WorldWideScience

Sample records for existing treatment operations

  1. 30 CFR 784.12 - Operation plan: Existing structures.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 3 2010-07-01 2010-07-01 false Operation plan: Existing structures. 784.12... PLAN § 784.12 Operation plan: Existing structures. (a) Each application shall contain a description of... and reclamation operation. The description shall include: (1) Location; (2) Plans of the structure...

  2. 30 CFR 780.12 - Operation plan: Existing structures.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 3 2010-07-01 2010-07-01 false Operation plan: Existing structures. 780.12... PLAN § 780.12 Operation plan: Existing structures. (a) Each application shall contain a description of... and reclamation operation. The description shall include— (1) Location; (2) Plans of the structure...

  3. Water Treatment Plant Operation. Volume II. A Field Study Training Program.

    Science.gov (United States)

    California State Univ., Sacramento. School of Engineering.

    The purpose of this water treatment field study training program is to: (1) develop new qualified water treatment plant operators; (2) expand the abilities of existing operators, permitting better service both to employers and public; and (3) prepare operators for civil service and certification examinations (examinations administered by…

  4. Water Treatment Plant Operation. Volume I. A Field Study Training Program.

    Science.gov (United States)

    California State Univ., Sacramento. School of Engineering.

    The purpose of this water treatment field study training program is to: (1) develop new qualified water treatment plant operators; (2) expand the abilities of existing operators, permitting better service both to employers and public; and (3) prepare operators for civil service and certification examinations (examinations administered by…

  5. Water Treatment Plant Operation Volume 2. A Field Study Training Program. Revised.

    Science.gov (United States)

    California State Univ., Sacramento. School of Engineering.

    The purpose of this water treatment field study training program is to: (1) develop new qualified water treatment plant operators; (2) expand the abilities of existing operators, permitting better service both to employers and public; and (3) prepare operators for civil service and certification examinations (examinations administered by…

  6. Use of operational data for the assessment of pre-existing software

    International Nuclear Information System (INIS)

    Helminen, Atte; Gran, Bjoern Axel; Kristiansen, Monica; Winther, Rune

    2004-01-01

    To build sufficient confidence on the reliability of the safety systems of nuclear power plants all available sources of information should be used. One important data source is the operational experience collected for the system. The operational experience is particularly applicable for systems of pre-existing software. Even though systems and devices involving pre-existing software are not considered for the functions of highest safety levels of nuclear power plants, they will most probably be introduced to functions of lower safety levels and to none-safety related applications. In the paper we shortly discuss the use of operational experience data for the reliability assessment of pre-existing software in general, and the role of pre-existing software in relation to safety applications. Then we discuss the modelling of operational profiles, the application of expert judgement on operational profiles and the need of a realistic test case. Finally, we discuss the application of operational experience data in Bayesian statistics. (Author)

  7. Cost of enlarged operating zone for an existing Francis runner

    Science.gov (United States)

    Monette, Christine; Marmont, Hugues; Chamberland-Lauzon, Joël; Skagerstrand, Anders; Coutu, André; Carlevi, Jens

    2016-11-01

    Traditionally, hydro power plants have been operated close to best efficiency point, the more stable operating condition for which they have been designed. However, because of changes in the electricity market, many hydro power plants operators wish to operate their machines differently to fulfil those new market needs. New operating conditions can include whole range operation, many start/stops, extensive low load operation, synchronous condenser mode and power/frequency regulation. Many of these new operating conditions may impose more severe fatigue damage than the traditional base load operation close to best efficiency point. Under these conditions, the fatigue life of the runner may be significantly reduced and reparation or replacement cost might occur sooner than expected. In order to design reliable Francis runners for those new challenging operating scenarios, Andritz Hydro has developed various proprietary tools and design rules. These are used within Andritz Hydro to design mechanically robust Francis runners for the operating scenarios fulfilling customer's specifications. To estimate residual life under different operating scenarios of an existing runner designed years ago for best efficiency base load operation, Andritz Hydro's design rules and tools would necessarily lead to conservative results. While the geometry of a new runner can be modified to fulfil all conservative mechanical design rules, the predicted fatigue life of an existing runner under off-design operating conditions may appear rather short because of the conservative safety factor included in the calculations. The most precise and reliable way to calculate residual life of an existing runner under different operating scenarios is to perform a strain gauge measurement campaign on the runner. This paper presents the runner strain gage measurement campaign of a mid-head Francis turbine over all the operating conditions available during the test, the analysis of the measurement signals

  8. Operation of Wastewater Treatment Plants: A Home Study Training Program.

    Science.gov (United States)

    California State Univ., Sacramento. Dept. of Civil Engineering.

    This manual was prepared by experienced wastewater treatment plant operators to provide a home study course to develop new qualified workers and expand the abilities of existing workers. The objective of this manual is to provide the knowledge and skills necessary for certification. Participants learn the basic operational aspects of treatment…

  9. Establishing pharmacy operations in a new hospital while transferring existing operations to new ownership.

    Science.gov (United States)

    Crumb, Deborah J

    2010-04-01

    The process of moving pharmacy services and personnel from an existing hospital to a new hospital while maintaining patient care and operations at both facilities is described. The project management structure for the new hospital is described, including the establishment of a departmental coordination team (DCT) for the pharmacy. The purpose of the pharmacy DCT was to plan and coordinate new hospital move-in and pharmacy operations as well as the transition of the existing hospital to new ownership. The use of action item lists and project scorecards kept the project on schedule and on budget. The pharmacy DCT's action item list, which sorted items into four categories (facilities, equipment, operations, and staffing), was reviewed and updated at the weekly meeting of pharmacy leadership and served as the principal guiding document for the pharmacy DCT. Planning and implementation are described for the areas of operations and workflow, staffing, information technology, materials management, accreditation and licensure, and orientation and training. On the transition day, patients under care by physicians employed by the governing organization were transferred to the new facility while patients under care by community physicians remained at the existing facility under new ownership and new administration. Integral to the successful transition were early planning, the provision of adequate training for all employees, and collaboration among organizations, departments, and individuals. A well-coordinated plan resulted in the successful establishment of pharmacy practice in a new hospital and the transition of an operational pharmacy practice and facility to new ownership while maintaining quality patient care.

  10. Operation of Wastewater Treatment Plants. Volume 1. A Field Study Training Program. Third Edition. Revised.

    Science.gov (United States)

    California State Univ., Sacramento. Dept. of Civil Engineering.

    The purpose of this wastewater treatment field study training program is to: (1) develop new qualified wastewater treatment plant operators; (2) expand the abilities of existing operators, permitting better service both to employers and public; and (3) prepare operators for civil service and certification examinations (examinations administered by…

  11. OPERATION OF THE HOUSEHOLD SEWAGE TREATMENT PLANTS IN POLAND

    Directory of Open Access Journals (Sweden)

    Marcelina Pryszcz

    2015-01-01

    Full Text Available In many rural communities the building of sewage collection and treatment system is still current and important problem of water and wastewater management. Besides the collection of sewage in the septic tank, the solution for wastewater treatment from individual buildings without access to sewerage system is the construction of household sewage treatment plants. Construction of household sewage treatment plant poses a number of challenges for municipalities and potential investors. The existing plants should be analyzed, so that in the future the selected systems would be characterized by high performance, simple operation and reliable exploitation. In the paper, the assessment of selection criteria of adopted technical solution and the functioning of household sewage treatment plants is carried out.

  12. Operational Planning of Low-Energy District Heating Systems Connected to Existing Buildings

    DEFF Research Database (Denmark)

    Tol, Hakan; Svendsen, Svend

    2012-01-01

    . The response of the radiator heating systems at different levels of supply temperature was used to form the operational planning of the low-energy DH system, which determined the design parameters of the low-energy DH network in terms of overall mass flow requirement and the return temperature from...... the buildings. Since the existing buildings were considered to be renovated to low-energy class, the operational planning was simultaneously modelled for both present high-demand and future low-demand situations of the same case area.......This article focuses on low-energy District Heating (DH) systems operating in low-temperatures such as 55°C in terms of supply and 25°C in terms of return in connection with existing buildings. Since the heat loss from the network has a significant impact in case of supplying heat to low...

  13. Operation of Wastewater Treatment Plants: A Field Study Training Program. Volume I. Second Edition.

    Science.gov (United States)

    California State Univ., Sacramento. Dept. of Civil Engineering.

    This manual was prepared by experienced wastewater collection system workers to provide a home study course to develop new qualified workers and expand the abilities of existing workers. This volume is directed primarily towards entry-level operators and the operators of ponds, package plants, or small treatment plants. Ten chapters examine the…

  14. A new approach to the existence of zeros for nonlinear operators

    Directory of Open Access Journals (Sweden)

    Paolo Cubiotti

    1994-11-01

    Full Text Available In this paper we present a necessary and sufficient condition for the existence of zeros for a nonlinear operator from a compact topological space into the topological dual of a real Banach space. Some applications are derived.

  15. 76 FR 3175 - Proposed Extension of Existing Information Collection; Hoist Operators' Physical Fitness

    Science.gov (United States)

    2011-01-19

    ... Extension of Existing Information Collection; Hoist Operators' Physical Fitness AGENCY: Mine Safety and... fitness. DATES: All comments must be received by midnight Eastern Standard Time on March 21, 2011... 56.19057 and 57.19057 require the annual examination and certification of hoist operators' fitness by...

  16. Experimental Treatment for Duchenne Muscular Dystrophy Gets Boost from Existing Medication

    Science.gov (United States)

    ... Boost from Existing Medication Spotlight on Research Experimental Treatment for Duchenne Muscular Dystrophy Gets Boost from Existing Medication By Colleen Labbe, M.S. | March 1, 2013 A mouse hanging on a wire during a test of muscle strength. Mice with a mutant dystrophin gene, which ...

  17. Conformal Haag-Kastler nets, pointlike localized fields and the existence of operator product expansions

    International Nuclear Information System (INIS)

    Fredenhagen, K.; Joerss, M.

    1994-10-01

    Starting from a chiral conformal Haag-Kastler net on 2 dimensional Minkowski space we construct associated pointlike localized fields. This amounts to a proof of the existence of operator product expansions. We derive the result in two ways. One is based on the geometrical identification of the modular structure, the other depends on a ''conformal cluster theorem'' of the conformal two-point-functions in algebraic quantum field theory. The existence of the fields then implies important structural properties of the theory, as PCT-invariance, the Bisognano-Wichmann identification of modular operators, Haag duality and additivity. (orig.)

  18. TAX TREATMENT OF CARBON CREDIT OPERATIONS IN BRAZILIAN COMPANIES WITH CDM PROJECTS

    Directory of Open Access Journals (Sweden)

    Vanderlei dos Santos

    2012-06-01

    Full Text Available The aim in this study is to identify the tax treatment applied to carbon credit operations in Brazilian companies that are developing projects in the context of the Clean Development Mechanism (CDM. Therefore, an exploratory research with a qualitative approach was developed. Data were collected with the help of questionnaire, forwarded to all Brazilian companies with CDM projects that received approval from the Inter-Ministerial Commission on Global Climate Change (CIMGC without safeguards, according to the list of the Brazilian Ministry of Science and Technology. Out of 117 companies listed, only five answered the research instrument, which represents an accessibility sample. The results show that, as for the tax treatment applied in the companies under analysis, IRPJ and CSLL should be charged on carbon credit operations. Regarding PIS, COFINS, ISS, some companies considered that these taxes are due and others that they are not. There is a consensus, though, about the fact that ICMS and IOF should not be charged. In conclusion, no uniform understanding exists as of yet about due taxes in the research sample, as no specific fiscal legislation exists yet on carbon credits in Brazil.

  19. Integrated radwaste treatment system lessons learned from 2 1/2 years of operation

    International Nuclear Information System (INIS)

    Baker, M.N.; Fussner, R.J.

    1997-05-01

    The Integrated Radwaste Treatment System (IRTS) at the West Valley Demonstration Project (WVDP) is a pretreatment scheme to reduce the amount of salts in the high-level radioactive waste (vitrification) stream. Following removal of cesium-137 (Cs-137) by ion-exchange in the Supernatant Treatment System (STS), the radioactive waste liquid is volume-reduced by evaporation. Trace amounts of Cs-137 in the resulting distillate are removed by ion-exchange, then the distillate is discharged to the existing plant water treatment system. The concentrated product, 37 to 41 percent solids by weight, is encapsulated in cement producing a stable, low-level waste form. The Integrated Radwaste Treatment System (IRTS) operated in this mode from May 1988 through November 1990, decontaminating 450,000 gallons of high-level waste liquid; evaporating and encapsulating the resulting concentrates into 10,393 71-gallon square drums. A number of process changes and variations from the original operating plan were required to increase the system flow rate and minimize waste volumes. This report provides a summary of work performed to operate the IRTS, including system descriptions, process highlights, and lessons learned

  20. TECHNOLOGIES TO ENHANCE THE OPERATION OF EXISTING NATURAL GAS COMPESSION INFRASTRUCTURE

    Energy Technology Data Exchange (ETDEWEB)

    Anthony J. Smalley; Ralph E. Harris; Gary D. Bourn; Danny M. Deffenbaugh

    2006-01-24

    This quarterly report documents work performed under Tasks 15, 16, and 18 through 23 of the project entitled: ''Technologies to Enhance the Operation of Existing Natural Gas Compression Infrastructure''. The project objective is to develop and substantiate methods for operating integral engine/compressors in gas pipeline service, which reduce fuel consumption, increase capacity, and enhance mechanical integrity. The report presents results of design analysis performed on the TCVC10 engine/compressor installed at Dominion's Groveport Compressor Station to develop options and guide decisions for reducing pulsations and enhancing compressor system efficiency and capacity. The report further presents progress on modifying and testing the laboratory GMVH6 at SwRI for correcting air imbalance.

  1. 40 CFR 63.6604 - What fuel requirements must I meet if I own or operate an existing stationary CI RICE?

    Science.gov (United States)

    2010-07-01

    ... I own or operate an existing stationary CI RICE? 63.6604 Section 63.6604 Protection of Environment....6604 What fuel requirements must I meet if I own or operate an existing stationary CI RICE? If you own or operate an existing non-emergency CI stationary RICE with a site rating of more than 300 brake HP...

  2. TECHNOLOGIES TO ENHANCE THE OPERATION OF EXISTING NATURAL GAS COMPRESSION INFRASTRUCTURE

    Energy Technology Data Exchange (ETDEWEB)

    Anthony J. Smalley; Ralph E. Harris; Gary D. Bourn; Danny M. Deffenbaugh

    2005-07-27

    This quarterly report documents work performed under Tasks 15, 16, and 18 through 23 of the project entitled: ''Technologies to Enhance the Operation of Existing Natural Gas Compression Infrastructure''. The project objective is to develop and substantiate methods for operating integral engine/compressors in gas pipeline service, which reduce fuel consumption, increase capacity, and enhance mechanical integrity. The report first documents a survey site test performed on a TCVC10 engine/compressor installed at Dominion's Groveport Compressor Station. This test completes planned screening efforts designed to guide selection of one or more units for design analysis and testing with emphasis on identification and reduction of compressor losses. The report further presents the validation of the simulation model for the Air Balance tasks and outline of conceptual manifold designs.

  3. TECHNOLOGIES TO ENHANCE THE OPERATION OF EXISTING NATURAL GAS COMPRESSION INFRASTRUCTURE

    Energy Technology Data Exchange (ETDEWEB)

    Anthony J. Smalley; Ralph E. Harris; Gary D. Bourn; Danny M. Deffenbaugh

    2005-10-27

    This quarterly report documents work performed under Tasks 15, 16, and 18 through 23 of the project entitled: ''Technologies to Enhance the Operation of Existing Natural Gas Compression Infrastructure''. The project objective is to develop and substantiate methods for operating integral engine/compressors in gas pipeline service, which reduce fuel consumption, increase capacity, and enhance mechanical integrity. The report first summarizes key results from survey site tests performed on an HBA-6 installed at Duke Energy's Bedford compressor station, and on a TCVC10 engine/compressor installed at Dominion's Groveport Compressor Station. The report then presents results of design analysis performed on the Bedford HBA-6 to develop options and guide decisions for reducing pulsations and enhancing compressor system efficiency and capacity. The report further presents progress on modifying and testing the laboratory GMVH6 at SwRI for correcting air imbalance.

  4. Safe operation of existing radioactive waste management facilities at Dalat Nuclear Research Institute

    International Nuclear Information System (INIS)

    Pham Van Lam; Ong Van Ngoc; Nguyen Thi Nang

    2000-01-01

    The Dalat Nuclear Research Reactor was reconstructed from the former TRIGA MARK-II in 1982 and put into operation in March 1984. The combined technology for radioactive waste management was newly designed and put into operation in 1984. The system for radioactive waste management at the Dalat Nuclear Research Institute (DNRI) consists of radioactive liquid waste treatment station and disposal facilities. The treatment methods used for radioactive liquid waste are coagulation and precipitation, mechanical filtering and ion- exchange. Near-surface disposal of radioactive wastes is practiced at DNRI In the disposal facilities eight concrete pits are constructed for solidification and disposal of low level radioactive waste. Many types of waste generated in DNRI and in some Nuclear Medicine Departments in the South of Vietnam are stored in the disposal facilities. The solidification of sludge has been done by cementation. Hydraulic compactor has done volume reduction of compatible waste. This paper presents fifteen-years of safe operation of radioactive waste management facilities at DNRI. (author)

  5. Existence of zeros for operators taking their values in the dual of a Banach space

    Directory of Open Access Journals (Sweden)

    Ricceri Biagio

    2004-01-01

    Full Text Available Using continuous selections, we establish some existence results about the zeros of weakly continuous operators from a paracompact topological space into the dual of a reflexive real Banach space.

  6. 40 CFR 63.6602 - What emission limitations must I meet if I own or operate an existing stationary CI RICE with a...

    Science.gov (United States)

    2010-07-01

    ... if I own or operate an existing stationary CI RICE with a site rating of equal to or less than 500....6602 What emission limitations must I meet if I own or operate an existing stationary CI RICE with a... own or operate an existing stationary CI RICE with a site rating of equal to or less than 500 brake HP...

  7. Treatment system operation, management, and finance

    Energy Technology Data Exchange (ETDEWEB)

    Truax, D.D. (Mississippi State Univ., Mississippi State (United States))

    1990-06-01

    This article deals with literature on operation, management, and financing of wastewater treatment plants. Some topics discussed are system hydraulics and flow monitoring, odor, reliability, equipment age, management philosophy, performance, reducing operating cost, planning and response to emergencies, preventative maintenance, inspection systems, mechanical vibrations, safety, privatization, municipal leasing, user and impact fees.

  8. Status of existing federal environmental risk-based standards applicable to Department of Energy operations

    International Nuclear Information System (INIS)

    Bilyard, G.R.

    1991-09-01

    When conducting its environmental restoration, waste management, and decontamination and decommissioning activities, the US Department of Energy (DOE) must comply with a myriad of regulatory procedures and environmental standards. This paper assesses the status of existing federal risk-based standards that may be applied to chemical and radioactive substances on DOE sites. Gaps and inconsistencies among the existing standards and the technical issues associated with the application of those standards are identified. Finally, the implications of the gaps, inconsistencies, and technical issues on DOE operations are discussed, and approaches to resolving the gaps, inconsistencies, and technical issues are identified. 6 refs

  9. Operation technology of air treatment system in nuclear facilities

    CERN Document Server

    Chun, Y B; Hwong, Y H; Lee, H K; Min, D K; Park, K J; Uom, S H; Yang, S Y

    2001-01-01

    Effective operation techniques were reviewed on the air treatment system to protect the personnel in nuclear facilities from the contamination of radio-active particles and to keep the environment clear. Nuclear air treatment system consisted of the ventilation and filtering system was characterized by some test. Measurement of air velocity of blowing/exhaust fan in the ventilation system, leak tests of HEPA filters in the filtering, and measurement of pressure difference between the areas defined by radiation level were conducted. The results acquired form the measurements were reflected directly for the operation of air treatment. In the abnormal state of virus parts of devices composted of the system, the repairing method, maintenance and performance test were also employed in operating effectively the air treatment system. These measuring results and techniques can be available to the operation of air treatment system of PIEF as well as the other nuclear facilities in KAERI.

  10. DETERMINATION OF ACTIVATED SLUDGE MODEL ASDM PARAMETERS FOR WASTE WATER TREATMENT PLANT OPERATING IN THE SEQUENTIAL–FLOW TECHNOLOGY

    Directory of Open Access Journals (Sweden)

    Dariusz Zdebik

    2015-01-01

    Full Text Available This paper presents a method for calibration of activated sludge model with the use of computer program BioWin. Computer scheme has been developed on the basis of waste water treatment plant operating in the sequential – flow technology. For calibration of the activated sludge model data of influent and treated effluent from the existing object were used. As a result of conducted analysis was a change in biokinetic model and kinetic parameters parameters of wastewater treatment facilities. The presented method of study of the selected parameters impact on the activated sludge biokinetic model (including autotrophs maximum growth rate, the share of organic slurry in suspension general operational, efficiency secondary settling tanks can be used for conducting simulation studies of other treatment plants.

  11. Comparative studies on the differently operated trains of the North-Budapest Wastewater Treatment Plant.

    Science.gov (United States)

    Jobbágy, A; Palkó, Gy; Weinpel, T; Makó, M

    2012-01-01

    In order to reduce the pollution load of the Danube, the North-Budapest Wastewater Treatment Plant has been upgraded to enhanced nitrogen removal by establishing a new activated sludge treatment line and modifying the existing unit for nitrification and denitrification. As both the influent flow rate and the influent chemical oxygen demand (COD), biological oxygen demand (BOD(5)) and total suspended solids (TSS) concentration levels remained far below the design values, setting one fourth of the reactor volume out of operation in the Old Line, and operating the nitrification reactor of the New Line with part-time aeration proved to be possible. Analytical data as well as simulation studies supported the advantage of the intermittent-aeration process in efficient N-removal. However, the lengths of the aerated periods have to be increased with decreasing temperature, and thereby effluent total nitrogen (TN) concentration can increase due to decreasing denitrification efficiency. Potential occurrence of low-dissolved oxygen (DO) bulking should be hindered through applying an efficient anoxic selector system.

  12. Using Pretreatment and Posttreatment Assessments To Enhance and Evaluate Existing Treatment Packages.

    Science.gov (United States)

    Richman, David M.; Berg, Wendy K.; Wacker, David P.; Stephens, Tracy; Rankin, Barbara; Kilroy, Jennette

    1997-01-01

    Pretreatment assessment data were used to enhance an existing treatment package to reduce aggression and to increase the positive social interactions of a 9-year-old boy with moderate mental retardation and Hunter's syndrome. Additional reinforcements and punishment components were added and resulted in positive social interactions and suppressed…

  13. Helical tomotherapy shielding calculation for an existing LINAC treatment room: sample calculation and cautions

    International Nuclear Information System (INIS)

    Wu Chuan; Guo Fanqing; Purdy, James A

    2006-01-01

    This paper reports a step-by-step shielding calculation recipe for a helical tomotherapy unit (TomoTherapy Inc., Madison, WI, USA), recently installed in an existing Varian 600C treatment room. Both primary and secondary radiations (leakage and scatter) are explicitly considered. A typical patient load is assumed. Use factor is calculated based on an analytical formula derived from the tomotherapy rotational beam delivery geometry. Leakage and scatter are included in the calculation based on corresponding measurement data as documented by TomoTherapy Inc. Our calculation result shows that, except for a small area by the therapists' console, most of the existing Varian 600C shielding is sufficient for the new tomotherapy unit. This work cautions other institutions facing the similar situation, where an HT unit is considered for an existing LINAC treatment room, more secondary shielding might be considered at some locations, due to the significantly increased secondary shielding requirement by HT. (note)

  14. Operation technology of the ventilation system of the radioactive waste treatment facility(II) - Design and operation note

    Energy Technology Data Exchange (ETDEWEB)

    Lee, K. M.; Lee, B. C.; Bae, S. M. [Korea Atomic Energy Research Institute, Taejon (Korea)

    1999-12-01

    As the radioactive waste treatment work, such as compaction and/or solidification of wastes, are done directly by the workers in the Radioactive Waste Treatment Facility, the reasonable design and operation of the ventilation system is essential. In this report, the design criteria and specification of the ventilation equipment, system operation method are described for the effective design and operation of ventilation system in the radioactive waste treatment facility. And the anti-vibration work which was done in the Radioactive Waste Treatment Facility in KAERI to reduce the effect of vibration due to the continuous operation of big rotational equipment, the intake fans and the exhaust fans, are described in the report. 11 refs., 10 figs., 12 tabs. (Author)

  15. More flexible and demand-oriented schedule operation. For market-driven power generation in biogas existing installation

    International Nuclear Information System (INIS)

    Welteke-Fabricius, Uwe

    2016-01-01

    This lecture investigates the effects of the societal framework on operators of biogas plants in the further development of biogas and its contribution to the German Energiewende. Influences are not only from politics and economy but stakeholders also shape the development to come. A visible part of the existing plants have quickly to be transformed to a demand driven supply. If not, it is most likely that biogas will disappear from the stage within some 15 years - except for waste treatment. In a future of growing wind and solar energy supply we will experience a.. of shortage and surplus within a day, and through the.seasons. Prices will fluctuate increasingly. Controllable energy generators will run for a decreasing number of hours daily. Biogas should contribute to one or two high-price periods a day, when it is dark, low wind, or high demand, but at a higher capacity than today. This pattern, in combination with a valuable use of its thermal energy production, can furthermore offer an economic feasible prospect for biogas plants after their period of subsidized EEG feed-in tariff By now, only few biogas plants are designed accordingly. Most of them produce their power continuously. Only if biogas plants will change towards peak load operation, its unique combination of renewable and controllable energy supply will be recognized, and biogas can contribute a valuable share to a sustainable energy system. Stakeholders can and should support this change.

  16. [Non-operative treatment for severe forms of infantile idiopathic scoliosis].

    Science.gov (United States)

    Trobisch, P D; Samdani, A; O'Neil, C; Betz, R; Cahill, P

    2012-02-01

    Infantile idiopathic scoliosis (IIS) is a rare orthopaedic condition. Braces and casts are popular options in the treatment of IIS but there is a paucity of studies commenting on the outcome of non-operative treatment. The purpose of this study was to analyse failure and success after non-operative treatment for severe forms of IIS. We retrospectively reviewed the data of all children who had been treated for IIS between 2003 and 2009 at a single institution. After calculating the failure and success rates, we additionally performed a risk factor analysis for patients who failed non-operative treatment. Chi (2) and T tests were used for statistical analysis with significance set at p failure (55 versus 42) while neither age, gender, nor RVAD seem to influence the outcome. In children who were considered as successfully treated, the Cobb angle decreased from 42 to 18 degrees. Non-operative treatment for IIS is successful in 3 out of 4 patients. © Georg Thieme Verlag KG Stuttgart · New York.

  17. Operative versus nonoperative treatment of displaced midshaft clavicle fractures in adults

    DEFF Research Database (Denmark)

    Rehn, Carl-Henrik; Kirkegaard, Martin; Viberg, Bjarke

    2013-01-01

    Intervention studies of clavicle fracture treatment are numerous, but only a few high quality studies prospectively compare operative and nonoperative treatment. The objective of this study was to review evidence from randomized controlled trials on operative versus nonoperative treatment of disp...

  18. Estimation of marginal costs at existing waste treatment facilities.

    Science.gov (United States)

    Martinez-Sanchez, Veronica; Hulgaard, Tore; Hindsgaul, Claus; Riber, Christian; Kamuk, Bettina; Astrup, Thomas F

    2016-04-01

    address and include costs in existing waste facilities in decision-making may unintendedly lead to higher overall costs at societal level. To avoid misleading conclusions, economic assessment of alternative SWM solutions should not only consider potential costs associated with alternative treatment but also include marginal costs associated with existing facilities. Copyright © 2016 Elsevier Ltd. All rights reserved.

  19. 77 FR 42004 - Proposed Extension of Existing Information Collection; Main Fan Operation and Inspection in Gassy...

    Science.gov (United States)

    2012-07-17

    ... Extension of Existing Information Collection; Main Fan Operation and Inspection in Gassy Underground Metal...) conditions in underground metal and nonmetal mines are largely controlled by the main mine fans. When accumulations of explosive gases, such as methane, are not swept from the mine by the main fans, they may...

  20. Low-level wastewater treatment facility process control operational test report

    International Nuclear Information System (INIS)

    Bergquist, G.G.

    1996-01-01

    This test report documents the results obtained while conducting operational testing of a new TK 102 level controller and total outflow integrator added to the NHCON software that controls the Low-Level Wastewater Treatment Facility (LLWTF). The test was performed with WHC-SD-CP-OTP 154, PFP Low-Level Wastewater Treatment Facility Process Control Operational Test. A complete test copy is included in appendix A. The new TK 102 level controller provides a signal, hereafter referred to its cascade mode, to the treatment train flow controller which enables the water treatment process to run for long periods without continuous operator monitoring. The test successfully demonstrated the functionality of the new controller under standard and abnormal conditions expected from the LLWTF operation. In addition, a flow totalizer is now displayed on the LLWTF outlet MICON screen which tallies the process output in gallons. This feature substantially improves the ability to retrieve daily process volumes for maintaining accurate material balances

  1. TECHNOLOGIES TO ENHANCE OPERATION OF THE EXISTING NATURAL GAS COMPRESSION INFRASTRUCTURE

    Energy Technology Data Exchange (ETDEWEB)

    Anthony J. Smalley; Ralph E. Harris; Gary D. Bourn; Danny M. Deffenbaugh

    2005-01-01

    This quarterly report documents work performed under Tasks 10 through 14 of the project entitled: ''Technologies to Enhance Operation of the Existing Natural Gas Compression Infrastructure''. The project objective is to develop and substantiate methods for operating integral engine/compressors in gas pipeline service, which reduce fuel consumption, increase capacity, and enhance mechanical integrity. The report first documents tests performed on a KVG103 engine/compressor installed at Duke's Thomaston Compressor Station. This is the first series of tests performed on a four-stroke engine under this program. Additionally, this report presents results, which complete a comparison of performance before and after modification to install High Pressure Fuel Injection and a Turbocharger on a GMW10 at Williams Station 60. Quarterly Reports 7 and 8 already presented detailed data from tests before and after this modification, but the final quantitative comparison required some further analysis, which is presented in Section 5 of this report. The report further presents results of detailed geometrical measurements and flow bench testing performed on the cylinders and manifolds of the Laboratory Cooper GMVH6 engine being employed for two-stroke engine air balance investigations. These measurements are required to enhance the detailed accuracy in modeling the dynamic interaction of air manifold, exhaust manifold, and in-cylinder fuel-air balance.

  2. [Operative treatment of traumatic fractures of the thoracic and lumbar spinal column. Part I: epidemiology].

    Science.gov (United States)

    Reinhold, M; Knop, C; Beisse, R; Audigé, L; Kandziora, F; Pizanis, A; Pranzl, R; Gercek, E; Schultheiss, M; Weckbach, A; Bühren, V; Blauth, M

    2009-01-01

    The Spine Study Group (AG WS) of the German Trauma Association (DGU) has now been in existence for more than a decade. Its main objective is the evaluation and optimization of the operative treatment for traumatic spinal injuries. The authors present the results of the second prospective internet-based multicenter study (MCS II) of the AG WS in three consecutive parts: epidemiology, surgical treatment and radiologic findings and follow-up results. The aim of the study was to update and review the state-of-the art for treatment of spinal fractures for thoracic and lumbar spine (T1-L5) injuries in German-speaking countries: which lesions will be treated with which procedure and what differences can be found in the course of treatment and the clinical and radiological outcome? This present first part of the study outlines the new study design and concept of an internet-based data collection system. The epidemiologic findings and characteristics of the three major treatment subgroups of the study collective will be presented: operative treatment (OP), non-operative treatment (KONS), and patients receiving a kyphoplasty and/or vertebroplasty without additional instrumentation (PLASTIE). A total of 865 patients (OP n=733, KONS n=52, PLASTIE n=69, other n=7) from 8 German and Austrian trauma centers were included. The main causes of accidents in the OP subgroup were motor vehicle accidents 27.1% and trivial falls 15.8% (KONS 55.8%, PLASTIE 66.7%). The Magerl/AO classification scheme was used and 548 (63.3%) compression fractures (type A), 181 (20.9%) distraction injuries (type B), and 136 (15.7%) rotational injuries (type C) were diagnosed. Of the fractures 68.8% were located at the thoracolumbar junction (T11-L2). Type B and type C injuries carried a higher risk for concomitant injuries, neurological deficits and additional vertebral fractures. The average initial VAS spine score, representing the status before the trauma, varied between treatment subgroups (OP 80, KONS

  3. An Approach to Develop 3d Geo-Dbms Topological Operators by Re-Using Existing 2d Operators

    Science.gov (United States)

    Xu, D.; Zlatanova, S.

    2013-09-01

    Database systems are continuously extending their capabilities to store, process and analyse 3D data. Topological relationships which describe the interaction of objects in space is one of the important spatial issues. However, spatial operators for 3D objects are still insufficient. In this paper we present the development of a new 3D topological function to distinguish intersections of 3D planar polygons. The development uses existing 2D functions in the DBMS and two geometric transformations (rotation and projection). This function is tested for a real dataset to detect overlapping 3D city objects. The paper presents the algorithms and analyses the challenges. Suggestions for improvements of the current algorithm as well as possible extensions to handle more 3D topological cases are discussed at the end.

  4. Annual biologic treatment cost for new and existing patients with moderate to severe plaque psoriasis in Greece

    Directory of Open Access Journals (Sweden)

    Fragoulakis V

    2015-01-01

    Full Text Available Vassilis Fragoulakis,1 Efklidis Raptis,2 Elli Vitsou,2 Nikolaos Maniadakis1 1Health Services Organization and Management, National School of Public Health, 2Pfizer Hellas, Athens, Greece Aim: The aim of the present study was to estimate the annual per-patient cost of treatment with adalimumab, etanercept, infliximab, and ustekinumab by response status for new and existing patients with moderate to severe psoriasis in Greece. Methods: An economic analysis was developed from a national health care perspective to estimate the direct cost of treatment alternatives for new and existing patients within a 1-year time horizon. The model included drug acquisition and administration costs for responders and nonresponders. Real-world treatment pattern and resource use data were extracted through nationwide field research using telephone-based interviews with a representative sample of dermatologists. Unit costs were collected from official sources in the public domain. Results: The mean annual cost of treatment for new patients who responded (or did not respond to treatment was as follows: adalimumab €10,686 (€3,821, etanercept €10,415 (€3,224, infliximab €14,738 (€7,582, and ustekinumab €17,155 (€9,806. For existing patients the mean annual cost was €9,916, €9,462, €12,949, and €17,149, respectively. Results did not change significantly under several one-way sensitivity and scenario analyses. Conclusion: Under the base-case scenario, the cost of treatment with etanercept is lower than that of the other biological agents licensed for moderate to severe plaque psoriasis in Greece, for both new and existing patients, irrespective of response status. Keywords: adalimumab, etanercept, infliximab, ustekinumab, economic evaluation, biologics

  5. Long-term functional outcome after type A3 spinal fractures : operative versus non-operative treatment

    NARCIS (Netherlands)

    Post, Richard B.; van der Sluis, Corry K.; Leferink, Vincent J. M.; ten Duis, Henk-Jan

    The authors retrospectively studied, by questionnaires, the long-term (5 years) functional outcome after operative (posterior instrumentation : 38 cases) and non-operative treatment (25 cases) for type A3 spinal fractures (Comprehensive Classification) without neurological deficit. A possible bias

  6. Laparoscopic myotomy in achalasia cardia treatment: Experience after 36 operations

    Directory of Open Access Journals (Sweden)

    Bjelović Miloš

    2013-01-01

    Full Text Available Introduction. Laparoscopic Heller­Dor operation, a standard method in the treatment of achalasia, has been performed at the Center for Esophageal Surgery of the First Surgical Clinic since April 2006. Objective. The aim of this study was to present this surgical procedure and initial experiences after 36 consecutive laparoscopic Heller­Dor operations. Methods. This partly retrospective, partly prospective study presented our results after laparoscopic Heller­Dor operation (presentation of the treatment method. We performed a standard anterior esophagocardioymiotomy, without releasing the posterior aspect of the cardia, and anterior partial fundoplication. The type and severity of symptoms and their duration were evaluated based on questionnaires fulfilled by patients. The diagnosis was made based on radiological, endoscopic and manometric findings. Laparoscopic surgery as the method of treatment was evaluated based on the duration of surgery, intra­ and postoperative complications, time interval until the initiation of oral feeding, length of hospital stay, need for additional therapeutic measures after the operation and effect of surgery on the severity of symptoms. Results. Preopereratively, dysphagia was the predominant symptom in all patients, while regurgitation was much lower (44%. The average duration of operation was 127 minutes. Postoperative hospitalization lasted on the average 5.7 days. From 36 treated patients, 34 (94.4% considered that the effect of treatment was good or excellent. Postoperative dysphagia was present in two patients (5.6% and was successfully solved by balloon dilatation. Conclusion. Laparoscopic Heller­Dor operation is an effective and safe surgical procedure in resolving symptoms of achalasia and today presents the method of the first choice in the treatment of this disease.

  7. Training manual for process operation and management of radioactive waste treatment facility

    Energy Technology Data Exchange (ETDEWEB)

    Shon, J. S.; Kim, K. J.; Ahn, S. J. [and others

    2004-12-01

    Radioactive Waste Treatment Facility (RWTF) has been operating for safe and effective treatment of radioactive wastes generated in the Korea Atomic Energy Research Institute (KAERI). In RWTF, there are evaporation, bituminization and solar evaporation processes for liquid waste, solid waste treatment process and laundry process. As other radioactive waste treatment facilities in foreign countries, the emergency situation such as fire and overflow of liquid waste can be taken place during the operation and result in the spread of contamination of radioactivity. So, easy and definite operating procedure is necessary for the safe operation of the facility. This manual can be available as easy and concise training materials for new employees and workers dispatched from service agency. Especially, in case of emergency urgently occurred during operation, everyone working in the facility can quickly stop the facility following this procedure.

  8. Training manual for process operation and management of radioactive waste treatment facility

    International Nuclear Information System (INIS)

    Shon, J. S.; Kim, K. J.; Ahn, S. J.

    2004-12-01

    Radioactive Waste Treatment Facility (RWTF) has been operating for safe and effective treatment of radioactive wastes generated in the Korea Atomic Energy Research Institute (KAERI). In RWTF, there are evaporation, bituminization and solar evaporation processes for liquid waste, solid waste treatment process and laundry process. As other radioactive waste treatment facilities in foreign countries, the emergency situation such as fire and overflow of liquid waste can be taken place during the operation and result in the spread of contamination of radioactivity. So, easy and definite operating procedure is necessary for the safe operation of the facility. This manual can be available as easy and concise training materials for new employees and workers dispatched from service agency. Especially, in case of emergency urgently occurred during operation, everyone working in the facility can quickly stop the facility following this procedure

  9. Radiation protection -Operation of chemical wastewater treatment facility

    International Nuclear Information System (INIS)

    Lee, M. J.; Lim, M. H.; Ahn, S. S.; Jeong, Y. S.

    1996-12-01

    The wastewater and sewage treatment facility have been operated. From the results of operation, it was confirmed that the quality of treated wastewater was 1/5 or 1/10 lower than that of regulation of law for environmental conservation. The quality of treated sewage has been maintained to 70% of regulation of law for environmental conservation. (author). 14 tabs., 8 figs

  10. Long-term operation in Korea - Continued operation of Wolsong 1 Long-term operation of existing reactors in Switzerland

    International Nuclear Information System (INIS)

    Bae, Su Hwan; Straub, Ralf

    2017-01-01

    Session 6 identified some key stakeholder concerns or interests that shape their considerations on renewing a nuclear power plant licence or extending facility lifetime. These included the safety of long-term operations, the potential need for upgrades or additional investment, and the timing and implementation of such investments. Mr Bae of the Korea Hydro and Nuclear Power Company presented the current nuclear power programme in Korea and the company's experience with stakeholder involvement, specifically related to the licence renewal of Wolsong unit 1 that included a formal agreement between Korea Hydro and Nuclear Power Company and the local communities around the plant. Mr Straub, of the Swiss Federal Department of the Environment, Transport, Energy and Communications, provided insight on the current restructuring of the Swiss energy strategy, and the Swiss form of 'direct democracy' that involves frequent public referenda. The proposed energy strategy to be assessed by voters in May 2017 would include a gradual phase-out of nuclear power. Citizens' perception of safe operations, the competence and openness of nuclear actors and the benefits that nuclear plants bring to the local population play a role in their judgement of whether facilities should continue with long-term operations. While for a new facility there is not as much time to establish the relationship and build a rapport and reputation with the community, in the case of existing plants there is history and experience either to build on or to overcome. Each set of decisions has a number of stakeholders, but the general public living around the plant was highlighted as a primary stakeholder. In the case of Korea Hydro and Nuclear Power's licence renewal efforts at Wolsong 1, gaining and maintaining the support of the surrounding communities is critical. The company applied lessons learnt from past experiences and in a year-long process pursued an agreement with representatives appointed by the

  11. Can modeling of HIV treatment processes improve outcomes? Capitalizing on an operations research approach to the global pandemic

    Directory of Open Access Journals (Sweden)

    Hollingsworth Eric B

    2008-08-01

    Full Text Available Abstract Background Mathematical modeling has been applied to a range of policy-level decisions on resource allocation for HIV care and treatment. We describe the application of classic operations research (OR techniques to address logistical and resource management challenges in HIV treatment scale-up activities in resource-limited countries. Methods We review and categorize several of the major logistical and operational problems encountered over the last decade in the global scale-up of HIV care and antiretroviral treatment for people with AIDS. While there are unique features of HIV care and treatment that pose significant challenges to effective modeling and service improvement, we identify several analogous OR-based solutions that have been developed in the service, industrial, and health sectors. Results HIV treatment scale-up includes many processes that are amenable to mathematical and simulation modeling, including forecasting future demand for services; locating and sizing facilities for maximal efficiency; and determining optimal staffing levels at clinical centers. Optimization of clinical and logistical processes through modeling may improve outcomes, but successful OR-based interventions will require contextualization of response strategies, including appreciation of both existing health care systems and limitations in local health workforces. Conclusion The modeling techniques developed in the engineering field of operations research have wide potential application to the variety of logistical problems encountered in HIV treatment scale-up in resource-limited settings. Increasing the number of cross-disciplinary collaborations between engineering and public health will help speed the appropriate development and application of these tools.

  12. Operative Versus Non-operative Treatment of Grade III Acromioclavicular Joint Dislocations and the Use of SurgiLig: a Retrospective Review.

    Science.gov (United States)

    Younis, Fizan; Ajwani, Sanil; Bibi, Asia; Riley, Eleanor; Hughes, Peter J

    2017-12-30

    Acromioclavicular joint dislocations are common shoulder girdle injuries. The treatment of grade III acromioclavicular joint dislocations is controversial. Furthermore, the literature on the use of the Sur-giligTM synthetic ligament for reconstruction of dislocations is sparse. This retrospective review aimed to establish whether operative treatment was superior to non-operative treatment in grade III acromioclavicular joint dislocations treated at our institute over a 5-year period. We also reviewed the effectiveness of reconstruction with SurgiligTM after acute and chronic dislocations across all grades of acromioclavicular joint dislocations. Twenty-five patients completed full follow-up with grade III dislocations. The mean follow-up in the operated group was 3.56 years and in the non-operated group this was 3.29 years. The mean Oxford Shoul-der Score (OSS) in the operated group was 39.8, whereas the mean OSS in the non-operated group was 45.9 (p=0.01). The mean pain score in the operated group was 2.2, and in the non-operated group this was 1.6. The mean satisfaction score in the operated group was 8.2 and that in the non-operated group was 7.8. There was no statistically significant difference in pain or satisfaction scores. In respect to the cohort treated with Surg-iligTM synthetic ligament, 22 patients across all grades of dislocations had this procedure performed. The mean post-operative Oxford Shoulder Score (OSS) was 40. 1. Non-operative treatment is not inferior to operative treatment for grade III acromioclavicular joint dislocations. The data from this study demonstrat-ed that the non-operated group had superior Ox-ford Shoul-der Scores that were statistically significant. 2. Additionally, the use of the SurgiligTM ligament appears to be effective in treating both chronic and acute acromioclavicular joint dislocations.

  13. A classical Perron method for existence of smooth solutions to boundary value and obstacle problems for degenerate-elliptic operators via holomorphic maps

    Science.gov (United States)

    Feehan, Paul M. N.

    2017-09-01

    We prove existence of solutions to boundary value problems and obstacle problems for degenerate-elliptic, linear, second-order partial differential operators with partial Dirichlet boundary conditions using a new version of the Perron method. The elliptic operators considered have a degeneracy along a portion of the domain boundary which is similar to the degeneracy of a model linear operator identified by Daskalopoulos and Hamilton [9] in their study of the porous medium equation or the degeneracy of the Heston operator [21] in mathematical finance. Existence of a solution to the partial Dirichlet problem on a half-ball, where the operator becomes degenerate on the flat boundary and a Dirichlet condition is only imposed on the spherical boundary, provides the key additional ingredient required for our Perron method. Surprisingly, proving existence of a solution to this partial Dirichlet problem with ;mixed; boundary conditions on a half-ball is more challenging than one might expect. Due to the difficulty in developing a global Schauder estimate and due to compatibility conditions arising where the ;degenerate; and ;non-degenerate boundaries; touch, one cannot directly apply the continuity or approximate solution methods. However, in dimension two, there is a holomorphic map from the half-disk onto the infinite strip in the complex plane and one can extend this definition to higher dimensions to give a diffeomorphism from the half-ball onto the infinite ;slab;. The solution to the partial Dirichlet problem on the half-ball can thus be converted to a partial Dirichlet problem on the slab, albeit for an operator which now has exponentially growing coefficients. The required Schauder regularity theory and existence of a solution to the partial Dirichlet problem on the slab can nevertheless be obtained using previous work of the author and C. Pop [16]. Our Perron method relies on weak and strong maximum principles for degenerate-elliptic operators, concepts of

  14. Treatment of operator actions in the HTGR risk assessment study

    International Nuclear Information System (INIS)

    Fleming, K.N.; Silady, F.A.; Hannaman, G.W.

    1979-12-01

    Methods are presented for the treatment of operator actions, developed in the AIPA risk assessment study. Some examples are given of how these methods were applied to the analysis of potential HTGR accidents. Realistic predictions of accident risks required a balanced treatment of both beneficial and detrimental actions and responses of human operators and maintenance crews. Th essential elements of the human factors methodology used in the AIPA study include event tree and fault tree analysis, time-dependent operator response and repair models, a method for quantifying common cause failure probabilities, and synthesis of relevant experience data for use in these models

  15. Operation and Maintenance Manual for the Central Facilities Area Sewage Treatment Plant

    Energy Technology Data Exchange (ETDEWEB)

    Norm Stanley

    2011-02-01

    This Operation and Maintenance Manual lists operator and management responsibilities, permit standards, general operating procedures, maintenance requirements and monitoring methods for the Sewage Treatment Plant at the Central Facilities Area at the Idaho National Laboratory. The manual is required by the Municipal Wastewater Reuse Permit (LA-000141-03) the sewage treatment plant.

  16. Operative treatment of radiation-induced fistulae

    International Nuclear Information System (INIS)

    Balslev, I.; Harling, H.

    1987-01-01

    Out of 136 patients with radiation-induced intestinal complications, 45 had fistulae. Twenty-eight patients had rectovaginal fistulae while the remainder had a total of 13 different types of fistulae. Thirty-seven patients were treated operatively and eight were treated conservatively. Thirty-three patients were submitted to operation for rectal fistulae. Of these, 28 were treated by defunctioning colostomy, three were treated by Hartmann's method and resection and primary anastomosis was carried out in two patients. In the course of the period of observation, 35% of the patients developed new radiation damage. The frequency in the basic material without fistulae was 21% (0.05< p<0.10). Following establishment of defunctioning colostomy on account of rectovaginal fistulae in 25 patients, eight patients developed new fistulae, Significantly more patients with fistulae died of recurrence as compared with patients with other lesions (p<0.01). Defunctioning colostomy in the treatment of rectal fistula is a reasonable form of treatment in elderly patients and in case of recurrence. Younger patients should be assessed in a special department in view of the possibility of a sphincter-preserving procedure following resection of the rectum and restorative anastomosis. (author)

  17. Operative treatment of radiation-induced fistulae

    Energy Technology Data Exchange (ETDEWEB)

    Balslev, I.; Harling, H.

    1987-01-01

    Out of 136 patients with radiation-induced intestinal complications, 45 had fistulae. Twenty-eight patients had rectovaginal fistulae while the remainder had a total of 13 different types of fistulae. Thirty-seven patients were treated operatively and eight were treated conservatively. Thirty-three patients were submitted to operation for rectal fistulae. Of these, 28 were treated by defunctioning colostomy, three were treated by Hartmann's method and resection and primary anastomosis was carried out in two patients. In the course of the period of observation, 35% of the patients developed new radiation damage. The frequency in the basic material without fistulae was 21% (0.05treatment of rectal fistula is a reasonable form of treatment in elderly patients and in case of recurrence. Younger patients should be assessed in a special department in view of the possibility of a sphincter-preserving procedure following resection of the rectum and restorative anastomosis. 11 refs.

  18. Pre-existing mutations in reverse transcriptase of hepatitis B virus in treatment-naive Chinese patients with chronic hepatitis B.

    Directory of Open Access Journals (Sweden)

    Jie Xu

    Full Text Available High rate of viral replication and lacking of proofreading activity in hepatitis B virus (HBV polymerase lead to the generation of mutations in HBV virus. Mutations in the reverse transcriptase (RT region of HBV polymerase are demonstrated to be strongly associated with drug resistance during antiviral treatment. However, the presence of mutations as well as its clinical significance in treatment-naïve hepatitis patients (defined as pre-existing mutations need to be further investigated. In the present study, a total of 168 serum samples from treatment-naive chronic hepatitis B (CHB patients were collected, and the RT region of HBV polymerase was sequenced. The results showed that pre-existing mutations in the RT region of HBV polymerase were detected in 43 of 168 (25.6% treatment-naive CHB patients within which there were no well-characterized primary nucleotide analogs (NAs resistance sites. Three dominant sites at rt191, rt207 and rt226 were found mutant in 7(16.28%, 8(18.60%, and 14(32.56% samples respectively among these 43 patients. No significant correlation was found between pre-existing mutations and gender, age, HBV genotype, ALT, HBeAg or HBV DNA loads. However, patients with pre-existing RT mutations under HBeAg sero-negative status exhibited decreased HBV DNA loads, which contributed to the decreased HBV DNA loads in the total HBeAg sero-negative patients. The above investigation indicated that there was a prevalence of pre-existing mutations in RT region of HBV polymerase which might affect the serum HBV DNA level in treatment-naive CHB patients. Its effects on the occurrence of NAs resistance and the prognosis after treatment need to be further investigated.

  19. The factors influencing the decision making of operative treatment for proximal humeral fractures.

    Science.gov (United States)

    Hageman, Michiel G J S; Jayakumar, Prakash; King, John D; Guitton, Thierry G; Doornberg, Job N; Ring, David

    2015-01-01

    The factors influencing the decision making of operative treatment for fractures of the proximal humerus are debated. We hypothesized that there is no difference in treatment recommendations between surgeons shown radiographs alone and those shown radiographs and patient information. Secondarily, we addressed (1) factors associated with a recommendation for operative treatment, (2) factors associated with recommendation for arthroplasty, (3) concordance with the recommendations of the treating surgeons, and (4) factors affecting the inter-rater reliability of treatment recommendations. A total of 238 surgeons of the Science of Variation Group rated 40 radiographs of patients with proximal humerus fractures. Participants were randomized to receive information about the patient and mechanism of injury. The response variables included the choice of treatment (operative vs nonoperative) and the percentage of matches with the actual treatment. Participants who received patient information recommended operative treatment less than those who received no information. The patient information that had the greatest influence on treatment recommendations included age (55%) and fracture mechanism (32%). The only other factor associated with a recommendation for operative treatment was region of practice. There was no significant difference between participants who were and were not provided with information regarding agreement with the actual treatment (operative vs nonoperative) provided by the treating surgeon. Patient information-older age in particular-is associated with a higher likelihood of recommending nonoperative treatment than radiographs alone. Clinical information did not improve agreement of the Science of Variation Group with the actual treatment or the generally poor interobserver agreement on treatment recommendations. Copyright © 2015 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

  20. Seabrook, N.H. Wastewater Treatment Plant Chief Operator Recognized for Outstanding Service

    Science.gov (United States)

    Dustin Price, a resident of Berwick Maine and the Chief Operator of the Seabrook, N.H. Wastewater Treatment Plant, was honored by EPA with a 2016 Regional Wastewater Treatment Plant Operator of the Year Excellence Award.

  1. Investigations, Experiments, and Implications for using existing Pulse Magnets for 'TOPOFF' Operation at the Advanced Light Source

    International Nuclear Information System (INIS)

    Stover, Gregory D.; Baptiste, Kenneth Michael; Barry, Walter; Gath, William; Julian, James; Kwiatkowski, Slawomir; Prestemon, Soren; Schlueter, Ross; Shuman, Derek; Steier, Christoph

    2005-01-01

    ALS top-off mode of operation will require injection of the electron beam from the Booster Ring into the Storage Ring at the full ALS energy level of 1.9 GeV. Currently the Booster delivers a beam at 1.5 GeV to the Storage Ring where it is then ramped to the full energy and stored for the user operation. The higher Booster beam energy will require the pulse magnets in the Booster and Storage Rings to operate at proportionally higher magnetic gap fields. Our group studied and tested the possible design and installation modifications required to operate the magnets and drivers at ''top-off'' levels. Our results and experiments show that with minor electrical modifications all the existing pulse magnet systems can be used at the higher energy levels, and the increased operational stresses should have a negligible impact on magnet reliability. Furthermore, simple electrical modifications to the storage ring thick septum will greatly reduce the present level of septum stray leakage fields into the storage ring beam

  2. early experience of operative treatment of pelvic and acetabular

    African Journals Online (AJOL)

    Objective: To review early post-operative results of pelvic and acetabular fracture intern al fixation. Design: ... 600 needing operative treatment annually. ... Infection was controlled with debridement and antibiotics. All the patients in the study returned to their work except one who has yet to do so 5 months after his injury.

  3. A Mixed Monotone Operator Method for the Existence and Uniqueness of Positive Solutions to Impulsive Caputo Fractional Differential Equations

    Directory of Open Access Journals (Sweden)

    Jieming Zhang

    2013-01-01

    Full Text Available We establish some sufficient conditions for the existence and uniqueness of positive solutions to a class of initial value problem for impulsive fractional differential equations involving the Caputo fractional derivative. Our analysis relies on a fixed point theorem for mixed monotone operators. Our result can not only guarantee the existence of a unique positive solution but also be applied to construct an iterative scheme for approximating it. An example is given to illustrate our main result.

  4. Cross-sectional evaluation of post-operative pain and flare-ups in endodontic treatments using a type of rotary instruments.

    Science.gov (United States)

    Tanalp, Jale; Sunay, Hakki; Bayirli, Gündüz

    2013-01-01

    The purpose of this clinical study was to evaluate the general incidence of post-operative pain and flare-ups in patients who were endodontically treated by two endodontics specialists using rotary instruments (Hero 642, Micro Mega, France) with the same treatment protocol. Records of 382 teeth belonging to 268 patients treated by two endodontics specialists during a 6-month period were kept and evaluated. Post-operative pain between treatment visits was categorized using a pre-established scoring system. Ninety-five patients were males, whereas 173 were females. Pulpal necrosis without periapical pathosis was determined as the most common indication for endodontic treatment (21.7%) followed by irreversible pulpitis and re-treatment without periapical lesions (18.3%, 18.3%, respectively). The general prevalence of post-operative pain and flare-ups was determined as 8.1%, whereas cases that could be classified as real flare-ups which were severe and required an unscheduled visit (scores 2 and 3) comprised 3.4% of the cases. No statistically significant correlation was determined between gender and post-operative pain and flare-up (p = 0.05). There was a significant correlation between number of appointments and the presence of pain and flare-ups. Teeth undergoing multiple visits had a higher risk of developing post-operative pain and flare-ups compared to those with single appointments with a statistical significance (p = 0.03). Teeth with pre-operative pain were more prone to developing post-operative pain and discomfort with a statistically significant difference (p = 0.02). While no significant correlation was determined between tooth vitality and pain and flare-ups (p = 0.5), a statistically significant relationship existed between the presence of a periapical pathosis and post-operative pain and flare-ups. Cases with a periapical lesion had a higher risk of developing pain and flare-ups compared to those with no periapical involvement (p = 0.0001). Future

  5. Case-mix analysis and variation in rates of non-surgical treatment of older women with operable breast cancer.

    Science.gov (United States)

    Morgan, J; Richards, P; Ward, S; Francis, M; Lawrence, G; Collins, K; Reed, M; Wyld, L

    2015-08-01

    Non-surgical management of older women with oestrogen receptor (ER)-positive operable breast cancer is common in the UK, with up to 40 per cent of women aged over 70 years receiving primary endocrine therapy. Although this may be appropriate for frailer patients, for some it may result in treatment failure, contributing to the poor outcomes seen in this age group. Wide variation in the rates of non-operative management of breast cancer in older women exists across the UK. Case mix may explain some of this variation in practice. Data from two UK regional cancer registries were analysed to determine whether variation in treatment observed between 2002 and 2010 at hospital and clinician level persisted after adjustment for case mix. Expected case mix-adjusted surgery rates were derived by logistic regression using the variables age, proxy Charlson co-morbidity score, deprivation quintile, method of cancer detection, tumour size, stage, grade and node status. Data on 17,129 women aged 70 years or more with ER-positive operable breast cancer were analysed. There was considerable variation in rates of surgery at both hospital and clinician level. Despite adjusting for case mix, this variation persisted at hospital level, although not at clinician level. This study demonstrates variation in selection criteria for older women for operative treatment of early breast cancer, indicating that some older women may be undertreated or overtreated, and may partly explain the inferior disease outcomes in this age group. It emphasizes the urgent need for evidence-based guidelines for treatment selection criteria in older women with breast cancer. © 2015 BJS Society Ltd Published by John Wiley & Sons Ltd.

  6. Diagnosis and treatment delays among elderly breast cancer patients with pre-existing mental illness.

    Science.gov (United States)

    Iglay, Kristy; Santorelli, Melissa L; Hirshfield, Kim M; Williams, Jill M; Rhoads, George G; Lin, Yong; Demissie, Kitaw

    2017-11-01

    This study aimed to compare diagnosis and treatment delays in elderly breast cancer patients with and without pre-existing mental illness. A retrospective cohort study was conducted using the Surveillance, Epidemiology and End Results-Medicare data including 16,636 women 68+ years, who were diagnosed with stage I-IIIa breast cancer in the United States from 2005 to 2007. Mental illness was identified using International Classification of Diseases, Ninth Revision, Clinical Modification codes recorded on inpatient and outpatient claims during the 3 years prior to breast cancer diagnosis. Patients were classified as having no mental illness, anxiety, depression, anxiety and depression, or severe mental illness (bipolar disorder, schizophrenia, and other psychotic disorder). Multivariable binomial regression was used to assess the association between mental illness and delays of ≥60 and ≥90 days after adjustment for confounders. Patients with comorbid anxiety and depression had an increased risk for diagnosis delay of ≥90 days from symptom recognition (RR 1.11; 95% CI 1.00, 1.23), and those with severe mental illness had an increased risk for initial treatment delay of ≥60 days from diagnosis (RR 1.36; 95% CI 1.06, 1.74). Patients with any mental illness experienced an increased risk for adjuvant chemotherapy delay of ≥90 days from last operation (RR 1.13; 95% CI 1.01, 1.26) and each category of mental illness, except depression, showed a non-significant trend for this association. Breast cancer patients with mental illness should be closely managed by a cross-functional care team, including a psychiatrist, a primary care physician, and an oncologist, to ensure adequate care is received within an appropriate timeframe.

  7. Operability and flexibility of a milk production line

    DEFF Research Database (Denmark)

    Cheng, Hongyuan; Friis, Alan

    2007-01-01

    The operability and flexibility of an existing milk treatment process are investigated through flowsheet modelling and simulation. From the flowsheet simulation, a process operating region was determined using incoming milk flow viscosity and heat exchanger pressure drop as characteristic...

  8. 40 CFR Table 1b to Subpart Zzzz of... - Operating Limitations for Existing, New, and Reconstructed Spark Ignition, 4SRB Stationary RICE...

    Science.gov (United States)

    2010-07-01

    ..., New, and Reconstructed Spark Ignition, 4SRB Stationary RICE >500 HP Located at a Major Source of HAP... Limitations for Existing, New, and Reconstructed Spark Ignition, 4SRB Stationary RICE >500 HP Located at a... following operating emission limitations for existing, new and reconstructed 4SRB stationary RICE >500 HP...

  9. Set-up and first operation of a plasma oven for treatment of low level radioactive wastes

    Directory of Open Access Journals (Sweden)

    Nachtrodt Frederik

    2014-01-01

    Full Text Available An experimental device for plasma treatment of low and intermediate level radioactive waste was built and tested in several design variations. The laboratory device is designed with the intention to study the general effects and difficulties in a plasma incineration set-up for the further future development of a larger scale pilot plant. The key part of the device consists of a novel microwave plasma torch driven by 200 W electric power, and operating at atmospheric pressure. It is a specific design characteristic of the torch that a high peak temperature can be reached with a low power input compared to other plasma torches. Experiments have been carried out to analyze the effect of the plasma on materials typical for operational low-level wastes. In some preliminary cold tests the behavior of stable volatile species e. g., caesium was investigated by TXRF measurements of material collected from the oven walls and the filtered off-gas. The results help in improving and scaling up the existing design and in understanding the effects for a pilot plant, especially for the off-gas collection and treatment.

  10. Treatment of DOE mixed wastes using commercial facilities

    International Nuclear Information System (INIS)

    Kramer, J.F.; Ross, M.A.; Dilday, D.R.

    1992-02-01

    In a demonstration program, Department of Energy (DOE) solid mixed wastes generated during uranium processing operations are characterized to define the unit operations required for treatment. The objectives included the implementation of these treatment operations utilizing a commercial Treatment, Storage and Disposal Facility (TSDF). In contracting for commercial hazardous and mixed waste treatment, it is important to characterize the waste beyond the identification of toxicity characteristic (TC) and radiological content. Performing treatability studies and verification of all the unit operations required for treatment is critical. The stream selected for this program was TC hazardous for barium (D005) and contaminated with both depleted and low enriched uranium. The program resulted in the generation of characterization data and treatment strategies. The characterization and treatability studies indicated that although a common unit operation was required to remove the toxic characteristic, multiple pretreatment operations were needed. Many of these operations do not exist at available TSDF's, rendering some portions of the stream untreatable using existing commercial TSDF's. For this project the need for pretreatment operations resulted in only a portion of the waste originally targeted for treatment being accepted for treatment at a commercial TSDF. The majority of the targeted stream could not be successfully treated due to lack of an off-site commercial treatment facility having the available equipment and capacity or with the correct combination of RCRA permits and radioactive material handling licenses. This paper presents a case study documenting the results of the project

  11. Evaluation and modification of existing CETP.

    Science.gov (United States)

    Sharma, Bhavisha; Shah, A R

    2013-07-01

    For the development of small and medium scale industries in various Gujarat industrial development corporation (GIDC) areas and in clusters of industrial areas, the common effluent treatment plant (CETP) has always been found advantageous in view of cost of treatment, operation and maintenance and disposal of residues being produced. In small scale industrial units due to market requirement, product changes and quantity enhancement are taking place. Due to such changes, the effluent characteristics are continuously changing which affects performance of CETP. Hence it has been found necessary to study continuously the performance, evaluation and modification in the working of the CETP. This paper contains a case study of one of the existing CETP near Baroda which is facing the problem of disposal of treated effluent in which the important parameters like COD, BOD, Suspended Solid, NH3-N and oil and grease were analyzed. Based on the characterization of wastewater, the various treatability studies were carried out on CETP wastewater. To comply with disposal standard prescribed by Effluent Channel Project Ltd.(ECPL)* and Gujarat Pollution Control Board (GPCB) for discharge of industrial effluent into channel, various treatments in form of ammonia stripping, coagulation and flocculation, biological treatment, filtration and chlorination are suggested.

