WorldWideScience

Sample records for facilities construction appended

  1. Appendicitis

    Science.gov (United States)

    ... function. A blockage inside of the appendix causes appendicitis. The blockage leads to increased pressure, problems with ... to pass gas Low fever Not everyone with appendicitis has all these symptoms. Appendicitis is a medical ...

  2. Construction method for plant facility

    International Nuclear Information System (INIS)

    Ito, Arata; Hirono, Hideharu; Kyoda, Shigeru; Hanawa, Minoru; Sato, Hitoshi

    1998-01-01

    A caisson structure is disposed on a construction site for facilities of nuclear power plants. A digging work is performed below the caisson structure and, simultaneous with the digging work, a construction of a base, construction of plant facilities including a building and installation of plant facility are performed on the caisson structure. Then, the caisson structure is sank together with the structures on a base rock in association with the progress of the digging work and secured on the base rock. When securing them on the base rock, a groove is formed to the base rock along tuyere of the caisson structure so that the tuyere and a ceiling portion of the caisson structure are in direct contact with the base rock. Since the construction for the containing building conducted on the caisson structure is performed simultaneous with the digging work conducted below the caisson structure, the term required for the construction of the plant facilities can greatly reduced. (N.H.)

  3. Facility design, construction, and operation

    International Nuclear Information System (INIS)

    1995-04-01

    France has been disposing of low-level radioactive waste (LLW) at the Centre de Stockage de la Manche (CSM) since 1969 and now at the Centre de Stockage de l'Aube (CSA) since 1992. In France, several agencies and companies are involved in the development and implementation of LLW technology. The Commissariat a l'Energie Atomic (CEA), is responsible for research and development of new technologies. The Agence National pour la Gestion des Dechets Radioactifs is the agency responsible for the construction and operation of disposal facilities and for wastes acceptance for these facilities. Compagnie Generale des Matieres Nucleaires provides fuel services, including uranium enrichment, fuel fabrication, and fuel reprocessing, and is thus one generator of LLW. Societe pour les Techniques Nouvelles is an engineering company responsible for commercializing CEA waste management technology and for engineering and design support for the facilities. Numatec, Inc. is a US company representing these French companies and agencies in the US. In Task 1.1 of Numatec's contract with Martin Marietta Energy Systems, Numatec provides details on the design, construction and operation of the LLW disposal facilities at CSM and CSA. Lessons learned from operation of CSM and incorporated into the design, construction and operating procedures at CSA are identified and discussed. The process used by the French for identification, selection, and evaluation of disposal technologies is provided. Specifically, the decisionmaking process resulting in the change in disposal facility design for the CSA versus the CSM is discussed. This report provides' all of the basic information in these areas and reflects actual experience to date

  4. 42 CFR 136.110 - Facilities construction.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Facilities construction. 136.110 Section 136.110..., DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH Grants for Development, Construction, and Operation of Facilities and Services § 136.110 Facilities construction. In addition to other requirements of this subpart...

  5. Vacation appendicitis.

    Science.gov (United States)

    Redan, Jay A; Tempel, Michael B; Harrison, Shannon; Zhu, Xiang

    2013-01-01

    When someone plans a vacation, one of the last things taken into consideration is the possibility of contracting an illness while away. Unfortunately, if people develop abdominal pain while planning for a vacation, they usually proceed with the vacation and do not consider getting medical attention for their pain. The purpose of this study was to examine the effect of being on vacation and its association with ruptured appendicitis. From January 1, 2007 to December 31, 2008, the incidence of ruptured appendicitis cases at Florida Hospital-Celebration Health, located 5 miles from Walt Disney World, was compared with that of Florida Hospital-Orlando, approximately 30 miles away from Walt Disney World. We evaluated whether patients "on vacation" versus residents of Orlando have an increased incidence of ruptured appendicitis. Of patients treated for presumed appendicitis, 60.59% at Florida Hospital-Celebration Health had ruptured appendicitis during this time versus 20.42% at Florida Hospital-Orlando. Of those 266 patients seen at Florida Hospital-Celebration Health, 155 were on vacation versus only 21 at Florida Hospital-Orlando. Although there is not a direct cause and effect, it is clear that there is a higher incidence of ruptured appendicitis in patients on vacation versus in the regular community in the Orlando, Florida area.

  6. Construction of solid waste form test facility

    International Nuclear Information System (INIS)

    Park, Hyun Whee; Lee, Kang Moo; Koo, Jun Mo; Jung, In Ha; Lee, Jong Ryeul; Kim, Sung Whan; Bae, Sang Min; Cho, Kang Whon; Sung, Suk Jong

    1989-02-01

    The Solid Waste Form Test Facility (SWFTF) is now construction at DAEDUCK in Korea. In SWFTF, the characteristics of solidified waste products as radiological homogeneity, mechanical and thermal property, water resistance and lechability will be tested and evaluated to meet conditions for long-term storage or final disposal of wastes. The construction of solid waste form test facility has been started with finishing its design of a building and equipments in Sep. 1984, and now building construction is completed. Radioactive gas treatment system, extinguishers, cooling and heating system for the facility, electrical equipments, Master/Slave manipulator, power manipulator, lead glass and C.C.T.V. has also been installed. SWFTF will be established in the beginning of 1990's. At this report, radiation shielding door, nondestructive test of the wall, instrumentation system for the utility supply system and cell lighting system are described. (Author)

  7. The construction of irradiated material examination facility

    International Nuclear Information System (INIS)

    Ro, Seung Gy; Lee, Key Soon; Herr, Young Hoi

    1990-03-01

    A detail design of the examination process, the hot cell facility and the annexed facility of the irradiated material examination facility (IMEF) which will be utilized to examine and evaluate physical and mechanical properties of neutron-irradiated materials, has been performed. Also a start-up work of the underground structure construction has been launched out. The project management and tasks required for the license application were duly carried out. The resultant detail design data will be used for the next step. (author)

  8. Fabulous Facilities: New Constructions and Renovations.

    Science.gov (United States)

    American Libraries, 1997

    1997-01-01

    Renovation and construction projects in 18 public and academic libraries across the United States are showcased, with 23 photographs illustrating library interiors and exteriors. Discussion centers on architecture, costs, technology infrastructure and equipment, preservation of old facilities, furniture, and library functions. (AEF)

  9. Construction alternatives for free-standing facilities.

    Science.gov (United States)

    Brown, G

    1990-01-01

    Many hospitals are exploring free-standing facilities as an option for providing more efficient imaging services. Mr. Brown discusses the pros and cons of an emerging building technology, manufactured construction, in which building and site preparation are done simultaneously. He presents the criteria managers should use to make a knowledgeable decision.

  10. Financing Educational Facility Construction: Prevailing Wage Litigation.

    Science.gov (United States)

    Goldblatt, Steven M.; Wood, R. Craig

    This chapter presents an up-to-date analysis of prevailing state wage laws that affect educational facility construction or renovation and highlights relevant prevailing wage litigation in many states. Currently, 13 states have no prevailing wage laws for public works. The other 37 states and the District of Columbia do have prevailing wage laws…

  11. Construction of STACY (Static Experiment Critical Facility)

    International Nuclear Information System (INIS)

    Murakami, Kiyonobu; Onodera, Seiji; Hirose, Hideyuki

    1998-08-01

    Two critical assemblies, STACY (Static Experiment Critical Facility) and TRACY (Transient Experiment Critical Facility), were constructed in NUCEF (Nuclear Fuel Cycle Safety Engineering Research Facility) to promote researches on the criticality safety at a reprocessing facility. STACY aims at providing critical data of uranium nitrate solution, plutonium nitrate solution and their mixture while varying concentration of solution fuel, core tank shape and size and neutron reflecting condition. STACY achieved first criticality in February 1995, and passed the licensing inspection by STA (Science and Technology Agency of Japan) in May. After that a series of critical experiments commenced with 10 w/o enriched uranium solution. This report describes the outline of STACY at the end of FY 1996. (author)

  12. Acute Appendicitis

    DEFF Research Database (Denmark)

    Tind, Sofie; Qvist, Niels

    2017-01-01

    and treatment of AA it is important that the classifications are consistent. Furthermore, in the clinical settings, incorrect classification might lead to over diagnosing and a prolonged antibiotic treatment. The aim of our study was to investigate the concordance between perioperative diagnosis made......BACKGROUND: The classification of acute appendicitis (AA) into various grades is not consistent, partly because it is not clear whether the perioperative or the histological findings should be the foundation of the classification. When comparing results from the literature on the frequency...

  13. Budget estimates: Fiscal year 1994. Volume 2: Construction of facilities

    Science.gov (United States)

    1994-01-01

    The Construction of Facilities (CoF) appropriation provides contractual services for the repair, rehabilitation, and modification of existing facilities; the construction of new facilities and the acquisition of related collateral equipment; the acquisition or condemnation of real property; environmental compliance and restoration activities; the design of facilities projects; and advanced planning related to future facilities needs. Fiscal year 1994 budget estimates are broken down according to facility location of project and by purpose.

  14. A new adult appendicitis score improves diagnostic accuracy of acute appendicitis - a prospective study

    Science.gov (United States)

    2014-01-01

    Background The aim of the study was to construct a new scoring system for more accurate diagnostics of acute appendicitis. Applying the new score into clinical practice could reduce the need of potentially harmful diagnostic imaging. Methods This prospective study enrolled 829 adults presenting with clinical suspicion of appendicitis, including 392 (47%) patients with appendicitis. The collected data included clinical findings and symptoms together with laboratory tests (white cell count, neutrophil count and C-reactive protein), and the timing of the onset of symptoms. The score was constructed by logistic regression analysis using multiple imputations for missing values. Performance of the constructed score in patients with complete data (n = 725) was compared with Alvarado score and Appendicitis inflammatory response score. Results 343 (47%) of patients with complete data had appendicitis. 199 (58%) patients with appendicitis had score value at least 16 and were classified as high probability group with 93% specificity.Patients with score below 11 were classified as low probability of appendicitis. Only 4% of patients with appendicitis had a score below 11, and none of them had complicated appendicitis. In contrast, 207 (54%) of non-appendicitis patients had score below 11. There were no cases with complicated appendicitis in the low probability group. The area under ROC curve was significantly larger with the new score 0.882 (95% CI 0.858 – 0.906) compared with AUC of Alvarado score 0.790 (0.758 – 0.823) and Appendicitis inflammatory response score 0.810 (0.779 – 0.840). Conclusions The new diagnostic score is fast and accurate in categorizing patients with suspected appendicitis, and roughly halves the need of diagnostic imaging. PMID:24970111

  15. Appendicitis in Teens

    Science.gov (United States)

    ... Issues Listen Español Text Size Email Print Share Appendicitis in Teens Page Content Article Body Early adolescence ... it has no known function. Symptoms that Suggest Appendicitis may Include: Persistent abdominal pain that migrates from ...

