months). At levels in the range of the maximum permissible concentration (MPC), tritium produced measurable, dose dependent, and irreversible suppression of immune capacity in affected fish. The threshold-free and exponential nature of the dose-response curve suggests extrapolation of effects to even lower exposures. (author)

Pattern of Primary Nocturnal Enuresis in Primary School Children ...

African Journals Online (AJOL)

Pattern of Primary Nocturnal Enuresis in Primary School Children (First Grade) in ... The control group consisting of 100 age-matched non-enuretic children ... was insignificantly associated with a positive family history, family size or birth rank.

Methods to achieve high interrater reliability in data collection from primary care medical records.

Science.gov (United States)

Liddy, Clare; Wiens, Miriam; Hogg, William

2011-01-01

We assessed interrater reliability (IRR) of chart abstractors within a randomized trial of cardiovascular care in primary care. We report our findings, and outline issues and provide recommendations related to determining sample size, frequency of verification, and minimum thresholds for 2 measures of IRR: the κ statistic and percent agreement. We designed a data quality monitoring procedure having 4 parts: use of standardized protocols and forms, extensive training, continuous monitoring of IRR, and a quality improvement feedback mechanism. Four abstractors checked a 5% sample of charts at 3 time points for a predefined set of indicators of the quality of care. We set our quality threshold for IRR at a κ of 0.75, a percent agreement of 95%, or both. Abstractors reabstracted a sample of charts in 16 of 27 primary care practices, checking a total of 132 charts with 38 indicators per chart. The overall κ across all items was 0.91 (95% confidence interval, 0.90-0.92) and the overall percent agreement was 94.3%, signifying excellent agreement between abstractors. We gave feedback to the abstractors to highlight items that had a κ of less than 0.70 or a percent agreement less than 95%. No practice had to have its charts abstracted again because of poor quality. A 5% sampling of charts for quality control using IRR analysis yielded κ and agreement levels that met or exceeded our quality thresholds. Using 3 time points during the chart audit phase allows for early quality control as well as ongoing quality monitoring. Our results can be used as a guide and benchmark for other medical chart review studies in primary care.

Phosphoproteomics of Primary Cells Reveals Druggable Kinase Signatures in Ovarian Cancer

Directory of Open Access Journals (Sweden)

Chiara Francavilla

2017-03-01

Full Text Available Our understanding of the molecular determinants of cancer is still inadequate because of cancer heterogeneity. Here, using epithelial ovarian cancer (EOC as a model system, we analyzed a minute amount of patient-derived epithelial cells from either healthy or cancerous tissues by single-shot mass-spectrometry-based phosphoproteomics. Using a multi-disciplinary approach, we demonstrated that primary cells recapitulate tissue complexity and represent a valuable source of differentially expressed proteins and phosphorylation sites that discriminate cancer from healthy cells. Furthermore, we uncovered kinase signatures associated with EOC. In particular, CDK7 targets were characterized in both EOC primary cells and ovarian cancer cell lines. We showed that CDK7 controls cell proliferation and that pharmacological inhibition of CDK7 selectively represses EOC cell proliferation. Our approach defines the molecular landscape of EOC, paving the way for efficient therapeutic approaches for patients. Finally, we highlight the potential of phosphoproteomics to identify clinically relevant and druggable pathways in cancer.

The Risk-Benefit Paradigm vs the Causal Exposure Paradigm: LDL as a primary cause of vascular disease.

Science.gov (United States)

Toth, Peter P; Thanassoulis, George; Williams, Ken; Furberg, Curt D; Sniderman, Allan

2014-01-01

All current guidelines use the 10-year risk of a cardiovascular event to select subjects for statin primary preventive therapy. Benefit from therapy is stated to be determined by risk with the result that statin primary preventive therapy is initiated only when the risk of a cardiovascular event over the next decade exceeds a specified level. Thus all current guidelines are based primarily on the Risk-Benefit paradigm of primary prevention. The recent American Heart Association/American College of Cardiology guidelines differ from others in basing selection for statin therapy virtually exclusively on risk except for those few subjects with markedly elevated levels of low-density lipoprotein cholesterol (LDL-C). The Causal Exposure paradigm differs from the Risk-Benefit paradigm in that the objective of therapy is to prevent the anatomic disease within arterial walls that produces cardiovascular risk. Moreover, the anatomic disease and, therefore, the cardiovascular risk, is a function of the injurious action of the causal factors of vascular disease, such as blood pressure and LDL, on the arterial wall over long periods. In this article, we explain the strengths and weaknesses of both paradigms to provide a more secure framework to compare the strengths and weaknesses in the different cholesterol guidelines with particular emphasis on the evidence that the cardiovascular risk and the benefit from statin therapy is related to the level of LDL. Copyright © 2014 National Lipid Association. Published by Elsevier Inc. All rights reserved.

Biomaterials recycling: bioglasses obtained from reuse of hydroxyapatite (HA) bovine bone with term exceeded validity; Reciclagem de biomateriais: biovidros obtidos a partir do reaproveitamento de hidroxiapatita (HA) ossea bovina com prazo de validade excedido

Energy Technology Data Exchange (ETDEWEB)

Silva, A.C.; Santos, S.C.; Braga, F.J.C., E-mail: dasilva.ac@uol.com.br [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil); Aparecida, A.H. [Universidade Estadual Paulista Julio de Mesquita Filho (UNESP), Araraquara, SP (Brazil). Inst. de Quimica

2012-07-01

The hydroxyapatite (HA) is a reference bioceramic for bone replacement and regeneration medical practice, becoming one of the most produced and researched bone graft material. Since it is a material for biomedical application, the manufacture and storage of this bioceramic must comply with severe conservation criteria, and its validity date is the lawful major factor for disposal. Materials with the exceeded expiration date are usually discarded and incinerated, resulting in ash, environmental contamination and energy expenditure. This study evaluates the possibility of reuse of bovine HA collected after its validity date as raw material to obtain bioglass, aiming to natural resources saving and environmental emissions mitigation. 45S5 similar compositions were obtained by melting the materials at 1500 ° C, followed by rapid cooling and annealing thermal treatment (500 ° C for 2h), analytical grade chemical reagents were used to set the final composition. The obtained materials were characterized by X-ray diffraction, infrared spectroscopy (FT-IR), and hydrolysis resistance techniques. The results of comparative chemical resistance (Hydrolytic) tests indicate the potential use of the materials developed for bone replacement applications. (author)

Enhanced primary and secondary performance through cognitive relaying and leveraging primary feedback

KAUST Repository

Hamza, Doha R.

2014-06-01

We consider a spectrum-sharing system, where the primary terminal operates in a time-slotted fashion and is active only when it has a packet to send. The secondary terminal uses spectrum sensing results and the primary automatic repeat request (ARQ) feedback to access the channel probabilistically. To enhance the primary\\'s system performance, the secondary user (SU) acts as a relay for the primary user (PU) in the event of transmission failure on the direct link of the latter. Closed-form expressions for the primary and secondary throughputs are obtained for the described scheme. The optimal medium access probabilities are then obtained by maximizing the secondary throughput subject to constraints that guarantee the stability of the considered queues, a minimum primary throughput, and a maximum primary queueing delay. The results clearly indicate the benefits of cognitive relaying in enhancing the throughput performance for both the PU and SU. Furthermore, by guaranteeing minimum rate and maximum delay requirements, our scheme is shown to provide a definitive notion of protection for the licensed users of the network. © 2013 IEEE.

A Delphi study assessing the utility of quality improvement tools and resources in Australian primary care.

Science.gov (United States)

Upham, Susan J; Janamian, Tina; Crossland, Lisa; Jackson, Claire L

2016-04-18

To determine the relevance and utility of online tools and resources to support organisational performance development in primary care and to complement the Primary Care Practice Improvement Tool (PC-PIT). A purposively recruited Expert Advisory Panel of 12 end users used a modified Delphi technique to evaluate 53 tools and resources identified through a previously conducted systematic review. The panel comprised six practice managers and six general practitioners who had participated in the PC-PIT pilot study in 2013-2014. Tools and resources were reviewed in three rounds using a standard pre-tested assessment form. Recommendations, scores and reasons for recommending or rejecting each tool or resource were analysed to determine the final suite of tools and resources. The evaluation was conducted from November 2014 to August 2015. Recommended tools and resources scored highly (mean score, 16/20) in Rounds 1 and 2 of review (n = 25). These tools and resources were perceived to be easily used, useful to the practice and supportive of the PC-PIT. Rejected resources scored considerably lower (mean score, 5/20) and were noted to have limitations such as having no value to the practice and poor utility (n = 6). A final review (Round 3) of 28 resources resulted in a suite of 21 to support the elements of the PC-PIT. This suite of tools and resources offers one approach to supporting the quality improvement initiatives currently in development in primary care reform.

Radiative heat transfer exceeding the blackbody limit between macroscale planar surfaces separated by a nanosize vacuum gap

Science.gov (United States)

Bernardi, Michael P.; Milovich, Daniel; Francoeur, Mathieu

2016-09-01

Using Rytov's fluctuational electrodynamics framework, Polder and Van Hove predicted that radiative heat transfer between planar surfaces separated by a vacuum gap smaller than the thermal wavelength exceeds the blackbody limit due to tunnelling of evanescent modes. This finding has led to the conceptualization of systems capitalizing on evanescent modes such as thermophotovoltaic converters and thermal rectifiers. Their development is, however, limited by the lack of devices enabling radiative transfer between macroscale planar surfaces separated by a nanosize vacuum gap. Here we measure radiative heat transfer for large temperature differences (~120 K) using a custom-fabricated device in which the gap separating two 5 × 5 mm2 intrinsic silicon planar surfaces is modulated from 3,500 to 150 nm. A substantial enhancement over the blackbody limit by a factor of 8.4 is reported for a 150-nm-thick gap. Our device paves the way for the establishment of novel evanescent wave-based systems.

Tank 241-U-103, grab samples 3U-99-1, 3u-99-2 and 3U-99-3 analytical results for the final report

International Nuclear Information System (INIS)

STEEN, F.H.

1999-01-01

This document is the final report for tank 241-U-103 grab samples. Three grab samples were collected from riser 13 on March 12, 1999 and received by the 222-S laboratory on March 15, 1999. Analyses were performed in accordance with the Compatibility Grab Sampling and Analysis Plan for Fiscal Year 1999 (TSAP) (Sasaki, 1999) and the Data Quality Objectives for Tank Farms Waste Compatibility Program (DQO). The analytical results are presented in the data summary report. None of the subsamples submitted for differential scanning calorimetry (DSC), total organic carbon (TOC) and plutonium 239 (Pu239) analyses exceeded the notification limits as stated in TSAP

Percutaneous lower-extremity arterial interventions with primary balloon angioplasty versus Silverhawk atherectomy and adjunctive balloon angioplasty: randomized trial.