  12. Rib fractures in trauma patients: does operative fixation improve outcome?

    Science.gov (United States)

    Majak, Peter; Næss, Pål A

    2016-12-01

    Renewed interest in surgical fixation of rib fractures has emerged. However, conservative treatment is still preferred at most surgical departments. We wanted to evaluate whether operative treatment of rib fractures may benefit severely injured patients. Several studies report a reduction in mechanical ventilation time, ICU length of stay (LOS), hospital LOS, pneumonia, need for tracheostomy, pain and costs in operatively treated patients with multiple rib fractures compared with patients treated nonoperatively. Although patient selection and timing of the operation seem crucial for successful outcome, no consensus exists. Mortality reduction has only been shown in a few studies. Most studies are retrospective cohort and case-control studies. Only four randomized control trials exist. Conservative treatment, consisting of respiratory assistance and pain control, is still the treatment of choice in the vast majority of patients with multiple rib fractures. In selected patients, operative fixation of fractured ribs within 72 h postinjury may lead to better outcome. More randomized control trials are needed to further determine who benefits from surgical fixation of rib fractures.

  13. Uprading of existing treatment plants in Poland

    OpenAIRE

    Stene-Johansen, S.; Paulsrud, B.

    1994-01-01

    During the first Phase, diagnostic studies have been carried out at selected treatment plants in order to identify problems and how to improve treatment efficiency (Report 1 st. Phase). The report in hand (2nd. Phase) gives recommendations for upgrading/rehabilitation and other improvements based on full scale experiments at selected treatment plants. State Pollution Control Authority (SFT) The Royal Norwegian Ministry of Environment (MD)

  14. Operation and effluent quality of a small rural wastewater treatment ...

    African Journals Online (AJOL)

    The objective of this study was to evaluate the impact of effluent and sludge discharges of an abattoir wastewater treatment plant (WWTP) on the operation of a municipal aerated pond WWTP. Experiments were carried out in Cervera WWTP, located in northeastern Spain, which comprises four ponds operating in series.

  15. 14 CFR 1251.301 - Existing facilities.

    Science.gov (United States)

    2010-01-01

    ... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Existing facilities. 1251.301 Section 1251... HANDICAP Accessibility § 1251.301 Existing facilities. (a) Accessibility. A recipient shall operate each... existing facilities or every part of a facility accessible to and usable by handicapped persons. (b...

  16. Study on evaluation index system of operational performance of municipal wastewater treatment plants in China

    Science.gov (United States)

    Xiaoxin, Zhang; Jin, Huang; Ling, Lin; Yan, Li

    2018-05-01

    According to the undeveloped evaluation method for the operational performance of the municipal wastewater treatment plants, this paper analyzes the policies related to sewage treatment industry based on the investigation of the municipal wastewater treatment plants. The applicable evaluation method for the operational performance was proposed from environmental protection performance, resources and energy consumption, technical and economic performance, production management and main equipment, providing a reliable basis for scientific evaluation of the operation as well as improving the operational performance of municipal wastewater treatment plant.

  17. Operational Efficiency Forecasting Model of an Existing Underground Mine Using Grey System Theory and Stochastic Diffusion Processes

    Directory of Open Access Journals (Sweden)

    Svetlana Strbac Savic

    2015-01-01

    Full Text Available Forecasting the operational efficiency of an existing underground mine plays an important role in strategic planning of production. Degree of Operating Leverage (DOL is used to express the operational efficiency of production. The forecasting model should be able to involve common time horizon, taking the characteristics of the input variables that directly affect the value of DOL. Changes in the magnitude of any input variable change the value of DOL. To establish the relationship describing the way of changing we applied multivariable grey modeling. Established time sequence multivariable response formula is also used to forecast the future values of operating leverage. Operational efficiency of production is often associated with diverse sources of uncertainties. Incorporation of these uncertainties into multivariable forecasting model enables mining company to survive in today’s competitive environment. Simulation of mean reversion process and geometric Brownian motion is used to describe the stochastic diffusion nature of metal price, as a key element of revenues, and production costs, respectively. By simulating a forecasting model, we imitate its action in order to measure its response to different inputs. The final result of simulation process is the expected value of DOL for every year of defined time horizon.

  18. Operation of Wastewater Treatment Plants, Manual of Practice No. 11.

    Science.gov (United States)

    Albertson, Orrie E.; And Others

    This book is intended to be a reference or textbook on the operation of wastewater treatment plants. The book contains thirty-one chapters and three appendices and includes the description, requirements, and latest techniques of conventional unit process operation, as well as the symptoms and corrective measures regarding process problems. Process…

  19. Efficacy of post-operative radiotherapy in the treatment of breast cancer

    Energy Technology Data Exchange (ETDEWEB)

    Api, P; Corcione, S; Magnoni, G

    1985-01-01

    A clinical evaluation regarding the efficacy of post-operative radiotherapy in 294 patients with breast cancer is presented. In the author's opinion post-operative radiotherapy is fundamental in the treatment of this tumor. 21 refs.

  20. 45 CFR 605.22 - Existing facilities.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 3 2010-10-01 2010-10-01 false Existing facilities. 605.22 Section 605.22 Public... Accessibility § 605.22 Existing facilities. (a) Accessibility. A recipient shall operate each program or... existing facilities or every part of a facility accessible to and usable by qualified handicapped persons...

  1. 45 CFR 1151.22 - Existing facilities.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 3 2010-10-01 2010-10-01 false Existing facilities. 1151.22 Section 1151.22... Prohibited Accessibility § 1151.22 Existing facilities. (a) A recipient shall operate each program or... make each of its existing facilities or every part of a facility accessible to and usable by...

  2. 34 CFR 104.22 - Existing facilities.

    Science.gov (United States)

    2010-07-01

    ... 34 Education 1 2010-07-01 2010-07-01 false Existing facilities. 104.22 Section 104.22 Education... Accessibility § 104.22 Existing facilities. (a) Accessibility. A recipient shall operate its program or activity.... This paragraph does not require a recipient to make each of its existing facilities or every part of a...

  3. Application of Three Existing Stope Boundary Optimisation Methods in an Operating Underground Mine

    Science.gov (United States)

    Erdogan, Gamze; Yavuz, Mahmut

    2017-12-01

    The underground mine planning and design optimisation process have received little attention because of complexity and variability of problems in underground mines. Although a number of optimisation studies and software tools are available and some of them, in special, have been implemented effectively to determine the ultimate-pit limits in an open pit mine, there is still a lack of studies for optimisation of ultimate stope boundaries in underground mines. The proposed approaches for this purpose aim at maximizing the economic profit by selecting the best possible layout under operational, technical and physical constraints. In this paper, the existing three heuristic techniques including Floating Stope Algorithm, Maximum Value Algorithm and Mineable Shape Optimiser (MSO) are examined for optimisation of stope layout in a case study. Each technique is assessed in terms of applicability, algorithm capabilities and limitations considering the underground mine planning challenges. Finally, the results are evaluated and compared.

  4. Guidelines for the design and operation of makeup water treatment systems

    International Nuclear Information System (INIS)

    Lee, Y.H.; Planek, M.A.; Sopocy, D.M.; Tomaga, C.M.; Abrams, I.M.; Anderson, C.C.; Balazs, M.K.; Houskava, J.; Williams, R.

    1989-06-01

    These guidelines present the industry with a standardized program to ensure the optimum design and operation of their individual makeup water treatment systems. These guidelines present, in a non-technical and non-proprietary format, the makeup water treatment system design and operating topics that are discussed in detail in Volumes 1 and 2 of NP-6377-SL. The individual guidelines contained in Volumes 1 and 2 are presented as separate imperative statements, followed by a technical justification discussion, which provides further explanations. In addition and when applicable, the guidelines relate pertinent operational in regard to monitoring parameters for operation, alternative actions, troubleshooting, management responsibilities and shutdown practices. Design considerations are also addressed, when applicable, in regard to equipment cost and advantages and disadvantages for the design recommendations. Appendices provide background information for performance criteria, component description, economic evaluation procedures and definitions. 4 refs

  5. Intra-operative radiation treatment of cancers

    International Nuclear Information System (INIS)

    Dubois, J.B.; Joyeux, H.; Solassol, C.; Pujol, H.

    1986-01-01

    Intra-operative radiation treatment (I.O.R.T.) is concerning the treatment either of an unresectable tumor or of tumor bed after complete excision of a primary tumor and its first draining lymph nodes. We describe X-ray and electrons techniques and we discuss the delivered doses according to experimental and clinical data. According to the residual disease (macroscopic or microscopic), to the healthy tissues in the target volume, and the histological type, single doses from 20 Gy to 40 Gy can be delivered. Our preliminary results are reported: 25 patients with resectable tumors of the cardia, the stomach and the pancreas, 5 patients with pelvic recurrences of colon and rectum carcinomas. Therapeutic results of the I.O.R.T. providing from the literature are discussed. The I.O.R.T. indications are defined as palliative (unresectable tumors) and curative (irradiation of tumor bed after complete excision of the tumor) [fr

  6. [Non operative treatment for perforated peptic ulcer: results of a prospective study].

    Science.gov (United States)

    Songne, B; Jean, F; Foulatier, O; Khalil, H; Scotté, M

    2004-12-01

    The conservative management of perforated peptic ulcer has not gained widespread acceptance despite introduction of proton-pomp inhibitors because surgical procedures can achieve immediate closure by eventually using a laparoscopic approach. The aim of this prospective study was to evaluate the results of Taylor's method and to identify predictive factors of failure of medical treatment in patients presenting with perforated peptic ulcer. Between 1990 and 2000, 82 consecutive patients, with diagnosis of perforated peptic ulcer were prospectively included in this study. They were initially treated with non-operative procedure (nasogastric suction and intravenous administration of H2-blockers or proton-pomp inhibitors). No clinical improvement after 24 hours required a surgical treatment. Predictive factors of failure of non-operative treatment were tested in univariate or multivariate analysis. Clinical improvement was obtained with non-operative treatment in 54% of the patients (44/82). The overall mortality rate was 1%. In univariate analysis, significant predictive factors of failure of non-operative treatment were: size of pneumoperitoneum, heart beat >94 bpm, abdominal meteorism, pain at digital rectal exam, and age >59 years. In multivariate analysis, the significant factors were the size of pneumoperitoneum, heart beat, and abdominal meteorism. The association of these criteria: size of pneumoperitoneum >size of the first lumbar vertebra, heart beat >94 bpm, pain at digital rectal exam and age > 59 years , led to surgical treatment in all cases. These results suggest that more than 50% of patients with perforated peptic ulcer respond to conservative treatment without surgery and that the association of few criteria (size of pneumoperitoneum, heart beat, pain at digital rectal exam and age) require emergency surgery.

  7. Operative treatment of lateral humeral condyle fractures in children.

    Science.gov (United States)

    Wirmer, Johannes; Kruppa, Christian; Fitze, Guido

    2012-08-01

    The operative treatment of lateral humeral condyle fractures in children remains controversial. The result of incorrectly treated fractures may lead to complications such as pseudoarthrosis and severe deformity, with considerable functional and cosmetic restrictions. The aim of this study was to determine whether operative treatment of lateral humeral condyle fractures in children using Screw-wires (Orthofix GmbH, Ottobrunn, Germany) has any advantage over treatment with Kirschner wires ("K-wires") (aap-Implantate AG, Berlin, Germany). These results were then compared with operative treatment using lag-screw osteosynthesis. We treated surgically 76 cases of fracture of the lateral humeral condyle in children at the Department of Pediatric Surgery in Dresden between 1989 to 2002 and 2004 to 2008, from which 42 were available for follow-up examination. Within this group, there were seven children that were followed-up twice (in 1996 to 2002). Of these, 21 patients were treated with Screw-wires, and another 21 had K-wires inserted. The results were evaluated according to the Dhillon criteria. Only seven patients (17%) had a fair result in the overall grading according to the Dhillon criteria, four after K-wire and three after Screw-wire osteosyntheses. The remaining patients scored good to excellent results. There were no pseudoarthroses. Six patients (14%) had a varisation in the carrying angle between 10 and 16 degrees (three each procedure), and 15 patients (36%) had no difference in the carrying angle at all. Of these 15 patients, 10 were treated with Screw-wire osteosynthesis. Only one patient (2.4%) had a deficit of more than 10 degrees in elbow joint flexion, while only two (4.8%, one each procedure) had a deficit of more than 10 degrees in elbow joint extension, compared with the uninjured arm. Our results demonstrate that the employment of Screw-wire osteosynthesis is superior to the use of K-wires concerning the carrying angle while scoring alike on the

  8. Centralized Drinking Water Treatment Operations Shape Bacterial and Fungal Community Structure.

    Science.gov (United States)

    Ma, Xiao; Vikram, Amit; Casson, Leonard; Bibby, Kyle

    2017-07-05

    Drinking water microbial communities impact opportunistic pathogen colonization and corrosion of water distribution systems, and centralized drinking water treatment represents a potential control for microbial community structure in finished drinking water. In this article, we examine bacterial and fungal abundance and diversity, as well as the microbial community taxonomic structure following each unit operation in a conventional surface water treatment plant. Treatment operations drove the microbial composition more strongly than sampling time. Both bacterial and fungal abundance and diversity decreased following sedimentation and filtration; however, only bacterial abundance and diversity was significantly impacted by free chlorine disinfection. Similarly, each treatment step was found to shift bacterial and fungal community beta-diversity, with the exception of disinfection on the fungal community structure. We observed the enrichment of bacterial and fungal taxa commonly found in drinking water distribution systems through the treatment process, for example, Sphingomonas following filtration and Leptospirillium and Penicillium following disinfection. Study results suggest that centralized drinking water treatment processes shape the final drinking water microbial community via selection of community members and that the bacterial community is primarily driven by disinfection while the eukaryotic community is primarily controlled by physical treatment processes.

  9. Process improvement to enhance existing stroke team activity toward more timely thrombolytic treatment.

    Science.gov (United States)

    Cho, Han-Jin; Lee, Kyung Yul; Nam, Hyo Suk; Kim, Young Dae; Song, Tae-Jin; Jung, Yo Han; Choi, Hye-Yeon; Heo, Ji Hoe

    2014-10-01

    Process improvement (PI) is an approach for enhancing the existing quality improvement process by making changes while keeping the existing process. We have shown that implementation of a stroke code program using a computerized physician order entry system is effective in reducing the in-hospital time delay to thrombolysis in acute stroke patients. We investigated whether implementation of this PI could further reduce the time delays by continuous improvement of the existing process. After determining a key indicator [time interval from emergency department (ED) arrival to intravenous (IV) thrombolysis] and conducting data analysis, the target time from ED arrival to IV thrombolysis in acute stroke patients was set at 40 min. The key indicator was monitored continuously at a weekly stroke conference. The possible reasons for the delay were determined in cases for which IV thrombolysis was not administered within the target time and, where possible, the problems were corrected. The time intervals from ED arrival to the various evaluation steps and treatment before and after implementation of the PI were compared. The median time interval from ED arrival to IV thrombolysis in acute stroke patients was significantly reduced after implementation of the PI (from 63.5 to 45 min, p=0.001). The variation in the time interval was also reduced. A reduction in the evaluation time intervals was achieved after the PI [from 23 to 17 min for computed tomography scanning (p=0.003) and from 35 to 29 min for complete blood counts (p=0.006)]. PI is effective for continuous improvement of the existing process by reducing the time delays between ED arrival and IV thrombolysis in acute stroke patients.

  10. High performance biological process for waste water treatment proven in operation

    International Nuclear Information System (INIS)

    Timm, C.; Wienands, H.; Brauch, G.; Schlaeger, M.

    1993-01-01

    A BIOMEMBRAT plant has been in operation for over one year at the Thor Chemie GmbH facility at Speyer, Germany. The process is particularly suitable for waste water with a high organic content and with degradation-resistant components or high nitrogen contents. This article presents the operating results obtained so far with the waste water treatment plant and the operator's experience. (orig.) [de

  11. Post-operative treatment of endometrial carcinoma. Chapter 20

    International Nuclear Information System (INIS)

    Kuipers, Tj.; Star, W.M.

    1980-01-01

    The alternative forms of post-operative radiotherapy given in Rotterdam for endometrial carcinoma are described. Patients with infiltration involving less than half the thickness of the myometrium are treated with low dose-rate 137 Cs afterloading techniques. However, in patients with deep infiltration, a combination of high dose-rate Cathetron treatment and external irradiation is used. (U.K.)

  12. 45 CFR 84.22 - Existing facilities.

    Science.gov (United States)

    2010-10-01

    ... HANDICAP IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Accessibility § 84.22 Existing facilities. (a) Accessibility. A recipient shall operate its program or activity so that when each part is..., welfare, or other social services at alternate accessible sites, alteration of existing facilities and...

  13. An Analysis of the Waste Water Treatment Operator Occupation.

    Science.gov (United States)

    Clark, Anthony B.; And Others

    The occupational analysis contains a brief job description for the waste water treatment occupations of operator and maintenance mechanic and 13 detailed task statements which specify job duties (tools, equipment, materials, objects acted upon, performance knowledge, safety considerations/hazards, decisions, cues, and errors) and learning skills…

  14. The Earth Observing System (EOS) Ground System: Leveraging an Existing Operational Ground System Infrastructure to Support New Missions

    Science.gov (United States)

    Hardison, David; Medina, Johnny; Dell, Greg

    2016-01-01

    The Earth Observer System (EOS) was officially established in 1990 and went operational in December 1999 with the launch of its flagship spacecraft Terra. Aqua followed in 2002 and Aura in 2004. All three spacecraft are still operational and producing valuable scientific data. While all are beyond their original design lifetime, they are expected to remain viable well into the 2020s. The EOS Ground System is a multi-mission system based at NASA Goddard Space Flight Center that supports science and spacecraft operations for these three missions. Over its operational lifetime to date, the EOS Ground System has evolved as needed to accommodate mission requirements. With an eye towards the future, several updates are currently being deployed. Subsystem interconnects are being upgraded to reduce data latency and improve system performance. End-of-life hardware and operating systems are being replaced to mitigate security concerns and eliminate vendor support gaps. Subsystem hardware is being consolidated through the migration to Virtual Machine based platforms. While mission operations autonomy was not a design goal of the original system concept, there is an active effort to apply state-of-the-art products from the Goddard Mission Services Evolution Center (GMSEC) to facilitate automation where possible within the existing heritage architecture. This presentation will provide background information on the EOS ground system architecture and evolution, discuss latest improvements, and conclude with the results of a recent effort that investigated how the current system could accommodate a proposed new earth science mission.

  15. Repeated morphine treatment influences operant and spatial learning differentially

    Institute of Scientific and Technical Information of China (English)

    Mei-Na WANG; Zhi-Fang DONG; Jun CAO; Lin XU

    2006-01-01

    Objective To investigate whether repeated morphine exposure or prolonged withdrawal could influence operant and spatial learning differentially. Methods Animals were chronically treated with morphine or subjected to morphine withdrawal. Then, they were subjected to two kinds of learning: operant conditioning and spatial learning.Results The acquisition of both simple appetitive and cued operant learning was impaired after repeated morphine treatment. Withdrawal for 5 weeks alleviated the impairments. Single morphine exposure disrupted the retrieval of operant memory but had no effect on rats after 5-week withdrawal. Contrarily, neither chronic morphine exposure nor 5-week withdrawal influenced spatial learning task of the Morris water maze. Nevertheless, the retrieval of spatial memory was impaired by repeated morphine exposure but not by 5-week withdrawal. Conclusion These observations suggest that repeated morphine exposure can influence different types of learning at different aspects, implicating that the formation of opiate addiction may usurp memory mechanisms differentially.

  16. Operative versus nonoperative treatment of unstable lateral malleolar fractures: a randomized multicenter trial.

    Science.gov (United States)

    Sanders, David W; Tieszer, Christina; Corbett, Bradley

    2012-03-01

    To compare clinical and functional outcomes after operative and nonoperative treatment of undisplaced, unstable, isolated fibula fractures. Randomized multicenter clinical trial. Six level 1 trauma centers. Eighty-one patients with undisplaced, unstable, isolated fibula fractures as confirmed by an external rotation stress examination demonstrating an increase in medial clear space to 5 mm or greater were followed for 12 months after treatment. Forty-one patients were treated operatively by open reduction and internal fixation of the fibula. Forty patients underwent nonoperative treatment, which included the use of a short leg cast or brace and protected weight bearing for 6 weeks. Functional outcomes determined using the Olerud-Molander Ankle Score and the Short Form 36. Radiographic outcomes included measurement of union and displacement at each visit. There were no statistically significant differences in functional outcome scores or pace of recovery between the operative and nonoperative groups at any time interval (β = -0.28, 3.49; P = 0.936). Complications in the nonoperative group included 8 patients with a medial clear space ≥5 mm and 8 patients with delayed union or nonunion. In the operative group, 5 patients had a surgical site infection and 5 patients required hardware removal. Patients managed operatively had equivalent functional outcomes compared with nonoperative treatment; however, the risk of displacement and problems with union was substantially lower in patients managed with surgery.

  17. 10 CFR 1040.72 - Existing facilities.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Existing facilities. 1040.72 Section 1040.72 Energy... § 1040.72 Existing facilities. (a) Accessibility. A recipient shall operate any program or activity to... facilities or every part of a facility accessible to and useable by handicapped persons. (b) Methods. A...

  18. Effects of operative treatment for muscular asthenopia caused by esophoria

    Directory of Open Access Journals (Sweden)

    Tao Zeng

    2016-05-01

    Full Text Available AIM:To observe the effects of operative treatment for muscular asthenopia caused by esophoria. METHODS:Twenty-one cases(42 eyeswith muscular asthenopia caused by esophoria were included. After examination of refraction, phoria and fusion function, all cases were given operative treatment to correct esophoria. RESULTS:At 1wk after surgery, clinical symptoms were improved evidently in all cases, such as headache, diplopia and eye swelling. After followed up for 1a, no recrudescence was found. Before surgery, at 1wk and 1a after surgery, esophoria in the distance were 20.3△±6.3△,-3.1△±1.4△,0.7△±1.6△ respectively and esophoria in the near distance were 10.5△±3.1△,-1.3△±0.6△,1.5△±0.8△ respectively. By comparison of esophoria before and after surgery in different stages separately, the differences were statistically(PP>0.05. CONCLUSION:Esophoria operation may relieve obviously muscular asthenopia caused by esophoria without changing fusion function.

  19. Operative treatment and avascular necrosis of the hip development disorder.

    Science.gov (United States)

    Gavrankapetanović, Ismet; Hadžimehmedagić, Amel; Papović, Adnan; Baždar, Elvir

    2014-07-01

    The purpose of this research was (1) to evaluate the consequences of an operative treatment of hip developmental disorder in children, (2) to evaluate the significance of hip vascular supply in children through indirect radiological signs, such as morphological changes on femoral head, and to classify them with standard classification methods, and (3) to analyse the research results and make a recommendation for the following treatment dilemma: when is the optimal time for an operative treatment of a hip development disorder? The research is a retrospective and observational analysis based on the classification of indirect radiological signs of local vascular disorder by the Bucholz-Ogden's scale. Materials used for this research are medical records of treated patients at the Clinic for Orthopaedics and Traumatology of the Sarajevo University Clinical Centre. Using a random selection, two groups of 30 patients with hip development disorder were formed. The first group was comprised of patients aged six to 18 months and the second group of patients aged 18-60 months. The medical records used for this research included all necessary anamnestic details and postoperative state treatments with clinical findings and regular radiological check-up findings that include the presence or absence of the ossification nucleus as well as its position. All patients underwent surgery with the same operative technique. Data analysis points include the state at the beginning of the treatment, the postoperative state, the state at discharge as well as control findings that followed the development of the proximal femoral part up to 72 months on average. The analysis covered data such as age, sex, family anamnestic data, clinical findings and radiological findings regarding the femoral head morphology (appearance, size, shape, position and indirect signs showing lack of vascular supply). In addition, data analysis included the types of any previous conservative or operative treatments

  20. The Patterns Of Surgical Thyroid Diseases And Operative Treatment ...

    African Journals Online (AJOL)

    The Patterns Of Surgical Thyroid Diseases And Operative Treatment. In Gondar College of Medical sciences, North-western Ethiopia. Abebe B. M.D. Lecturer and General practitioner,. Girmaye T. M.D. Assistant professor of surgery,. Mensur 0. M.D. Assistant professor of surgery,. Sentayehu T. M.D. General practitioner,.

  1. Principles of Design And Operations Of Wastewater Treatment Pond Systems For Plant Operators, Engineers, And Managers

    Science.gov (United States)

    Wastewater pond systems provide reliable, low cost, and relatively low maintenance treatment for municipal and industrial discharges. However, they do have certain design, operations, and maintenance requirements. While the basic models have not changed in the 30-odd years sinc...

  2. A review on the sustainability of constructed wetlands for wastewater treatment: Design and operation.

    Science.gov (United States)

    Wu, Haiming; Zhang, Jian; Ngo, Huu Hao; Guo, Wenshan; Hu, Zhen; Liang, Shuang; Fan, Jinlin; Liu, Hai

    2015-01-01

    Constructed wetlands (CWs) have been used as a green technology to treat various wastewaters for several decades. CWs offer a land-intensive, low-energy, and less-operational-requirements alternative to conventional treatment systems, especially for small communities and remote locations. However, the sustainable operation and successful application of these systems remains a challenge. Hence, this paper aims to provide and inspire sustainable solutions for the performance and application of CWs by giving a comprehensive review of CWs' application and the recent development on their sustainable design and operation for wastewater treatment. Firstly, a brief summary on the definition, classification and application of current CWs was presented. The design parameters and operational conditions of CWs including plant species, substrate types, water depth, hydraulic load, hydraulic retention time and feeding mode related to the sustainable operation for wastewater treatments were then discussed. Lastly, future research on improving the stability and sustainability of CWs were highlighted. Copyright © 2014 Elsevier Ltd. All rights reserved.

  3. [Case control study of fractures-dislocations of ankle joint with conservative and operative treatment].

    Science.gov (United States)

    Zhang, Song-Tu; Lin, Yi-Rong; Chen, Lian-Yuan

    2010-10-01

    To compare the clinical efficacy of grade III, IV supination-eversion fractures-dislocations of ankle joint between manipulative treatment and operative treatment. From September 2007 to December 2008, the clinical data of 60 patients with grade III, IV supination-eversion fractures-dislocations of ankle joint were retrospectively analyzed. There were 32 males and 28 females, ranging in age from 18 to 70 years with an average age of 38.17 years. All patients were respectively treated with manipulative treatment (conservative group, 30 cases) and operative treatment (operative group, 30 cases). The joint function was compared with Mazur standard; the reduction and shifting of fractures were observed with X-ray; the hospitalization day and the therapeutic cost were compared between two groups. All patients were followed up with an average of 15.27 months (ranged, 6 to 25 months). In conservative group, 16 cases got excellent result in joint function, 10 good, 3 fair, 1 poor; in operative group, 20 cases got excellent result, 8 good, 2 fair, 0 poor. In conservative group in the X-ray showed 25 cases obtained excellent and good reduction, 4 fair, 1 poor; and in operative group in the X-ray showed 28 cases obtained excellent and good reduction, 2 fair, 0 poor. There was no significant difference at the joint function and X-ray film after treatment between two groups (P > 0.05). The hospital day was respectively (7.87 +/- 3.34), (17.37 +/- 4.64) d in conservative group and operative group; and the therapeutic cost was respectively (2 506.67 +/- 649.10), (11 473.33 +/- 1 564.90) yuan. There was significant difference at hospital day and therapeutic cost between two groups (P fractures and dislocations of ankle joint. However, conservative treatment has advantage of high safety factor, low therapeutic cost, can reduce medical costs for patients.

  4. Operation, Maintenance and Management of Wastewater Treatment Facilities: A Bibliography of Technical Documents.

    Science.gov (United States)

    Himes, Dottie

    This is an annotated bibliography of wastewater treatment manuals. Fourteen manuals are abstracted including: (1) A Planned Maintenance Management System for Municipal Wastewater Treatment Plants; (2) Anaerobic Sludge Digestion, Operations Manual; (3) Emergency Planning for Municipal Wastewater Treatment Facilities; (4) Estimating Laboratory Needs…

  5. [Operative treatment of degenerative diseases of the lumbar spine].

    Science.gov (United States)

    Czabanka, M; Thomé, C; Ringel, F; Meyer, B; Eicker, S-O; Rohde, V; Stoffel, M; Vajkoczy, P

    2018-04-20

    Degenerative diseases of the lumbar spine and associated lower back pain represent a major epidemiological and health-related economic challenge. A distinction is made between specific and unspecific lower back pain. In specific lower back pain lumbar disc herniation and spinal canal stenosis with or without associated segment instability are among the most frequent pathologies. Diverse conservative and operative strategies for treatment of these diseases are available. The aim of this article is to present an overview of current data and an evidence-based assessment of the possible forms of treatment. An extensive literature search was carried out via Medline plus an additional evaluation of the authors' personal experiences. Conservative and surgical treatment represent efficient treatment options for degenerative diseases of the lumbar spine. Surgical treatment of lumbar disc herniation shows slight advantages compared to conservative treatment consisting of faster recovery of neurological deficits and a faster restitution of pain control. Surgical decompression is superior to conservative measures for the treatment of spinal canal stenosis and degenerative spondylolisthesis. In this scenario conservative treatment represents an important supporting measure for surgical treatment in order to improve the mobility of patients and the outcome of surgical treatment. The treatment of specific lower back pain due to degenerative lumbar pathologies represents an interdisciplinary challenge, requiring both conservative and surgical treatment strategies in a synergistic treatment concept in order to achieve the best results for patients.

  6. TECHNOLOGIES TO ENHANCE THE OPERATION OF EXISTING NATURAL GAS COMPRESSION INFRASTRUCTURE - MANIFOLD DESIGN FOR CONTROLLING ENGINE AIR BALANCE

    Energy Technology Data Exchange (ETDEWEB)

    Gary D. Bourn; Ford A. Phillips; Ralph E. Harris

    2005-12-01

    This document provides results and conclusions for Task 15.0--Detailed Analysis of Air Balance & Conceptual Design of Improved Air Manifolds in the ''Technologies to Enhance the Operation of Existing Natural Gas Compression Infrastructure'' project. SwRI{reg_sign} is conducting this project for DOE in conjunction with Pipeline Research Council International, Gas Machinery Research Council, El Paso Pipeline, Cooper Compression, and Southern Star, under DOE contract number DE-FC26-02NT41646. The objective of Task 15.0 was to investigate the perceived imbalance in airflow between power cylinders in two-stroke integral compressor engines and develop solutions via manifold redesign. The overall project objective is to develop and substantiate methods for operating integral engine/compressors in gas pipeline service, which reduce fuel consumption, increase capacity, and enhance mechanical integrity.

  7. A Guide for Developing Standard Operating Job Procedures for the Tertiary Chemical Treatment - Lime Precipitation Process Wastewater Treatment Facility. SOJP No. 6.

    Science.gov (United States)

    Petrasek, Al, Jr.

    This guide describes the standard operating job procedures for the tertiary chemical treatment - lime precipitation process of wastewater treatment plants. Step-by-step instructions are given for pre-start up, start-up, continuous operation, and shut-down procedures. In addition, some theoretical material is presented along with some relevant…

  8. Spas for gynaecological complaints in the follow-up treatment of women operated and irradiated for cancer

    International Nuclear Information System (INIS)

    Baatz, H.; Verband Deutscher Badeaerzte e.V., Bad Pyrmont

    1980-01-01

    The therapeutical value of the two main fields of gynaecological balneotherapy, and treatment and brine treatment, is about equal, so that the therapy of choice depends mostly on the 12 possible indications. Mud therapy is never indicated for the post-operative treatment of woman who have undergone primary cancer therapy. It is contra-indicated during cancer treatment as well as afterwards. Brine therapy is the method of choice for post-operative treatment. (orig./MG) [de

  9. Low level mixed waste thermal treatment technical basis report

    Energy Technology Data Exchange (ETDEWEB)

    Place, B.G.

    1994-12-01

    Detailed characterization of the existing and projected Hanford Site Radioactive Mixed Waste (RMW) inventory was initiated in 1993 (Place 1993). This report presents an analysis of the existing and projected RMW inventory. The subject characterization effort continues to be in support of the following engineering activities related to thermal treatment of Hanford Site RMW: (1) Contracting for commercial thermal treatment; (2) Installation and operation of an onsite thermal treatment facility (Project W-242); (3) Treatment at another Department of Energy (DOE) site. The collation of this characterization information (data) has emphasized the establishment of a common data base for the entire existing RMW inventory so that the specification of feed streams destined for different treatment facilities can be coordinated.

  10. Low level mixed waste thermal treatment technical basis report

    International Nuclear Information System (INIS)

    Place, B.G.

    1994-12-01

    Detailed characterization of the existing and projected Hanford Site Radioactive Mixed Waste (RMW) inventory was initiated in 1993 (Place 1993). This report presents an analysis of the existing and projected RMW inventory. The subject characterization effort continues to be in support of the following engineering activities related to thermal treatment of Hanford Site RMW: (1) Contracting for commercial thermal treatment; (2) Installation and operation of an onsite thermal treatment facility (Project W-242); (3) Treatment at another Department of Energy (DOE) site. The collation of this characterization information (data) has emphasized the establishment of a common data base for the entire existing RMW inventory so that the specification of feed streams destined for different treatment facilities can be coordinated

  11. New And Existing Bridge Constructions - Increase of Fatigue Strength of Welded Joints by High Frequency Mechanical Impact Treatment

    Directory of Open Access Journals (Sweden)

    Ummenhofer Thomas

    2013-07-01

    Full Text Available Numerous studies at KIT prove that high frequency mechanical impact (HFMI treatment is an efficient method for increasing the fatigue strength of welded steel structures. Within different research projects it was found that HFMI-methods can be used successfully for new and existing structures in order to extend the fatigue life. This paper gives an overview of the current status of existing steel bridges in Germany regarding aspects like bridge age distributions and traffic loads. Based on that overview welded joints susceptible to fatigue failure are identified. Using component-like small scale specimens, HFMI-methods were investigated within the objective of implementing an effective application for new and existing structures. Applying the fatigue test data observed, existing design proposals are evaluated and design recommendations for HFMI-treated joints are given. As a result of the research work, a transfer into practice has been realized and different applications are illustrated using the example of bridge constructions made of steel.

  12. Effect of heat treatment operations on the Rm tensile strength of silumins

    Directory of Open Access Journals (Sweden)

    J. Pezda

    2010-10-01

    Full Text Available Owing to good technological properties, low weight and good corrosion resistance, aluminum-silicon alloys are widely used as a material for cast machinery components. State of macro- and microstructure of a castings manufactured from Al-Si alloys, which is determined by a shape and distribution of hardening phases, segregation of alloying constituents and impurities, as well as distribution of porosity, create conditions to obtainment of proper mechanical properties. These properties can be improved through modification of the alloy and performed heat treatment operations. The paper presents effect of modification and heat treatment process on the Rm tensile strength of a selected silumins (EN AB-AlSi9Cu3(Fe, EN AB-AlSi12CuNiMg, EN AB-AlSi17Cu1Ni1Mg. Investigated alloys were put to treatments of refining and modification, and next to heat treatment. Temperature range of the heat treatment operations was determined on base of curves from the ATD method. Obtained results illustrate registered curves of melting and solidification from the ATD method and strength tests. On base of performed initial tests one determined parameters of the heat treatment process (temperature and duration of solutionig and ageing treatments enabling obtainment of improved Rm tensile strength of the investigated alloys.

  13. Mathematics for Water and Wastewater Treatment Plant Operators. Water and Wastewater Training Program.

    Science.gov (United States)

    South Dakota Dept. of Environmental Protection, Pierre.

    This booklet is intended to aid the prospective waste treatment plant operator or drinking water plant operator in learning to solve mathematical problems, which is necessary for Class I certification. It deals with the basic mathematics which a Class I operator may require in accomplishing day-to-day tasks. The book also progresses into problems…

  14. Successful single treatment with ziv-aflibercept for existing corneal neovascularization following ocular chemical insult in the rabbit model.

    Science.gov (United States)

    Gore, Ariel; Horwitz, Vered; Cohen, Maayan; Gutman, Hila; Cohen, Liat; Gez, Rellie; Kadar, Tamar; Dachir, Shlomit

    2018-03-13

    To evaluate the efficacy of ziv-aflibercept as a treatment for established corneal neovascularization (NV) and to compare its efficacy to that of bevacizumab following ocular chemical insult of sulfur mustard (SM) in the rabbit model. Chemical SM burn was induced in the right eye of NZW rabbits by vapor exposure. Ziv-aflibercept (2 mg) was applied once to neovascularized eyes by subconjunctival injection while subconjunctival bevacizumab (5 mg) was administered twice a week, for 3 weeks. Non-treated exposed eyes served as a control. A clinical follow-up employed by slit-lamp microscope, was performed up to 12 weeks following exposure and digital photographs of the cornea were taken for measurement of blood vessels length using the image analysis software. Eyes were taken for histological evaluation 2, 4 and 8 weeks following treatment for general morphology and for visualization of NV, using H&E and Masson Trichrome stainings, while conjunctival goblet cell density was determined by PAS staining. Corneal NV developed, starting as early as two weeks after exposure. A single subconjunctival treatment of ziv-aflibercept at 4 weeks post exposure, significantly reduced the extent of existing NV already one week following injection, an effect which lasted for at least 8 weeks following treatment, while NV in the non-treated exposed eyes continued to advance. The extensive reduction in corneal NV in the ziv-aflibercept treated group was confirmed by histological evaluation. Bevacizumab multiple treatment showed a benefit in NV reduction, but to a lesser extent compared to the ziv-aflibercept treatment. Finally, ziv-aflibercept increased the density of conjunctival goblet cells as compared to the exposed non-treated group. Subconjunctival ziv-aflibercept single treatment presented a highly efficient long-term therapeutic benefit in reducing existing corneal NV, following ocular sulfur mustard exposure. These findings show the robust anti-angiogenic efficacy of ziv

  15. Results of Operative and Nonoperative Treatment of Rockwood Types III and V Acromioclavicular Joint Dislocation

    Science.gov (United States)

    Joukainen, Antti; Kröger, Heikki; Niemitukia, Lea; Mäkelä, E. Antero; Väätäinen, Urho

    2014-01-01

    Background: The optimal treatment of acute, complete dislocation of the acromioclavicular joint (ACJ) is still unresolved. Purpose: To determine the difference between operative and nonoperative treatment in acute Rockwood types III and V ACJ dislocation. Study Design: Randomized controlled trial; Level of evidence, 2. Methods: In the operative treatment group, the ACJ was reduced and fixed with 2 transarticular Kirschner wires and ACJ ligament suturing. The Kirschner wires were extracted after 6 weeks. Nonoperatively treated patients received a reduction splint for 4 weeks. At the 18- to 20-year follow-up, the Constant, University of California at Los Angeles Shoulder Rating Scale (UCLA), Larsen, and Simple Shoulder Test (SST) scores were obtained, and clinical and radiographic examinations of both shoulders were performed. Results: Twenty-five of 35 potential patients were examined at the 18- to 20-year follow-up. There were 11 patients with Rockwood type III and 14 with type V dislocations. Delayed surgical treatment for ACJ was used in 2 patients during follow-up: 1 in the operatively treated group and 1 in the nonoperatively treated group. Clinically, ACJs were statistically significantly less prominent or unstable in the operative group than in the nonoperative group (normal/prominent/unstable: 9/4/3 and 0/6/3, respectively; P = .02) and in the operative type III (P = .03) but not type V dislocation groups. In operatively and nonoperatively treated patients, the mean Constant scores were 83 and 85, UCLA scores 25 and 27, Larsen scores 11 and 11, and SST scores 11 and 12 at follow-up, respectively. There were no statistically significant differences in type III and type V dislocations. In the radiographic analysis, the ACJ was wider in the nonoperative than the operative group (8.3 vs 3.4 mm; P = .004), and in the type V dislocations (nonoperative vs operative: 8.5 vs 2.4 mm; P = .007). There was no statistically significant difference between study groups in

  16. Post-cold war United Nations peacekeeping operations: a review of the case for a hybrid level 2+ medical treatment facility.

    Science.gov (United States)

    Johnson, Ralph Jay

    2015-01-01

    Post-Cold War, UN peacekeeping operations (UN PKOs) have become larger, more mobile, multi-faceted and conducted over vast areas of remote, rugged, and harsh geography. They have been increasingly involved in dangerous areas with ill-defined boundaries, simmering internecine armed conflict, and disregard on the part of some local parties for peacekeepers' security and role. Yet progressively there have been expectations of financial restraint and austerity. Additionally, UN PKOs have become more "robust," that is, engaged in preemptive, assertive operations. A statistically positive and significant relationship exists between missions' size, complexity, remoteness, and aggressive tenor and a higher probability of trauma or death, especially as a result of hostile actions or disease. Therefore, in the interest of "force protection" and optimizing operations, a key component of UN PKOs is health care and medical treatment. The expectation is that UN PKO medical support must conform to the general intent and structure of current UN PKOs to become more streamlined, portable, mobile, compartmentalized, and specialized, but also more varied and complex to address the medical aspects of these missions cost-efficiently. This article contends that establishing a hybrid level 2-a level 2 with level 3 modules and components (i.e., level 2+)-is a viable course of action when considering trends in the medical aspects of Post-Cold War UN PKOs. A level 2 medical treatment facility has the potential to provide needed forward mobile medical treatment, especially trauma care, for extended, complex, large-scale, and comprehensive UN PKOs. This is particularly the case for missions that include humanitarian outreach, preventive medicine, and psychiatry. The level 2 treatment facility is flexible enough to expand into a hybrid level 2+ with augmentation of modules based on changes in mission requirements and variation in medical aspects.

  17. Advances in Remote Sensing of Agriculture: Context Description, Existing Operational Monitoring Systems and Major Information Needs

    Directory of Open Access Journals (Sweden)

    Clement Atzberger

    2013-02-01

    Full Text Available Many remote sensing applications are devoted to the agricultural sector. Representative case studies are presented in the special issue “Advances in Remote Sensing of Agriculture”. To complement the examples published within the special issue, a few main applications with regional to global focus were selected for this review, where remote sensing contributions are traditionally strong. The selected applications are put in the context of the global challenges the agricultural sector is facing: minimizing the environmental impact, while increasing production and productivity. Five different applications have been selected, which are illustrated and described: (1 biomass and yield estimation, (2 vegetation vigor and drought stress monitoring, (3 assessment of crop phenological development, (4 crop acreage estimation and cropland mapping and (5 mapping of disturbances and land use/land cover (LULC changes. Many other applications exist, such as precision agriculture and irrigation management (see other special issues of this journal, but were not included to keep the paper concise. The paper starts with an overview of the main agricultural challenges. This section is followed by a brief overview of existing operational monitoring systems. Finally, in the main part of the paper, the mentioned applications are described and illustrated. The review concludes with some key recommendations.

  18. A Manual of Simplified Laboratory Methods for Operators of Wastewater Treatment Facilities.

    Science.gov (United States)

    Westerhold, Arnold F., Ed.; Bennett, Ernest C., Ed.

    This manual is designed to provide the small wastewater treatment plant operator, as well as the new or inexperienced operator, with simplified methods for laboratory analysis of water and wastewater. It is emphasized that this manual is not a replacement for standard methods but a guide for plants with insufficient equipment to perform analyses…

  19. The management of shoreline protection and treatment operations

    International Nuclear Information System (INIS)

    Owens, E.H.

    1996-01-01

    The management of shoreline cleaning operations in the event of an oil spill, was discussed. An eight-step approach was introduced which was based on the definition of objectives and strategies. The discussion included evaluation of the feasibility of each of these strategies, as well as the effects of the proposed actions. It was emphasized that apart from natural recovery, any response action will have an effect either directly, by the protection or treatment actions, or indirectly, by the support actions, on the shore zone or the adjacent backshore. The main purpose of a response is to accelerate natural recovery. This new response approach can be an effective management tool, since the use of standard terms and strategy statements give operations personnel a well defined set of instruction which reduce the potential for misinterpretation. 4 refs., 9 figs

  20. Treatment of Wastewater from Electroplating, Metal Finishing and Printed Circuit Board Manufacturing. Operation of Wastewater Treatment Plants Volume 4.

    Science.gov (United States)

    California State Univ., Sacramento. Dept. of Civil Engineering.

    One of four manuals dealing with the operation of wastewater plants, this document was designed to address the treatment of wastewater from electroplating, metal finishing, and printed circuit board manufacturing. It emphasizes how to operate and maintain facilities which neutralize acidic and basic waters; treat waters containing metals; destroy…

  1. Existence families, functional calculi and evolution equations

    CERN Document Server

    deLaubenfels, Ralph

    1994-01-01

    This book presents an operator-theoretic approach to ill-posed evolution equations. It presents the basic theory, and the more surprising examples, of generalizations of strongly continuous semigroups known as 'existent families' and 'regularized semigroups'. These families of operators may be used either to produce all initial data for which a solution in the original space exists, or to construct a maximal subspace on which the problem is well-posed. Regularized semigroups are also used to construct functional, or operational, calculi for unbounded operators. The book takes an intuitive and constructive approach by emphasizing the interaction between functional calculus constructions and evolution equations. One thinks of a semigroup generated by A as etA and thinks of a regularized semigroup generated by A as etA g(A), producing solutions of the abstract Cauchy problem for initial data in the image of g(A). Material that is scattered throughout numerous papers is brought together and presented in a fresh, ...

  2. [Rehabilitation treatment of patients with operable gastric cancer].

    Science.gov (United States)

    Kulikov, E P; Lebedev, A M; Telegin, V N; Maksimova, T N

    1991-04-01

    Observations over 130 patients who underwent radical operation for gastric carcinoma showed that survival is higher among those who received rehabilitation measures and that post-gastroresection complications occurred in them 1.5-2 times less frequently than in the control group; 39.2% of patients who were given rehabilitation therapy and only 15.8% of patients in the control group resumed occupational activity. The authors worked out an optimal plan of restorative treatment according to the character and severity of the postresection complications.

  3. Operating experience with existing light sources

    International Nuclear Information System (INIS)

    Barton, M.Q.

    1985-01-01

    It is instructive to consider what an explosive growth there has been in the development of light sources using synchrotron radiation. This is well illustrated by the list of facilities given in Table I. In many cases, synchrotron light facilities have been obtained by tacking on parasitic beam lines to rings that were built for high energy physics. Of the twenty-three facilities in this table, however, eleven were built explicitely for this synchrotron radiation. Another seven have by now been converted for use as dedicated facilities leaving only five that share time with high energy physics. These five parasitically operated facilities are still among our best sources of hard x-rays, however, and their importance to the fields of science where these x-rays are needed must be emphasized. While the number of facilities in this table is impressive, it is even more impressive to add up the total number of user beam lines. Most of these rings are absolutely surrounded by beam lines and finding real estate on the experimental floor of one of these facilities for adding a new experiment looks about as practical as adding a farm in the middle of Manhattan. Nonetheless, the managers of these rings seem to have an attitude of ''always room for one more'' and new experimental beam lines do appear. This situation is necessary because the demand for beam time has exploded at an even faster rate than the development of the facilities. The field is not only growing, it can be expected to continue to grow for some time. Some of the explicit plans for future development will be discussed in the companion paper by Lee Teng

  4. Intermittent operation of ultra-low pressure ultrafiltration for decentralized drinking water treatment.

    Science.gov (United States)

    Peter-Varbanets, Maryna; Gujer, Willi; Pronk, Wouter

    2012-06-15

    River water was treated by ultrafiltration at a relatively low transmembrane pressure (40 mbar). As observed before, flux stabilization occurred after several days of operation although no back-flushing or cross flow was applied. Interruptions in flux were applied by temporary offset of the transmembrane pressure. After restoration of the transmembrane pressure, the initial flux was higher than the stable flux level, and the flux recovery depended on the standstill time. Furthermore, if a short cross flow was applied after standstill, the flux was restored to an even higher level. In all cases, the flux decreased again during operation to reach finally the same stable level as before standstill. In order to evaluate the influence of intermittent operation as practiced for water treatment on a household level, daily interruptions of flux were applied. An optimum of total daily water production rate was obtained at 21 h of operation and 3 h of standstill per day. A model was developed which can describe the impact of intermittent operation on the flux depending on the duration of the standstill and operating periods. This enables the prediction of production capacity of the system operated intermittently. The flux increase during standstill could be explained by a relaxation and expansion of the biofouling layer, while the higher flux after forward-flushing was caused by this layer being partially sloughed off. Household water treatment with the process presented here will generally be operated on a discontinuous basis. The results show that such operation schemes do not compromise the permeability of the system, but actually lead to higher fluxes after standstill. Copyright © 2012 Elsevier Ltd. All rights reserved.

  5. The factors influencing the decision making of operative treatment for proximal humeral fractures

    NARCIS (Netherlands)

    Hageman, Michiel G. J. S.; Jayakumar, Prakash; King, John D.; Guitton, Thierry G.; Doornberg, Job N.; Ring, David

    2015-01-01

    The factors influencing the decision making of operative treatment for fractures of the proximal humerus are debated. We hypothesized that there is no difference in treatment recommendations between surgeons shown radiographs alone and those shown radiographs and patient information. Secondarily, we

  6. The factors influencing the decision making of operative treatment for proximal humeral fractures

    NARCIS (Netherlands)

    Hageman, M.G.; Jayakumar, P.; King, J.D.; Guitton, T.G.; Doornberg, J.N.; Ring, D.; Poelhekke, L.M.S.J.; et al.,

    2015-01-01

    BACKGROUND: The factors influencing the decision making of operative treatment for fractures of the proximal humerus are debated. We hypothesized that there is no difference in treatment recommendations between surgeons shown radiographs alone and those shown radiographs and patient information.

  7. Existence of the Stark-Wannier quantum resonances

    Energy Technology Data Exchange (ETDEWEB)

    Sacchetti, Andrea, E-mail: andrea.sacchetti@unimore.it [Department of Physics, Computer Sciences and Mathematics, University of Modena e Reggio Emilia, Modena (Italy)

    2014-12-15

    In this paper, we prove the existence of the Stark-Wannier quantum resonances for one-dimensional Schrödinger operators with smooth periodic potential and small external homogeneous electric field. Such a result extends the existence result previously obtained in the case of periodic potentials with a finite number of open gaps.

  8. Development of a Water Treatment Plant Operation Manual Using an Algorithmic Approach.

    Science.gov (United States)

    Counts, Cary A.

    This document describes the steps to be followed in the development of a prescription manual for training of water treatment plant operators. Suggestions on how to prepare both flow and narrative prescriptions are provided for a variety of water treatment systems, including: raw water, flocculation, rapid sand filter, caustic soda feed, alum feed,…

  9. Electron beam treatment plant for textile dyeing wastewater

    International Nuclear Information System (INIS)

    Han, B.; Kim, J.; Kim, Y.; Choi, J.; Ahn, S.; Makarov, I.E.; Ponomarev, A.V.

    2006-01-01

    A pilot plant for treating 1,000 m 3 of textile dyeing wastewater per day with electron beam has constructed and operated continuously in Daegu, Korea since 1998. This plant is combined with biological treatment system and it shows the reduction of chemical reagent consumption, and also the reduction in retention time with the increase in removal efficiencies of COD Cr and BOD 5 up to 30∼40%. Increase in biodegradability after radiation treatment of aqueous-organic systems is due to radiolytical conversions of non-biodegradable compounds. On the basis of data obtained from pilot plant operation, construction of actual industrial scale plant has started in 2003, and will be finished by 2005. This plant is located on the area of existing wastewater treatment facility (Daegu Dyeing Industrial Complex) and to have treatment capacity 10,000 m 3 of wastewater per day using one 1 MeV, 400 kW accelerator, and combined with existing bio- treatment facility. The overall construction cost and the operation cost in the radiation processing, when compared to other conventional and advanced oxidation techniques, are more cost-effective and convenient for wastewater treatment. This project is supported by the International Atomic Energy Agency (IAEA) and Korean Government. (author)

  10. New-onset vitiligo and progression of pre-existing vitiligo during treatment with biological agents in chronic inflammatory diseases.

    Science.gov (United States)

    Méry-Bossard, L; Bagny, K; Chaby, G; Khemis, A; Maccari, F; Marotte, H; Perrot, J L; Reguiai, Z; Sigal, M L; Avenel-Audran, M; Boyé, T; Grasland, A; Gillard, J; Jullien, D; Toussirot, E

    2017-01-01

    The development of vitiligo during treatment with biological agents is an unusual event and only a few isolated cases have been reported. To describe the clinical characteristics and evolution of patients developing new-onset vitiligo following initiation of a biological agent for chronic inflammatory disease; and also to report the clinical course of pre-existing vitiligo under biological therapy. This nationwide multicentre, retrospective study, carried out between July 2013 and January 2015, describes the characteristics of a large series of 18 patients (psoriasis N = 8, inflammatory rheumatic diseases N = 8, ulcerative colitis N = 1, uveitis N = 1) who developed new-onset vitiligo while receiving a biological agent. TNFα inhibitors were the most common biological agent involved (13/18) while anti-IL-12/23 and anti-IL-17 agents or abatacept were less common (4/18 and 1/18 respectively). Mean duration of biological agent exposure before vitiligo onset was 13.9 ± 16.5 months. Outcome was favourable for most patients (15/17) while maintaining the biological agent. Data were also collected for 18 patients (psoriasis N = 5, inflammatory rheumatic diseases N = 10, inflammatory bowel diseases N = 2, SAPHO N = 1) who had pre-existing vitiligo when treatment with a biological agent started (TNFα inhibitors N = 15, ustekinumab N = 1, rituximab N = 1, tocilizumab N = 1). Vitiligo progressed in seven patients and was stable or improved in eight cases. Vitiligo may thus emerge and/or progress during treatment with various biological agents, mainly TNFα inhibitors and could be a new paradoxical skin reaction. De novo vitiligo displays a favourable outcome when maintaining the biological agent, whereas the prognosis seems worse in cases of pre-existing vitiligo. © 2016 European Academy of Dermatology and Venereology.

  11. Existence of solutions of nonlinear integrodifferential equations of ...

    Indian Academy of Sciences (India)

    The results are obtained by using semigroup theory and the Schauder fixed point ... The problem of existence of solutions of evolution equations with nonlocal ... we assume that there exists an operator E on DЕEЖИX given by the formula.

  12. Adhesions small bowel obstruction in emergency setting: conservative or operative treatment?

    Science.gov (United States)

    Assenza, M; De Gruttola, I; Rossi, D; Castaldi, S; Falaschi, F; Giuliano, G

    2016-01-01

    Adhesions small bowel obstructions (aSBO) are among the leading causes of emergency operative intervention. About the 80% of aSBO cases resolve without a surgical treatment. It's important to identify which patients could undergo a conservative treatment to prevent an useless surgery The aim of this study is to determine findings that can indicate whether patients with aSBO should undergo a conservative or a surgical treatment. 313 patients with diagnosis of submission of aSBO were restudied. Patients were divided into two groups based on the different type of treatment received, 225 patients who underwent surgical treatment within 24 hours after admission, 88 patients which underwent conservative treatment successfully. For each patient, clinical, hematochemical and radiological findings have been analysed. The treatment of aSBO should be, at the beginning, conservative except that cases that presents clinical and/or CT-scan findings predictive for a surgical treatment (free peritoneal fluid, mesenterial edema, transitional point) or a peritonitis (pneumatosis intestinalis, pneumoperitoneum).

  13. Anti-adhesion therapy following operative hysteroscopy for treatment of female subfertility

    NARCIS (Netherlands)

    Bosteels, Jan; Weyers, Steven; D'Hooghe, Thomas M.; Torrance, Helen; Broekmans, Frank J.; Chua, Su Jen; Mol, Ben Willem J.

    2017-01-01

    Background: Observational evidence suggests a potential benefit with several anti-adhesion therapies in women undergoing operative hysteroscopy (e.g. insertion of an intrauterine device or balloon, hormonal treatment, barrier gels or human amniotic membrane grafting) for decreasing intrauterine

  14. Exploring the Limits and Utility of Operant Conditioning in the Treatment of Drug Addiction

    Science.gov (United States)

    Silverman, Kenneth

    2004-01-01

    This article describes a research program to develop an operant treatment for cocaine addiction in low-income, treatment-resistant methadone patients. The treatment's central feature is an abstinence reinforcement contingency in which patients earn monetary reinforcement for providing cocaine-free urine samples. Success and failure of this…

  15. Clinical outcome and radiographic results after operative treatment of Scheuermann's disease

    NARCIS (Netherlands)

    Poolman, R. W.; Been, H. D.; Ubags, L. H.

    2002-01-01

    The aim of this prospective study was to evaluate radiographic findings, patient satisfaction and clinical outcome, and to report complications and instrumentation failure after operative treatment of Scheuermann's disease using a combined anterior and posterior spondylodesis. The loss of sagittal

  16. LITERATURE SURVEY FOR GROUNDWATER TREATMENT OPTIONS FOR NITRATE IODINE-129 AND URANIUM 200-ZP-1 OPERABLE UNIT HANFORD SITE

    Energy Technology Data Exchange (ETDEWEB)

    BYRNES ME

    2008-06-05

    This literature review presents treatment options for nitrate, iodine-129, and uranium, which are present in groundwater at the 200-ZP-I Groundwater Operable Unit (OU) within the 200 West Area of the Hanford Site. The objective of this review is to determine available methods to treat or sequester these contaminants in place (i.e., in situ) or to pump-and-treat the groundwater aboveground (i.e., ex situ). This review has been conducted with emphasis on commercially available or field-tested technologies, but theoretical studies have, in some cases, been considered when no published field data exist. The initial scope of this literature review included only nitrate and iodine-I 29, but it was later expanded to include uranium. The focus of the literature review was weighted toward researching methods for treatment of nitrate and iodine-129 over uranium because of the relatively greater impact of those compounds identified at the 200-ZP-I OU.

  17. LITERATURE SURVEY FOR GROUNDWATER TREATMENT OPTIONS FOR NITRATE, IODINE-129 AND URANIUM 200-ZP-1 OPERABLE UNIT, HANFORD SITE

    International Nuclear Information System (INIS)

    BYRNES ME

    2008-01-01

    This literature review presents treatment options for nitrate, iodine-129, and uranium, which are present in groundwater at the 200-ZP-I Groundwater Operable Unit (OU) within the 200 West Area of the Hanford Site. The objective of this review is to determine available methods to treat or sequester these contaminants in place (i.e., in situ) or to pump-and-treat the groundwater aboveground (i.e., ex situ). This review has been conducted with emphasis on commercially available or field-tested technologies, but theoretical studies have, in some cases, been considered when no published field data exist. The initial scope of this literature review included only nitrate and iodine-I 29, but it was later expanded to include uranium. The focus of the literature review was weighted toward researching methods for treatment of nitrate and iodine-129 over uranium because of the relatively greater impact of those compounds identified at the 200-ZP-I OU

  18. Does Scientific Evidence for the Use of Natural Products in the Treatment of Oral Candidiasis Exist? A Systematic Review

    Directory of Open Access Journals (Sweden)

    Gabriela Lacet Silva Ferreira

    2015-01-01

    Full Text Available In view of the limitations of antifungal agents used in the treatment of oral candidiasis and the wide variety of natural products that have been studied as treatment of this disease, this systematic literature review proposed to evaluate whether scientific evidence attesting to the efficacy of natural products in the treatment of this disease exists. A systematic search in PubMed, MEDLINE, SciELO, Lilacs, and Cochrane Library databases was accomplished using the associations among the keywords Candida albicans, phytotherapy, biological products, denture stomatitis, and oral candidiasis in both English and Portuguese. Four independent observers evaluated the methodological quality of the resulting articles. Three studies were included for detailed analysis and evaluated according to the analysis protocol based on the CONSORT (Consolidated Standards of Reporting Trials 2010 statement. The tested products were different in all studies. Two studies mentioned random samples, but no study described the sample allocation. No study mentioned sample calculations, a prior pilot study, or examiner calibration, and only one trial reported sample losses. Differences between the tested products and the methodological designs among these studies did not allow the existence of scientific evidence related to the effectiveness of these products for the proposed subjects to be confirmed.

  19. Membrane treatment of liquid wastes from radiological decontamination operations.

    Science.gov (United States)

    Svittsov, A A; Khubetsov, S B; Volchek, K

    2011-01-01

    The paper focuses on the evaluation of membrane filtration for the treatment of liquid radioactive streams generated in area decontamination operations. In this work, semi-permeable membranes were demonstrated to be effective reducing the volume of wastewater containing cesium and cobalt by two orders of a magnitude. The efficiency of membrane separation was enhanced by employing additives that enlarged the size of target radionuclide species and improved their rejection by the membranes. This was achieved by chelation with synthetic water-soluble polymers and by adsorption on micro particles of adsorbent coupled with micelle formation. The effect of wastewater composition and that of the radionuclide-binding additives on the volume reduction was investigated. Membrane treatment is expected to help simplify further processing and decrease disposal costs.

  20. Financial gap calculations for existing cogeneration 2008

    International Nuclear Information System (INIS)

    Hers, S.J.; Wetzels, W.; Seebregts, A.J.; Van der Welle, A.J.

    2008-05-01

    The Dutch SDE (abbreviation for the renewable energy incentive) subsidy scheme promotes the reduction of CO2 emissions which results from the use of Combined Heat and Power (CHP) plants. This report calculates the profitability of operation of existing CHP plants. This information can be used for decision making on the SDE subsidy for existing CHP plants in 2008 [nl

  1. Performance of Existing Hydrogen Stations

    Energy Technology Data Exchange (ETDEWEB)

    Sprik, Samuel [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Kurtz, Jennifer M [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Ainscough, Christopher D [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Saur, Genevieve [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Peters, Michael C [National Renewable Energy Laboratory (NREL), Golden, CO (United States)

    2017-12-01

    In this presentation, the National Renewable Energy Laboratory presented aggregated analysis results on the performance of existing hydrogen stations, including performance, operation, utilization, maintenance, safety, hydrogen quality, and cost. The U.S. Department of Energy funds technology validation work at NREL through its National Fuel Cell Technology Evaluation Center (NFCTEC).

  2. Basic Sewage Treatment Operation.

    Science.gov (United States)

    Ontario Ministry of the Environment, Toronto.

    This manual was developed for use at workshops designed to introduce operators to the fundamentals of sewage plant operation. The course consists of lecture-discussions and hands-on activities. Each of the lessons has clearly stated behavioral objectives to tell the trainee what he should know or do after completing that topic. Areas covered in…

  3. Evaluation of Climate Change Impact on Drinking Water Treatment Plant Operation

    Science.gov (United States)

    It is anticipated that global climate change will adversely impact source water quality in many areas of the United States and, therefore, will influence the design and operation of current and future drinking water treatment systems. Some of these impacts may lead to violations ...