  16. The Introduction of Adult Appendicitis Score Reduced Negative Appendectomy Rate.

    Science.gov (United States)

    Sammalkorpi, H E; Mentula, P; Savolainen, H; Leppäniemi, A

    2017-09-01

    Implementation of a clinical risk score into diagnostics of acute appendicitis may provide accurate diagnosis with selective use of imaging studies. The aim of this study was to prospectively validate recently described diagnostic scoring system, Adult Appendicitis Score, and evaluate its effects on negative appendectomy rate. Adult Appendicitis Score stratifies patients into three groups: high, intermediate, and low risk of appendicitis. The score was implemented in diagnostics of adult patients suspected of acute appendicitis in two university hospitals. We analyzed the effects of Adult Appendicitis Score on diagnostic accuracy, imaging studies, and treatment. The study population was compared with a reference population of 829 patients suspected of acute appendicitis originally enrolled for the study of construction of the Adult Appendicitis Score. This study enrolled 908 patients of whom 432 (48%) had appendicitis. The score stratified 49% of all appendicitis patients into high-risk group with specificity of 93.3%. In the low-risk group, prevalence of appendicitis was 7%. The histologically confirmed negative appendectomy rate decreased from 18.2% to 8.7%, pAppendicitis Score is a reliable tool for stratification of patients into selective imaging, which results in low negative appendectomy rate.

  17. Imaging of appendicitis

    Directory of Open Access Journals (Sweden)

    Himal Gajjar

    2008-03-01

    Full Text Available Appendicitis is one of the commonest causes of abdominal pain requiring surgery. Early diagnosis and management are essential to reduce morbidity and mortality. Imaging is valuable in the diagnosis of cases that are clinically atypical. Imaging also allows evaluation of the complications of appendicitis. In certain circumstances, conservative treatment of complicated appendicitis with percutaneous drainage is appropriate.

  18. Construction Cost Growth for New Department of Energy Nuclear Facilities

    Energy Technology Data Exchange (ETDEWEB)

    Kubic, Jr., William L. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2014-05-25

    Cost growth and construction delays are problems that plague many large construction projects including the construction of new Department of Energy (DOE) nuclear facilities. A study was conducted to evaluate cost growth of large DOE construction projects. The purpose of the study was to compile relevant data, consider the possible causes of cost growth, and recommend measures that could be used to avoid extreme cost growth in the future. Both large DOE and non-DOE construction projects were considered in this study. With the exception of Chemical and Metallurgical Research Building Replacement Project (CMRR) and the Mixed Oxide Fuel Fabrication Facility (MFFF), cost growth for DOE Nuclear facilities is comparable to the growth experienced in other mega construction projects. The largest increase in estimated cost was found to occur between early cost estimates and establishing the project baseline during detailed design. Once the project baseline was established, cost growth for DOE nuclear facilities was modest compared to non-DOE mega projects.

  19. Enhancing quality of construction on nuclear facilities

    International Nuclear Information System (INIS)

    Buchert, K.P.

    1984-01-01

    From the author's viewpoint and the viewpoint of others, the quality of construction on both nuclear projects and many other non-nuclear projects has decreased. The trend toward recent QA and QC methods of contractors doing their own inspection has not only tended to reduce the quality of construction, but also has discouraged qualified inspectors from accepting positions where this type of QA and QC is practiced. In addition, the methods have decreased the desired interaction between design engineers and construction management. The paper contains detailed recommendations on how the quality of construction can be enhanced on nuclear projects. It is also shown that construction quality must be obtained by different methods than those used to obtain manufacturing quality

  20. Progress on Radioactive Waste Treatment Facilities Construction

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    In 2011, five projects were undertaken by radioactive waste projects management department, which are "Cold Commissioning of the Pilot Project on Radioactive Waste Retrieval and Conditioning (abbreviation 'Pilot Project')", "Radioactive Ventilation Project Construction (abbreviation 'Ventilation

  1. Indigenous Construction Materials for Theater Facilities

    Science.gov (United States)

    2013-09-01

    is shown as a step-by-step plan in Figure 1. ERDC TR-13-13 5 Figure 1. Infrastructure planning. The pyramid can be initially divided into two...disadvantages in terms of constructability, structural integrity, environmental impact, and sociocultural impacts. The lower portions of the pyramid ...United States or the Nile in Sudan and Egypt ) is vital to the local economy and can provide a means for transport- ing such construction materials

  2. Construction Management for Conventional Facilities of Proton Accelerator

    International Nuclear Information System (INIS)

    Kim, Jun Yeon; Cho, Jang Hyung; Cho, Sung Won

    2013-01-01

    Proton Engineering Frontier Project, puts its aim to building 100MeV 20mA linear proton accelerator which is national facility for NT, BT, IT, and future technologies, expected to boost up the national industry competitiveness. This R and D, Construction Management is in charge of the supportive works such as site selection, architecture and engineering of conventional facilities, and overall construction management. The major goals of this work are as follows: At first, architecture and engineering of conventional facilities. Second, construction management, supervision and inspection on construction of conventional facilities. Lastly, cooperation with the project host organization, Gyeongju city, for adjusting technically interrelated work during construction. In this research, We completed the basic, detail, and field changed design of conventional facilities. Acquisition of necessary construction and atomic license, radiation safety analysis, site improvement, access road construction were successfully done as well. Also, we participated in the project host related work as follows: Project host organization and site selection, construction technical work for project host organization and procedure management, etc. Consequently, we so fulfilled all of the own goals which were set up in the beginning of this construction project that we could made contribution for installing and running PEFP's developed 100MeV 20mA linear accelerator

  3. Construction Management for Conventional Facilities of Proton Accelerator

    International Nuclear Information System (INIS)

    Kim, Jun Yeon; Cho, Jin Sam; Lee, Jae Sang

    2008-05-01

    Proton Engineering Frontier Project, puts its aim to building 100MeV 20mA linear proton accelerator which is national facility for NT, BT, IT, and future technologies, expected to boost up the national industry competitiveness. This R and D, Construction Management is in charge of the supportive works as site selection, architecture and engineering of conventional facilities, and overall construction management. The major goals of this work are as follows: At first, architecture and engineering of conventional facilities. Second, construction management, audit and inspection on construction of conventional facilities. Lastly, cooperation with the project host organization for adjusting technical issues of overall construction. In this research, We reviewed the basic design and made a detail design of conventional facilities. Preparation for construction license, site improvement and access road construction is fulfilled. Also, we made the technical support for project host as follows : selection of project host organization and host site selection, construction technical work for project host organization and procedure management

  4. STACY and TRACY: nuclear criticality experimental facilities under construction

    International Nuclear Information System (INIS)

    Kobayashi, I.; Takeshita, I.; Yanagisawa, H.; Tsujino, T.

    1992-01-01

    Japan Atomic Energy Research Institute is constructing a Nuclear Fuel Cycle Safety Engineering Research Facility, NUCEF, where the following research themes essential for evaluating safety problems relating to back-end technology in nuclear fuel cycle facilities will be studied: nuclear criticality safety research; research on advanced reprocessing processes and partitioning; and research on transuranic waste treatment and disposal. To perform nuclear criticality safety research related to the reprocessing of light water reactor spent fuels, two criticality experimental facilities, STACY and TRACY, are under construction. STACY (Static Criticality Facility) will be used for the study of criticality conditions of solution fuels, uranium, plutonium and their mixtures. TRACY (Transient Criticality Facility) will be used to investigate criticality accident phenomena with uranium solutions. The construction progress and experimental programmes are described in this Paper. (author)

  5. Construction of calibration pads facility, Walker Field, Grand Junction, Colorado

    International Nuclear Information System (INIS)

    Ward, D.L.

    1978-08-01

    A gamma-ray spectrometer facility was completed at Walker Field Airport, Grand Junction, Colorado, in November 1976. This report describes spectrometers and their calibration, the construction of the spectrometer facility, the radioelement concentrations, procedures for using the facilites, and environmental considerations

  6. Use and construction of new facilities

    International Nuclear Information System (INIS)

    Anttila, K.

    1972-01-01

    In 1971 a vertical beam tube was constructed to increase possibilities in using the FiR1 reactor, especially in taking neutron radiographs. The most suitable location for the beam tube was found on top of the radial graphite reflector near the end of the thermal column. The constructional details of the vertical beam tube are given. Neutron radiography pictures has been taken at the FiR 1 reactor using neutron beams from the thermal column, radial beam tube and from the vertical beam tube. In order to reveal dynamic phenomena inside various objects a neutron- TV - system was built. The most important areas of using neutron radiography have until now been the inspection of some special industrial devices and the radiography of radioactive fuel elements. Several other and perhaps new applications for this kind of research were also found e.g. the research of solidification of metal alloys; diffusion of moisture in concrete; icing of an automobile carburettor; paths of liquid gasoline and the effect of various additives in gasoline preventing icing; and brazed joints between metals. The Monte Carlo calculations of the new cold neutron source, which is now under construction at the FiR1 are presented

  7. Design and construction of the Fuels and Materials Examination Facility

    International Nuclear Information System (INIS)

    Burgess, C.A.

    1979-01-01

    Final design is more than 85 percent complete on the Fuels and Materials Examination Facility, the facility for post-irradiation examination of the fuels and materials tests irradiated in the FFTF and for fuel process development, experimental test pin fabrication and supporting storage, assay, and analytical chemistry functions. The overall facility is generally described with specific information given on some of the design features. Construction has been initiated and more than 10% of the construction contracts have been awarded on a fixed price basis

  8. The construction of solid waste form test facility

    International Nuclear Information System (INIS)

    Park, Hun Hwee; Kim, Joon Hyung; Lee, Byung Jik; Koo, Jun Mo; Kim, Jeong Guk; Jung, In Ha

    1990-03-01

    The solid waste form test facility (SWFTF) to test and/or evaluate the characteristics of waste forms, such as homogeniety, mechanical properties, thermal properties, waste resistance and leachability, have been constructed, and some equipments for testing actual waste forms has been purchased; radiocative monitoring system, glove box for the manipulator repair room, and uninteruppted power supply system, et al. Classifications of radioactive wastes, basic requirements and criteria to be considered during waste management were also reviewed. Some of the described items above have been standardized for the purpose of indigenigation. Therefore, safety assurance of waste forms, as well as increase in the range of participating of domestic companies in construction of further nuclear facilities could be obtained as results through constructing this facility. In the furture this facility is going to be utilized not only for the inspection of waste forms but also for the periodic decontamination for extending the life time of some expensive radiological equipments using remote handling techniques. (author)

  9. Design ampersand construction innovations of the defense waste processing facility

    International Nuclear Information System (INIS)

    McKibben, J.M.; Pair, C.R.; Bethmann, H.K.

    1990-01-01

    Construction of the Defense Waste Processing Facility (DWPF) at the Savannah River Site (SRS) is essentially complete. The facility is designed to convert high-level radioactive waste, now contained in large steel tanks as aqueous salts and sludge, into solid borosilicate glass in stainless steel canisters. All processing of the radioactive material and operations in a radioactive environment will be done remotely. The stringent requirements dictated by remote operation and new approaches to the glassification process led to the development of a number of first-of-a-kind pieces of equipment, new construction fabrication and erection techniques, and new applications of old techniques. The design features and construction methods used in the vitrification building and its equipment were to accomplish the objective of providing a state-of-the-art vitrification facility. 3 refs., 10 figs

  10. Appendicitis with Intraluminal Air

    International Nuclear Information System (INIS)

    Fernandez, Alfredo; Ramirez, Sandra M; Rodriguez, Cesar A; Uriza, Luis F

    2010-01-01

    The presentation of acute appendicitis with intraluminal air is an uncommon presentation. Ultrasound is a widely used and accepted to establish the diagnosis of appendicitis, but its performance is limited in situations where there is interposition of air. Inflamed appendix which presents with distension by gas can be source of error in ultrasound to establish a false negative diagnosis. In this article we present three patients with appendicitis where the interposition of intraluminal air hid their diagnostic by ultrasound. In all three cases the definitive diagnosis was established by computed tomography and surgical confirmation.