Science.gov (United States)

Shammas, Nicolas W; Coiner, Denise; Shammas, Gail A; Dippel, Eric J; Christensen, Lori; Jerin, Michael

2011-09-01

Target lesion revascularization (TLR) with primary percutaneous transluminal angioplasty (PTA) versus SilverHawk atherectomy and adjunctive PTA of de novo infrainguinal disease has not been well defined. This study was conducted to compare the two approaches. In this prospective, two-center randomized trial of PTA versus atherectomy of infrainguinal vessels, the primary endpoint of TLR was evaluated at 1 year. Secondary endpoints included the rate of "bailout" stent placement for suboptimal acute angiographic results and the rate of target vessel revascularization (TVR). Fifty-eight patients were included in the study. Of these, 29 (36 vessels) were randomized to the atherectomy arm and 29 (48 vessels) to the PTA arm. Final acute angiographic success rates were 100% in the PTA arm and 97.2% in the atherectomy arm (P value not significant). There was no statistical difference in TLR (16.7% vs 11.1%) or TVR (21.4% vs 11.1%) between the PTA and atherectomy groups, respectively. Bailout stent placement was performed in 18 of 29 patients (62.1%) in the PTA arm and eight of 29 patients (27.6%) in the atherectomy arm (P = .017). Major adverse events were similar between the PTA and atherectomy arms. Finally, when embolic filter protection was used, distal macroembolization occurred in 11 of 17 patients (64.7%) treated with atherectomy versus none of 10 in the PTA group (P atherectomy and primary PTA. Atherectomy reduced the need for bailout stent placement compared with primary PTA. Copyright © 2011 SIR. Published by Elsevier Inc. All rights reserved.

Operational Experiences Tuning the ATF2 Final Focus Optics Towards Obtaining a 37nm Electron Beam IP Spot Size

CERN Document Server

White, Glen; Woodley, Mark; Bai, Sha; Bambade, Philip; Renier, Yves; Bolzon, Benoit; Kamiya, Yoshio; Komamiya, Sachio; Oroku, Masahiro; Yamaguchi, Yohei; Yamanaka, Takashi; Kubo, Kiyoshi; Kuroda, Shigeru; Okugi, Toshiyuki; Tauchi, Toshiaki; Marin, Eduardo

2010-01-01

The primary aim of the ATF2 research accelerator is to test a scaled version of the final focus optics planned for use in next-generation linear lepton colliders. ATF2 consists of a 1.3 GeV linac, damping ring providing lowemittance electron beams (<12pm in the vertical plane), extraction line and final focus optics. The design details of the final focus optics and implementation at ATF2 are presented elsewhere. The ATF2 accelerator is currently being commissioned, with a staged approach to achieving the design IP spot size. It is expected that as we implement more demanding optics and reduce the vertical beta function at the IP, the tuning becomes more difficult and takes longer. We present here a description of the implementation of the tuning procedures and describe operational experiences and performances

Assessment of mitochondrial dysfunction-related, drug-induced hepatotoxicity in primary rat hepatocytes

International Nuclear Information System (INIS)

Liu, Cong; Sekine, Shuichi; Ito, Kousei

2016-01-01

Evidence that mitochondrial dysfunction plays a central role in drug-induced liver injury is rapidly accumulating. In contrast to physiological conditions, in which almost all adenosine triphosphate (ATP) in hepatocytes is generated in mitochondria via aerobic respiration, the high glucose content and limited oxygen supply of conventional culture systems force primary hepatocytes to generate most ATP via cytosolic glycolysis. Thus, such anaerobically poised cells are resistant to xenobiotics that impair mitochondrial function, and are not suitable to identify drugs with mitochondrial liabilities. In this study, primary rat hepatocytes were cultured in galactose-based medium, instead of the conventional glucose-based medium, and in hyperoxia to improve the reliance of energy generation on aerobic respiration. Activation of mitochondria was verified by diminished cellular lactate release and increased oxygen consumption. These conditions improved sensitivity to the mitochondrial complex I inhibitor rotenone. Since oxidative stress is also a general cause of mitochondrial impairment, cells were exposed to test compounds in the presence of transferrin to increase the generation of reactive oxygen species via increased uptake of iron. Finally, 14 compounds with reported mitochondrial liabilities were tested to validate this new drug-induced mitochondrial toxicity assay. Overall, the culture of primary rat hepatocytes in galactose, hyperoxia and transferrin is a useful model for the identification of mitochondrial dysfunction-related drug-induced hepatotoxicity. - Highlights: • Drug-induced mitochondrial toxicity was evaluated using primary rat hepatocytes. • Galactose and hyperoxia could activate OXPHOS in primary rat hepatocytes. • Cells with enhanced OXPHOS exhibit improved sensitivity to mitochondrial toxins. • Transferrin potentiate mitochondrial toxicity via increased ROS production.

Payment Reform to Enhance Collaboration of Primary Care and Cardiology: A Review.

Science.gov (United States)

Farmer, Steven A; Casale, Paul N; Gillam, Linda D; Rumsfeld, John S; Erickson, Shari; Kirschner, Neil M; de Regnier, Kevin; Williams, Bruce R; Martin, R Shawn; McClellan, Mark B

2018-01-01

The US health care system faces an unsustainable trajectory of high costs and inconsistent outcomes. The fee-for-service payment model has contributed to inefficiency, and new payment methods are a promising approach to improving value. Health reforms are needed to increase patient access, reduce costs, and improve health care quality, and the landmark Medicare Access and CHIP Reauthorization Act presents a roadmap for reform. The product of a collaboration between primary care and cardiology clinicians, this review describes a conceptual approach to delivery and payment reforms that aim to better support primary care-cardiology comanagement of chronic cardiovascular disease (CVD). Few existing alternative payment models specifically address long-term management of CVD. Primary care medical homes and accountable care organizations come closest, but both emphasize primary care, and cardiologists have often not been well engaged. A collaborative care framework should articulate distinct roles and responsibilities for primary care and cardiology in CVD comanagement. Finally, a series of payment models aim to better support clinicians in providing accountable, seamless, and patient-centered cardiac care. Clinical leadership is essential during this time of change in the health care system. Patients often struggle to navigate a fragmented and expensive system, whereas clinicians often practice with incomplete information about tests, treatments, and recommendations by their colleagues. The payment models described in this review offer an opportunity to create more satisfying approaches to patient care while improving value. These models have potential to support more effective coordination and to facilitate broader health care system transformation.

Assessment of mitochondrial dysfunction-related, drug-induced hepatotoxicity in primary rat hepatocytes

Energy Technology Data Exchange (ETDEWEB)

Liu, Cong; Sekine, Shuichi, E-mail: ssekine@faculty.chiba-u.jp; Ito, Kousei

2016-07-01

Evidence that mitochondrial dysfunction plays a central role in drug-induced liver injury is rapidly accumulating. In contrast to physiological conditions, in which almost all adenosine triphosphate (ATP) in hepatocytes is generated in mitochondria via aerobic respiration, the high glucose content and limited oxygen supply of conventional culture systems force primary hepatocytes to generate most ATP via cytosolic glycolysis. Thus, such anaerobically poised cells are resistant to xenobiotics that impair mitochondrial function, and are not suitable to identify drugs with mitochondrial liabilities. In this study, primary rat hepatocytes were cultured in galactose-based medium, instead of the conventional glucose-based medium, and in hyperoxia to improve the reliance of energy generation on aerobic respiration. Activation of mitochondria was verified by diminished cellular lactate release and increased oxygen consumption. These conditions improved sensitivity to the mitochondrial complex I inhibitor rotenone. Since oxidative stress is also a general cause of mitochondrial impairment, cells were exposed to test compounds in the presence of transferrin to increase the generation of reactive oxygen species via increased uptake of iron. Finally, 14 compounds with reported mitochondrial liabilities were tested to validate this new drug-induced mitochondrial toxicity assay. Overall, the culture of primary rat hepatocytes in galactose, hyperoxia and transferrin is a useful model for the identification of mitochondrial dysfunction-related drug-induced hepatotoxicity. - Highlights: • Drug-induced mitochondrial toxicity was evaluated using primary rat hepatocytes. • Galactose and hyperoxia could activate OXPHOS in primary rat hepatocytes. • Cells with enhanced OXPHOS exhibit improved sensitivity to mitochondrial toxins. • Transferrin potentiate mitochondrial toxicity via increased ROS production.

Tracing Primary PM2.5 emissions via Chinese supply chains

Science.gov (United States)

Meng, Jing; Liu, Junfeng; Xu, Yuan; Tao, Shu

2015-05-01

In this study, we examine a supply-chain approach to more effectively mitigate primary PM2.5 emissions in China from the perspectives of production, consumption and their linkages using structural path analysis. We identify the pattern of all supply chain paths using principal component analysis. To address the severe haze problems in China, it is important to understand how final demand purchase initiates production processes and ultimately leads to primary PM2.5 emission. We found that consumers’ demands on power and transportation mainly induce direct emissions, quite different from the demands on construction, industry and service products which largely drive emissions in upstream activities. We also found that nearly 80% of the economic sectors in China follow a similar pattern in generating primary PM2.5 emissions in electricity, cement and the ferrous metal industries; but only the construction sector increases the release of PM2.5 due to the production of non-metallic mineral products. These findings indicate that further reduction of end-of-pipe emissions in the power and transportation sectors will facilitate cleaner production in almost all the economic sectors. However, for urbanization induced emissions, China should mitigate PM2.5 emissions through the supply chain of construction, either severely reducing its life-cycle intensity or carefully planning to avoid extensive, unnecessary building activity.

Tracing Primary PM2.5 emissions via Chinese supply chains

International Nuclear Information System (INIS)

Meng, Jing; Liu, Junfeng; Tao, Shu; Xu, Yuan

2015-01-01

In this study, we examine a supply-chain approach to more effectively mitigate primary PM 2.5 emissions in China from the perspectives of production, consumption and their linkages using structural path analysis. We identify the pattern of all supply chain paths using principal component analysis. To address the severe haze problems in China, it is important to understand how final demand purchase initiates production processes and ultimately leads to primary PM 2.5 emission. We found that consumers’ demands on power and transportation mainly induce direct emissions, quite different from the demands on construction, industry and service products which largely drive emissions in upstream activities. We also found that nearly 80% of the economic sectors in China follow a similar pattern in generating primary PM 2.5 emissions in electricity, cement and the ferrous metal industries; but only the construction sector increases the release of PM 2.5 due to the production of non-metallic mineral products. These findings indicate that further reduction of end-of-pipe emissions in the power and transportation sectors will facilitate cleaner production in almost all the economic sectors. However, for urbanization induced emissions, China should mitigate PM 2.5 emissions through the supply chain of construction, either severely reducing its life-cycle intensity or carefully planning to avoid extensive, unnecessary building activity. (letter)

Brazilian energy balance 2014 - calendar year 2013: final report; Balanco energetico nacional 2014 - ano base 2013: relatorio final

Energy Technology Data Exchange (ETDEWEB)

NONE

2014-08-01

The BEB is divided into eight chapters and ten annexes, whose contents are as follow: Chapter 1- Energy analysis and aggregated data- presents energy highlights per source in 2012 and analyses the evolution of the domestic energy supply and its relationship with economic growth in 2013; Chapter 2- Energy supply and demand by source- has the accountancy, per primary and secondary energy sources, of the production, import, export, variation of stocks, losses, adjustments, disaggregated total per socioeconomic sector in the country; Chapter 3- Energy consumption by sector- presents the final energy consumption classified by primary and secondary source for each sector of the economy; Chapter 4- Energy imports and exports- presents the evolution of the data on the import and export of energy and the dependence on external energy; Chapter 5- Balance of transformation centers- presents the energy balances for the energy transformation centers including their losses; Chapter 6- Energy resources and reserves- has the basic concepts use in the survey of resources and reserves of primary energy sources; Chapter 7- Energy and socioeconomics- contains a comparison of energy, economic and population parameters, specific consumption, energy intensities, average prices and spending on petroleum imports; Chapter 8- State energy data- presents energy data for the states by Federal Unit, main energy source production, energy installations, reserves and hydraulic potential; Relating to annexes the current structure is presented bellow: Annex 1- Installed capacity- shows the installed capacity of electricity generation, the installed capacity of Itaipu hydro plant and the installed capacity for oil refining.; Annex 2- Self-production of electricity- presents disaggregated data of self-production, considering sources and sectors. Annex 3- World energy data- presents the main indicators for the production, import, export and consumption per energy source and region; Annex 4- Useful