  4. Optimised utilisation of existing incinerators by installation of upstream reactors for treatment of waste with high calorifica value - HYBRID waste treatment plants; Optimierte Nutzung bestehender Abfallverbrennungsanlagen durch Errichtung vorgeschalteter Reaktoren zur Behandlung heizwertreicher Abfaelle - HYBRID-Abfallbehandlungsanlagen

    Energy Technology Data Exchange (ETDEWEB)

    El Labani, M

    2000-07-01

    Waste incineration plants are based on the process of thermal waste treatment, i.e. the generation of power from the controlled conversion of organic reactive residue waste. Statutory requirements forced operators to install powerful flue gas cleaning systems into their existing waste incineration plants. This led to a tremendous increase in cost and treatment prices generating pressure to optimize the process. Currently, markets demand additional capacities for the treatment of waste of elevated heating value ({proportional_to}5,0 MWh/Mg). It is possible to treat this type of waste in a conventional waste incineration plant. However, the elevated heating value dictates a reduction in throughput with ever increasing pressure on costs. This is why current concepts consider the treatment of waste of elevated heating value in specific, so called de-centralized plants. These plants are usually of low throughput with accordingly high specific cost of developing the infrastructure. The capacity of existing waste incineration plants has been investigated in order to assess the potential for optimization. Extensive test runs at the Municipal Solid Waste Incineration Plant (MSW) Darmstadt revealed a capacity gap in the flue gas cleaning system even with the incineration unit running at full capacity. This gap could be filled with an additional incineration plant for waste of elevated heating value, whose capacity is matched accordingly. Such additional incineration plant defines in conjunction with the existing waste incineration plant a so called HYBRID Waste Treatment Plant. It is the aim of this treatise to develop an instrument to support the decision making process related to the planning of such plants. (orig.) [German] Abfallverbrennungsanlagen basieren auf dem Verfahren der thermischen Abfallbehandlung; das ist die Energieerzeugung aus der kontrollierten Umwandlung organischer, reaktionsfaehiger Restabfaelle. Aufgrund gesetzlicher Vorgaben mussten bestehende

  5. Satisfaction with pain relief after operative treatment of an ankle fracture

    NARCIS (Netherlands)

    Helmerhorst, Gijs T. T.; Lindenhovius, Anneluuk L. C.; Vrahas, Mark; Ring, David; Kloen, Peter

    2012-01-01

    Background: American patients are prescribed more opioid pain medication than Dutch patients after operative treatment of an ankle fracture, but it is possible that pain is undertreated in Dutch patients. This study tests if there is a difference in pain and satisfaction with pain relief between

  6. The effects of physicochemical wastewater treatment operations on forward osmosis

    OpenAIRE

    Hey, Tobias; Bajraktari, Niada; Vogel, Jörg; Hélix-Nielsen, Claus; La Cour Jansen, Jes; Jönsson, Karin

    2016-01-01

    Raw municipal wastewater from a full-scale wastewater treatment plant was physicochemically pretreated in a large pilot-scale system comprising coagulation, flocculation, microsieve and microfiltration operated in various configurations. The produced microsieve filtrates and microfiltration permeates were then concentrated using forward osmosis (FO). Aquaporin Inside(TM) FO membranes were used for both the microsieve filtrate and microfiltration permeates, and Hydration Technologies Inc.-thin...

  7. Experimental investigation of debris effects on pump operation and comparison with existing wear models

    International Nuclear Information System (INIS)

    Lewis, D.

    2010-01-01

    During a Loss of Coolant Accident (LOCA) the emergency core cooling system (ECCS), comprised of several pumping systems, must provide cooling water to the reactor core. Initially, during an LOCA pumps are operated with clean water delivered from the storage tanks. After a certain time the water is recycled from the containment sump through the ECCS. This recycled water contains debris, both particulate and fibrous, that has collected in the containment sumps and passed through the strainers. The debris passing through the pumps will affect the pump performance. Previous tests, considering the effect of pumping debris, produced a model for predicting the wear in the pumps. This article and the objective of recent testing provide additional data which will improve prediction methods for performance degradation as a result of pumping foreign material. Experiments were performed on a small two stage pump with back to back impellers and a central bushing to obtain data and facilitate qualification of other pumps for these injections services. Various material combinations for pump internals, particle sizes and particle concentrations from 100 to 10000 ppm were examined. A total of six tests with more than 360 hours of run time were performed. At various points during each test, the pump was opened and dimensional measurements were taken. Pump hydraulic performance was measured during each segment of the various tests. Samples of the fluid were also taken at various times during the testing. The pump successfully ran without seizing during all modes of operation for all runs. Other incidents did occur including multiple failures involving wear through piping during the 10000 ppm run at which time the test was stopped before reaching the planned total run time. Pump seizure after shut down occurred after one of the tests. Hydraulic performance results showed a slight degradation in the developed head for all cases but one. That one case having a fine grain debris

  8. [Effect of modified Badenoch operation on the treatment of posterior urethral stricture].

    Science.gov (United States)

    Wang, Ping-xian; Zhang, Gen-pu; Huang, Chi-bing; Fan, Ming-qi; Feng, Jia-yu; Xiao, Ya

    2012-02-01

    To determine the effects of modified pull-through operation (Badenoch operation) on the treatment of posterior urethral stricture. From September 2001 to December 2010 traditional pull-through operation was Modified for two times in our center. A total of 129 patients with posttraumatic posterior urethral stricture resulting from pelvic fracture injury underwent the modified urethral pull-through operation. Stricture length was 1.5 to 5.3 cm (mean 2.9 cm). Of the patients 43 had undergone at least 1 previous failed management for stricture. In phase 1 (from September 2001 to January 2008), the improving items include: (1) The distal urethral end was stitched and tied to the catheter. (2) As catheter was inserted into bladder and 20 ml water was injected into catheter balloon, the distal urethral end was fixed in the proximal urethra and an overlaying of 1.5 cm was formed between the two ends. (3) Three weeks later, it was tried to insert the catheter to bladder. After the urethral stump necrosis and the catheter separating from the urethra, the catheter was removed. In phase 2 (from February 2008 to December 2010), based on the above, irrigating catheter was used. After the surgery, urethra was irrigated with 0.02% furacillin solution through the catheter 3 times a day. All patients were followed up for at least 6 months. If patients had no conscious dysuria and maximum urinary flow rate (Qmax) > 15 ml/s, the treatment was considered successful. All complications were recorded. In phase 1, the 96 patients (101 times) underwent the procedure. The treatment was successful in 88 patients (success rate 92%). Within 1 to 13 days after removal of the catheter, urethral stricture was recurred in 8 patients. They had to undergo cystostomy once more for 3 to 11 months before reoperation (the 3 patients' reoperation was in phase 2). The 8 cases were treated successfully. In phase 2, 33 patients (total 36 times) underwent the procedure. One patient was failed (success rate 97

  9. Introduction of operator actions in the event trees

    International Nuclear Information System (INIS)

    Bars, G.; Lanore, J.M.; Villeroux, C.

    1984-11-01

    In the PRA in progress in France for a 900 MW PWR plant, an effort is done for introducing operator actions during accident sequences. A first approach of this complex problem relies on an extensive use of existing methods an knowledge in diverse fields. Identification of actions is based on the operating procedures, and in particular on the existence of special emergency procedures which define the optimal actions during severe accidents. This approach implies the introduction in the event trees of the notion of procedure failure. Quantification of the corresponding probabilities leads to several problems including physics of the sequences, systems availability and human behaviour for decision making and actions. This treatment is illustrated by the example of the small break event tree

  10. Off-air treatment in waste treatment systems and landfills - consequences for practical operation. 62. information meeting of ANS e.V.; Abluftbehandlung bei MBA und Deponiebetrieb - Konsequenzen fuer die Praxis. 62. Informationsgespraech des ANS e.V.

    Energy Technology Data Exchange (ETDEWEB)

    Fricke, K.; Burth, M.; Dichtl, N.; Wallmann, R. (eds.)

    2001-07-01

    The new German Landfill Ordinance of 1 March 2001 specifies the requirements on construction and operation of mechanical-biological waste treatment plants and landfills as well as the continued operation of existing landfills. The conference provided current information of R + D projects as well as practical experience in Austria and Germany, with particular regard to the issues of off-air emissions and landfilling. [German] Seit dem 1. Maerz 2001 ist die Artikelverordnung rechtswirksam. Sie enthaelt Anforderungen an den Bau und Betrieb von mechanisch-biologischen Restabfallbehandlungsanlagen und Deponien. Die Abfallablagerungsverordnung hat darueber hinaus weitreichende Konsequenzen fuer die Betriebsdauer bestehender Deponien. Ziel der Tagung ist es, aktuelle Informationen aus laufenden Forschungs- und Entwicklungsvorhaben sowie Erfahrungen bei der praktischen Umsetzung zu praesentieren, die insbesondere zu den Themenkomplexen Abluftemissionen und Deponierung zur Zeit in Oesterreich und Deutschland vorliegen. (orig.)

  11. 38 CFR 18.422 - Existing facilities.

    Science.gov (United States)

    2010-07-01

    ... THE CIVIL RIGHTS ACT OF 1964 Nondiscrimination on the Basis of Handicap Accessibility § 18.422 Existing facilities. (a) Accessibility. A recipient shall operate each program or activity to which this... visits, delivery of health, or other social services at alternate accessible sites, alteration of...

  12. TECHNOLOGIES TO ENHANCE THE OPERATION OF EXISTING NATURAL GAS COMPRESSION INFRASTRUCTURE

    Energy Technology Data Exchange (ETDEWEB)

    Anthony J. Smalley; Ralph E. Harris; Gary D. Bourn; Ford A. Phillips; Danny M. Deffenbaugh

    2006-05-31

    This project has documented and demonstrated the feasibility of technologies and operational choices for companies who operate the large installed fleet of integral engine compressors in pipeline service. Continued operations of this fleet is required to meet the projected growth of the U.S. gas market. Applying project results will meet the goals of the DOE-NETL Natural Gas Infrastructure program to enhance integrity, extend life, improve efficiency, and increase capacity, while managing NOx emissions. These benefits will translate into lower cost, more reliable gas transmission, and options for increasing deliverability from the existing infrastructure on high demand days. The power cylinders on large bore slow-speed integral engine/compressors do not in general combust equally. Variations in cylinder pressure between power cylinders occur cycle-to-cycle. These variations affect both individual cylinder performance and unit average performance. The magnitude of the variations in power cylinder combustion is dependent on a variety of parameters, including air/fuel ratio. Large variations in cylinder performance and peak firing pressure can lead to detonation and misfires, both of which can be damaging to the unit. Reducing the variation in combustion pressure, and moving the high and low performing cylinders closer to the mean is the goal of engine balancing. The benefit of improving the state of the engine ''balance'' is a small reduction in heat rate and a significant reduction in both crankshaft strain and emissions. A new method invented during the course of this project is combustion pressure ratio (CPR) balancing. This method is more effective than current methods because it naturally accounts for differences in compression pressure, which results from cylinder-to-cylinder differences in the amount of air flowing through the inlet ports and trapped at port closure. It also helps avoid compensation for low compression pressure by the

  13. [Type 2 dens fracture in the elderly and therapy-linked mortality : Conservative or operative treatment].

    Science.gov (United States)

    Stein, G; Meyer, C; Marlow, L; Christ, H; Müller, L P; Isenberg, J; Eysel, P; Schiffer, G; Faymonville, C

    2017-02-01

    Type II fractures of the odontoid process of the axis are the most common injury of the cervical spine in elderly patients. Only little evidence exists on whether elderly patients should be treated conservatively or surgically. The mortality and survival probability of 51 patients were determined in a retrospective study. The range of motion, pain and the neck disability index were clinically investigated. Of the 51 patients 37 were treated surgically and 14 conservatively. The conservatively treated group showed a higher mortality (64 % vs. 32 %). Kaplan-Meier analysis revealed a median survival of the conservatively treated group of 29 months, whereby during the first 3 months of treatment this group showed a higher survival probability and afterwards the surgically treated group showed a higher survival probability. The clinical examination of 20 patients revealed limited range of motion of the cervical spine. Additionally, moderate levels of pain and complaints were recorded using the neck disability index. Fractures of the odontoid process pose a far-reaching danger for elderly patients. A balanced assessment of the general condition should be carried out at the beginning of treatment of these patients. In the early phase following trauma no differences were found with respect to survival rates but for long-term survival the operatively treated group showed advantages; however, these advantages cannot be causally attributed to the choice of therapy.

  14. Simulated versus realistic intra operative radiation therapy (I.O.R.T.) treatment in operating room: from knowledge of stray radiation to action

    International Nuclear Information System (INIS)

    Andreoli, S.; Moretti, R.; Catalano, M.; Locatelli, F.

    2006-01-01

    Intra-Operative Radiation Therapy (I.O.R.T.) is carried out with electron beams produced by a Linac (Linear Accelerator) generally used for conventional radiotherapy with external beam, or by dedicated accelerators that can be employed directly into an operating room. I.O.R.T. refers to the application of radiation during a surgical intervention, after the removal of a neoplastic mass. I.O.R.T. uses on the tumour area a direct irradiation, for the possible localisation of sub-clinic illness or macroscopic residue in the case of non-radical resection. Intra-Operative Radiotherapy foresees a single session only, generally preceded or followed by radiotherapy with external beam. It allows the achievement of a selective radiation boost on the tumour volume. In some cases, it can also be used as a one-time/stand alone treatment in initial cancer of small volume, or in unresectable malignancies for palliative purpose. The technical advantages of I.O.R.T. consist in the direct visual control of the target volume, and in the possibility to protect the healthy tissues by moving them away from the path of the radiation beam. The use of electron beams allows the administration of a homogeneous dose to a selected layer of tissues surrounding the tumour. The following professional staff forms the Operative Group: radiation oncologist, surgeon, anaesthetist, medical physicist, radiation technologist, nurse.The choice of a simulation geometry very similar to the clinical situation allows to evaluate radioprotection data very close to the real situation. For a fixed layout, an anthropomorphic phantom was positioned on the operating bed and a breast I.O.R.T. treatment was simulated positioning all the accessories of the operating room in their typical positions. A detailed dose mapping was performed with a Victoreen 450P ionisation chamber and with environment film-dosimeter on the walls of the operating room during the simulation of the clinical treatment. The simulation appears

  15. An innovative concept for handling and operation of the wastewater treatment plant of Cottbus

    International Nuclear Information System (INIS)

    Spiller, K.; Schmitt, J.

    1994-01-01

    A new concept for handling and operating the wastewater treatment plant of Cottbus, with computerized modelling and an expert system as integral parts of process analysis and decision-making, is developed. Optimized plant operation and process stability is to be achieved by conrolling process-dependent dosage of wastewater coming from sludge treatment and from faecal wastewater. With the treatment plant still being built, a thorough analysis of the influent and the resulting process conditions is done, using the computerized model. Results and consequences for process optimization are presented in this article. Special attention has to be given to load smoothing and optimization of denitrification, influencing process stability and quality. Thereby not only the legal requirements can be fulfilled but improvement of effluent quality also could be achieved, reducing total nitrogen in the effluent by as much as 50%, lowering wastewater treatment costs by allowing lower control levels and fees to be payed. (orig.) [de

  16. Applying new safeguards technology to existing nuclear facilities

    International Nuclear Information System (INIS)

    Harris, W.J.; Wagner, E.P.

    1979-01-01

    The application and operation of safeguards instrumentation in a facility containing special nuclear material is most successful when the installation is desinged for the operation of the specific facility. Experience at the Idaho National Engineering Laboratory demonstrates that installation designs must consider both safeguards and production requirements of specific facilities. Equipment selection and installation design influenced by the training and experience of production operations and safeguards personnel at a specific facility help assure successful installation, reliable operation, and minimal operator training. This minimizes impacts on existing plant production activities while maximizing utility of the safeguards information obtained

  17. Applying new safeguards technology to existing nuclear facilities

    International Nuclear Information System (INIS)

    Johnson, C.E.; Wagner, E.P.

    1979-01-01

    The application and operation of safeguards instrumentation in a facility containing special nuclear material is most successful when the installation is designed for the operation of the specific facility. Experience at the Idaho National Engineering Laboratory demonstrates that installation designs must consider both Safeguards and Production requirements of specific facilities. Equipment selection and installation design influenced by the training and experience of production operations and safeguards personnel at a specific facility help assure successful installation, reliable operation, and minimal operator training. This minimizes impacts on existing plant production activities while maximizing utility of the safeguards information obtained

  18. Challenges in horizontal integration of eye care services into the pre-existing rural primary care structure: an operations research perspective from Nigeria

    OpenAIRE

    Chinyere Nkemdilim Ezisi; Boniface Ikenna Eze; Obiekwe Okoye; Chimdi Memnofu Chuka-Okosa; Jude Obinna Shiweobi

    2017-01-01

    Background . The provision of population-wide, accessible, affordable, acceptable and evenly distributed qualitative eye care services remains a recurrent challenge to eye care organizations worldwide. Objectives . To report the challenges encountered in setting up eye care service in a pre-existing primary health care facility in rural Nigeria and also audit the common causes of eye disorders in rural setting southeast of Nigeria. Material and methods . The study was an operations ...

  19. Results of operative treatment for recalcitrant retrocalcaneal bursitis and midportion Achilles tendinopathy in athletes.

    Science.gov (United States)

    Lohrer, Heinz; Nauck, Tanja

    2014-08-01

    The results of operative treatment for recalcitrant midportion Achilles tendinopathy and recalcitrant retrocalcaneal bursitis were evaluated using the patient administered, disease specific, and validated VISA-A-G questionnaire. A cohort of 89 patients was prospectively followed. These patients underwent operations for sport induced midportion Achilles tendinopathy (39 procedures) or retrocalcaneal bursitis (55 procedures). Depending on the individual intraoperative findings the patients of either disease were treated with two respective operative modifications (tendon repair or no tendon repair). Preoperative and follow-up status (3, 6, and 12 months) were investigated using the VISA-A-G questionnaire. Preoperatively, the four groups scored from 37.0 ± 17.6 to 45.9 ± 15.2 (p = 0.376-0.993) on the VISA-A-G questionnaire. Six and 12 months postoperatively, the VISA-A-G scores improved significantly (p bursitis and midportion Achilles tendinopathy responded equally well to operative treatment. When repaired, additional tendon lesions did not influence this result. We demand to differentiate not only between midportion Achilles tendinopathy and retrocalcaneal bursitis but also to identify additional Achilles tendon lesions to specifically address these lesions during operative procedures.

  20. 75 FR 64683 - Liability for Termination of Single-Employer Plans; Treatment of Substantial Cessation of Operations

    Science.gov (United States)

    2010-10-20

    ... Termination of Single-Employer Plans; Treatment of Substantial Cessation of Operations AGENCY: Pension Benefit... cessations of operations by employers that maintain single-employer plans. DATES: Comments must be submitted... 4062(e), which provides for reporting of and liability for certain substantial cessations of operations...

  1. 22 CFR 142.16 - Existing facilities.

    Science.gov (United States)

    2010-04-01

    ... OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Accessibility § 142.16 Existing facilities. (a) Accessibility. A recipient shall operate each program or activity to which this part applies so that when each...., telecommunication device for the deaf) redesign of equipment, reassignment of classes or other services to...

  2. Operational experience of gaseous effluent treatment at the Eurochemic reprocessing plant

    International Nuclear Information System (INIS)

    Osipenco, A.; Detilleux, E.

    1977-01-01

    The EUROCHEMIC fuel reprocessing plant applies the PUREX flow sheet. Two particular features of the plant influence gaseous and liquid effluents: chemical decanning and the ability to process a wide range of fuels, uranium metal or oxide, having an initial enrichment typical of power reactors (up to 5%) or material testing reactors (up to 93%). The ventilation circuits, treatment plant and monitoring equipment for gaseous releases are briefly described. No retention facilities for rare gases, tritium, or carbon-14 are provided. The releases are monitored for krypton-85, iodine-131, alpha and beta-gamma aerosols and tritium. Between 1966 and 1974 the plant processes about 200 tonnes of power reactor fuel, from which about 0.7 tonnes of plutonium and 1.5 tonnes of highly enriched uranium were separated. The most important points in the operation of the gas cleaning equipment are indicated: efficiency, operational reliability, incidents, etc.. Actual discharges as measured are compared with the limits set in the operation licence. Using the atmospheric diffusion coefficients, the dose commitment is estimated. The low level liquid effluents are passed, after neutralization, to the treatment plant of the Belgian nuclear center CEN/SCK. However, if the activity exceeds the limit set by the CEN/SCK, the effluents are concentrated by evaporation and stored on the EUROCHEMIC site. (orig.) [de

  3. Man-machine enhancements to existing FFTF control panels

    International Nuclear Information System (INIS)

    Miller, E.M.

    1984-01-01

    FFTF Project enhanced existing control panels with tape and labels to mitigate operator problems and to incorporate the guidance of NUREG-0700. The enhancements grouped displays and controls into meaningful units and labelled controls and displays to facilitate their identification and efficient use. The enhancements were inexpensive and well received by the facility's operations staff

  4. Surgical versus non-operative treatment for lumbar disc herniation: a systematic review and meta-analysis.

    Science.gov (United States)

    Chen, Bing-Lin; Guo, Jia-Bao; Zhang, Hong-Wei; Zhang, Ya-Jun; Zhu, Yi; Zhang, Juan; Hu, Hao-Yu; Zheng, Yi-Li; Wang, Xue-Qiang

    2018-02-01

    To investigate the effects of surgical versus non-operative treatment on the physical function and safety of patients with lumbar disc herniation. PubMed, Cochrane Library, Embase, EBSCO, Web of Science, China National Knowledge Infrastructure and Chinese Biomedical Literature Database were searched from initiation to 15 May 2017. Randomized controlled trials that evaluated surgical versus non-operative treatment for patients with lumbar disc herniation were selected. The primary outcomes were pain and side-effects. Secondary outcomes were function and health-related quality of life. A random effects model was used to calculate the pooled mean difference with 95% confidence interval. A total of 19 articles that involved 2272 participants met the inclusion criteria. Compared with non-operative treatment, surgical treatment was more effective in lowering pain (short term: mean difference = -0.94, 95% confidence interval = -1.87 to -0.00; midterm: mean difference = -1.59, 95% confidence interval = -2.24 to -9.94), improving function (midterm: mean difference = -7.84, 95% confidence interval = -14.00 to -1.68; long term: mean difference = -12.21, 95% confidence interval = -23.90 to -0.52) and quality of life. The 36-item Short-Form Health Survey for physical functions (short term: mean difference = 6.25, 95% confidence interval = 0.43 to 12.08) and bodily pain (short term: mean difference = 5.42, 95% confidence interval = 0.40 to 10.45) was also utilized. No significant difference was observed in adverse events (mean difference = 0.82, 95% confidence interval = 0.28 to 2.38). Low-quality evidence suggested that surgical treatment is more effective than non-operative treatment in improving physical functions; no significant difference was observed in adverse events. No firm recommendation can be made due to instability of the summarized data.

  5. Clinical application of an improved utero-operator in the interventional treatment of infertility

    International Nuclear Information System (INIS)

    Huang Yaoming; Zhang Guangfu; Li Detai

    2002-01-01

    Objective: To evaluate the effectiveness of an improved utero-operator in the interventional treatment of tube obstruction infertility, and to make a comparison with other methods. Methods: One hundred cases of infertile women with tubal obstruction were divided into 3 groups and treated separately under TV fluoroscopy with 3 different methods and follow-up examination was made up to 24 months. Among the 100 cases, 60 cases were treated with improved utero-operator (109 tubes), 20 with Cook cupped coaxial catheter (36 tubes), and 20 with emulsoid double-cavity tube (20 tubes). Result: Among the improved utero-operator group, Cook cupped coaxial catheter group, and emulsoid double-cavity tube group, the successful rate of selective catheterization was 92.7%, 80.6% and 80.0%, respectively. The successful rate of recanalization was 72.3%, 72.4% and 71.4%, respectively. The pregnancy rate was 36.4%, 35.7% and 36.4%, respectively. Improved utero-operator has the highest successful rate in selective catheterization (x 2 = 4.275, P < 0.05). Conclusion: Improved utero-operator has a high successful rate of selective catheterization in selective salpingography and treatment of tube obstruction infertility, and it is an easy and stable method which spends less time and received less X-ray. It is an ideal treating method at the moment

  6. Retrofitting existing chemical scrubbers to biotrickling filters for H2S emission control.

    Science.gov (United States)

    Gabriel, David; Deshusses, Marc A

    2003-05-27

    Biological treatment is a promising alternative to conventional air-pollution control methods, but thus far biotreatment processes for odor control have always required much larger reactor volumes than chemical scrubbers. We converted an existing full-scale chemical scrubber to a biological trickling filter and showed that effective treatment of hydrogen sulfide (H2S) in the converted scrubber was possible even at gas contact times as low as 1.6 s. That is 8-20 times shorter than previous biotrickling filtration reports and comparable to usual contact times in chemical scrubbers. Significant removal of reduced sulfur compounds, ammonia, and volatile organic compounds present in traces in the air was also observed. Continuous operation for >8 months showed stable performance and robust behavior for H2S treatment, with pollutant-removal performance comparable to that achieved by using a chemical scrubber. Our study demonstrates that biotrickling filters can replace chemical scrubbers and be a safer, more economical technique for odor control.

  7. Operational fluid radwaste treatment technology - recent state and outlooks for optimization

    International Nuclear Information System (INIS)

    Lastovicka, Z.; Kreisl, I.; Taras, P.

    2000-01-01

    Based on the Dukovany NPP (EDU) order, IPRON a.s. performed in the year 1999 the 'Concept Study of Neutralization of Semi-Liquid RAW Originating in the EDU Processes'. This paper summarizes the conclusions of the Study while emphasizing the sludge and sorbent treatment under the conditions of Czech NPPs operating the VVER blocks. (author)

  8. The effects of physicochemical wastewater treatment operations on forward osmosis

    DEFF Research Database (Denmark)

    Hey, Tobias; Bajraktari, Niada; Vogel, Jörg

    2016-01-01

    Raw municipal wastewater from a full-scale wastewater treatment plant was physicochemically pretreated in a large pilot-scale system comprising coagulation, flocculation, microsieve and microfiltration operated in various configurations. The produced microsieve filtrates and microfiltration...... for small and medium-sized wastewater treatment plants. The study demonstrates that physicochemical pretreatment can improve the FO water flux by up to 20%. In contrast, the solute rejection decreases significantly compared to the FO-treated wastewater with mechanical pretreatment....... permeates were then concentrated using forward osmosis (FO). Aquaporin Inside(TM) FO membranes were used for both the microsieve filtrate and microfiltration permeates, and Hydration Technologies Inc.-thin-film composite membranes for the microfiltration permeate using only NaCl as the draw solution. The FO...

  9. Second date appendectomy: Operating for failure of nonoperative treatment in perforated appendicitis.

    Science.gov (United States)

    Lotti, Marco

    2017-06-01

    Nonoperative treatment of acute appendicitis is embraced by many surgical teams, driven by low to moderate quality randomized studies that support noninferiority of antibiotics versus appendectomy for treatment of acute uncomplicated appendicitis. Several flaws of these studies have emerged, especially in the recruitment strategy and in the diagnostic criteria that were used. The growing confidence given to antibiotics, together with the lack of reliable criteria to distinguish between uncomplicated and perforated appendicitis, exposes patients with perforated appendicitis to the likelihood to be treated with antibiotics instead of surgery. Among them, those patients who experience a temporary relief of symptoms due to antibiotics, followed by early recurrence of disease when antibiotics are discontinued, are likely to undergo appendectomy at their second date. Second date appendectomy, i.e. the removal of the appendix when acute inflammation relapses within the scar of a previously unhealed perforated appendicitis, is the unwanted child of the nonoperative treatment and a new challenge for both the surgeon and the patient. Between June and July 2016, two patients were readmitted and operated for failure of nonoperative treatment with antibiotics. A video is presented, which focuses on the different anatomic presentation and technical challenges between prompt and second date laparoscopic appendectomy. When proposing nonoperative treatment for acute appendicitis, surgeons should be aware and inform their patients that if the appendix is perforated and an incomplete healing and early recurrence occur, a second date appendectomy could be a more challenging operation compared to a prompt appendectomy. Copyright © 2016 Elsevier Inc. All rights reserved.

  10. Evaluation of operating characteristics for a chabazite zeolite system for treatment of process wastewater at Oak Ridge National Laboratory

    International Nuclear Information System (INIS)

    Kent, T.E.; Perona, J.J.; Jennings, H.L.; Lucero, A.J.; Taylor, P.A.

    1998-02-01

    Laboratory and pilot-scale testing were performed for development and design of a chabazite zeolite ion-exchange system to replace existing treatment systems at the Process Waste Treatment Plant (PWTP) at Oak Ridge National Laboratory (ORNL). The process wastewater treatment systems at ORNL need upgrading to improve efficiency, reduce waste generation, and remove greater quantities of contaminants from the wastewater. Previous study indicated that replacement of the existing PWTP systems with an ion-exchange system using chabazite zeolite will satisfy these upgrade objectives. Pilot-scale testing of the zeolite system was performed using a commercially available ion-exchange system to evaluate physical operating characteristics and to validate smaller-scale column test results. Results of this test program indicate that (1) spent zeolite can be sluiced easily and completely from a commercially designed vessel, (2) clarification followed by granular anthracite prefilters is adequate pretreatment for the zeolite system, and (3) the length of the mass transfer zone was comparable with that obtained in smaller-scale column tests. Laboratory studies were performed to determine the loading capacity of the zeolite for selected heavy metals. These test results indicated fairly effective removal of silver, cadmium, copper, mercury, nickel, lead, and zinc from simple water solutions. Heavy-metals data collected during pilot-scale testing of actual wastewater indicated marginal removal of iron, copper, and zinc. Reduced effectiveness for other heavy metals during pilot testing can be attributed to the presence of interfering cations and the relatively short zeolite/wastewater contact time. Flocculating agents (polyelectrolytes) were tested for pretreatment of wastewater prior to the zeolite flow-through column system. Several commercially available polyelectrolytes were effective in flocculation and settling of suspended solids in process wastewater

  11. Stigma, career worry, and mental illness symptomatology: Factors influencing treatment-seeking for Operation Enduring Freedom and Operation Iraqi Freedom soldiers and veterans.

    Science.gov (United States)

    Brown, Nicholas B; Bruce, Steven E

    2016-05-01

    Mental health related stigma, as well as mental illness symptomatology, have been shown to negatively impact treatment-seeking within military populations. However, few studies have delineated the 2 forms of stigma (self-stigma and public stigma), and none have differentiated between stigma and career-related consequences (career worry). The aim of this study was to increase our understanding of low treatment-seeking rates among soldiers and veterans by expanding upon previous measurements of the stigma construct and examining factors influencing willingness to seek treatment. The sample consisted of 276 Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) soldiers and veterans. Individual levels of self-stigma, public stigma, and career worry were measured, as were levels of willingness to seek treatment. Symptoms of PTSD, depression, and substance abuse were also evaluated to account for the influence of mental illness on treatment-seeking. A confirmatory factor analysis indicated that a 3-factor model including self-stigma, public stigma, and career worry fit the data significantly better than a 1- or 2- factor model. A multiple regression analysis also revealed that these 3 factors, combined with mental illness symptomatology, significantly predicted individual levels of willingness to seek treatment. Career worry was the strongest predictor, particularly for individuals with no treatment history. This study confirmed that career worry is a factor independent of self-stigma and public stigma. Findings indicate that a fear of negatively affecting one's career is the most influential factor in determining willingness to seek mental health treatment for the military population. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  12. Treatment of operational monitoring data

    International Nuclear Information System (INIS)

    Azevedo P, D. de; Marcondes T, J.

    1996-01-01

    From effective doses calculation models, published in norms and regulatory guides, the specific dose conversion factors for different installations are used on monitoring data. The monitoring data are achieved from many individual parameters and, in case there is no individual parameters, area monitoring data are used. With the objective of reducing occupational exposures, the results are evaluated in function of the pertinent norms. The measurements are analyzed also in function of the consistency of the data obtained from former similar operations. The results are saved as individual historical dose, in each worker annual dose of every work year. The other files are formed by determined operation individual doses, calculated per capita; dose rates are achieved from individual monitoring data and the averages of each operational function are calculated; dose rates are also obtained by area monitoring, and each workplace mean is calculated. These averages are compared with the correspondent annual dose equivalent limit fraction. The analysis of variance is applied to individuals dose rates and to workplace dose rates in order to verify statistical differences, the largest mean is compared to the remaining. The individual working time in a programmed operation is limited in order to avoid that the predicted dose equivalent of twelve months exceed the established annual limit. When this limit is predicted to be exceeded, the working time is re-programmed, with worker removing at the beginning of the operation or before the end of operation, keeping prevision below the limit. (authors). 7 refs

  13. Operational analysis and improvement of a spent nuclear fuel handling and treatment facility using discrete event simulation

    International Nuclear Information System (INIS)

    Garcia, H.E.

    2000-01-01

    Spent nuclear fuel handling and treatment often require facilities with a high level of operational complexity. Simulation models can reveal undesirable characteristics and production problems before they become readily apparent during system operations. The value of this approach is illustrated here through an operational study, using discrete event modeling techniques, to analyze the Fuel Conditioning Facility at Argonne National Laboratory and to identify enhanced nuclear waste treatment configurations. The modeling approach and results of what-if studies are discussed. An example on how to improve productivity is presented.

  14. Introduction to Chemistry for Water and Wastewater Treatment Plant Operators. Water and Wastewater Training Program.

    Science.gov (United States)

    South Dakota Dept. of Environmental Protection, Pierre.

    Presented are basic concepts of chemistry necessary for operators who manage drinking water treatment plants and wastewater facilities. It includes discussions of chemical terms and concepts, laboratory procedures for basic analyses of interest to operators, and discussions of appropriate chemical calculations. Exercises are included and answer…

  15. CLINICAL OUTCOME AFTER OPERATIVE TREATMENT IN FLOATING SHOULDER- A PROSPECTIVE STUDY

    Directory of Open Access Journals (Sweden)

    Nabarun Saha

    2017-06-01

    Full Text Available BACKGROUND The ‘floating shoulder’ is a rare injury consisting of ipsilateral fractures of the clavicle and glenoid neck. Although it may appear to be bony injury, studies suggest that ligamentous disruption associated with ipsilateral clavicle fracture and scapular neck fracture contributes to such entity. More commonly floating shoulder is defined as double disruption of the superior shoulder suspensory complex. Open reduction and internal fixation of both the fractures is the treatment of choice. We have made this study to assess clinical outcome after operative treatment of floating shoulder by DASH score. MATERIALS AND METHODS This is a study of 10 cases of floating shoulder injury operated in the same sitting by anterior approach for fracture clavicle and Judet’s posterior approach for scapula fracture from Jan 2014 to Oct 2016. All cases were assessed with DASH score at the end of six months. RESULTS Results of our study shows that majority of patients had excellent to good results with improvement in DASH score from 92.8 to 16.8 at final follow up. No major complications. All patients had radiological signs of union at the end of 1 year. CONCLUSION Surgical intervention should be considered for all floating shoulder injuries. open reduction and internal fixation not only increases stability but also to improves functional outcome of the patient. DASH score is an effective method to assess clinicofunctional outcome in post-operative cases of floating shoulder.

  16. Pre-operative imaging of rectal cancer and its impact on surgical performance and treatment outcome.

    Science.gov (United States)

    Beets-Tan, R G H; Lettinga, T; Beets, G L

    2005-08-01

    To discuss the ability of pre-operative MRI to have a beneficial effect on surgical performance and treatment outcome in patients with rectal cancer. A description on how MRI can be used as a tool so select patients for differentiated neoadjuvant treatment, how it can be used as an anatomical road map for the resection of locally advanced cases, and how it can serve as a tool for quality assurance of both the surgical procedure and overall patient management. As an illustration the proportion of microscopically complete resections of the period 1993-1997, when there was no routine pre-operative imaging, is compared to that of the period 1998-2002, when pre-operative MR imaging was standardized. The proportion of R0 resections increased from 92.5 to 97% (p=0.08) and the proportion of resections with a lateral tumour free margin of >1mm increased from 84.4 to 92.1% (p=0.03). The incomplete resections in the first period were mainly due to inadequate surgical management of unsuspected advanced or bulky tumours, whereas in the second period insufficient consideration was given to extensive neoadjuvant treatment when the tumour was close to or invading the mesorectal fascia on MR. There are good indications that in our setting pre-operative MR imaging, along with other improvements in rectal cancer management, had a beneficial effect on patient outcome. Audit and discussion of the incomplete resections can lead to an improved operative and perioperative management.

  17. 40 CFR 415.344 - Pretreatment standards for existing sources (PSES).

    Science.gov (United States)

    2010-07-01

    ... Pigments Production Subcategory § 415.344 Pretreatment standards for existing sources (PSES). (a) Existing... chrome pigments process wastewater into a publicly owned treatment works are subject only to the... standards for existing sources (PSES): Subpart AH—Chrome Pigments Pollutant or pollutant property PSES...

  18. Control and decision strategies in wastewater treatment plants for operation improvement

    CERN Document Server

    Santín, Ignacio; Vilanova, Ramón

    2017-01-01

    This book examines the operation of biological wastewater treatment plants (WWTPs), with a focus on maintaining effluent water quality while keeping operational costs within constrained limits. It includes control operation and decision schemes and is based on the use of benchmarking scenarios that yield easily reproducible results that readers can implement for their own solutions. The final criterion is the effect of the applied control strategy on plant performance – specifically, improving effluent quality, reducing costs and avoiding violations of established effluent limits. The evaluation of the different control strategies is achieved with the help of two Benchmark Simulation Models (BSM1, BSM2). Given the complexity of the biological and biochemical processes involved and the major fluctuations in the influent flow rate, controlling WWTPs poses a serious challenge. Further, the importance of control goal formulation and control structure design in relation to WWTP process control is widely recogniz...

  19. More flexible and demand-oriented schedule operation. For market-driven power generation in biogas existing installation; Flexibilisierung und bedarfsorientierter Fahrplanbetrieb. Zur marktgerechten Stromerzeugung in Biogas-Bestandsanlagen

    Energy Technology Data Exchange (ETDEWEB)

    Welteke-Fabricius, Uwe [CUBE Engineering GmbH, Kassel (Germany)

    2016-08-01

    This lecture investigates the effects of the societal framework on operators of biogas plants in the further development of biogas and its contribution to the German Energiewende. Influences are not only from politics and economy but stakeholders also shape the development to come. A visible part of the existing plants have quickly to be transformed to a demand driven supply. If not, it is most likely that biogas will disappear from the stage within some 15 years - except for waste treatment. In a future of growing wind and solar energy supply we will experience a.. of shortage and surplus within a day, and through the.seasons. Prices will fluctuate increasingly. Controllable energy generators will run for a decreasing number of hours daily. Biogas should contribute to one or two high-price periods a day, when it is dark, low wind, or high demand, but at a higher capacity than today. This pattern, in combination with a valuable use of its thermal energy production, can furthermore offer an economic feasible prospect for biogas plants after their period of subsidized EEG feed-in tariff By now, only few biogas plants are designed accordingly. Most of them produce their power continuously. Only if biogas plants will change towards peak load operation, its unique combination of renewable and controllable energy supply will be recognized, and biogas can contribute a valuable share to a sustainable energy system. Stakeholders can and should support this change.

  20. Carbowaste: treatment and disposal of irradiated graphite and other carbonaceous waste

    International Nuclear Information System (INIS)

    Von Lensa, W.; Rizzato, C.; Baginski, K.; Banford, A.W.; Bradbury, D.; Goodwin, J.; Grambow, B.; Grave, M.J.; Jones, A.N.; Laurent, G.; Pina, G.; Vulpius, D.

    2014-01-01

    The European Project on 'Treatment and Disposal of Irradiated Graphite and other Carbonaceous Waste (CARBOWASTE)' addressed the retrieval, characterization, treatment, reuse and disposal of irradiated graphite with the following main results: - I-graphite waste features significantly depend on the specific manufacture process, on the operational conditions in the nuclear reactor (neutron dose, atmosphere, temperature etc.) and on radiolytic oxidation leading to partial releases of activation products and precursors during operation. - The neutron activation process generates significant recoil energies breaking pre-existing chemical bonds resulting in dislocations of activation products and new chemical compounds. - Most activation products exist in different chemical forms and at different locations. - I-graphite can be partly purified by thermal and chemical treatment processes leaving more leach-resistant waste products. - Leach tests and preliminary performance analyses show that i-graphite can be safely disposed of in a wide range of disposal systems, after appropriate treatment and/or conditioning. (authors)

  1. Combined Treatment on the Inactivation of Naturally Existing Bacteria and Escherichia coli O157:H7 Inoculated on Fresh-Cut Kale.

    Science.gov (United States)

    Kang, Ji Hoon; Song, Kyung Bin

    2017-02-28

    An aqueous chlorine dioxide (ClO₂) treatment combined with highly activated calcium oxide (CaO) and mild heat was tested for inactivating naturally existing bacteria and Escherichia coli O157:H7 inoculated on fresh-cut kale. Kale samples were treated with different concentrations of ClO₂ (10, 30, and 50 ppm), CaO (0.01%, 0.05%, 0.1%, and 0.2%), and mild heat (25°C, 45°C, 55°C, and 65°C) as well with combinations of 30 or 50 ppm ClO₂ and 0.2% CaO at 55°C for 3 min. An increasing concentration of ClO₂ and CaO significantly reduced the microbialpopulation compared with the control. In addition, mild heating at 55°C elicited greater microbial reduction than the other temperatures. A combined treatment of 50 ppm ClO₂ and 0.2% CaO at 55°C reduced the population of naturally existing bacteria on kale by 3.10 logcolony forming units (CFU)/g, and the counts of E. coli O157:H7 were below the detection limit (1 log CFU/g). In addition, no significant differences in the Hunter color values were evident in any treatment during storage. Therefore, a combined treatment of ClO₂ and active CaO at 55°C can be an effective sanitizing method to improve the microbiological safety of fresh-cut kale without affecting its quality.

  2. Toxic waste treatment with sliding centrifugal plasma reactor

    International Nuclear Information System (INIS)

    Pacheco, J.; Pacheco, M.; Valdivia, R.; Ramos, F.; Duran, M.; Hidalgo, M.; Cruz, A.; Martinez, J. C.; Martinez, R.; De la Cruz, S.; Flores, T.; Vidal, E.; Escobar, S.; Garduno, M.; Garcia, M.; Portillo, J.; Torres, C.; Estrada, N.; Velazquez, S.; Vasquez, C.

    2008-01-01

    The aim is to develop technology for hazardous waste treatment, including the building and putting into operation of a prototype based on a sliding centrifugal plasma technology to demonstrate its ability to degradation taking in account the existing environmental standards. (Author)

  3. Operating cost guidelines for benchmarking DOE thermal treatment systems for low-level mixed waste

    International Nuclear Information System (INIS)

    Salmon, R.; Loghry, S.L.; Hermes, W.H.

    1994-11-01

    This report presents guidelines for estimating operating costs for use in benchmarking US Department of Energy (DOE) low-level mixed waste thermal treatment systems. The guidelines are based on operating cost experience at the DOE Toxic Substances Control Act (TSCA) mixed waste incinerator at the K-25 Site at Oak Ridge. In presenting these guidelines, it should be made clear at the outset that it is not the intention of this report to present operating cost estimates for new technologies, but only guidelines for estimating such costs

  4. The value of parasternal lymphoscintigraphy in the treatment of operable breast cancer

    International Nuclear Information System (INIS)

    Oostveen, H.W.

    1980-01-01

    Internal mammary lymphoscintigraphy is described, a noninvasive technique, which provides data concerning anatomic variations of internal mammary lymph node distribution, involvement by metastasis of the chain and proportion of metastasis. It provides means for greater accuracy in additional radiotherapy treatment planning in patients with operable breast cancer. (Auth.)

  5. Greenhouse Gases Emissions from Wastewater Treatment Plants: Minimization, Treatment, and Prevention

    Directory of Open Access Journals (Sweden)

    J. L. Campos

    2016-01-01

    Full Text Available The operation of wastewater treatment plants results in direct emissions, from the biological processes, of greenhouse gases (GHG such as carbon dioxide (CO2, methane (CH4, and nitrous oxide (N2O, as well as indirect emissions resulting from energy generation. In this study, three possible ways to reduce these emissions are discussed and analyzed: (1 minimization through the change of operational conditions, (2 treatment of the gaseous streams, and (3 prevention by applying new configurations and processes to remove both organic matter and pollutants. In current WWTPs, to modify the operational conditions of existing units reveals itself as possibly the most economical way to decrease N2O and CO2 emissions without deterioration of effluent quality. Nowadays the treatment of the gaseous streams containing the GHG seems to be a not suitable option due to the high capital costs of systems involved to capture and clean them. The change of WWTP configuration by using microalgae or partial nitritation-Anammox processes to remove ammonia from wastewater, instead of conventional nitrification-denitrification processes, can significantly reduce the GHG emissions and the energy consumed. However, the area required in the case of microalgae systems and the current lack of information about stability of partial nitritation-Anammox processes operating in the main stream of the WWTP are factors to be considered.

  6. Avaliação de 166 ETES em operação no país, compreendendo diversas tecnologias. Parte 2: influência de fatores de projeto e operação Evaluation of 166 treatment plants operating in Brazil, comprising several technologies. Part 2: the influence of design and operational parameters

    Directory of Open Access Journals (Sweden)

    Sílvia M. A. Corrêa Oliveira

    2005-12-01

    Full Text Available O estudo avalia a influência de fatores de projeto e de operação no desempenho de estações de tratamento de esgotos, considerando a concentração efluente e eficiência de remoção de DBO. Apenas quatro das seis tecnologias de tratamento estudadas na Parte 1 forneceram dados suficientes para análise: lagoas facultativas, lagoas anaeróbias seguidas por lagoas facultativas, lodos ativados e reatores UASB operando isoladamente. O objetivo da pesquisa foi verificar a influência das condições de carga (sobrecarga, carga adequada e subcarga, do porte da estação e do envolvimento operacional (tendo como indicador a freqüência de monitoramento no desempenho das estações de tratamento. Os resultados mostraram que não existe uma relação consistente entre a eficiência de remoção e as variáveis operacionais. A contribuição e a influência de cada variável difere de ETE para ETE, e pode ser resultado de projeto, operação ou ambos.The paper analyses the performance of the wastewater treatment plants considering the influence of the design and operational parameters. Four different treatment technologies have been investigated, comprising the following processes: facultative pond, anaerobic pond + facultative pond, activated sludge, UASB reactors without post treatment. The objective of the research was to verify the influence of the loading conditions, plant's size and the operational quality (indicated by monitoring frequency on the effluent quality. The results showed that a consistent relationship between performance and design and operational parameters does not exist. The contribution and influence of any variable differs for each plant. This situation may be a result of design, operation or both.

  7. Alternative concepts for spent fuel storage basin expansion at Morris Operation

    International Nuclear Information System (INIS)

    Graf, W.A. Jr.; King, C.E.; Miller, G.P.; Shadel, F.H.; Sloat, R.J.

    1980-08-01

    Alternative concepts for increasing basin capabilities for storage of spent fuel at the Morris Operation have been defined in a series of simplified flow diagrams and equipment schematics. Preliminary concepts have been outlined for (1) construction alternatives for an add-on basin, (2) high-density baskets for storage of fuel bundles or possible consolidated fuel rods in the existing or add-on basins, (3) modifications to the existing facility for increasing cask handling and fuel receiving capabilities and (4) accumulation, treatment and disposal of radwastes from storage operations. Preliminary capital and operating costs have been prepared and resource and schedule requirements for implementing the concepts have been estimated. The basin expansion alternatives would readily complement potential dry storage projects at the site in an integrated multi-stage program that could provide a total storage capacity of up to 7000 tonnes of spent fuel

  8. Operational implications of accepting and denying whether a true value of risk exists

    DEFF Research Database (Denmark)

    Kozin, Igor

    It is suggested to look on probabilistic risk quantities and concepts through the prism of accepting one of the views: whether a true value of risk exists or not. It will be argued that discussions until now have been primarily focused on closely related topics that are different from the suggested...... one. In general, the values of risks are not known precisely and the analyst has the option to consider that convergence to a precise value of risk is possible in the limit. That is, the true value exists but due to limited time, resources or other limitations in assessing probabilities...

  9. Knowledge base for power plant operation and its application to operation guide

    International Nuclear Information System (INIS)

    Doi, Atsushi; Sakaguchi, Toshiaki

    1986-01-01

    The present study is aimed at constructing a knowledge base for supervisory control operation in power plants and developing an operation guidance by using it. Examination is made to provide dignosis procedures on the basis of an existing alarm system. An operation guidance procedure for diagnosis is proposed which is to be followed when several alarms are sounded simultaneously in a power plant, and application of the procedure to an existing plant is examined. The operation manual for the plant includes 75 description items for six alarms. It is shown that the number of items related to these alarms can be reduced by 70 % by rearranging them according to the procedure. Another investigation is conducted to provide an operation manual for diagnosis to be used when one alarm is sounded in a plant. The quality of the manual developed is on nearly the same level with that for the existing plant examined. When a knowledge base is to be constructed from an existing operation manual, the processing operation generally requires a certain level of linguistic comprehension ability, such as for judgment of synonyms. It is demonstrated that the procedure proposed here is able to develop a high-quality knowledge base with standardized terminology. The procedure can also serve to construct operation manuals for plants in other industrial fields. (Nogami, K.)

  10. Analysis of operators' surface doses in the common endovascular and on-vascular interventional diagnosis and treatment

    International Nuclear Information System (INIS)

    Zhang Lin; Zhu Jianguo; Min Nan; Lu Feng

    2011-01-01

    Objective: To contrast the level of radiation doses of Lead protective clothing both inside and outside in different parts of the body of the first and second operators and touring nurse in common endovascular and non-vascular interventional diagnosis and treatment. Methods: We choose the common endovascular interventional diagnosis and treatment in the head, thorax, abdomen, such as Cerebral angiography, Coronary angiography, Transcatheter arterial chemoembolization and non-vascular interventional diagnosis and treatment such as Endoscopic Retrograde Cholangio-Pancreatography and Percutaneous transhepatic cholangial drainage as experiment objects. Put the thermoluminescence dosimeter on the different spots of Lead protective clothing of subjects (Inside and outside the lead cap and the lead collar, inside and outside of the lead protective clothing in chest and abdomen, left upper arm outside of lead protective clothing, back of the left hand) and X-ray machine outgoing port when the operation was going on. After that, measure the thermoluminescence dosimeter, calculate and analyze exposure doses inside and outside of the lead protective clothing. Results: The skin doses of operators in different types of interventional diagnosis and treatment are listed in Table 1to Table 4; exposure doses of touring nurses are very low; the doses of X-ray machine outgoing port are mostly over the measuring range. Conclusion: The protection of Lead clothes plays a significant role in these two types of interventional diagnosis and treatment based on the conclusion that the dose of inside of Lead clothes is less than that of outside. We should enhance the operators' protection and administration in the process of intervention and arise the conscious of self-protection, to avoid the unnecessary radiation exposure. (authors)

  11. Adding Semantic Support to Existing UDDI Infrastructure

    National Research Council Canada - National Science Library

    Luo, Jim; Montrose, Bruce; Kang, Myong

    2005-01-01

    .... The advantage is that it is completely backward compatible. The add-on modules only need to be installed on the clients of users who wish to take advantage of semantic markups. They can be integrated seamlessly into existing systems and operations without any modification of the infrastructure.

  12. The Effect of the Existence of Defective Items in Assembly Operations

    OpenAIRE

    Eben-Chaime , Moshe

    2014-01-01

    Part 1: Knowledge-Based Performance Improvement; International audience; Quality is a principle issue in production management (PM). No process is perfect and the production of defective items is unavoidable. Very few studies regard the effect of the existence of defective items (EEDI) in production processes. Further, quality has been studied in isolation to high extent, of other PM domains. In this study, defect rates together with the assembly ratios of the bill of material are embedded in...

  13. Operation and control of the critical variables of the process water treatment system in a juice factory

    International Nuclear Information System (INIS)

    Trejos Quesada, Juan Carlos

    2014-01-01

    The process water treatment system in a juice factory is studied to learn how to operate and chemically control the critical variables. The variables: concentration of total chlorine; Concentration of free chlorine; Total dissolved solids; alkalinity; hardness; PH; Turbidity are studied. A learning is obtained of the handling of equipment found in the industry, such as: pumps, dosing pumps controlled by frequency variables, static mixers, multimedia filters, carbon filters, storage tanks, electrovalves, flowmeters, pressure meters and equipment Ultraviolet radiation for disinfection. The operation of this equipment is learned to verify and maintain the critical variables in the specification range established by the company. A manual of operation of the system of water treatment and water analysis in the laboratory is carried out. The experience of the management of equipment for the treatment of water is acquired, comprehending integrally the system of water treatment and the process in general. A verification of the capacity of the equipment and the recommendation of the optimization of the system is realized for system improvements [es

  14. Interfacing the existing cask fleet with the MRS

    International Nuclear Information System (INIS)

    Doman, J.W.; Hahn, R.E.

    1992-01-01

    This paper reports that the Department of Energy (DOE) is considering the possibility of using the existing fleet of casks to achieve spent fuel receipt at the Monitored Retrievable Storage (MRS) facility. The existing cask fleet includes the NLI-1/2, the NAC-LWT, the TN-8 (and TN-8L), the TN-9, and the IF-300 casks. Other casks may be available, but their status is not certain. Use of the existing cask fleet at the MRS places additional design requirements on the system, and specifically affects the cask-to-MRS interface. The decision to use the existing cask fleet also places additional demands on training needs and operator certification, and the configuration management system. Some existing cask designs may not be able to mate with a bottom opening hot cell MRS. Use of the existing cask fleet also greatly increases the number of shipments that must be received, to the point that a facility larger than originally envisioned may be required

  15. Subsurface flow constructed wetlands for the treatment of wastewater from different sources. Design and operation

    OpenAIRE

    Torrens Armengol, Antonina

    2016-01-01

    The aim of the thesis is to examine the viability of the subsurface constructed wetlands for the treatment of wastewater derived from three different sources (treatment ponds, pig farms and car wash facilities), and to evaluate the influence of design (size, type and depth of media, presence of Phragmites australis) and operational parameters (hydraulic load, dosing and feeding modes) on treatment efficiency and hydraulic behavior. Several studies were done in the framework of different ...

  16. Smart CCP. Integration of CCP data in the existing infrastructure of a grid operator; Smart KKS. Integration von KKS-Daten in die bestehende Infrastruktur eines Netzbetreibers

    Energy Technology Data Exchange (ETDEWEB)

    Deiss, Rainer [EnBW Regional AG, Stuttgart (Germany); Mueller, Matthias [RBS wave GmbH, Stuttgart (Germany)

    2012-07-01

    The ever growing importance of the cathodic corrosion protection (CCP) requires a much greater integration of the CCP data in the existing infrastructure of a grid operator. The necessary technical adjustments to CCP current protection devices and CCP remote monitoring systems easily can be done with the help of embedded systems.

  17. Leveraging Existing Mission Tools in a Re-Usable, Component-Based Software Environment

    Science.gov (United States)

    Greene, Kevin; Grenander, Sven; Kurien, James; z,s (fshir. z[orttr); z,scer; O'Reilly, Taifun

    2006-01-01

    Emerging methods in component-based software development offer significant advantages but may seem incompatible with existing mission operations applications. In this paper we relate our positive experiences integrating existing mission applications into component-based tools we are delivering to three missions. In most operations environments, a number of software applications have been integrated together to form the mission operations software. In contrast, with component-based software development chunks of related functionality and data structures, referred to as components, can be individually delivered, integrated and re-used. With the advent of powerful tools for managing component-based development, complex software systems can potentially see significant benefits in ease of integration, testability and reusability from these techniques. These benefits motivate us to ask how component-based development techniques can be relevant in a mission operations environment, where there is significant investment in software tools that are not component-based and may not be written in languages for which component-based tools even exist. Trusted and complex software tools for sequencing, validation, navigation, and other vital functions cannot simply be re-written or abandoned in order to gain the advantages offered by emerging component-based software techniques. Thus some middle ground must be found. We have faced exactly this issue, and have found several solutions. Ensemble is an open platform for development, integration, and deployment of mission operations software that we are developing. Ensemble itself is an extension of an open source, component-based software development platform called Eclipse. Due to the advantages of component-based development, we have been able to vary rapidly develop mission operations tools for three surface missions by mixing and matching from a common set of mission operation components. We have also had to determine how to

  18. Generalized boundary conditions in an existence and uniqueness proof for the solution of the non-stationary electron Boltzmann equation by means of operator-semigroups

    International Nuclear Information System (INIS)

    Bartolomaeus, G.; Wilhelm, J.

    1983-01-01

    Recently, based on the semigroup approach a new proof was presented of the existence of a unique solution of the non-stationary Boltzmann equation for the electron component of a collision dominated plasma. The proof underlies some restriction which should be overcome to extend the validity range to other problems of physical interest. One of the restrictions is the boundary condition applied. The choice of the boundary condition is essential for the proof because it determines the range of definition of the infinitesimal generator and thus the operator semigroup itself. The paper proves the existence of a unique solution for generalized boundary conditions, this solution takes non-negative values, which is necessary for a distribution function from the physical point of view. (author)

  19. Operational amplifiers

    CERN Document Server

    Dostal, Jiri

    1993-01-01

    This book provides the reader with the practical knowledge necessary to select and use operational amplifier devices. It presents an extensive treatment of applications and a practically oriented, unified theory of operational circuits.Provides the reader with practical knowledge necessary to select and use operational amplifier devices. Presents an extensive treatment of applications and a practically oriented, unified theory of operational circuits

  20. [Treatment options for patellar tendinopathy].

    Science.gov (United States)

    Duthon, V B; Borloz, S; Ziltener, J-L

    2012-07-25

    Patellar tendinopathy is also called jumper's knee because of its high incidence in athletes with jumping or cutting activities as soccer, basketball, volleyball. Many different treatment methods have been described. However, no consensus exists regarding the optimal treatment for this condition. According to the literature, eccentric exercise-based physical therapy should be proposed first because of its strong scientific evidence. Shockwave therapy and injections may be useful but their real efficacy still has to be proven by randomized controlled study. For patients recalcitrant to more conservative options, operative management may be indicated.

  1. Burst fractures of the thoracolumbar spine : changes of the spinal canal during operative treatment and follow-up

    NARCIS (Netherlands)

    Leferink, VJM; Nijboer, JMM; Zimmerman, KW; Veldhuis, EFM; ten Vergert, EM; ten Duis, HJ

    Although multiple studies have concluded operative decompression of a traumatically narrowed spinal canal is not indicated because of spontaneous remodeling, instrumental decompression is frequently used as part of the operative treatment of spinal fractures. To investigate the process of

  2. Non-operative treatment of a fracture to the coracoid process with acromioclavicular dislocation in an adolescent

    Directory of Open Access Journals (Sweden)

    Vera Pedersen

    2014-08-01

    Full Text Available Coracoid process fractures are rare and often associated with dislocations of the acromioclavicular (AC joint. There is little evidence about the treatment of these injuries in adolescents, but the few case reports published recommend surgery. We report a case of a dislocated epiphyseal fracture to the base of the coracoid process with AC joint dislocation in a 14-year-old ice-hockey player following direct impact to his left shoulder. Since magnetic resonance tomography revealed intact AC and coracoclavicular ligaments, we initiated non-operative treatment with immobilization and unloading of the shoulder by an abduction brace allowing limited rotation for 6 weeks. This treatment resulted in complete recovery after 8 weeks and return to full sports on first league level after 3 month. In conclusion, non-operative treatment of coracoid base fractures with concomitant AC-joint injury in the adolescent can result in excellent functional results and early recovery.

  3. Estimation of marginal costs at existing waste treatment facilities

    DEFF Research Database (Denmark)

    Martinez Sanchez, Veronica; Hulgaard, Tore; Hindsgaul, Claus

    2016-01-01

    , marginal costs were not (provided a response was initiated at the WtE to keep constant the utilized thermal capacity). Failing to systematically address and include costs in existing waste facilities in decision-making may unintendedly lead to higher overall costs at societal level. To avoid misleading...... a constant thermal load, (ii) Refused-Derived-Fuel (RDF) was included to maintain a constant thermal load, or (iii) no reaction occurred resulting in a reduced waste throughput without full utilization of the facility capacity. Results demonstrated that marginal costs of diversion from WtE were up to eleven...

  4. A rare challenging case of co-existent craniopharyngioma, acromegaly and squamous cell lung cancer

    Directory of Open Access Journals (Sweden)

    Athanasios Fountas

    2018-04-01

    Full Text Available Co-existence of craniopharyngioma and acromegaly has been very rarely reported. A 65-year-old man presented with visual deterioration, fatigue and frontal headaches. Magnetic resonance imaging revealed a suprasellar heterogeneous, mainly cystic, 1.9 × 2 × 1.9 cm mass compressing the optic chiasm and expanding to the third ventricle; the findings were consistent with a craniopharyngioma. Pituitary hormone profile showed hypogonadotropic hypogonadism, mildly elevated prolactin, increased insulin-like growth factor 1 (IGF-1 and normal thyroid function and cortisol reserve. The patient had transsphenoidal surgery and pathology of the specimen was diagnostic of adamantinomatous craniopharyngioma. Post-operatively, he had diabetes insipidus, hypogonadotropic hypogonadism and adrenocorticotropic hormone and thyroid-stimulating hormone deficiency. Despite the hypopituitarism, his IGF-1 levels remained elevated and subsequent oral glucose tolerance test did not show complete growth hormone (GH suppression. Further review of the pre-operative imaging revealed a 12 × 4 mm pituitary adenoma close to the right carotid artery and no signs of pituitary hyperplasia. At that time, he was also diagnosed with squamous cell carcinoma of the left upper lung lobe finally managed with radical radiotherapy. Treatment with long-acting somatostatin analogue was initiated leading to biochemical control of the acromegaly. Latest imaging has shown no evidence of craniopharyngioma regrowth and stable adenoma. This is a unique case report of co-existence of craniopharyngioma, acromegaly and squamous lung cell carcinoma that highlights diagnostic and management challenges. Potential effects of the GH hypersecretion on the co-existent tumours of this patient are also briefly discussed.

  5. Centrifuge. Operational Control Tests for Wastewater Treatment Facilities. Instructor's Manual [and] Student Workbook.

    Science.gov (United States)

    Arasmith, E. E.

    Designed for individuals who have completed National Pollutant Discharge Elimination System (NPDES) level 1 laboratory training skills, this module provides waste water treatment plant operators with the basic information needed to: (1) successfully run a centrifuge test; (2) accurately read results obtained in test tubes; and (3) obtain…

  6. Turbidity. Operational Control Tests for Wastewater Treatment Facilities. Instructor's Manual [and] Student Workbook.

    Science.gov (United States)

    Carnegie, John W.

    Designed for individuals who have completed National Pollutant Discharge Elimination System (NPDES) level 1 laboratory training skills, this module provides waste water treatment plant operators with the basic skills and information needed to: (1) standardize a nephelometric turbidimeter; (2) determine the turbidity of a sample; and (3) calculate…

  7. Vegetated treatment area (VTAs) efficiencies for E. coli and nutrient removal on small-scale swine operations

    OpenAIRE

    R. Daren Harmel; Rehanon Pampell; Terry Gentry; Doug R. Smith; Chad Hajda; Kevin Wagner; Patti K. Smith; Rick L. Haney; Kori D. Higgs

    2018-01-01

    As small-scale animal feeding operations work to manage their byproducts and avoid regulation, they need practical, cost-effective methods to reduce environmental impact. One such option is using vegetative treatment areas (VTAs) with perennial grasses to treat runoff; however, research is limited on VTA effectiveness as a waste management alternative for smaller operations. This study evaluated the efficiencies of VTAs in reducing bacteria and nutrient runoff from small-scale swine operation...