  11. Strategies for healthcare facilities, construction, and real estate management.

    Science.gov (United States)

    Lee, James G

    2012-05-01

    Adventist HealthCare offers the following lessons learned in improving the value of healthcare facilities, construction, and real estate management: Use an integrated approach. Ensure that the objectives of the approach align the hospital or health system's mission and values. Embrace innovation. Develop a plan that applies to the whole organization, rather than specific business units. Ensure commitment of senior leaders.

  12. Construction and initial operation of the Advanced Toroidal Facility

    International Nuclear Information System (INIS)

    Bell, G.L.; Bell, J.D.; Benson, R.D.

    1989-08-01

    The Advanced Toroidal Facility (ATF) torsatron was designed on a physics basis for access to the second stability regime and on an engineering basis for independent fabrication of high-accuracy components. The actual construction, assembly, and initial operation of ATF are compared with the characteristics expected during the design of ATF. 31 refs., 19 figs., 2 tabs

  13. 7 CFR 3015.16 - Construction and facility improvement.

    Science.gov (United States)

    2010-01-01

    ... subgrant. (b) Bids and contracts or subcontracts of $100,000 or less. Unless otherwise required by law, the... payment bonds. (c) Bids and contracts or subcontracts exceeding $100,000. Unless otherwise required by law... § 3015.16 Construction and facility improvement. (a) Scope. This section covers requirements for bid...

  14. Air quality impacts due to construction of LWR waste management facilities

    International Nuclear Information System (INIS)

    1977-06-01

    Air quality impacts of construction activities and induced housing growth as a result of construction activities were evaluated for four possible facilities in the LWR fuel cycle: a fuel reprocessing facility, fuel storage facility, fuel fabrication plant, and a nuclear power plant. Since the fuel reprocessing facility would require the largest labor force, the impacts of construction of that facility were evaluated in detail

  15. NIF conventional facilities construction health and safety plan

    International Nuclear Information System (INIS)

    Benjamin, D W

    1998-01-01

    The purpose of this Plan is to outline the minimum health and safety requirements to which all participating Lawrence Livermore National Laboratory (LLNL) and non-LLNL employees (excluding National Ignition Facility [NIF] specific contractors and subcontractors covered under the construction subcontract packages (e.g., CSP-9)-see Construction Safety Program for the National Ignition Facility [CSP] Section I.B. ''NIF Construction Contractors and Subcontractors'' for specifics) shall adhere to for preventing job-related injuries and illnesses during Conventional Facilities construction activities at the NIF Project. For the purpose of this Plan, the term ''LLNL and non-LLNL employees'' includes LLNL employees, LLNL Plant Operations staff and their contractors, supplemental labor, contract labor, labor-only contractors, vendors, DOE representatives, personnel matrixed/assigned from other National Laboratories, participating guests, and others such as visitors, students, consultants etc., performing on-site work or services in support of the NIF Project. Based upon an activity level determination explained in Section 1.2.18, in this document, these organizations or individuals may be required by site management to prepare their own NIF site-specific safety plan. LLNL employees will normally not be expected to prepare a site-specific safety plan. This Plan also outlines job-specific exposures and construction site safety activities with which LLNL and non-LLNL employees shall comply

  16. Construction of the two-phase critical flow test facility

    International Nuclear Information System (INIS)

    Chung, C. H.; Chang, S. K.; Park, H. S.; Min, K. H.; Choi, N. H.; Kim, C. H.; Lee, S. H.; Kim, H. C.; Chang, M. H.

    2002-03-01

    The two-phase critical test loop facility has been constructed in the KAERI engineering laboratory for the simulation of small break loss of coolant accident entrained with non-condensible gas of SMART. The test facility can operate at 12 MPa of pressure and 0 to 60 C of sub-cooling with 0.5 kg/s of non- condensible gas injection into break flow, and simulate up to 20 mm of pipe break. Main components of the test facility were arranged such that the pressure vessel containing coolant, a test section simulating break and a suppression tank inter-connected with pipings were installed vertically. As quick opening valve opens, high pressure/temperature coolant flows through the test section forming critical two-phase flow into the suppression tank. The pressure vessel was connected to two high pressure N2 gas tanks through a control valve to control pressure in the pressure vessel. Another N2 gas tank was also connected to the test section for the non-condensible gas injection. The test facility operation was performed on computers supported with PLC systems installed in the control room, and test data such as temperature, break flow rate, pressure drop across test section, gas injection flow rate were all together gathered in the data acquisition system for further data analysis. This test facility was classified as a safety related high pressure gas facility in law. Thus the loop design documentation was reviewed, and inspected during construction of the test loop by the regulatory body. And the regulatory body issued permission for the operation of the test facility

  17. Design and Construction of a Hydroturbine Test Facility

    Science.gov (United States)

    Ayli, Ece; Kavurmaci, Berat; Cetinturk, Huseyin; Kaplan, Alper; Celebioglu, Kutay; Aradag, Selin; Tascioglu, Yigit; ETU Hydro Research Center Team

    2014-11-01

    Hydropower is one of the clean, renewable, flexible and efficient energy resources. Most of the developing countries invest on this cost-effective energy source. Hydroturbines for hydroelectric power plants are tailor-made. Each turbine is designed and constructed according to the properties, namely the head and flow rate values of the specific water source. Therefore, a center (ETU Hydro-Center for Hydro Energy Research) for the design, manufacturing and performance tests of hydraulic turbines is established at TOBB University of Economics and Technology to promote research in this area. CFD aided hydraulic and structural design, geometry optimization, manufacturing and performance tests of hydraulic turbines are the areas of expertise of this center. In this paper, technical details of the design and construction of this one of a kind test facility in Turkey, is explained. All the necessary standards of IEC (International Electrotechnical Commission) are met since the test facility will act as a certificated test center for hydraulic turbines.

  18. Design and construction of a fast critical facility

    International Nuclear Information System (INIS)

    Kato, W.Y.; Dates, L.R.

    1962-01-01

    Design and construction of a fast critical facility. In a fast-power-reactor development programme, a critical facility is found to be a highly useful tool to ascertain calculational techniques, to verify neutron cross-section sets, and to obtain integral reactor-physics parameters necessary for the nuclear design of a power system. Since it is primarily a physics instrument, the design of a fast critical facility itself poses a number of different problems not found in the design of a power reactor. In addition to usual questions of site, containment, core design and instrumentation , there arise such problems as: how to obtain a large degree of flexibility consistent with safety, the determination of the size and type of facility to meet the experimental physics requirements, the determination of the number and location of control and safety rods minimizing perturbation effects and the specification of the reproducibility of control rods and other movable components to obtain the accuracy required in reactivity measurements. These are some of the problems which are discussed in this paper based on recent experience at the Argonne National Laboratory which has under construction a fast critical facility, ZPR-VI at its Lemont, Illinois site for fast-reactor-physics studies. The ZPR-VI is a movable half- or split-table-type machine similar to ZPR-III. It has a matrix about two and a half times the volume of the earlier machine and will be used to investigate the physics of large, highly dilute, metal and cermet, unmoderated and partially moderated systems having core volumes up to about 1500 l. A detailed description of the ZPR-VI with a discussion on the criteria used in the design of its various components from the point of view of reactor physics is presented. In addition, such topics as management and operating procedures, potential hazards during operation, experimental techniques to be used and construction costs are also included. (author) [fr

  19. Construction plan of ion irradiation facility in JAERI

    International Nuclear Information System (INIS)

    Tanaka, Ryuichi

    1987-01-01

    The Takasaki Radiation Chemistry Research Establishment of Japan Atomic Energy Research Institute (JAERI) started the construction of an ion irradiation facility to apply ion beam to the research and development of radiation resistant materials for severe environment, the research on biotechnology and new functional materials. This project was planned as ion beam irradiation becomes an effective means for the research on fundamental physics and advanced technology, and the national guideline recently emphasizes the basic and pioneering field in research and development. This facility comprises an AVF cyclotron with an ECR ion source (maximum proton energy: 90 MeV), a 3 MV tandem accelerator, a 3 MV single end type Van de Graaf accelerator and a 400 kV ion implanter. In this report, the present status of planning the accelerators and the facility to be constructed, the outline of research plan, the features of the accelerators, and the beam characteristics are described. In this project, the research items are divided into the materials for space environment, the materials for nuclear fusion reactors, biotechnology, new functional materials, and ion beam technology. The ion beams required for the facility are microbeam, pulsed beam, multiple beam, neutron beam and an expanded irradiation field. (Kako, I.)

  20. Construction and Commissioning of PAL-XFEL Facility

    Directory of Open Access Journals (Sweden)

    In Soo Ko

    2017-05-01

    Full Text Available The construction of Pohang Accelerator Laboratory X-ray Free-Electron Laser (PAL-XFEL, a 0.1-nm hard X-ray free-electron laser (FEL facility based on a 10-GeV S-band linear accelerator (LINAC, is achieved in Pohang, Korea by the end of 2016. The construction of the 1.11 km-long building was completed by the end of 2014, and the installation of the 10-GeV LINAC and undulators started in January 2015. The installation of the 10-GeV LINAC, together with the undulators and beamlines, was completed by the end of 2015. The commissioning began in April 2016, and the first lasing of the hard X-ray FEL line was achieved on 14 June 2016. The progress of the PAL-XFEL construction and its commission are reported here.

  1. CT Diagnosis of Appendicitis

    Directory of Open Access Journals (Sweden)

    Christopher Libby

    2017-01-01

    Full Text Available History of present illness: A 19-year-old male with no previous medical history presented with 7/10 non-radiating, constant, sharp, periumbilical pain associated with nausea, and four episodes of vomiting. He was seen at urgent care where his labs showed a WBC of 16,000/mcL. He was subsequently sent to the emergency department (ED for concern of appendicitis. Of note, his pain worsened with bumps during the drive to the ED. After arriving to the ED the pain migrated to the right lower quadrant. Computed tomography (CT revealed acute appendicitis and the patient was admitted to the surgery service and taken to the operating room (OR for an appendectomy. Significant findings: The CT abdomen/pelvis with IV contrast shows a dilated appendix (see red outline with thickened, hyperenhancing wall (see blue outline best visualized in the axial and coronal planes. Discussion: Appendicitis is a common diagnosis in the emergency department in patients presenting with abdominal pain, occurring most frequently in young adults with a peak incidence in those aged 10-19.1 Failure to quickly diagnose acute appendicitis can result in perforation rates as high as 80 percent.2 While the diagnosis of appendicitis can be made clinically, CT is a non-invasive modality that improves the detection of appendicitis with sensitivities of 88–100%, specificities of 91–99%, positive predictive values of 92–98%, negative predictive values of 95–100%, and accuracies of 94–98%.3-8 The major advantage of CT over both clinical exam and ultrasound is the ability of the radiologist to exclude acute appendicitis if the appendix appears normal. However, CT carries the risks associated with ionizing radiation. While previously there was some debate on the best choice for type of CT scan and use of IV and oral contrast, recent studies have shown that CT abdomen/pelvis with IV contrast alone is sufficient for diagnosis of appendicitis.9, 10

  2. Managing risks during the construction of a power generation facility

    International Nuclear Information System (INIS)

    Loulakis, M.C.