Brazilian energy balance 2013 - calendar year 2012: final report; Balanco energetico nacional 2013 - ano base 2012: relatorio final

Energy Technology Data Exchange (ETDEWEB)

NONE

2013-07-01

The BEB is divided into eight chapters and ten annexes, whose contents are as follow: Chapter 1- Energy analysis and aggregated data- presents energy highlights per source in 2012 and analyses the evolution of the domestic energy supply and its relationship with economic growth in 2012; Chapter 2- Energy supply and demand by source- has the accountancy, per primary and secondary energy sources, of the production, import, export, variation of stocks, losses, adjustments, disaggregated total per socioeconomic sector in the country; Chapter 3- Energy consumption by sector- presents the final energy consumption classified by primary and secondary source for each sector of the economy; Chapter 4- Energy imports and exports- presents the evolution of the data on the import and export of energy and the dependence on external energy; Chapter 5- Balance of transformation centers- presents the energy balances for the energy transformation centers including their losses; Chapter 6- Energy resources and reserves- has the basic concepts use in the survey of resources and reserves of primary energy sources; Chapter 7- Energy and socioeconomics- contains a comparison of energy, economic and population parameters, specific consumption, energy intensities, average prices and spending on petroleum imports; Chapter 8- State energy data- presents energy data for the states by Federal Unit, main energy source production, energy installations, reserves and hydraulic potential; Relating to annexes the current structure is presented bellow: Annex 1- Installed capacity- shows the installed capacity of electricity generation, the installed capacity of Itaipu hydro plant and the installed capacity for oil refining; Annex 2- Self-production of electricity- presents disaggregated data of self-production, considering sources and sectors. Annex 3- World energy data- presents the main indicators for the production, import, export and consumption per energy source and region; Annex 4- Useful

Nuclear Medicine Methods for Evaluation of Abnormal Parathyroid Glands in Patients with Primary and Secondary Hyperparathyroidism

Directory of Open Access Journals (Sweden)

Botushanova Albena D.

2017-12-01

Full Text Available Considered rare disease in the past, primary hyperparathyroidism (PHPT has dramatically increased in incidence over the past thirty years with the introduction of routine calcium measurements; it is now approximately 42 per 100 000 persons. By far, the most common lesion found in patients with PHPT is the solitary parathyroid adenoma, occurring in 85%-90% of patients, while in the rest 10%- 15% primary hyperplasia of the parathyroid glands is present. Currently, the most widely used surgical approach is minimally invasive parathyroidectomy which is associated with less post-surgery complications and shorter operation time. To be successful this procedure needs to rely on a precise preoperative localization of the abnormal parathyroid glands, hence preoperative parathyroid imaging gained so large importance. The rationale for locating abnormal parathyroid tissue prior to surgery is that the glands can be notoriously unpredictable in their location. There is a general consensus that the best imaging procedure identifying abnormal parathyroid glands is the preoperative scintigraphy with 99mTc-sestamibi or 99mTc-tetrofosmin. It is characterized with high sensitivity and specificity exceeding those of ultrasound, CT or MRI. Combining scintigraphy with the other imaging techniques increases the precision for topic localization.

Primary Headache Disorders- Part 2: Tension-type headache and medication overuse headache.

Science.gov (United States)

Jay, Gary W; Barkin, Robert L

2017-12-01

In Part 2 of Primary Headache disorders, we discuss the fourth Primary Headache Disorder, Tension-Type Headache (TTHA). We are again using the ICHD-III (Beta) definitions of such headaches, taking into consideration episodic and chronic TTHA, as well as the presence or absence of pericranial muscle tenderness. We discuss the pathophysiology and pharmacotherapeutic treatment of TTHA, and the aspects of the Myofascial Pain Syndrome that enhance and help the development of TTHA. We then discuss Medication Overuse Headache (MOH), itself a Secondary headache disorder, but one that is extremely important as it assists with the chronification of both migraine and TTHA. Finally we discuss how to manage and treat those patients with MOH. Chronic migraine, which is TTHA, Migraine as well as, in many patients, MOH, is discussed along with the treatment of this multifaceted disorder. Copyright © 2017 Elsevier Inc. All rights reserved.

The Limitation of Primary Signals Entering DVB-T On-Channel-Repeater Working in SFN Network

Directory of Open Access Journals (Sweden)

Marek Dvorsky

2013-01-01

Full Text Available This paper considers an issue of signal coverage in uncovered places using a broadcasting device called a Gap Filler. The main focus is placed on the analysis of potential negative effects while signals from two and more primary transmitters simultaneously enter to the Gap Filler. In particular, in the measurements the impact of reception cross delayed signals received by the Gap Filler from two adjacent primary transmitters operating in the Single Frequency Network was analysed. The influence of different receive signal levels from two adjacent primary transmitters was also examined. In the conclusion, based on the experiments, the limiting factors useful for individual transmitters in the Single Frequency Network were determined. The analysis and finding the limit parameters can help bradcasters in further setting and debugging of the Gap Filler network. Finally, the described laboratory experiment was also verified under the real SFN network condition in border region Vsetinsko to verify the laboratory findings.

Primary lithium-thionyl chloride cell evaluation

Science.gov (United States)

Zolla, A. E.; Waterhouse, R.; Debiccari, D.; Griffin, G. L.

1980-08-01

A test program was conducted to evaluate the Altus 1350AH cell performance against the Minuteman Survival Ground Power requirements. Twelve cells of the 17 inch diameter, 1-3/8 inch heights were fabricated and tested during this study. Under discharge rates varying from C/100 to C/400 at ambient temperature, the volumetric and gravimetric energy density performance requirements of 15 watt hours per cubic inch and 150 watt hours per pound were exceeded in all cases. All other performance requirements of voltage, current, configuration, capacity volume, weight, electrolyte leakage (none), and maintainability (none required), were met or exceeded. The abuse testing demonstrated the Altus Cell's ability to safely withstand short circuit by external shorting, short circuit by penetration with a conductive object, forced discharge, and forced charging of a cell. Disposal of discharged cells by incineration is an environmentally safe and efficient method of disposal.

Primary intraosseous carcinoma occurring in the maxilla

Energy Technology Data Exchange (ETDEWEB)

Kim, Mi Ja [Seoul National University College of Medicine, Seoul (Korea, Republic of)

2004-03-15

Primary intraosseous carcinoma (PIOC) is a rare odontogenic carcinoma defined as a squamous cell carcinoma arising within a jaw having no initial connection with the oral mucosa, and presumably developing from residues of the odontogenic epithelium. A 56-year-old patient who complained of delayed healing after extraction of upper left central incisor visited our department. The conventional radiographs showed a bony destructive lesion with ill-defined margin and moth-eaten appearance. On the computed tomographic images, the lesion perforated the labial cortex of alveolar bone, elevated the left nasal floor superiorly, and perforated partially both nasal floor. The magnetic resonance images showed low signal intensity at T2 and T1 weighted images at the area and adjacent soft tissue. Histologically, there were irregular epithelial islands with cell atypia, nuclear hyperchromatism, pleomorphism, atypical mitosis. The final diagnosis was PIOC.

Primary intraosseous carcinoma occurring in the maxilla

International Nuclear Information System (INIS)

Kim, Mi Ja

2004-01-01

Primary intraosseous carcinoma (PIOC) is a rare odontogenic carcinoma defined as a squamous cell carcinoma arising within a jaw having no initial connection with the oral mucosa, and presumably developing from residues of the odontogenic epithelium. A 56-year-old patient who complained of delayed healing after extraction of upper left central incisor visited our department. The conventional radiographs showed a bony destructive lesion with ill-defined margin and moth-eaten appearance. On the computed tomographic images, the lesion perforated the labial cortex of alveolar bone, elevated the left nasal floor superiorly, and perforated partially both nasal floor. The magnetic resonance images showed low signal intensity at T2 and T1 weighted images at the area and adjacent soft tissue. Histologically, there were irregular epithelial islands with cell atypia, nuclear hyperchromatism, pleomorphism, atypical mitosis. The final diagnosis was PIOC.

Primary ovarian malignant melanoma

Directory of Open Access Journals (Sweden)

Kostov Miloš

2010-01-01

Full Text Available Background. Primary ovarian malignant melanoma is extremely rare. It usually appears in the wall of a dermoid cyst or is associated with another teratomatous component. Metastatic primary malignant melanoma to ovary from a primary melanoma elsewhere is well known and has been often reported especially in autopsy studies. Case report. We presented a case of primary ovarian malignant melanoma in a 45- year old woman, with no evidence of extraovarian primary melanoma nor teratomatous component. The tumor was unilateral, macroscopically on section presented as solid mass, dark brown to black color. Microscopically, tumor cells showed positive immunohistochemical reaction for HMB-45, melan-A and S-100 protein, and negative immunoreactivity for estrogen and progesteron receptors. Conclusion. Differentiate metastatic melanoma from rare primary ovarian malignant melanoma, in some of cases may be a histopathological diagnostic problem. Histopathological diagnosis of primary ovarian malignant melanoma should be confirmed by immunohistochemical analyses and detailed clinical search for an occult primary tumor.

Physically based probability criterion for exceeding radionuclide concentration limits in heterogeneous bedrock

International Nuclear Information System (INIS)

Worman, A.; Xu, S.; Dverstorp, B.

2004-01-01

A significant problem in a risk analysis of the repository for high-level nuclear waste is to estimate the barrier effect of the geosphere. The significant spatial variability of the rock properties implies that migrating RNs encounter a distribution of bedrock properties and mass-transfer mechanisms in different proportions along the transport paths. For practical reasons, we will never be able to know exactly this distribution of properties by performing a reasonable amount of measurements in a site investigation. On the contrary, recent experimental studies reveal that crystalline bedrock can possess a marked heterogeneity of various physical and geochemical properties that potentially may have a certain impact on the transport of RNs in fractured bedrock. Also current field investigation techniques provide only fragmentary information of the properties of the geosphere. This is a basic motivation for treating flows of water and solute elements in groundwaters by means of stochastic continuum models. The stochastic analysis is based on the idea that we know only certain point values of the property fields and use this information to estimate intermediate values. The probabilistic properties of the stochastic analysis are suitable input variables for risk analyses of the relevant sequence of extreme events for which empirical observations are rare or non-existing. The purpose of this paper is to outline the implications of the stochastic approach for estimating probabilities that certain concentration limits are exceeded at discharge points from. the bedrock in case of a leakage from the waste repository. The analysis is restricted to the water flow and solute transport in the bedrock alone without consideration of the full sequence of events in a full risk analysis and the Bayesian statistics involved in such conditioned (and cross-correlated) event series. The focus is on the implication for the risk analysis of the auto-covariance structure in bedrock

Preliminary clinical results of locoregional hyperthermia for primary and secondary bone tumors

Energy Technology Data Exchange (ETDEWEB)

Zhu, J.L.; Nagata, Yasushi; Kanamori, Shuichi; Mitsumori, Michihide; Okuno, Yoshishige; Horii, Naotoshi; Nishimura, Yasumasa; Masunaga, Shinitiro; Hiraoka, Masahiro [Kyoto Univ. (Japan). Graduate School of Medicine

2000-03-01

Nineteen primary and secondary bone tumors in 16 patients were treated with hyperthermia plus radiotherapy and/or chemotherapy between 1982 and 1997 at Kyoto University Hospital. The thermometric and clinical results were analyzed retrospectively. In 55 of 86 hyperthermia sessions, the intratumor temperature was measured using a thermometer. Of the 19 tumors, 16 (84%) received heat treatment 4-7 times, and 3 (16%) received 1 or 2 treatments of hyperthermia. The mean maximum, mean minimum and average intratumor temperatures were 42.9, 40.4 and 41.6 deg C, respectively, and 12 (67%) reached a tumor maximum temperature above 42.5 deg C. The durations that intratumor points exceeded 42, 41 and 40 deg C were 27, 34 and 38 min, respectively. The local tumor response to treatment was assessed using X-ray computed tomography. The local response rate was 16% and the local pain relief rate was 63%. The 1-year cumulative survival rate was 60%. Our preliminary results indicated that thermoradiotherapy and thermochemotherapy are clinicaly feasible and potentially beneficial in the management of locally advanced bone tumors. (author)

Primary Ewing's sarcoma of the sinonasal tract in adults: A challenging disease.