  8. The effect of extremity strength training on fibromyalgia symptoms and disease impact in an existing multidisciplinary treatment program.

    Science.gov (United States)

    Kas, Tamara; Colby, Megan; Case, Maureen; Vaughn, Dan

    2016-10-01

    The purpose of this study was to examine the effect of upper and lower body extremity strengthening exercise in patients with Fibromyalgia (FM) within an existing multidisciplinary treatment program. Patients between the ages of 18-65 with the medical diagnosis of FM. Comparative study design. The control and experimental group received the same multidisciplinary treatment except that the experimental group performed upper and lower extremity strengthening exercises. The Fibromyalgia Impact Questionnaire (FIQ) was administered at evaluation and discharge from the program in order to measure change in quality of life (QOL). Statistically significant changes in FIQ scores were found for both groups. The addition of extremity strengthening in the experimental group produced an average 4 points greater reduction in FIQ score, however, these results are not considered statistically significant. This study appears to validate the success of a multidisciplinary approach in treating patients with FM, with the possibility for further benefit with the addition of extremity strengthening. Copyright © 2016 Elsevier Ltd. All rights reserved.

  9. Six-year experiences in the operation of a low level liquid waste treatment plant

    International Nuclear Information System (INIS)

    Wen, S.-J.; Hwang, S.-L.; Tsai, C.-M.

    1980-01-01

    The operation of a low level liquid waste treatment plant is described. The plant is designed for the disposal of liquid waste produced primarily by a 40 MW Taiwan Research Reactor as well as a fuel fabrication plant for the CANDU type reactor and a radioisotopes production laboratory. The monthly volume treated is about 600-2500 ton of low level liquid waste. The activity levels are in the range of 10 -5 -10 -3 μCi/cm 3 . The continuous treatment system of the low level liquid waste treatment plant and the treatment data collected since 1973 are discussed. The advantages and disadvantages of continuous and batch processes are compared. In the continuous process, the efficiency of sludge treatment, vermiculite ion exchange and the adsorption of peat are investigated for further improvement. (H.K.)

  10. The effects of physicochemical wastewater treatment operations on forward osmosis.

    Science.gov (United States)

    Hey, Tobias; Bajraktari, Niada; Vogel, Jörg; Hélix Nielsen, Claus; la Cour Jansen, Jes; Jönsson, Karin

    2017-09-01

    Raw municipal wastewater from a full-scale wastewater treatment plant was physicochemically pretreated in a large pilot-scale system comprising coagulation, flocculation, microsieve and microfiltration operated in various configurations. The produced microsieve filtrates and microfiltration permeates were then concentrated using forward osmosis (FO). Aquaporin Inside TM FO membranes were used for both the microsieve filtrate and microfiltration permeates, and Hydration Technologies Inc.-thin-film composite membranes for the microfiltration permeate using only NaCl as the draw solution. The FO performance was evaluated in terms of the water flux, water flux decline and solute rejections of biochemical oxygen demand, and total and soluble phosphorus. The obtained results were compared with the results of FO after only mechanical pretreatment. The FO permeates satisfied the Swedish discharge demands for small and medium-sized wastewater treatment plants. The study demonstrates that physicochemical pretreatment can improve the FO water flux by up to 20%. In contrast, the solute rejection decreases significantly compared to the FO-treated wastewater with mechanical pretreatment.

  11. [Bladder injury during sling operation in the treatment of SUI--review of literature and case report].

    Science.gov (United States)

    Gałczyński, Krzysztof; Futyma, Konrad; Bar, Krzysztof; Rechberger, Tomasz

    2012-10-01

    Sling operations have been performed for over 15 years. In recent years these operations have become the gold standard in the treatment of stress urinary incontinence (SUI) due to their efficacy safety and low invasiveness. Approximately 4% of women will undergo a surgery for SUI in the course of their life. As with any surgical intervention, there may be some technical problems, as well as intra- and postoperative complications, the most common of which is bladder injury Other complications encountered during mid-urethral slings procedures include bleeding (retropubic or vaginal hematomas), urethral perforation, urinary tract infections, postoperative vaginal or urethral erosions, bowel perforation, chronic pelvic pain, wound infection, nerve injury transient and persistent voiding dysfunction such as de novo urgency incomplete bladder emptying or urinary retention. Below we present a case of a patient with diagnosed vesicovaginal fistula after sling operation (TVT-tension-free vaginal tape). Upon admission the patient reported dysuria, persistent urinary leakage and abnormal, abundant vaginal discharge. Case report and review of literature concerning surgical treatment of stress urinary incontinence and its complications. Analysis of medical documentation of the patient treated at the Second Department of Gynecology Medical University of Lublin. Review of abstracts or papers in the Medline database related to surgical treatment of urinary incontinence and its complications. Bladder perforation is one of the most common complications of the retropubic approach for MUS placement. The presence of mesh within the bladder may arise from direct bladder perforation or from subsequent erosion of the sling. Such lesions do not cause any serious health consequences for patients on condition they are detected intraoperatively and appropriately repaired, but when unrecognized, they results in the development of considerable symptoms and negatively influence the quality of

  12. Conventional operation and laser therapy in the treatment of varicose veins

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Objective: To evaluate the effectiveness of endovenous laser therapy and conventional therapy on the varicose of great saphenous vein. Methods: Thirty-two patients received endovenous laser therapy and 32 patients were operated by conventional therapy (high ligation and stripping). The observation results of great saphenous vein(GSV) were recorded by clinical evaluation and duplex ultrasound examination. And the operating time, intraoperative blood loss, time to become moveable, duration of hospitalization and degree of feeling pain were compared between the two groups. Results: Compared with conventional therapy, laser therapy had good curative effect with less complications and no scars and no pains. There were significant differences between the two groups (P<0.01). Conclusion: Laser therapy for varicose of great saphenous vein is better than the conventional therapy. It deserves to be widely used in clinical treatment.

  13. Streamlining Research by Using Existing Tools

    OpenAIRE

    Greene, Sarah M.; Baldwin, Laura-Mae; Dolor, Rowena J.; Thompson, Ella; Neale, Anne Victoria

    2011-01-01

    Over the past two decades, the health research enterprise has matured rapidly, and many recognize an urgent need to translate pertinent research results into practice, to help improve the quality, accessibility, and affordability of U.S. health care. Streamlining research operations would speed translation, particularly for multi-site collaborations. However, the culture of research discourages reusing or adapting existing resources or study materials. Too often, researchers start studies and...

  14. Status of existing federal environmental risk-based standards applicable to Department of Energy operations

    International Nuclear Information System (INIS)

    Bilyard, G.R.; Jonas, R.J.; Wallo, A. III

    1991-01-01

    When conducting its environmental restoration, waste management, and decontamination and decommissioning activities, the US Department of Energy (DOE) must comply with a myriad of regulatory procedures and environmental standards. An assessment of the status of existing federal standards that may be applied to chemical and radioactive substances on DOE sites found substantial gaps and inconsistencies among the existing standards, and technical issues associated with the application of those standards. Of 271 chemical and radioactive substances found to be important across environmental media at the Hanford, Savannah River, and Oak Ridge Sites, 96 (35%) are unregulated by federal regulations and are not covered by DOE guidelines, 48 (18%) are covered by single federal standards or DOE guidelines, and 127 (47%) are covered by multiple regulations or DOE guidelines. Inconsistencies and technical issues among standards include the promulgation of different standards under different regulations for a given substance in an environmental medium, the application of standards for purposes other than originally intended, and the inability to meet standards because of technical limitations. Given the lack of a complete, consistent set of standards or generic procedures for determining applicable standards, and given the existence of inconsistencies and technical issues among the existing set of standards, DOE may be faced with lengthy negotiations of standards on a case-by-case basis. Such negotiations could result in inconsistent cleanup levels, high costs, potential delays, and missed regulatory milestones

  15. [Operative treatment strategies for multiple trauma patients : early total care versus damage control].

    Science.gov (United States)

    Klüter, T; Lippross, S; Oestern, S; Weuster, M; Seekamp, A

    2013-09-01

    The treatment of multiple trauma patients is a great challenge for an interdisciplinary team. After preclinical care and subsequent treatment in the emergency room the order of the interventions is prioritized depending of the individual risk stratification. For planning the surgery management it is essential to distinguish between absolutely essential operations to prevent life-threatening situations for the patient and interventions with shiftable indications, depending on the general condition of the patient. All interventions need to be done without causing significant secondary damage to prohibit hyperinflammation and systemic inflammatory response syndrome. The challenge consists in determination of the appropriate treatment at the right point in time. In general the early primary intervention, early total care, is differentiated from the damage control concept.

  16. Central Tendon Injuries of Hamstring Muscles: Case Series of Operative Treatment.

    Science.gov (United States)

    Lempainen, Lasse; Kosola, Jussi; Pruna, Ricard; Puigdellivol, Jordi; Sarimo, Janne; Niemi, Pekka; Orava, Sakari

    2018-02-01

    As compared with injuries involving muscle only, those involving the central hamstring tendon have a worse prognosis. Limited information is available regarding the surgical treatment of central tendon injuries of the hamstrings. To describe the operative treatment and outcomes of central tendon injuries of the hamstrings among athletes. Case series; Level of evidence, 4. Eight athletes (6 top level, 2 recreational) with central hamstring tendon injuries underwent magnetic resonance imaging and surgical treatment. The indication for surgery was recurrent (n = 6) or acute (n = 2) central hamstring tendon injury. All patients followed the same postoperative rehabilitation protocol, and return to play was monitored. Magnetic resonance imaging found a central tendon injury in all 3 hamstring muscles (long head of the biceps femoris, semimembranosus, and semitendinosus) with disrupted tendon ends. In acute and recurrent central tendon injuries, full return to play was achieved at 2.5 to 4 months. There were no adverse events during follow-up. Central tendon injuries of the hamstrings can be successfully repaired surgically after acute and recurrent ruptures.

  17. Central Tendon Injuries of Hamstring Muscles: Case Series of Operative Treatment

    Science.gov (United States)

    Lempainen, Lasse; Kosola, Jussi; Pruna, Ricard; Puigdellivol, Jordi; Sarimo, Janne; Niemi, Pekka; Orava, Sakari

    2018-01-01

    Background: As compared with injuries involving muscle only, those involving the central hamstring tendon have a worse prognosis. Limited information is available regarding the surgical treatment of central tendon injuries of the hamstrings. Purpose: To describe the operative treatment and outcomes of central tendon injuries of the hamstrings among athletes. Study Design: Case series; Level of evidence, 4. Methods: Eight athletes (6 top level, 2 recreational) with central hamstring tendon injuries underwent magnetic resonance imaging and surgical treatment. The indication for surgery was recurrent (n = 6) or acute (n = 2) central hamstring tendon injury. All patients followed the same postoperative rehabilitation protocol, and return to play was monitored. Results: Magnetic resonance imaging found a central tendon injury in all 3 hamstring muscles (long head of the biceps femoris, semimembranosus, and semitendinosus) with disrupted tendon ends. In acute and recurrent central tendon injuries, full return to play was achieved at 2.5 to 4 months. There were no adverse events during follow-up. Conclusion: Central tendon injuries of the hamstrings can be successfully repaired surgically after acute and recurrent ruptures. PMID:29479545

  18. Operation and control of ion-exchange processes for treatment of radioactive wastes

    International Nuclear Information System (INIS)

    Emelity, L.A.

    1967-01-01

    A manual dealing with the application of ion-exchange materials to the treatment of radioactive wastes and reviewing the facilities currently using this method. This book is one of three commissioned by the IAEA on the principal methods of concentrating radioactive wastes. The content of this document is: (i) Historical review related to removal of radioactivity; (ii) Principles of ion exchange (iii) Ion-exchange materials; (iv) Limitations of ion exchangers; (v) Application of ion exchange to waste processing; (vi) Operational procedures and experiences; (vii) Cost-of-treatment by ion-exchange. The document also gives a list of producers of ion-exchange material and defines some relevant terms. 101 refs, 31 figs, 27 tabs

  19. Emissions model of waste treatment operations at the Idaho Chemical Processing Plant

    International Nuclear Information System (INIS)

    Schindler, R.E.

    1995-03-01

    An integrated model of the waste treatment systems at the Idaho Chemical Processing Plant (ICPP) was developed using a commercially-available process simulation software (ASPEN Plus) to calculate atmospheric emissions of hazardous chemicals for use in an application for an environmental permit to operate (PTO). The processes covered by the model are the Process Equipment Waste evaporator, High Level Liquid Waste evaporator, New Waste Calcining Facility and Liquid Effluent Treatment and Disposal facility. The processes are described along with the model and its assumptions. The model calculates emissions of NO x , CO, volatile acids, hazardous metals, and organic chemicals. Some calculated relative emissions are summarized and insights on building simulations are discussed

  20. Operation and control of ion-exchange processes for treatment of radioactive wastes

    Energy Technology Data Exchange (ETDEWEB)

    Emelity, L A [Los Alamos National Lab., NM (United States)

    1967-12-01

    A manual dealing with the application of ion-exchange materials to the treatment of radioactive wastes and reviewing the facilities currently using this method. This book is one of three commissioned by the IAEA on the principal methods of concentrating radioactive wastes. The content of this document is: (i) Historical review related to removal of radioactivity; (ii) Principles of ion exchange (iii) Ion-exchange materials; (iv) Limitations of ion exchangers; (v) Application of ion exchange to waste processing; (vi) Operational procedures and experiences; (vii) Cost-of-treatment by ion-exchange. The document also gives a list of producers of ion-exchange material and defines some relevant terms. 101 refs, 31 figs, 27 tabs.

  1. Sustainable Building Operation

    DEFF Research Database (Denmark)

    Jensen, Jesper Ole

    2009-01-01

    of sustainable building operation and a survey amongst building administrators from the private and the social housing sector. Our results show that there are many good examples on sustainable building operation in Danish housing estates, where local building managers, residents etc. have gained impressive......Energy-savings in the existing building stock have becomes a main goal in national and international policies. Often focus is on building-renovations, whereas the potential of sustainable building operation to a large extent has been neglected. Nevertheless, international research as well...... as practical experiences from Danish housing estates indicates that there are large potentials for energy savings by focusing on the operation of the buildings. We suggest that in order to achieve sustainability in the existing housing, renovation and operations should be seen as integrated parts...

  2. Options for Healthcare Waste Management and Treatment in China

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Healthcare waste management and treatment is one of the national priority tasks of China's Tenth Five-Year Plan.Numerous installations disposing medical waste have already operated the project or under construction to the operation in 2006. This paper focuses on the assessment of existing and fu~re options to handle medical waste (MW). Internationally available and so far in China applied technologies and management practice are analysed, including the problems how to materials. Non-hazardous MW can be managed and treated in analogue to municipal solid waste (MSW). In most of the European countries decentralised hospital incinerators have been, because of high operation costs and pollution problems,widely banned and replaced by pre-treatment technologies at the source and centralised incineration plants for hazardous MW.Information for adapting and further developing MW management solutions and treatment technologies in China and applying the most appropriate MWM practice is provided.

  3. The Integration of DCS I/O to an Existing PLC

    Science.gov (United States)

    Sadhukhan, Debashis; Mihevic, John

    2013-01-01

    At the NASA Glenn Research Center (GRC), Existing Programmable Logic Controller (PLC) I/O was replaced with Distributed Control System (DCS) I/O, while keeping the existing PLC sequence Logic. The reason for integration of the PLC logic and DCS I/O, along with the evaluation of the resulting system is the subject of this paper. The pros and cons of the old system and new upgrade are described, including operator workstation screen update times. Detail of the physical layout and the communication between the PLC, the DCS I/O and the operator workstations are illustrated. The complex characteristics of a central process control system and the plan to remove the PLC processors in future upgrades is also discussed.

  4. Minimum radwaste system to support commercial operation-what equipment can be deferred

    International Nuclear Information System (INIS)

    Marshall, R.W.; Tafazzoli, M.M.

    1984-01-01

    Because of cash flow problems being experienced by utilities as nuclear power stations approach completion, areas of the plant for which the completion of the construction effort could be deferred past commercial operation should be reviewed. The radwaste treatment systems are prime candidates for such a deferral because of the availability, either temporary or permanent, of alternative treatment methods for the waste streams expected to be produced. In order to identify the radwaste equipment, components and associated hardware in the radwaste building which could be deferred past commercial operation, a study was performed by Impell Corporation to evaluate the existing radwaste treatment system and determine the minimum system necessary to support commercial operation of a typical BWR. The study identified the minimum-installed radwaste treatment system which, in combination with portable temporary equipment, would accommodate the waste types and quantities likely to be produced in the first few years of operation. In addition, the minimum-installed system had to be licensable and excessive radiation exposures should not be incurred during the construction of the deferred portions of the system after commercial operation. From this study, it was concluded that a significant quantity of radwaste processing equipment and the associated piping, valves and instrumentation could be deferred. The estimated savings, in construction manhours (excluding field distributables) alone, was over 102,000 M-H

  5. Comparative characteristics of the efficiency of different methods of operational treatment for pectus excavatum in children: a multicenter study

    Directory of Open Access Journals (Sweden)

    Aleksandr Yu. Razumovsky

    2018-03-01

    Full Text Available Background. Congenital malformations of the chest are observed in 1%–4% of the population, and the most common among these is pectus excavatum (90%. Aim. We aimed to conduct a retrospective multicenter study to compare the effectiveness of various methods of operative removal of pectus excavatum in children. Material and methods. We retrospectively analyzed the results of the surgical treatment of funnel-like deformity of the thorax in children conducted in clinics of pediatric surgery in seven regions of Russia (1,226 patients. The ratio of boys to girls in the study population was 2.2:1. The study population was divided as per their age into the following groups: 4–7 years (n = 180, 14.7%, 8–14 years (n = 731, 59.6%, and > 14 years (n = 315, 25.7%. The average age at which most children were operated was 11.83 ± 1.24 years. All children underwent a standard preoperative laboratory examination, including a general blood test, urine tests, a biochemical blood test, a hemostasiogram; radiographic diagnostic methods were used with the calculation of the Gizycka index; functional methods of investigation, such as electrocardiography, spirography, and radioisotope scintigraphy of the lungs were also used. Children with second- or third-degree pectus excavatum underwent surgical treatment almost exclusively. The symmetrical forms of the pectus excavatum were more prevalent. In most cases, the main pathological course was complicated. Results and discussion. The operated patients were divided into the following 3 groups: the first (n = 62: operations with the resection of the curved cartilages and external fixation of the sternum-rib complex (Bairov’s operation, the second (n = 374: thoracoplasty with the resection of warped cartilages using internal metal fixators by Timoshchenko, Ravitch, Paltia, Kondrashin, and the third (n = 790: minimally invasive operations without resection with internal fixation (Nuss operations: original and modified

  6. Research for the safety of existing nuclear facilities

    International Nuclear Information System (INIS)

    Teschendorff, Victor; Bruna, Giovanni B.; Gelder, Pieter de

    2007-01-01

    The essential role of research for maintaining the high safety standard for the existing nuclear installations is outlined in the context of internationally agreed needs. The three co-authoring Technical Safety Organisations are committed to continued safety research, recognising operational experience and new technologies as the main driving forces. The safety margin concept is introduced and new trends in traditional and new areas of safety research are identified. The importance of a sufficient experimental infrastructure and international co-operation in sustainable networks is highlighted. (orig.)

  7. Some design and operating aspects of the Ranger uranium mine treatment plant

    International Nuclear Information System (INIS)

    Baily, P.A.

    1984-01-01

    Environmental considerations were key factors in the design of the Ranger Uranium Mines treatment plant. The mine is located adjacent to the Kakadu National Park and has an average rainfall of 1.6m per annum. No contaminated water or liquid effluents are to be released from the project area and thus water management is a key design and operating fact. Particulate and gas emission criteria influenced design as did occupational hygiene factors (dust, radon, housekeeping, maintenance access). Equipment selection and engineering standards were conservative and resulted in the plant attaining design performance in less than three months from the date of commissioning. A number of mechanical and operational problems were experienced. However, none of these problems have had a significant effect on production

  8. The operative treatment of pressure sores in the pelvic region: A 10-year period overview.

    Science.gov (United States)

    Jósvay, János; Klauber, András; Both, Béla; Kelemen, Péter B; Varga, Zsombor Z; Pesthy, Pál Cs

    2015-07-01

    Pelvic region pressure sores often develop following spinal cord injury. Surgery is often necessary for long standing, large-sized pressure sores not responding to conservative treatment. Authors analyze their results of a 10-year period, and identify factors contributing to the reduction of the recurrence rate. A total of 119 pressure sores were operated on 98 patients in two institutions during a 10-year period (1 January 2003 to 31 December 2012). The encountered perioperative complications are summarized, and the recurrence rate is analyzed with a patient follow-up questionnaire. We experienced 15 perioperative complications (12.6%). All complications were fully resolved by conservative treatment. Fifty-eight returned patient replies were processed. The average follow-up time after surgery was 5.2 years. The recurrence rate was 5.47%. The strict adherence to surgical indications, full patient compliance, specialized pre- and post-operative patient care, our routinely used preferred surgical method, all contribute to a low post-operative complication rate, long-term flap survival, and an extended recurrence free period.

  9. Membrane bioreactors and their uses in wastewater treatments

    Energy Technology Data Exchange (ETDEWEB)

    Le-Clech, Pierre [New South Wales Univ., Sydney (Australia). UNESCO Centre for Membrane Science and Technology

    2010-12-15

    With the current need for more efficient and reliable processes for municipal and industrial wastewaters treatment, membrane bioreactor (MBR) technology has received considerable attention. After just a couple of decades of existence, MBR can now be considered as an established wastewater treatment system, competing directly with conventional processes like activated sludge treatment plant. However, MBR processes still suffer from major drawbacks, including high operational costs due to the use of anti-fouling strategies applied to the system to maintain sustainable filtration conditions. Moreover, this specific use of membranes has not reached full maturity yet, as MBR suppliers and users still lack experience regarding the long-term performances of the system. Still, major improvements of the MBR design and operation have been witnessed over the recent years, making MBR an option of choice for wastewater treatment and reuse. This mini-review reports recent developments and current research trends in the field. (orig.)

  10. Improved operating efficiency due to the use of pure oxygen in biological treatment plants for industrial effluents; Mejora de la eficiencia en la operacion de plantas depuradoras biologicas de efluentes industriales mediante la utilizacion de oxigeno puro

    Energy Technology Data Exchange (ETDEWEB)

    Cabeza, R.; Bargallo, J.; Crespi, M.

    2005-07-01

    The use of pure oxygen in biological waste water treatment plants offers a number of advantages due to its physicochemical properties in relation to Henry's Law Flick's Law. Pure oxygen is employed in addition to, or instead of, the existing oxygenation system for treating waste in plants in industrial sectors such as foods, chemicals, paper-making, textiles and others. Its main application is in heavy load treatments and when there are problems of space for siting or enlarging the plant, as it combines well with membrane bioreactor (MBR) and sequence batch reactor (SBR) treatments, as has been shown in several plants in operation. (Author) 4 refs.

  11. Existence of a coupled system of fractional differential equations

    International Nuclear Information System (INIS)

    Ibrahim, Rabha W.; Siri, Zailan

    2015-01-01

    We manage the existence and uniqueness of a fractional coupled system containing Schrödinger equations. Such a system appears in quantum mechanics. We confirm that the fractional system under consideration admits a global solution in appropriate functional spaces. The solution is shown to be unique. The method is based on analytic technique of the fixed point theory. The fractional differential operator is considered from the virtue of the Riemann-Liouville differential operator

  12. Existence of a coupled system of fractional differential equations

    Energy Technology Data Exchange (ETDEWEB)

    Ibrahim, Rabha W. [Multimedia unit, Department of Computer System and Technology Faculty of Computer Science & IT, University of Malaya, 50603 Kuala Lumpur (Malaysia); Siri, Zailan [Institute of Mathematical Sciences, University of Malaya, 50603 Kuala Lumpur (Malaysia)

    2015-10-22

    We manage the existence and uniqueness of a fractional coupled system containing Schrödinger equations. Such a system appears in quantum mechanics. We confirm that the fractional system under consideration admits a global solution in appropriate functional spaces. The solution is shown to be unique. The method is based on analytic technique of the fixed point theory. The fractional differential operator is considered from the virtue of the Riemann-Liouville differential operator.

  13. Environmental Assessment Offsite Thermal Treatment of Low-Level Mixed Waste

    Energy Technology Data Exchange (ETDEWEB)

    N/A

    1999-05-06

    The U.S. Department of Energy (DOE), Richland Operations Office (RL) needs to demonstrate the economics and feasibility of offsite commercial treatment of contact-handled low-level mixed waste (LLMW), containing polychlorinated biphenyls (PCBS) and other organics, to meet existing regulatory standards for eventual disposal.

  14. REVIEW OF EXISTING LCA STUDIES ON WASTE WATER TREATMENT TECHNOLOGIES

    DEFF Research Database (Denmark)

    Larsen, Henrik Fred; Hauschild, Michael Zwicky

    The EU research project “NEPTUNE” is related to the EU Water Framework Directive and focused on the development of new waste water treatment technologies (WWTT) for municipal waste water. The sustainability of these WWTTs is going to be assessed by the use of life cycle assessment (LCA). New life...... importance of the different life cycle stages and the individual impact categories in the total impact from the waste water treatment, and the degree to which micropollutants, pathogens and whole effluent toxicity have been included in earlier studies. The results show that more than 30 different WWTT (and...

  15. The existence of policies, practices and perceptions regarding ...

    African Journals Online (AJOL)

    Interviews were conducted with 7 nursing managers regarding the existence and content of a hospital visitors' policy, 12 operational managers (OMs) to describe ward practices regarding child visitors, and 12 professional nurses and 11 doctors to determine their attitudes towards children as visitors in all four general state ...

  16. Hormonal therapy after the operation for catamenial pneumothorax - is it always necessary?

    Science.gov (United States)

    Subotic, D; Mikovic, Z; Atanasijadis, N; Savic, M; Moskovljevic, D; Subotic, D

    2016-04-14

    Our recent clinical observations put into question the routine hormonal therapy for pneumothorax recurrence prevention, in patients operated for catamenial pneumothorax (CP). Retrospective review of the treatment of four women operated for CP in a recent 32-months period. The four presented patients with CP represent 4.8 % of the overall number of patients operated for spontaneous pneumothorax and 19 % of women operated for pneumothorax in the same period. In all patients, typical multiple diaphragm holes existed. The involved part of the diaphragm was removed with diaphragm suture in three patients, whilst in one patient, a diaphragm placation was done. Endometriosis was histologically confirmed in two patients. During the follow-up period of 6-43 months, none of the patients underwent a postoperative hormonal therapy for different reasons, and in none of them the pneumothorax recurrence occurred. The clinical course of these patients, with the absence of the pneumothorax recurrence despite the omission of the hormonal treatment, suggests that the appropriateness of the routine hormonal treatment with gonadotrophin-releasing hormone analogues for 6-12 months, should be reconsidered and re-evaluated in further studies.

  17. Optimizing the selection of small-town wastewater treatment processes

    Science.gov (United States)

    Huang, Jianping; Zhang, Siqi

    2018-04-01

    Municipal wastewater treatment is energy-intensive. This high energy consumption causes high sewage treatment plant operating costs and increases the energy burden. To mitigate the adverse impacts of China’s development, sewage treatment plants should adopt effective energy-saving technologies. Artificial fortified natural water treatment and use of activated sludge and biofilm are all suitable technologies for small-town sewage treatment. This study features an analysis of the characteristics of small and medium-sized township sewage, an overview of current technologies, and a discussion of recent progress in sewage treatment. Based on this, an analysis of existing problems in municipal wastewater treatment is presented, and countermeasures to improve sewage treatment in small and medium-sized towns are proposed.

  18. Greening Existing Buildings in Contemporary Iraqi Urban Reality/ Virtual Model

    Directory of Open Access Journals (Sweden)

    Saba Jabar Neama Al-Khafaji

    2015-11-01

    Full Text Available The approach of greening existing buildings, is an urgent necessity, because the greening operation provides the speed and optimal efficiency in the environmental performance, as well as keeping up with the global green architecture revolution. Therefore, greening existing buildings in Iraq is important for trends towards renewable energies, because of what the country went through economic conditions and crises and wars which kept the country away from what took place globally in this issue. The research problem is: insufficient knowledge about the importance and the mechanism of the greening of existing buildings, including its environmental and economic dimensions, by rationalization of energy consumption and preserving the environment. The research objective is: clarifying the importance of greening existing buildings environmentally and economically, providing a virtual experience for greening the presidency building of Baghdad University, through advanced computer program. The main conclusions is: there is difference representing by reducing the disbursed thermal loads amount for cooling in summer and heating in winter through the use of computerized program (DesignBuilder and that after the implementation of greening operations on the building envelope, which confirms its effectiveness in raising the energy performance efficiency inside the building. Hence, the importance of the application of greening existing buildings approach in Iraq, to bring back Iraqi architecture to environmental and local track proper.

  19. Operational experience at the Sludge Treatment Facility

    International Nuclear Information System (INIS)

    Sy, D.J.

    1987-01-01

    The Sludge Treatment Facility (STF) at the Oak Ridge Gaseous Diffusion Plant has been in operation since April 1987. The facility was designed to encapsulate hazardous sludge wastes in a cement matrix. Fixation will allow the waste to meet or exceed applicable compressive strength and leachability requirements. Thus, the grout mixture complies with the Resource Conservation and Recovery Act (RCRA) guidelines as a nonhazardous waste. The grout mixture is based upon a recipe formulation developed after several years of waste stream characterization and formulation studies. The wastes to be treated at the STF are wastes impounded in two ponds. The ponds have a combined capacity of 4.5 million gallons of sludge. The sludge is transferred from the ponds to a 15,000-gallon capacity storage tank by the use of a dredge. The grout mixture recipe dictates the amount of sludge, cement, fly ash, and admixture required for weighing per batch. All ingredients are weighed and then transferred to a tilt or high energy mixer for mixing. The grout mixture is then transferred to 89- or 96-gallon steel drums. The drums are placed in a storage yard designed for a point source discharge from the yard

  20. [Abnormal metabolism of triglycerides fractions in chronic pancreatitis and results after the operation treatment].

    Science.gov (United States)

    Diakowska, Dorota; Knast, Witold; Diakowski, Witold; Grabowski, Krzysztof; Szelachowski, Piotr; Pelczar, Piotr

    2005-06-01

    This study was undertaken to determine how fats digestion processes were damaged due to chronic pancreatitis, and identify, whether lipid metabolism improved after surgical treatment the patients with chronic pancreatitis. Total lipids, triglycerides, diglycerides and free fatty acids levels in serum and stool were analysed, using chemical tests, thin-layer chromatography and electrophoresis of serum lipoproteins. The patients before the operations showed higher total lipids and triglycerides concentrations, and lower concentrations of diglycerides and free fatty acids in stool. These patients had high triglycerides, chylomicrons, VLDL, LDL-CH concentrations, and low-diglycerides, free fatty acids, HDL-CH concentrations in serum. These data were statistically significant. After the operations and substitution therapy it was observed normalization of the total lipids and lipids fractions levels in stool and in serum. Concentrations of LDL-CH and HDL-CH fractions were irregular. We conclude, that these lipids parameters could be used in diagnosing and monitoring the results of chronic pancreatitis surgical treatment.

  1. Estimation of pressure drop in the mixing zone of beds in operation filters as drinking water treatment by a mathematical model

    International Nuclear Information System (INIS)

    Rodriguez Miranda, J. P.

    2010-01-01

    This paper describes the correlation of a mathematical model that considers the pressure drop (energy) in the mixing zone of beds in operation filters as drinking water treatment, filters applied in conventional pilot operated and mounted on a water treatment plant of a municipally in Colombia. (Author) 20 refs.

  2. Elementary operators on self-adjoint operators

    Science.gov (United States)

    Molnar, Lajos; Semrl, Peter

    2007-03-01

    Let H be a Hilbert space and let and be standard *-operator algebras on H. Denote by and the set of all self-adjoint operators in and , respectively. Assume that and are surjective maps such that M(AM*(B)A)=M(A)BM(A) and M*(BM(A)B)=M*(B)AM*(B) for every pair , . Then there exist an invertible bounded linear or conjugate-linear operator and a constant c[set membership, variant]{-1,1} such that M(A)=cTAT*, , and M*(B)=cT*BT, .

  3. Nonlocal Operational Calculi for Dunkl Operators

    Directory of Open Access Journals (Sweden)

    Ivan H. Dimovski

    2009-03-01

    Full Text Available The one-dimensional Dunkl operator $D_k$ with a non-negative parameter $k$, is considered under an arbitrary nonlocal boundary value condition. The right inverse operator of $D_k$, satisfying this condition is studied. An operational calculus of Mikusinski type is developed. In the frames of this operational calculi an extension of the Heaviside algorithm for solution of nonlocal Cauchy boundary value problems for Dunkl functional-differential equations $P(D_ku = f$ with a given polynomial $P$ is proposed. The solution of these equations in mean-periodic functions reduces to such problems. Necessary and sufficient condition for existence of unique solution in mean-periodic functions is found.

  4. A web-based remote radiation treatment planning system using the remote desktop function of a computer operating system: a preliminary report.

    Science.gov (United States)

    Suzuki, Keishiro; Hirasawa, Yukinori; Yaegashi, Yuji; Miyamoto, Hideki; Shirato, Hiroki

    2009-01-01

    We developed a web-based, remote radiation treatment planning system which allowed staff at an affiliated hospital to obtain support from a fully staffed central institution. Network security was based on a firewall and a virtual private network (VPN). Client computers were installed at a cancer centre, at a university hospital and at a staff home. We remotely operated the treatment planning computer using the Remote Desktop function built in to the Windows operating system. Except for the initial setup of the VPN router, no special knowledge was needed to operate the remote radiation treatment planning system. There was a time lag that seemed to depend on the volume of data traffic on the Internet, but it did not affect smooth operation. The initial cost and running cost of the system were reasonable.

  5. Computer-aided Framework for Synthesis, Design and Retrofit of Wastewater Treatment Plants

    DEFF Research Database (Denmark)

    Bozkurt, Hande

    Water is used for several purposes in houses and industrial applications, which results in the generation of considerable amounts of wastewater. Wastewater should be handled appropriately which is required from legal, environmental as well as economic and societal perspectives. Wastewater treatment...... be formulated as a process synthesis challenge in the sense that a new taskcan be added to the existing treatment line or one or several existing processes can be changed as a result of the emerging needs. Existing plants need retrofitting due to a number of reasons such as: change in the wastewater flow...... plant (WWTP) design is a formidable challenge. One of the key steps involved is the process synthesis - defined as the selection of treatment processes as a combination of unit operations and processes to create the process flow diagram.As a consequence of the emerging technological developments...

  6. [Common types of massive intraoperative haemorrhage, treatment philosophy and operating skills in pelvic cancer surgery].

    Science.gov (United States)

    Wang, Gang-cheng; Han, Guang-sen; Ren, Ying-kun; Xu, Yong-chao; Zhang, Jian; Lu, Chao-min; Zhao, Yu-zhou; Li, Jian; Gu, Yan-hui

    2013-10-01

    To explore the common types of massive intraoperative bleeding, clinical characteristics, treatment philosophy and operating skills in pelvic cancer surgery. We treated massive intraoperative bleeding in 19 patients with pelvic cancer in our department from January 2003 to March 2012. Their clinical data were retrospectively analyzed. The clinical features of massive intraoperative bleeding were analyzed, the treatment experience and lessons were summed up, and the operating skills to manage this serious issue were analyzed. In this group of 19 patients, 7 cases were of presacral venous plexus bleeding, 5 cases of internal iliac vein bleeding, 6 cases of anterior sacral venous plexus and internal iliac vein bleeding, and one cases of internal and external iliac vein bleeding. Six cases of anterior sacral plexus bleeding and 4 cases of internal iliac vein bleeding were treated with suture ligation to stop the bleeding. Six cases of anterior sacral and internal iliac vein bleeding, one cases of anterior sacral vein bleeding, and one case of internal iliac vein bleeding were managed with transabdominal perineal incision or transabdominal cotton pad compression hemostasis. One case of internal and external iliac vein bleeding was treated with direct ligation of the external iliac vein and compression hemostasis of the internal iliac vein. Among the 19 patients, 18 cases had effective hemostasis. Their blood loss was 400-1500 ml, and they had a fair postoperative recovery. One patient died due to massive intraoperative bleeding of ca. 4500 ml. Most of the massive intraoperative bleeding during pelvic cancer surgery is from the presacral venous plexus and internal iliac vein. The operator should go along with the treatment philosophy to save the life of the patient above all, and to properly perform suture ligation or compression hemostasis according to the actual situation, and with mastered crucial operating hemostatic skills.

  7. Performance evaluation of effluent treatment plant for automobile industry

    Energy Technology Data Exchange (ETDEWEB)

    Ansari, Farid [Department of Applied Science and Humanities, PDM College of Engineering, Bahadurgarh (Haryana) (India); Pandey, Yashwant K. [School of Energy and Environmental Studies, Devi Ahilya Vishwavidyalaya, Indore (India); Kumar, P.; Pandey, Priyanka [Department of Environmental Science, Post Graduate College Ghazipur (IN

    2013-07-01

    The automobile industry’s wastewater not only contains high levels of suspended and total solids such as oil, grease, dyestuff, chromium, phosphate in washing products, and coloring, at various stages of manufacturing but also, a significant amount of dissolved organics, resulting in high BOD or COD loads. The study reveals the performance, evaluation and operational aspects of effluent treatment plant and its treatability, rather than the contamination status of the real property. The Results revealed that the treated effluent shows most of the parameters are within permissible limits of Central Pollution Control Board (CPCB), India and based on the site visits, discussion with operation peoples, evaluation of process design, treatment system, existing effluent discharge, results of sample analyzed and found that effluent treatment plant of automobile industry are under performance satisfactory.

  8. Best available technology for the Los Alamos National Laboratory Radioactive Liquid Waste Treatment Facility

    International Nuclear Information System (INIS)

    Midkiff, W.S.; Romero, R.L.; Suazo, I.L.; Garcia, R.; Parsons, R.M.

    1993-01-01

    The existing Los Alamos National Laboratory TA-50 liquid radioactive waste treatment plant RLWP has been in service for over thirty years, during this period many technical, regulatory, and processing changes have occurred. The existing facility can no longer comply with the demands and requirements for continued operation, and would not be able to comply with anticipated stringent future contaminant discharge limitations. Either a major upgrading or replacement of the existing facility is required. In order to assess the most appropriate means of providing an adequate facility to comply with predicted requirements for Ta-50, this Best Available Technology (BAT) Study was conducted to compare feasible technical and economic alternatives in order to define the most favorable technology configuration. This report consists of eleven sections. Section 1 provides a general introduction and background of the TA-50 operations and the basis for this study. Section 2 provides a technical discussion of the unit processes at TA-50 and several other comparable operations at other DOE sites. Section 3 addresses the evaluation and selection of appropriate treatment processes. Section 4 provides an analysis of environmental issues and concerns. Section 5 presents the rationale for the selection of preferred process configurations. Section 6 is the evaluation of operational issues. Section 7 addresses energy and resource use topics. Section 8 provides an economic analysis, and Section 9 summarizes the evaluation and the identification of the BAT. These sections are augmented by appendices. The report identifies the construction of a new radioactive liquid waste treatment facility as the BAT. Based on the information analyzed for this study, this option appears to provide the best combination of environmental compliance, operability, and economic value

  9. Impact of combinatory growth factor application on rabbit Achilles tendon injury with operative versus conservative treatment: a pilot study.

    Science.gov (United States)

    Konerding, Moritz A; Arlt, Friederike; Wellmann, Axel; Li, Vincent; Li, William

    2010-02-01

    Acute Achilles tendon (AT) rupture is a common injury with a comparatively high complication rate. Presently, surgical treatments compete with nonoperative treatment modalities. The aim of this study was to elucidate the possible beneficial effects of short-term combinatory application of growth factors on tendon healing during operative or conservative treatment. In this controlled laboratory study, the left ATs of 40 adult New Zealand White rabbits were transected and either sutured or treated conservatively. Half of the animals from each treatment modality group repetitively received a mixture of VEGF165, bFGF, and rPDGF which was administered peritendineally. The left legs were immobilized with external fixateurs for 6 weeks. The ATs were harvested 3 months after intervention. Tensile strength tests revealed no significant differences between operative and conservative treatments. Compared to the normal right ATs, 60% of the average breaking strength was reached 3 months after surgery. Growth factor application did not result in significant improvements. Only a tendency towards higher blood vessel densities was noted in the groups treated with the factors. Collagen type I/III ratios also displayed no significant differences. This study indicates that there is no difference in the biomechanical outcome of conservative versus operative AT rupture treatment and only a marginal impact of short-term combinatory growth and angiogenesis factor application.

  10. Optimization and implementation study of plutonium disposition using existing CANDU Reactors. Final report

    International Nuclear Information System (INIS)

    1996-09-01

    Since early 1994, the Department of Energy has been sponsoring studies aimed at evaluating the merits of disposing of surplus US weapons plutonium as Mixed Oxide (MOX) fuel in existing commercial Canadian Pressurized Heavy Water reactors, known as CANDU's. The first report, submitted to DOE in July, 1994 (the 1994 Executive Summary is attached), identified practical and safe options for the consumption of 50 to 100 tons of plutonium in 25 years in some of the existing CANDU reactors operating the Bruce A generating station, on Lake Huron, about 300 km north east of Detroit. By designing the fuel and nuclear performance to operate within existing experience and operating/performance envelope, and by utilizing existing fuel fabrication and transportation facilities and methods, a low cost, low risk method for long term plutonium disposition was developed. In December, 1995, in response to evolving Mission Requirements, the DOE requested a further study of the CANDU option with emphasis on more rapid disposition of the plutonium, and retaining the early start and low risk features of the earlier work. This report is the result of that additional work

  11. Performance of atraumatic restorative treatment (ART) depending on operator-experience.

    Science.gov (United States)

    Jordan, Rainer A; Gaengler, Peter; Markovic, Ljubisa; Zimmer, Stefan

    2010-01-01

    Oral health care is not of major interest in developing countries because of lack of infrastructure and professional manpower. Therefore, atraumatic restorative treatment (ART) was introduced by the World Health Organization to be performed by dental auxiliary personnel. The aim of this study was to evaluate the performance of ART depending on operator-experience in The Republic of The Gambia. One hundred twenty-eight newly inserted restorations were followed up for 12 months using the clinical ART index in a prospective and blinded study design. The patients were randomly assigned to operators. The clinical performance was compared among three groups: trainees, experienced Community Oral Health Workers (COHW), and professional dentists. The difference in success rates was calculated at a 95 percent confidence interval. There was a statistically significant difference between trainees and dentists in performing leakage/gap-free one-surface restorations (P 0.05). Finally, both groups--experienced COHWs and dentists--performed restorations not showing statistically significant differences (P > 0.05). For The Republic of The Gambia--especially for areas with underdeveloped medical infrastructure--training and assignment to perform ART can be recommended for auxiliary dental staff of Community Oral Health Workers.

  12. Upgrading of the STP Uithoorn: treatment of nutrient rich wastewater from horticulture.

    Science.gov (United States)

    Piekema, P; Neef, R

    2005-01-01

    The STP Uithoorn will be upgraded to accommodate the treatment of wastewater from a growing population and to meet more stringent nutrient discharge limits in 2006. In 2003 a system choice and preliminary design was made for the upgrading. A special feature is the nutrient rich wastewater flow from the rapidly developing horticulture in the area. Since the future loads from horticulture are highly uncertain, flexibility of the STP after upgrading is an important issue. A three stage system was selected: improved physical-chemical primary treatment, secondary treatment by activated sludge, and tertiary treatment by denitrifying filters. In this way an important part of the existing infrastructure can be reused, and flexibility is assured by constructing the tertiary treatment in modules and by providing a wide range of operational control possibilities. In this paper the process of system choice and selection of type of tertiary treatment are described, as well as the optimisation of the existing treatment. In order to determine the feasibility of allowing a high loading rate on the existing secondary clarifiers, a two-dimensional hydraulic model of the clarification process was used.

  13. Application of the PHREEQC geochemical computer model during the design and operation of UK mine water treatment schemes

    Energy Technology Data Exchange (ETDEWEB)

    Croxford, S.J.; England, A.; Jarvis, A.P. [IMC White Young Green Engineering and Environment, Sutton-in-Ashfield (United Kingdom)

    2004-07-01

    The UK Coal Authority operates more than 20 full-scale mine water treatment schemes. The PHREEQC geochemical model has been used during the design and operation of two of the UK Coal Authority's treatment systems to assess whether it is possible to more accurately predict the fate and behaviour of contaminants through the treatment process. These systems are at Frances Colliery, Fife, Scotland, and at Horden Colliery, County Durham, England. The characteristics of the mine water at these sites, and the treatment systems installed to remediate them, are described. At Frances Colliery the following issues have been investigated using the PHREEQC model: determination of optimum alkali dose rate; and investment of secondary mineralization that causes pipe fouling. At Horden Colliery areas investigated using the PHREEQC model are: prediction of sludge volume production for various alkali reagents; predication of the influence of elevated carbon dioxide partial pressures on alkali requirements; and influence of elevated chloride concentration on sludge characteristics and production. The results of the investigation are presented and discussed. The study suggests that geochemical modelling may be a useful tool in determining both the geochemical processes occurring within a mine water treatment system and ultimately the likely costs involved during the operation of a particular scheme. Plans for future work include further validation of the PHREEQC model predictions by careful sampling and analysis of water chemistry and secondary mineral phases through the treatment systems. In the future it is hoped that the PHREEQC model may become a useful tool in the design phase of mine water treatment systems. 7 refs., 8 tabs.

  14. Study of structural reliability of existing concrete structures

    Science.gov (United States)

    Druķis, P.; Gaile, L.; Valtere, K.; Pakrastiņš, L.; Goremikins, V.

    2017-10-01

    Structural reliability of buildings has become an important issue after the collapse of a shopping center in Riga 21.11.2013, caused the death of 54 people. The reliability of a building is the practice of designing, constructing, operating, maintaining and removing buildings in ways that ensure maintained health, ward suffered injuries or death due to use of the building. Evaluation and improvement of existing buildings is becoming more and more important. For a large part of existing buildings, the design life has been reached or will be reached in the near future. The structures of these buildings need to be reassessed in order to find out whether the safety requirements are met. The safety requirements provided by the Eurocodes are a starting point for the assessment of safety. However, it would be uneconomical to require all existing buildings and structures to comply fully with these new codes and corresponding safety levels, therefore the assessment of existing buildings differs with each design situation. This case study describes the simple and practical procedure of determination of minimal reliability index β of existing concrete structures designed by different codes than Eurocodes and allows to reassess the actual reliability level of different structural elements of existing buildings under design load.

  15. SU-E-T-785: Using Systems Engineering to Design HDR Skin Treatment Operation for Small Lesions to Enhance Patient Safety

    International Nuclear Information System (INIS)

    Saw, C; Baikadi, M; Peters, C; Brereton, H

    2015-01-01

    Purpose: Using systems engineering to design HDR skin treatment operation for small lesions using shielded applicators to enhance patient safety. Methods: Systems engineering is an interdisciplinary field that offers formal methodologies to study, design, implement, and manage complex engineering systems as a whole over their life-cycles. The methodologies deal with human work-processes, coordination of different team, optimization, and risk management. The V-model of systems engineering emphasize two streams, the specification and the testing streams. The specification stream consists of user requirements, functional requirements, and design specifications while the testing on installation, operational, and performance specifications. In implementing system engineering to this project, the user and functional requirements are (a) HDR unit parameters be downloaded from the treatment planning system, (b) dwell times and positions be generated by treatment planning system, (c) source decay be computer calculated, (d) a double-check system of treatment parameters to comply with the NRC regulation. These requirements are intended to reduce human intervention to improve patient safety. Results: A formal investigation indicated that the user requirements can be satisfied. The treatment operation consists of using the treatment planning system to generate a pseudo plan that is adjusted for different shielded applicators to compute the dwell times. The dwell positions, channel numbers, and the dwell times are verified by the medical physicist and downloaded into the HDR unit. The decayed source strength is transferred to a spreadsheet that computes the dwell times based on the type of applicators and prescribed dose used. Prior to treatment, the source strength, dwell times, dwell positions, and channel numbers are double-checked by the radiation oncologist. No dosimetric parameters are manually calculated. Conclusion: Systems engineering provides methodologies to

  16. A rare challenging case of co-existent craniopharyngioma, acromegaly and squamous cell lung cancer.

    Science.gov (United States)

    Fountas, Athanasios; Chai, Shu Teng; Ayuk, John; Gittoes, Neil; Chavda, Swarupsinh; Karavitaki, Niki

    2018-01-01

    Co-existence of craniopharyngioma and acromegaly has been very rarely reported. A 65-year-old man presented with visual deterioration, fatigue and frontal headaches. Magnetic resonance imaging revealed a suprasellar heterogeneous, mainly cystic, 1.9 × 2 × 1.9 cm mass compressing the optic chiasm and expanding to the third ventricle; the findings were consistent with a craniopharyngioma. Pituitary hormone profile showed hypogonadotropic hypogonadism, mildly elevated prolactin, increased insulin-like growth factor 1 (IGF-1) and normal thyroid function and cortisol reserve. The patient had transsphenoidal surgery and pathology of the specimen was diagnostic of adamantinomatous craniopharyngioma. Post-operatively, he had diabetes insipidus, hypogonadotropic hypogonadism and adrenocorticotropic hormone and thyroid-stimulating hormone deficiency. Despite the hypopituitarism, his IGF-1 levels remained elevated and subsequent oral glucose tolerance test did not show complete growth hormone (GH) suppression. Further review of the pre-operative imaging revealed a 12 × 4 mm pituitary adenoma close to the right carotid artery and no signs of pituitary hyperplasia. At that time, he was also diagnosed with squamous cell carcinoma of the left upper lung lobe finally managed with radical radiotherapy. Treatment with long-acting somatostatin analogue was initiated leading to biochemical control of the acromegaly. Latest imaging has shown no evidence of craniopharyngioma regrowth and stable adenoma. This is a unique case report of co-existence of craniopharyngioma, acromegaly and squamous lung cell carcinoma that highlights diagnostic and management challenges. Potential effects of the GH hypersecretion on the co-existent tumours of this patient are also briefly discussed. Although an extremely rare clinical scenario, craniopharyngioma and acromegaly can co-exist; aetiopathogenic link between these two conditions is unlikely.Meticulous review of unexpected

  17. The Treatment of Six Sigma in Introductory Operations Management Textbooks: Clearing Up the Confusion

    Science.gov (United States)

    Ravinder, Handanhal; Misra, Ram B.

    2016-01-01

    This paper critically examines the treatment of the statistical basis for Six Sigma and process capability in popular operations management textbooks. It discusses areas of confusion and suggest ways of treating the topic that make sense to instructors as well as students. Even though Six Sigma was introduced almost 30 years ago, misconceptions…

  18. Operator decision support system for integrated wastewater management including wastewater treatment plants and receiving water bodies.

    Science.gov (United States)

    Kim, Minsoo; Kim, Yejin; Kim, Hyosoo; Piao, Wenhua; Kim, Changwon

    2016-06-01

    An operator decision support system (ODSS) is proposed to support operators of wastewater treatment plants (WWTPs) in making appropriate decisions. This system accounts for water quality (WQ) variations in WWTP influent and effluent and in the receiving water body (RWB). The proposed system is comprised of two diagnosis modules, three prediction modules, and a scenario-based supporting module (SSM). In the diagnosis modules, the WQs of the influent and effluent WWTP and of the RWB are assessed via multivariate analysis. Three prediction modules based on the k-nearest neighbors (k-NN) method, activated sludge model no. 2d (ASM2d) model, and QUAL2E model are used to forecast WQs for 3 days in advance. To compare various operating alternatives, SSM is applied to test various predetermined operating conditions in terms of overall oxygen transfer coefficient (Kla), waste sludge flow rate (Qw), return sludge flow rate (Qr), and internal recycle flow rate (Qir). In the case of unacceptable total phosphorus (TP), SSM provides appropriate information for the chemical treatment. The constructed ODSS was tested using data collected from Geumho River, which was the RWB, and S WWTP in Daegu City, South Korea. The results demonstrate the capability of the proposed ODSS to provide WWTP operators with more objective qualitative and quantitative assessments of WWTP and RWB WQs. Moreover, the current study shows that ODSS, using data collected from the study area, can be used to identify operational alternatives through SSM at an integrated urban wastewater management level.

  19. Rescue pre-operative treatment with Lugol's solution in uncontrolled Graves' disease.

    Science.gov (United States)

    Calissendorff, Jan; Falhammar, Henrik

    2017-05-01

    Graves' disease is a common cause of hyperthyroidism. Three therapies have been used for decades: pharmacologic therapy, surgery and radioiodine. In case of adverse events, especially agranulocytosis or hepatotoxicity, pre-treatment with Lugol's solution containing iodine/potassium iodide to induce euthyroidism before surgery could be advocated, but this has rarely been reported. All patients hospitalised due to uncontrolled hyperthyroidism at the Karolinska University Hospital 2005-2015 and treated with Lugol's solution were included. All electronic files were carefully reviewed manually, with focus on the cause of treatment and admission, demographic data, and effects of iodine on thyroid hormone levels and pulse frequency. Twenty-seven patients were included. Lugol's solution had been chosen due to agranulocytosis in 9 (33%), hepatotoxicity in 2 (7%), other side effects in 11 (41%) and poor adherence to medication in 5 (19%). Levels of free T4, free T3 and heart rate decreased significantly after 5-9 days of iodine therapy (free T4 53-20 pmol/L, P  = 0.0002; free T3 20-6.5 pmol/L, P  = 0.04; heart rate 87-76 beats/min P  = 0.0007), whereas TSH remained unchanged. Side effects were noted in 4 (15%) (rash n  = 2, rash and vomiting n  = 1, swelling of fingers n  = 1). Thyroidectomy was performed in 26 patients (96%) and one was treated with radioiodine; all treatments were without serious complications. Treatment of uncontrolled hyperthyroidism with Lugol's solution before definitive treatment is safe and it decreases thyroid hormone levels and heart rate. Side effects were limited. Lugol's solution could be recommended pre-operatively in Graves' disease with failed medical treatment, especially if side effects to anti-thyroid drugs have occurred. © 2017 The authors.

  20. Long-term Outcomes of Operative and Nonoperative Treatment of Congenital Coxa Vara.

    Science.gov (United States)

    Roberts, David W; Saglam, Yavuz; De La Rocha, Adriana; Frasquillo, Brigid N; Tulchin-Francis, Kirsten; Kim, Harry K W

    2018-04-01

    Congenital coxa vara (CCV) is a rare hip condition with few long-term studies. The purpose of this study was to assess clinical, radiographic, and functional outcomes after operative and nonoperative treatment of CCV, assess reliability of radiographic parameters, and investigate risk factors for recurrence after surgery. Retrospective review was performed of all CCV patients treated at 1 institution from 1980 to 2010. In addition, patients were recalled for additional follow-up x-rays, modified Harris Hip Score (mHHS), and gait analysis. Radiographic measurements [neck-shaft angle (NSA), head-shaft angle (HSA), Hilgenreiner-epiphyseal angle (HEA), and femoral neck length (FNL)] were assessed for reliability using intraclass correlation coefficients. Multivariate analysis was performed to identify risk factors for recurrence after surgery. Forty-six hips in 32 patients were reviewed. Mean age at presentation was 5.4±4.9 years. Mean follow-up was 11.8±5.8 years. Valgus proximal femoral osteotomy was performed in 27 hips (20 patients). Initial deformity was greater in the operative group (NSA 90±17 degrees, HEA 68±19 degrees) versus nonoperative patients (NSA 122±19 degrees, HEA 34±14 degrees) (PNSA occurred in only 21%. In contrast, 56% of operative hips showed decreased FNL growth rates. Interobserver reliability was excellent for HEA (0.98), NSA (0.90), and FNL (0.89), and good for HSA (0.79). Repeat osteotomy was performed in 6 cases (22%). No significant predictors for recurrence were identified. At long-term follow-up for recalled patients, 72% had significantly abnormal gait, and 50% had fair-poor functional outcomes (mHHSNSA are the most reliable radiographic measurements of proximal femoral deformity in CCV. Recurrence is not uncommon, but no predictors were identified. Many patients have persistent gait abnormalities and functional impairment at long-term follow-up, regardless of prior treatment. Level III-retrospective cohort.

  1. Life cycle assessment: Existing building retrofit versus replacement

    Science.gov (United States)

    Darabi, Nura

    The embodied energy in building materials constitutes a large part of the total energy required for any building (Thormark 2001, 429). In working to make buildings more energy efficient this needs to be considered. Integrating considerations about life cycle assessment for buildings and materials is one promising way to reduce the amount of energy consumption being used within the building sector and the environmental impacts associated with that energy. A life cycle assessment (LCA) model can be utilized to help evaluate the embodied energy in building materials in comparison to the buildings operational energy. This thesis takes into consideration the potential life cycle reductions in energy and CO2 emissions that can be made through an energy retrofit of an existing building verses demolition and replacement with a new energy efficient building. A 95,000 square foot institutional building built in the 1960`s was used as a case study for a building LCA, along with a calibrated energy model of the existing building created as part of a previous Masters of Building Science thesis. The chosen case study building was compared to 10 possible improvement options of either energy retrofit or replacement of the existing building with a higher energy performing building in order to see the life cycle relationship between embodied energy, operational energy, and C02 emissions. As a result of completing the LCA, it is shown under which scenarios building retrofit saves more energy over the lifespan of the building than replacement with new construction. It was calculated that energy retrofit of the chosen existing institutional building would reduce the amount of energy and C02 emissions associated with that building over its life span.

  2. Ontological Proofs of Existence and Non-Existence

    Czech Academy of Sciences Publication Activity Database

    Hájek, Petr

    2008-01-01

    Roč. 90, č. 2 (2008), s. 257-262 ISSN 0039-3215 R&D Projects: GA AV ČR IAA100300503 Institutional research plan: CEZ:AV0Z10300504 Keywords : ontological proofs * existence * non-existence * Gödel * Caramuel Subject RIV: BA - General Mathematics

  3. Vegetated treatment area (VTAs efficiencies for E. coli and nutrient removal on small-scale swine operations

    Directory of Open Access Journals (Sweden)

    R. Daren Harmel

    2018-06-01

    Full Text Available As small-scale animal feeding operations work to manage their byproducts and avoid regulation, they need practical, cost-effective methods to reduce environmental impact. One such option is using vegetative treatment areas (VTAs with perennial grasses to treat runoff; however, research is limited on VTA effectiveness as a waste management alternative for smaller operations. This study evaluated the efficiencies of VTAs in reducing bacteria and nutrient runoff from small-scale swine operations in three counties in Central Texas. Based on 4 yr of runoff data, the Bell and Brazos VTAs significantly reduced loads and concentrations of E. coli and nutrients (except NO3-N and had treatment efficiencies of 73–94%. Most notably, the Bell VTA reduced loads of E. coli, NH4-N, PO4-P, total N, and total P similar to that of the background (control. In spite of significant reductions, runoff from the Brazos VTA had higher concentrations and loads than the control site, especially following installation of concrete pens and increased pen washing, which produced standing water and increased E. coli and nutrient influx. The Robertson VTA produced fewer significant reductions and had lower treatment efficiencies (29–69%; however, E. coli and nutrient concentrations and loads leaving this VTA were much lower than observed at the Bell and Brazos County sites due to alternative solids management and enclosed pens. Based on these results and previous research, VTAs can be practical, effective waste management alternatives for reducing nutrient and bacteria losses from small-scale animal operations, but only if properly designed and managed. Keywords: Bacteria, Nutrients, Swine manure, Waste management, Water quality

  4. A CLINICAL STUDY OF OPERATIVE TREATMENT FOR LUMBAR INTERVERTEBRAL DISC PROLAPSE

    Directory of Open Access Journals (Sweden)

    Anilkumar S. D

    2016-09-01

    Full Text Available BACKGROUND Amongst painful diseases, sciatica occupies a foremost place by reason of its prevalence, its production by a great variety of conditions, the great disablement it may produce and its tending to relapse all of which have led to its recognition as one of the great scourges of humanity. Intervertebral disc prolapse is the important and common cause of low back pain and sciatica. Here, the subject of laminectomy and discectomy in the treatment of proven intervertebral disc prolapse in the lower lumbar region is reviewed and its results examined. AIM OF STUDY This study was undertaken in order to evaluate the following objectives. PRIMARY Analysis of clinical parameters and per operative findings of lumbar intervertebral disc prolapse. SECONDARY Analysis of clinical parameters and surgical outcome in lumbar intervertebral disc prolapse with respect to improvement in pain and neurological status. MATERIALS AND METHODS The study was undertaken in 22 patients who attended the Orthopaedic Department of Mount Zion Medical College, Adoor, between August 2014 to July 2015. All of them were suffering from a prolapsed lumbar vertebral disc as shown by clinical examination and investigations. Lumbar laminectomy and discectomy constituted the operative procedure for all of them. RESULTS In acute onset cases and cases with short duration, results were good. By six months, 80% of patients recorded of good pain relief, 80% of patients returned to work within six 6 months, 60% of patients showed good neurological recovery by 6 months. Laminectomy and discectomy in proven cases of lumbar intervertebral disc prolapse is a rewarding procedure. LT definitely relieved pain in all cases and improved morbidity and neurological deficits in most of the cases. CONCLUSION 1. Laminectomy and discectomy is an effective method of treatment in herniation of lumbar intervertebral disc. 2. The procedure is ideally done in those with the disc prolapse proved with the

  5. Guidance for closure of existing DOE LLW disposal sites

    International Nuclear Information System (INIS)

    Blanchfield, L.

    1987-01-01

    During FY 1986, a closure guidance document was developed. The purpose of this document is to provide guidance in support of DOE Order 5820.2 to site operating contractors for the stabilization and closure of existing low-level waste (LLW) shallow land disposal sites at US Department of Energy (DOE) facilities. Guidance is provided to aid operators in placing existing LLW sites in a closed conditions, i.e., a condition in which a nonoperational site meets postclosure performance requirements and can be shown, within a high degree of confidence, to perform as anticipated in the future, under the most cost-effective maintenance approach. Guidance is based on the philosophy that closure should be planned and performed using a systems approach. Plans for FY 1987 call for revision of the document to incorporate more information on closure of LLW sites also containing radioactive mixed waste and/or transuranic waste. 4 references, 3 figures, 2 tables

  6. Existence results for fractional integro-differential inclusions with state-dependent delay

    Directory of Open Access Journals (Sweden)

    Siracusa Giovana

    2017-10-01

    Full Text Available In this paper we are concerned with a class of abstract fractional integro-differential inclusions with infinite state-dependent delay. Our approach is based on the existence of a resolvent operator for the homogeneous equation.We establish the existence of mild solutions using both contractive maps and condensing maps. Finally, an application to the theory of heat conduction in materials with memory is given.

  7. Pilot-scale anaerobic co-digestion of sewage sludge with agro-industrial by-products for increased biogas production of existing digesters at wastewater treatment plants.