    1992-01-01

    The construction of a power generation facility is a substantial undertaking that involves considerable risks to all parties involved. While contractors are accustomed to dealing with risks, construction owners are typically more naive about not only the risks they are assuming in the construction of a project, but also about the role they play on the project itself. Owners and developers of power facilities must understand at the outset that their role during the construction of a project is as integral to the success of the project as that of the designer and contractor. In addition, owners should also understand that there are virtually no risks on a construction project that cannot be shifted among the contracting parties as part of the business deal. Consequently, an owner may contractually be assuming the risks of (1) unusually severe weather, (2) unexpected subsurface conditions, (3) strikes at the turbine supplier's plant or (4) changes in law - as well as the increases in price and delays to project completion associated with such risks. In light of this, a prudent owner will evaluate more than just whether there is sufficient financing to complete the construction of a contemplated project. Prudent owners will conduct a risk management review of the project structure and the contracting terms, with the primary focus being (1) the identification and analysis of the most significant risks faced, (2) a determination of how such risks can be either mitigated or eliminated, and (3) the assessment of the financial exposure to the owner should the potential risk become a reality. This paper will present the framework that owners and developers of power generation projects can use in undertaking such a risk management review

  3. MRI in suspected appendicitis

    NARCIS (Netherlands)

    Leeuwenburgh, M.M.N.

    2014-01-01

    Dit proefschrift richt zich op de optimalisatie van beeldvormende diagnostiek bij patiënten met een klinische verdenking op appendicitis, waarbij het gebruik van ‘magnetic resonance imaging’ (MRI) wordt verkend. Het proefschrift omvat de resultaten van de OPTIMAP-studie (OPTimisation of IMaging

  4. Construction and engineering report for advanced nuclear fuel development facility

    International Nuclear Information System (INIS)

    Cho, S. W.; Park, J. S.; Kwon, S.J.; Lee, K. W.; Kim, I. J.; Yu, C. H.

    2003-09-01

    The design and construction of the fuel technology development facility was aimed to accommodate general nuclear fuel research and development for the HANARO fuel fabrication and advanced fuel researches. 1. Building size and room function 1) Building total area : approx. 3,618m 2 , basement 1st floor, ground 3th floor 2) Room function : basement floor(machine room, electrical room, radioactive waste tank room), 1st floor(research reactor fuel fabrication facility, pyroprocess lab., metal fuel lab., nondestructive lab., pellet processing lab., access control room, sintering lab., etc), 2nd floor(thermal properties measurement lab., pellet characterization lab., powder analysis lab., microstructure analysis lab., etc), 3rd floor(AHU and ACU Room) 2. Special facility equipment 1) Environmental pollution protection equipment : ACU(2sets), 2) Emergency operating system : diesel generator(1set), 3) Nuclear material handle, storage and transport system : overhead crane(3sets), monorail hoist(1set), jib crane(2sets), tank(1set) 4) Air conditioning unit facility : AHU(3sets), packaged air conditioning unit(5sets), 5) Automatic control system and fire protection system : central control equipment(1set), lon device(1set), fire hose cabinet(3sets), fire pump(3sets) etc

  5. Hydronephrosis in acute uncomplicated appendicitis.

    Science.gov (United States)

    Schok, T; Austen, S; Lewicz, R B C B; van der Zande, F H R; Peters, N A L R; Janzing, H M J

    2015-01-01

    Right-sided hydronephrosis as a sign of appendicitis occurs rarely in the literature. To our knowledge, this is the first published account of the occurrence of right-sided hydronephrosis as a result of uncomplicated appendicitis. We describe a 15 year old patient referred to the emergency department with suspected appendicitis. Additional ultrasound examination showed a right-sided hydronephrosis. This finding was discussed with the urologist who noted the hydronephrosis as a chance finding. Because of persistent clinical suspicion of appendicitis, a diagnostic laparoscopy was performed. A retrocaecal appendicitis with secondary hydronephrosis was found. Right-sided hydronephrosis may be a sign of acute uncomplicated (retrocaecal) appendicitis. It is important to keep sight of these findings, especially in view of the emphasis on imaging techniques in the current Dutch guideline on appendicitis. Copyright© Acta Chirurgica Belgica.

  6. Imaging diagnosis of acute appendicitis

    International Nuclear Information System (INIS)

    Vovc, Virgiliu

    2012-01-01

    The nontraumatic acute abdomen is one of the most common presentation to the emergency room, with appendicitis being one of the most common causes of the acute abdomen. Up to 30 % of patients suspected of having acute appendicitis will present with atypical signs and symptoms. There are many conditions that imitate acute appendicitis. The percentage of unnecessary appendectomies that result from a clinical false-positive diagnosis of appendicitis. The use of computed tomography (CT) before planned surgery has decreased the negative appendicectomy rate for patients with suspected acute appendicitis. Recognition of the typical and atypical CT signs of appendicitis is important to optimize the diagnosis yield of the examination. Visualization of an appendix with normal characteristics is the most important finding to exclude appendicitis. (author)

  7. Construction of JRR-3 spent fuel dry storage facility

    International Nuclear Information System (INIS)

    Adachi, M.

    1982-01-01

    To store the JRR-3 metallic natural uranium spent fuel elements, dry storage facility has been constructed in JAERI. This facility has a capacity of about 30T of uranium. The elements are placed in encapsulated canister, then stored in drywell in the store. The store is basically an ordinary concrete box, about 12m long, 13m wide, and 5m deep. The store comprises a 10 x 10 lattice array of the drywells. The drywell consists of a stainless steel liner which is 2.5m deep, 36cm ID and 0.8cm thickness. A drywell also has an air inlet, outlet pipe for radiation monitoring and a shield plug in carbon steel for radiation protection. A canister which consists of stainless steel with 0.5cm thickness contains 36 elements. Sealing of the canister is accomplished by fusion welding

  8. IAEA Guidance for Safeguards Implementation in Facility Design and Construction

    International Nuclear Information System (INIS)

    Sprinkle, J.; Hamilton, A.; Poirier, S.; Catton, A.; Ciuculescu, C.; Ingegneri, M.; Plenteda, R.

    2015-01-01

    One of the IAEA's statutory objectives is to seek to accelerate and enlarge the contribution of nuclear energy to peace, health and prosperity throughout the world. One way the IAEA works to achieve this objective is through the publication of technical series that can provide guidance to Member States. These series include the IAEA Services Series, the IAEA Safety Standard Series, the IAEA Nuclear Security Series and the IAEA Nuclear Energy Series. The Nuclear Energy Series is comprised of publications designed to encourage and assist research and development on, and practical application of, nuclear energy for peaceful purposes. This includes guidance to be used by owners and operators of utilities, academia, vendors and government officials. The IAEA has chosen the Nuclear Energy Series to publish guidance for States regarding the consideration of safeguards in nuclear facility design and construction. Historically, safeguards were often applied after a facility was designed or maybe even after it was built. However, many in the design and construction community would prefer to include consideration of these requirements from the conceptual design phase in order to reduce the need for retro-fits and modifications. One can then also take advantage of possible synergies between safeguards, security, safety and environmental protection and reduce the project risk against cost increments and schedule slippage. The IAEA is responding to this interest with a suite of publications in the IAEA Nuclear Energy Series, developed with the assistance of a number of Member State Support Programmes through a joint support programme task: · International Safeguards in Nuclear Facility Design and Construction (NP-T-2.8, 2013), · International Safeguards in the Design of Nuclear Reactors (NP-T-2.9, 2014), · International Safeguards in the Design of Spent Fuel Management (NF-T-3.1, tbd), · International Safeguards in the Design of Fuel Fabrication Plants (NF-T-4.7, tbd

  9. Methods and techniques for decontamination design and construction of facilities

    International Nuclear Information System (INIS)

    Augustin, X.; Cohen, S.

    1986-01-01

    TECHNICATOME and STMI have jointly solved a wide range of problems specific to decontamination from the very design studies up to operation. TECHNICATOME has brought its expertise in the design and construction of nuclear facilities concerned in particular with decontamination and radwaste management. STMI is an experienced operator with expertise in designing tools and developing advanced techniques in the same fields. The expertise of both companies in this field cumulated for many years has resulted in developing techniques and tools adapted to most of the decontamination problems including specific cases [fr

  10. Construction of a Solid State Research Facility, Building 3150

    International Nuclear Information System (INIS)

    1993-07-01

    The Department of Energy (DOE) proposes to construct a new facility to house the Materials Synthesis Group (MSG) and the Semiconductor Physics Group (SPG) of the Solid State Division, Oak Ridge National Laboratory (ORNL). The location of the proposed action is Roane County, Tennessee. MSG is involved in the study of crystal growth and the preparation and characterization of advanced materials, such as high-temperature superconductors, while SPG is involved in semiconductor physics research. All MSG and a major pardon of SPG research activities are now conducted in Building 2000, a deteriorating structure constructed in the 1940. The physical deterioration of the roof; the heating, ventilation, and air conditioning (HVAC) system; and the plumbing make this building inadequate for supporting research activities. The proposed project is needed to provide laboratory and office space for MSG and SPG and to ensure that research activities can continue without interruption due to deficiencies in the building and its associated utility systems

  11. Summarisation of construction and commissioning experience for nuclear power integrated test facility

    International Nuclear Information System (INIS)

    Xiao Zejun; Jia Dounan; Jiang Xulun; Chen Bingde

    2003-01-01

    Since the foundation of Nuclear Power Institute of China, it has successively designed various engineering experimental facilities, and constructed nuclear power experimental research base, and accumulated rich construction experiences of nuclear power integrated test facility. The author presents experience on design, construction and commissioning of nuclear power integrated test facility

  12. Construction, characteristics and present status of high-fluence irradiation facility at University of Tokyo

    International Nuclear Information System (INIS)

    Tabata, Yoneho; Kobayashi, Hitoshi; Tagawa, Seiichi; Kouchi, Noriyuki.

    1989-01-01

    New ion accelerator facility (HIT Facility) was constructed at Research Center for Nuclear Science and Technology, University of Tokyo. This facility, which was equipped with some special apparatus, has been mainly dedicated to the study of radiation effects of ion beams on materials. In this report, the construction, the characteristics and the present status of this facility are described. (author)

  13. Constructing the Exploratory Studies Facility at Yucca Mountain

    International Nuclear Information System (INIS)

    Kalia, H.N.; Replogle, J.M.