Science.gov (United States)

Lombardi, Davide; Mattavelli, Davide; Redaelli De Zinis, Luca O; Accorona, Remo; Morassi, Maria L; Facchetti, Fabio; Ferrari, Vittorio; Farina, Davide; Bertulli, Rossella; Nicolai, Piero

2017-03-01

Sinonasal localization of Ewing's sarcoma in adults is an exceedingly rare event. The clinical records of 5 patients with primary sinonasal Ewing's sarcoma treated from 1992 to 2012 were retrospectively analyzed. All pathologic slides were reviewed by 2 experienced pathologists. All patients underwent multimodality treatments. Median age was 36 years (range, 25-52 years). At referral, 2 patients had the original diagnosis changed by review of the histologic slides. Tumors were classified as T4aN0M0 (4 patients) and T2N0M0 (1 patient). Median follow-up was 110 months (range, 70-139 months). Only 1 patient, who started treatment elsewhere based on an incorrect histologic diagnosis, experienced multiple recurrences and eventually died of widespread metastasis. Correct pathologic diagnosis can have a crucial impact on treatment planning and outcome. Multimodality therapy is the key for long-term successful results. Because of the rarity of the tumor, referral to highly experienced care centers is strongly recommended. © 2016 Wiley Periodicals, Inc. Head Neck 39: E45-E50, 2017. © 2016 Wiley Periodicals, Inc.

Primary care requests for anaemia chemistry tests in Spain: potential iron, transferrin and folate over-requesting.

Science.gov (United States)

Salinas, Maria; López-Garrigós, Maite; Flores, Emilio; Leiva-Salinas, Carlos

2017-09-01

To study the regional variability of requests for anaemia chemistry tests in primary care in Spain and the associated economic costs of potential over-requesting. Requests for anaemia tests were examined in a cross-sectional study. Clinical laboratories from different autonomous communities (AACCs) were invited to report on primary care anaemia chemistry tests requested during 2014. Demand for iron, ferritin, vitamin B12 and folate tests per 1000 inhabitants and the ratios of the folate/vitamin B12 and transferrin/ferritin requests were compared between AACCs. We also calculated reagent costs and the number of iron, transferrin and folate tests and the economic saving if every AACC had obtained the results achieved by the AACC with best practice. 110 laboratories participated (59.8% of the Spanish population). More than 12 million tests were requested, resulting in reagent costs exceeding €16.5 million. The serum iron test was the most often requested, and the ferritin test was the most costly (over €7 million). Close to €4.5 million could potentially have been saved if iron, transferrin and folate had been appropriately requested (€6 million when extrapolated to the whole Spanish population). The demand for and expenditure on anaemia chemistry tests in primary care in Spain is high, with significant regional differences between different AACCs. 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/.

Final project report, TA-35 Los Alamos Power Reactor Experiment No. II (LAPRE II) decommissioning project

International Nuclear Information System (INIS)

Montoya, G.M.

1992-01-01

This final report addresses the decommissioning of the LAPRE II Reactor, safety enclosure, fuel reservoir tanks, emergency fuel recovery system, primary pump pit, secondary loop, associated piping, and the post-remediation activities. Post-remedial action measurements are also included. The cost of the project, including Phase I assessment and Phase II remediation was approximately $496K. The decommissioning operation produced 533 m 3 of low-level solid radioactive waste and 5 m 3 of mixed waste

Computer Games and Their Impact on Creativity of Primary Level Students in Tehran

Directory of Open Access Journals (Sweden)

Tahereh Mokhtari

2016-09-01

Full Text Available Creativity is about being sensitive to dilemmas, losses, problems, and existing errors, making propositions about and examining such issues, which finally leads to innovative findings. On the other hand, it seems that games are important in this process; since they can improve creativity of the individuals. Thus, this research pays attention to the question that whether computer games affect creativity of students at primary level in schools or not? Moreover, in this study, students of 3 main districts of Tehran municipality were studied. Based on the available data of the ministry, there were 51740 students studying in these three districts. Thus, 381 students were randomly selected as the research sample. Findings revealed that all computer games, i.e. puzzle, intellectual, and enigma, affect creativity of students at primary level in schools to different extents.

A rare case of primary clear cell sarcoma of the pubic bone resembling small round cell tumor: an unusual morphological variant

International Nuclear Information System (INIS)

Nakayama, Shoko; Tsuji, Motomu; Hanafusa, Toshiaki; Yokote, Taiji; Iwaki, Kazuki; Akioka, Toshikazu; Miyoshi, Takuji; Hirata, Yuji; Takayama, Ayami; Nishiwaki, Uta; Masuda, Yuki

2012-01-01

Clear cell sarcoma (CCS) and malignant melanoma share overlapping immunohistochemistry with regard to the melanocytic markers HMB45, S100, and Melan-A. However, the translocation t(12; 22)(q13; q12) is specific to CCS. Therefore, although these neoplasms are closely related, they are now considered to be distinct entities. However, the translocation is apparently detectable only in 50%–70% of CCS cases. Therefore, the absence of a detectable EWS/AFT1 rearrangement may occasionally lead to erroneous exclusion of a translocation-negative CCS. Therefore, histological assessment is essential for the correct diagnosis of CCS. Primary CCS of the bone is exceedingly rare. Only a few cases of primary CCS arising in the ulna, metatarsals, ribs, radius, sacrum, and humerus have been reported, and primary CCS arising in the pubic bone has not been reported till date. We present the case of an 81-year-old man with primary CCS of the pubic bone. Histological examination of the pubic bone revealed monomorphic small-sized cells arranged predominantly as a diffuse sheet with round, hyperchromatic nuclei and inconspicuous nucleoli. The cells had scant cytoplasm, and the biopsy findings indicated small round cell tumor (SRCT). Immunohistochemical staining revealed the tumor cells to be positive for HMB45, S100, and Melan-A but negative for cytokeratin (AE1/AE3) and epithelial membrane antigen. To the best of our knowledge, this is the first case report of primary CCS of the pubic bone resembling SRCT. This ambiguous appearance underscores the difficulties encountered during the histological diagnosis of this rare variant of CCS. Awareness of primary CCS of the bone is clinically important for accurate diagnosis and management when the tumor is located in unusual locations such as the pubic bone and when the translocation t(12; 22)(q13; q12) is absent

Final disposal of the rad waste materials - question of the nuclear energy implementation and application perspectives

International Nuclear Information System (INIS)

Plecas, I.

1995-01-01

Two main problems that are denying and slowing down the development of nuclear energy are safe work of the nuclear power facilities (NEF) and disposal of the radioactive waste materials, produced from the NEF and infrastructure facilities of the nuclear fuel cycle (NFC). Although nowadays worldwide knowledge, based on the 45 year of experiences in handling the radioactive waste materials, do not treat the problems of final disposal of the rad waste materials as a task of the primary importance in NFC, this subject still engage experts from this field of investigations, especially in the countries that developed all aspects of the nuclear fuel cycle. Techniques for final disposal of low and intermediate level rad waste materials, are well known and are in state of implementation. The importance of the fundamental safety principles, implemented in the IAEA documents, concerning handling, treatment and final disposal of the rad waste materials, is presented. Future usage of nuclear energy, taking into account all the facts that are dealing with problems of the rad waste materials produced in the NFC, can be a reality. (author.)

氪气产品氧含量超标的分析及处理%Analysis and treatment of exceedance of oxygen content in gaseous krypton product

Institute of Scientific and Technical Information of China (English)

葛军; 陈颂; 高波

2012-01-01

During operation of krypton xenon fine extraction unit, the poor heat exchange effect of heat exchanger before molecular sieve absorber and the leakage of inlet of molecular sieve absorber leads to exceedance of oxygen content in gaseous krypton product. After elimination troubles with corresponding corrective measures, the krypton xenon fine extraction unit steadily runs and the quality of gaseous krypton product conforms to state standards. The flow process of krypton xenon fine extraction unit is briefed, the cause analysis, treatment scheme and its effects are detailed and finally the lessons are summarized.%在氪氙精提取装置运行过程中，由于分子筛吸附器前的换热器换热效果不理想和分子筛吸附器入口泄漏等原因，导致氪气产品中的氧含量超标。采取相应措施排除故障后，保证了氪氙精提取装置的稳定运行，使氪气产品质量达到了国家标准的要求。简介氪氙精提取装置的流程，详细介绍原因分析过程和处理方案的实施及其效果，最后总结由此获得的体会。

Borehole sealing. Final report, March 1, 1973--October 31, 1973

Energy Technology Data Exchange (ETDEWEB)

Eilers, L.H.

1977-01-01

A program to evaluate existing materials and techniques to permanently plug boreholes penetrating salt strata near prospective radioactive waste depository sites is described. A new subcontract No. 78X-33542C has been issued to seal a borehole near Lyons, Kansas, using the materials and techniques recommended in this report. It is recommended that the well be thoroughly cleaned including removing any casing penetrating the critical salt strata. Following this, any fluid-bearing zones should be grouted using the best grout available. Silica gel was recommended for porous zones backed up by Portland cement to seal fractures and vugs. Recommendations were made to use sulfate resistant Chem Comp or sulfate resistant regular Portland (Type V) as the primary sealing material in the areas where anhydrite strata are present such as the existing wells at Lyons, Kansas, or the prospective wells near Carlsbad, New Mexico. This would be modified to meet existing conditions such as salt saturated slurry through the salt strata or added powdered silica in the zones which might exceed 230/sup 0/F at any time. A short epoxy plug was recommended at the top and bottom of the salt strata and a short Seal Ring plug at the base of any extensive water zones. Extensive water zones are not expected in the New Mexico area, however.

Leisure-time pedagogues in the new Danish primary school – a renewed professional identity?

DEFF Research Database (Denmark)

Gravesen, David Thore; Ringskou, Lea Thomsen

of the project consists of different types of data collecting methods. Part of the data material is based on ethnographic participant observations in two Danish primary schools, closely accompanied by a series of qualitative semi-structured interviews. Finally, the leisure-time pedagogues that serve......, during classes and within formal school activities. In our presentation we examine the effects of these new conditions. How do pedagogues cultivate and negotiate their professional identity and what are the potentials and pitfalls of these new settings in the Danish primary school? The research design...... on theories on professional identity and school development in welfare societies. Our preliminary data indicates a crucial shift in leisure-time pedagogues’ activities and scheduling of time. This seemingly leads to a joint attention on respectively relational work and classroom leadership. Our research...

Statewide GIS mapping of recurring congestion corridors : final report.

Science.gov (United States)

2009-07-01

Recurring congestion occurs when travel demand reaches or exceeds the available roadway : capacity. This project developed an interactive geographic information system (GIS) map of the : recurring congestion corridors (labeled herein as hotspots) in ...

Comparison of the microhardness of primary and permanent teeth after immersion in two types of carbonated beverages.