    Science.gov (United States)

    Maragkaki, A E; Fountoulakis, M; Gypakis, A; Kyriakou, A; Lasaridi, K; Manios, T

    2017-01-01

    Due to low degradability of dry solids, most of the digesters at wastewater treatment plants (WWTP) operate at low loading rates resulting in poor biogas yields. In this study, co-digestion of sewage sludge (SS) with olive mill wastewater (OMW), cheese whey (CW) and crude glycerol (CG) was studied in an attempt to improve biogas production of existing digesters at WWTPs. The effect of agro-industrial by-products in biogas production was investigated using a 220L pilot-scale (180L working volume) digester under mesophilic conditions (35°C) with a total feeding volume of 7.5L daily and a 24-day hydraulic retention time. The initial feed was sewage sludge and the bioreactor was operated using this feed for 40days. Each agro-industrial by-product was then added to the feed so that the reactor was fed continuously with 95% sewage sludge and 5% (v/v) of each examined agro-industrial by-product. The experiments showed that a 5% (v/v) addition of OMW, CG or CW to sewage sludge significantly increased biogas production by nearly 220%, 350% and 86% as values of 34.8±3.2L/d, 185.7±15.3L/d and 45.9±3.6L/d respectively, compared to that with sewage sludge alone (375ml daily, 5% v/v in the feed). The average removal of dissolved chemical oxygen demand (d-COD) ranged between 72 and 99% for organic loading rates between 0.9 and 1.5kgVSm -3 d -1 . Reduction in the volatile solids ranged between 25 and 40%. This work suggests that methane can be produced very efficiently by adding a small concentration (5%) of agro-industrial by-products and especially CG in the inlet of digesters treating sewage sludge. Copyright © 2016 Elsevier Ltd. All rights reserved.

  8. Summary of LLNL's accomplishments for the FY93 Waste Processing Operations Program

    International Nuclear Information System (INIS)

    Grasz, E.; Domning, E.; Heggins, D.; Huber, L.; Hurd, R.; Martz, H.; Roberson, P.; Wilhelmsen, K.

    1994-04-01

    Under the US Department of Energy's (DOE's) Office of Technology Development (OTD)-Robotic Technology Development Program (RTDP), the Waste Processing Operations (WPO) Program was initiated in FY92 to address the development of automated material handling and automated chemical and physical processing systems for mixed wastes. The Program's mission was to develop a strategy for the treatment of all DOE mixed, low-level, and transuranic wastes. As part of this mission, DOE's Mixed Waste Integrated Program (MWIP) was charged with the development of innovative waste treatment technologies to surmount shortcomings of existing baseline systems. Current technology advancements and applications results from cooperation of private industry, educational institutions, and several national laboratories operated for DOE. This summary document presents the LLNL Environmental Restoration and Waste Management (ER and WM) Automation and Robotics Section's contributions in support of DOE's FY93 WPO Program. This document further describes the technological developments that were integrated in the 1993 Mixed Waste Operations (MWO) Demonstration held at SRTC in November 1993

  9. Adapting existing training standards for unmanned aircraft: finding ways to train staff for unmanned aircraft operations

    CSIR Research Space (South Africa)

    Burger, CR

    2011-09-01

    Full Text Available - unmanned aircraft; pilot training. I. INTRODUCTION Unmanned aircraft offer flexibility not found in manned aircraft. They can be made smaller and cheaper to operate. They offer payload advantages relative to small manned aircraft. They can also perform... certificate to non-state users. To facilitate useful operations by UAs, future operations must be subject to no more than routine notification (e.g. an ATC flight plan), just like manned aircraft already are. Before such operations can be established, some...

  10. Risk factors for deep surgical site infection following operative treatment of ankle fractures.

    Science.gov (United States)

    Ovaska, Mikko T; Mäkinen, Tatu J; Madanat, Rami; Huotari, Kaisa; Vahlberg, Tero; Hirvensalo, Eero; Lindahl, Jan

    2013-02-20

    Surgical site infection is one of the most common complications following ankle fracture surgery. These infections are associated with substantial morbidity and lead to increased resource utilization. Identification of risk factors is crucial for developing strategies to prevent these complications. We performed an age and sex-matched case-control study to identify patient and surgery-related risk factors for deep surgical site infection following operative ankle fracture treatment. We identified 1923 ankle fracture operations performed in 1915 patients from 2006 through 2009. A total of 131 patients with deep infection were identified and compared with an equal number of uninfected control patients. Risk factors for infection were determined with use of conditional logistic regression analysis. The incidence of deep infection was 6.8%. Univariate analysis showed diabetes (odds ratio [OR] = 2.2, 95% confidence interval [CI] = 1.0, 4.9), alcohol abuse (OR = 3.8, 95% CI = 1.6, 9.4), fracture-dislocation (OR = 2.0, 95% CI = 1.2, 3.5), and soft-tissue injury (a Tscherne grade of ≥1) (OR = 2.6, 95% CI = 1.3, 5.3) to be significant patient-related risk factors for infection. Surgery-related risk factors were suboptimal timing of prophylactic antibiotics (OR = 1.9, 95% CI = 1.0, 3.4), difficulties encountered during surgery, (OR = 2.1, 95% CI = 1.1, 4.0), wound complications (OR = 4.8, 95% CI = 1.6, 14.0), and fracture malreduction (OR = 3.4, 95% CI = 1.3, 9.2). Independent risk factors for infection identified by multivariable analyses were tobacco use (OR = 3.7, 95% CI = 1.6, 8.5) and a duration of surgery of more than ninety minutes (OR = 2.5, 95% CI = 1.1, 5.7). Cast application in the operating room was independently associated with a decreased infection rate (OR = 0.4, 95% CI = 0.2, 0.8). We identified several modifiable risk factors for deep surgical site infection following operative treatment of ankle fractures.

  11. Oak Ridge National Lebroatory Liquid&Gaseous Waste Treatment System Strategic Plan

    Energy Technology Data Exchange (ETDEWEB)

    Van Hoesen, S.D.

    2003-09-09

    Excellence in Laboratory operations is one of the three key goals of the Oak Ridge National Laboratory (ORNL) Agenda. That goal will be met through comprehensive upgrades of facilities and operational approaches over the next few years. Many of ORNL's physical facilities, including the liquid and gaseous waste collection and treatment systems, are quite old, and are reaching the end of their safe operating life. The condition of research facilities and supporting infrastructure, including the waste handling facilities, is a key environmental, safety and health (ES&H) concern. The existing infrastructure will add considerably to the overhead costs of research due to increased maintenance and operating costs as these facilities continue to age. The Liquid Gaseous Waste Treatment System (LGWTS) Reengineering Project is a UT-Battelle, LLC (UT-B) Operations Improvement Program (OIP) project that was undertaken to develop a plan for upgrading the ORNL liquid and gaseous waste systems to support ORNL's research mission.

  12. The emerging trend of non-operative treatment in paediatric type I open forearm fractures.

    Science.gov (United States)

    Zhang, H; Fanelli, M; Adams, C; Graham, J; Seeley, M

    2017-08-01

    Open fractures are considered an orthopaedic emergency and are generally an indication for operative debridement. Recent studies have questioned this approach for the management of Gustilo-Anderson Type I open fractures in the paediatric population. This meta-analysis studies the non-operative management of Type I open paediatric forearm fractures. An Ovid MEDLINE and PubMed database literature search was performed for studies that involved a quantified number of Gustilo-Anderson Type I open forearm fractures in the paediatric population, which were treated without operative intervention. A fixed-effect meta-analysis, weighting each study based on the number of patients, and a pooled estimate of infection risk (with 95% confidence interval (CI)) was performed. The search results yielded five studies that were eligible for inclusion. No included patients had operative debridement and all were treated with antibiotics. The number of patients in each study ranged from 3 to 45, with a total of 127 paediatric patients in the meta-analysis. The infection rate was 0% for all patients included. The meta-analysis estimated a pooled infection risk of 0% (95% CI 0 to 2.9). The five included studies had a total of 127 patients with no cases of infection after non-operative management of Type I open paediatric forearm fractures. The infection rate of Type I fractures among operatively managed patients is 1.9%. The trend in literature towards non-operative treatment of paediatric Type I open fractures holds true in this meta-analysis.

  13. Operative shortening of the sling as a second-line treatment after TVT failure

    Science.gov (United States)

    Matuszewski, Marcin; Michajłowski, Jerzy; Krajka, Kazimierz

    2011-01-01

    Introduction Stress urinary incontinence (SUI) is defined as an involuntary loss of urine during physical exertion, sneezing, coughing, laughing, or other activities that put pressure on the bladder. In some cases, recurrent or persistent SUI after sling operations may be caused by too loose placement of the sling. In the current study, we describe our method of shortening of the sling as a second-line treatment of tension-free vaginal tape (TVT) failure. Materials and methods Four women, aged 46-61, after initial TVT operation were treated for persistent SUI. The severity of SUI was estimated by: physical examinations, cough tests, 24-h pad tests, and King's Health Questionnaire. The shortening procedure, based on excising the fragment of tape and suturing it back, was performed in all patients. Results All cases achieved a good result, which was defined as restoration of full continence. No complications occurred. The 12-month follow-up showed no side-effects. The postoperative control tests: the cough and 24-h pad tests were negative in all women. The general health perceptions increased after the shortening procedure by a mean value 44.25%. The incontinence impact decreased by a mean value 44.6%. In all patients, role and physical limitations significantly decreased (by 88.5% and 80.5%, respectively). The negative emotions connected with SUI significantly decreased after the second procedure. Conclusions The operative shortening of the implanted sling is a simple, cheap, and effective method of second-line treatment in cases of TVT failure and may be offered to the majority of patients with insufficient urethral support after the first procedure. PMID:24578885

  14. The effect of public or private structures in wastewater treatment on the conditions for the design, construction and operation of wastewater treatment plants.

    Science.gov (United States)

    Grünebaum, T; Bode, H

    2004-01-01

    Organised in public or private structures, wastewater services have to cope with different framework conditions as regards planning, construction, financing and operation. This leads quite often to different modes of management. In recent years there has been a push for privatisation on the water sector in general, the reasons for which are manifold, ranging from access to external know-how and capital to synergistic effects through integration of wastewater treatment into other tasks of similar or equal nature. Discussed are various models of public/private partnership (PPP) in wastewater treatment, encompassing for example the delegation of partial tasks or even the proportional or entire transfer of ownership of treatment facilities to private third parties. Decisive for high performance and efficiency is not the legal or organisational form, but rather the clear and unmistakable definition of tasks which are to be assigned to the different parties, customers and all other partners involved, as well as of clear-cut interfaces. On account of the (of course legitimate) profit-oriented perspective of the private sector, some decision-making processes in relation to project implementation (design and construction) and to operational aspects will differ from those typically found on the public sector. This does apply to decisions on investments, financing and on technical solutions too. On the other hand, core competencies in wastewater treatment should not be outsourced, but remain the public bodies' responsibility, even with 'far-reaching' privatisation models. Such core competencies are all efforts geared to sustainable wastewater treatment as life-supporting provision for the future or as contribution to the protection of health and the environment and to the development of infrastructure. Major areas of wastewater treatment and other related tasks are reviewed. The paper concludes with a list of questions on the issue of outsourcing.

  15. A REVIEW ON SEWAGE TREATMENT AND POLISHING USING MOVING BED BIOREACTOR (MBBR

    Directory of Open Access Journals (Sweden)

    JAMAL ALI KAWAN

    2016-08-01

    Full Text Available Effluent treatment and polishing using moving bed bioreactors (MBBRs are advanced technique in biological treatment operations become increasing widely and popular use all over the world to treat various types of effluents with very different operating status. It is a combination of two separate processes suspended and attached growth systems for the treatment in order to minimize the concentrations of the contaminated parameters at the required level for reuse or final destination. The MBBR has been proved to be effective in great removing biochemical oxygen demand (BOD and chemical oxygen demand (COD with nutrients (N and P from the effluent stream simultaneously. It provides additional capacity of wastewater treatment technology with high treatment efficiency; low capital, operational, maintenance and replacement cost; single reliable and robust operation procedure. This process can be used for new sewage treatment works or for modifying (upgrading existing wastewater treatment plants as it is efficient, compact and easy to operate. The efficiency of MBBR depends on the filling percent of biofilm carriers to be provided inside the tank, surface area of the biocarrier, diffused aeration supply and the organic loading. The aim of this paper is reviewing the sewage treatment and polishing using moving bed bioreactor MBB technology as an alternative and successful method. It presents the advantages of the MBBR compared to conventional waste water treatment. The review also includes many relevant researches carried out at the laboratory andpilot scales plants that could improve these systems by enhancing performance and reducing costs.

  16. Analyzing the security of an existing computer system

    Science.gov (United States)

    Bishop, M.

    1986-01-01

    Most work concerning secure computer systems has dealt with the design, verification, and implementation of provably secure computer systems, or has explored ways of making existing computer systems more secure. The problem of locating security holes in existing systems has received considerably less attention; methods generally rely on thought experiments as a critical step in the procedure. The difficulty is that such experiments require that a large amount of information be available in a format that makes correlating the details of various programs straightforward. This paper describes a method of providing such a basis for the thought experiment by writing a special manual for parts of the operating system, system programs, and library subroutines.

  17. Diagnostics and operative treatment of retrorectal cysts - description of five cases

    International Nuclear Information System (INIS)

    Kolodziejczak, M.; Grochowicz, M.; Kosim, A.; Stefanski, R.; Sudol-Szopinska, I.

    2005-01-01

    Background. Retrorectal cysts (RC) are unusual lesions. Publications on RC are very rare and describe a few cases at most. Methods. Authors describe five patients with RC. The diagnostics of RC was based on the medical history of the patients and the basic diagnostic investigation was trans rectal ultrasonography. An operation to remove the cysts from perineal access was the treatment administered in these cases. Results. In three cases the histopathological examination showed cystis epidermalis. In another case a cyst epithelialized with ciliated epithelium was found. In the last case bone tissue, fatty tissue and fibrous tissue were depicted, all in the state of chronic inflammation. Conclusions. Per rectum digital exam is the basic examination decisive in making the diagnosis. TRUS should be employed as the diagnostic investigation in order to estimate precisely the size of a cyst and its proportion to the rectum wall. Retrorectal cystectomy in perineal access is an effective method of treatment of this disease. This article, likewise other research works, describes a small group of patients, therefore, its conclusions should be treated as preliminary ones. (author)

  18. Impairment of wound healing after operative treatment of mandibular fractures, and the influence of dexamethasone.

    Science.gov (United States)

    Snäll, Johanna; Kormi, Eeva; Lindqvist, Christian; Suominen, Anna Liisa; Mesimäki, Karri; Törnwall, Jyrki; Thorén, Hanna

    2013-12-01

    Our aim was to clarify the incidence of impaired wound healing after open reduction and ostheosynthesis of mandibular fractures, and to find out whether the use of dexamethasone during the operation increased the risk. Patients were drawn from a larger group of healthy adult dentate patients who had participated in a single-blind, randomised study, the aim of which was to clarify the benefits of operative dexamethasone after treatment of facial fractures. The present analysis comprised 41 patients who had had open reduction and fixation of mandibular fractures with titanium miniplates and monocortical screws through one or 2 intraoral approaches. The outcome variable was impaired healing of the wound. The primary predictive variable was the perioperative use of dexamethasone; other potential predictive variables were age, sex, smoking habit, type of fracture, delay in treatment, and duration of operation. Wound healing was impaired in 13/41 patients (32%) (13/53 of all fractures). The incidence among patients who were given dexamethasone and those who were not did not differ significantly. Only age over 25 was significantly associated with delayed healing (p=0.02). The use of dexamethasone 30 mg perioperatively did not significantly increase the risk of impaired wound healing in healthy patients with clinically uninfected mandibular fractures fixed with titanium miniplates through an intraoral approach. Older age is a significant predictor of impaired healing, which emphasises the importance of thorough anti-infective care in these patients during and after the operation. Copyright © 2013 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

  19. Forward Osmosis in Wastewater Treatment Processes

    DEFF Research Database (Denmark)

    Korenak, Jasmina; Basu, Subhankar; Balakrishnan, Malini

    2017-01-01

    In recent years, membrane technology has been widely used in wastewater treatment and water purification. Membrane technology is simple to operate and produces very high quality water for human consumption and industrial purposes. One of the promising technologies for water and wastewater treatment...... is the application of forward osmosis. Essentially, forward osmosis is a process in which water is driven through a semipermeable membrane from a feed solution to a draw solution due to the osmotic pressure gradient across the membrane. The immediate advantage over existing pressure driven membrane technologies...... briefly review some of the applications within water purification and new developments in forward osmosis membrane fabrication....

  20. Capillary Suction Time. Operational Control Tests for Wastewater Treatment Facilities. Instructor's Manual [and] Student Workbook.

    Science.gov (United States)

    Wooley, John F.

    Capillary suction time is time required for the liquid phase of a treated sludge to travel through 1 centimeter of media (blotter or filter paper). Designed for individuals who have completed National Pollutant Discharge Elimination System (NPDES) level 1 laboratory training skills, this module provides waste water treatment plant operators with…

  1. 40 CFR 420.125 - Pretreatment standards for existing sources (PSES).

    Science.gov (United States)

    2010-07-01

    ... for existing sources. (a) Galvanizing, terne coating and other coatings—(1) Strip, sheet, and... limitations for hexavalent chromium shall be applicable only to galvanizing operations which discharge wastewaters from the chromate rinse step. (2) [Reserved] (b) Galvanizing and other coatings—(1) Wire products...

  2. Construction and Operation Costs of Wastewater Treatment and Implications for the Paper Industry in China.

    Science.gov (United States)

    Niu, Kunyu; Wu, Jian; Yu, Fang; Guo, Jingli

    2016-11-15

    This paper aims to develop a construction and operation cost model of wastewater treatment for the paper industry in China and explores the main factors that determine these costs. Previous models mainly involved factors relating to the treatment scale and efficiency of treatment facilities for deriving the cost function. We considered the factors more comprehensively by adding a regional variable to represent the economic development level, a corporate ownership factor to represent the plant characteristics, a subsector variable to capture pollutant characteristics, and a detailed-classification technology variable. We applied a unique data set from a national pollution source census for the model simulation. The major findings include the following: (1) Wastewater treatment costs in the paper industry are determined by scale, technology, degree of treatment, ownership, and regional factors; (2) Wastewater treatment costs show a large decreasing scale effect; (3) The current level of pollutant discharge fees is far lower than the marginal treatment costs for meeting the wastewater discharge standard. Key implications are as follows: (1) Cost characteristics and impact factors should be fully recognized when planning or making policies relating to wastewater treatment projects or technology development; (2) There is potential to reduce treatment costs by centralizing wastewater treatment via industrial parks; (3) Wastewater discharge fee rates should be increased; (4) Energy efficient technology should become the future focus of wastewater treatment.

  3. Operational Risk Management: Increasing Mission Effectiveness Through Improved Planning and Execution of Joint Operations

    National Research Council Canada - National Science Library

    Beckvonpeccoz, Stephen

    1997-01-01

    .... This deficiency should be remedied with the adoption of Operational Risk Management (ORM), an existing process which would provide operational commanders a tool for making smarter risk decisions...

  4. Existence of mild solutions of a semilinear evolution differential inclusions with nonlocal conditions

    Directory of Open Access Journals (Sweden)

    Reem A. Al-Omair

    2009-03-01

    Full Text Available In this paper we prove the existence of a mild solution for a semilinear evolution differential inclusion with nonlocal condition and governed by a family of linear operators, not necessarily bounded or closed, in a Banach space. No compactness assumption is assumed on the evolution operator generated by the family operators. Also, we prove that the set of mild solutions is compact.

  5. Treatment results in anal cancer: non-operative treatment versus operative treatment

    Energy Technology Data Exchange (ETDEWEB)

    Chie, Eui Kyu; Park, Jae Gahb; Bang, Yung Jue; Heo, Dae Seog; Kim, Noe Kyeong [Seoul National University College of Medicine, Seoul (Korea, Republic of); Ha, Sung Whan [Medical Reasearch Center, Seoul National University, Seoul (Korea, Republic of)

    2002-03-15

    This study was undertaken to analyze the efficacy and sphincter preservation rate of platinum based neoadjuvant chemotherapy plus radiotherapy versus abdominoperineal resection and postoperative radiotherapy for anal cancer. Data of forty-two patients with anal cancer were retrospectively analyzed. Among thirty-eight patients with epidermoid histology, four patients received radiotherapy, and nineteen patients received abdominoperineal resection and adjuvant radiotherapy with or without chemotherapy (APR + RT {+-} CT), and fifteen patients received neoadjuvant chemotherapy and radiotherapy (CRT). The CRT regimen was composed of three cycles of 5-fluorouracil (1,000 mg/m{sup 2} bolus on D1 {approx} 5) and cisplatin (60 mg/m{sup 2} bolus on D1) followed by 50.4 Gy to the tumor bed and regional lymphatics over 5.5 weeks. Both inguinal lymphatics were treated with an identical dose schedule. Residual disease was treated with an additional three cycles of identical adjuvant chemotherapy. An identical dose schedule was used for post-operative radiotherapy. Median follow-up period was eighty-five months. Overall five-year survival rates were 80.3%, 88.9% and 79.4% for entire patients, APR + RT {+-} CT group, and the CRT group, respectively. No significant difference was found between the two groups ({rho} = 0.49). Anus preservation rate for the CRT group was 86.7%. Age ({rho} = 0.0164) and performance status ({rho} = 0.0007) were found to be significant prognostic factors by univariate analysis. Age ({rho} = 0.0426), performance status ({rho} = 0.0068), and inguinal lymph node metastasis ({rho} = 0.0093) were statistically significant prognostic factors by multivariate analysis. No case of RTOG grade 3 complication or higher was reported. This and other recent studies have shown that combined chemotherapy plus radiotherapy for anal cancer results in a high rate of anal sphincter preservation as well as local control and survival. Furthermore, neoadjuvant use of

  6. Vegetated treatment area (VTAs) efficiences for E. coli and nutrient removal on small-scale swine operations

    Science.gov (United States)

    As small-scale animal feeding operations work to manage their byproducts and avoid regulation, they need practical, cost-effective methods to reduce environmental impact. One such option is using vegetative treatment areas (VTAs) with perennial grasses to treat runoff; however, research is limited ...

  7. Environmental Assessment Use of Existing Borrow Areas, Hanford Site, Richland, Washington

    International Nuclear Information System (INIS)

    2001-01-01

    The U.S. Department of Energy (DOE) operates the Hanford Site near Richland, Washington. The DOE needs to identify and operate onsite locations for a continued supply of raw aggregate materials [approximately 7,600,000 cubic meters (10,000,000 cubic yards) over the next 10 years] for new facility construction, maintenance of existing facilities and transportation corridors, and fill and capping material for remediation and other sites

  8. [Operative treatment of painful neuromas].

    Science.gov (United States)

    Stokvis, Annemieke; Coert, J Henk

    2011-01-01

    3-5% of patients with traumatic or iatrogenic peripheral nerve injury develop a painful neuroma, especially following trauma of small cutaneous sensory nerve branches. Neuroma pain is difficult to treat and often leads to loss of function and reduction of quality of life. Patients with a painful neuroma present with spontaneous electric, shooting or burning pain, allodynia, hyperalgesia and cold intolerance. The diagnosis is based on the medical history and physical examination, supplemented by Tinel's test and a diagnostic nerve blockade. Lasting pain relief is possible by means of surgical neuroma treatment performed by a plastic surgeon. Surgical treatment consists of repair or denervation of the nerve with relocation of the nerve stump in bone or muscle tissue or a vein. Referral of neuroma patients without delay to a plastic surgeon or multidisciplinary consultation is important, because the symptoms become increasingly difficult to treat over time. 3-5% of patients with traumatic or iatrogenic peripheral nerve injury develop a painful neuroma, especially following trauma of small cutaneous sensory nerve branches. Neuroma pain is difficult to treat and often leads to loss of function and reduction of quality of life. Patients with a painful neuroma present with spontaneous electric, shooting or burning pain, allodynia, hyperalgesia and cold intolerance. The diagnosis is based on the medical history and physical examination, supplemented by Tinel's test and a diagnostic nerve blockade. Lasting pain relief is possible by means of surgical neuroma treatment performed by a plastic surgeon. Surgical treatment consists of repair or denervation of the nerve with relocation of the nerve stump in bone or muscle tissue or a vein. Referral of neuroma patients without delay to a plastic surgeon or multidisciplinary consultation is important, because the symptoms become increasingly difficult to treat over time.

  9. Seismic evaluation of existing nuclear power plants

    International Nuclear Information System (INIS)

    2003-01-01

    The IAEA nuclear safety standards publications address the site evaluation and the design of new nuclear power plants (NPPs), including seismic hazard assessment and safe seismic design, at the level of the Safety Requirements as well as at the level of dedicated Safety Guides. It rapidly became apparent that the existing nuclear safety standards documents were not adequate for handling specific issues in the seismic evaluation of existing NPPs, and that a dedicated document was necessary. This is the purpose of this Safety Report, which is written in the spirit of the nuclear safety standards and can be regarded as guidance for the interpretation of their intent. Worldwide experience shows that an assessment of the seismic capacity of an existing operating facility can be prompted for the following: (a) Evidence of a greater seismic hazard at the site than expected before, owing to new or additional data and/or to new methods; (b) Regulatory requirements, such as periodic safety reviews, to ensure that the plant has adequate margins for seismic loads; (c) Lack of anti-seismic design or poor anti-seismic design; (d) New technical finding such as vulnerability of some structures (masonry walls) or equipment (relays), other feedback and new experience from real earthquakes. Post-construction evaluation programmes evaluate the current capability of the plant to withstand the seismic concern and identify any necessary upgrades or changes in operating procedures. Seismic qualification is distinguished from seismic evaluation primarily in that seismic qualification is intended to be performed at the design stage of a plant, whereas seismic evaluation is intended to be applied after a plant has been constructed. Although some guidelines do exist for the evaluation of existing NPPs, these are not established at the level of a regulatory guide or its equivalent. Nevertheless, a number of existing NPPs throughout the world have been and are being subjected to review of their

  10. Compilation of Existing Neutron Screen Technology

    Directory of Open Access Journals (Sweden)

    N. Chrysanthopoulou

    2014-01-01

    Full Text Available The presence of fast neutron spectra in new reactors is expected to induce a strong impact on the contained materials, including structural materials, nuclear fuels, neutron reflecting materials, and tritium breeding materials. Therefore, introduction of these reactors into operation will require extensive testing of their components, which must be performed under neutronic conditions representative of those expected to prevail inside the reactor cores when in operation. Due to limited availability of fast reactors, testing of future reactor materials will mostly take place in water cooled material test reactors (MTRs by tailoring the neutron spectrum via neutron screens. The latter rely on the utilization of materials capable of absorbing neutrons at specific energy. A large but fragmented experience is available on that topic. In this work a comprehensive compilation of the existing neutron screen technology is attempted, focusing on neutron screens developed in order to locally enhance the fast over thermal neutron flux ratio in a reactor core.

  11. Results of dermatoplastic operations in case of combined treatment of patients with skin melanomas using preoperational thermoradiotherapy

    International Nuclear Information System (INIS)

    Zalutskij, I.V.

    1988-01-01

    Dermato-plastic operations are possible and justified following a wide resection of skin melanoma in combined treatment of patients using preoperational local thermoradiotherapy. It is shown that frequency of local postoperational complications in the main group of patients in case of plastics by free skin grafts depends on neoplasm localization. Further improvement of performing dermato-plastic operations and research of effective prophylaxis of local postoperational complications are necessary. 6 refs.; 1 tab

  12. High-energy quasi-monoenergetic neutron fields: existing facilities and future needs

    CERN Document Server

    Pomp, S; Mayer, S; Reitz, G; Rottger, S; Silari, M; Smit, F D; Vincke, H; Yasuda, H

    2014-01-01

    The argument that well-characterised quasi-monoenergetic neutron (QMN) sources reaching into the energy domain >20 MeV are needed is presented. A brief overview of the existing facilities is given, and a list of key factors that an ideal QMN source for dosimetry and spectrometry should offer is presented. The authors conclude that all of the six QMN facilities currently in existence worldwide operate in sub-optimal conditions for dosimetry. The only currently available QMN facility in Europe capable of operating at energies >40 MeV, TSL in Uppsala, Sweden, is threatened with shutdown in the immediate future. One facility, NFS at GANIL, France, is currently under construction. NFS could deliver QMN beams up to about 30 MeV. It is, however, so far not clear if and when NFS will be able to offer QMN beams or operate with only so-called white neutron beams. It is likely that by 2016, QMN beams with energies >40 MeV will be available only in South Africa and Japan, with none in Europe.

  13. Invitation to a forum: architecting operational `next generation' earth monitoring satellites based on best modeling, existing sensor capabilities, with constellation efficiencies to secure trusted datasets for the next 20 years

    Science.gov (United States)

    Helmuth, Douglas B.; Bell, Raymond M.; Grant, David A.; Lentz, Christopher A.

    2012-09-01

    Architecting the operational Next Generation of earth monitoring satellites based on matured climate modeling, reuse of existing sensor & satellite capabilities, attention to affordability and evolutionary improvements integrated with constellation efficiencies - becomes our collective goal for an open architectural design forum. Understanding the earth's climate and collecting requisite signatures over the next 30 years is a shared mandate by many of the world's governments. But there remains a daunting challenge to bridge scientific missions to 'operational' systems that truly support the demands of decision makers, scientific investigators and global users' requirements for trusted data. In this paper we will suggest an architectural structure that takes advantage of current earth modeling examples including cross-model verification and a first order set of critical climate parameters and metrics; that in turn, are matched up with existing space borne collection capabilities and sensors. The tools used and the frameworks offered are designed to allow collaborative overlays by other stakeholders nominating different critical parameters and their own treaded connections to existing international collection experience. These aggregate design suggestions will be held up to group review and prioritized as potential constellation solutions including incremental and spiral developments - including cost benefits and organizational opportunities. This Part IV effort is focused on being an inclusive 'Next Gen Constellation' design discussion and is the natural extension to earlier papers.

  14. 40 CFR 419.35 - Pretreatment standards for existing sources (PSES).

    Science.gov (United States)

    2010-07-01

    ... treatment works must comply with 40 CFR part 403 and achieve the following pretreatment standards for existing sources (PSES). The following standards apply to the total refinery flow contribution to the POTW...

  15. Simulators for NPP operators

    International Nuclear Information System (INIS)

    Yuzhakov, A.Yu.

    2010-01-01

    The author reports on the application of full-scale simulators for training and maintaining proficiency of unit control room operators that is an essential element of Russian NPPs personnel education system. The existing simulators for the unit control room operating personnel are listed. The integrated approach to developing and maintaining the training hardware is described. The integrated approach is being implemented on the basis of observance of the existing requirements to training hardware, improvement of regulations, control from a single centre responsible for the provision of support to the activities, inclusion into the plans of simulators for development of skills for operating control over equipment and systems, as well as control from local boards [ru

  16. FRACTURES OF THE FIFTH METATARSAL RESULTS OF THE EARLY OPERATIVE TREATMENT OF ACUTE DISPLACED FRACTURES

    Directory of Open Access Journals (Sweden)

    Slaviša Mihaljević

    2004-04-01

    Full Text Available Background. Fracture of the proximal 5th metatarsal bone (MTB reach almost 2% of all fractures of the foot. Conservative treatment is method of choice in almost all cases. Selected cases can benefit from acute surgery especially if the proximal fragment is severe displaced or the excessive articular step off is present.Materials and methods. In a 4 year period 14 patients were operated due to the acute fracture of proximal 5th MTB. All patients were treated in less than 2 weeks after the injury. 10 patients had base avulsion fracture in zone I and 4 had Jones fracture in zone II with dislocation of fragments? 5 mm, articular step off of 2 mm and 30% of articulation surface. We used tension bend wire in 9 cases (64%, partially threaded cancellous screw in 4 cases (28% and bone sutures in 1 case (7%. Postoperatively all patients used crutches with nonweight bearing for 4 weeks and afterwards partial weight bearing till the end of the treatment. All patients were practicing active exercises for ankle, foot and toes. The results were evaluated according to the Maryland Foot Score (MFS at least 20 months after injury.Results. 13 patients (93% were included in follow up. 12 patients were evaluated as excellent and only one as a good. All 13 patients have no or slight pain with no change in ADL or work ability. 9 patients (69% reached full functional result and 4 (31% patients had slight limitation during distance walk. Patients reached full weight bearing in average 7 weeks (5–13.Conclusions. Early operative treatment of selected cases allows fast return to preoperative activity without long term functional sequel. Both operative procedures, screw fixation and tension wire, yielded comparable and excellent end result.

  17. Construction of Industrial Electron Beam Plant for Wastewater Treatment

    International Nuclear Information System (INIS)

    Han, B.; Kim, J.; Kim, Y.; Kim, S.; Lee, M.; Choi, J.; Ahn, S.; Makarov, I.E.; Ponomarev, A.V.

    2004-01-01

    A pilot plant for treating 1,000 m3/day of dyeing wastewater with e-beam has been constructed and operated since 1998 in Daegu, Korea together with the biological treatment facility. The wastewater from various stages of the existing purification process has been treated with electron beam in this plant, and it gave rise to elaborate the optimal technology of the electron beam treatment of wastewater with increased reliability at instant changes in the composition of wastewater. Installation of the e-beam pilot plant resulted in decolorizing and destructive oxidation of organic impurities in wastewater, appreciable to reduction of chemical reagent consumption, in reduction of the treatment time, and in increase in flow rate limit of existing facilities by 30-40%. Industrial plant for treating 10,000 m3/day, based upon the pilot experimental result, is under construction and will be finished by 2005. This project is supported by the International Atomic Energy Agency (IAEA) and Korean Government

  18. Nuclear waste treatment program: Annual report for FY 1987

    International Nuclear Information System (INIS)

    Brouns, R.A.; Powell, J.A.

    1988-09-01

    Two of the US Department of Energy's (DOE) nuclear waste management-related goals are to ensure that waste management is not an obstacle to the further development of light-water reactors and the closure of the nuclear fuel cycle and to fulfill its institutional responsibility for providing safe storage and disposal of existing and future nuclear wastes. As part of its approach to achieving these goals, the Office of Remedial Action and Waste Technology of DOE established what is now called the Nuclear Waste Treatment Program (NWTP) at the Pacific Northwest Laboratory during the second half of FY 1982. To support DOE's attainment of its goals, the NWTP is to provide technology necessary for the design and operation of nuclear waste treatment facilities by commercial enterprises as part of a licensed waste management system and problem-specific treatment approaches, waste form and treatment process adaptations, equipment designs, and trouble-shooting assistance, as required to treat existing wastes. This annual report describes progress during FY 1987 towards meeting these two objectives. 24 refs., 59 figs., 24 tabs

  19. Forward Osmosis in Wastewater Treatment Processes.

    Science.gov (United States)

    Korenak, Jasmina; Basu, Subhankar; Balakrishnan, Malini; Hélix-Nielsen, Claus; Petrinic, Irena

    2017-01-01

    In recent years, membrane technology has been widely used in wastewater treatment and water purification. Membrane technology is simple to operate and produces very high quality water for human consumption and industrial purposes. One of the promising technologies for water and wastewater treatment is the application of forward osmosis. Essentially, forward osmosis is a process in which water is driven through a semipermeable membrane from a feed solution to a draw solution due to the osmotic pressure gradient across the membrane. The immediate advantage over existing pressure driven membrane technologies is that the forward osmosis process per se eliminates the need for operation with high hydraulic pressure and forward osmosis has low fouling tendency. Hence, it provides an opportunity for saving energy and membrane replacement cost. However, there are many limitations that still need to be addressed. Here we briefly review some of the applications within water purification and new developments in forward osmosis membrane fabrication.

  20. Scoliosis Research Society (SRS) Criteria and Society of Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) 2008 Guidelines in Non-Operative Treatment of Idiopathic Scoliosis.

    Science.gov (United States)

    Korbel, Krzysztof; Kozinoga, Mateusz; Stoliński, Łukasz; Kotwicki, Tomasz

    2014-07-28

    According to the Scoliosis Research Society (SRS), idiopathic scoliosis (IS) is a curvature of more than 10° Cobb angle, affecting 2-3% of pediatric population. Idiopathic scoliosis accounts for 80% of all scoliosis cases. Non-operative principles in the therapy of idiopathic scoliosis, including Scoliosis Research Society (SRS) criteria and guidelines proposed by the experts of the Society on Scoliosis Orthopedic and Rehabilitation Treatment (SOSORTS) were presented. The possibility to carry out quality of life assessments in a conservative procedure was also demonstrated. Based on the natural history of idiopathic scoliosis, SRS criteria, SOSORT 2008 experts' opinion and the knowledge of the possibilities of psychological assessment of conservative IS treatment, rules were proposed regarding nonsurgical IS therapy procedures, with special consideration being paid to the proper treatment start time (age, Risser test, biological maturity, Cobb angle), possibility of curvature progression, the importance of physiotherapy and psychological assessment. The knowledge of SRS criteria and SOSORT guidelines regarding the conservative treatment of IS are essential for proper treatment (the right time to start treatment), and supports establishment of interdisciplinary treatment teams, consisting of a physician, a physiotherapist, an orthopedic technician and a psychologist.

  1. Integrated Management of all Historical, Operational and Future Decomissioning Solid ILW at Dounreay

    International Nuclear Information System (INIS)

    Graham, D.

    2002-01-01

    This paper describes major components of the Dounreay Site Restoration Plan, DSRP to deal with the site's solid intermediate level waste, ILW legacy. Historic solid ILW exists in the Shaft (disposals between 1959 and 1977), the Wet Silo (operated between 1973 and 1998), and in operating engineered drummed storage. Significant further arisings are expected from future operations, post-operations clean out and decommissioning through to the completion of site restoration, expected to be complete by about 2060. The raw waste is in many solid forms and also incorporates sludge, some fissile material and hazardous chemical components. The aim of the Solid ILW Project is to treat and condition all this waste to make it passively safe and in a form which can be stored for a substantial period, and then transported to the planned U.K. national deep repository for ILW disposal. The Solid ILW Project involves the construction of head works for waste retrieval operations at the Shaft and Wet Silo, a Waste Treatment Plant and a Conditioned Waste Store to hold the conditioned waste until the disposal facilities become available. In addition, there are infrastructure activities to enable the new construction: contaminated ground remediation, existing building demolition, underground and overground services diversion, sea cliff stabilization, and groundwater isolation at the Shaft

  2. The Place of Operations upon the Sympathetic System in the Treatment of Poliomyelitis.

    Science.gov (United States)

    Ogilvie, W H

    1933-02-01

    Revived interest in sympathetic surgery originated in orthopaedics. Royle's theories and operations. Their trial, failure and final abandonment. Value of sympathetic operations widely investigated; while finality has not been reached they have proved effective for three main purposes: (1) Relief of pain especially in bladder diseases. (2) Removal of inhibition and sphincteric spasm in alimentary, anal and bladder diseases. (3) Production of vaso-dilatation in (a) vaso-spastic diseases; (b) vaso-degenerative diseases; (c) conditions not due to arterial disease in which increased blood supply is beneficial.Poliomyelitis falls into the last group.-Cause of poor blood supply uncertain; ? lack of function; ? upset of some reflex; ? paralysis of vaso-dilators.TWO PROBLEMS ARISE, BOTH OF WHICH MAY BE TREATED BY OPERATIONS ON THE SYMPATHETIC: (1) The cold, blue limb, which develops chilblains, sores, or even deep ulcers every winter, often stopping treatment and requiring patient to be confined to bed. (2) The limb with considerable and rapidly increasing shortening. Sometimes these limbs show a fair return of power, and were it not for the heavy boot made necessary by the shortening, the patient could be made to walk well.Method of attack.-(1) Periarterial sympathectomy; (2) ramisectomy; (3) ganglionectomy. Physiological basis of each. Criticism of (1) and (2).Details of the operation for ganglionectomy.-Alternative approaches and their advantages. The immediate and late results of the procedure.Five cases discussed briefly.

  3. Operating household wastewater treatment plants in the light of binding quality standards for wastewater discharged to water bodies or to soil

    Directory of Open Access Journals (Sweden)

    Jawecki Bartosz

    2017-03-01

    Full Text Available The study presents the legal requirements concerning the quality of wastewater discharged to waterbodies and to soil after treatment in household wastewater treatment plants located in agglomerations or outside them. The procedure of stopping the operation of a household treatment plant that doesn’t meet the statutory wastewater treatment efficiency was presented. The decision ordering to stop the use of a household wastewater treatment plant has to be preceded by a decision ordering to take measures to limit its adverse impact on the environment. The clarification procedure has to determine the adverse impact on the environment in a doubtless manner and it has to be reflected in the documentation. The assessment of adverse impact should take into account the binding standards of use of the environment. Stopping the operation of a household wastewater treatment plant may result in issuing a decision ordering the user to connect to the sanitary sewage system.

  4. 76 FR 9376 - Proposed Extension of Existing Information Collection on Qualification/Certification Program and...

    Science.gov (United States)

    2011-02-17

    ... Extension of Existing Information Collection on Qualification/Certification Program and Man Hoist Operators... 77.107-1 on Qualification/Certification Program and Man Hoist Operators Physical Fitness. DATES: All... Labor or Secretary of Health and Human Services must make frequent inspections and investigations in...

  5. High power accelerators and wastewater treatment

    International Nuclear Information System (INIS)

    Han, B.; Kim, J.K.; Kim, Y.R.; Kim, S.M.; Makaov, I.E.; Ponomarev, A.V.

    2006-01-01

    The problems of environmental damage and degradation of natural resources are receiving increasing attention throughout the world. The increased population, higher living standards, increased urbanization and enhanced industrial activities of humankind are all leading to degradation of the environment. Increasing urbanization has been accompanied by significant water pollution. Given the seriousness of the situation and future risk of crises, there is an urgent need to develop the water-efficient technologies including economical treatment methods of wastewater and polluted water. Therefore, cost-effective treatment of the municipal and industrial wastewater containing refractory pollutant with electron beam is actively studied in EB TECH Co.. Electron beam treatment of wastewater is caused by the decomposition of pollutants as a result of their reactions with highly reactive species formed from water radiolysis (hydrated electron, OH free radical and H atom). However, to have advantages over existing processes, the electron beam process should have cost-effective and reliable in operation. Therefore high power accelerators (400kW∼1MW) are developed for environmental application and they show the decrease in the cost of construction and operation of electron beam plant. In other way to reduce the cost for wastewater treatment, radical reactions accompanied by the other processes are introduced, and the synergistic effect upon the use of combined methods such as electron beam treatment with ozonation, biological treatment and physico-chemical adsorption and others also show the improvement of the effect of electron beam treatment for the wastewater purification. (author)

  6. Least cost addition of power from hydroelectrical developments: Maximizing existing assets

    Energy Technology Data Exchange (ETDEWEB)

    Felix, Lafontant; Briand, Marie-Helene; Veilleux, Rheaume

    2010-09-15

    Hydroelectric developments built in the early 1900's are nearing their useful lifespan and require significant rehabilitation in order to meet modern safety and performance criteria. Also, global increasing energy costs represent a strong incentive for operators to find low-cost, environment-friendly solutions while increasing energy generation at existing facilities. Projects promoting innovative ways of recycling existing developments are great examples of sustainable development and represent win-win solutions for population and hydropower industry alike. The proposed presentation describes successful projects consisting in the rehabilitation or addition of power to existing hydroelectric. These recycling projects are very attractive from both economic and environmental.

  7. Radiation protection programme for existing exposure situation

    International Nuclear Information System (INIS)

    Ramadhani, Hilali Hussein

    2016-04-01

    This study was conducted to develop the Radiation protection Programme (RPP) to ensure that measures are in place for protection of individuals from the existing source of exposure. The study established a number of protective and remedial actions to be considered by the responsible regulatory Authority, licensee for existing exposure in workplace and dwellings. Tanzania is endowed with a number NORMs processing industries with an experience of uncontrolled exploration and extraction of minerals and the use of unsafe mining methods leading to severe environmental damage and appalling living conditions in the mining communities. Some of NORMs industries have been abandoned due to lack of an effect management infrastructure. The residual radioactive materials have been found to be the most import source of existing exposure resulted from NORMs industries. The Radon gas and its progeny have also been found to be a source of existing exposure from natural source as well as the major source of risk and health effects associated with existing exposure situation. The following measures have been discovered to play a pivotal role in avoiding or reducing the source of exposure to individuals such as restriction of the use of the construction materials, restriction on the consumption of foodstuffs and restriction on the access to the land and buildings, the removal of the magnitude of the source in terms of activity concentration as well as improvement of ventilation in dwellings. Therefore, the regulatory body (Tanzania Atomic Energy Commission) should examine the major areas outlined in the established RRP for existing exposure situation resulted from the NORMs industries and natural sources so as to develop strategies that will ensure the adequate protection of members of the public and the environment as well as guiding operating organizations to develop radiation protection and safety measures for workers. (au)

  8. Decontamination of operational nuclear power plants

    International Nuclear Information System (INIS)

    1981-06-01

    In order to reduce the radiation fields around nuclear power plants, and, consequently, to limit the radiation exposure of and dose commitments to the operating and maintenance personnel, the contamination build-up should be kept to a minimum. The most fruitful approach, from the point of view of economics and efficiency, is to tackle the problems of contamination and decontamination in the design and construction phases of the reactor. To do this, knowledge gained from the operation of existing power reactors should be used to make improvements in new designs. New structural materials with low corrosion rates or whose constituents are not activated by neutrons should also be used. For older reactors, in most cases it is already too late to incorporate design changes without extensive and expensive modifications. For these plants, decontamination remains the most efficient way to reduce radiation fields. The aim of this report is to deal with the different decontamination methods that may be applied to nuclear power plant circuits and equipment during operation. The factors that have to be considered in determining the type and the extent of the methods used are the engineering and the planning of the decontamination operation and the treatment of the resulting waste generated during the process are also discussed

  9. Ranking Operations Management conferences

    NARCIS (Netherlands)

    Steenhuis, H.J.; de Bruijn, E.J.; Gupta, Sushil; Laptaned, U

    2007-01-01

    Several publications have appeared in the field of Operations Management which rank Operations Management related journals. Several ranking systems exist for journals based on , for example, perceived relevance and quality, citation, and author affiliation. Many academics also publish at conferences

  10. The analysis of the existing typology of energy saving measures in the course of construction project implementation and real estate object operation

    Directory of Open Access Journals (Sweden)

    Kiseleva Ekaterina Aleksandrovna

    Full Text Available Today, speaking about the efficiency of energy saving measures it is necessary to analyze the consequences of alternative options of the use of renewables at reconstruction and updating of housing stock from the point of view of secondary energy use and by doing that to avoid negative consequences of greenhouse gases emissions. Thus special attention is paid as a rule to residential buildings. In addition to the assessment of the ideas of housing stock and power sources updating, the cost of construction materials in reconstruction projects, various concepts of reconstruction and economic consequences of the repair of buildings is also important. As a rule, the life cycle of a real estate object is longer, than the life cycle of the production process of the goods or service occurring on this object. Careful planning of the operation program of a real estate object already at the stage of its design and also its timely modernization according to new requirements play an important role throughout the whole life cycle of an object and its long-term and effective operation. The decision on the expediency of a construction project is made on the basis of the analysis of expenses for it. In practice it is quite seldom possible to take into account all the expenses for a constructed facility, that is the expenses arising at construction, operation, the contents and service of a real estate object during its existence. Often realization of more expensive solutions at the level of construction designs and equipment leads to considerable decrease in operational costs of a real estate object. Thus, without creation of a program of operation for this object it is very difficult to prove the expediency of more expensive resources and methods at construction, then it is determined by the minimum requirements. Nevertheless, the object not necessarily has to correspond to its initial state. As a rule, after some time the use of newer technical solutions is

  11. Technical Meeting on Existing and Proposed Experimental Facilities for Fast Neutron Systems. Presentations

    International Nuclear Information System (INIS)

    2013-01-01

    The objective of the TM on “Existing and proposed experimental facilities for fast neutron systems” is threefold: first, it is intended for presenting and exchanging information about existing and planned experimental facilities in support of the development of innovative fast neutron systems; second, it will allow to create a catalogue of existing and planned experimental facilities currently operated/developed within national or international fast reactors programmes; third, once a clear picture of the existing experimental infrastructures is defined, new experimental facilities will be discussed and proposed, on the basis of the identified R&D needs

  12. EOS Operations Systems: EDOS Implemented Changes to Reduce Operations Costs

    Science.gov (United States)

    Cordier, Guy R.; Gomez-Rosa, Carlos; McLemore, Bruce D.

    2007-01-01

    The authors describe in this paper the progress achieved to-date with the reengineering of the Earth Observing System (EOS) Data and Operations System (EDOS), the experience gained in the process and the ensuing reduction of ground systems operations costs. The reengineering effort included a major methodology change, applying to an existing schedule driven system, a data-driven system approach.

  13. CERN wide inventory of existing vacuum and heat treatment furnaces

    CERN Document Server

    Milani, Adrien

    2016-01-01

    L’utilisation des fours au CERN a plusieurs objectifs (Traitement thermique, brasage, séchage, polymérisation, ... ). Les fours sont donc répartis dans les différents départements, en fonction de l’utilisation de chacun. Cependant il n’existe pas à l’heure actuelle de référencement permettant de connaitre la présence de chaque four ainsi que leurs caractéristiques techniques. L’objectif de mon stage a donc été de créer un inventaire des fours de traitement thermique présents au CERN, afin de connaitre précisément leurs applications possibles. Cette base de données permettra entre autre aux différents départements de savoir quelle personne contacter en fonction de l’utilisation voulue.

  14. M-quasi-hyponormal composition operators

    Directory of Open Access Journals (Sweden)

    Pushpa R. Suri

    1987-01-01

    Full Text Available A necessary and sufficient condition is obtained for M-quasi-hyponormal composition operators. It has also been proved that the class of M-quasi-hyponormal composition operators coincides with the class of M-paranormal composition operators. Existence of M-hyponormal composition operators which are not hyponormal; and M-quasihyponormal composition operators which are not M-hyponormal and quasi-hyponormal are also shown.

  15. Sustaining high energy efficiency in existing processes with advanced process integration technology

    International Nuclear Information System (INIS)

    Zhang, Nan; Smith, Robin; Bulatov, Igor; Klemeš, Jiří Jaromír

    2013-01-01

    Highlights: ► Process integration with better modelling and more advanced solution methods. ► Operational changes for better environmental performance through optimisation. ► Identification of process integration technology for operational optimisation. ► Systematic implementation procedure of process integration technology. ► A case study with crude oil distillation to demonstrate the operational flexibility. -- Abstract: To reduce emissions in the process industry, much emphasis has been put on making step changes in emission reduction, by developing new process technology and making renewable energy more affordable. However, the energy saving potential of existing systems cannot be simply ignored. In recent years, there have been significant advances in process integration technology with better modelling techniques and more advanced solution methods. These methods have been applied to the new design and retrofit studies in the process industry. Here attempts are made to apply these technologies to improve the environmental performance of existing facilities with operational changes. An industrial project was carried out to demonstrate the importance and effectiveness of exploiting the operational flexibility for energy conservation. By applying advanced optimisation technique to integrate the operation of distillation and heat recovery in a crude oil distillation unit, the energy consumption was reduced by 8% without capital expenditure. It shows that with correctly identified technology and the proper execution procedure, significant energy savings and emission reduction can be achieved very quickly without major capital expenditure. This allows the industry to improve its economic and environment performance at the same time.

  16. Perhaps More Consideration of Pavlovian-Operant Interaction May Improve the Clinical Efficacy of Behaviorally Based Drug Treatment Programs.

    Science.gov (United States)

    Troisi, Joseph R

    2013-01-01

    Drug abuse remains costly. Drug-related cues can evoke cue-reactivity and craving, contributing to relapse. The Pavlovian extinction-based cue-exposure therapy (CET) has not been very successful in treating drug abuse. A functional operant analysis of complex rituals involved in CET is outlined and reinterpreted as an operant heterogeneous chain maintained by observing responses, conditioned reinforcers, and discriminative stimuli. It is further noted that operant functions are not predicated on Pavlovian processes but can be influenced by them in contributing to relapse; several empirical studies from the animal and human literature highlight this view. Cue-reactivity evoked by Pavlovian processes is conceptualized as an operant establishing/motivating operation. CET may be more effective in incorporating an operant-based approach that takes into account the complexity of Pavlovian-operant interaction. Extinction of the operant chain coupled with the shaping of alternative behaviors is proposed as an integrated therapy. It is proposed that operant-based drug abuse treatments (contingency management, voucher programs, and the therapeutic work environment) might consider incorporating cue-reactivity, as establishing/motivating operations, to increase long-term success-a hybrid approach based on Pavlovian-operant interaction.

  17. Perhaps More Consideration of Pavlovian–Operant Interaction May Improve the Clinical Efficacy of Behaviorally Based Drug Treatment Programs

    Science.gov (United States)

    Troisi, Joseph R.

    2014-01-01

    Drug abuse remains costly. Drug-related cues can evoke cue-reactivity and craving, contributing to relapse. The Pavlovian extinction-based cue-exposure therapy (CET) has not been very successful in treating drug abuse. A functional operant analysis of complex rituals involved in CET is outlined and reinterpreted as an operant heterogeneous chain maintained by observing responses, conditioned reinforcers, and discriminative stimuli. It is further noted that operant functions are not predicated on Pavlovian processes but can be influenced by them in contributing to relapse; several empirical studies from the animal and human literature highlight this view. Cue-reactivity evoked by Pavlovian processes is conceptualized as an operant establishing/motivating operation. CET may be more effective in incorporating an operant-based approach that takes into account the complexity of Pavlovian–operant interaction. Extinction of the operant chain coupled with the shaping of alternative behaviors is proposed as an integrated therapy. It is proposed that operant-based drug abuse treatments (contingency management, voucher programs, and the therapeutic work environment) might consider incorporating cue-reactivity, as establishing/motivating operations, to increase long-term success—a hybrid approach based on Pavlovian–operant interaction. PMID:25346551

  18. COMPARATIVE ANALYSIS OF THE TREATMENT OF THE EOSINOPHILIC GRANULOMA WITH VERTEBRAL INVOLVEMENT USING ORTHOPEDIC CORSET AND SURGICAL OPERATION

    Directory of Open Access Journals (Sweden)

    A. I. Snetkov

    2010-01-01

    Full Text Available The results of treatment of 72 patients with pathological fracture of vertebra bodies against eosinophilic granuloma a spine are analysed. Orthopedic corset technologies are used in treatment of 42 patients, surgical treatment was applied. Orthopedic corset may be used in patients with eosinophilic granuloma of backbone. This method of treatment was used in a case of the absence of spine secondary deformations and neurologic semiology. Orthopedic corset treatment is associated with long immobilization on the average within 1,5-2 years and never leads to a complete recovery of the damaged spine. Surgical treatment consists in use only at loss of height of a body to 30-40%, when destruction of spine more severe it is necessary to use operative treatment in two stages. Absolute indications to surgical treatment are the neurologic deficit and secondary deformations of a spine. Surgical treatment allows to reduce terms of treatment till 3-4 months and quickly to return the patient to an active life.

  19. Development of a method for the characterization and operation of UV-LED for water treatment.

    Science.gov (United States)

    Kheyrandish, Ataollah; Mohseni, Madjid; Taghipour, Fariborz

    2017-10-01

    Tremendous improvements in semiconductor technology have made ultraviolet light-emitting diodes (UV-LEDs) a viable alternative to conventional UV sources for water treatment. A robust and validated experimental protocol for studying the kinetics of microorganism inactivation is key to the further development of UV-LEDs for water treatment. This study proposes a protocol to operate UV-LEDs and control their output as a polychromatic radiation source. In order to systematically develop this protocol, the results of spectral power distribution, radiation profile, and radiant power measurements of a variety of UV-LEDs are presented. A wide range of UV-LEDs was selected for this study, covering various UVA, UVB, and UVC wavelengths, viewing angles from 3.5° to 135°, and a variety of output powers. The effects of operational conditions and measurement techniques were investigated on these UV-LEDs using a specially designed and fabricated setup. Operating conditions, such as the UV-LED electrical current and solder temperature, were found to significantly affect the power and peak wavelength output. The measurement techniques and equipment, including the detector size, detector distance from the UV-LED, and potential reflection from the environment, were shown to influence the results for many of the UV-LEDs. The results obtained from these studies were analyzed and applied to the development of a protocol for UV-LED characterization. This protocol is presented as a guideline that allows the operation and control of UV-LEDs in any structure, as well as accurately measuring the UV-LED output. Such information is essential for performing a reliable UV-LED assessment for the inactivation of microorganisms and for obtaining precise kinetic data. Copyright © 2017 Elsevier Ltd. All rights reserved.

  20. Life-Cycle Assessment of Seismic Retrofit Strategies Applied to Existing Building Structures

    Directory of Open Access Journals (Sweden)

    Umberto Vitiello

    2016-12-01

    Full Text Available In the last few years, the renovation and refurbishment of existing buildings have become the main activities of the construction industry. In particular, many studies have recently focused on the mechanical and energy performances of existing retrofitted/refurbished facilities, while some research has addressed the environmental effects of such operations. The present study aims to assess the environmental impact of some retrofit interventions on an existing reinforced concrete (RC building. Once the structural requirements have been satisfied and the environmental effects of these retrofit solutions defined, the final purpose of this study is to identify the most environmentally sustainable retrofit strategy. The environmental impact of the structural retrofit options is assessed using a life-cycle assessment (LCA. This paper sets out a systematic approach that can be adopted when choosing the best structural retrofit option in terms of sustainability performance. The final aim of the study is to also provide a tool for researchers and practitioners that reflects a deep understanding of the sustainability aspects of retrofit operations and can be used for future researches or practical activities.

  1. Technical Meeting on Existing and Proposed Experimental Facilities for Fast Neutron Systems. Working Material

    International Nuclear Information System (INIS)

    2013-01-01

    The objective of the TM on “Existing and proposed experimental facilities for fast neutron systems” was threefold: 1) presenting and exchanging information about existing and planned experimental facilities in support of the development of innovative fast neutron systems; 2) allow creating a catalogue of existing and planned experimental facilities currently operated/developed within national or international fast reactors programmes; 3) once a clear picture of the existing experimental infrastructures is defined, new experimental facilities are discussed and proposed, on the basis of the identified R&D needs

  2. Operative Treatment of the Insertional Achilles Tendinopathy Through a Transtendinous Approach.

    Science.gov (United States)

    Ettinger, Sarah; Razzaq, Rameez; Waizy, Hazibullah; Claassen, Leif; Daniilidis, Kiriakos; Stukenborg-Colsman, Christina; Plaass, Christian

    2016-03-01

    Different operative techniques have been proposed for the treatment of insertional Achilles tendinopathy (IAT), with often disappointing results. The aim of this study was to evaluate the outcome of the transtendinous approach in IAT. Forty patients operated with an IAT between 2010 and 2011 were included in this retrospective study. The mean follow-up was 15.6 (±3.7, 12-27) months. Indication for surgery was IAT with failed conservative therapy. Using a transtendinous approach, the Achilles tendon (AT) was partially detached and all pathologic tissues were debrided. The AT was reinserted using different anchor techniques. Clinical data were recorded using examination and clinical scores (American Orthopaedic Foot & Ankle Society [AOFAS], Foot and Ankle Outcome Score [FAOS], Numerical Rating Scale [NRS], and Short Form-36 [SF-36]). The mean AOFAS hindfoot score improved from 59.4 preoperatively to 86.5 postoperatively (P anchors or double-row fixation technique improved significantly (P anchor fixation, regarding AOFAS score (79.6 and 90.2) and FAOS subscale scores. Eighty-three percent of the patients showed good to excellent results. The transtendinous approach allowed access to all associated pathologies in IAT. It had relatively few complications and lead to good clinical results. Level IV, retrospective case series. © The Author(s) 2015.

  3. Reconfigurable DC Links for Restructuring Existing Medium Voltage AC Distribution Grids

    NARCIS (Netherlands)

    Shekhar, A.; Ramirez Elizondo, L.M.; Feng, Xianyong; Kontos, E.; Bauer, P.

    2018-01-01

    While the scientific community recognizes the benefits of DC power transfer, the distribution network operators point out the practical and economic constraints in refurbishing the existing AC network at a medium-voltage level. Some apprehensions like reliability, cost of ownership, and safety in

  4. Consideration on HRA implementation during LPSD operation

    International Nuclear Information System (INIS)

    Kim, Ar Ryum; Kim, Jae Whan; Jang, In Seok; Seong, Poong Hyun

    2014-01-01

    During low power and shutdown operation, it has been pointed out that the important of human actions is significantly increased. Because automatic control may be disabled, most control room annunciation titles indicate alarm status, and procedures are insufficient, human operators plays a much larger role during outages and in lower power state. In this regards, in order to reduce human errors and secure nuclear power plant safety, it is necessary to identify and estimate human errors during LPSD operations. However, many researchers have argued that there is no comprehensive LPSD human reliability analysis (HRA) method so far. In this study, we reviewed and implemented the existing HRA methods during LPSD operations: Korean standard HRA (K-HRA), Simplified plant analysis risk HRA (SPAR-H), Caused based decision tree (CBDT), and human cognitive reliability/ operator reliability experiments (HCR/ORE). We reviewed HRA methods based on several reports related to the unique aspects of human operator during LPSD operation and HRA requirements. In addition, the existing HRA methods were implemented during various plant operating states (POS) of LPSD operation. Loss of shutdown cooling system (SCS) was selected as initiating event. As a result of review and implementation of HRA methods, we derived the some limitations of the existing HRA methods and related procedure during loss of SCS event

  5. On generalized operator quasi-equilibrium problems

    Science.gov (United States)

    Kum, Sangho; Kim, Won Kyu

    2008-09-01

    In this paper, we will introduce the generalized operator equilibrium problem and generalized operator quasi-equilibrium problem which generalize the operator equilibrium problem due to Kazmi and Raouf [K.R. Kazmi, A. Raouf, A class of operator equilibrium problems, J. Math. Anal. Appl. 308 (2005) 554-564] into multi-valued and quasi-equilibrium problems. Using a Fan-Browder type fixed point theorem in [S. Park, Foundations of the KKM theory via coincidences of composites of upper semicontinuous maps, J. Korean Math. Soc. 31 (1994) 493-519] and an existence theorem of equilibrium for 1-person game in [X.-P. Ding, W.K. Kim, K.-K. Tan, Equilibria of non-compact generalized games with L*-majorized preferences, J. Math. Anal. Appl. 164 (1992) 508-517] as basic tools, we prove new existence theorems on generalized operator equilibrium problem and generalized operator quasi-equilibrium problem which includes operator equilibrium problems.

  6. Development and operation of innovative scum to biodiesel pilot-system for the treatment of floatable wastewater scum.

    Science.gov (United States)

    Anderson, Erik; Addy, Min; Chen, Paul; Ruan, Roger

    2018-02-01

    A novel process was developed for the biorefining of floatable wastewater scum and other waste oils from water treatment facilities into biodiesel and other value-added bio-products. To test the scalability and commercial potential of the technology, a 7000 l/year pilot-scale system was designed and built. Scum from a wastewater treatment facility, located in St. Paul, Mn, was collected and converted into methyl esters (biodiesel) according to the process chemistry. All of the incoming and outgoing process streams were sampled, tested, weighed and recorded to calculate both the process efficiency and product quality. Data from the pilot-scale system operation was compared to laboratory results and the theoretically expected values for each individual unit operation. The biodiesel was tested using a third party laboratory and confirmed it met all of the US EPA's test requirements for commercial-grade biodiesel. Copyright © 2017 Elsevier Ltd. All rights reserved.

  7. [The depression epidemic does not exist].