    1996-01-01

    Yucca Mountain Site Characterization Office of the US Department of Energy (DOE) is constructing an underground Exploratory Studies Facility (ESF), approximately 160 km (100 miles) northwest of Las Vegas, Nevada. This facility is being used to obtain geological, hydrological, geomechanical, thermomechanical and geochemical information to characterize, Yucca Mountain as a potential site to isolate High-Level Radioactive Waste from the accessible environment. The ESF, when completed, will consist of two ramps from surface (North and South ramp) to the potential repository horizon formations, a drift connecting the two ramps, test alcoves, and above and below ground operational support facilities. The ramps and connecting drift are being mined by a 7.62 m (25 ft) diameter, fully shielded, Tunnel Boring Machine (TBM). This paper describes the current status of the construction of the ESF and test alcoves. At the time of this writing, the following has been accomplished: North Ramp excavation is complete; four test alcoves have been excavated and are in use for scientific experiments; the excavation has reached the potential repository horizon; the drift connecting the two ramps is being excavated, and the excavation of a test alcove for thermal testing is in progress. The mining operations are ahead of schedule, and to date March 26, 1996, the TBM has excavated over 4623 m(15,160 ft.) without any major breakdowns or accidents. The average advance for a three shift (two mining shifts) production day has been 33.46 m (110 ft.). Maximum advance for a week was 218.3 m (716 ft.). An Alpine Miner (AM 75) roadheader is being used to excavate test alcoves. The major ground support system consists of Supper Swellex rock bolts, steel sets as required, Williams rock bolts and channels, and welded wire fabric. Various sections of the tunnel have been instrumented, and the entire excavation has been geologically mapped. To date, the site conditions have been those predicted

  14. The Heidelberg Appendicitis Score Predicts Perforated Appendicitis in Children.

    Science.gov (United States)

    Boettcher, Michael; Günther, Patrick; Breil, Thomas

    2017-10-01

    In the future, surgical management of pediatric appendicitis might become limited to nonperforating appendicitis. Thus, it becomes increasingly important to differentiate advanced from simple appendicitis and to predict perforated appendicitis among a group of children with right-sided abdominal pain, which was the aim of this study. An institutionally approved, single-center retrospective analysis of all patients with appendectomy from January 2009 to December 2010 was conducted. All diagnostic aspects were evaluated to identify predictors and differentiators of perforated appendicitis. In 2 years, 157 children suffered from appendicitis. Perforation occurred in 47 (29.9%) of the patients. C-reactive protein (CRP) levels higher than 20 mg/dL ( P = .037) and free abdominal fluid on ultrasonography ( P = .031) are the most important features to differentiate perforated from simple appendicitis. Moreover, all children with perforation had a positive Heidelberg Appendicitis Score (HAS). A negative HAS excludes perforation in all cases (negative predictive value = 100%). Perforated appendicitis can be ruled out by the HAS. In a cohort with right-sided abdominal pain, perforation should be considered in children with high CRP levels and free fluids or abscess formation on ultrasound.

  15. Construction and testing of the Mirror Fusion Test Facility magnets

    International Nuclear Information System (INIS)

    Kozman, T.; Shimer, D.; VanSant, J.; Zbasnik, J.

    1986-08-01

    This paper describes the construction and testing of the Mirror Fusion Test Facility superconducting magnet set. Construction of the first Yin Yang magnet was started in 1978. And although this particular magnet was later modified, the final construction of these magnets was not completed until 1985. When completed these 42 magnets weighed over 1200 tonnes and had a maximum stored energy of approximately 1200 MJ at full field. Together with power supplies, controls and liquid nitrogen radiation shields the cost of the fabrication of this system was over $100M. General Dynamics/Convair Division was responsible for the system design and the fabrication of 20 of the magnets. This contract was the largest single procurement action at the Lawrence Livermore National Laboratory. During the PACE acceptance tests, the 26 major magnets were operated at full field for more than 24 hours while other MFTF subsystems were tested. From all of the data, the magnets operated to the performance specifications. For physics operation in the future, additional helium and nitrogen leak checking and repair will be necessary. In this report we will discuss the operation and testing of the MFTF Magnet System, the world's largest superconducting magnet set built to date. The topics covered include a schedule of the major events, summary of the fabrication work, summary of the installation work, summary of testing and test results, and lessons learned

  16. Stercoral colitis mimicking appendicitis

    Directory of Open Access Journals (Sweden)

    Abdelghafour Elkoundi

    2017-02-01

    Full Text Available Abstract Background Stercoral colitis is an inflammatory process involving the colonic wall related to fecal impaction. This rare condition is associated with high morbidity-mortality. Findings We report a case of a 78-year-old woman with a history of dementia under clozapine who presented a clinical and sonographic presentation of acute appendicitis. The worsening of her clinical condition prompted us to review our diagnosis and modify our approach using the CT scan which was consistent with stercoral colitis. This report concerns an atypical presentation of this condition. Conclusions The present case highlights the ability of severe forms of fecal impaction to precipitate very rare and life-threatening complications like stercoral colitis. It also points the importance of including stercoral colitis in the differential diagnosis of acute appendicitis in altered patients under anticholenergic drugs and the critical role of the CT scan as a crucial radiologic adjunct.

  17. MRI imaging in pediatric appendicitis

    Directory of Open Access Journals (Sweden)

    Robin Riley

    2018-04-01

    Full Text Available An 8-year-old male presents with two days of abdominal pain and emesis. Computed tomography was concerning for obstruction or reactive ileus with an apparent transition point in the right lower quadrant, possibly due to Crohn's. Magnetic resonance imaging was concerning for perforated appendicitis. As demonstrated by this case MRI can be as sensitive as CT in detecting pediatric appendicitis [2]. We recommend using MRI instead of CT to diagnose appendicitis to avoid ionizing radiation and increased cancer risk in the pediatric population. Keywords: Computer tomography, Magnetic resonance imaging, Pediatric appendicitis

  18. Ultrasonographic diagnosis of acute appendicitis

    International Nuclear Information System (INIS)

    Lee, Sang Hun; Chang, Young Duk; Kim, Dae Ho; Lee, Hae Kyung; Kwon, Kui Hyang; Kim, Ki Jung

    1988-01-01

    Acute appendicitis is the most common surgical disease of acute abdomen, But the diagnosis of acute appendicitis is often difficult, and not in frequently, operation for appendicitis is performed only to find a normal appendix. Various radiological examinations have been proposed to improve diagnostic accuracy of appendicitis. The purpose of this study was to improve the diagnostic accuracy of appendicitis, and to decline negative exploration. High resolution real time ultrasonographical examination using graded compression was performed in 57 consecutive patients who were clinically suspected of appendicitis. Autors analysed ultrasonographical, surgical, and clinical follow up findings. The results were are follows: 1. Ultrasonographical finding of acute appendicitis was visualization of appendix as a tubular structure with one bline end, or target phenomenon. 2. Hypoechoic area over the appendix was thought to be a sign of periappendiceal abscess. 3. The sensitivity of US diagnosis of acute appendicitis in this study was 92.8% with a specificity of 93.1%. The overall accuracy was 93.0%. 4. In control group of 50 individuals, the abnormal appendix was not visualized. 5. In cases of clinically suspected appendicitis, the US evaluation with graded compression technique is very accurate and effective examination.

  19. Appendicitis following blunt abdominal trauma.

    Science.gov (United States)

    Cobb, Travis

    2017-09-01

    Appendicitis is a frequently encountered surgical problem in the Emergency Department (ED). Appendicitis typically results from obstruction of the appendiceal lumen, although trauma has been reported as an infrequent cause of acute appendicitis. Intestinal injury and hollow viscus injury following blunt abdominal trauma are well reported in the literature but traumatic appendicitis is much less common. The pathophysiology is uncertain but likely results from several mechanisms, either in isolation or combination. These include direct compression/crush injury, shearing injury, or from indirect obstruction of the appendiceal lumen by an ileocecal hematoma or traumatic impaction of stool into the appendix. Presentation typically mirrors that of non-traumatic appendicitis with nausea, anorexia, fever, and right lower quadrant abdominal tenderness and/or peritonitis. Evaluation for traumatic appendicitis requires a careful history and physical exam. Imaging with ultrasound or computed tomography is recommended if the history and physical do not reveal an acute surgical indication. Treatment includes intravenous antibiotics and surgical consultation for appendectomy. This case highlights a patient who developed acute appendicitis following blunt trauma to the abdomen sustained during a motor vehicle accident. Appendicitis must be considered as part of the differential diagnosis in any patient who presents to the ED with abdominal pain, including those whose pain begins after sustaining blunt trauma to the abdomen. Because appendicitis following trauma is uncommon, timely diagnosis requires a high index of suspicion. Copyright © 2017 Elsevier Inc. All rights reserved.

  20. Echography in appendicitis acute diagnosis

    International Nuclear Information System (INIS)

    Ripolles Gonzalez, T.; Sanguesa Nebot, C.; Ambit Capdevila, S.; Lazaro y de Molina, S.

    1993-01-01

    Over an 18-month period, high resolution ultrasound was used to assess 220 patients with doubtful clinical diagnosis of acute appendicitis. The ultrasonographic findings were correlated with the surgical results and the pathological results in 115 cases, and with clinical follow-up in the rest. This technique has been found to be effective in the diagnosis of acute appendicitis, with a sensitivity of 90.4%, and similar specificity and reliability (90.2%). The positive predictive value of the test was 89% and the negative predictive value, 91%. The ultrasonographic criteria applied for the diagnosis of acute appendicitis was the detection of an understood appendix measuring over 6 mm. All cases with perforation were correctly diagnosed as acute appendicitis. The observation of an accumulation of fluid pooled in DIF in patients with ultrasonographic findings suggestive of appendicitis points to a diagnosis of perforation or complicated (gangrenous) appendicitis. A relationship between complicated appendicitis and the detection of appendicoliths within the enlarged appendix was also observed. The results obtained demonstrate that high resolution ultrasound is indicated in the diagnosis of acute appendicitis in all cases in which the clinical findings are doubtful

  1. 32 CFR 22.310 - Statutes concerning certain research, development, and facilities construction grants.

    Science.gov (United States)

    2010-07-01

    ... higher education for the performance of research and development or for the construction of research or... for research and development, or of a grant for the construction of research or other facilities... research and development or for the construction of research or other facilities are to be awarded to...

  2. Radiologic diagnosis of acute appendicitis

    International Nuclear Information System (INIS)

    Park, Bok Hwan; Oh, Jang Suk

    1972-01-01

    Sixty-six cases of acute appendicitis were proved by surgery during the period from May 1969 to May 1971. The present study was designated to elucidate the findings of roentgen examination in acute appendicitis. The results obtained were summarized as follows: 1. Over 90 percent of cases of acute appendicitis showed significant radiographic findings. 2. Distension and fluid level in cecum and terminal ileum were disclosed approximately 75 percent of cases. It believe diagnostically significant in acute appendicitis. 3. About 10 percent of cases were found extra-alimentary free air. 4. The roentgen findings of the fluid interposed between colonic contents and frank stripesin the right lower quadrant was another interesting findings to suspect acute appendicitis

  3. Status on the construction of the fuel irradiation test facility

    International Nuclear Information System (INIS)

    Park, Kook Nam; Sim, Bong Shick; Lee, Chung Young; Yoo, Seong Yeon

    2005-01-01

    As a facility to examine general performance of nuclear fuel under irradiation condition in HANARO, Fuel Test Loop(FTL) has been developed which can accommodate 3 fuel pins at the core irradiation hole(IR1 hole) taking consideration user's test requirement. 3-Pin FTL consists of In-Pile Test Section (IPS) and Out-of- Pile System (OPS). Test condition in IPS such as pressure, temperature and the water quality, can be controlled by OPS. 3-Pin FTL Conceptual design was set up in 2001 and had completed detail design including a design requirement and basic Piping and Instrument Diagram (P and ID) in 2004. The safety analysis report was prepared and submitted in early 2005 to the regulatory body(KINS) for review and approval of FTL. In 2005, the development team is going to purchase and manufacture hardware and make a contract for construction work. In 2006, the development team is going to install an FTL system performance test shall be done as a part of commissioning. After a 3-Pin FTL development which is expected to be finished by the 2007, FTL will be used for the irradiation test of the new PWR-type fuel and the usage of HANARO will be enhanced

  4. Yucca Mountain Site Characterization Project exploratory studies facilities construction status

    International Nuclear Information System (INIS)

    Allan, J.N.; Leonard, T.M.