Science.gov (United States)

Haghgou, Hamid R; Haghgoo, Roza; Asdollah, Fatemah Molla

2016-01-01

The consumption of carbonated beverages is one of the etiological factors that cause dental erosion. The purpose of this research was to compare changes in the microhardness of permanent and primary teeth after immersion in two types of carbonated beverages. This investigation was done on 30 healthy permanent molars and 30 healthy primary canines. Each group of primary and permanent teeth was subdivided into three groups of 10 teeth. The teeth was immersed in 40 ml of each of the three beverages for 5 min. One subgroup was immersed in water (as a control). The next was immersed in Lemon Delster and the last subgroup was immersed in Coca-Cola. The microhardness of enamel was measured using the Vickers method before and after immersion. Finally, the data was analyzed by paired t-test, one-way analysis of variance, and t-test. Microhardness reduction in the primary teeth was significant in both the Lemon Delster and Coca-Cola groups (P Coca-Cola and Lemon Delster caused a significant reduction of microhardness in tooth enamel. This reduction was greater in primary teeth than in permanent teeth, and was also greater after immersion in Coca-Cola than after immersion in Lemon Delster.

Wait times to rheumatology care for patients with rheumatic diseases: a data linkage study of primary care electronic medical records and administrative data.

Science.gov (United States)

Widdifield, Jessica; Bernatsky, Sasha; Thorne, J Carter; Bombardier, Claire; Jaakkimainen, R Liisa; Wing, Laura; Paterson, J Michael; Ivers, Noah; Butt, Debra; Lyddiatt, Anne; Hofstetter, Catherine; Ahluwalia, Vandana; Tu, Karen

2016-01-01

The Wait Time Alliance recently established wait time benchmarks for rheumatology consultations in Canada. Our aim was to quantify wait times to primary and rheumatology care for patients with rheumatic diseases. We identified patients from primary care practices in the Electronic Medical Record Administrative data Linked Database who had referrals to Ontario rheumatologists over the period 2000-2013. To assess the full care pathway, we identified dates of symptom onset, presentation in primary care and referral from electronic medical records. Dates of rheumatologist consultations were obtained by linking with physician service claims. We determined the duration of each phase of the care pathway (symptom onset to primary care encounter, primary care encounter to referral, and referral to rheumatologist consultation) and compared them with established benchmarks. Among 2430 referrals from 168 family physicians, 2015 patients (82.9%) were seen by 146 rheumatologists within 1 year of referral. Of the 2430 referrals, 2417 (99.5%) occurred between 2005 and 2013. The main reasons for referral were osteoarthritis (32.4%) and systemic inflammatory rheumatic diseases (30.6%). Wait times varied by diagnosis and geographic region. Overall, the median wait time from referral to rheumatologist consultation was 74 (interquartile range 27-101) days; it was 66 (interquartile range 18-84) days for systemic inflammatory rheumatic diseases. Wait time benchmarks were not achieved, even for the most urgent types of referral. For systemic inflammatory rheumatic diseases, most of the delays occurred before referral. Rheumatology wait times exceeded established benchmarks. Targeted efforts are needed to promote more timely access to both primary and rheumatology care. Routine linkage of electronic medical records with administrative data may help fill important gaps in knowledge about waits to primary and specialty care.

Enhanced primary and secondary performance through cognitive relaying and leveraging primary feedback

KAUST Repository

Hamza, Doha R.; Aï ssa, Sonia

2014-01-01

We consider a spectrum-sharing system, where the primary terminal operates in a time-slotted fashion and is active only when it has a packet to send. The secondary terminal uses spectrum sensing results and the primary automatic repeat request (ARQ) feedback to access the channel probabilistically. To enhance the primary's system performance, the secondary user (SU) acts as a relay for the primary user (PU) in the event of transmission failure on the direct link of the latter. Closed-form expressions for the primary and secondary throughputs are obtained for the described scheme. The optimal medium access probabilities are then obtained by maximizing the secondary throughput subject to constraints that guarantee the stability of the considered queues, a minimum primary throughput, and a maximum primary queueing delay. The results clearly indicate the benefits of cognitive relaying in enhancing the throughput performance for both the PU and SU. Furthermore, by guaranteeing minimum rate and maximum delay requirements, our scheme is shown to provide a definitive notion of protection for the licensed users of the network. © 2013 IEEE.

Pharmacist provision of primary health care: a modified Delphi validation of pharmacists' competencies

Directory of Open Access Journals (Sweden)

Kennie-Kaulbach Natalie

2012-03-01

Full Text Available Abstract Background Pharmacists have expanded their roles and responsibilities as a result of primary health care reform. There is currently no consensus on the core competencies for pharmacists working in these evolving practices. The aim of this study was to develop and validate competencies for pharmacists' effective performance in these roles, and in so doing, document the perceived contribution of pharmacists providing collaborative primary health care services. Methods Using a modified Delphi process including assessing perception of the frequency and criticality of performing tasks, we validated competencies important to primary health care pharmacists practising across Canada. Results Ten key informants contributed to competency drafting; thirty-three expert pharmacists replied to a second round survey. The final primary health care pharmacist competencies consisted of 34 elements and 153 sub-elements organized in seven CanMeds-based domains. Highest importance rankings were allocated to the domains of care provider and professional, followed by communicator and collaborator, with the lower importance rankings relatively equally distributed across the manager, advocate and scholar domains. Conclusions Expert pharmacists working in primary health care estimated their most important responsibilities to be related to direct patient care. Competencies that underlie and are required for successful fulfillment of these patient care responsibilities, such as those related to communication, collaboration and professionalism were also highly ranked. These ranked competencies can be used to help pharmacists understand their potential roles in these evolving practices, to help other health care professionals learn about pharmacists' contributions to primary health care, to establish standards and performance indicators, and to prioritize supports and education to maximize effectiveness in this role.

Reliability centered maintenance pilot system implementation 241-AP-tank farm primary ventilation system final report

International Nuclear Information System (INIS)

MOORE TL

2001-01-01

When the Hanford Site Tank Farms' mission was safe storage of radioactive waste in underground storage tanks, maintenance activities focused on time-based preventive maintenance. Tank Farms' new mission to deliver waste to a vitrification plant where the waste will be processed into a form suitable for permanent storage requires a more efficient and proactive approach to maintenance. Systems must be maintained to ensure that they are operational and available to support waste feed delivery on schedule with a minimum of unplanned outages. This report describes the Reliability Centered Maintenance (RCM) pilot system that was implemented in the 241-AP Tank Farm Primary Ventilation System under PI-ORP-009 of the contract between the U.S. Department of Energy, Office of River Protection and CH2M HILL Hanford Group Inc. (CHG). The RCM analytical techniques focus on monitoring the condition of operating systems to predict equipment failures so that maintenance activities can be completed in time to prevent or mitigate unplanned equipment outages. This approach allows maintenance activities to be managed with minimal impact on plant operations. The pilot demonstration provided an opportunity for CHG staff-training in RCM principles and tailoring of the RCM approach to the Hanford Tank Farms' unique needs. This report details the implementation of RCM on a pilot system in Tank Farms

Primary Energy of the District city and Suburb

Science.gov (United States)

Pitonak, Anton; Lopusniak, Martin; Bagona, Miloslav

2017-10-01

In member states of the European Union, portion of buildings in the total consumption of energy represents 40 %, and their share in CO2 emissions represents 35 %. Taking into account the dependence of the European Union on import of energy, this represents a large quantity of energy and CO2 in spite of the fact that effective solutions for the reduction of energy demand of buildings exist. The European Union adopted three main commitments for fulfilment of criteria by year 2020 in the 20-20-20 Directive. Based on this Directive Slovakia declares support for renovating the building stock. The goal of the paper was to prove that renovation of the building stock is environmentally and energy preferably as construction of new buildings. In the paper, the settlement unit with the suburban one were compared. Both territories are dealt with in Kosice city, in Slovakia. The settlement units include apartment dwelling houses, amenities, parking areas and green. Suburban part contains family houses. The decisive factor for the final assessment of the buildings was global indicator. Global indicator of the energy performance is primary energy. The new building must meet minimum requirements for energy performance and it must be classified to energy class A1 since 2016, and to energy class A0 since 2020. The paper analyses the effects of the use of different resources of heat considering the global indicator. Primary energy was calculated and based on comparable unit. The primary energy was accounted for on the built-up area, area corresponding to district city and suburb, number of inhabitants. The study shows that the lowest values of global indicator are achieved by using wood. The highest values of global indicator are achieved by using electricity or district heating as an energy source. The difference between the highest and lowest value is 87 %. Primary energy based on inhabitant is 98 % lower in settlement unit compared to the suburban one.

Probability of pipe fracture in the primary coolant loop of a PWR plant. Volume 3: nonseismic stress analysis. Final report

International Nuclear Information System (INIS)

Chan, A.L.; Curtis, D.J.; Rybicki, E.F.; Lu, S.C.

1981-08-01

This volume describes the analyses used to evaluate stresses due to loads other than seismic excitations in the primary coolant loop piping of a selected four-loop pressurized water reactor nuclear power station. The results of the analyses are used as input to a simulation procedure for predicting the probability of pipe fracture in the primary coolant system. Sources of stresses considered in the analyses are pressure, dead weight, thermal expansion, thermal gradients through the pipe wall, residual welding, and mechanical vibrations. Pressure and thermal transients arising from plant operations are best estimates and are based on actual plant operation records supplemented by specified plant design conditions. Stresses due to dead weight and thermal expansion are computed from a three-dimensional finite element model that uses a combination of pipe, truss, and beam elements to represent the reactor coolant loop piping, reactor pressure vessel, reactor coolant pumps, steam generators, and the pressurizer. Stresses due to pressure and thermal gradients are obtained by closed-form solutions. Calculations of residual stresses account for the actual heat impact, welding speed, weld preparation geometry, and pre- and post-heat treatments. Vibrational stresses due to pump operation are estimated by a dynamic analysis using existing measurements of pump vibrations

Stress Sources and Manifestations in a Nationwide Sample of Pre-Primary, Primary, and Secondary Educators in Greece.