    Science.gov (United States)

    van der Feltz-Cornelis, Christina M

    2009-01-01

    There has been much discussion in the media about the question of the existence of a depression epidemic. This leads on to the questions of whether the social and economic approaches are adequate, and what the alternatives are. The concept of the disease 'depression' can be defined using a medical model, or from a patient's or a societal perspective. From a medical perspective, indeed a depression epidemic has ensued from the increased prosperity and the associated decompression of the mortality rate. Society responded with preventative measures and policies aimed at improving functioning in the workplace. However, patients with a major depressive disorder (MDD) who are eligible for treatment are often not motivated to take it up, or are undertreated. Research is necessary in order to explore what patients think about the identification and treatment of depression. The confusion regarding the concept of depression found in the media, needs to be cleared.

  8. EU research in 'operational safety of existing installations' under the nuclear fission programme 1998-2002

    International Nuclear Information System (INIS)

    Goethem, G. van; Zurita, A.; Manolatos, P.; Bermejo, J. Martin; Casalta, S.

    2003-01-01

    In this paper, an overview is given of the most important aspects of the research activities organised by the European Union (EU) in the area of reactor safety under the current 5th Euratom Framework Programme 1998-2002 (FP-5). This area is focussing on 'Operational Safety of Existing Installations'. The fundamental safety objective for nuclear power plants (NPPs) consists in protecting the public and the environment from the harmful effects resulting from ionising radiations. Community research with this objective is carried out through both 'indirect actions' (organised by DG Research) and 'direct actions' (carried out by DG Joint Research Centre/JRC). The mid-term achievements of this area were discussed at the symposium FISA-2001 (EC Luxembourg, 12-14 November 2001/750 pages, EUR 20281 EN, OPOCE Luxembourg 2002). This research area is actually part of the FP-5 Key Action NUCLEAR FISSION, which consists of the following four areas: reactor safety, waste management (including partitioning and transmutation), future systems (including high temperature reactors), and radiation protection. More specifically, this paper deals with the strategy, the organisation and the main achievements of the 73 multi-partner projects cosponsored by the European Union as 'indirect actions' (shared-cost and concerted actions). These projects are organised in three clusters, each devoted to one key safety issue. Each cluster is treated in a separate section of this paper, namely: (1) Plant Life Extension and Management (PLEM cluster), (2) Severe Accident Management (SAM cluster), and (3) Evolutionary Safety Concepts (EVOL cluster). The total cost of the 'indirect actions' of this Community research area is approximately Euro 82.5 million, out of which Euro 43 million is contributed by the EU budget. At FISA-2001, only the 'indirect actions' that started before 1 January 2001, were formally presented, i.e. a total of 41 projects - the 32 more recent multi-partner projects were

  9. The indications and timing for operative management of spinal epidural abscess: literature review and treatment algorithm.

    Science.gov (United States)

    Tuchman, Alexander; Pham, Martin; Hsieh, Patrick C

    2014-08-01

    Delayed or inappropriate treatment of spinal epidural abscess (SEA) can lead to serious morbidity or death. It is a rare event with significant variation in its causes, anatomical locations, and rate of progression. Traditionally the treatment of choice has involved emergency surgical evacuation and a prolonged course of antibiotics tailored to the offending pathogen. Recent publications have advocated antibiotic treatment without surgical decompression in select patient populations. Clearly defining those patients who can be safely treated in this manner remains in evolution. The authors review the current literature concerning the treatment and outcome of SEA to make recommendations concerning what population can be safely triaged to nonoperative management and the optimal timing of surgery. A PubMed database search was performed using a combination of search terms and Medical Subject Headings, to identify clinical studies reporting on the treatment and outcome of SEA. The literature review revealed 28 original case series containing at least 30 patients and reporting on treatment and outcome. All cohorts were deemed Class III evidence, and in all but two the data were obtained retrospectively. Based on the conclusions of these studies along with selected smaller studies and review articles, the authors present an evidence-based algorithm for selecting patients who may be safe candidates for nonoperative management. Patients who are unable to undergo an operation, have a complete spinal cord injury more than 48 hours with low clinical or radiographic concern for an ascending lesion, or who are neurologically stable and lack risk factors for failure of medical management may be initially treated with antibiotics alone and close clinical monitoring. If initial medical management is to be undertaken the patient should be made aware that delayed neurological deterioration may not fully resolve even after prompt surgical treatment. Patients deemed good surgical

  10. SU-F-T-80: A Mobile Application for Intra-Operative Electron Radiotherapy Treatment Planning

    International Nuclear Information System (INIS)

    Williams, C; Crowley, E; Wolfgang, J

    2016-01-01

    Purpose: Intraoperative electron radiotherapy (IORT) poses a unique set of challenges for treatment planning. Planning must be performed in a busy operating room environment over a short timeframe often with little advance knowledge of the treatment depth or applicator size. Furthermore, IORT accelerators can have a large number of possible applicators, requiring extensive databooks that must be searched for the appropriate dosimetric parameters. The goal of this work is to develop a software tool to assist in the planning process that is suited to the challenges faced in the IORT environment. Methods: We developed a mobile application using HTML5 and Javascript that can be deployed to tablet devices suitable for use in the operating room. The user selects the desired treatment parameters cone diameter, bevel angle, and energy (a total of 141 datasets) and desired bolus. The application generates an interactive display that allows the user to dynamically select points on the depth-dose curve and to visualize the shape of the corresponding isodose contours. The user can indicate a prescription isodose line or depth. The software performs a monitor unit calculation and generates a PDF report. Results: We present our application, which is now used routinely in our IORT practice. It has been employed successfully in over 23 cases. The interactivity of the isodose distributions was found to be of particular use to physicians who are less-frequent IORT users, as well as for the education of residents and trainees. Conclusion: This software has served as a useful tool in IORT planning, and demonstrates the need for treatment planning tools that are designed for the specialized challenges encountered in IORT. This software is the subject of a license agreement with the IntraOp Medical Corporation. This software is the subject of a license agreement between Massachusetts General Hospital / Partners Healthcare and the IntraOp Medical Corporation. CLW is consulting on

  11. SU-F-T-80: A Mobile Application for Intra-Operative Electron Radiotherapy Treatment Planning

    Energy Technology Data Exchange (ETDEWEB)

    Williams, C [Brigham and Women’s Hospital & Dana Farber Cancer Institute, Boston, MA (United States); Harvard Medical School, Boston, MA (United States); Crowley, E; Wolfgang, J [Harvard Medical School, Boston, MA (United States); Massachusetts General Hospital, Boston, MA (United States)

    2016-06-15

    Purpose: Intraoperative electron radiotherapy (IORT) poses a unique set of challenges for treatment planning. Planning must be performed in a busy operating room environment over a short timeframe often with little advance knowledge of the treatment depth or applicator size. Furthermore, IORT accelerators can have a large number of possible applicators, requiring extensive databooks that must be searched for the appropriate dosimetric parameters. The goal of this work is to develop a software tool to assist in the planning process that is suited to the challenges faced in the IORT environment. Methods: We developed a mobile application using HTML5 and Javascript that can be deployed to tablet devices suitable for use in the operating room. The user selects the desired treatment parameters cone diameter, bevel angle, and energy (a total of 141 datasets) and desired bolus. The application generates an interactive display that allows the user to dynamically select points on the depth-dose curve and to visualize the shape of the corresponding isodose contours. The user can indicate a prescription isodose line or depth. The software performs a monitor unit calculation and generates a PDF report. Results: We present our application, which is now used routinely in our IORT practice. It has been employed successfully in over 23 cases. The interactivity of the isodose distributions was found to be of particular use to physicians who are less-frequent IORT users, as well as for the education of residents and trainees. Conclusion: This software has served as a useful tool in IORT planning, and demonstrates the need for treatment planning tools that are designed for the specialized challenges encountered in IORT. This software is the subject of a license agreement with the IntraOp Medical Corporation. This software is the subject of a license agreement between Massachusetts General Hospital / Partners Healthcare and the IntraOp Medical Corporation. CLW is consulting on

  12. Existence of weak solutions to stochastic evolution inclusions

    OpenAIRE

    Jakubowski , Adam; Kamenskii , Mikhail; Raynaud de Fitte , Paul

    2005-01-01

    International audience; We consider the Cauchy problem for a semilinear stochastic differential inclusion in a Hilbert space. The linear operator generates a strongly continuous semigroup and the nonlinear term is multivalued and satisfies a condition which is more heneral than the Lipschitz condition. We prove the existence of a mild solution to this problem. This solution is not "strong" in the probabilistic sense, that is, it is not defined on the underlying probability space, but on a lar...

  13. Operational challenges in diagnosing multi-drug resistant TB and initiating treatment in Andhra Pradesh, India.

    Directory of Open Access Journals (Sweden)

    Sarabjit S Chadha

    Full Text Available BACKGROUND: Revised National TB Control Programme (RNTCP, Andhra Pradesh, India. There is limited information on whether MDR-TB suspects are identified, undergo diagnostic assessment and are initiated on treatment according to the programme guidelines. OBJECTIVES: To assess i using the programme definition, the number and proportion of MDR-TB suspects in a large cohort of TB patients on first-line treatment under RNTCP ii the proportion of these MDR-TB suspects who underwent diagnosis for MDR-TB and iii the number and proportion of those diagnosed as MDR-TB who were successfully initiated on treatment. METHODS: A retrospective cohort analysis, by reviewing RNTCP records and reports, was conducted in four districts of Andhra Pradesh, India, among patients registered for first line treatment during October 2008 to December 2009. RESULTS: Among 23,999 TB patients registered for treatment there were 559 (2% MDR-TB suspects (according to programme definition of which 307 (55% underwent diagnosis and amongst these 169 (55% were found to be MDR-TB. Of the MDR-TB patients, 112 (66% were successfully initiated on treatment. Amongst those eligible for MDR-TB services, significant proportions are lost during the diagnostic and treatment initiation pathway due to a variety of operational challenges. The programme needs to urgently address these challenges for effective delivery and utilisation of the MDR-TB services.

  14. 75 FR 49536 - Petitions for Modification of Existing Mandatory Safety Standards

    Science.gov (United States)

    2010-08-13

    ... wells utilizing the following terms and conditions: 1. District Manager Approval; (a) a safety barrier.... After District Manager approval, the mine operator will then mine within the safety barrier of the well... DEPARTMENT OF LABOR Mine Safety and Health Administration Petitions for Modification of Existing...

  15. Cationic PEGylated polycaprolactone nanoparticles carrying post-operation docetaxel for glioma treatment

    Directory of Open Access Journals (Sweden)

    Cem Varan

    2017-07-01

    Full Text Available Background: Brain tumors are the most common tumors among adolescents. Although some chemotherapeutics are known to be effective against brain tumors based on cell culture studies, the same effect is not observed in clinical trials. For this reason, the development of drug delivery systems is important to treat brain tumors and prevent tumor recurrence. The aim of this study was to develop core–shell polymeric nanoparticles with positive charge by employing a chitosan coating. Additionally, an implantable formulation for the chemotherapeutic nanoparticles was developed as a bioadhesive film to be applied at the tumor site following surgical operation for brain glioma treatment. To obtain positively charged, implantable nanoparticles, the effects of preparation technique, chitosan coating concentration and presence of surfactants were evaluated to obtain optimal nanoparticles with a diameter of less than 100 nm and a net positive surface charge to facilitate cellular internalization of drug-loaded nanoparticles. Hydroxypropyl cellulose films were prepared to incorporate these nanoparticle dispersions to complete the implantable drug delivery system.Results: The diameter of core–shell nanoparticles were in the range of 70–270 nm, depending on the preparation technique, polymer type and coating. Moreover, the chitosan coating significantly altered the surface charge of the nanoparticles to net positive values of +30 to +50 mV. The model drug docetaxel was successfully loaded into all particles, and the drug release rate from the nanoparticles was slowed down to 48 h by dispersing the nanoparticles in a hydroxypropyl cellulose film. Cell culture studies revealed that docetaxel-loaded nanoparticles cause higher cytotoxicity compared to the free docetaxel solution in DMSO.Conclusion: Docetaxel-loaded nanoparticles dispersed in a bioadhesive film were shown to be suitable for application of chemotherapeutics directly to the action site during

  16. Do socio-economic disparities in dental treatment needs exist in Lithuanian adolescents?

    Science.gov (United States)

    Aleksejuniene, Jolanta; Brukiene, Vilma

    2008-01-01

    To explore disparities in needs for dental treatment which arise from individual and area-based socio-economic determinants. A cross-sectional study conducted in 22 randomly selected Lithuanian areas. In each of the pre-selected areas, one secondary school was randomly chosen. A total of 885 15-16-year-olds participated. Outcome measures. Dental treatment need was evaluated following the WHO guidelines and aQuantitative Summative Dental Treatment Needs Index (QSDTNI) was used to calculate the total burden of needs. The information about socio-economical determinants was obtained from a structured questionnaire and national statistics database. Individual socio-economic status (SES) measures were: parents' occupation, family structure, family income and affordability to have holiday used as a proxy measure for income. The area-based SES estimates were: unemployment, average household income, educational attainment, natural increase/decrease of population in an area and net migration rate. Data was analyzed by bivariate and multivariate analyses. None of significant bivariate associations between individual socio-economic variables and the QSDTNI were detected. Among area-based variables natural increase/decrease of population in an area and net migration rate were significantly related to the QSDTNI. Two individual and two area-based factors were extracted and introduced into Linear Multiple Regression Analysis (LMR). The LMR model was significant, but only one factor, i.e. area demographics, significantly contributed to this model. There are no clear social disparities in dental treatment needs in Lithuanian adolescents.

  17. Treatment/Disposal Plan for Drummed Waste from the 300-FF-1 Operable Unit, 618-4 Burial Ground

    International Nuclear Information System (INIS)

    Lerch, J.A.

    1999-01-01

    The objective of this plan is to support selection of a safe, environmentally responsible, and cost-effective treatment and disposal method for drums containing depleted uranium metal chips submerged in oil that have been and will be excavated from the 618-4 Burial Ground. Remediation of the 300-FF-1 Operable Unit, 618-4 Burial Ground was initiated in fiscal year (FY) 1998 as an excavation and removal operation. Routine processes were established to excavate and ship contaminated soil and debris to the Environmental Restoration Disposal Facility (ERDF) for disposal

  18. Operating plant safety analysis needs

    International Nuclear Information System (INIS)

    Young, M.Y.; Love, D.S.

    1992-01-01

    The primary objective for nuclear power station owners is to operate and manage their plants safely. However, there is also a need to provide economical electric power, which requires that the unit be operated as efficiently as possible, consistent with the safety requirements. The objectives cited above can be achieved through the identification and use of available margins inherent in the plant design. As a result of conservative licensing and analytical approaches taken in the past, many of these margins may be found in the safety analysis limits within which plants currently operate. Improvements in the accuracy of the safety analysis, and a more realistic treatment of plant initial and boundary conditions, can make this margin available for a variety of uses which enhance plant performance, help to reduce O and M costs, and may help to extend licensed operation. Opportunities for improvement exist in several areas in the accident analysis normally performed for Chapter 15 of the FSAR. For example, recent modifications to the ECCS rule, 10CFR50.46 and Appendix K, allow use of margins previously unavailable in the analysis of the Loss of Coolant Accident (LOCA). To take advantage of this regulatory change, new methods are being developed to analyze both the large and small break loss of coolant accident (LOCA). As this margin is used, enhancements in the analysis of other transients will become necessary. The paper discusses accident analysis methods, future development needs, and analysis margin utilization in specific accident scenarios

  19. OPERATIONAL RESTRICTIONS FOR REDUCING NOISE AND THE SAFETY OF AIR OPERATIONS

    Directory of Open Access Journals (Sweden)

    Anna KWASIBORSKA

    2017-03-01

    Full Text Available Many European airports are located in close proximity to residential or protected areas. Aircraft noise emissions caused by the landing and taking off of aircraft are a big problem in these areas. From an operational point of view, the method for reducing noise is to reduce traffic volume or change its organization, especially during the night. Some procedures and tools have been developed to support air traffic management in the implementation of operational constraints necessary to maintain noise at an acceptable level. The objective of this paper is to analyse the effectiveness of these tools. For this purpose, we have analysed existing methods of operational noise reduction, taking into account their influence on the structure, smoothness, punctuality and, especially, the safety of air traffic. As a result, existing risks have been identified, while methods have been proposed to combine two important air traffic service tasks: ensuring safety, while taking into account the environmental constraints, especially in relation to the acoustic climate.

  20. Time warp operating system version 2.7 internals manual

    Science.gov (United States)

    1992-01-01

    The Time Warp Operating System (TWOS) is an implementation of the Time Warp synchronization method proposed by David Jefferson. In addition, it serves as an actual platform for running discrete event simulations. The code comprising TWOS can be divided into several different sections. TWOS typically relies on an existing operating system to furnish some very basic services. This existing operating system is referred to as the Base OS. The existing operating system varies depending on the hardware TWOS is running on. It is Unix on the Sun workstations, Chrysalis or Mach on the Butterfly, and Mercury on the Mark 3 Hypercube. The base OS could be an entirely new operating system, written to meet the special needs of TWOS, but, to this point, existing systems have been used instead. The base OS's used for TWOS on various platforms are not discussed in detail in this manual, as they are well covered in their own manuals. Appendix G discusses the interface between one such OS, Mach, and TWOS.

  1. The AECL operator companion

    International Nuclear Information System (INIS)

    Lupton, L.R.; Anderson, L.L.; Basso, R.A.J.

    1989-11-01

    As CANDU plants become more complex, and are operated under tighter constraints and for longer periods between outages, plant operations staff will have to absorb more information to correctly and rapidly respond to upsets. A development program is underway at AECL to use expert systems and interactive media tools to assist operations staff of existing and future CANDU plants. The complete system for plant information access and display, on-line advice and diagnosis, and interactive operating procedures is called the Operator Companion. A prototype, consisting of operator consoles, expert systems and simulation modules in a distributed architecture, is currently being developed to demonstrate the concepts of the Operator Companion

  2. Age-related macular degeneration with choroidal neovascularization in the setting of pre-existing geographic atrophy and ranibizumab treatment. Analysis of a case series and revision paper

    Directory of Open Access Journals (Sweden)

    Miguel Hage Amaro

    2012-12-01

    Full Text Available PURPOSE: To report the response of choroidal neovascularization (CNV to intravitreal ranibizumab treatment in the setting of age-related macular degeneration (AMD with extensive pre-existing geographic atrophy (GA and a revision paper. METHODS: This is a revision paper and a retrospective case series of 10 eyes in nine consecutive patients from a photographic database. The patients were actively treated with ranibizumab for neovascular AMD with extensive pre-existing GA. Patients were included if they had GA at or adjacent to the foveal center that was present before the development of CNV. The best corrected visual acuity and optical coherence tomography (OCT analysis of the central macular thickness were recorded for each visit. Serial injections of ranibizumab were administered until there was resolution of any subretinal fluid clinically or on OCT. Data over the entire follow-up period were analyzed for overall visual and OCT changes. All patients had been followed for at least 2 years since diagnosis. RESULTS: The patients received an average of 6 ± 3 intravitreal injections over the treatment period. Eight eyes had reduced retinal thickening on OCT. On average, the central macular thickness was reduced by 94 ± 101 µm. Eight eyes had improvement of one or more lines of vision, where as one eye had dramatic vision loss and one had no change. The average treatment outcome for all patients was -0.07 ± 4.25 logMAR units, which corresponded to a gain of 0.6 ± 4.4 lines of Snellen acuity. The treatment resulted in a good anatomic response with the disappearance of the subretinal fluid, improved visual acuity, and stabilized final visual results. CONCLUSION: The results of this case series suggest that the use of an intravitreal anti-vascular endothelial growth factor (VEGF agent (ranibizumab for CNV in AMD with extensive pre-existing GA is effective. Our results are not as striking as published results from large-scale trials of anti

  3. Operative treatment of the midshaft fractures of the clavicle – does delay matter?

    Directory of Open Access Journals (Sweden)

    Matej Andoljšek

    2007-11-01

    Full Text Available Background: Fractures of the clavicle are common injuries and mostly treated non-operatively. Nearly always the fracture is clinically united within three to four weeks and functional recovery should be completed within two months. Traditionally thinking has been that operative treatment is indicated exceptionaly and that delayed surgery is less successful. In retrospective comparative study authors have asked – whether delay of surgery in middle-third clavicular fractures negatively affects functional results and – whether after delayed surgery complications are more frequent.Patients and methods: Thirty-seven of 733 fractures of the clavicle were treated operatively. Among these, 11 were fresh Allman Type I fractures (early procedure, 9 delayed- or non-unions and one malunion (late procedure. All fractures were fixed with plates and screws. In none of the reconstructive procedures composite bone grafting was performed, twice spongiotic bone graft and twice morsilized calus grafts were used. DASH and Constant scores were used for outcome evaluation.Results: Twenty-one of 22 patients were evaluated (one foreign turist missed on average 21 month after surgery. Average DASH scores for early operated patients were 14.4 and for late operated 18.5; an average Quich DASH were 16.4 and 20.5 respectively. Average Constant scores were 85.6 and 76.0. Statistically differences are not important. Three patients had early complications (two from early, one from late group. Five patients had late complications (four skin paresthesias, one non-union.Conclusions: In retrospective study, functional results of surgically treated fresh Type I fractures and after reconstructive surgery for delayed-, non- and mal-union of the midshaft of the clavicle were comparable. No significant differences in complication rates were confirmed.

  4. Enhancement of existing geothermal resource utilization by cascading to intensive aquaculture

    Energy Technology Data Exchange (ETDEWEB)

    Zachritz, W.H., II; Polka, R.; Schoenmackers

    1996-04-01

    A demonstration high rate aquaculture production system utilizing a cascaded geothermal resource was designed, constructed and operated to fulfill the objectives of this project. Analysis of the energy and water balances for the system indicated that the addition of an Aquaculture Facility expanded the use of the existing resource. This expanded use in no way affected the up- stream processes. Analysis of the system`s energy and water requirements indicated that the present resource was under-utilized and could be expanded. Energy requirements appeared more limiting than water use, but the existing system could be expanded to a culture volume of 72,000 gal. This system would have a potential production capacity of 93,600 lb/yr with a potential market value of $280,00/yr. Based on the results of this study, the heat remaining in the geothermal fluid from one square foot of operating greenhouse is sufficient to support six gallons of culture water for a high density aquaculture facility. Thus, the over 1.5M ft{sup 2} of existing greenhouse space in New Mexico, has the potential to create an aquaculture industry of nearly 9M gal. This translates to an annual production potential of 11.7M lb with a market value of $35.lM.

  5. Rescue pre-operative treatment with Lugol’s solution in uncontrolled Graves’ disease

    Directory of Open Access Journals (Sweden)

    Jan Calissendorff

    2017-04-01

    Full Text Available Background: Graves’ disease is a common cause of hyperthyroidism. Three therapies have been used for decades: pharmacologic therapy, surgery and radioiodine. In case of adverse events, especially agranulocytosis or hepatotoxicity, pre-treatment with Lugol’s solution containing iodine/potassium iodide to induce euthyroidism before surgery could be advocated, but this has rarely been reported. Methods: All patients hospitalised due to uncontrolled hyperthyroidism at the Karolinska University Hospital 2005–2015 and treated with Lugol’s solution were included. All electronic files were carefully reviewed manually, with focus on the cause of treatment and admission, demographic data, and effects of iodine on thyroid hormone levels and pulse frequency. Results: Twenty-seven patients were included. Lugol’s solution had been chosen due to agranulocytosis in 9 (33%, hepatotoxicity in 2 (7%, other side effects in 11 (41% and poor adherence to medication in 5 (19%. Levels of free T4, free T3 and heart rate decreased significantly after 5–9 days of iodine therapy (free T4 53–20 pmol/L, P = 0.0002; free T3 20–6.5 pmol/L, P = 0.04; heart rate 87–76 beats/min P = 0.0007, whereas TSH remained unchanged. Side effects were noted in 4 (15% (rash n = 2, rash and vomiting n = 1, swelling of fingers n = 1. Thyroidectomy was performed in 26 patients (96% and one was treated with radioiodine; all treatments were without serious complications. Conclusion: Treatment of uncontrolled hyperthyroidism with Lugol’s solution before definitive treatment is safe and it decreases thyroid hormone levels and heart rate. Side effects were limited. Lugol’s solution could be recommended pre-operatively in Graves’ disease with failed medical treatment, especially if side effects to anti-thyroid drugs have occurred.

  6. Control strategies for nitrous oxide emissions reduction on wastewater treatment plants operation.

    Science.gov (United States)

    Santín, I; Barbu, M; Pedret, C; Vilanova, R

    2017-11-15

    The present paper focused on reducing greenhouse gases emissions in wastewater treatment plants operation by application of suitable control strategies. Specifically, the objective is to reduce nitrous oxide emissions during the nitrification process. Incomplete nitrification in the aerobic tanks can lead to an accumulation of nitrite that triggers the nitrous oxide emissions. In order to avoid the peaks of nitrous oxide emissions, this paper proposes a cascade control configuration by manipulating the dissolved oxygen set-points in the aerobic tanks. This control strategy is combined with ammonia cascade control already applied in the literature. This is performed with the objective to take also into account effluent pollutants and operational costs. In addition, other greenhouse gases emissions sources are also evaluated. Results have been obtained by simulation, using a modified version of Benchmark Simulation Model no. 2, which takes into account greenhouse gases emissions. This is called Benchmark Simulation Model no. 2 Gas. The results show that the proposed control strategies are able to reduce by 29.86% of nitrous oxide emissions compared to the default control strategy, while maintaining a satisfactory trade-off between water quality and costs. Copyright © 2017 Elsevier Ltd. All rights reserved.

  7. Traumatic First Time Shoulder Dislocation: Surgery vs Non-Operative Treatment

    Directory of Open Access Journals (Sweden)

    Ioannis Polyzois

    2016-04-01

    Full Text Available Management of first shoulder dislocation following reduction remains controversial. The two main options are immobilisation and arthroscopic stabilisation. The aim of this article is to highlight some of the issues that influence decision making when discussing management options with these patients, including natural history of the first time dislocation, outcomes of surgery and non-operative management particularly on the risk of future osteoarthritis (OA, the effects of delaying surgery and the optimal method of immobilisation. Extensive literature review was performed looking for previous publication addressing 4 points. i Natural history of primary shoulder dislocation ii Effect of surgical intervention on natural history iii Risk of long term osteoarthritis with and without surgical intervention iv Immobilisation techniques post reduction. Individuals younger than 25 years old are likely to re-dislocate with non-operative management. Surgery reduces risk of recurrent instability. Patients with recurrent instability appear to be at a higher risk of OA. Those who have surgical stabilisation do not appear to be at a higher risk than those who dislocate just once, but are less likely to develop OA than those with recurrent instability. Delaying surgery makes the stabilisation more demanding due to elongation of capsule, progressive labro-ligamentous injury, prevalence and severity of glenoid bone loss. Recent studies have failed to match the preliminary outcomes associated with external rotation braces. Defining the best timing and type of treatment remains a challenge and should be tailored to each individual’s age, occupation and degree of physical activity.

  8. Monitoring-based HVAC commissioning of an existing office building for energy efficiency

    International Nuclear Information System (INIS)

    Wang, Liping; Greenberg, Steve; Fiegel, John; Rubalcava, Alma; Earni, Shankar; Pang, Xiufeng; Yin, Rongxin; Woodworth, Spencer; Hernandez-Maldonado, Jorge

    2013-01-01

    Highlights: ► Demonstrated monitoring-based HVAC commissioning using an existing office building. ► Diagnosed various types of faulty operation in the HVAC system by trend data analyses. ► Identified a list of energy saving measures for the HVAC system. ► Quantified energy saving potential for each commissioning measure using calibrated energy simulation model. ► Achieved an actual energy saving of 10% after the implementations of cost-effective measures. -- Abstract: The performance of Heating, Ventilation and Air Conditioning (HVAC) systems may fail to satisfy design expectations due to improper equipment installation, equipment degradation, sensor failures, or incorrect control sequences. Commissioning identifies and implements cost-effective operational and maintenance measures in buildings to bring them up to the design intent or optimum operation. An existing office building is used as a case study to demonstrate the process of commissioning. Building energy benchmarking tools are applied to evaluate the energy performance for screening opportunities at the whole building level. A large natural gas saving potential was indicated by the building benchmarking results. Faulty operations in the HVAC systems, such as improper operations of air-side economizers, simultaneous heating and cooling, and ineffective optimal start, were identified through trend data analyses and functional testing. The energy saving potential for each commissioning measure is quantified with a calibrated building simulation model. An actual energy saving of 10% was realized after the implementations of cost-effective measures.

  9. Steam generator tube integrity requirements and operating experience in the United States

    International Nuclear Information System (INIS)

    Karwoski, K.J.

    2009-01-01

    Steam generator tube integrity is important to the safe operation of pressurized-water reactors. For ensuring tube integrity, the U.S. Nuclear Regulatory Commission uses a regulatory framework that is largely performance based. This performance-based framework is supplemented with some prescriptive requirements. The framework recognizes that there are three combinations of tube materials and heat treatments currently used in the United States and that the operating experience depends, in part, on the type of material used. This paper summarizes the regulatory framework for ensuring steam generator tube integrity, it highlights the current status of steam generators, and it highlights some of the steam generator issues and challenges that exist in the United States. (author)

  10. Compton Operator in Quantum Electrodynamics

    International Nuclear Information System (INIS)

    Garcia, Hector Luna; Garcia, Luz Maria

    2015-01-01

    In the frame in the quantum electrodynamics exist four basic operators; the electron self-energy, vacuum polarization, vertex correction, and the Compton operator. The first three operators are very important by its relation with renormalized and Ward identity. However, the Compton operator has equal importance, but without divergence, and little attention has been given it. We have calculated the Compton operator and obtained the closed expression for it in the frame of dimensionally continuous integration and hypergeometric functions

  11. Membrane Bioreactors design and operation improvements: The Spanish Experience

    International Nuclear Information System (INIS)

    Iglesias Esteban, R.; Ortega de Miguel, E.; Martinez Tarifa, M. A.; Simon Andreu, P.; Moragas Bouyart, L.; Garcia Fernandez, E.; Robuste Cartro, J.; Rodriguez-Roda layret, I.

    2012-01-01

    A Membrane Bioreactor (MBR) is a modification of a conventional activated sludge (CAS) plant where the secondary settling ins replaced by a low pressure ultrafiltration (UF) or micro filtration (MF) membranes separation process in order to obtain an effluent almost free of suspended solids and microorganisms. since the first MBR installation in 2002, the number and capacity of these systems have exponentially increased in spain, driven by the high quality of the effluent which allows direct reuse and discharge into environmentally sensitive areas, the compactness and automation of these plants and the possibility of upgrading existing wastewater treatment plants (WWTP) which no longer reach the required effluent quality levels. There were 45 operating MBR systems in 2011 and the total municipal wastewater treatment capacity by this type of plants will be about 90 hm 3 in 204 when the current projects have been implemented. Today, Spain public and private wastewater management agencies consider MBR plants as an alternative of treatment but first they had to face a complex learning period to operate and design this kind of system. A significant progress has been made over the last years, but especially energy efficiency responds to the challenge of continuous improvement. Membrane fouling control consumes most of the energy involved in the process therefore, anti fouling materials and better membrane air-scour systems that allow the frequency and intensity of air flow to be controlled in realtime, are being investigated. This brings MBR closer to the CAS process in terms of energy efficiency. Breakthroughs in the design and operation of MBR plants are being collected in a guide for the implementation of MBR led by CEDEX, in which the main managers and operators are involved. This paper presents some of these improvements. (Author) 9 refs.

  12. Operating boundaries of full-scale advanced water reuse treatment plants: many lessons learned from pilot plant experience.

    Science.gov (United States)

    Bele, C; Kumar, Y; Walker, T; Poussade, Y; Zavlanos, V

    2010-01-01

    Three Advanced Water Treatment Plants (AWTP) have recently been built in South East Queensland as part of the Western Corridor Recycled Water Project (WCRWP) producing Purified Recycled Water from secondary treated waste water for the purpose of indirect potable reuse. At Luggage Point, a demonstration plant was primarily operated by the design team for design verification. The investigation program was then extended so that the operating team could investigate possible process optimisation, and operation flexibility. Extending the demonstration plant investigation program enabled monitoring of the long term performance of the microfiltration and reverse osmosis membranes, which did not appear to foul even after more than a year of operation. The investigation primarily identified several ways to optimise the process. It highlighted areas of risk for treated water quality, such as total nitrogen. Ample and rapid swings of salinity from 850 to 3,000 mg/l-TDS were predicted to affect the RO process day-to-day operation and monitoring. Most of the setpoints used for monitoring under HACCP were determined during the pilot plant trials.

  13. Cluff Lake mill operations - a historical review

    International Nuclear Information System (INIS)

    Schnell, H.A.; Doell, E.; Corpus, E.

    2000-01-01

    The Cluff Lake operation started uranium production in 1980 and has produced over 50 million pounds of uranium since that time. The plant started with high grade ore (+30% U) processing and went through a series of modifications to its present operating status: Phase 1 - High-grade ore (+30% U) processing with acid leach and iron cake precipitation followed by direct yellowcake precipitation. Lower grade ore was concentrated in a gravity circuit to +30% U; Phase 1 1/2 - Reprocessing Phase 1 gravity tailings (+1% U) in an acid leach circuit with solvent extraction purification prior to yellowcake precipitation; Reprocessing of the Phase 1 leach tails (58 g/t Au) to recover gold in a Cyanide/CIP circuit followed by additional uranium recovery, and destruction and recycle of cyanide by volatilization; and Phase 2 - Treatment of the lower grade ore (0.5 to 1% U) at an increased tonnage with an acid leach, CCD, SX circuit as it is found in the existing plant. This paper will review the various processing circuits used during the phases of the Cluff Lake Mill from first uranium production to the present operation. (author)

  14. Differences exist across insurance schemes in China post-consolidation.

    Directory of Open Access Journals (Sweden)

    Yang Li

    Full Text Available In China, the basic insurance system consists of three schemes: the UEBMI (Urban Employee Basic Medical Insurance, URBMI (Urban Resident Basic Medical Insurance, and NCMS (New Cooperative Medical Scheme, across which significant differences have been observed. Since 2009, the central government has been experimenting with consolidating these schemes in selected areas. This study examines whether differences still exist across schemes after the consolidation.A survey was conducted in the city of Suzhou, collecting data on subjects 45 years old and above with at least one inpatient or outpatient treatment during a period of twelve months. Analysis on 583 subjects was performed comparing subjects' characteristics across insurance schemes. A resampling-based method was applied to compute the predicted gross medical cost, OOP (out-of-pocket cost, and insurance reimbursement rate.Subjects under different insurance schemes differ in multiple aspects. For inpatient treatments, subjects under the URBMI have the highest observed and predicted gross and OOP costs, while those under the UEBMI have the lowest. For outpatient treatments, subjects under the UEBMI and URBMI have comparable costs, while those under the NCMS have much lower costs. Subjects under the NCMS also have a much lower reimbursement rate.Differences still exist across schemes in medical costs and insurance reimbursement rate post-consolidation. Further investigations are needed to identify the causes, and interventions are needed to eliminate such differences.

  15. On real-time assessment of post-emergency condition existence in complex electric power systems

    Energy Technology Data Exchange (ETDEWEB)

    Tarasov, Vladimir I. [Irkutsk State Technical University 83, Lermontov Street, Irkutsk 664074 (Russian Federation)

    2008-12-15

    This paper presents two effective numerical criteria of estimating post-emergency operating conditions' non-existence in complicated electric power systems. These criteria are based on mathematic and programming tools of the regularized quadratic descent method and the regularized two-parameter minimization method. The proposed criteria can be effectively applied in calculations of real-time electric operating conditions. (author)

  16. SU-E-T-537: Comparison of Intra-Operative Soft X-Rays to Low Energy Electron Beams for Treatment of Superficial Lesions

    International Nuclear Information System (INIS)

    Chinsky, B; Diak, A; Gros, S; Sethi

    2014-01-01

    Purpose: Superficial soft x-ray applicators have recently been designed for use with existing intra-operative radiotherapy systems. These applicators may be used in treating superficial lesions which are conventionally treated with electron beams. The purpose of this abstract is to compare dose distributions of an intra-operative 50kV x-ray unit with low energy electrons for the treatment of superficial lesions. Methods: Dosimetric parameters for 1 and 3-cm diameter Intrabeam superficial x-ray applicators were measured with EBT3 Gafchromic film in a solid water phantom. Depth dose distributions and profiles (d=2, 5, 10 and 15mm) were obtained by prescribing a dose of 400cGy at 5mm depth below the phantom surface. Corresponding dose profiles for 6-MeV electrons were acquired from a Varian Clinac 21EX at 100 SSD. H and D calibration curves were generated for each modality for 0-800cGy. Results: Dose coverage, penumbra, dose uniformity, surface dose, and dose fall-off were examined. Compared to electrons, Intrabeam lateral dose coverage at 5mm depth was 70% larger with a much sharper (1/4) penumbra. Electron isodose levels bulged with depth, whereas Intrabeam isodose levels exhibited a convex cone shape. The Intrabeam dose profiles demonstrated horns in the dose distribution up to a 5mm depth and an exponential dose fall-off. Relative surface dose was higher for the Intrabeam applicators. Treatment times were comparable for both modalities. Conclusions: The very small penumbra of Intrabeam at shallow depths could be useful in treating superficial lesions adjacent to critical structures. The exponential dose fall-off of Intrabeam makes it appealing in the sparing of structures beyond the lesion. However, for lesions past a depth of 5mm, electrons would be desirable as they penetrate farther and provide skin sparing. Intrabeam may be preferable for sites that are difficult to treat with electrons due to mechanical and physical limitations

  17. Behavioural treatment for chronic low-back pain.

    Science.gov (United States)

    Henschke, Nicholas; Ostelo, Raymond Wjg; van Tulder, Maurits W; Vlaeyen, Johan Ws; Morley, Stephen; Assendelft, Willem Jj; Main, Chris J

    2010-07-07

    Behavioural treatment is commonly used in the management of chronic low-back pain (CLBP) to reduce disability through modification of maladaptive pain behaviours and cognitive processes. Three behavioural approaches are generally distinguished: operant, cognitive, and respondent; but are often combined as a treatment package. To determine the effects of behavioural therapy for CLBP and the most effective behavioural approach. The Cochrane Back Review Group Trials Register, CENTRAL, MEDLINE, EMBASE, and PsycINFO were searched up to February 2009. Reference lists and citations of identified trials and relevant systematic reviews were screened. Randomised trials on behavioural treatments for non-specific CLBP were included. Two review authors independently assessed the risk of bias in each study and extracted the data. If sufficient homogeneity existed among studies in the pre-defined comparisons, a meta-analysis was performed. We determined the quality of the evidence for each comparison with the GRADE approach. We included 30 randomised trials (3438 participants) in this review, up 11 from the previous version. Fourteen trials (47%) had low risk of bias. For most comparisons, there was only low or very low quality evidence to support the results. There was moderate quality evidence that:i) operant therapy was more effective than waiting list (SMD -0.43; 95%CI -0.75 to -0.11) for short-term pain relief;ii) little or no difference exists between operant, cognitive, or combined behavioural therapy for short- to intermediate-term pain relief;iii) behavioural treatment was more effective than usual care for short-term pain relief (MD -5.18; 95%CI -9.79 to -0.57), but there were no differences in the intermediate- to long-term, or on functional status;iv) there was little or no difference between behavioural treatment and group exercise for pain relief or depressive symptoms over the intermediate- to long-term;v) adding behavioural therapy to inpatient rehabilitation was

  18. 40 CFR 415.644 - Pretreatment standards for existing sources (PSES).

    Science.gov (United States)

    2010-07-01

    ... Pigments and Salts Production Subcategory § 415.644 Pretreatment standards for existing sources (PSES). (a... cadmium pigments which introduces pollutants into a publicly owned treatment works must comply with 40 CFR...—Cadmium Pigments Pollutant or pollutant property PSES effluent limitations Maximum for any 1 day Average...

  19. The concept of information support system for operational personnel of operating NPPs

    International Nuclear Information System (INIS)

    Dunaev, V.G.; Golovanov, V.V.

    1993-01-01

    The paper has been prepared on the materials of the concept developed by the order of ''Rosenergoatom'' concern. In the present paper the main definitions, the principal objectives and functions of the operator support system (OSS) are stated, a brief analysis of operation features of some existing operator information systems is presented, the main trends of development of operator information support system are given, the way and the sequence for implementation of the systems for operating NPPs are reviewed. In this proposed concept in the first place are considered the information support systems for the operators of the power unit main control rooms, however, the presented principles may be applied while designing information support systems for operators of other control rooms of NPP. 4 refs

  20. Understanding the operational parameters affecting NDMA formation at Advanced Water Treatment Plants.

    Science.gov (United States)

    Farré, Maria José; Döderer, Katrin; Hearn, Laurence; Poussade, Yvan; Keller, Jurg; Gernjak, Wolfgang

    2011-01-30

    N-nitrosodimethylamine (NDMA) can be formed when secondary effluents are disinfected by chloramines. By means of bench scale experiments this paper investigates operational parameters than can help Advanced Water Treatment Plants (AWTPs) to reduce the formation of NDMA during the production of high quality recycled water. The formation of NDMA was monitored during a contact time of 24h using dimethylamine as NDMA model precursor and secondary effluent from wastewater treatment plants. The three chloramine disinfection strategies tested were pre-formed and in-line formed monochloramine, and pre-formed dichloramine. Although the latter is not employed on purpose in full-scale applications, it has been suggested as the main contributing chemical generating NDMA during chloramination. After 24h, the NDMA formation decreased in both matrices tested in the order: pre-formed dichloramine>in-line formed monochloramine≫pre-formed monochloramine. The most important parameter to consider for the inhibition of NDMA formation was the length of contact time between disinfectant and wastewater. Formation of NDMA was initially inhibited for up to 6h with concentrations consistently NDMA concentrations were reduced by a factor of 20 by optimizing the disinfection strategy. Copyright © 2010 Elsevier B.V. All rights reserved.

  1. Program-execution in the computer operating-system VORTEX-I

    International Nuclear Information System (INIS)

    Borrmann, H.

    1976-06-01

    Comprehensive German introduction to the structure and operation of a relatively comfortable realtime operating system for process control by VORTEX-I for the V73 of the VARIAN-Company. This is a disc oriented single user system with parallel foreground and background operation. The complete organization of the system-nucleus is described (for input/output exists a separate external report). To the more experienced user of the V73 the existing facilities of interacting with the operating system (operator commands, interrupts and program calls) are exactly described regarding to their internal working. (orig./WB) [de

  2. Post-operative treatment of malignant salivary gland tumours of the palate with iodine-125 brachytherapy

    International Nuclear Information System (INIS)

    Stannard, Clare E.; Hering, Egbert; Hough, Jan; Knowles, Ruth; Munro, Roger; Hille, Jos

    2004-01-01

    Background and purpose: Malignant minor salivary gland tumours are usually small and clinically indistinguishable from benign lesions. Surgery is the treatment of choice with post-operative radiotherapy for involved margins or unfavourable histology. We assessed the results of a series of such patients treated with iodine-125 brachytherapy in the form of a temporary applicator or implant. Patients and methods: There were nine patients with T1/T2 tumours of the hard and/or soft palate that had been excised. All had close or involved margins. Six were treated with a dental applicator alone, two with an applicator and additional I-125 seeds in tubes and one with an implant alone. The applicator consists of two layers of plastic made from a dental impression enclosing a predetermined number of I-125 seeds, 9-39, glued to one surface and a layer of ash metal to protect the tongue. It was inserted 1-3 months post-operatively and delivered 35-62 Gy, median 56 Gy, at 5-7 mm depth over 58-156 h, median 120 h, at 0.26-0.67 Gy/h, median 0.45 Gy/h. Results: The patients have been followed up for 32-158 months, median 50 months, and there were no recurrences. The applicator was well tolerated. A confluent mucositis developed which lasted 3-4 weeks. One patient developed a mucosal ulcer which healed spontaneously. Conclusions: Brachytherapy is an effective way of delivering post-operative radiotherapy to the hard and soft palate in patients with malignant salivary gland tumours that have been incompletely excised or have unfavourable histology. Local control is excellent, treatment time is short and morbidity is minimal

  3. Treatment of low- and intermediate-level liquid radioactive wastes

    International Nuclear Information System (INIS)

    1984-01-01

    This report aims at giving the reader details of the experience gained in the treatment of both low- and intermediate-level radioactive liquid wastes. The treatment comprises those operations to remove radioactivity from the wastes and those that change only its chemical composition, so as to permit its discharge. Considerable experience has been accumulated in the satisfactory treatment of such wastes. Although there are no universally accepted definitions for low- and intermediate-level liquid radioactive wastes, the IAEA classification (see section 3.2) is used in this report. The two categories differ from one another in the fact that for low-level liquids the actual radiation does not require shielding during normal handling of the wastes. Liquid wastes which are not considered in this report are those from mining and milling operations and the high-level liquid wastes resulting from fuel reprocessing. These are referred to in separate IAEA reports. Likewise, wastes from decommissioning operations are not within the scope of this report. Apart from the description of existing methods and facilities, this report is intended to provide advice to the reader for the selection of appropriate solutions to waste management problems. In addition, new and promising techniques which are either being investigated or being considered for the future are discussed

  4. Modeling Hydrogen Generation Rates in the Hanford Waste Treatment and Immobilization Plant

    Energy Technology Data Exchange (ETDEWEB)

    Camaioni, Donald M.; Bryan, Samuel A.; Hallen, Richard T.; Sherwood, David J.; Stock, Leon M.

    2004-03-29

    This presentation describes a project in which Hanford Site and Environmental Management Science Program investigators addressed issues concerning hydrogen generation rates in the Hanford waste treatment and immobilization plant. The hydrogen generation rates of radioactive wastes must be estimated to provide for safe operations. While an existing model satisfactorily predicts rates for quiescent wastes in Hanford underground storage tanks, pretreatment operations will alter the conditions and chemical composition of these wastes. Review of the treatment process flowsheet identified specific issues requiring study to ascertain whether the model would provide conservative values for waste streams in the plant. These include effects of adding hydroxide ion, alpha radiolysis, saturation with air (oxygen) from pulse-jet mixing, treatment with potassium permanganate, organic compounds from degraded ion exchange resins and addition of glass-former chemicals. The effects were systematically investigated through literature review, technical analyses and experimental work.

  5. Ulipristal acetate for pre-operative treatment of moderate-to-severe uterine fibroids in women of reproductive age in The Netherlands : cost minimization analysis and budget impact analysis

    NARCIS (Netherlands)

    Zakiyah, N.; van Asselt, A. D. I.; Postma, M. J.

    2017-01-01

    Objective: Ulipristal acetate has been found to be non-inferior to other pre-operative treatments of uterine fibroids, particularly leuprolide. The objective of this study was to assess the pharmacoeconomic profile of ulipristal acetate compared to leuprolide for the pre-operative treatment of

  6. Noncommutative operational calculus

    Directory of Open Access Journals (Sweden)

    Henry E. Heatherly

    1999-12-01

    Full Text Available Oliver Heaviside's operational calculus was placed on a rigorous mathematical basis by Jan Mikusinski, who constructed an algebraic setting for the operational methods. In this paper, we generalize Mikusi'{n}ski's methods to solve linear ordinary differential equations in which the unknown is a matrix- or linear operator-valued function. Because these functions can be zero-divisors and do not necessarily commute, Mikusi'{n}ski's one-dimensional calculus cannot be used. The noncommuative operational calculus developed here,however, is used to solve a wide class of such equations. In addition, we provide new proofs of existence and uniqueness theorems for certain matrix- and operator valued Volterra integral and integro-differential equations. Several examples are given which demonstrate these new methods.

  7. [Lateral epicondylitis: conservative - operative].

    Science.gov (United States)

    Altintas, Burak; Greiner, Stefan

    2016-10-01

    Lateral epicondylitis is a common disease of the common extensor origin at the lateral humerus. Despite its common self-limitation it can lead to chronic therapy-resistant pain with remarkable functional disability of the affected arm. Different conservative and operative treatment options of lateral epicondylitis are described and compared regarding benefits and risks. Additionally, recent surgical techniques and their complications are mentioned. Based on the current literature, it is shown which treatment option can be recommended. This review was based on the literature analysis in PubMed regarding "conservative and operative therapy of lateral epicondylitis" as well as the clinical experience of the authors. Conservative treatment is the primary choice for the treatment of lateral epicondylitis if concomitant pathologies such as instability among others can be excluded. It should include strengthening against resistance with eccentric stretching of the extensor group. In persistent cases, operative treatment is warranted. Resection of the pathologic tissue at the extensor origin with debridement and refixation of the healthy tendinous tissue yields good results. Most patients with lateral epicondylitis can be treated conservatively with success. Radiological evaluation should be performed in therapy-resistant cases. In the case of partial or complete rupture of the extensor origin, operative therapy is indicated.

  8. Engineering study radioactive liquid waste treatment plant refurbishment

    International Nuclear Information System (INIS)

    Suazo, I.L.

    1994-01-01

    This feasibility study will investigate the opportunities, restrictions and cost impact to refurbish the existing Radioactive Liquid Waste Treatment Plant (RLWTP) while utilizing the same basic criteria that was used in the development of the new Radioactive Liquid Waste Treatment Facility (RLWTF). The objective of this study is to perform a more in-depth analysis of refurbishing the existing than has been done in the past so as to provide a basis for comparison between refurbishing the existing or constructing a new. The existing plant is located at Technical Area 50 (TA-50) within the Los Alamos National Laboratory (LANL). The initial structure was built in 1963. Over the ensuing years, the building has been modified and several additions have been constructed. In 1966, laboratories, ion exchange and pretreatment functions were added. The decontamination and decommissioning activities and ventilation equipment were added in 1984. The following assumptions are the basic parameters considered in the development of a design concept to refurbish the RLWTP: (1) Allow continued operation of the during retrofit construction. (2) Design the necessary expansion within the site constraints. (3) Satisfy National Pollutant Discharge Elimination System (NPDES) and National Emission Standards for Hazardous Air Pollutants (NESHAPS) permit conditions and other environmental regulations. (4) Comply with present DOE Orders and building code requirements. The refurbishment concept is a phased demolition and construction process

  9. Effect of sitagliptin on blood glucose control in patients with type 2 diabetes mellitus who are treatment naive or poorly responsive to existing antidiabetic drugs: the JAMP study.

    Science.gov (United States)

    Sakura, Hiroshi; Hashimoto, Naotake; Sasamoto, Kazuo; Ohashi, Hiroshi; Hasumi, Sumiko; Ujihara, Noriko; Kasahara, Tadasu; Tomonaga, Osamu; Nunome, Hideo; Honda, Masashi; Iwamoto, Yasuhiko

    2016-12-01

    To investigate the ameliorating effect of sitagliptin, a dipeptidyl peptidase-4 inhibitor, on blood glucose control in patients with type 2 diabetes mellitus who were previously untreated with or who have a poor responsive to existing antidiabetic drugs. Sitagliptin (50 mg/day) was added on to the pre-existing therapy for type 2 diabetes and changes in the glycated hemoglobin (HbA1c) level after 3 months of treatment were compared with the baseline and performed exploratory analysis. HbA1c levels were significantly decreased after 1 month of treatment compared to baseline, with a mean change in HbA1c level from baseline of -0.73% (range, -0.80 to -0.67) in the entire study population at 3 months. Patients who received a medium dose of glimepiride showed the least improvement in HbA1c levels. The percentage of patients who achieved an HbA1c level of blood glucose level of type 2 diabetes mellitus who were previously untreated with, or poorly responsive to, existing antidiabetic drugs. Thus, sitagliptin is expected to be useful in this patient group. However, the additional administration of sitagliptin in patients treated with medium-dose glimepiride only slightly improved blood glucose control when corrected for baseline HbA1c level.

  10. Treatment of Airborne Radioactive Wastes. Proceedings of a Symposium on Operating and Developmental Experience in the Treatment of Airborne Radioactive Wastes

    International Nuclear Information System (INIS)

    1968-01-01

    Proceedings of a Symposium convened by the IAEA in co-operation with the USAEC and Harvard University and held in New York 26-30 August 1968. The meeting was attended by 150 participants and 80 observers from 17 countries and five international organizations. Contents: Monitoring air contaminants (3 papers), Characteristics of air contaminants from nuclear reactors (8 papers), Filtration design development cost (7 papers), Testing high efficiency filters (4 papers), Removal of noble gases (3 papers), Special problems related to heat and moisture (6 papers), Developments in the removal of iodine and its compounds (4 papers), Recent developments in spray technology (5 papers), Airborne wastes from incineration (4 papers), Operational experience in the treatment of airborne wastes (8 papers), Panel discussions, List of participants, Author index. Each paper is in its original language (44 English, 7 French and 1 Spanish) and is preceded by an abstract in English with one in the original language if this is not English. Discussions are in English. (author)

  11. Modification of an existing radwaste facility to provide onsite low level waste storage

    International Nuclear Information System (INIS)

    Ault, G.M.; Reiss, J.F.; Commonwealth Edison Co., Chicago, IL)

    1985-01-01

    The decision of whether or not to install onsite storage capacity for low-level radioactive waste is dictated by individual utility circumstances. Commonwealth Edison has decided to construct facilities to store low-level radwaste onsite at each of their four operating nuclear stations, and they plan to have those facilities in operation by January, 1986. At Dresden, that onsite storage capacity is being provided by modifying an existing radwaste building which already has installed a remotely-operated precision-placement type crane. The purposes of this paper are to describe: (1) how Commonwealth Edison arrived at the decision to construct onsite storage facilities as a hedge against possible disruption of burial site availability in January, 1986; (2) why the desire to minimize the capital investment for this protection led to selection of an uncomplicated design for their ''standard'' facility and to the decision to modify an existing building at Dresden rather than construct a new one; and (3) what is being done to adapt the Dresden 1 Decontamination/Radwaste Building for extended onsite storage

  12. POSITIVE study: physical exercise program in non-operable lung cancer patients undergoing palliative treatment.

    Science.gov (United States)

    Wiskemann, Joachim; Hummler, Simone; Diepold, Christina; Keil, Melanie; Abel, Ulrich; Steindorf, Karen; Beckhove, Philipp; Ulrich, Cornelia M; Steins, Martin; Thomas, Michael

    2016-07-19

    Patients with advanced stage non-small cell lung cancer (NSCLC) or small cell lung cancer (SCLC) often experience multidimensional impairments, affecting quality of life during their course of disease. In lung cancer patients with operable disease, several studies have shown that exercise has a positive impact on quality of life and physical functioning. There is limited evidence regarding efficacy for advanced lung cancer patients undergoing palliative treatment. Therefore, the POSITIVE study aims to evaluate the benefit of a 24-week exercise intervention during palliative treatment in a randomized controlled setting. The POSITIVE study is a randomized, controlled trial investigating the effects of a 24-week exercise intervention during palliative treatment on quality of life, physical performance and immune function in advanced, non-operable lung cancer patients. 250 patients will be recruited in the Clinic for Thoracic Diseases in Heidelberg, enrolment begun in November 2013. Main inclusion criterion is histologically confirmed NSCLC (stage IIIa, IIIb, IV) or SCLC (Limited Disease-SCLC, Extensive Disease-SCLC) not amenable to surgery. Patients are randomized into two groups. Both groups receive weekly care management phone calls (CMPCs) with the goal to assess symptoms and side effects. Additionally, one group receives a combined resistance and endurance training (3x/week). Primary endpoints are quality of life assessed by the Functional Assessment of Cancer Therapy for patients with lung cancer (FACT-L, subcategory Physical Well-Being) and General Fatigue measured by the Multidimensional Fatigue Inventory (MFI-20). Secondary endpoints are physical performance (maximal voluntary isometric contraction, 6-min walk distance), psychosocial (depression and anxiety) and immunological parameters and overall survival. The aim of the POSITIVE trial is the evaluation of effects of a 24-week structured and guided exercise intervention during palliative treatment stages

  13. Technical analysis of advanced wastewater-treatment systems for coal-gasification plants

    Energy Technology Data Exchange (ETDEWEB)

    1981-03-31

    This analysis of advanced wastewater treatment systems for coal gasification plants highlights the three coal gasification demonstration plants proposed by the US Department of Energy: The Memphis Light, Gas and Water Division Industrial Fuel Gas Demonstration Plant, the Illinois Coal Gasification Group Pipeline Gas Demonstration Plant, and the CONOCO Pipeline Gas Demonstration Plant. Technical risks exist for coal gasification wastewater treatment systems, in general, and for the three DOE demonstration plants (as designed), in particular, because of key data gaps. The quantities and compositions of coal gasification wastewaters are not well known; the treatability of coal gasification wastewaters by various technologies has not been adequately studied; the dynamic interactions of sequential wastewater treatment processes and upstream wastewater sources has not been tested at demonstration scale. This report identifies key data gaps and recommends that demonstration-size and commercial-size plants be used for coal gasification wastewater treatment data base development. While certain advanced treatment technologies can benefit from additional bench-scale studies, bench-scale and pilot plant scale operations are not representative of commercial-size facility operation. It is recommended that coal gasification demonstration plants, and other commercial-size facilities that generate similar wastewaters, be used to test advanced wastewater treatment technologies during operation by using sidestreams or collected wastewater samples in addition to the plant's own primary treatment system. Advanced wastewater treatment processes are needed to degrade refractory organics and to concentrate and remove dissolved solids to allow for wastewater reuse. Further study of reverse osmosis, evaporation, electrodialysis, ozonation, activated carbon, and ultrafiltration should take place at bench-scale.

  14. Supermarket refrigeration. Optimization of suction pressure in existing refrigerators; Supermarktkaelte. Saugdruck optimieren in Bestandskaelteanlagen

    Energy Technology Data Exchange (ETDEWEB)

    Berg, Philipp; Mueller, Markus [Eckelmann AG, Wiesbaden (Germany)

    2012-06-15

    The new E*LDS firmware E*COP{sup +} from Eckelmann AG (Wiesbaden, Federal Republic of Germany) for the optimization of the suction pressure supplies a demand-oriented adaptation of the suction pressure. The new feature is ideal for an update of existing systems with thermostatic expansion valves. Using this update operators of supermarket operators may save about 10% energy with little effort.

  15. Toxic waste treatment with sliding centrifugal plasma reactor; Tratamiento de residuos toxicos con reactores de plasma centrifugo deslizante (PCD)

    Energy Technology Data Exchange (ETDEWEB)

    Pacheco, J.; Pacheco, M.; Valdivia, R.; Ramos, F.; Duran, M.; Hidalgo, M.; Cruz, A.; Martinez, J. C.; Martinez, R.; De la Cruz, S.; Flores, T.; Vidal, E.; Escobar, S. [ININ, Carretera Mexico-Toluca s/n, Ocoyoacac 52750, Estado de Mexico (Mexico); Garduno, M.; Garcia, M.; Portillo, J.; Torres, C.; Estrada, N.; Velazquez, S.; Vasquez, C. [Instituto Tecnologico de Toluca, Av. Instituto Tecnologico s/n, Ex-Rancho la Virgen, Metepec 52140, Estado de Mexico (Mexico)

    2008-07-01

    The aim is to develop technology for hazardous waste treatment, including the building and putting into operation of a prototype based on a sliding centrifugal plasma technology to demonstrate its ability to degradation taking in account the existing environmental standards. (Author)

  16. Hydraulic modelling of drinking water treatment plant operations

    Directory of Open Access Journals (Sweden)

    L. C. Rietveld

    2009-06-01

    Full Text Available The flow through a unit of a drinking water treatment plant is one of the most important parameters in terms of a unit's effectiveness. In the present paper, a new EPAnet library is presented with the typical hydraulic elements for drinking water treatment processes well abstraction, rapid sand filtration and cascade and tower aeration. Using this treatment step library, a hydraulic model was set up, calibrated and validated for the drinking water treatment plant Harderbroek. With the actual valve position and pump speeds, the flows were calculated through the several treatment steps. A case shows the use of the model to calculate the new setpoints for the current frequency converters of the effluent pumps during a filter backwash.

  17. Integrated thermal and nonthermal treatment technology and subsystem cost sensitivity analysis

    International Nuclear Information System (INIS)

    Harvego, L.A.; Schafer, J.J.

    1997-02-01

    The U.S. Department of Energy's (DOE) Environmental Management Office of Science and Technology (EM-50) authorized studies on alternative systems for treating contact-handled DOE mixed low-level radioactive waste (MLLW). The on-going Integrated Thermal Treatment Systems' (ITTS) and the Integrated Nonthermal Treatment Systems' (INTS) studies satisfy this request. EM-50 further authorized supporting studies including this technology and subsystem cost sensitivity analysis. This analysis identifies areas where technology development could have the greatest impact on total life cycle system costs. These areas are determined by evaluating the sensitivity of system life cycle costs relative to changes in life cycle component or phase costs, subsystem costs, contingency allowance, facility capacity, operating life, and disposal costs. For all treatment systems, the most cost sensitive life cycle phase is the operations and maintenance phase and the most cost sensitive subsystem is the receiving and inspection/preparation subsystem. These conclusions were unchanged when the sensitivity analysis was repeated on a present value basis. Opportunity exists for technology development to reduce waste receiving and inspection/preparation costs by effectively minimizing labor costs, the major cost driver, within the maintenance and operations phase of the life cycle

  18. 49 CFR 37.61 - Public transportation programs and activities in existing facilities.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false Public transportation programs and activities in... TRANSPORTATION SERVICES FOR INDIVIDUALS WITH DISABILITIES (ADA) Transportation Facilities § 37.61 Public transportation programs and activities in existing facilities. (a) A public entity shall operate a designated...

  19. Development and demonstration of treatment technologies for the processing of US Department of Energy Mixed Waste

    International Nuclear Information System (INIS)

    Bloom, G.A.; Berry, J.B.

    1994-01-01

    Mixed waste is defined as ''waste contaminated with chemically hazardous and radioactive species.'' The Mixed Waste Integrated Program (MWIP) was established in response to the need for a unified, DOE complexwide solution to issues of mixed waste treatment that meets regulatory requirements. MWIP is developing treatment technologies that reduce risk, minimize life-cycle cost, and improve process performance as compared to existing technologies. Treatment for waste streams for which no current technology exists, and suitable waste forms for disposal, will be provided to improve operations of the DOE Office of Waste Management. MWIP is composed of six technical areas within a mixed-waste treatment system: (1) systems analysis, (2) materials handling, (3) chemical/physical separation, (4) waste destruction and stabilization, (5) off-gas treatment, and (6) final waste form stabilization. The status of the technical initiatives and the current research, development, and demonstration in each of these areas are described in this paper

  20. Characteristics of ion spectrum in a low energy nitrogen operated plasma focus: application to the metallic substrates thermal treatment

    International Nuclear Information System (INIS)

    Kelly, H.; Lepone, A.; Marquez, A.

    1998-01-01

    Full text: This work presents the nitrogen ion spectrum characteristics in a Plasma Focus device, determined using a Thomson spectrometer and a Faraday cup, operated in the secondary electron collective mode. It is also discussed the thermal treatment and the re coating induce by ions incident on a metallic surface (AISI 304 steel) placed in front of the coaxial gun, when the device is operated with a Ti implant at the end of the central electrode

  1. Federal metering data analysis needs and existing tools

    Energy Technology Data Exchange (ETDEWEB)

    Henderson, Jordan W. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Fowler, Kimberly M. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2015-07-01

    Agencies have been working to improve their metering data collection, management, and analysis efforts over the last decade (since EPAct 2005) and will continue to address these challenges as new requirements and data needs come into place. Unfortunately there is no “one-size-fits-all” solution. As agencies continue to expand their capabilities to use metered consumption data to reducing resource use and improve operations, the hope is that shared knowledge will empower others to follow suit. This paper discusses the Federal metering data analysis needs and some existing tools.