    1993-01-01

    This paper discusses the progress to date on the construction planning and development of the Yucca Mountain Site Characterization Project (YMP) Exploratory Studies Facilities (ESF). The purpose of the ESF is to determine early site suitability and to characterize the subsurface of the Yucca Mountain site to assess its suitability for a potential high level nuclear waste repository. The present ESF configuration concept is for two main ramps to be excavated by tunnel boring machines (TBM) from the surface to the Topopah Spring Member of the Paintbrush Tuff Formation. From the main ramps, slightly above Topopah Spring level, supplemental ramps will be penetrated to the Calico Hills formation below the potential repository. There will be exploratory development drifts driven on both levels with the Main Test Area being located on the Topopah Spring level, which is the level of the proposed repository. The Calico Hills formation lies below the Topopah Spring member and is expected to provide the main geo-hydrologic barrier between the potential repository and the underlying saturated zones in the Crater Flat Tuff

  5. [Chronic appendicitis. A case report].

    Science.gov (United States)

    Montiel-Jarquín, Alvaro José; Gómez-Conde, Eduardo; Reyes-Páramo, Pedro; Romero-Briones, Carlos; Mendoza-García, Aurelio Valentín; García-Ramírez, Ulises Noel

    2008-01-01

    The term chronic appendicitis has been used to describe any type of chronic pain that originates in the appendix, with or without inflammation. This broad category can be divided more specifically into: chronic or recurrent appendicitis and appendiceal colic pain. a 41-year-old female, suffering intestinal chronic constipation, abdominal pain, nausea, hiporexia and febricula, treated with antibiotics, vermifuges, analgesics and antispasmodics, showing a slight and partial improvement. She was suffering chronic pain in lower abdomen, mostly on the right side along a year. With these symptoms, she underwent an exploratory laparotomy, that showed chronic appendicitis. Appendix had been removed. The histopathological report corresponded to chronic appendicitis. the histopathological characteristics and the clinical manifestations of the chronic appendicitis are different from those of acute appendicitis. Criteria for chronic appendicitis include: symptoms lasting longer than 4 weeks, confirmation of chronic swelling through histopathological examination, improvement of symptoms after appendectomy. The ultrasonic images, the barium enema and the computerized helicoidal tomography could be suggestive for its diagnosis.

  6. JSME construction standard for superconducting magnets of fusion facilities. Toward the construction of ITER

    International Nuclear Information System (INIS)

    Nakasone, Yuji; Takahashi, Yukio; Sato, Kazuyoshi; Nishimura, Arata; Suzuki, Tetsuya; Irie, Hirosada; Nakahira, Masataka

    2009-01-01

    The present paper describes the general view of the construction standard, which the Japan Society of Mechanical Engineers (JSME) has recently set up and published, for superconducting magnet structures to be used in nuclear fusion facilities. The present target of the standard is tokamak-type fusion energy facilities, especially the International Thermonuclear Experimental Reactor called ITER for short. The standard contains rules for structural materials including cryogenic materials, structural design considering magnetic forces, manufacture including welding and installation, nondestructive testing, pressure proof tests and leak tests of toroidal field magnet structures. The standard covers requirements for structural integrity, deformation control, and leak tightness of all the components of the superconducting magnets and their supports except for superconducting strands and electrical insulators. The standard does not cover deterioration, which may occur in service as a result of corrosion, radiation effects, or instability of material. The standard consists of seven articles and twelve mandatory and non-mandatory appendices to the articles; i.e., (1) Scope, roles and responsibilities, (2) Materials, (3) Structural design, (4) Fabrication and installation, (5) Non-destructive examination, (6) Pressure and leak testing, and (7) Terms used in general requirements. (author)

  7. APPENDICITIS: YOUNG ADULTS ARE SUSCEPTIBLE

    Directory of Open Access Journals (Sweden)

    Somashekhar V. Hiremath

    2016-08-01

    Full Text Available CONTEXT Appendicitis is the one of the most common emergencies of the acute abdomen encountered by the clinicians; peritonitis is the common cause due to appendicular perforation. Ultrasonography of abdomen is the preferred method of diagnosis of acute appendicitis. The study is done to diagnose acute appendicitis in a tertiary care hospital to ascertain early diagnosis prevalent in this part of the country, which might differ from other studies. AIM To ascertain prevalence, presentation and management of appendicitis in this part of India in a tertiary care government hospital with provisional diagnosis of appendicitis. MATERIAL AND METHODS Cases of acute abdomen, clinical diagnosis of acute appendicitis admitted in KIMS Hospital, Hubli, a tertiary care government hospital, from January 2014 to January 2015 for materials of this study. 100 cases have been taken for study; cases included in this study are acute appendicitis, appendicular abscess; method used is USG abdomen, a simple diagnostic tool. RESULTS In present study, 100 cases of acute abdomen with clinical diagnosis of acute appendicitis were taken and laparotomy was done for 98 cases and two cases of appendicular abscess. Youngest patient was 7 years old and oldest was 65 years. Peak incidence between 11 to 30 years of age group and male to female ratio is 3:2. Postoperative wound infection was a common complication in 21 cases and retention of urine was noticed in 7 cases, and there was a death in one case due to septicaemia. CONCLUSION Acute appendicitis is a second most common indication for early laparotomy in KIMS Hospital, Hubli, first being perforative peritonitis. Acute appendicitis is common between 11 to 30 years of age group, early diagnosis and intervention is required to prevent appendicular perforation and its complications. Diagnosis of acute appendicitis is to be done in patients presenting with atypical pain, absence of vomiting does not rule out appendicitis. Anorexia

  8. Construction of irradiated material examination facility-basic design

    International Nuclear Information System (INIS)

    Ro, Seung Gy; Kim, Eun Ka; Hong, Gye Won; Herr, Young Hoi; Hong, Kwon Pyo; Lee, Myeong Han; Baik, Sang Youl; Choo, Yong Sun; Baik, Seung Je

    1989-02-01

    The basic design of the hot cell facility which has the main purpose of doing mechanical and physical property tests of irradiated materials, the examination process, and the annexed facility has been made. Also basic and detall designs for the underground excavation work have been performed. The project management and tasks required for the license application have been carried out in due course. The facility is expected to be completed by the end of 1992, if the budgetary support is sufficient. (Author)

  9. Acute appendicitis in Olabisi Onabanjo University Teaching Hospital ...

    African Journals Online (AJOL)

    The hospital is a tertiary care facility in competition with a large number of private hospitals with different levels of competence. Objective: The objective of the study is to review the outcome of the surgical management of acute appendicitis in our hospital. Method: A retrospective study of subjects who had appendectomy for ...

  10. Construction safety program for the National Ignition Facility

    International Nuclear Information System (INIS)

    Cerruti, S.J.

    1997-01-01

    The Construction Safety Program (CSP) for NIF sets forth the responsibilities, guidelines, rules, policies and regulations for all workers involved in the construction, special equipment installation, acceptance testing, and initial activation and operation of NIF at LLNL during the construction period of NIF

  11. Construction safety program for the National Ignition Facility

    International Nuclear Information System (INIS)

    Cerruti, S.J.

    1997-01-01

    The Construction Safety Program (CSP) for NIF sets forth the responsibilities, guidelines, rules, policies and regulations for all workers involved in the construction, special equipment installation, acceptance testing, and initial activation and operation of NIF at LLNL during the construction period of NIF. During this period, all workers are required to implement measures to create a universal awareness which promotes safe practice at the work site, and which will achieve NIF's management objectives in preventing accidents and illnesses. Construction safety for NIF is predicated on everyone performing their jobs in a manner which prevents job-related disabling injuries and illnesses. The CSP outlines the minimum environment, safety, and health (ES ampersand H) standards, LLNL policies and the Construction Industry Institute (CII) Zero Injury Techniques requirements that all workers at the NIF construction site shall adhere to during the construction period of NIF. It identifies the safety requirements which the NIF organizational Elements, construction contractors and construction subcontractors must include in their safety plans for the construction period of NIF, and presents safety protocols and guidelines which workers shall follow to assure a safe and healthful work environment. The CSP also identifies the ES ampersand H responsibilities of LLNL employees, non-LLNL employees, construction contractors, construction subcontractors, and various levels of management within the NIF Program at LLNL. In addition, the CSP contains the responsibilities and functions of ES ampersand H support organizations and administrative groups, and describes their interactions with the NIF Program

  12. Construction safety program for the National Ignition Facility

    Energy Technology Data Exchange (ETDEWEB)

    Cerruti, S.J.

    1997-06-26

    The Construction Safety Program (CSP) for NIF sets forth the responsibilities, guidelines, rules, policies and regulations for all workers involved in the construction, special equipment installation, acceptance testing, and initial activation and operation of NIF at LLNL during the construction period of NIF.

  13. Construction safety program for the National Ignition Facility

    Energy Technology Data Exchange (ETDEWEB)

    Cerruti, S.J.

    1997-01-01

    The Construction Safety Program (CSP) for NIF sets forth the responsibilities, guidelines, rules, policies and regulations for all workers involved in the construction, special equipment installation, acceptance testing, and initial activation and operation of NIF at LLNL during the construction period of NIF. During this period, all workers are required to implement measures to create a universal awareness which promotes safe practice at the work site, and which will achieve NIF`s management objectives in preventing accidents and illnesses. Construction safety for NIF is predicated on everyone performing their jobs in a manner which prevents job-related disabling injuries and illnesses. The CSP outlines the minimum environment, safety, and health (ES&H) standards, LLNL policies and the Construction Industry Institute (CII) Zero Injury Techniques requirements that all workers at the NIF construction site shall adhere to during the construction period of NIF. It identifies the safety requirements which the NIF organizational Elements, construction contractors and construction subcontractors must include in their safety plans for the construction period of NIF, and presents safety protocols and guidelines which workers shall follow to assure a safe and healthful work environment. The CSP also identifies the ES&H responsibilities of LLNL employees, non-LLNL employees, construction contractors, construction subcontractors, and various levels of management within the NIF Program at LLNL. In addition, the CSP contains the responsibilities and functions of ES&H support organizations and administrative groups, and describes their interactions with the NIF Program.

  14. Safety and environmental process for the design and construction of the National Ignition Facility

    Energy Technology Data Exchange (ETDEWEB)

    Brereton, S.J., LLNL

    1998-05-27

    The National Ignition Facility (NIF) is a U.S. Department of Energy (DOE) laser fusion experimental facility currently under construction at the Lawrence Livermore National Laboratory (LLNL). This paper describes the safety and environmental processes followed by NIF during the design and construction activities.