Science.gov (United States)

Kourmousi, Ntina; Alexopoulos, Evangelos C

2016-01-01

Teachers experience high levels of stress as a result of their professional duties, and research has shown a growing interest in this phenomenon during the recent years. Aim of this study was to explore the associations of stress sources and manifestations with individual and job-related characteristics in educators of all levels. In a cross-sectional design, following an informative e-campaign on the study aims through the official and the main teachers' portals in Greece, respondents completed online the teachers stress inventory (TSI) and the 14-item Perceived Stress Scale. Nine hundred seventy-four male and 2473 female pre-primary, primary, and secondary educators with a mean age of 41.2 years responded. Women and younger teachers reported significantly higher levels of stress, mainly due to lack of time and other work-related stressors, and also more emotional and gastronomic manifestations. Increased age and working experience were associated with lower levels of several stress sources. Teachers of administrative positions had increased time management stressors, but less professional distress, professional investment, and discipline and motivation stressors. Additionally, working and residing far from family increased teachers' stress levels associated with control, motivation, and investment. Teachers of pre-primary education had reduced professional investment and motivation stress factors, while vocational lyceum teachers of secondary education reported less work-related stressors and manifestations and more discipline and motivation-related ones. Having students supported or in need of support from special educators and students with difficulties in speaking or comprehension was associated with most of the teachers' stress sources and manifestations (i.e., TSI subscales). Finally, colleagues' and mainly supervisors' support seemed to provide a strong and consistent protection against both stress sources and manifestations. Stress factors and

Safe, secure, and clean disposal of final nuclear wastes using 'PyroGreen' strategies

International Nuclear Information System (INIS)

Jung, HyoSook; Choi, Sungyeol; Hwang, Il Soon

2011-01-01

of the repository for the PyroGreen's final wastes, after validating against UCB-NE model for direct disposal and recycling cases. For the groundwater migration scenario, the calculated peak annual dose remains below 0.1 mSv/year that is 100 times lower than the Korean regulatory limit for LILW. The human intrusion risk is adequately controlled by making the long-living actinide concentration of PyroGreen not exceed that of WIPP. Therefore PyroGreen process is expected to provide game-changing improvement over the conventional pyroprocess, both in the safety and the confidence in long-term performance of a repository. (author)

THE MICROBIOLOGICAL LOAD OF SHEEP MILK FROM PRIMARY PRODUCTION TO ITS PROCESSING

Directory of Open Access Journals (Sweden)

Zuzana Farkašová

2010-05-01

Full Text Available In the breeding with the average number of 220 sheep (zošľachtená valaška with traditional hand milking in the Eastern Slovakia the microbiological load of milk during the process of primary production, transport, before and after pasteurisation as well as during dairy processing to cheese curd was observed. The results in three seasons were compared to those obtained at finishing of milking in the season before. The microbiological load of milk was observed using the bacteriological methods for determination of the presence of Staphylococcus sp. and other bacteria, and determination of the total number of staphylococci: a  in milliliter of pool milk sample; b  the transport control – smears from transport tank and determination of the total number of staphylococci in the tank milk sample; c bacteriological examination of bulk tank milk in the dairy plant before and after pasteurisation, including examination of cheese curd. After pasteurisation no staphylococci were recorded as in milk as in cheese. Out of 112 strains of Staphylococcus aureus only four strain produced staphylococcal enterotoxins (SE, but in another 7 strains a gene for production of SE, type C was found. The measures introduced during the following season led to the fact that total numbers of coagulase-positive staphylococci in milk within the process of primary production and transport did not exceed the limit permitted by legislation, and after pasteurisation of milk and cheese curd they were not found at all.  doi:10.5219/58

Malignancy risk prediction for primary jejunum-ileal tumors

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MARQUES Ruy Garcia

2000-01-01

Full Text Available This work is aimed at identifying factors associated with primary jejunum-ileal tumors malignancy, defining a prediction model with sensitivity, specificity and accuracy to distinguish malign from benign neoplasms. These tumors are rare, have highly unspecific presentation and, frequently, are diagnosed late. We reviewed the charts of 42 patients with primary jejunum-ileal tumors treated in the Department of General Surgery of Rio de Janeiro State University Hospital, Rio de Janeiro, RJ, Brazil, from 1969 to 1998. We performed bivariate analyses, based on chi² test, searching associations between tumors malignancy and demographic and clinical variables. Then logistic regression was employed to consider the independent effect of variables previously identified on malignancy risk. The malign tumors included 11 adenocarcinomas, 7 leiomyosarcomas, 5 carcinoids and 4 lymphomas; the benign tumors included 10 leiomyomas, 2 hamartomas, and single cases of adenoma, multiple neurilemoma and choristoma. The bivariate analyses indicated the association between malignancy and palpable abdominal mass (P = 0.003, period from signs and symptoms onset to diagnosis (P = 0.016, anemia (P = 0.020, anorexia (P = 0.003, abdominal pain (P = 0.031, weight loss (P = 0.001, nausea and vomit (P = 0.094, and intestinal obstruction (P = 0.066; no association with patients demographic characteristics were found. In the final logistic regression model, weight loss, anemia and intestinal obstruction were statistically associated with the dependent variable of interest. Based only on three variables -- weight loss, anemia and intestinal obstruction -- the model defined was able to predict primary jejunum-ileal tumors malignancy with sensitivity of 85.2%, specificity of 80.0%, and accuracy of 83.3%.

Identifying drivers of overall satisfaction in patients receiving HIV primary care: a cross-sectional study.

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Bich N Dang

Full Text Available OBJECTIVE: This study seeks to understand the drivers of overall patient satisfaction in a predominantly low-income, ethnic-minority population of HIV primary care patients. The study's primary aims were to determine 1 the component experiences which contribute to patients' evaluations of their overall satisfaction with care received, and 2 the relative contribution of each component experience in explaining patients' evaluation of overall satisfaction. METHODS: We conducted a cross-sectional study of 489 adult patients receiving HIV primary care at two clinics in Houston, Texas, from January 13-April 21, 2011. The participation rate among eligible patients was 94%. The survey included 15 questions about various components of the care experience, 4 questions about the provider experience and 3 questions about overall care. To ensure that the survey was appropriately tailored to our clinic population and the list of component experiences reflected all aspects of the care experience salient to patients, we conducted in-depth interviews with key providers and clinic staff and pre-tested the survey instrument with patients. RESULTS: Patients' evaluation of their provider correlated the strongest with their overall satisfaction (standardized β = 0.445, p<0.001 and accounted for almost half of the explained variance. Access and availability, like clinic hours and ease of calling the clinic, also correlated with overall satisfaction, but less strongly. Wait time and parking, despite receiving low patient ratings, did not correlate with overall satisfaction. CONCLUSIONS: The patient-provider relationship far exceeds other component experiences of care in its association with overall satisfaction. Our study suggests that interventions to improve overall patient satisfaction should focus on improving patients' evaluation of their provider.

High-Temperature Graphitization Failure of Primary Superheater Tube

Science.gov (United States)

Ghosh, D.; Ray, S.; Roy, H.; Mandal, N.; Shukla, A. K.

2015-12-01

Failure of boiler tubes is the main cause of unit outages of the plant, which further affects the reliability, availability and safety of the unit. So failure analysis of boiler tubes is absolutely essential to predict the root cause of the failure and the steps are taken for future remedial action to prevent the failure in near future. This paper investigates the probable cause/causes of failure of the primary superheater tube in a thermal power plant boiler. Visual inspection, dimensional measurement, chemical analysis, metallographic examination and hardness measurement are conducted as the part of the investigative studies. Apart from these tests, mechanical testing and fractographic analysis are also conducted as supplements. Finally, it is concluded that the superheater tube is failed due to graphitization for prolonged exposure of the tube at higher temperature.

TARGET 2 and Settlement Finality

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Ivan MANGATCHEV

2011-03-01

Full Text Available This article examines how TARGET 2 as system implements the idea of settlement finality regulated by Directive 98/26 EC of the European parliament and of the Council of 19 May 1998 on settlement finality in payment and securities settlement systems (Settlement Finality Directive and Directive 2009/44/EC of the European parliament and of the Council of 6 May 2009 amending Directive 98/26/EC on settlement finality in payment and securities settlement systems and Directive 2002/47/EC on financial collateral arrangements as regards linked systems and credit claims (Directive 2009/44/EC. As the title of the arti and finality of the settlement in this system.

A conversion method of air kerma from the primary, scatter, and leakage radiations to effective dose for calculating x-ray shielding barriers in mammography

International Nuclear Information System (INIS)

Kharrati, Hedi

2005-01-01

In this study, a new approach has been introduced for derivation of the effective dose from air kerma to calculate shielding requirements in mammography facilities. This new approach has been used to compute the conversion coefficients relating air kerma to the effective dose for the mammography reference beam series of the Netherlands Metrology Institute Van Swinden Laboratorium, National Institute of Standards and Technology, and International Atomic Energy Agency laboratories. The results show that, in all cases, the effective dose in mammography energy range is less than 25% of the incident air kerma for the primary and the scatter radiations and does not exceed 75% for the leakage radiation

Dynamic loads on the primary system

International Nuclear Information System (INIS)

Rohde, J.

1980-01-01

As a result of pipe breaks f.ex. in the primary system of a PWR-plant dynamic forces act on the components of the system as well as on their support-structures and internals. The design basis must guarantee that LOCA or system-transient generated loads cannot produce deformations or fractures that endanger the coolability of the reactor, the emergency feedwater supply to the core-region and a safe shut-down of the reactor. In this lecture the first part of a LOCA will be discussed, where the highest dynamic loads on the primary system are expected. In this connection comments are given on the main assumptions and boundary conditions, the related regulations and guide-lines, as well as the possible consequences of an accident. Next, a review is presented of the analytical methods being used for the determination of thermohydraulic generated loads. The stress-calculations on the basis of these load-functions are discussed in the following lectures. The application of the analytical methods, i.e. the different computer codes, and the verification on the basis of the experimental results are described together with a discussion of the theoretical results. In addition a survey will be given of the research work done in connection with the problems of the dynamic loads under accident conditions. Finally, the problems of the fluid-structure interaction will be explained and comments made on computer code development now under way regarding this problem. A short film will be presented to provide a better understanding of fast transient phenomena. (orig./RW)

Pesticide and trace metal occurrence and aquatic benchmark exceedances in surface waters and sediments of urban wetlands and retention ponds in Melbourne, Australia.

Science.gov (United States)

Allinson, Graeme; Zhang, Pei; Bui, AnhDuyen; Allinson, Mayumi; Rose, Gavin; Marshall, Stephen; Pettigrove, Vincent

2015-07-01

Samples of water and sediments were collected from 24 urban wetlands in Melbourne, Australia, in April 2010, and tested for more than 90 pesticides using a range of gas chromatographic (GC) and liquid chromatographic (LC) techniques, sample 'hormonal' activity using yeast-based recombinant receptor-reporter gene bioassays, and trace metals using spectroscopic techniques. At the time of sampling, there was almost no estrogenic activity in the water column. Twenty-three different pesticide residues were observed in one or more water samples from the 24 wetlands; chemicals observed at more than 40% of sites were simazine (100%), atrazine (79%), and metalaxyl and terbutryn (46%). Using the toxicity unit (TU) concept, less than 15% of the detected pesticides were considered to pose an individual, short-term risk to fish or zooplankton in the ponds and wetlands. However, one pesticide (fenvalerate) may have posed a possible short-term risk to fish (log10TUf > -3), and three pesticides (azoxystrobin, fenamiphos and fenvalerate) may have posed a risk to zooplankton (logTUzp between -2 and -3); all the photosystem II (PSII) inhibiting herbicides may have posed a risk to primary producers in the ponds and wetlands (log10TUap and/or log10TUalg > -3). The wetland sediments were contaminated with 16 different pesticides; no chemicals were observed at more than one third of sites, but based on frequency of detection and concentrations, bifenthrin (33%, maximum 59 μg/kg) is the priority insecticide of concern for the sediments studied. Five sites returned a TU greater than the possible effect threshold (i.e. log10TU > 1) as a result of bifenthrin contamination of their sediments. Most sediments did not exceed Australian sediment quality guideline levels for trace metals. However, more than half of the sites had threshold effect concentration quotients (TECQ) values >1 for Cu (58%), Pb (50%), Ni (67%) and Zn (63%), and 75% of sites had mean probable effect concentration quotients

Challenging the Science Curriculum Paradigm: Teaching Primary Children Atomic-Molecular Theory

Science.gov (United States)

Haeusler, Carole; Donovan, Jennifer

2017-11-01

Solutions to global issues demand the involvement of scientists, yet concern exists about retention rates in science as students pass through school into University. Young children are curious about science, yet are considered incapable of grappling with abstract and microscopic concepts such as atoms, sub-atomic particles, molecules and DNA. School curricula for primary (elementary) aged children reflect this by their limitation to examining only what phenomena are without providing any explanatory frameworks for how or why they occur. This research challenges the assumption that atomic-molecular theory is too difficult for young children, examining new ways of introducing atomic theory to 9 year olds and seeks to verify their efficacy in producing genuine learning in the participants. Early results in three cases in different schools indicate these novel methods fostered further interest in science, allowed diverse children to engage and learn aspects of atomic theory, and satisfied the children's desire for intellectual challenge. Learning exceeded expectations as demonstrated in the post-interview findings. Learning was also remarkably robust, as demonstrated in two schools 8 weeks after the intervention and, in one school, 1 year after their first exposure to ideas about atoms, elements and molecules.