  2. Existence and multiplicity of solutions for divergence type elliptic equations

    Directory of Open Access Journals (Sweden)

    Lin Zhao

    2011-03-01

    Full Text Available We establish the existence and multiplicity of weak solutions of a problem involving a uniformly convex elliptic operator in divergence form. We find one nontrivial solution by the mountain pass lemma, when the nonlinearity has a $(p-1$-superlinear growth at infinity, and two nontrivial solutions by minimization and mountain pass when the nonlinear term has a $(p-1$-sublinear growth at infinity.

  3. Existence of solutions to boundary value problem of fractional differential equations with impulsive

    Directory of Open Access Journals (Sweden)

    Weihua JIANG

    2016-12-01

    Full Text Available In order to solve the boundary value problem of fractional impulsive differential equations with countable impulses and integral boundary conditions on the half line, the existence of solutions to the boundary problem is specifically studied. By defining suitable Banach spaces, norms and operators, using the properties of fractional calculus and applying the contraction mapping principle and Krasnoselskii's fixed point theorem, the existence of solutions for the boundary value problem of fractional impulsive differential equations with countable impulses and integral boundary conditions on the half line is proved, and examples are given to illustrate the existence of solutions to this kind of equation boundary value problems.

  4. Existence and decay of solutions of some nonlinear parabolic variational inequalities

    Directory of Open Access Journals (Sweden)

    Mitsuhiro Nakao

    1980-01-01

    Full Text Available This paper discusses the existence and decay of solutions u(t of the variational inequality of parabolic type: ≧0for ∀v∈Lp([0,∞;V(p≧2 with v(t∈K a.e. in [0,∞, where K is a closed convex set of a separable uniformly convex Banach space V, A is a nonlinear monotone operator from V to V* and B is a nonlinear operator from Banach space W to W*. V and W are related as V⊂W⊂H for a Hilbert space H. No monotonicity assumption is made on B.

  5. Operational control and maintenance integrity of typical and atypical coil tube steam generating systems

    Energy Technology Data Exchange (ETDEWEB)

    Beardwood, E.S.

    1999-07-01

    Coil tube steam generators are low water volume to boiler horsepower (bhp) rating, rapid steaming units which occupy substantially less space per boiler horsepower than equivalent conventional tire tube and water tube boilers. These units can be retrofitted into existing steam systems with relative ease and are more efficient than the generators they replace. During the early 1970's they became a popular choice for steam generation in commercial, institutional and light to medium industrial applications. Although these boiler designs do not require skilled or certified operators, an appreciation for a number of the operational conditions that result in lower unscheduled maintenance, increased reliability and availability cycles would be beneficial to facility owners, managers, and operators. Conditions which afford lower operating and maintenance costs will be discussed from a practical point of view. An overview of boiler design and operation is also included. Pitfalls are provided for operational and idle conditions. Water treatment application, as well as steam system operations not conducive to maintaining long term system integrity; with resolutions, will be addressed.

  6. Global existence of weak solutions to dissipative transport equations with nonlocal velocity

    Science.gov (United States)

    Bae, Hantaek; Granero-Belinchón, Rafael; Lazar, Omar

    2018-04-01

    We consider 1D dissipative transport equations with nonlocal velocity field: where is a nonlocal operator given by a Fourier multiplier. We especially consider two types of nonlocal operators: (1) , the Hilbert transform, (2) . In this paper, we show several global existence of weak solutions depending on the range of γ, δ and α. When , we take initial data having finite energy, while we take initial data in weighted function spaces (in the real variables or in the Fourier variables), which have infinite energy, when .

  7. STAR Online Meta-Data Collection Framework: Integration with the Pre-existing Controls Infrastructure

    Science.gov (United States)

    Arkhipkin, D.; Lauret, J.

    2017-10-01

    One of the STAR experiment’s modular Messaging Interface and Reliable Architecture framework (MIRA) integration goals is to provide seamless and automatic connections with the existing control systems. After an initial proof of concept and operation of the MIRA system as a parallel data collection system for online use and real-time monitoring, the STAR Software and Computing group is now working on the integration of Experimental Physics and Industrial Control System (EPICS) with MIRA’s interfaces. This integration goals are to allow functional interoperability and, later on, to replace the existing/legacy Detector Control System components at the service level. In this report, we describe the evolutionary integration process and, as an example, will discuss the EPICS Alarm Handler conversion. We review the complete upgrade procedure starting with the integration of EPICS-originated alarm signals propagation into MIRA, followed by the replacement of the existing operator interface based on Motif Editor and Display Manager (MEDM) with modern portable web-based Alarm Handler interface. To achieve this aim, we have built an EPICS-to-MQTT [8] bridging service, and recreated the functionality of the original Alarm Handler using low-latency web messaging technologies. The integration of EPICS alarm handling into our messaging framework allowed STAR to improve the DCS alarm awareness of existing STAR DAQ and RTS services, which use MIRA as a primary source of experiment control information.

  8. Environmental assessment for the Waste Water Treatment Facility at the West Valley Demonstration Project and finding of no significant impact

    Energy Technology Data Exchange (ETDEWEB)

    1992-12-31

    The possible environmental impacts from the construction and operation of a waste water treatment facility for the West Valley Demonstration Project are presented. The West Valley Project is a demonstration project on the solidification of high-level radioactive wastes. The need for the facility is the result of a rise in the work force needed for the project which rendered the existing sewage treatment plant incapable of meeting the nonradioactive waste water treatment needs.

  9. Environmental assessment for the Waste Water Treatment Facility at the West Valley Demonstration Project and finding of no significant impact

    International Nuclear Information System (INIS)

    1992-01-01

    The possible environmental impacts from the construction and operation of a waste water treatment facility for the West Valley Demonstration Project are presented. The West Valley Project is a demonstration project on the solidification of high-level radioactive wastes. The need for the facility is the result of a rise in the work force needed for the project which rendered the existing sewage treatment plant incapable of meeting the nonradioactive waste water treatment needs

  10. Challenges in horizontal integration of eye care services into the pre-existing rural primary care structure: an operations research perspective from Nigeria

    Directory of Open Access Journals (Sweden)

    Chinyere Nkemdilim Ezisi

    2017-12-01

    Full Text Available Background . The provision of population-wide, accessible, affordable, acceptable and evenly distributed qualitative eye care services remains a recurrent challenge to eye care organizations worldwide. Objectives . To report the challenges encountered in setting up eye care service in a pre-existing primary health care facility in rural Nigeria and also audit the common causes of eye disorders in rural setting southeast of Nigeria. Material and methods . The study was an operations research study conducted at Akpuoga-Nike between February and April 2011. Demographic and ophthalmic clinical data were collected. Health system-, community- and patient-determined challenges were catalogued and analyzed using Epi Info Statistical software for Windows, version 6. Univariate analysis was performed for data distribution testing. Analytical statistics were performed, with p < 0.05 considered statistically significant. Results . A total of 481 (males, 144 (29.9%; females, 377(70.1% patients aged 42.3 ± 20.2 SD years (range 4–80 years were seen. The leading eye disorders were refractive error – 28.9%, and cataract – 16.4%. The operations challenges encountered included difficulties with community sensitization/advocacies, inadequate infrastructure and mobile equipment, as well as lack of eye care manpower, consumables and funding deficits. Conclusions . Health system-related issues were the main challenges encountered. Recruitment of an adequate number of rural eye care workforce, provision of needed material resources, adequate funding and engendering community participation in rural eye care delivery through grass roots advocacy and health service public education would overcome the challenges.

  11. Achieving RCRA compliance in DOE defense waste management operations

    International Nuclear Information System (INIS)

    Frankhauser, W.A.; Shepard, M.D.

    1989-01-01

    The U.S. Department of Energy (DOE) generates significant volumes of radioactive mixed waste (RMW) through its defense-related activities. Defense RMW is co-regulated by DOE and the U.S. Environmental Protection Agency/State agencies in accordance with requirements of the Resource Conservation and Recovery Act (RCRA) and the Atomic Energy Act (AEA). This paper highlights some of the problems encountered in co-regulation and discusses achievements of the defense waste management program in integrating RCRA requirements into RMW operations. Defense waste sites are planning facility modifications and major new construction projects to develop treatment, storage and disposal capacity for existing RMW inventories and projected needs

  12. Impacts of the operation of existing hydroelectric developments on fishery resources in British Columbia

    International Nuclear Information System (INIS)

    Hirst, S.M.

    1991-01-01

    The main features of 46 hydroelectric dams and diversions in British Columbia are reviewed, and available information on the inland sport fish resources within and below the impoundments are summarized. The projects are collectively responsible for ca 95% of the electrical power used in the province. The characteristics detailed include water license and operational constraints, electrical generation, enhancement facilities, operational regime, physical and chemical environment, downstream system, sportfish populations, and recreational fishery. All the hydroelectric impoundments reviewed, with the possible exceptions of some small headponds, support sport fish populations. Recreational angling quality is considered good for about one quarter of impoundments for which information is available. Low population density is the dominant reason for poor angling quality. Drawdowns exceeding 10 m annually and/or low water retention times are significant impediments to sport fish stock densities. Recommended measures to improve sport fishery resources in and below hydroelectric impoundments include evaluation of the efficiency of ongoing compensation programs, improvement to impact assessment procedures to ensure adequate documentation of pre- and post-impoundment conditions, and enhancement of several systems through stock or nutritional supplementation. 161 refs., 95 figs., 9 tabs

  13. Existence of Solutions of Abstract Nonlinear Mixed Functional Integrodifferential equation with nonlocal conditions

    Directory of Open Access Journals (Sweden)

    Dhakne Machindra B.

    2017-04-01

    Full Text Available In this paper we discuss the existence of mild and strong solutions of abstract nonlinear mixed functional integrodifferential equation with nonlocal condition by using Sadovskii’s fixed point theorem and theory of fractional power of operators.

  14. An engineering and economic analysis: Inductively coupled plasma mobile treatment of hazardous waste

    International Nuclear Information System (INIS)

    Detering, B.A.; McLlwain, M.E.

    1997-10-01

    This analysis considers the engineering and economic viability of an rf-plasma, mobile treatment process for remediation of hazardous waste located at remote sites in Alaska. A simple engineering process flowsheet is used to define the elements associated with the process and to identify major pieces of equipment. The proposed flowsheet and equipment are used to estimate capital and operational costs for four separate processing cases. These cases explore various operational situations, including moving equipment to a remote site, transporting wastes to a base site, and varying operational periods. Some cases consider variations in fuel costs known to exist across Alaska. Operational costs, capital equipment costs, and revenues are used to calculate pro-forma income statements. These income statements are used to predict economic viability. Based on the economic viability, the analysis suggests that processing of hydrocarbon-contaminated soils is more profitable when performed at remote sites as compared to at a home base. Processing of poly-chloro-biphenyl (PCB)-contaminated oil at a stationary site is more profitable as compared to remote treatment due to the cost of transporting the equipment. Over the range of fuel prices considered, higher fuel costs increase the per unit treatment price by ten percent. Based on the results of this analysis, an rf-plasma based process appears to be economically viable for remote treatment of hydrocarbon-contaminated soil, but less viable for treatment of PCB-contaminated oil

  15. RA reactor operation and maintenance in 1994, Part 1

    International Nuclear Information System (INIS)

    Sotic, O.; Cupac, S.; Sulem, B.; Zivotic, Z.; Mikic, N.; Tanaskovic, M.

    1994-01-01

    During the previous period RA reactor was not operated because the Committee of Serbian ministry for health and social care has cancelled the operation licence in August 1984. The reason was the non existing emergency cooling system and lack of appropriate filters in the special ventilation system. The planned major tasks were fulfilled: building of the new emergency cooling system, reconstruction of the existing ventilation system, and renewal of the reactor power supply system. The existing RA reactor instrumentation was dismantled, only the part needed for basic measurements when reactor is not operated, was maintained. Renewal of the reactor instrumentation was started but but it is behind the schedule because the delivery of components from USSR was stopped for political reasons. The spent fuel elements used from the very beginning of reactor operation are stored in the existing pools. Project concerned with increase of the storage space and the efficiency of handling the spent fuel elements has started in 1988 and was fulfilled in 1990. Control and maintenance of the reactor instrumentation and tools was done regularly but dependent on the availability of the spare parts. Training of the existing personnel and was done regularly, but the new staff has no practical training since the reactor is not operated. Lack of financial support influenced strongly the status of RA reactor [sr

  16. Relevance of intra operative radiotherapy in the treatment of uterine carcinoma - Lyon preliminary experience

    International Nuclear Information System (INIS)

    Gerard, J.P.; Braillon, G.; Gilly, F.N.; Romestaing, P.; Sentenac, I.; Rocher, F.P.; Berger, C.; Chipier, V.; Dargent, D.; Chabert, P.; Raudrant, D.; Adeleine, P.

    1994-01-01

    Aim: Retrospective analysis of Intra operative Radiotherapy (IORT) in recurrent uterine carcinoma (RUC) and prospective pilot study of IORT in advanced cervix cancer (ACC) with high risk of local failure. Patients-Treatments: (1) RUC: from 1988 to 1991, 34 patients with RUC have been treated. Primary cancer was: cervix uterus: 28, endometrium: six. Site of recurrence: centro pelvis: four, latero pelvis: 25, lombo aortic: five. Total gross resection was only possible in 12 patients. A dose of 15 to 22 Gy was given by IORT according to the residual tumour size. External beam irradiation was added in 16 patients; (2) ACC: January 1991 to November 1992, 20 patients were included in this pilot study, stage IIB: seven, stage III: 12, stage IV: 1. Preoperative retroperitoneal pelviscopy showed 13 pN1 patients and NMR imaging ten tumours of 6 cm or larger in diameter. Treatment started with concomitant pelvic irradiation (44 Gy) and one concomitant cycle of 5 Fu-CDDP, followed by a short course of high dose rate upper vagina brachytherapy (4Gy). Four weeks later a radical Wertheim operation was performed together with IORT on the lateral pelvis. Results: (1) RUC: overall survival (Kaplan Meier) at 4 years is 32% (±8). Local relapse in the field of IORT was observed in six patients. Grade 2-3 complications: six patients (radiation proctitis, neuritis, vertebral collapse, ureteral stenosis); (2) ACC: the median follow up is short (18 months). Four cases of pelvic relapse, no postoperative death. The first line radio chemotherapy was associated with two G3 early complications. Postoperative radiation complication was less than 10% G3. Discussion: promising results of IORT in RUC have been observed especially if no irradiation is given during the primary treatment. Good feasibility of the pilot study of IORT in ACC was also observed. It could be followed by a multicentric feasibility trial. (authors). 38 refs., 4 tabs., 1 fig

  17. Design and operation of UASB—A/O process for treatment starch and VB12 wastewater

    Directory of Open Access Journals (Sweden)

    Yuanyuan CHEN

    2016-12-01

    Full Text Available Starch and VB12 wastewater with higher COD and ammonia nitrogen concentration, contains a large number of difficult biodegradable material, complex composition, is difficult to deal with. In recent years, with the increasingly stringent wastewater discharge standards, require the use of a stable and efficient wastewater treatment process for purification treatment of high concentration of ammonia nitrogen in wastewater and the refractory organic pollutants, to achieve discharge standards. Upflow Anaerobic Sludge Blanket (UASB—Anoxic/Oxic(A/O process was employed in a wastewater treatment of starch and Vitamin B12 wastewater, which was 5 000 m3/d with highly concentrated organic pollutants and ammonia. The efficiency and reliability of the process has been proven. The results of the system operation show that the concentration of the effluent COD, ammonia and total nitrogen (TN were at 78.4 mg/L, 18.7 mg/L and 41.1 mg/L, and the treatment efficiencies of COD, ammonia and TN reached over 99%, 92.1%, 82.7%, respectively, when the influent COD and TN concentration were in the ranges of 8 544~9 720 mg/L and 240~250 mg/L. The quality of the treated wastewater met the first-class discharge standards in Integrated Wastewater Discharge Standard(GB 8978—1996.

  18. Regulatory framework for nuclear power plant operation

    International Nuclear Information System (INIS)

    Perez Alcaniz, T.; Esteban Barriendos, M.

    1995-01-01

    As the framework of standards and requirements covering each phase of nuclear power plant project and operation developed, plant owners defined their licensing commitments (codes, rules and design requirements) during the project and construction phase before start-up and incorporated regulatory requirements imposed by the regulatory Body during the licensing process prior to operation. This produces a regulatory framework for operating a plant. It includes the Licensing Basis, which is the starting point for analyzing and incorporating new requirements, and for re-evaluation of existing ones. This presentation focuses on the problems of applying this regulatory framework to new operating activities, in particular to new projects, analyzing new requirements, and reconsidering existing ones. Clearly establishing a plant's licensing basis allows all organizations involved in plant operation to apply the requirements in a more rational way. (Author)

  19. Robust Models for Operator Workload Estimation

    Science.gov (United States)

    2015-03-01

    piloted aircraft (RPA) simultaneously, a vast improvement in resource utilization compared to existing operations that require several operators per...into distinct cognitive channels (visual, auditory, spatial, etc.) based on our ability to multitask effectively as long as no one channel is

  20. Integration of energy and environmental systems in wastewater treatment plants

    Energy Technology Data Exchange (ETDEWEB)

    Long, Suzanna [Department of Engineering Management and Systems Engineering, 600 W, 14th Street, 215 EMGT Building, Rolla, MO-65401, 573-341-7621 (United States); Cudney, Elizabeth [Department of Engineering Management and Systems Engineering, 600 W, 14th Street, 217 EMGT Building, Rolla, MO-65401, 573-341-7931 (United States)

    2012-07-01

    Most wastewater treatment facilities were built when energy costs were not a concern; however, increasing energy demand, changing climatic conditions, and constrained energy supplies have resulted in the need to apply more energy-conscious choices in the maintenance or upgrade of existing wastewater treatment facilities. This research develops an integrated energy and environmental management systems model that creates a holistic view of both approaches and maps linkages capable of meeting high-performing energy management while meeting environmental standards. The model has been validated through a case study on the Rolla, Missouri Southeast Wastewater Treatment Plant. Results from plant performance data provide guidance to improve operational techniques. The significant factors contributing to both energy and environmental systems are identified and balanced against considerations of cost.

  1. [Measurement and analysis of micropore aeration system's oxygenating ability under operation condition in waste water treatment plant].

    Science.gov (United States)

    Wu, Yuan-Yuan; Zhou, Xiao-Hong; Shi, Han-Chang; Qiu, Yong

    2013-01-01

    Using the aeration pool in the fourth-stage at Wuxi Lucun Waste Water Treatment Plant (WWTP) as experimental setup, off-gas method was selected to measure the oxygenating ability parameters of micropore aerators in a real WWTP operating condition and these values were compared with those in fresh water to evaluate the performance of the micropore aerators. Results showed that the micropore aerators which were distributed in different galleries of the aeration pool had significantly different oxygenating abilities under operation condition. The oxygenating ability of the micropore aerators distributed in the same gallery changed slightly during one day. Comparing with the oxygenating ability in fresh water, it decreased a lot in the real aeration pool, in more details, under the real WWTP operating condition, the values of oxygen transfer coefficient K(La) oxygenation capacity OC and oxygen utilization E(a) decreased by 43%, 57% and 76%, respectively.

  2. Treatment and conditioning of low-level radioactive waste in Belgium: initial operating results of the Cilva facility

    International Nuclear Information System (INIS)

    Monsch, O.; Renard, C.; Deckers, J.; Luycx, P.

    1995-01-01

    The Belgian National Radioactive Waste and Enriched Fissile Material Agency (ONDRAF), which is responsible for the management of all radioactive waste in Belgium, recently decided to commission the CILVA facility. Operation of this facility, which comprises a number of units for the treatment of low-level radwaste, has been contracted to ONDRAF's Belgoprocess subsidiary based at the Dessel site. A consortium comprising SGN and Fabricom was in charge of building the CILVA facility's waste preparation and conditioning (concrete solidification) units. The concrete solidification processes, which were devised and developed by SGN, have been qualified to secure ONDRAF certification of the process and the facility. This enabled active commissioning of the waste conditioning unit in mid-August 1994. Active commissioning of the waste preparation unit was carried out in several stages up to the beginning of 1995 in accordance with operating requirements. Initial operating results of the two units are presented. (author)

  3. Experience of upgrading existing Russian designed nuclear plants

    International Nuclear Information System (INIS)

    Yanev, P.I.; Facer, R.I.

    1993-01-01

    From the reviewed experiences of upgrading existing Russian designed nuclear plants both of WWER and RBMK type the conclusions drawn are as follows. For the countries operating Russian designed plants it is necessary to adopt a pragmatic approach where all changes must be demonstrated to improve the safety of the plant and safety must be demonstrably improving. Care must be taken to avoid the pitfalls of excessive regulatory demands which are not satisfied and the development of an attitude of disregarding requirements on the basis that they are not enforced. For the lending countries and organizations, it is necessary to ensure that assistance is given to the operating organizations so that the most effective use of funds can be achieved. The experience in the West is that over-regulation and excessive expenditure do not necessarily lead to improved safety. They can lead to significant waste of resources. The use of western technology is recommended but where it is necessary and where it provides the greatest benefit

  4. Axiomatic Characterizations of IVF Rough Approximation Operators

    Directory of Open Access Journals (Sweden)

    Guangji Yu

    2014-01-01

    Full Text Available This paper is devoted to the study of axiomatic characterizations of IVF rough approximation operators. IVF approximation spaces are investigated. The fact that different IVF operators satisfy some axioms to guarantee the existence of different types of IVF relations which produce the same operators is proved and then IVF rough approximation operators are characterized by axioms.

  5. Online total organic carbon (TOC) monitoring for water and wastewater treatment plants processes and operations optimization

    Science.gov (United States)

    Assmann, Céline; Scott, Amanda; Biller, Dondra

    2017-08-01

    Organic measurements, such as biological oxygen demand (BOD) and chemical oxygen demand (COD) were developed decades ago in order to measure organics in water. Today, these time-consuming measurements are still used as parameters to check the water treatment quality; however, the time required to generate a result, ranging from hours to days, does not allow COD or BOD to be useful process control parameters - see (1) Standard Method 5210 B; 5-day BOD Test, 1997, and (2) ASTM D1252; COD Test, 2012. Online organic carbon monitoring allows for effective process control because results are generated every few minutes. Though it does not replace BOD or COD measurements still required for compliance reporting, it allows for smart, data-driven and rapid decision-making to improve process control and optimization or meet compliances. Thanks to the smart interpretation of generated data and the capability to now take real-time actions, municipal drinking water and wastewater treatment facility operators can positively impact their OPEX (operational expenditure) efficiencies and their capabilities to meet regulatory requirements. This paper describes how three municipal wastewater and drinking water plants gained process insights, and determined optimization opportunities thanks to the implementation of online total organic carbon (TOC) monitoring.

  6. Guide of Evaluation of the Operation of Incinerators of Solid Waste in Costa Rica

    International Nuclear Information System (INIS)

    Herrera Sanchez, J.

    2001-01-01

    This project has as general objective to prepare, in accordance with the effective Costa Rica legislation, a guide to evaluate the operation of incinerators of solid waste in Costa Rica. For this, it was necessary to define the parameters and approaches to evaluate the operation of an incineration center, as well as to investigate the regulations related with the topic in our country and to detail the technical specifications of equipment of this nature.The guide embraces such aspects as the specifications of the equipment and chimney, the type of waste to incinerate, the control of gassy emissions and the administration of the scums, distributed in several sections: administration, legislation, waste type, details technician, control and operation. Initially, the state of operation of an incinerator belonging to a hospital center and the project of energy recycling that impels the National Industry of Cements are evaluated. A study of the current state of the incineration of waste in the country must monitor the gassy emissions, the variables of the water heater-chemical process and the operation conditions. For limitations in the availability of the data and for the non existence of similar studies in the country, some of the parameters proposed in the guide are not evaluated. According to spokesmen of the Ministry of Public Health, only five incinerators operate in the country. Of these, none has location permission, construction or sanitary permission of operation, and data on their operation conditions are not carried, neither control of the incinerated waste is taken, of its operation frequency and even less the generated gassy emissions. It is necessary to adapt the standards of emission of Costa Rica (PRONASA Report) to the international standards, incorporating new pollutants (dioxins, furanos) and appropriating the existent ones (solid particles). In the case of our country, the incineration should be constituted in a stage of the process of integral

  7. Operational Challenges and Solutions with Implementation of an Adaptive Seamless Phase 2/3 Study

    Science.gov (United States)

    Spencer, Kimberly; Colvin, Kelly; Braunecker, Brad; Brackman, Marcia; Ripley, Joyce; Hines, Paul; Skrivanek, Zachary; Gaydos, Brenda; Geiger, Mary Jane

    2012-01-01

    A wide variety of operational issues were encountered with the planning and implementation of an adaptive, dose-finding, seamless phase 2/3 trial for a diabetes therapeutic. Compared with a conventional design, significant upfront planning was required, as well as earlier, more integrated cross-functional coordination. The existing infrastructure necessitated greater flexibility to meet the needs of the adaptive design. Rapid data acquisition, analysis, and reporting were essential to support the successful implementation of the adaptive algorithm. Drug supply for nine treatment arms had to be carefully managed across many sites worldwide. Details regarding these key operational challenges and others will be discussed along with resolutions taken to enable successful implementation of this adaptive, seamless trial. PMID:23294774

  8. Extension of emergency operating procedures for severe accident management

    International Nuclear Information System (INIS)

    Chiang, S.C.

    1992-01-01

    To enhance the capability of reactor operators to cope with the hypothetical severe accident its the key issue for utilities. Taiwan Power Company has started the enhancement programs on extension of emergency operating procedures (EOPs). It includes the review of existing LOPs based on the conclusions and recommendations of probabilistic risk assessment studies to confirm the operator actions. Then the plant specific analysis for accident management strategy will be performed and the existing EOPs will be updated accordingly

  9. A radiographic template for a two-implant mandibular overdenture using the patient’s existing denture

    Science.gov (United States)

    Huynh-Ba, G; Alexander, P; Vargas, A; Vierra, M; Oates, TW

    2012-01-01

    This article introduces a technique for modifying an existing mandibular complete denture for use as a radiographic template with a radiopaque light-activated calcium hydroxide (Ca(OH)2) preparation. This allows prosthetically-driven treatment planning and surgical placement of 2 implants to support the existing mandibular denture. PMID:23328197

  10. A proposed strategy for upgrade of the ORNL Process Wastewater Treatment Plant

    International Nuclear Information System (INIS)

    Kent, T.E.; Robinson, S.M.; Scott, C.B.

    1990-01-01

    An approach to the upgrade of the radiological Process Wastewater Treatment Plant (PWTP) at Oak Ridge National Laboratory (ORNL) has been developed that, if adopted, will result in significant cost reductions and improved water quality. The strategy described in this report satisfies the short-term upgrade needs of the PWTP and ultimately results in replacement of existing PWTP softening/ion- exchange technology with a zeolite molecular sieve treatment system for removal of radioactive contaminants from process wastewater. Use of zeolites will improve wastewater quality while reducing operating and disposal costs. The zeolite system would be constructed adjacent to the site now occupied by the Non-Radiological Process Wastewater Treatment Plant (NRWTP), thereby consolidating all process wastewater treatment systems at one location. 4 refs., 4 figs

  11. A proposed strategy for upgrade of the ORNL process wastewater treatment plant

    International Nuclear Information System (INIS)

    Kent, T.E.; Robinson, S.M.; Scott, C.B.

    1990-01-01

    This paper reports on an approach to the upgrade of the radiological Process Wastewater Treatment Plant (PWTP) at Oak Ridge National Laboratory (ORNL), which has been developed and that, if adopted, will result in significant cost reductions and improved water quality. The strategy described in this report satisfies the short-term upgrade needs of the PWTP and ultimately results in replacement of existing PWTP softening/ion-exchange technology with a zeolite molecular sieve treatment system for removal of radioactive contaminants from process wastewater. Use of zeolites will improve wastewater quality while reducing operating and disposal costs. The zeolite system would be constructed adjacent to the site now occupied by the Non-Radiological Process Wastewater Treatment Plant (NRWTP), thereby consolidating all process wastewater treatment systems at one location

  12. Treatment of operational experience of nuclear power plants in WANO

    International Nuclear Information System (INIS)

    Ibanez, M.

    2013-01-01

    The article describes the activities associated to the Operating Experience Programme of the World Association of Nuclear Operators. The programme manages the event reports submitted by the nuclear power plants to the WANO database for the preparation by the Operating Experience Central Team of some documents like the significant Operating Experience Reports and Significant Event Reports that help the stations to avoid similar events. (Author)

  13. Research and development on municipal Wastewater treatment processes using electron beams

    International Nuclear Information System (INIS)

    Kashiwaya, Mamoru

    1994-01-01

    This paper was described concerning the experimental results and their engineering evaluations on electron beam irradiation treatment to effluent and sludge produced in existing municipal wastewater treatment plants implemented by the Japan Atomic Energy Research Institute and the study committee for past five years. Laboratory tests using an electron accelerator were carried out for the purposes of disinfection both to effluent and to dewatered sludge. And composting tests by a pilot-plant were also carried out to find the optimal conditions on design and operation, and initial and operational cost estimations for pelletized sludge with/without the irradiation. It was found that these applications to effluent, sludge and supernatant were quite effective. However, several problems awaiting solution were found from the tests and evaluating works on the matters of marketed electron accelerators. As the results of tests and evaluating works, electron beam irradiation treatment process applied to effluent should be carried out at the municipal wastewater treatment plants. Regenerated granular activated carbon treated by electron beam irradiation may also be applicable to remove hazardous organic substances in effluent. However, long-term tests by pilotplants will be necessary to determine the design criteria, operation and maintenance conditions, and so on. For composting of dewatered sludge produced at municipal wastewater treatment plants, several sizes of smaller electron accelerator are required to be on the market. Especially, medium and small sizes municipalities expect to install composting facilities in the plant. (J.P.N.)

  14. Use of plasma arc technology for treatment of solid radioactive waste and review

    International Nuclear Information System (INIS)

    Kostov, E.; Bataklieva, T.

    2011-01-01

    The thermal treatment of low and intermediate level radioactive wastes by arc technology is an advanced and promising process. Therefore, this technology is becoming an important part of the waste management systems of new and existing nuclear power plants. However, due to the small number of existing facilities worldwide, limited operating experience and the ongoing need for research and development activities in this area, the reliability of the technology and the economical benefits are not well understood. Therefore, the goal of this report is to provide a basic understanding of the arc discharge technology for low and intermediate level radioactive waste destruction and to review the end product characteristics and the advancements in their improvement. In addition the information in this paper can be used as base for developing of technical, operational and economical criteria for technology selection methodology. (authors)

  15. Treatment of acute traumatic epidural hematoma in infancy and childhood. Indication of operation from repeated CT findings

    Energy Technology Data Exchange (ETDEWEB)

    Mochimatsu, Yasuhiko; Kuwana, Nobumasa; Fujino, Hideyo; Saito, Akihito; Tokoro, Kazuhiko; Tanaka, Naoki; Yoshida, Toshiyuki

    1986-05-01

    The authors treated 22 cases of epidural hematoma diagnosed by CT scan. This study focused on the analysis of the time-course and development of epidural hematoma using a CT scan. The results are follows: 1. Severe cases must be treated by craniotomy and rapid removal of hematoma. We achieved a zero mortality rate in the cases of infants and children. 2. Normal CT findings were not unusual in cases where the patient was examined within 3 hours after the occurence of the injury. Conservative treatment was indicated for patients with a small amount of epidural hematoma. CT scanning at intervals of 6 hours and 30 hours after the occurence of the injury offer the best correlation in regard to the course of hematoma. 3. Operative treatment is required when the hematoma thickness, measured by CT scan, is more than 20 mm for infants and younger children or 30 mm for school aged children. However, eventhough the thickness of the hematoma maybe less than these guidelines, when progressive deterioration occurs after the CT scan, operative treatment must be considered. 4. Diffuse brain injury is a new clinical entity found by CT scanning. We classified this into 5 types. Of the 5 types, ''diffuse cerebral swelling'' was observed in the initial CT scan of two patients, however, epidural hematoma developed afterwards. Thus, patients with diffuse cerebral swelling with a skull fracture must be closely observed. (J.P.N.).

  16. Polyhydroxyalkanoate Production on Waste Water Treatment Plants: Process Scheme, Operating Conditions and Potential Analysis for German and European Municipal Waste Water Treatment Plants

    Directory of Open Access Journals (Sweden)

    Timo Pittmann

    2017-06-01

    Full Text Available This work describes the production of polyhydroxyalkanoates (PHA as a side stream process on a municipal waste water treatment plant (WWTP and a subsequent analysis of the production potential in Germany and the European Union (EU. Therefore, tests with different types of sludge from a WWTP were investigated regarding their volatile fatty acids (VFA production-potential. Afterwards, primary sludge was used as substrate to test a series of operating conditions (temperature, pH, retention time (RT and withdrawal (WD in order to find suitable settings for a high and stable VFA production. In a second step, various tests regarding a high PHA production and stable PHA composition to determine the influence of substrate concentration, temperature, pH and cycle time of an installed feast/famine-regime were conducted. Experiments with a semi-continuous reactor operation showed that a short RT of 4 days and a small WD of 25% at pH = 6 and around 30 °C is preferable for a high VFA production rate (PR of 1913 mgVFA/(L×d and a stable VFA composition. A high PHA production up to 28.4% of cell dry weight (CDW was reached at lower substrate concentration, 20 °C, neutral pH-value and a 24 h cycle time. A final step a potential analysis, based on the results and detailed data from German waste water treatment plants, showed that the theoretically possible production of biopolymers in Germany amounts to more than 19% of the 2016 worldwide biopolymer production. In addition, a profound estimation regarding the EU showed that in theory about 120% of the worldwide biopolymer production (in 2016 could be produced on European waste water treatment plants.

  17. Perioperative risks associated with the operative treatment of clavicle fractures.

    Science.gov (United States)

    d'Heurle, Albert; Le, Toan; Grawe, Brian; Casstevens, E Christopher; Edgington, Jon; Archdeacon, Michael T; Wyrick, John

    2013-11-01

    operation for removal, numbness around the incision site and infection. Despite these risks, patients tend to be satisfied with the procedure and are able to function at levels equal to that of the general population. The purpose of this study is not to recommend for or against operative treatment of clavicle fractures but merely to demonstrate risks associated with the procedure. Copyright © 2013 Elsevier Ltd. All rights reserved.

  18. Coupling Existing Software Paradigms for Thermal Control System Analysis of Re-Entry Vehicles, Phase I

    Data.gov (United States)

    National Aeronautics and Space Administration — The innovation proposed is the unification of existing and operational high fidelity simulation software tools into an integrated framework with which to predict...

  19. Quantum Strategies and Local Operations

    Science.gov (United States)

    Gutoski, Gus

    2010-02-01

    This thesis is divided into two parts. In Part I we introduce a new formalism for quantum strategies, which specify the actions of one party in any multi-party interaction involving the exchange of multiple quantum messages among the parties. This formalism associates with each strategy a single positive semidefinite operator acting only upon the tensor product of the input and output message spaces for the strategy. We establish three fundamental properties of this new representation for quantum strategies and we list several applications, including a quantum version of von Neumann's celebrated 1928 Min-Max Theorem for zero-sum games and an efficient algorithm for computing the value of such a game. In Part II we establish several properties of a class of quantum operations that can be implemented locally with shared quantum entanglement or classical randomness. In particular, we establish the existence of a ball of local operations with shared randomness lying within the space spanned by the no-signaling operations and centred at the completely noisy channel. The existence of this ball is employed to prove that the weak membership problem for local operations with shared entanglement is strongly NP-hard. We also provide characterizations of local operations in terms of linear functionals that are positive and "completely" positive on a certain cone of Hermitian operators, under a natural notion of complete positivity appropriate to that cone. We end the thesis with a discussion of the properties of no-signaling quantum operations.

  20. Chronic rectal bleeding after high-dose conformal treatment of prostate cancer warrants modification of existing morbidity scales

    International Nuclear Information System (INIS)

    Hanlon, Alexandra L.; Schultheiss, Timothy E.; Hunt, Margie A.; Movsas, Benjamin; Peter, Ruth S.; Hanks, Gerald E.

    1997-01-01

    Purpose: Serious late morbidity (Grade (3(4))) from the conformal treatment of prostate cancer has been reported in <1% to 6% of patients based on existing late gastrointestinal (GI) morbidity scales. None of the existing morbidity scales include our most frequently observed late GI complication, which is chronic rectal bleeding requiring multiple fulgerations. This communication documents the frequency of rectal bleeding requiring multiple fulgerations and illustrates the variation in reported late serious GI complication rates by the selection of morbidity scale. Methods and Materials: Between May 1989 and December 1993, 352 patients with T1-T3 nonmetastatic prostate cancers were treated with our four-field conformal technique without special rectal blocking. This technique includes a 1-cm margin from the clinical target volume (CTV) to the planning target volume (PTV) in all directions. The median follow-up for these patients was 36 months (range 2-76), and the median center of prostate dose was 74 Gy (range 63-81). Three morbidity scales are assessed: the Radiation Therapy Oncology Group (RTOG), the Late Effects Normal Tissue Task Force (LENT), and our modification of the LENT (FC-LENT). This modification registers chronic rectal bleeding requiring at least one blood transfusion and/or more than two coagulations as a Grade 3 event. Estimates for Grade (3(4)) late GI complication rates were determined using Kaplan-Meier methodology. The duration of severe symptoms with chronic rectal bleeding is measured from the first to the last transrectal coagulation. Latency is measured from the end of radiotherapy to surgery, first blood transfusion, or third coagulation procedure. Results: Sixteen patients developed Grade (3(4)) complications by one of the three morbidity scales. Two patients required surgery (colostomy or sigmoid resection), three required multiple blood transfusions, two required one or two blood transfusions, and nine required at least three

  1. The design, construction, and operation of the Integrated Radwaste Treatment System (IRTS) Drum Cell

    International Nuclear Information System (INIS)

    Landau, B.; Russillo, A.; Frank, D.; Garland, D.

    1989-12-01

    This report describes the design, construction, and the operation of the Integrated Radwaste Treatment Systems (IRTS) Drum Cell at the West Valley Demonstration Project (WVDP), West Valley, New York. The IRTS Drum Cell was designed to provide a shielded, secure storage area for the remote handling and placement of low-level Class C radioactive waste produced in the IRTS. The Drum Cell was designed to contain up to approximately 8,804 drums from decontaminated supernatant processing. This waste is to be poured into 0.27m 3 in a temperature controlled environment to ensure the cement will not be subjected to freezing and thawing cycles. A Temporary Weather Structure (TWS), a pre-engineered building, now encloses the Drum Cell and associated equipment so that remote waste-handling and placement operations can continue without regard to weather conditions. The Drum Cell was designed so that this TWS could be removed and the low-level waste entombed in place. Final disposition of this low-level waste is currently being evaluated in an Environmental Impact Statement (EIS). 10 refs., 11 figs., 1 tab

  2. Rupture of the atherosclerotic plaque: does a good animal model exist?

    NARCIS (Netherlands)

    Cullen, Paul; Baetta, Roberta; Bellosta, Stefano; Bernini, Franco; Chinetti, Giulia; Cignarella, Andrea; von Eckardstein, Arnold; Exley, Andrew; Goddard, Martin; Hofker, Marten; Hurt-Camejo, Eva; Kanters, Edwin; Kovanen, Petri; Lorkowski, Stefan; McPheat, William; Pentikäinen, Markku; Rauterberg, Jürgen; Ritchie, Andrew; Staels, Bart; Weitkamp, Benedikt; de Winther, Menno

    2003-01-01

    By its very nature, rupture of the atherosclerotic plaque is difficult to study directly in humans. A good animal model would help us not only to understand how rupture occurs but also to design and test treatments to prevent it from happening. However, several difficulties surround existing models

  3. Identifying the Onset of Congestion Rapidly with Existing Traffic Detectors

    OpenAIRE

    Coifman, Benjamin

    1999-01-01

    From an operations standpoint, the most important task of a traffic surveillance system is determining reliably whether the facility is free flowing or congested. The second most important task is responding rapidly when the facility becomes congested. Other tasks, such as quantifying the magnitude of congestion, are desirable, but tertiary. To address the first two tasks, this paper presents a new approach for traffic surveillance using existing detectors. Rather than expending a considerabl...

  4. Failure of operative treatment for glenohumeral instability: etiology and management.

    Science.gov (United States)

    Shah, Apurva S; Karadsheh, Mark S; Sekiya, Jon K

    2011-05-01

    Failure of primary shoulder stabilization procedures is often related to uncorrected anatomic pathology. Orthopaedic surgeons must recognize excessive capsular laxity or large glenohumeral bone defects preoperatively to avoid recurrence of instability. When history, physical examination, and radiographic evaluation are used in conjunction, patients at risk for failure can be identified. The instability severity index score permits precise identification of patients at risk. When treating patients in whom prior surgical intervention has failed, the success of revision procedures correlates to the surgeon's ability to identify the essential pathology and use lesion-specific treatment strategies. Revision procedures remain technically demanding. Keen preoperative and intraoperative judgment is required to avoid additional recurrence of instability after revision procedures, particularly because results deteriorate with each successive operation. Glenoid or humeral defects with greater than 25% bone loss compromise stability provided through the mechanism of concavity compression. These defects must be specifically addressed to avoid recurrence of instability. We prefer anatomic reconstruction techniques combined with capsulolabral repair and, if bone defects are present, anatomic reconstruction with osteochondral allograft. Copyright © 2011 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

  5. Alternative for Summer Use of Solar Air Heaters in Existing Buildings

    Directory of Open Access Journals (Sweden)

    Sergio L. González-González

    2017-07-01

    Full Text Available Among solar thermal technologies for indoor heating, solar air heaters (SAH are appealing for implementation on existing buildings due to their simplicity, fewer risks related to the working fluid, and possible independence from the building structure. However, existing research work mainly focuses on winter use and still fails in providing effective solutions for yearly operation, which would enhance their interest. With the aim of analysing an alternative summer use, this work firstly characterises a double channel-single pass solar air collector through experimentation. From the obtained results, modelling and simulation tasks have been conducted to evaluate the possibilities of using hot air, provided by the SAH, while operating under summer conditions within a closed loop, to feed an air-to-water heat exchanger for domestic hot water (DHW production. The system is studied through simulation under two different configurations for a case study in Valladolid (Spain, during the period from May to September for different airflows in the closed loop. Results show that daily savings can vary from 27% to 85% among the different operating conditions; a configuration where make-up water is fed to the heat exchanger being preferable, with a dedicated water tank for the solar heated water storage of the minimum possible volume. The more favourable results for the harshest months highlight the interest of extending the use of the solar air heaters to the summer period.

  6. On integration of plug-in hybrid electric vehicles into existing power system structures

    International Nuclear Information System (INIS)

    Galus, Matthias D.; Zima, Marek; Andersson, Goeran

    2010-01-01

    Plug-in hybrid electric vehicles (PHEVs) represent one option for the electrification of private mobility. In order to efficiently integrate PHEVs into power systems, existing organizational structures need to be considered. Based on procedures of power systems planning and operation, actors are identified whose operational activities will be affected by PHEV integration. Potential changes and challenges in the actors' long- and short term planning activities are discussed. Further, a PHEV operation state description is developed which defines vehicle operation states from the power system point of view integrating uncontrolled, controlled recharging and vehicle to grid (V2G) utilization in one single framework. Future PHEV managing entities, such as aggregators, can use this framework for planning and operation activities including load management and V2G. This operational state description could provide a solution for future short term planning challenges of PHEVs and an aegis for various routes of current research, which to date have been weakly linked to each other.

  7. Natural gas distribution operation and maintenance dissemination project Kaunas City, Lithuania. Analysis, registration and recommendations on the existing Lithuanian gas measuring practice. Appendix 1

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-03-01

    It is recommended that the Lithuanian Gas Industry considers: (1) To adopt a base temperature (T{sub b}) of 15 deg. C in order to uniform with the European preferable base temperature [cf. clause. 3.1]. (2) To use TC domestic gas meters at outdoor located gas meters and even when the gas meter is located just inside the exterior wall, in order to avoid too large error on the annual volume measured. Such TC meters should comply with EN 1359 clause B.23 (or alternatively the more strictly Danish type approval requirements) [cf. clause 3.2]. (3) To carry out supplementary high pressure calibration on turbine gas meters intended to be used at operating pressures of 3 or 6 bar in order to check if used makes and types are sensible to Reynolds number. If so, it would result in a measuring error at operating pressures higher than as determined by calibration with air at atmospheric pressure [cf. clause 3.3]. Similar tests should be considered for the existing Vortex gas meters. (4) To adopt the Danish legislation on legal metrology on gas meters in absence of a similar Lithuanian one due to its up to date requirements towards the distribution companies [cf. clause 3.4]. The first step towards such adoption would require a draft translation of the Danish legislation, at least into English. (5) To adopt the Danish in sevice inspection programme on domestic gas meters and on larger gas meters and gas measuring systems as well as on in-situ check of gas-volume electronic conversion devices [cf. clause 3.5.2 - 2.5.4]. The first step towards such adoption would require a draft translation of the 3 existing Danish manuals on calibration and in-situ check programmes, at least into English. Another approach would be a visit at HNG by 2-3 people from the Lithuanian Gas Industry in order to get acquainted with the Danish practice on laboratory calibration and in-situ check of gas-volume electronic conversion devices. However, it should be noticed that in-situ check measuring

  8. Existing and new techniques in uranium exploration

    International Nuclear Information System (INIS)

    Bowie, S.H.U.; Cameron, J.

    1976-01-01

    The demands on uranium exploration over the next 25 years will be very great indeed and will call for every possible means of improvement in exploration capability. The first essential is to increase geological knowledge of the mode of occurrence of uranium ore deposits. The second is to improve existing exploration techniques and instrumentation while, at the same time, promoting research and development on new methods to discover uranium ore bodies on the earth's surface and at depth. The present symposium is an effort to increase co-operation and the exchange of information in the critical field of uranium exploration techniques and instrumentation. As an introduction to the symposium a brief review is presented, firstly of what can be considered as existing techniques and, secondly, of techniques which have not yet been used on an appreciable scale. Some fourteen techniques used over the last 30 years are identified and their appropriate application, advantages and limitations are briefly summarized and the possibilities of their further development considered. The aim of future research on new techniques, in addition to finding new ways and means of identifying surface deposits, should be mainly directed to devising methods and instrumentation capable of detecting buried ore bodies that do not give a gamma signal at the surface. To achieve this aim, two contributory factors are essential: adequate financial support for research and development and increased specialized training in uranium exploration and instrumentation design. The papers in this symposium describe developments in the existing techniques, proposals for future research and development and case histories of exploration programmes

  9. Integrated approach to optimize operation and maintenance costs for operating nuclear power plants

    International Nuclear Information System (INIS)

    2006-06-01

    In the context of increasingly open electricity markets and the 'unbundling' of generating companies from former utility monopolies, an area of major concern is the economic performance of the existing fleet of nuclear power plants. Nuclear power, inevitably, must compete directly with other electricity generation sources. Coping with this competitive pressure is a challenge that the nuclear industry should meet if the nuclear option is to remain a viable one. This competitive environment has significant implications for nuclear plant operations, including, among others, the need for the more cost effective management of plant activities, and the greater use of analytical tools to balance the costs and benefits of proposed activities, in order to optimize operation and maintenance costs, and thus insure the economic competitiveness of existing nuclear power plants. In the framework of the activities on Nuclear Economic Performance Information System (NEPIS), the IAEA embarked in developing guidance on optimization of operation and maintenance costs for nuclear power plants. The report was prepared building on the fundamental that optimization of operation and maintenance costs of a nuclear power plant is a key component of a broader integrated business strategic planning process, having as overall result achievement of organization's business objectives. It provides advice on optimization of O and M costs in the framework of strategic business planning, with additional details on operational planning and controlling. This TECDOC was elaborated in 2004-2005 in the framework of the IAEA's programme on Nuclear Power Plant Operating Performance and Life Cycle Management, with the support of two consultants meetings and one technical meeting and based on contributions provided by participants. It can serve as a useful reference for the management and operation staff within utilities, nuclear power plant operators and regulators and other organizations involved in

  10. Comparison of health-related quality of life among men with different co-existing severe mental disorders in treatment for substance use.

    Science.gov (United States)

    Adan, Ana; Marquez-Arrico, Julia E; Gilchrist, Gail

    2017-10-23

    Patient-perceived health-related quality of life has become an important outcome in health care as an indicator of treatment effectiveness and recovery for patients with substance use disorder. As no study has assessed health-related quality of life among male patients with substance use disorder and co-existing severe mental illness, we compared health-related quality of life among patients with substance use disorder and the following severe mental illness diagnosis in Barcelona, Spain: schizophrenia, bipolar disorder, major depressive disorder, and examined the associations with clinically related variables. Additionally, we compared results for health-related quality of life in patients with substance use disorder and severe mental illness, with Spanish population norms. We assessed 107 substance use disorder male patients using the 36-Item Short Form Health Survey comparing results across three groups with: comorbid schizophrenia (n = 37), comorbid bipolar disorder (n = 34), and comorbid major depressive disorder (n = 36). Multiple analyses of variance were performed to explore health-related quality of life by the type of co-existing SMI and linear regression analyses examined clinical correlates for the 36-Item Short Form Health Survey dimensions for each group. There were differences in Physical Functioning, Vitality and the Physical Composite Scale among groups. Poorer Physical Functioning was observed for patients with comorbid schizophrenia (80.13±3.27) and major depressive disorder (81.97±3.11) compared with comorbid bipolar disorder patients (94.26±1.93). Patients with substance use disorder and schizophrenia presented lower scores in Vitality (41.6±2.80) than those with co-existing bipolar disorder (55.68±3.66) and major depressive disorder (53.63±2.92). Finally, results in the Physical Composite Scale showed lower scores for patients with comorbid schizophrenia (51.06±1.41) and major depressive disorder (51.99±1.87) than for those with

  11. Effectiveness of a large mimic panel in an existing nuclear power plant central control board

    International Nuclear Information System (INIS)

    Kubota, Ryuji; Satoh, Hiroyuki; Sasajima, Katsuhiro; Kawano, Ryutaro; Shibuya Shinya

    1999-01-01

    We conducted the analysis of the nuclear power plant (NPP) operators' behaviors under emergency conditions by using training simulators as a joint research project by Japanese BWR groups for twelve years. In the phase-IV of this project we executed two kinds of experiments to evaluate the effectiveness of the interfaces. One was for evaluations of the interfaces such as CRTs with touch screen, a large mimic panel, and a hierarchical annunciator system introduced in the newly developed ABWR type central control board. The other was that we analyzed the operators' behaviors in emergency conditions by using the first generation BWR type central control board which was added new interfaces such as a large display screen and demarcation on the board to help operators to understand the plant. The demarcation is one of the visual interface improvements and its technique is that a line enclosing several components causes them to be perceived as a group.The result showed that both the large display panel Introduced in ABWR central control board and the large display screen in the existing BWR type central control board improved the performance of the NPP operators in the experiments. It was expected that introduction of the large mimic panel into the existing BWR type central control boards would improve operators' performance. However, in the case of actual installation of the large display board into the existing central control boards, there are spatial and hardware constraints. Therefore the size of lamps, lines connecting from symbols of the pumps or valves to the others' will have to be modified under these constraints. It is important to evaluate the displayed information on the large display board before actual installation. We made experiments to solve these problems by using TEPCO's research simulator which is added a large mimic panel. (author)

  12. Academic Education Chain Operation Model

    OpenAIRE

    Ruskov, Petko; Ruskov, Andrey

    2007-01-01

    This paper presents an approach for modelling the educational processes as a value added chain. It is an attempt to use a business approach to interpret and compile existing business and educational processes towards reference models and suggest an Academic Education Chain Operation Model. The model can be used to develop an Academic Chain Operation Reference Model.

  13. Operational strategy, economic and environmental performance of sludge treatment reed bed systems - based on 28 years of experience

    DEFF Research Database (Denmark)

    Nielsen, S.; Larsen, Julie Dam

    2016-01-01

    Sludge treatment reed bed (STRB) systems have been used for dewatering and mineralisation of sludge in Europe since 1988. STRB systems provide substantial environmental, economic, and operational benefits compared to mechanical sludge dewatering solutions such as belt presses and centrifuges....... They require less energy, no chemicals, reduce the sludge volume and produce bio solids with dry solid contents up to 20-40% under Danish climate conditions, depending on the sludge quality. Experience has shown that sludge treated in STRBs represents a high quality product with a low content of pathogens...... compared to conventional mechanical dewatering devices, delivering an economic break-even of about 3-5 years. This paper provides an overview of the operation and maintenance costs and environmental benefits of a typical STRB based on the experiences gained from the operation of a large number of STRBs...

  14. Existing and near future practices of spent fuel storage in Slovak Republic

    International Nuclear Information System (INIS)

    Mizov, J.

    1999-01-01

    In this paper existing and near future practices of spent fuel storage in Slovak Republic are discussed: (1) Reactor operation and spent fuel production; (2) Past policy in spent fuel storage; (3) Away-from-reactor (AFR) storage facility at Bohunice NPP site; (4) Present policy in spent fuel storage; (5) Final disposal of spent fuel

  15. Operational efficiency of forest energy supply chains in different operational environments

    Energy Technology Data Exchange (ETDEWEB)

    Roeser, D

    2012-06-15

    Ambitious international efforts to combat climate change have lead to a large interest about the use of forest biomass for energy in many countries. In order to meet the expected growing demand in the future, it will be necessary to improve operational efficiency of existing forest energy supply chains and support the establishment of efficient supply chains in new operational environments. The thesis applied a three-dimensional approach which examines forest energy supply chains from a technical, social and economic viewpoint. Four case studies in different operational environments have been carried out to investigate the applicability of the three dimensional approach to improve operational efficiency. The technical dimension was investigated in Paper 1 and 2. In Paper 1, the effects of climatic conditions, covering of piles, and partial debarking on drying of roundwood were studied in four experimental trials located in Scotland, Finland and Italy. In Paper 2, the chipping of forest biomass was studied in two different operational environments. The investigation of the social dimension in Paper 3 provides insights into the setup of two different supply chains through business process mapping and simulation. Finally, in paper 4, which investigated the economic dimension, an analysis of the effect of the operational environment on technology selection and design of supply chains, is presented. The thesis demonstrates that the chosen approach was practical to investigate the complex relationships between the chosen technologies and different supply chain actors and stakeholders thereby contributing to maintain or improve operational efficiency of forest energy supply chains. Due to its applicability in different operational environments, the approach is also suitable in a more global context. Furthermore, it captures the effect of different aspects and characteristics of the various operational environments on the setup and organization of supply chains. This will

  16. Existence of charges and mass-spliting in relativistic quantum field theory

    International Nuclear Information System (INIS)

    Gal-Ezer, E.; Horwitz, L.P.

    1976-01-01

    The existence of charge operators associated with integrals of local densities in the (Wightman) framework of quantum field theory, in the presence of explicit symmetry breaking, can be demonstrated in certain cases. Their construction, in terms of null-plane integrals, is rather delicate. The possibility that a finite number of null-plane charges, which includes the Poincare generators, close on an algebra whose irreducible representations contain particles with different masses is considered; domain problems are shown to invalidate the basic hypotheses of the O'Raifeartaigh theorem. Null-plane Fourier transforms, which enter into the discussion of current algebra at infinite momentum, are also studied. It is shown that slns behavior is the maximal growth of high energy off mass shell amplitudes consistent with the existence of null-plane charges and null-plane Fourier transforms. Under the assumption that asymptotic states exist, these results also hold in the case of spontaneously broken chiral symmetry, with massless pseudoscalar Goldstone bosons

  17. Stability and Existence Results for Quasimonotone Quasivariational Inequalities in Finite Dimensional Spaces

    Energy Technology Data Exchange (ETDEWEB)

    Castellani, Marco; Giuli, Massimiliano, E-mail: massimiliano.giuli@univaq.it [University of L’Aquila, Department of Information Engineering, Computer Science and Mathematics (Italy)

    2016-02-15

    We study pseudomonotone and quasimonotone quasivariational inequalities in a finite dimensional space. In particular we focus our attention on the closedness of some solution maps associated to a parametric quasivariational inequality. From this study we derive two results on the existence of solutions of the quasivariational inequality. On the one hand, assuming the pseudomonotonicity of the operator, we get the nonemptiness of the set of the classical solutions. On the other hand, we show that the quasimonoticity of the operator implies the nonemptiness of the set of nonzero solutions. An application to traffic network is also considered.

  18. Stability and Existence Results for Quasimonotone Quasivariational Inequalities in Finite Dimensional Spaces

    International Nuclear Information System (INIS)

    Castellani, Marco; Giuli, Massimiliano

    2016-01-01

    We study pseudomonotone and quasimonotone quasivariational inequalities in a finite dimensional space. In particular we focus our attention on the closedness of some solution maps associated to a parametric quasivariational inequality. From this study we derive two results on the existence of solutions of the quasivariational inequality. On the one hand, assuming the pseudomonotonicity of the operator, we get the nonemptiness of the set of the classical solutions. On the other hand, we show that the quasimonoticity of the operator implies the nonemptiness of the set of nonzero solutions. An application to traffic network is also considered

  19. Integrating Mission Type Orders into Operational Level Intelligence Collection

    Science.gov (United States)

    2011-05-27

    Techniques, and Procedures U.S. United States UAS Unmanned Aircraft System UAV Unmanned Aerial Vehicle UNICORN Unified Collection Operation Reporting...MTOs. If these suggestions result in doctrinal changes, that will help grow the amount of existing literature pertaining to this topic. Existing...SIUs), Air Force ISR liaison officers (ISRLOs), and operational collection managers began maturing processes and growing techniques for employing MTOs.2

  20. LOFT Augmented Operator Capability Program

    International Nuclear Information System (INIS)

    Hollenbeck, D.A.; Krantz, E.A.; Hunt, G.L.; Meyer, O.R.

    1980-01-01

    The outline of the LOFT Augmented Operator Capability Program is presented. This program utilizes the LOFT (Loss-of-Fluid Test) reactor facility which is located at the Idaho National Engineering Laboratory and the LOFT operational transient experiment series as a test bed for methods of enhancing the reactor operator's capability for safer operation. The design of an Operational Diagnotics and Display System is presented which was backfit to the existing data acquisition computers. Basic color-graphic displays of the process schematic and trend type are presented. In addition, displays were developed and are presented which represent safety state vector information. A task analysis method was applied to LOFT reactor operating procedures to test its usefulness in defining the operator's information needs and workload

  1. 40 CFR Appendix B to Subpart E of... - Federal Guidelines-User Charges for Operation and Maintenance of Publicly Owned Treatment Works

    Science.gov (United States)

    2010-07-01

    ... charges is to distribute the cost of operation and maintenance of publicly owned treatment works to the... not be acceptable. Savings resulting from economies of scale should be apportioned to all users or...

  2. Proposal to amend existing operating permit for the Ault-Craig 345-kV and Hayden-Archer 230-kV transmission lines, Routt, Jackson and Larimer Counties, Colorado

    International Nuclear Information System (INIS)

    1997-08-01

    The Western Area Power Administration, Rocky Mountain Region, is proposing to amend an existing US Forest Service operating permit for the Ault-Craig 345-kV and Hayden-Archer 230-kV transmission lines, which are located in Routt, jackson, and Larimer counties, Colorado. These transmission lines cross portions of the Roosevelt and Routt National Forests. The long-term use authorization Western is requesting from the Forest Service would be for the life of the Ault-Craig and Hayden-Archer transmission lines. This environmental assessment addresses those access road and right-of-way maintenance activities identified by Western that would be performed on Forest Service managed lands during the next approximately five years

  3. Proposal to amend existing operating permit for the Ault-Craig 345-kV and Hayden-Archer 230-kV transmission lines, Routt, Jackson and Larimer Counties, Colorado

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-08-01

    The Western Area Power Administration, Rocky Mountain Region, is proposing to amend an existing US Forest Service operating permit for the Ault-Craig 345-kV and Hayden-Archer 230-kV transmission lines, which are located in Routt, jackson, and Larimer counties, Colorado. These transmission lines cross portions of the Roosevelt and Routt National Forests. The long-term use authorization Western is requesting from the Forest Service would be for the life of the Ault-Craig and Hayden-Archer transmission lines. This environmental assessment addresses those access road and right-of-way maintenance activities identified by Western that would be performed on Forest Service managed lands during the next approximately five years.

  4. Documentation of currently operating low-level radioactive waste treatment systems: Shredder/compactor report

    International Nuclear Information System (INIS)

    1987-04-01

    The report documents a volume reduction waste treatment system for dry active waste, a shredder/compactor, and includes specifics on system selection, system descriptions, and detailed system performance data from three operational nuclear power plants. Data gathered from the plants have shown the ability to increase the density (thereby reducing the volume) of dry active waste to /approximately/50 pounds per cubic foot when using shredder/compactors and/approximately/80 to 100 pounds per cubic foot for shredder/high pressure compactors depending on reactor type and plant specific waste characteristics. An economic evaluation of various alternative volume reduction systems for dry active waste is also presented. The report presents a method on calculating the associated costs and paybacks achieved using various volume reduction alternatives. A 10 year cost (operating expenses and capital outlay for equipment) for a shredder/high pressure compactor is 1.85 million dollars for a BWR as compared to /approximately/3 million for a conventional drum compactor. The resulting payback for the shredder/compactor is as low as 1.7 years. The report provides generators of low level waste additional information to understand the nuances of shredder/compactor systems to select a system which best suits their individual needs. 4 refs., 6 figs., 10 tabs

  5. Chronic rectal bleeding after high dose conformal treatment of prostate cancer warrants modification of existing morbidity scales

    International Nuclear Information System (INIS)

    Hanlon, A.L.; Schulthiess, T.E.; Hunt, M.A.; Movsas, B.; Peter, R.; Hanks, G.E.