  15. The Abbott School Construction Program: NJ Department of Education Proposed Facilities Regulations. Analysis of Preschool Issues

    Science.gov (United States)

    Ponessa, Joan; Boylan, Ellen

    2004-01-01

    This report on preschool facilities analyzes regulations proposed by the New Jersey Department of Education (NJDOE) to implement the Educational Facilities Construction and Financing Act. (EFCFA). EFCFA, which authorizes and governs New Jersey's public school construction program, was enacted in July 2000 to implement the State Supreme Court's…

  16. Challenges in uncomplicated acute appendicitis

    Directory of Open Access Journals (Sweden)

    Fernando Resende

    2016-03-01

    Full Text Available Acute appendicitis is one of the most common abdominal emergencies requiring surgery. It still represents, however, a challenging diagnosis. In order to facilitate this process, several scoring systems were developed, namely, the Alvarado score, acute inflammatory response and Raja Isteri Pengiran Anak Saleha Appendicitis scores, which are the most used in clinical practice. This clinical condition encompasses a wide spectrum of clinical presentations, from the uncomplicated form to the one with diffuse peritonitis. Treatment of uncomplicated acute appendicitis remains a matter of discussion. Although appendectomy has been regarded as the gold-standard, conservative management with antibiotics is gaining more and more acceptance. The approach to appendectomy constitutes another controversial issue, namely, its performance through an open or a laparoscopic approach, which seems to be establishing itself, in some centers, as the standard of care. With this paper, we intend to give some insight on the aforementioned topics, through a review of the available literature on uncomplicated appendicitis.

  17. Laparoscopic treatment of perforated appendicitis

    Science.gov (United States)

    Lin, Heng-Fu; Lai, Hong-Shiee; Lai, I-Rue

    2014-01-01

    The use of laparoscopy has been established in improving perioperative and postoperative outcomes for patients with simple appendicitis. Laparoscopic appendectomy is associated with less wound pain, less wound infection, a shorter hospital stay, and faster overall recovery when compared to the open appendectomy for uncomplicated cases. In the past two decades, the use of laparoscopy for the treatment of perforated appendicitis to take the advantages of minimally invasiveness has increased. This article reviewed the prevalence, approaches, safety disclaimers, perioperative and postoperative outcomes of the laparoscopic appendectomy in the treatment of patients with perforated appendicitis. Special issues including the conversion, interval appendectomy, laparoscopic approach for elderly or obese patient are also discussed to define the role of laparoscopic treatment for patients with perforated appendicitis. PMID:25339821

  18. 49 CFR 37.41 - Construction of transportation facilities by public entities.

    Science.gov (United States)

    2010-10-01

    ... public entities. 37.41 Section 37.41 Transportation Office of the Secretary of Transportation... transportation facilities by public entities. (a) A public entity shall construct any new facility to be used in providing designated public transportation services so that the facility is readily accessible to and usable...

  19. Construction of new critical experiment facilities in JAERI

    International Nuclear Information System (INIS)

    Takeshita, Isao; Itahashi, Takayuki; Ogawa, Kazuhiko; Tonoike, Kotaro; Matsumura, Tatsuro; Miyoshi, Yoshinori; Nakajima, Ken; Izawa, Naoki

    1995-01-01

    Japan Atomic Energy Research Institute (JAERI) has promoted the experiment research program on criticality safety since early in 1980s and two types of new critical facilities, Static Experiment Critical Facility (STACY) and Transient Experiment Critical Facility (TRACY) were completed on 1994 in Nuclear Fuel Cycle Safety Engineering Research Facility (NUCEF) of JAERI Tokai Research Establishment. STACY was designed so as to obtain critical mass data of low enriched uranium and plutonium solution which is extensively handled in LWR fuel reprocessing plant. TRACY is the critical facility where critical accident phenomenon is demonstrated with low enriched uranium nitrate solution. For criticality safety experiments with both facilities, the Fuel Treatment System is attached to them, where composition and concentration of uranium and plutonium nitrate solutions are widely varied so as to obtain experiments data covering fuel solution conditions in reprocessing plant. Design performances of both critical facilities were confirmed through mock-up tests of important components and cold function tests. Hot function test has started since January of 1995 and some of the results on STACY are to be reported. (author)

  20. Construction and commissioning test report of the CEDM test facility

    Energy Technology Data Exchange (ETDEWEB)

    Chung, C. H.; Kim, J. T.; Park, W. M.; Youn, Y. J.; Jun, H. G.; Choi, N. H.; Park, J. K.; Song, C. H.; Lee, S. H.; Park, J. K

    2001-02-01

    The test facility for performance verification of the control element drive mechanism (CEDM) of next generation power plant was installed at the site of KAERI. The CEDM was featured a mechanism consisting of complicated mechanical parts and electromagnetic control system. Thus, a new CEDM design should go through performance verification tests prior to it's application in a reactor. The test facility can simulate the reactor operating conditions such as temperature, pressure and water quality and is equipped with a test chamber to accomodate a CEDM as installed in the power plant. This test facility can be used for the following tests; endurance test, coil cooling test, power measurement and reactivity rod drop test. The commissioning tests for the test facility were performed up to the CEDM test conditions of 320 C and 150 bar, and required water chemistry was obtained by operating the on-line water treatment system.

  1. Construction and commissioning test report of the CEDM test facility

    International Nuclear Information System (INIS)

    Chung, C. H.; Kim, J. T.; Park, W. M.; Youn, Y. J.; Jun, H. G.; Choi, N. H.; Park, J. K.; Song, C. H.; Lee, S. H.; Park, J. K.

    2001-02-01

    The test facility for performance verification of the control element drive mechanism (CEDM) of next generation power plant was installed at the site of KAERI. The CEDM was featured a mechanism consisting of complicated mechanical parts and electromagnetic control system. Thus, a new CEDM design should go through performance verification tests prior to it's application in a reactor. The test facility can simulate the reactor operating conditions such as temperature, pressure and water quality and is equipped with a test chamber to accomodate a CEDM as installed in the power plant. This test facility can be used for the following tests; endurance test, coil cooling test, power measurement and reactivity rod drop test. The commissioning tests for the test facility were performed up to the CEDM test conditions of 320 C and 150 bar, and required water chemistry was obtained by operating the on-line water treatment system

  2. The construction of solid waste form test and inspection facility

    International Nuclear Information System (INIS)

    Park, Hun Hwee; Lee, Kang Moo; Jung, In Ha; Kim, Sung Hwan; Yoo, Jeong Woo; Lee, Jong Youl; Bae, Sang Min

    1988-01-01

    The solid waste form test and inspection facility is a facility to test and inspect the characteristics of waste forms, such as homogenity, mechanical structure, thermal behaviour, water resistance and leachability. Such kinds of characteristics in waste forms are required to meet a certain conditions for long-term storage or for final disposal of wastes. The facility will be used to evaluate safety for the disposal of wastes by test and inspection. At this moment, the efforts to search the most effective management of the radioactive wastes generated from power plants and radioisotope user are being executed by the people related to this field. Therefore, the facility becomes more significant tool because of its guidance of sucessfully converting wastes into forms to give a credit to the safety of waste disposal for managing the radioactive wastes. In addition the overall technical standards for inspecting of waste forms such as the standardized equipment and processes in the facility will be estabilished in the begining of 1990's when the project of waste management will be on the stream. Some of the items of the project have been standardized for the purpose of localization. In future, this facility will be utilized not only for the inspection of waste forms but also for the periodic decontamination apparatus by remote operation techniques. (Author)

  3. Using Construction Management for Public and Institutional Facilities.

    Science.gov (United States)

    Public Technology, Inc., Washington, DC.

    Construction management has been developed as an alternative to the traditional public building process and seeks to save an owner time and cost primarily through better activity coordination and project management. This report was developed to guide public agencies in their evaluation of construction management for their particular needs. It…

  4. Construction method for plant and facility for performing the method

    International Nuclear Information System (INIS)

    Matsuura, Tadashi; Koda, Koichi; Miyahara, Ryohei; Hasegawa, Hiroshi; Tatehoko, Kazuto; Takeda, Masakado; Yoshinaga, Toshiaki.

    1997-01-01

    For constructing a nuclear power plant, it is necessary to dispose a large-scaled temporarily constructed yard for install or operate a large crane. Rails are laid in series over located positions of a plurality of buildings, and a gantry crane which moves on rails and has a size striding over the buildings is disposed. The crane can work for loading operation required for the construction of a plurality of buildings and can operate over the entire region for the range of the loading operation even for large weighted loads. The gantry crane is moved toward the seashore, and construction materials and products transported on the sea are received by the gantry crane and installed to the buildings. The transportation on the land for the construction materials and products is reduced to improve efficiency. In addition, the rails are extended beyond the region where the buildings are constructed, and a yard is constructed along the extended region. The transportation from the yard can be conducted economically and efficiently with no relaying operation. (N.H.)

  5. The construction technology of Chinese ancient city drainage facilities

    Science.gov (United States)

    Hequn, Li; Yufengyun

    2018-03-01

    In ancient china, according to the local natural environment, a variety of drainage facilities were built in order to excrete rainwater, domestic sewage, production wastewater and so on. These drainage facilities were mainly made of pottery, bricks, wood, stone, etc. For example, ceramic water pipelines, buried in the ground, connect together one by one, and there was a slight drop from one end to the other in favor of drainage. These measures can also be used for reference in today’s urban drainage and flood control.

  6. Development of construction specifications to attain clean rooms for the NOVA laser facility

    International Nuclear Information System (INIS)

    Benedix, C.P.

    1980-02-01

    This paper describes the process of defining technical requirements for a major Department of Energy Research and Development Facility and subsequent development of construction specifications for the clean spaces in that facility. The organizational interactions between technical client, Engineering and Construction elements are described. The importance of an interdisciplinary team approach is stressed. A brief description of the SHIVA Laser and NOVA Laser Clean Spaces is included to indicate the scope of the facility undertaking. A number of potential pitfalls are discussed that may be helpful to designers of new facilities

  7. NASA Construction of Facilities Validation Processes - Total Building Commissioning (TBCx)

    Science.gov (United States)

    Hoover, Jay C.

    2004-01-01

    Key Atributes include: Total Quality Management (TQM) System that looks at all phases of a project. A team process that spans boundaries. A Commissioning Authority to lead the process. Commissioning requirements in contracts. Independent design review to verify compliance with Facility Project Requirements (FPR). Formal written Commissioning Plan with Documented Results. Functional performance testing (FPT) against the requirements document.