Primary Hypothyroidism with Exceptionally High Prolactin-A Really Big Deal.

Science.gov (United States)

Khorassanizadeh, Rahim; Sundaresh, Vishnu; Levine, Steven N

2016-07-01

Primary hypothyroidism can cause both hyperprolactinemia and pituitary hyperplasia. The degree of hyperprolactinemia is generally modest, and rarely do prolactin concentrations exceed 100 ng/mL (4.34 nmol/L). This combination of hyperprolactinemia and pituitary gland enlargement might raise suspicion for a prolactinoma or a nonfunctioning adenoma limiting the ability of hypothalamic dopamine to inhibit prolactin production, the so-called "stalk effect." We describe a 30-year-old female with headaches, galactorrhea, and hyperprolactinemia with a presumptive diagnosis of a prolactinoma. She had hypothyroidism after treatment of Graves disease at age 17 years but was noncompliant with levothyroxine replacement. Thyroid-stimulating hormone (TSH) was 263 mIU/L, FT4 was 3.01 pmol/L, and prolactin was 323 ng/mL (14.06 nmol/L). Magnetic resonance imaging (MRI) demonstrated increased volume of the pituitary gland with homogeneous enhancement with gadolinium. Levothyroxine treatment for 2 weeks decreased her TSH to130 mIU/L, but her total prolactin remained elevated at 386 ng/mL (16.78 nmol/L). Further testing identified that 76% of the total prolactin was macroprolactin. Primary hypothyroidism can cause hyperprolactinemia, and prolonged disease may lead to pituitary hyperplasia. However, a marked elevation of prolactin should raise suspicion to investigate additional etiologies for hyperprolactinemia. Our case exemplifies a dual etiology for hyperprolactinemia and pituitary hyperplasia caused by both hypothyroidism and macroprolactin. This knowledge is invaluable for clinicians to avoid unnecessary management with dopamine agonists and/or surgery. This patient's prolactin was 323 ng/mL (14.06 nmol/L). Before our case, the highest prolactin in a hypothyroid patient reported in the literature was 253 ng/mL (11.0 nmol/L). Copyright © 2016 Elsevier Inc. All rights reserved.

Attitudes About and Practices of Health Promotion and Prevention Among Primary Care Providers.

Science.gov (United States)

Luquis, Raffy R; Paz, Harold L

2015-09-01

The Patient Protection and Affordable Care Act's emphasis on health promotion and prevention activities required an examination of the current practices of primary care providers in these areas. A total of 196 primary care providers completed a survey to assess current health promotion and prevention attitudes, practices, and barriers. Results of this study showed that family physicians in Pennsylvania recognize the importance of and their role in providing health promotion and prevention and offer advice in key behavioral and disease prevention areas. Results from the study suggest that their ability to provide these services is hindered by a lack of time and the heavy workload. Although most family physicians provided advice to patients in several health promotion and prevention areas, few participants reported that they referred patients to other health professionals. Finally, when it comes to preventive services, participants ranked blood pressure screening, tobacco use screening, and tobacco use cessation interventions as the most important services. Effective implementation of the Patient Protection and Affordable Care Act will require necessary resources and support of primary care providers to help patients achieve healthier lives. © 2014 Society for Public Health Education.

Technical/ administrative options for managing tritium MCL exceedances in P-area groundwater and Steel Creek

Energy Technology Data Exchange (ETDEWEB)

Ross, J. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)

2017-04-01

This white paper was requested by the Core Team (United States Department of Energy [USDOE], United States Environmental Protection Agency [USEPA], and South Carolina Department of Health and Environmental Control [SCDHEC]) at the P-Area Groundwater (PAGW) Operable Unit (OU) Scoping Meeting held in January 2017 to discuss recent data and potential alternatives in support of a focused Corrective Measures Study/Feasibility Study (CMS/FS). This white paper presents an overview of the problem, and a range of technical and administrative options for addressing the tritium contamination in groundwater and Steel Creek. As tritium cannot be treated practicably, alternatives are limited to media transfer, containment and natural attenuation principally relying on radioactive decay. Using other groundwater OU decisions involving tritium as precedent, Savannah River Nuclear Solutions (SRNS) recommends that final tritium alternatives be evaluated in a CMS/FS, understanding that the likely preferred remedy will include natural attenuation with land use controls (LUCs). This is based on the inability to significantly reduce tritium impact to Steel Creek using an engineered solution as compared to natural attenuation. The timing of this evaluation could be conducted concurrently with the final remedy evaluation for volatile organic compounds (VOCs).

Other primary headaches

Directory of Open Access Journals (Sweden)

Anish Bahra

2012-01-01

Full Text Available The ′Other Primary Headaches′ include eight recognised benign headache disorders. Primary stabbing headache is a generally benign disorder which often co-exists with other primary headache disorders such as migraine and cluster headache. Primary cough headache is headache precipitated by valsalva; secondary cough has been reported particularly in association with posterior fossa pathology. Primary exertional headache can occur with sudden or gradual onset during, or immediately after, exercise. Similarly headache associated with sexual activity can occur with gradual evolution or sudden onset. Secondary headache is more likely with both exertional and sexual headache of sudden onset. Sudden onset headache, with maximum intensity reached within a minute, is termed thunderclap headache. A benign form of thunderclap headache exists. However, isolated primary and secondary thunderclap headache cannot be clinically differentiated. Therefore all headache of thunderclap onset should be investigated. The primary forms of the aforementioned paroxysmal headaches appear to be Indomethacin sensitive disorders. Hypnic headache is a rare disorder which is termed ′alarm clock headache′, exclusively waking patients from sleep. The disorder can be Indomethacin responsive, but can also respond to Lithium and caffeine. New daily persistent headache is a rare and often intractable headache which starts one day and persists daily thereafter for at least 3 months. The clinical syndrome more often has migrainous features or is otherwise has a chronic tension-type headache phenotype. Management is that of the clinical syndrome. Hemicrania continua straddles the disorders of migraine and the trigeminal autonomic cephalalgias and is not dealt with in this review.

Silicon-Vacancy Spin Qubit in Diamond: A Quantum Memory Exceeding 10 ms with Single-Shot State Readout

Science.gov (United States)

Sukachev, D. D.; Sipahigil, A.; Nguyen, C. T.; Bhaskar, M. K.; Evans, R. E.; Jelezko, F.; Lukin, M. D.

2017-12-01

The negatively charged silicon-vacancy (SiV- ) color center in diamond has recently emerged as a promising system for quantum photonics. Its symmetry-protected optical transitions enable the creation of indistinguishable emitter arrays and deterministic coupling to nanophotonic devices. Despite this, the longest coherence time associated with its electronic spin achieved to date (˜250 ns ) has been limited by coupling to acoustic phonons. We demonstrate coherent control and suppression of phonon-induced dephasing of the SiV- electronic spin coherence by 5 orders of magnitude by operating at temperatures below 500 mK. By aligning the magnetic field along the SiV- symmetry axis, we demonstrate spin-conserving optical transitions and single-shot readout of the SiV- spin with 89% fidelity. Coherent control of the SiV- spin with microwave fields is used to demonstrate a spin coherence time T2 of 13 ms and a spin relaxation time T1 exceeding 1 s at 100 mK. These results establish the SiV- as a promising solid-state candidate for the realization of quantum networks.

Health is primary: Family medicine for America's health.

Science.gov (United States)

Phillips, Robert L; Pugno, Perry A; Saultz, John W; Tuggy, Michael L; Borkan, Jeffrey M; Hoekzema, Grant S; DeVoe, Jennifer E; Weida, Jane A; Peterson, Lars E; Hughes, Lauren S; Kruse, Jerry E; Puffer, James C

2014-10-01

More than a decade ago the American Academy of Family Physicians, American Academy of Family Physicians Foundation, American Board of Family Medicine, Association of Departments of Family Medicine, Association of Family Practice Residency Directors, North American Primary Care Research Group, and Society of Teachers of Family Medicine came together in the Future of Family Medicine (FFM) to launch a series of strategic efforts to "renew the specialty to meet the needs of people and society," some of which bore important fruit. Family Medicine for America's Health was launched in 2013 to revisit the role of family medicine in view of these changes and to position family medicine with new strategic and communication plans to create better health, better health care, and lower cost for patients and communities (the Triple Aim). Family Medicine for America's Health was preceded and guided by the development of a family physician role definition. A consulting group facilitated systematic strategic plan development over 9 months that included key informant interviews, formal stakeholder surveys, future scenario testing, a retreat for family medicine organizations and stakeholder representatives to review strategy options, further strategy refinement, and finally a formal strategic plan with draft tactics and design for an implementation plan. A second communications consulting group surveyed diverse stakeholders in coordination with strategic planning to develop a communication plan. The American College of Osteopathic Family Physicians joined the effort, and students, residents, and young physicians were included. The core strategies identified include working to ensure broad access to sustained, primary care relationships; accountability for increasing primary care value in terms of cost and quality; a commitment to helping reduce health care disparities; moving to comprehensive payment and away from fee-for-service; transformation of training; technology to support

Sanitary landfill in situ bioremediation optimization test. Final report

International Nuclear Information System (INIS)

1996-01-01

This work was performed as part of a corrective action plan for the Savannah River Site Sanitary Landfill. This work was performed for the Westinghouse Savannah River Company Environmental Restoration Department as part of final implementation of a groundwater remediation system for the SRS Sanitary Landfill. Primary regulatory surveillance was provided by the South Carolina Department of Health and Environmental Control and the US Environmental Protection Agency (Region IV). The characterization, monitoring and remediation systems in the program generally consisted of a combination of innovative and baseline methods to allow comparison and evaluation. The results of these studies will be used to provide input for the full-scale groundwater remediation system for the SRS Sanitary Landfill. This report summarizes the performance of the Sanitary Landfill In Situ Optimization Test data, an evaluation of applicability, conclusions, recommendations, and related information for implementation of this remediation technology at the SRS Sanitary Landfill

Medium-energy nuclear physics research. Final technical progress report, May 1, 1971-November 30, 1981

International Nuclear Information System (INIS)

Willard, H.B.

1981-01-01

Final results are summarized for this program with the primary emphasis on measurement of ten independent parameters for proton-proton elastic scattering at 800 MeV and four independent such parameters at 650 MeV. Inelastic proton-proton reactions have also been measured at 800 MeV. Proton-deuteron elastic scattering cross sections and polarization analyzing powers have been obtained at 800 MeV. Proton-nucleus total and total reaction cross sections were measured at 700 MeV for a number of nuclei. Major instrumentation was designed and constructed to carry out this program

Exceedance probability map: a tool helping the definition of arsenic Natural Background Level (NBL) within the Drainage Basin to the Venice Lagoon (NE Italy)

Science.gov (United States)

Dalla Libera, Nico; Fabbri, Paolo; Mason, Leonardo; Piccinini, Leonardo; Pola, Marco

2017-04-01

estimates the spatial distribution of the exceedance probabilities respect some pre-defined thresholds. This approach is largely mentioned in literature to face similar environmental problems. To test the validity of the procedure, we used the dataset from "A.Li.Na" project (founded by the Regional Environmental Agency) that defined regional NBLs of As, Fe, Mn and NH4+ into DBVL's groundwater. Primarily, we defined two thresholds corresponding respectively to the IDWS and the median of the data over the IDWS. These values were decided basing on the dataset's statistical structure and the quality criteria of the GWD 2006/118/EC. Subsequently, we evaluated the spatial distribution of the probability to exceed the defined thresholds using the Indicator kriging. The results highlight different zones with high exceedance probability ranging from 75% to 95% respect both the IDWS and the median value. Considering the geological setting of the DBVL, these probability values correspond with the occurrence of both organic matter and reducing conditions. In conclusion, the spatial prediction of the exceedance probability could be useful to define the areas in which estimate the local NBLs, enhancing the procedure of NBL definition. In that way, the NBL estimation could be more realistic because it considers the spatial distribution of the studied contaminant, distinguishing areas with high natural concentrations from polluted ones.