    1996-01-01

    Purpose: Serious late morbidity (Grade (3(4))) from the conformal treatment of prostate cancer has been reported in <1% to 6% of patients. This study demonstrates that the reported frequency of Grade (3(4)) complications varies by the morbidity scale selected and that no existing morbidity scale adequately represents chronic rectal bleeding, which is our most frequent persisting late sequela of high dose conformal treatment. Materials and Methods: Between (5(89)) and (12(93)), 352 patients with T1-3 NXM0 prostate cancers were treated with our 4-field conformal technique without special rectal blocking. This technique includes a 1 cm margin from the CTV to the PTV in all directions. The median follow-up for these patients was 38 mos (4 to 78), and the median ICRU reporting point dose was 74 Gy (63 to 81). Patients are followed at six month intervals, and no patient is lost to follow-up. Three morbidity scales are assessed, the RTOG, the late effects group (LENT), and our modification of the LENT (FC-LENT). This modification registers chronic rectal bleeding requiring more than two coagulations as a grade 3 event. Estimates for Grade (3(4)) late GI complication rates were determined using Kaplan-Meier methodology. Differences in morbidity rates were evaluated using the log-rank test and differences in time to latency of complications were evaluated using the nonparametric Wilcoxon test. The duration of severe symptoms with chronic rectal bleeding is measured from the first to the last transrectal coagulation. Results: Sixteen patients developed Grade (3(4)) complications by one of the three morbidity scales. Two patients required surgery (colostomy, sigmoid resection), 5 required a transfusion, and 9 required more than two coagulations. The median latency to the third coagulation (plus or minus transfusions) was 24 mos (17 to 40). The median duration of bleeding between the first and last coagulation was 6 mos (3 to 25), illustrating the chronicity of this problem

  6. Challenges when performing economic optimization of waste treatment: A review

    International Nuclear Information System (INIS)

    Juul, N.; Münster, M.; Ravn, H.; Söderman, M. Ljunggren

    2013-01-01

    Highlights: • Review of main optimization tools in the field of waste management. • Different optimization methods are applied. • Different fractions are analyzed. • There is focus on different parameters in different geographical regions. • More research is needed which encompasses both recycling and energy solutions. - Abstract: Strategic and operational decisions in waste management, in particular with respect to investments in new treatment facilities, are needed due to a number of factors, including continuously increasing amounts of waste, political demands for efficient utilization of waste resources, and the decommissioning of existing waste treatment facilities. Optimization models can assist in ensuring that these investment strategies are economically feasible. Various economic optimization models for waste treatment have been developed which focus on different parameters. Models focusing on transport are one example, but models focusing on energy production have also been developed, as well as models which take into account a plant’s economies of scale, environmental impact, material recovery and social costs. Finally, models combining different criteria for the selection of waste treatment methods in multi-criteria analysis have been developed. A thorough updated review of the existing models is presented, and the main challenges and crucial parameters that need to be taken into account when assessing the economic performance of waste treatment alternatives are identified. The review article will assist both policy-makers and model-developers involved in assessing the economic performance of waste treatment alternatives

  7. Challenges when performing economic optimization of waste treatment: A review

    Energy Technology Data Exchange (ETDEWEB)

    Juul, N., E-mail: njua@dtu.dk [DTU Management, Risø Campus, Technical University of Denmark (Denmark); Münster, M., E-mail: maem@dtu.dk [DTU Management, Risø Campus, Technical University of Denmark (Denmark); Ravn, H., E-mail: hans.ravn@aeblevangen.dk [RAM-løse edb, Æblevangen 55, 2765 Smørum (Denmark); Söderman, M. Ljunggren, E-mail: maria.ljunggren@chalmers.se [Energy and Environment, Chalmers University of Technology, Gothenburg (Sweden); IVL Swedish Environmental Research Institute, Gothenburg (Sweden)

    2013-09-15

    Highlights: • Review of main optimization tools in the field of waste management. • Different optimization methods are applied. • Different fractions are analyzed. • There is focus on different parameters in different geographical regions. • More research is needed which encompasses both recycling and energy solutions. - Abstract: Strategic and operational decisions in waste management, in particular with respect to investments in new treatment facilities, are needed due to a number of factors, including continuously increasing amounts of waste, political demands for efficient utilization of waste resources, and the decommissioning of existing waste treatment facilities. Optimization models can assist in ensuring that these investment strategies are economically feasible. Various economic optimization models for waste treatment have been developed which focus on different parameters. Models focusing on transport are one example, but models focusing on energy production have also been developed, as well as models which take into account a plant’s economies of scale, environmental impact, material recovery and social costs. Finally, models combining different criteria for the selection of waste treatment methods in multi-criteria analysis have been developed. A thorough updated review of the existing models is presented, and the main challenges and crucial parameters that need to be taken into account when assessing the economic performance of waste treatment alternatives are identified. The review article will assist both policy-makers and model-developers involved in assessing the economic performance of waste treatment alternatives.

  8. Autogenic-Feedback Training: A Potential Treatment for Orthostatic Intolerance in Aerospace Crews

    Science.gov (United States)

    Cowings, P. S.; Toscano, W. B.; Miller, N. E.; Pickering, T. G.; Shapiro, D.; Stevenson, J.; Maloney, S.; Knapp, J.

    1994-01-01

    Postflight orthostatic intolerance has been identified as a serious biomedical problem associated with long-duration exposure to microgravity in space. High priority has been given to the development of countermeasures for this disorder that are both effective and practical. A considerable body of clinical research has demonstrated that people can be taught to increase their own blood pressure voluntarily, and that this is an effective treatment for chronic orthostatic intolerance in paralyzed patients. The current pilot study was designed to examine the feasibility of adding training in control of blood pressure to an existing preflight training program designed to facilitate astronaut adaptation to microgravity. Using an operant conditioning procedure, autogenic-feedback training (AFT), three men and two women participated in four to nine training (15-30-minute) sessions. At the end of training, the average increase in systolic and diastolic pressure, as well as mean arterial pressures, that the subjects made ranged between 20 and 50 mm Hg under both supine and 45 deg head-up tilt conditions. These findings indicate that AFT may be a useful alternative treatment or supplement to existing approaches for preventing postflight orthostatic intolerance. Furthermore, the use of operant conditioning methods for training cardiovascular responses may contribute to the general understanding of the mechanisms of orthostatic intolerance.

  9. Risk management for existing energy facilities. A global approach to numerical safety goals

    International Nuclear Information System (INIS)

    Pate-Cornell, M.E.

    1993-01-01

    This paper presents a structured set of numerical safety goals for risk management of existing energy facilities. The rationale behind these safety goals is based on principles of equity and economic efficiency. Some of the issues involved when using probabilistic risk analyses results for safety decisions are discussed. A brief review of existing safety targets and open-quotes floating numbersclose quotes is presented, and a set of safety goals for industrial risk management is proposed. Relaxation of these standards for existing facilities, the relevance of the lifetime of the plant, the treatment of uncertainties, and problems of failure dependencies are discussed briefly. 17 refs., 1 fig

  10. Hydraulic modelling of drinking water treatment plant operations

    NARCIS (Netherlands)

    Worm, G.I.M.; Mesman, G.A.M.; Van Schagen, K.M.; Borger, K.J.; Rietveld, L.C.

    2009-01-01

    The flow through a unit of a drinking water treatment plant is one of the most important parameters in terms of a unit's effectiveness. In the present paper, a new EPAnet library is presented with the typical hydraulic elements for drinking water treatment processes well abstraction, rapid sand

  11. Inhibition of existing denitrification enzyme activity by chloramphenicol

    Science.gov (United States)

    Brooks, M.H.; Smith, R.L.; Macalady, D.L.

    1992-01-01

    Chloramphenicol completely inhibited the activity of existing denitrification enzymes in acetylene-block incubations with (i) sediments from a nitrate-contaminated aquifer and (ii) a continuous culture of denitrifying groundwater bacteria. Control flasks with no antibiotic produced significant amounts of nitrous oxide in the same time period. Amendment with chloramphenicol after nitrous oxide production had begun resulted in a significant decrease in the rate of nitrous oxide production. Chloramphenicol also decreased (>50%) the activity of existing denitrification enzymes in pure cultures of Pseudomonas denitrificans that were harvested during log- phase growth and maintained for 2 weeks in a starvation medium lacking electron donor. Short-term time courses of nitrate consumption and nitrous oxide production in the presence of acetylene with P. denitrificans undergoing carbon starvation were performed under optimal conditions designed to mimic denitrification enzyme activity assays used with soils. Time courses were linear for both chloramphenicol and control flasks, and rate estimates for the two treatments were significantly different at the 95% confidence level. Complete or partial inhibition of existing enzyme activity is not consistent with the current understanding of the mode of action of chloramphenicol or current practice, in which the compound is frequently employed to inhibit de novo protein synthesis during the course of microbial activity assays. The results of this study demonstrate that chloramphenicol amendment can inhibit the activity of existing denitrification enzymes and suggest that caution is needed in the design and interpretation of denitrification activity assays in which chloramphenicol is used to prevent new protein synthesis.

  12. On the invertibility of elementary operators

    OpenAIRE

    Boudi, Nadia; Bračič, Janko

    2013-01-01

    Let $\\mathscr{X}$ be a complex Banach space and $\\mathcal{L}(\\mathscr{X})$ be the algebra of all bounded linear operators on $\\mathscr{X}$. For a given elementary operator $\\Phi$ of length $2$ on $\\mathcal{L}(\\mathscr{X})$, we determine necessary and sufficient conditions for the existence of a solution of the equation ${\\rm X} \\Phi=0$ in the algebra of all elementary operators on $\\mathcal{L}(\\mathscr{X})$. Our approach allows us to characterize some invertible elementary operators of length...

  13. Treatment seeking for posttraumatic stress in Israel Defense Forces veterans deployed in the Second Lebanon War (2006) and "Operation Cast Lead" in the Gaza Strip (2009): a comparative study.

    Science.gov (United States)

    Levi, Ofir; Lubin, Gadi

    2018-05-01

    The goal of the study was to determine the long-term prevalence of combat-related treatment seeking and posttraumatic stress disorder (PTSD) in Israel's veterans deployed to the Second Lebanon War (2006) and "Operation Cast Lead" in the Gaza Strip (2009). The prevalence of treatment seeking and DSM-IV-TR diagnoses among Israel Defense Force (IDF) veterans was assessed using seven and five year's surveillance and records. The whereabouts and combat exposure of veterans during the war was determined based on the IDF's Operations Directorate records. Overall prevalence of treatment seeking was 1.32% and 0.38% in the Second Lebanon War and "Operation Cast Lead", respectively. The prevalence of treatment-seeking veterans from the Second Lebanon War and in "Operation Cast Lead" was significantly higher in soldiers deployed to high combat-exposure zones (2.19% and 3.1%, respectively), relative to low combat-exposure zones (0.24% and 0.06%, respectively), and relative to soldiers deployed elsewhere (0.26% and 0.02%, respectively). PTSD prevalence was similar among treatment-seeking veterans deployed in high combat-exposure zones in both combats. There is a gap of anywhere between 3% and 11% between treatment seeking by IDF veterans following war deployment and the actual prevalence of PTSD in this soldier population.

  14. [Surgical treatment for incisions fat colliquation or infections at early stage after operation of lumbar disc herniation].

    Science.gov (United States)

    Guan, Ting-Jin; Zheng, Liang-Guo; Sun, Peng; Li, Xing-Xue

    2014-05-01

    To explore the reason, key diagnosic point and therapeutic method of the incisions fat colliquation or infections at early stage after operation of lumbar disc herniation. From July 2007 to May 2012, clinical data of 11 patients with incision fat liquefaction or early infection after lumbar discectomy were retrospectively analyzed. There were 5 males and 6 females with an average age of 43.1 years, and the mean time of incisions fat colliquation or infection was 5 days and a half after operation. The main clinical features included local wound pain aggravating, fervescence, fresh seepage in the wound, and blood inflammatory index increased, etc. The wound could heal at the first treatment stage or not was an evaluation standard of curative effect. All patients were followed up with an average period of 21 months. The wounds of 10 cases healed at the first stage without recurrence and complications. In 1 case infected by staphylococcus aureus, distal part of the wound present local red, swelling and with wave motion at 2 months after operation, staphylococcus aureus infection was confirmed after puncture and bacterial culture, and 1 thrum was found after local incision. The wound healed after change dressings for 1 week, without recurrence after followed up for 13 months. Preventing the risk factors before operation, minimizing invasive technique during operation reasonable antibiotics application for the lumbar operation reguiring placement objects, and correctly handling with wound after operation could prevent and reduce the incidence of incisions fat liquefaction or infection after operation of lumbar disc herniation. For incision fat liquefaction or infection, early diagnosis, debridement, VSD negative pressure irrigation and drainage, to choosing sensitive antibiotics according to the results of drug sensitivity, may contribute to wound early healing and decrease complication.

  15. Wastewater treatment with submerged fixed bed biofilm reactor systems--design rules, operating experiences and ongoing developments.

    Science.gov (United States)

    Schlegel, S; Koeser, H

    2007-01-01

    Wastewater treatment systems using bio-films that grow attached to a support media are an alternative to the widely used suspended growth activated sludge process. Different fixed growth biofilm reactors are commercially used for the treatment of municipal as well as industrial wastewater. In this paper a fairly new fixed growth biofilm system, the submerged fixed bed biofilm reactor (SFBBR), is discussed. SFBBRs are based on aerated submerged fixed open structured plastic media for the support of the biofilm. They are generally operated without sludge recirculation in order to avoid clogging of the support media and problems with the control of the biofilm. Reactor and process design considerations for these reactors are reviewed. Measures to ensure the development and maintenance of an active biofilm are examined. SFBBRs have been applied successfully to small wastewater treatment plants where complete nitrification but no high degree of denitrification is necessary. For the pre-treatment of industrial wastewater the use of SFBBRs is advantageous, especially in cases of wastewater with high organic loading or high content of compounds with low biodegradability. Performance data from exemplary commercial plants are given. Ongoing research and development efforts aim at achieving a high simultaneous total nitrogen (TN) removal of aerated SFBBRs and at improving the efficiency of TN removal in anoxic SFBBRs.

  16. Transnational Research Co-operation: Opportunities and Challenges for transnational research co-operation

    DEFF Research Database (Denmark)

    of the NGOs have a lot of international experience (mainly in Denmark and Germany) as partners in different co-operation projects. Almost all the NGOs have recognized the important role of the scientific information in their activity. NGOs also feel the need for an easy access to required information...... for transnational co-operation like: an investigation/project concerning the driving forces behind urban development,or a co-operation in the field of wastewater reuse and minimization of wastewater loads and discharge, or a service page (internet) to search for potential partners. The governmental institutions...... in order to improve transnational cooperation are identified to be: • Search for national/international project partners • Access to existent co-operation projects or networks • Develop in common project proposals on themes requested by community groups • Exchange information/good operational practices...

  17. Operative treatment of early infection after internal fixation of limb fractures (exclusive of severe open fractures).

    Science.gov (United States)

    Bonnevialle, P

    2017-02-01

    Early infection after open reduction and internal fixation (ORIF) of a limb bone is defined as bacteriologically documented, deep and/or superficial surgical-site infection (SSI) diagnosed within 6months after the surgical procedure. This interval is arbitrarily considered sufficient to obtain fracture healing. The treatment of early infection after ORIF should be decided by a multidisciplinary team. The principles are the same as for revision arthroplasty. Superficial SSIs should be differentiated from deep SSIs, based on the results of bacteriological specimens collected using flawless technique. A turning point in the local microbial ecology occurs around the third or fourth week, when a biofilm develops around metallic implants. This biofilm protects the bacteria. The treatment relies on both non-operative and operative measures, which are selected based on the time to occurrence of the infection, condition of the soft tissues, and stage of bone healing. Both the surgical strategy and the antibiotic regimen should be determined during a multidisciplinary discussion. When treating superficial SSIs after ORIF, soft-tissue management is the main challenge. The treatment differs according to whether the hardware is covered or exposed. Defects in the skin and/or fascia can be managed using reliable reconstructive surgery techniques, either immediately or after a brief period of vacuum-assisted closure. In deep SSIs, deciding whether to leave or to remove the hardware is difficult. If the hardware is removed, the fracture site can be stabilised provisionally using either external fixation or a cement rod. Once infection control is achieved, several measures can be taken to stimulate bone healing before the end of the classical 6-month interval. If the hardware was removed, then internal fixation must be performed once the infection is eradicated. Copyright © 2016. Published by Elsevier Masson SAS.

  18. Development of mobile platform integrated with existing electronic medical records.

    Science.gov (United States)

    Kim, YoungAh; Kim, Sung Soo; Kang, Simon; Kim, Kyungduk; Kim, Jun

    2014-07-01

    This paper describes a mobile Electronic Medical Record (EMR) platform designed to manage and utilize the existing EMR and mobile application with optimized resources. We structured the mEMR to reuse services of retrieval and storage in mobile app environments that have already proven to have no problem working with EMRs. A new mobile architecture-based mobile solution was developed in four steps: the construction of a server and its architecture; screen layout and storyboard making; screen user interface design and development; and a pilot test and step-by-step deployment. This mobile architecture consists of two parts, the server-side area and the client-side area. In the server-side area, it performs the roles of service management for EMR and documents and for information exchange. Furthermore, it performs menu allocation depending on user permission and automatic clinical document architecture document conversion. Currently, Severance Hospital operates an iOS-compatible mobile solution based on this mobile architecture and provides stable service without additional resources, dealing with dynamic changes of EMR templates. The proposed mobile solution should go hand in hand with the existing EMR system, and it can be a cost-effective solution if a quality EMR system is operated steadily with this solution. Thus, we expect this example to be shared with hospitals that currently plan to deploy mobile solutions.

  19. How many N = 4 strings exist?

    International Nuclear Information System (INIS)

    Ketov, S.V.

    1994-09-01

    Possible ways of constructing extended fermionic strings with N=4 world-sheet supersymmetry are reviewed. String theory constraints form, in general, a non-linear quasi(super)conformal algebra, and can have conformal dimensions ≥1. When N=4, the most general N=4 quasi-superconformal algebra to consider for string theory building is D(1, 2; α), whose linearisation is the so-called ''large'' N=4 superconformal algebra. The D(1, 2; α) algebra has su(2)sub(κ + )+su(2)sub(κ - )+u(1) Kac-Moody component, and α=κ - /κ + . We check the Jacobi identities and construct a BRST charge for the D(1, 2; α) algebra. The quantum BRST operator can be made nilpotent only when κ + =κ - =-2. The D(1, 2; 1) algebra is actually isomorphic to the SO(4)-based Bershadsky-Knizhnik non-linear quasi-superconformal algebra. We argue about the existence of a string theory associated with the latter, and propose the (non-covariant) hamiltonian action for this new N=4 string theory. Our results imply the existence of two different N=4 fermionic string theories: the old one based on the ''small'' linear N=4 superconformal algebra and having the total ghost central charge c gh =+12, and the new one with non-linearly realised N=4 supersymmetry, based on the SO(4) quasi-superconformal algebra and having c gh =+6. Both critical string theories have negative ''critical dimensions'' and do not admit unitary matter representations. (orig.)

  20. International co-operation for reactor safety: the World Association of Nuclear Operators

    International Nuclear Information System (INIS)

    Eckered, T.

    1989-01-01

    On 5 and 6 October 1987, senior representatives of most of the world's nuclear operators met in Paris with Lord Marshall of the UK Central Electricity Generating Board (CEGB) as Chairman. They resolved to strengthen the existing links and co-operation among nuclear operators by setting up the World Association of Nuclear Operators (Wano). The mission of the association is to be: 'to maximize the safety and reliability of the operation of nuclear power stations by exchanging information, encouraging comparison and stimulating emulation among nuclear power station operators.' The formation of Wano presents some information technology problems of a rather special kind that have to be solved before Wano can begin operation. The representatives at the Paris meeting therefore appointed a steering committee under Lord Marshall's chairmanship to formulate detailed proposals. The leaders of the world's nuclear operators will meet again in Moscow on 15-17 May 1989 in order to ratify the steering committee proposals and appoint the first Wano Board of Governors. A small interim secretariat is already working in London. (author)

  1. European Organisation for Research and Treatment of Cancer (EORTC) Pathobiology Group standard operating procedure for the preparation of human tumour tissue extracts suited for the quantitative analysis of tissue-associated biomarkers.

    Science.gov (United States)

    Schmitt, Manfred; Mengele, Karin; Schueren, Elisabeth; Sweep, Fred C G J; Foekens, John A; Brünner, Nils; Laabs, Juliane; Malik, Abha; Harbeck, Nadia

    2007-03-01

    With the new concept of 'individualized treatment and targeted therapies', tumour tissue-associated biomarkers have been given a new role in selection of cancer patients for treatment and in cancer patient management. Tumour biomarkers can give support to cancer patient stratification and risk assessment, treatment response identification, or to identifying those patients who are expected to respond to certain anticancer drugs. As the field of tumour-associated biomarkers has expanded rapidly over the last years, it has become increasingly apparent that a strong need exists to establish guidelines on how to easily disintegrate the tumour tissue for assessment of the presence of tumour tissue-associated biomarkers. Several mechanical tissue (cell) disruption techniques exist, ranging from bead mill homogenisation and freeze-fracturing through to blade or pestle-type homogenisation, to grinding and ultrasonics. Still, only a few directives have been given on how fresh-frozen tumour tissues should be processed for the extraction and determination of tumour biomarkers. The PathoBiology Group of the European Organisation for Research and Treatment of Cancer therefore has devised a standard operating procedure for the standardised preparation of human tumour tissue extracts which is designed for the quantitative analysis of tumour tissue-associated biomarkers. The easy to follow technical steps involved require 50-300 mg of deep-frozen cancer tissue placed into small size (1.2 ml) cryogenic tubes. These are placed into the shaking flask of a Mikro-Dismembrator S machine (bead mill) to pulverise the tumour tissue in the capped tubes in the deep-frozen state by use of a stainless steel ball, all within 30 s of exposure. RNA is isolated from the pulverised tissue following standard procedures. Proteins are extracted from the still frozen pulverised tissue by addition of Tris-buffered saline to obtain the cytosol fraction of the tumour or by the Tris buffer supplemented with

  2. Seminar on waste treatment and disposal

    International Nuclear Information System (INIS)

    Sneve, Malgorzata Karpow; Snihs, Jan Olof

    1999-01-01

    Leading abstract. A seminar on radioactive waste treatment and disposal was held 9 - 14 November 1998 in Oskarshamn, Sweden. The objective of the seminar was to exchange information on national and international procedures, practices and requirements for waste management. This information exchange was intended to promote the development of a suitable strategy for management of radioactive waste in Northwest Russia to be used as background for future co-operation in the region. The seminar focused on (1) overviews of international co-operation in the waste management field and national systems for waste management, (2) experiences from treatment of low- and intermediate-level radioactive waste, (3) the process of determining the options for final disposal of radioactive waste, (4) experiences from performance assessments and safety analysis for repositories intended for low- and intermediate level radioactive waste, (5) safety of storage and disposal of high-level waste. The seminar was jointly organised and sponsored by the Swedish Radiation Protection Institute (SSI), the Norwegian Radiation Protection Authority (NRPA), the Nordic Nuclear Safety Research (NKS) and the European Commission. A Russian version of the report is available. In brief, the main conclusions are: (1) It is the prerogative of the Russian federal Government to devise and implement a waste management strategy without having to pay attention to the recommendations of the meeting, (2) Some participants consider that many points have already been covered in existing governmental documents, (3) Norway and Sweden would like to see a strategic plan in order to identify how and where to co-operate best, (4) There is a rigorous structure of laws in place, based on over-arching environmental laws, (5) Decommissioning of submarines is a long and complicated task, (6) There are funds and a desire for continued Norway/Sweden/Russia co-operation, (7) Good co-operation is already taking place

  3. Seminar on waste treatment and disposal

    Energy Technology Data Exchange (ETDEWEB)

    Sneve, Malgorzata Karpow; Snihs, Jan Olof

    1999-07-01

    Leading abstract. A seminar on radioactive waste treatment and disposal was held 9 - 14 November 1998 in Oskarshamn, Sweden. The objective of the seminar was to exchange information on national and international procedures, practices and requirements for waste management. This information exchange was intended to promote the development of a suitable strategy for management of radioactive waste in Northwest Russia to be used as background for future co-operation in the region. The seminar focused on (1) overviews of international co-operation in the waste management field and national systems for waste management, (2) experiences from treatment of low- and intermediate-level radioactive waste, (3) the process of determining the options for final disposal of radioactive waste, (4) experiences from performance assessments and safety analysis for repositories intended for low- and intermediate level radioactive waste, (5) safety of storage and disposal of high-level waste. The seminar was jointly organised and sponsored by the Swedish Radiation Protection Institute (SSI), the Norwegian Radiation Protection Authority (NRPA), the Nordic Nuclear Safety Research (NKS) and the European Commission. A Russian version of the report is available. In brief, the main conclusions are: (1) It is the prerogative of the Russian federal Government to devise and implement a waste management strategy without having to pay attention to the recommendations of the meeting, (2) Some participants consider that many points have already been covered in existing governmental documents, (3) Norway and Sweden would like to see a strategic plan in order to identify how and where to co-operate best, (4) There is a rigorous structure of laws in place, based on over-arching environmental laws, (5) Decommissioning of submarines is a long and complicated task, (6) There are funds and a desire for continued Norway/Sweden/Russia co-operation, (7) Good co-operation is already taking place.

  4. Operator behaviors observed in following emergency operating procedure under a simulated emergency

    International Nuclear Information System (INIS)

    Choi, Sun Yeong; Park, Jin Kyun

    2012-01-01

    A symptom-based procedure with a critical safety function monitoring system has been established to reduce the operator's diagnosis and cognitive burden since the Three-Mile Island (TMI) accident. However, it has been reported that a symptom-based procedure also requires an operator's cognitive efforts to cope with off-normal events. This can be caused by mismatches between a static model, an emergency operating procedure (EOP), and a dynamic process, the nature of an ongoing situation. The purpose of this study is to share the evidence of mismatches that may result in an excessive cognitive burden in conducting EOPs. For this purpose, we analyzed simulated emergency operation records and observed some operator behaviors during the EOP operation: continuous steps, improper description, parameter check at a fixed time, decision by information previously obtained, execution complexity, operation by the operator's knowledge, notes and cautions, and a foldout page. Since observations in this study are comparable to the results of an existing study, it is expected that the operational behaviors observed in this study are generic features of operators who have to cope with a dynamic situation using a static procedure.

  5. Bronchoplastic operations for lung cancer

    International Nuclear Information System (INIS)

    Cicenas, S.; Naujokaitis, P.; Jackevicius, A. and others

    2002-01-01

    Objective of our work was to evaluate efficacy of bronchoplastic operations for lung cancer and time to progression in combined treatment. From 1997 till 2001, 57pts were operated for early I-IIB stages of lung cancer. Operations were: tracheal resections in 3pts (5.2%), window right pneumonectomies in 5pts (8.7%), window left pneumonectomies in 2pts (3.5%), window right upper lobe in 22pts (38.5%), bifurcation resections 2pts (3.5%), sleeve right upper lobe resections 7pts (12.2%), sleeve left upper lobe resections in 11pts (19.2%). We had complications: in 7pts (12.2%) suture failure, 26pts (45.6%) obstructive pneumonia, 3pts (5.2%) kinking of anastomosis, 2pts (3.7%) bronchial bleeding, 6pts (10.5%) covered bronchial fistulas, 5pts (8.7%) died after operations. 32pts (56%) underwent radiation after surgery, 13pts (22.8%) radiation and chemotherapy. Three-year survival was in 82.4% (47pts), in 10pts (17.4%) disease progressed. Bronchoplastic operations are sufficient for early lung cancer treatment. Three-year was in survival 82.7% of pts. Seventeen percent of patients failed after combined treatment. (author)

  6. A Guide for Developing Standard Operating Job Procedures for the Screening & Grinding Process Wastewater Treatment Facility. SOJP No. 1.

    Science.gov (United States)

    Deal, Gerald A.; Montgomery, James A.

    This guide describes standard operating job procedures for the screening and grinding process of wastewater treatment facilities. The objective of this process is the removal of coarse materials from the raw waste stream for the protection of subsequent equipment and processes. The guide gives step-by-step instructions for safety inspection,…

  7. Municipal wastewater treatment in Mexico: current status and opportunities for employing ecological treatment systems.

    Science.gov (United States)

    Zurita, Florentina; Roy, Eric D; White, John R

    2012-06-01

    The aim of this paper is to evaluate the current status of municipal wastewater (MWW) treatment in Mexico, as well as to assess opportunities for using ecological treatment systems, such as constructed wetlands. In 2008, Mexico had 2101 MWW treatment plants that treated only 84 m3/s of wastewater (208 m3/s ofMWW were collected in sewer systems). Unfortunately, most treatment plants operate below capacity owing to a lack of maintenance and paucity of properly trained personnel. The main types of treatment systems applied in Mexico are activated sludge and waste stabilization ponds, which treat 44.3% and 18% of the MWW collected, respectively. As in many other developing nations around the world, there is a great need in Mexico for low-cost, low-maintenance wastewater treatment systems that are both economically and environmentally sustainable. In 2005, 24.3 million Mexicans lived in villages of less than 2500 inhabitants and 14.1 million lived in towns with 2500-15,000 inhabitants. An opportunity exists to extend the use of ecological treatment systems to these low population density areas and considerably increase the percentage of MWW that is treated in Mexico. Small-scale and medium-size constructed wetlands have been built successfully in some states, primarily during the past five years. Several barriers need to be overcome to increase the adoption and utilization of ecological wastewater technology in Mexico, including: a lack of knowledge about this technology, scarce technical information in Spanish, and the government's concentration on constructing MWW treatment plants solely in urban areas.

  8. Non-Thermal Treatment of Hanford Site Low-Level Mixed Waste

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-09-01

    DOE proposes to transport contact-handled LLMW from the Hanford Site to the Allied Technology Group (ATG) Mixed Waste Facility (MWF) in Richland, Washington, for non-thermal treatment and to return the treated waste to the Hanford Site for eventual land disposal. Over a 3-year period the waste would be staged to the ATG MWF, and treated waste would be returned to the Hanford Site. The ATG MWF would be located on an 18 hectare (ha) (45 acre [at]) ATG Site adjacent to ATG's licensed low-level waste processing facility at 2025 Battelle Boulevard. The ATG MWF is located approximately 0.8 kilometers (km) (0.5 miles [mi]) south of Horn Rapids Road and 1.6 km (1 mi) west of Stevens Drive. The property is located within the Horn Rapids triangle in northern Richland (Figure 2.1). The ATG MWF is to be located on the existing ATG Site, near the DOE Hanford Site, in an industrial area in the City of Richland. The effects of siting, construction, and overall operation of the MWF have been evaluated in a separate State Environmental Policy Act (SEPA) EIS (City of Richland 1998). The proposed action includes transporting the LLMW from the Hanford Site to the ATG Facility, non-thermal treatment of the LLMW at the ATG MWF, and transporting the waste from ATG back to the Hanford Site. Impacts fi-om waste treatment operations would be bounded by the ATG SEPA EIS, which included an evaluation of the impacts associated with operating the non-thermal portion of the MWF at maximum design capacity (8,500 metric tons per year) (City of Richland 1998). Up to 50 employees would be required for non-thermal treatment portion of the MWF. This includes 40 employees that would perform waste treatment operations and 10 support staff. Similar numbers were projected for the thermal treatment portion of the MWF (City of Richland 1998).

  9. 40 CFR 264.273 - Design and operating requirements.

    Science.gov (United States)

    2010-07-01

    ... the facility permit how the owner or operator will design, construct, operate, and maintain the land..., construct, operate, and maintain the treatment zone to minimize run-off of hazardous constituents during the... maintain a run-on control system capable of preventing flow onto the treatment zone during peak discharge...

  10. Remotely controlled reagent feed system for mixed waste treatment Tank Farm

    International Nuclear Information System (INIS)

    Dennison, D.K.; Bowers, J.S.; Reed, R.K.

    1995-02-01

    LLNL has developed and installed a large-scale. remotely controlled, reagent feed system for use at its existing aqueous low-level radioactive and mixed waste treatment facility (Tank Farm). LLNL's Tank Farm is used to treat aqueous low-level and mixed wastes prior to vacuum filtration and to remove the hazardous and radioactive components before it is discharged to the City of Livermore Water Reclamation Plant (LWRP) via the sanitary sewer in accordance with established limits. This reagent feed system was installed to improve operational safety and process efficiency by eliminating the need for manual handling of various reagents used in the aqueous waste treatment processes. This was done by installing a delivery system that is controlled either remotely or locally via a programmable logic controller (PLC). The system consists of a pumping station, four sets of piping to each of six 6,800-L (1,800-gal) treatment tanks, air-actuated discharge valves at each tank, a pH/temperature probe at each tank, and the PLC-based control and monitoring system. During operation, the reagents are slowly added to the tanks in a preprogrammed and controlled manner while the pH, temperature, and liquid level are continuously monitored by the PLC. This paper presents the purpose of this reagent feed system, provides background related to LLNL's low-level/mixed waste treatment processes, describes the major system components, outlines system operation, and discusses current status and plans

  11. Treatment of persistent organic pollutants in wastewater using hydrodynamic cavitation in synergy with advanced oxidation process.

    Science.gov (United States)

    Badmus, Kassim Olasunkanmi; Tijani, Jimoh Oladejo; Massima, Emile; Petrik, Leslie

    2018-03-01

    Persistent organic pollutants (POPs) are very tenacious wastewater contaminants. The consequences of their existence have been acknowledged for negatively affecting the ecosystem with specific impact upon endocrine disruption and hormonal diseases in humans. Their recalcitrance and circumvention of nearly all the known wastewater treatment procedures are also well documented. The reported successes of POPs treatment using various advanced technologies are not without setbacks such as low degradation efficiency, generation of toxic intermediates, massive sludge production, and high energy expenditure and operational cost. However, advanced oxidation processes (AOPs) have recently recorded successes in the treatment of POPs in wastewater. AOPs are technologies which involve the generation of OH radicals for the purpose of oxidising recalcitrant organic contaminants to their inert end products. This review provides information on the existence of POPs and their effects on humans. Besides, the merits and demerits of various advanced treatment technologies as well as the synergistic efficiency of combined AOPs in the treatment of wastewater containing POPs was reported. A concise review of recently published studies on successful treatment of POPs in wastewater using hydrodynamic cavitation technology in combination with other advanced oxidation processes is presented with the highlight of direction for future research focus.

  12. Extensions of the results on powers of -hyponormal and -hyponormal operators

    Directory of Open Access Journals (Sweden)

    Yang Changsen

    2006-01-01

    Full Text Available Firstly, we will show the following extension of the results on powers of -hyponormal and -hyponormal operators: let and be positive integers, if is -hyponormal for , then: (i in case , and hold, (ii in case , and hold. Secondly, we will show an estimation on powers of -hyponormal operators for which implies the best possibility of our results. Lastly, we will show a parallel estimation on powers of -hyponormal operators as follows: let , then the following hold for each positive integer and : (i there exists a log-hyponormal operator such that , (ii there exists a -hyponormal operator such that .

  13. Radiation therapy for operable rectal cancer

    International Nuclear Information System (INIS)

    Bondar, G.V.; Semikoz, N.G.; Bashejev, V.Kh.; Borota, O.V.; Bondarenko, M.V.; Kiyashko, O.Yu.

    2012-01-01

    The authors present a review of the literature on modern tendencies of radiation therapy application to treatment of operable rectal cancer. Many randomized control studies compared the efficacy of combination of radiation therapy (pre-operative or post-operative) and surgery versus surgery only demonstrating various results. Meta-analysis of the data on efficacy of combination of radiation therapy and standard surgery revealed 22 randomized control studies (14 with pre-operative radiation therapy and 8 with post-operative radiation therapy) with total number of 8507 patients (Colorectal Cancer Collaborative Group, 2000). The use of combination treatment reduced the number of isolated locoregional relapses both with pre-operative (22.5 - 12.5 %; p < 0.00001) and post-operative radiation therapy (25.8 - 16.7 %; p - 0.00001). The influence on total survival was not significant (62 % vs. 63 %; p - 0.06).

  14. Case studies in residual use and energy conservation at wastewater treatment plants

    Energy Technology Data Exchange (ETDEWEB)

    Stewart, D. [Science Applications International Corp., Los Altos, CA (United States)

    1995-06-01

    The US Environmental Protection Agency (EPA) and the National Renewable Energy Laboratory (NREL) for the US Department of Energy (DOE) funded a study to document energy conservation activities and their effects on operation costs, regulatory compliance, and process optimization at several wastewater treatment plants (WWTPS). The purpose of this report is to review the efforts of wastewater treatment Facilities that use residuals as fuels. Case histories are presented for facilities that have taken measures to reduce energy consumption during wastewater treatment. Most of the WWTPs discussed in this report have retrofitted existing facilities to achieve energy conservation. The case studies of energy conservation measures found no effects on the facilities` ability to comply with NPDES permits. Indeed, energy conservation activities enhance environmental compliance in several ways.

  15. Fluidized bed bio reactor sewage treatment system and wastewater quality at Kudankulam

    International Nuclear Information System (INIS)

    Vijayakumar, B.; George, Thomas; Rajan, P.S.; Kumar, M.; Rajan, M.P.

    2006-01-01

    With the availability of fresh water becoming exiguous in certain coastal belts, it has become imperative to manage water resources in a resourceful and judicious manner. The focus has also shifted to minimum or zero tolerance from existing waste treatment plants so as not to contaminate or pollute the already shrinking drinking water resources. Many of the modern waste treatment approaches are already aiming at zero discharge with a view to conserving the ecological balance and to protect the rich bio diversity, flora and fauna. This paper describes one such domestic sewage treatment system called fluidized bed bio reactor operating in the residential colony and plant site area of Kudankulam Nuclear Power Project. Wastewater quality of the resulting effluent water is also discussed. (author)

  16. A Potential Treatment for Post-Flight Orthostatic Intolerance in Aero-Space Crews: Autogenic-Feedback Training

    Science.gov (United States)

    Cowings, P. S.; Toscano, W. B.; Miller, N. E.; Pickering, T. G.; Shapiro, D.

    1994-01-01

    Postflight orthostatic intolerance has been identified as a serious biomedical problem associated with long duration exposure to microgravity in space. High priority has been given to the development of countermeasures for this disorder which are both effective and practical. A considerable body of clinical research has demonstrated that people can be taught to increase their own blood pressure voluntarily and that this is an effective treatment for chronic Orthostatic intolerance in paralyzed patients. The present pilot study was designed to examine the feasibility of adding training in control of blood pressure to an existing preflight training program designed to facilitate astronaut adaptation to microgravity. Using in operant conditioning procedure, Autogenic-Feedback Training (AFT), three men and two women participated in four to nine (15-30 training sessions). At the end of training ranged between 20 and 50 mm Hg under both supine and 450 head-up tilt conditions. These findings suggest that AFT may be a useful alternative treatment or supplement to existing approaches for preventing postflight Orthostatic intolerance. Further, the use of operant conditioning methods for training cardiovascular responses may contribute to the general understanding of the mechanisms of orthostatic intolerance.

  17. Department of Energy Idaho Operations Office evaluation of feasibility studies for private sector treatment of alpha and TRU mixed wastes

    International Nuclear Information System (INIS)

    1995-05-01

    The Idaho National Engineering Laboratory (INEL) is currently storing a large quantity of alpha contaminated mixed low level waste which will require treatment prior to disposal. The DOE Idaho Operations Office (DOE-ID) recognized that current knowledge and funding were insufficient to directly pursue services for the requisite treatment. Therefore, it was decided that private sector studies would be funded to clarify cost, regulatory, technology, and contractual issues associated with procuring treatment services. This report analyzes the three private sector studies procured and recommends a path forward for DOE in procuring retrieval, assay, characterization, and treatment services for INEL transuranic and alpha contaminated mixed low level waste. This report was prepared by a team of subject matter experts from the INEL referred to as the DOE-ID Evaluation Team

  18. Decommissioning Operations at the Cadarache Nuclear Research Center

    International Nuclear Information System (INIS)

    Gouhier, E.

    2008-01-01

    Among the different activities of the CEA research center of Cadarache, located in the south of France, one of the most important involves decommissioning. As old facilities close, decommissioning activity increases. This presentation will give an overview of the existing organization and the different ongoing decommissioning and cleanup operations on the site. We shall also present some of the new facilities under construction the purpose of which is to replace the decommissioned ones. Cadarache research center was created on October 14, 1959. Today, the activities of the research center are shared out among several technological R and D platforms, essentially devoted to nuclear energy (fission and fusion) Acting as a support to these R and D activities, the center of Cadarache has a platform of services which groups the auxiliary services required by the nuclear facilities and those necessary to the management of nuclear materials, waste, nuclear facility releases and decommissioning. Many old facilities have shut down in recent years (replaced by new facilities) and a whole decommissioning program is now underway involving the dismantling of nuclear reactors (Rapsodie, Harmonie), processing facilities (ATUE uranium treatment facility, LECA UO 2 facility) as well as waste treatment and storage facilities (INB37, INB 56. In conclusion: other dismantling and cleanup operations that are now underway in Cadarache include the following: - Waste treatment and storage facilities, - Historical VLLW and HLW storage facility, - Fissile material storage building, - Historical spent fuel storage facility. Thanks to the project organization: - Costs and risks on these projects can be reduced. - Engineers and technicians can easily move from one project to another. In some cases, when a new facility is under construction for the purpose of replacing a decommissioned one, some of the project team can integrate the new facility as members of the operation team. Today

  19. Existing facilities and past practices: Lessons learned

    International Nuclear Information System (INIS)

    Huizenga, D.; Tonkay, D.W.; Owens, K.

    2000-01-01

    Article 12 of the Joint Convention on the Safety of Spent Fuel Management and on the Safety of Radioactive Waste Management (Joint Convention) requires parties to the Joint Convention to review the safety of existing radioactive waste management facilities 'to ensure that, if necessary, all reasonably practicable improvements are made to upgrade the safety of such a facility'. Also required is a review of the results of past practices to determine 'whether any intervention is needed for reasons of radiation protection' and to consider whether the benefits of the intervention or remediation are sufficient, with regard to the costs and the impact on workers, the public and the environment. This paper discusses the experience of the United States Department of Energy in terms of the lessons learned from operating radioactive waste management facilities and from undertaking intervention or remedial action, and from decision making in an international context. Overarching safety principles are discussed, including integrating safety into all work practices and minimizing the generation of waste. Safety review lessons learned with existing facilities are discussed with respect to: applying new requirements to old facilities, taking a life-cycle perspective of waste management, improving high level waste facility management, and blending current and past practices with respect to the process used to arrive at decisions for intervention. Special emphasis is placed on the need to provide for early and substantive input from the involved regulatory agencies, Native American tribes, and those citizens and groups with an interest in the decisions. Examples of intervention decisions are discussed, including examples taken from uranium mill tailings operations, from cleanup of a former uranium processing plant site, from evaluation of pre-1970 buried 'transuranic waste' sites, and from decommissioning or closure of high level waste storage tanks. The paper concludes that on the

  20. Outcome Study of Non-operative Treatment for Knee Osteoarthritis in Middle-aged Patients With Reference to the Body Mass Index—A Randomised Prospective Study

    Directory of Open Access Journals (Sweden)

    Cheong Peng Meng

    2011-06-01

    Full Text Available From the year 2006 to 2008, 69 patients of symptomatic osteoarthritis of the knees were divided randomly and entered into three non-operative treatment protocols. It included 4 weeks of pharmacological treatment followed by 4 weeks of specific treatments (physiotherapy, acupuncture, and combined. The pretreatment and post-treatment physical and functional statuses were evaluated. Their body mass index (BMI was measured. The patients with below-normal BMI did not benefit from all the three treatment protocols. However, all other groups of increased BMI did benefit from all three treatment protocols in terms of pain score, analgesic sparing, and knee scores.

  1. DISSS/ET modernization feasibility of adapting existing software and hardware technologies

    Energy Technology Data Exchange (ETDEWEB)

    Strait, R.S.

    1993-09-30

    The Fission Energy and Systems Safety Program (FESSP) at LLNL was funded by the DOE Office of Safeguards and Security to develop an integrated system, hereafter referred to as the Security Clearance Electronic Processing, Transfer, Evaluation, and Recordkeeping (SCEPTER) System, for the electronic collection and transfer of personnel security data between clearance offices at contractor sites and DOE field offices and the Office of Personnel Management(OPM). This system will use existing software and hardware technologies where feasible. The project will consist of three phases. The first phase will investigate user needs, determine the feasibility of using existing technologies, and define project requirements. The second phase will be a pilot project to develop the computer systems and procedures required to automate the security clearance work flow within DOE and between DOE and OPM. Once the pilot system is implemented and tested, the decision to extend the system throughout DOE can be made. This third phase, the extension to a full production system, will require the investment of considerable funds in equipment and in the development of both a computer system and management infrastructure to support its successful operation. This investment will be undertaken only after the pilot system is operational and evaluated.

  2. If technological intelligent extraterrestrials exist, what biological traits are de rigueur

    Science.gov (United States)

    Taylor, E. R.

    2018-05-01

    If extraterrestrials exist in the depths of cosmic space, and are capable of interstellar communications, even space flight, there is no requirement that they be humanoid in form. However, certain humanoid capabilities would be advantageous for tool fashioning and critical to operating space craft as well as functioning under the disparate extreme conditions under which they may be forced to operate. They would have to be "gas breathing". The reasonable assumption that life based upon the same elements as Earth life requiring water stems from the unique properties of water that no other similar low molecular weight nonmetal hydride offers. Only water offers the diversity of chemical properties and reactivity, including the existence of the three common physical states within a limited temperature range of service to life, avoiding the issues presented by any alternatives. They must, like us, possess a large, abstract-thinking brain, and probably possess at least all the fundamental senses that humankind possess. They would also be carbon-based life, using oxygen as the electron sink of their biochemistry for the reasons considered. They most likely are homeothermic as us, though they may not necessarily be mammalian as we are. Their biochemistry could differ some from ours, perhaps presenting contact hazards for both species as discussed.

  3. Projection operator treatment of single particle resonances

    International Nuclear Information System (INIS)

    Lev, A.; Beres, W.P.

    1976-01-01

    A projection operator method is used to obtain the energy and width of a single particle resonance. The resonance energy is found without scanning. An example of the first g/sub 9/2/ neutron resonance in 40 Ca is given and compared with the traditional phase shift method. The results of both approaches are quite similar. 4 figures

  4. Non-operative treatment of displaced distal radius fractures leads to acceptable functional outcomes, however at the expense of 40% subsequent surgeries

    NARCIS (Netherlands)

    Mulders, M. A. M.; van Eerten, P. V.; Goslings, J. C.; Schep, N. W. L.

    2017-01-01

    Background: Although secondary displacement following closed reduction and plaster immobilisation is high, several guidelines still recommend non-operative treatment for displaced distal radius fractures with an adequate closed reduction. Purpose: The purpose of this study was to evaluate functional

  5. Process and technological options for odorous emissions control in wastewater treatment plants

    International Nuclear Information System (INIS)

    Cernuschi, S.; Torretta, V.

    1996-01-01

    The emissions of odorous substances together with noise and issues related to proper architectural design within the existing territorial context, have certainly to be considered one of the most significant environmental effects determined by wastewater treatment plants particularly in the most frequent case of their localization in dense urban areas. Following a brief introduction on the chemical properties of odorous compounds and the corresponding methods for representing their concentration levels in air, present work reports on the main qualitative and quantitative characteristics of odorous emissions originating from single unit operations of typical wastewater treatment plants and on the technological and process options available for their control

  6. Greening Existing Tribal Buildings

    Science.gov (United States)

    Guidance about improving sustainability in existing tribal casinos and manufactured homes. Many steps can be taken to make existing buildings greener and healthier. They may also reduce utility and medical costs.

  7. [Operative treatment of traumatic fractures of the thoracic and lumbar spinal column: Part III: Follow up data].

    Science.gov (United States)

    Reinhold, M; Knop, C; Beisse, R; Audigé, L; Kandziora, F; Pizanis, A; Pranzl, R; Gercek, E; Schultheiss, M; Weckbach, A; Bühren, V; Blauth, M

    2009-03-01

    In this third and final part, the Spine Study Group (AG WS) of the German Trauma Association (DGU) presents the follow-up (NU) data of its second, prospective, internet-based multicenter study (MCS II) for the treatment of thoracic and lumbar spinal injuries including 865 patients from 8 trauma centers. Part I described in detail the epidemiologic data of the patient collective and the subgroups, whereas part II analyzed the different methods of treatment and radiologic findings. The study period covered the years 2002 to 2006 including a 30-month follow-up period from 01.01.2004 until 31.05.2006. Follow-up data of 638 (74%) patients were collected with a new internet-based database system and analyzed. Results in part III will be presented on the basis of the same characteristic treatment subgroups (OP, KONS, PLASTIE) and surgical treatment subgroups (Dorsal, Ventral, Kombi) in consideration of the level of injury (thoracic spine, thoracolumbar junction, lumbar spine). After the initial treatment and discharge from hospital, the average duration of subsequent inpatient rehabilitation was 4 weeks, which lasted significantly longer in patients with persistent neurologic deficits (mean 10.9 weeks) or polytraumatized patients (mean 8.6 weeks). Following rehabilitation on an inpatient basis, subsequent outpatient rehabilitation lasted on average 4 months. Physical therapy was administered significantly longer to patients with neurologic deficits (mean 8.7 months) or type C injuries (mean 8.6 months). The level of injury had no influence of the duration of the inpatient or outpatient rehabilitation. A total of 382 (72.2%) patients who were either operated from posterior approach only or in a combined postero-anterior approach had an implant removal after an average 12 months. During the follow-up period 56 (8.8%) patients with complications were registered and of these 18 (2.8%) had to have surgical revision. The most common complications reported were infection, loss

  8. [Injury to the Scapholunate Ligament in Distal Radius Fractures: Peri-Operative Diagnosis and Treatment Results].

    Science.gov (United States)

    Gajdoš, R; Pilný, J; Pokorná, A

    2016-01-01

    PURPOSE OF THE STUDY Injury to the scapholunate ligament is frequently associated with a fracture of the distal radius. At present neither a unified concept of treatment nor a standard method of diagnosis in these concomitant injuries is available. The aim of the study was to evaluate a group of surgically treated patients with distal radius fractures in order to assess a contribution of combined conventional X-ray and intra-operative fluoroscopic examinations to the diagnosis of associated lesions and to compare short-term functional outcomes of sugically treated patients with those of patients treated conservatively. MATERIAL AND METHODS A group of patients undergoiong surgery for distal radius fractures using plate osteosynthesis was evaluated retrospectively. The peri-operative diagnosis of associated injury to the scapholunate ligament was based on pre-operative standard X-ray views and intra-operative fluoroscopy. The latter consisted of images of maximum radial and ulnar deviation as well as an image of the forearm in traction exerted manually along the long axis. All views were in postero-anterior projection. Results were read directly on the monitor of a fluoroscopic device after its calibration or were obtained by comparing the thickness of an attached Kirschner wire with the distance to be measured. Subsequently, pixels were converted to millimetres. When a scapholunate ligament injury was found and confirmed by examination of the contralateral wrist, the finding was verified by open reduction or arthroscopy. Both static and dynamic instabilities were treated together with the distal radius fracture at one-stage surgery. After surgery, the patients without ligament injury had the wrist immobilised for 4 weeks, then rehabilitation followed. In the patients with a damaged ligament, immobilisation in a short brace lasted until transarticular wires were removed. All patients were followed up for a year at least. At follow-up, the injured wrist was examined

  9. Requirements for existing buildings

    DEFF Research Database (Denmark)

    Thomsen, Kirsten Engelund; Wittchen, Kim Bjarne

    This report collects energy performance requirements for existing buildings in European member states by June 2012.......This report collects energy performance requirements for existing buildings in European member states by June 2012....

  10. Improving thermal performance of an existing UK district heat network: a case for temperature optimization

    DEFF Research Database (Denmark)

    Tunzi, Michele; Boukhanouf, Rabah; Li, Hongwei

    2018-01-01

    This paper presents results of a research study into improving energy performance of small-scale district heat network through water supply and return temperature optimization technique. The case study involves establishing the baseline heat demand of the estate’s buildings, benchmarking...... the existing heat network operating parameters, and defining the optimum supply and return temperature. A stepwise temperature optimization technique of plate radiators heat emitters was applied to control the buildings indoor thermal comfort using night set back temperature strategy of 21/18 °C....... It was established that the heat network return temperature could be lowered from the current measured average of 55 °C to 35.6 °C, resulting in overall reduction of heat distribution losses and fuel consumption of 10% and 9% respectively. Hence, the study demonstrates the potential of operating existing heat...

  11. Changes in the ammonia-oxidizing bacteria community in response to operational parameters during the treatment of anaerobic sludge digester supernatant.

    Science.gov (United States)

    Cydzik-Kwiatkowska, Agnieszka; Zielińska, Magdalena; Bernat, Katarzyna; Kulikowska, Dorota; Wojnowska-Baryła, Irena

    2012-07-01

    The understanding of the relationship between ammoniaoxidizing bacteria (AOB) communities in activated sludge and the operational treatment parameters supports the control of the treatment of ammonia-rich wastewater. The modifications of treatment parameters by alteration of the number and length of aerobic and anaerobic stages in the sequencing batch reactor (SBR) working cycle may influence the efficiency of ammonium oxidation and induce changes in the AOB community. Therefore, in the research, the impact of an SBR cycle mode with alternating aeration/ mixing conditions (7 h/1 h vs. 4 h/5.5 h) and volumetric exchange rate (n) on AOB abundance and diversity in activated sludge during the treatment of anaerobic sludge digester supernatant at limited oxygen concentration in the aeration stage (0.7 mg O2/l) was assessed. AOB diversity expressed by the Shannon-Wiener index (H') was determined by the cycle mode. At aeration/mixing stage lengths of 7 h/1 h, H' averaged 2.48 +/- 0.17, while at 4 h/ 5.5 h it was 2.35 +/- 0.16. At the given mode, AOB diversity decreased with increasing n. The cycle mode did not affect AOB abundance; however, a higher AOB abundance in activated sludge was promoted by decreasing the volumetric exchange rate. The sequences clustering with Nitrosospira sp. NpAV revealed the uniqueness of the AOB community and the simultaneously lower ability of adaptation of Nitrosospira sp. to the operational parameters applied in comparison with Nitrosomonas sp.

  12. Do existing research reactors teach us all about beam tube optimization?

    International Nuclear Information System (INIS)

    Roegler, Hans Joachim; Feltes, Wolfgang

    1998-01-01

    The contribution makes the attempt to analyse the data base available in the literature and in Siemens' own projects and to find out potential systematics from the existing research reactor with beam tubes, separated into reactors with different reflectors and distinguished for tangential and radial tubes and cold neutron sources, resp. Some generic calculations serve as gauging data. The contribution is not meant as critics on any design.The results might serve supporting designers and operators when evaluating the pros and cons of existing or planned design in terms of the optimum beam tubes. Existing lacks of systematics are evaluated in view of suitable explanations and constraints, which do not allow optimisation. Examples pf such constraints are the different material layers between fuel zone and reflector zone which have various reasons. The limited data in the literature plus the numerous lacks of precision of the representation of those data should be an incentive to improve the performed analysis by collecting more exact data and re-doing the evaluation before answering the title-question really. (author)

  13. Do existing research reactors teach us all about beam tube optimisation?

    International Nuclear Information System (INIS)

    Roegler, Hans-Joachim; Feltes, Wolfgang

    1998-01-01

    The contribution makes the attempt to analyse the data base available in the literature and in Siemens' own projects and to find out potential systematics from the existing research reactors with beam tubes, separated into reactors with different reflectors and distinguished for tangential and radial tubes and cold neutron sources, respectively some generic calculations serve as gauging data. The contribution is not meant as critics on any design. The results might serve supporting designers and operators when evaluating the pros and cons of existing or planned design in terms of the optimum beam tubes. Existing lacks of systematics are evaluated in view of suitable explanations and constraints, which do not allow optimisation. Examples of such constraints are the different material layers between fuel zone and reflector zone which have various reasons. The limited data in the literature plus the numerous lacks of precision of the representation of those data should be an incentive to improve the performed analysis by collecting more exact data and re-doing the evaluation before answering the title question really

  14. Singular continuous spectrum for palindromic Schroedinger operators

    International Nuclear Information System (INIS)

    Hof, A.; Knill, O.; Simon, B.

    1995-01-01

    We give new examples of discrete Schroedinger operators with potentials taking finitely many values that have purely singular continuous spectrum. If the hull X of the potential is strictly ergodic, then the existence of just one potential x in X for which the operator has no eigenvalues implies that there is a generic set in X for which the operator has purely singular continuous spectrum. A sufficient condition for the existence of such an x is that there is a z element of X that contains arbitrarily long palindromes. Thus we can define a large class of primitive substitutions for which the operators are purely singularly continuous for a generic subset in X. The class includes well-known substitutions like Fibonacci, Thue-Morse, Period Doubling, binary non-Pisot and ternary non-Pisot. We also show that the operator has no absolutely continuous spectrum for all x element of X if X derives from a primitive substitution. For potentials defined by circle maps, x n =l J (θ 0 +nα), we show that the operator has purely singular continuous spectrum for a generic subset in X for all irrational α and every half-open interval J. (orig.)

  15. [Case-control study on Chinese medicine fumigation and massage therapy for the treatment of knee stability and func tional recovery after anterior cruciate ligament reconstruction operation].

    Science.gov (United States)

    Min, Zhong-han; Zhou, Ying; Jing, Lin; Zhang, Hong-mei; Wang, Sheng; Chen, Wei-heng; Chen, Ping-quan

    2016-05-01

    To study clinical outcomes of Chinese medidine fumigation and massage therapy for the treatment of knee stability and functional recovery after anterior cruciate ligament reconstruction operation,and to explore the effect on tendon-bone healing. Total 50 patients were divided into two groups: the control group (normal rehabilitation therapy group),the treatment group (Chinese medicine fumigation and manipulation group). There were 25 patients in the control group, including 16 males and 9 females, who were treated with isometric muscle training, with the gradually enlarging amplitude of flexion and progressive loading of bearing training for knee recovery. There were 25 patients in the treatment group, including 15 males and 10 females,who were treated with the conventional rehabilitation therapy combined with Chinese medicine fumigation and massage therapy. The Chinese herbs named as Haitongpi decoction was steamed by a special equipment to fumigate the knee after operation; Based on the biomechanical parameters of the ligament reconstruction, the massage therapy was designed to control the degree of the knee flexion and release the adhesion for early recovery of knee functions. The Lysholm knee function evaluation system was used, and MRI examination was performed to measure the change in width of ligament tunnel in femur and tibia to evaluate the safety and stability of the treatment. Lysholm system showed that two groups both had improving results from the 1st month after operation to the 3rd month (treatment group, F=36.54, P0.05), indicating that Chinese rehabilitation therapy was a safety treatment without the influence on the loosing of tendon. Chinese medicine fumigation and massage therapy can early improve the knee function after the anterior cruciate ligament reconstruction operation without the disturbance of the knee stability.

  16. Results of operative treatment of avulsion fractures of the iliac crest apophysis in adolescents.

    Science.gov (United States)

    Li, Xigong; Xu, Sanzhong; Lin, Xiangjin; Wang, Quan; Pan, Jun

    2014-04-01

    Avulsion fracture of the iliac crest apophysis is a rare condition that commonly occurs in adolescent athletes. Conservative treatment for this injury can produce excellent functional outcomes. However, the rehabilitation process requires a rather long immobilisation period. This study aimed to evaluate the use of cannulated screws for fixation of avulsion fractures of iliac crest apophysis. Ten patients with avulsion fractures of iliac crest apophysis were treated by open reduction and internal fixation using cannulated screws. The mean age of patients was 14.6 years (range, 13-15 years). The mean intraoperative blood loss was 14.9 ml (range, 10-25 ml). The mean operative time was 40.3 min (range, 33-52 min). The mean follow-up period was 11.2 months (range, 6-20 months). At the 4-week follow-up, all patients returned to previously normal activity without pain and had no evidence of lower extremity muscle weakness. At the final follow-up, all patients resumed their athletic activity without any complications. Open reduction and internal fixation for the treatment of avulsion fracture of iliac crest apophysis can be recommended for patients requiring rapid rehabilitation. Copyright © 2013 Elsevier Ltd. All rights reserved.

  17. [Evaluation of Radiation Dose during Stent-graft Treatment Using a Hybrid Operating Room System].

    Science.gov (United States)

    Haga, Yoshihiro; Chida, Kouichi; Kaga, Yuji; Saitou, Kazuhisa; Arai, Takeshi; Suzuki, Shinichi; Iwaya, Yoshimi; Kumasaka, Eriko; Kataoka, Nozomi; Satou, Naoto; Abe, Mitsuya

    2015-12-01

    In recent years, aortic aneurysm treatment with stent graft grafting in the X-ray fluoroscopy is increasing. This is an endovascular therapy, because it is a treatment which includes the risk of radiation damage, having to deal with radiation damage, to know in advance is important. In this study, in order to grasp the trend of exposure stent graft implantation in a hybrid operating room (OR) system, focusing on clinical data (entrance skin dose and fluoroscopy time), was to count the total. In TEVAR and EVAR, fluoroscopy time became 13.40 ± 7.27 minutes, 23.67 ± 11.76 minutes, ESD became 0.87 ± 0.41 mGy, 1.11 ± 0.57 mGy. (fluoroscopy time of EVAR was 2.0 times than TEVAR. DAP of EVAR was 1.2 times than TEVAR.) When using the device, adapted lesions and usage are different. This means that care changes in exposure-related factors. In this study, exposure trends of the stent graft implantation was able to grasp. It can be a helpful way to reduce/optimize the radiation dose in a hybrid OR system.

  18. Evaluation of radiation dose during sent-graft treatment using a hybrid operating room system

    International Nuclear Information System (INIS)

    Haga, Yoshihiro; Kaga, Yuji; Chida, Koichi

    2015-01-01

    In recent years, aortic aneurysm treatment with stent graft grafting in the X-ray fluoroscopy is increasing. This is an endovascular therapy, because it is a treatment which includes the risk of radiation damage, having to deal with radiation damage, to know in advance is important. In this study, in order to grasp the trend of exposure stent graft implantation in a hybrid operating room (OR) system, focusing on clinical data (entrance skin dose and fluoroscopy time), was to count the total. In TEVAR and EVAR, fluoroscopy time became 13.40 ± 7.27 minutes, 23.67 ± 11.76 minutes, ESD became 0.87 ± 0.41 mGy, 1.11 ± 0.57 mGy. (fluoroscopy time of EVAR was 2.0 times than TEVAR. DAP of EVAR was 1.2 times than TEVAR). When using the device, adapted lesions and usage are different. This means that care changes in exposure-related factors. In this study, exposure trends of the stent graft implantation was able to grasp. It can be a helpful way to reduce/optimize the radiation dose in a hybrid OR system. (author)

  19. Ankle Fractures: The Operative Outcome

    Directory of Open Access Journals (Sweden)

    Ahmad Hafiz Z

    2011-03-01

    Full Text Available Ankle fractures are commonly seen in orthopaedic practice. This retrospective study of patients with ankle fractures who underwent surgical treatment in our institution from January 2000 to December 2003 was undertaken to analyze the common causes and patterns of ankle fractures; and the functional outcome of operative treatment for these fractures. Eighty patients were identified and reviewed. There were 65 male (81.3% and 15 female patients (18.7% with age ranging from 13 to 71 years old (mean, 32.3y. Common causes of ankle fractures were trauma (especially motor vehicle accidents, sports injuries and the osteoporotic bones in the elderly. Weber C (64.0% was the most common pattern of fracture at presentation. The most common operative treatment for ankle fractures was open reduction and internal fixation (73 patients, 91.2%. Excellent and good outcomes were achieved in 93.8% of cases when measured using the Olerud and Molander scoring system for foot and ankle. In conclusion, operative treatment for ankle fractures restores sufficient stability and allowed mobility of the ankle joint.

  20. Solar PV O&M Standards and Best Practices - Existing Gaps and Improvement Efforts

    Energy Technology Data Exchange (ETDEWEB)

    Klise, Geoffrey Taylor [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Balfour, John R. [High Performance PV, Phoenix, AZ (United States); Keating, T. J. [SunSpec Alliance, San Jose, CA (United States)

    2014-11-01

    As greater numbers of photovoltaic (PV) systems are being installed, operations & maintenance (O&M) activities will need to be performed to ensure the PV system is operating as designed over its useful lifetime. To mitigate risks to PV system availability and performance, standardized procedures for O&M activities are needed to ensure high reliability and long-term system bankability. Efforts are just getting underway to address the need for standard O&M procedures as PV gains a larger share of U.S. generation capacity. Due to the existing landscape of how and where PV is installed, including distributed generation from small and medium PV systems, as well as large, centralized utility-scale PV, O&M activities will require different levels of expertise and reporting, making standards even more important. This report summarizes recent efforts made by solar industry stakeholders to identify the existing standards and best practices applied to solar PV O&M activities, and determine the gaps that have yet to be, or are currently being addressed by industry.