Primary molar pulpotomy: a systematic review and network meta-analysis.

Science.gov (United States)

Lin, Po-Yen; Chen, Hsueh-Szu; Wang, Yu-Hsiang; Tu, Yu-Kang

2014-09-01

Pulpotomy is a common procedure to treat asymptomatic reversible pulpitis in primary molars. The aim of this study is to undertake a systematic review and a network meta-analysis to compare the clinical and radiographic outcomes of different pulpotomy procedures in primary molars. Three authors performed data extraction independently and in duplicate using data collection forms. Disagreements were resolved by discussion. An electronic literature search was performed within MEDLINE (via PubMed), ScienceDirect, Web of Science, Cochrane, and ClinicalKey databases until December 2012. Medications for pulpotomy including formocresol, ferric sulfate, calcium hydroxide, and mineral trioxide aggregate (MTA), and laser pulpotomy are compared using Bayesian network meta-analyses. The outcome is the odds ratio for clinical and radiographic failure including premature tooth loss at 12 and 24 months after treatments amongst different treatment procedures. 37 studies were included in the systematic review, and 22 of them in the final network meta-analyses. After 18-24 months, in terms of treatment failure, the odds ratio for calcium hydroxide vs. formocresol was 1.94 [95% credible interval (CI): 1.11, 3.25]; 3.38 (95% CI: 1.37, 8.61) for lasers vs. formocresol; 2.16 (95% CI: 1.12, 4.31) for calcium hydroxide vs. ferric sulfate; 3.73 (95% CI: 1.27, 11.67) for lasers vs. ferric sulfate; 0.47 (95% CI: 0.26, 0.83) for MTA vs. calcium hydroxide; 3.76 (95% CI: 1.39, 10.08) for lasers vs. After 18-24 months, formocresol, ferric sulfate, and MTA showed significantly better clinical and radiographic outcomes than calcium hydroxide and laser therapies in primary molar pulpotomies. The network meta-analyses showed that MTA is the first choice for primary molar pulpotomies. However, if treatment cost is an issue, especially when the treated primary molars are going to be replaced by permanent teeth, ferric sulfate may be the choice. Copyright © 2014 Elsevier Ltd. All rights reserved.

Primary Hyperparathyroidism: An Overview

Directory of Open Access Journals (Sweden)

Jessica MacKenzie-Feder

2011-01-01

Full Text Available Primary hyperparathyroidism is a common condition that affects 0.3% of the general population. Primary and tertiary care specialists can encounter patients with primary hyperparathyroidism, and prompt recognition and treatment can greatly reduce morbidity and mortality from this disease. In this paper we will review the basic physiology of calcium homeostasis and then consider genetic associations as well as common etiologies and presentations of primary hyperparathyroidism. We will consider emerging trends in detection and measurement of parathyroid hormone as well as available imaging modalities for the parathyroid glands. Surgical indications and approach will be reviewed as well as medical management of primary hyperparathyroidism with bisphosphonates and calcimimetics.

Process and kinetics of the fundamental radiation-electrochemical reactions in the primary coolant loop of nuclear reactors

International Nuclear Information System (INIS)

Kozomara-Maic, S.

1987-06-01

In spite of the rather broad title of this report, its major part is devoted to the corrosion problems at the RA reactor, i.e. causes and consequences of the reactor shutdown in 1979 and 1982. Some problems of reactor chemistry are pointed out because they are significant for future reactor operation. The final conclusion of this report is that corrosion processes in the primary coolant circuit of the nuclear reactor are specific and that radiation effects cannot be excluded when processes and reaction kinetics are investigated. Knowledge about the kinetics of all the chemical reactions occurring in the primary coolant loop are of crucial significance for safe and economical reactor operation [sr

Phosphoproteomics of Primary Cells Reveals Druggable Kinase Signatures in Ovarian Cancer.

Science.gov (United States)

Francavilla, Chiara; Lupia, Michela; Tsafou, Kalliopi; Villa, Alessandra; Kowalczyk, Katarzyna; Rakownikow Jersie-Christensen, Rosa; Bertalot, Giovanni; Confalonieri, Stefano; Brunak, Søren; Jensen, Lars J; Cavallaro, Ugo; Olsen, Jesper V

2017-03-28

Our understanding of the molecular determinants of cancer is still inadequate because of cancer heterogeneity. Here, using epithelial ovarian cancer (EOC) as a model system, we analyzed a minute amount of patient-derived epithelial cells from either healthy or cancerous tissues by single-shot mass-spectrometry-based phosphoproteomics. Using a multi-disciplinary approach, we demonstrated that primary cells recapitulate tissue complexity and represent a valuable source of differentially expressed proteins and phosphorylation sites that discriminate cancer from healthy cells. Furthermore, we uncovered kinase signatures associated with EOC. In particular, CDK7 targets were characterized in both EOC primary cells and ovarian cancer cell lines. We showed that CDK7 controls cell proliferation and that pharmacological inhibition of CDK7 selectively represses EOC cell proliferation. Our approach defines the molecular landscape of EOC, paving the way for efficient therapeutic approaches for patients. Finally, we highlight the potential of phosphoproteomics to identify clinically relevant and druggable pathways in cancer. Copyright © 2017 The Author(s). Published by Elsevier Inc. All rights reserved.

Clinical performance of ART restorations in primary teeth: a survival analysis.

Science.gov (United States)

Faccin, Elise Sasso; Ferreira, Simone Helena; Kramer, Paulo Floriani; Ardenghi, Thiago Machado; Feldens, Carlos Alberto

2009-01-01

To assess the survival of Atraumatic Restorative Treatment (ART) restorations in primary teeth performed in a dental clinical setting. One hundred and five single-surface ART restorations placed in 56 preschool children (mean age 31 months) were included. Final-year dental students performed the restorations using standard ART procedures with hand instruments. A resin-modified glass ionomer cement (Vitremer 3M/ESPE) was used as a restorative material. Performances of the restorations were assessed directly by the ART evaluation criteria. Follow-up period ranged from 6 to 48 months. Survival estimates for restoration longevity were evaluated using the Kaplan-Meier method. Log-rank test (P ART restorations were 89%, 85% and 72% in 6 to 11, 12 to 24 and 25 to 48 months of evaluation respectively. Differences in success rates among demographic and clinical characteristics were not statistically significant. High survivals rates of the ART restorations found in this study seem to indicate the reliability of this approach as an appropriate treatment option for primary teeth in a clinical setting.

The Need to Increase Regulatory Controls on Imports and Exports came from the Detection of an Argentine Import Containing Exceeding Pellets of Ir-192

International Nuclear Information System (INIS)

Samsolo, N.A.; Vidal, D.N.

2011-01-01

In Argentina, radioactive sources for application in Industrial Gamma radiography are manufactured using small metallic discs called pellets of radioactive isotope Ir-192, that are imported. They have to be shipped in specially sealed recipients according to their high radioactive levels. These recipients are large enough to contain activities as high as 296 TBq and are therefore approved as Type B(U) packages. This paper thoroughly describes a particular import of this material in which an exceeding 220 ± 2 Pellets (75,62 TBq) was found. The total amount of activity had not been declared adequately by the consignor. The corresponding notification to the Argentine Nuclear Regulatory Authority (NRA) was made by the importer and national manufacturer at the moment these particular Pellets were to be used for source production. The exceeding material doubled that which had been authorized to be imported. After the notification and since the material had entered to the country illicitly, customs legislations were applied in a legal process in which the Nuclear Regulatory Authority participated as well. The decision of the judge was to ship the exceeding cargo again to its proceeding country. However, a significant time had passed since the cargo arrived and the pellets had stuck to each other due to high temperature. This made them impossible to handle in order to encapsulate them as special form radioactive material again for their shipment in the available Type B(U) package. In the outcome, the material was retained at the manufacturer facilities, in its original packaging, with suitable radiological and physical conditions to guarantee safety and security, waiting until its activity had decayed to acceptable levels for its shipment as Type A package. As a result, a need to require further technical specifications from the vendor was detected. These specifications should warn about the period in which these Pellets may be utilized for source production before

The need to increase regulatory controls on imports and exports came from the detection of an Argentine import containing exceeding pellets of Ir-192

International Nuclear Information System (INIS)

Samsolo, Nicolas; Vidal, Dora

2008-01-01

In Argentina, radioactive sources for application in industrial gamma radiography are manufactured using small metallic discs called pellets of radioactive isotope Ir-192, that are imported. They are to be shipped in specially sealed recipients according to their high radioactive levels. These recipients are large enough to contain activities as high as 296 TBq and are therefore approved as type B (U) packages. This paper thoroughly describes a particular import of this material in which an exceeding 220±2 pellets (75,62 TBq) was found. The total amount of activity had not been declared adequately by the consignor. The corresponding notification to the Argentine Nuclear Regulatory Authority (NRA) was made by the importer and national manufacturer at the moment these particular pellets were to be used for source production. The exceeding material doubled that which had been authorized to be imported. After the notification and since the material had entered to the country Illicitly, customs legislation were applied in a legal process in which the Nuclear regulatory Authority participated as well. The decision of the judge was to ship the exceeding cargo again to its proceeding country. However, a significant time had passed since the cargo arrived and the pellets has struck to each other due to high temperature. This made them impossible to handle in order to encapsulate them as special form radioactive material again for their shipment in the available Type B (U) package. In the outcome, the material was retained at the manufacturer facilities, in its original packaging, with suitable radiological and physical conditions to guarantee safety and security, waiting until its activity had decayed to acceptable levels for its shipments as type A package. As a result, a need to require further technical specifications from the vendor was detected. These specifications should warn about the period in which these pellets may be utilized for source production before

75 FR 62133 - Notice of Availability of Final Environmental Assessment (FINAL EA) and a Finding of No...

Science.gov (United States)

2010-10-07

... Availability of Final Environmental Assessment (FINAL EA) and a Finding of No Significant Impact (FONSI) for... of No Significant Impact (FONSI) for Land Purchase, Access Road Construction and Access Tunnel... Impact (FONSI) based on the Final Environmental Assessment (FINAL EA) for Land Purchase, Access Road...

African Primary Care Research: qualitative interviewing in primary care.

Science.gov (United States)

Reid, Steve; Mash, Bob

2014-06-05

This article is part of a series on African Primary Care Research and focuses on the topic of qualitative interviewing in primary care. In particular it looks at issues of study design, sample size, sampling and interviewing in relation to individual and focus group interviews.There is a particular focus on helping postgraduate students at a Masters level to write their research proposals.

14 CFR 1214.1105 - Final ranking.

Science.gov (United States)

2010-01-01

... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Final ranking. 1214.1105 Section 1214.1105... Recruitment and Selection Program § 1214.1105 Final ranking. Final rankings will be based on a combination of... preference will be included in this final ranking in accordance with applicable regulations. ...