  8. Risk communication on the construction of radioactive waste treatment facility

    International Nuclear Information System (INIS)

    Okoshi, Minoru

    2005-01-01

    In this paper, risk communications among the Japan Radioisotope Association (JRIA), a local government and the general public which were carried out during the development process of a radioactive waste treatment facility in Takizawa Village, Iwate Prefecture are analyzed based on the articles of newspapers and the interviews with the concerned people. The analysis results show good risk communications were not carried out because of the absence of the confidence to the JRIA, decision making rules and the merits. In order to make good use of this experience for the future development of radioactive waste management facilities, the lessons learned from this case are summarized and the check lists for good risk communication are proposed. (author)

  9. Research on the Construction Management and Sustainable Development of Large-Scale Scientific Facilities in China

    Science.gov (United States)

    Guiquan, Xi; Lin, Cong; Xuehui, Jin

    2018-05-01

    As an important platform for scientific and technological development, large -scale scientific facilities are the cornerstone of technological innovation and a guarantee for economic and social development. Researching management of large-scale scientific facilities can play a key role in scientific research, sociology and key national strategy. This paper reviews the characteristics of large-scale scientific facilities, and summarizes development status of China's large-scale scientific facilities. At last, the construction, management, operation and evaluation of large-scale scientific facilities is analyzed from the perspective of sustainable development.

  10. South Carolina School Facilities Planning and Construction Guide.

    Science.gov (United States)

    South Carolina State Dept. of Education, Columbia. Office of School Planning and Building.

    This publication, the result of a review of state school construction regulations, was developed for the purpose of providing an up-to-date guide on current laws, regulations, and the technology of the building profession. It is intended for architects and engineers as well as for school superintendents and boards of trustees, all of whom are…

  11. MRI features associated with acute appendicitis

    NARCIS (Netherlands)

    Leeuwenburgh, Marjolein M. N.; Jensch, Sebastiaan; Gratama, Jan W. C.; Spilt, Aart; Wiarda, Bart M.; van Es, H. Wouter; Cobben, Lodewijk P. J.; Bossuyt, Patrick M. M.; Boermeester, Marja A.; Stoker, Jaap; Bouma, Wim H.; Houdijk, Alexander P. J.; Richir, Milan C.; Stockmann, Hein B. A. C.; Wiezer, Marinus J.; Verhagen, Thijs

    2014-01-01

    To identify MRI features associated with appendicitis. Features expected to be associated with appendicitis were recorded in consensus by two expert radiologists on 223 abdominal MRIs in patients with suspected appendicitis. Nine MRI features were studied: appendix diameter >7 mm, appendicolith,

  12. Measurements required to construct the Shiva laser fusion facility

    International Nuclear Information System (INIS)

    Rien, H.J.

    1979-01-01

    The construction of a large laser fusion system involves all aspects of metrology. This report covers some of the technical problems encountered and how the science of weights and measures was used to identify and solve them. The techniques used range from very simple and inexpensive handheld equipment to sophisticated scientific apparatus costing thousands of dollars. The success of the 30 trillion watt Shiva laser system would not have been possible without reliable and accurate measurements

  13. Project assessment for construction of new nuclear facility

    International Nuclear Information System (INIS)

    2013-01-01

    Project risk management is an important and integral part of project and quality management. It is also a key part of the due diligence process in making informed project decisions where in addition to the qualitative assessments quantitative ones shall be used to the extend practical. As part of the risk management process, risk identification, evaluation and mitigation must be an on-going activity at senior management levels throughout the planning, design, construction and commissioning phases of a new NPP

  14. Support of Construction and Verification of Out-of-Pile Fuel Assembly Test Facilities

    Energy Technology Data Exchange (ETDEWEB)

    Park, Nam Gyu; Kim, K. T.; Park, J. K. [KNF, Daejeon (Korea, Republic of)] (and others)

    2006-12-15

    Fuel assembly and components should be verified by the out-of-pile test facilities in order to load the developed fuel in reactor. Even though most of the component-wise tests have been performed using the facilities in land, the assembly-wise tests has been depended on the oversees' facility due to the lack of the facilities. KAERI started to construct the assembly-wise mechanical/hydraulic test facilities and KNF, as an end user, is supporting the mechanical/hydraulic test facility construction by using the technologies studied through the fuel development programs. The works performed are as follows: - Test assembly shipping container design and manufacturing support - Fuel handling tool design : Gripper, Upper and lower core simulators for assembly mechanical test facility, Internals for assembly hydraulic test facility - Manufacture of test specimens : skeleton and assembly for preliminary functional verification of assembly mechanical/hydraulic test facilities, two assemblies for the verification of assembly mechanical/hydraulic test facilities, Instrumented rod design and integrity evaluation - Verification of assembly mechanical/hydraulic test facilities : test data evaluation.

  15. Support of Construction and Verification of Out-of-Pile Fuel Assembly Test Facilities

    International Nuclear Information System (INIS)

    Park, Nam Gyu; Kim, K. T.; Park, J. K.

    2006-12-01

    Fuel assembly and components should be verified by the out-of-pile test facilities in order to load the developed fuel in reactor. Even though most of the component-wise tests have been performed using the facilities in land, the assembly-wise tests has been depended on the oversees' facility due to the lack of the facilities. KAERI started to construct the assembly-wise mechanical/hydraulic test facilities and KNF, as an end user, is supporting the mechanical/hydraulic test facility construction by using the technologies studied through the fuel development programs. The works performed are as follows: - Test assembly shipping container design and manufacturing support - Fuel handling tool design : Gripper, Upper and lower core simulators for assembly mechanical test facility, Internals for assembly hydraulic test facility - Manufacture of test specimens : skeleton and assembly for preliminary functional verification of assembly mechanical/hydraulic test facilities, two assemblies for the verification of assembly mechanical/hydraulic test facilities, Instrumented rod design and integrity evaluation - Verification of assembly mechanical/hydraulic test facilities : test data evaluation

  16. 48 CFR 801.602-80 - Legal and technical review-Office of Construction and Facilities Management and National Cemetery...

    Science.gov (United States)

    2010-10-01

    ...-Office of Construction and Facilities Management and National Cemetery Administration. 801.602-80 Section... Responsibilities 801.602-80 Legal and technical review-Office of Construction and Facilities Management and National Cemetery Administration. An Office of Construction and Facilities Management or National Cemetery...

  17. CT diagnosis of acute appendicitis in children

    International Nuclear Information System (INIS)

    Kimura, Kenya; Matsuda, Masao; Iyomasa, Shinsuke

    2001-01-01

    Enhanced and 5 mm collimation CT was performed in patients suspected of having appendicitis. CT clearly showed the swollen appendix, appendolith, periappendiceal inflammation, fluid collection, and abscess in patients with phlegmonous or gangrenous appendicitis. These findings were not observed in patients with catarrhal appendicitis or normal appendix. To decide on operative indications of acute appendicitis in children, the following findings are important: the diameter of the swollen appendix exceeds 8 mm; on appendolith is observed; periappendiceal fluid collection and abscess is observed. We emphasize that enhanced CT is useful to diagnose appendicitis which is not obvious with US. (author)

  18. Construction safety program for the National Ignition Facility, Appendix A

    International Nuclear Information System (INIS)

    Cerruti, S.J.

    1997-01-01

    Topics covered in this appendix include: General Rules-Code of Safe Practices; 2. Personal Protective Equipment; Hazardous Material Control; Traffic Control; Fire Prevention; Sanitation and First Aid; Confined Space Safety Requirements; Ladders and Stairways; Scaffolding and Lift Safety; Machinery, Vehicles, and Heavy Equipment; Welding and Cutting-General; Arc Welding; Oxygen/Acetylene Welding and Cutting; Excavation, Trenching, and Shoring; Fall Protection; Steel Erection; Working With Asbestos; Radiation Safety; Hand Tools; Electrical Safety; Nonelectrical Work Performed Near Exposed High-Voltage Power-Distribution Equipment; Lockout/Tagout Requirements; Rigging; A-Cranes; Housekeeping; Material Handling and Storage; Lead; Concrete and Masonry Construction

  19. Construction safety program for the National Ignition Facility, Appendix A

    Energy Technology Data Exchange (ETDEWEB)

    Cerruti, S.J.

    1997-06-26

    Topics covered in this appendix include: General Rules-Code of Safe Practices; 2. Personal Protective Equipment; Hazardous Material Control; Traffic Control; Fire Prevention; Sanitation and First Aid; Confined Space Safety Requirements; Ladders and Stairways; Scaffolding and Lift Safety; Machinery, Vehicles, and Heavy Equipment; Welding and Cutting-General; Arc Welding; Oxygen/Acetylene Welding and Cutting; Excavation, Trenching, and Shoring; Fall Protection; Steel Erection; Working With Asbestos; Radiation Safety; Hand Tools; Electrical Safety; Nonelectrical Work Performed Near Exposed High-Voltage Power-Distribution Equipment; Lockout/Tagout Requirements; Rigging; A-Cranes; Housekeeping; Material Handling and Storage; Lead; Concrete and Masonry Construction.

  20. 30 CFR 75.1903 - Underground diesel fuel storage facilities and areas; construction and safety precautions.

    Science.gov (United States)

    2010-07-01

    ... areas; construction and safety precautions. 75.1903 Section 75.1903 Mineral Resources MINE SAFETY AND...; construction and safety precautions. (a) Permanent underground diesel fuel storage facilities must be— (1... with at least 240 pounds of rock dust and provided with two portable multipurpose dry chemical type...

  1. MRI features associated with acute appendicitis

    Energy Technology Data Exchange (ETDEWEB)

    Leeuwenburgh, Marjolein M.N. [University of Amsterdam, Department of Surgery, Academic Medical Center, Amsterdam (Netherlands); University of Amsterdam, Department of Radiology, Academic Medical Center, Amsterdam (Netherlands); Academic Medical Center, Department of Radiology (G1-223.1), Amsterdam (Netherlands); Jensch, Sebastiaan [Sint Lucas Andreas Hospital, Department of Radiology, Amsterdam (Netherlands); Gratama, Jan W.C. [Gelre Hospitals, Department of Radiology, Apeldoorn (Netherlands); Spilt, Aart [Kennemer Gasthuis, Department of Radiology, Haarlem (Netherlands); Wiarda, Bart M. [Alkmaar Medical Center, Department of Radiology, Alkmaar (Netherlands); Es, H.W. van [Sint Antonius Hospital, Department of Radiology, Nieuwegein (Netherlands); Cobben, Lodewijk P.J. [Haaglanden Medical Center, Department of Radiology, Leidschendam (Netherlands); Bossuyt, Patrick M.M. [University of Amsterdam, Department of Clinical Epidemiology, Academic Medical Center, Amsterdam (Netherlands); Boermeester, Marja A. [University of Amsterdam, Department of Surgery, Academic Medical Center, Amsterdam (Netherlands); Stoker, Jaap [University of Amsterdam, Department of Radiology, Academic Medical Center, Amsterdam (Netherlands); Collaboration: on behalf of the OPTIMAP study group

    2014-01-15

    To identify MRI features associated with appendicitis. Features expected to be associated with appendicitis were recorded in consensus by two expert radiologists on 223 abdominal MRIs in patients with suspected appendicitis. Nine MRI features were studied: appendix diameter >7 mm, appendicolith, peri-appendiceal fat infiltration, peri-appendiceal fluid, absence of gas in the appendix, appendiceal wall destruction, restricted diffusion of the appendiceal wall, lumen or focal fluid collections. Appendicitis was assigned as the final diagnosis in 117/223 patients. Associations between imaging features and appendicitis were evaluated with logistic regression analysis. All investigated features were significantly associated with appendicitis in univariate analysis. Combinations of two and three features were associated with a probability of appendicitis of 88 % and 92 %, respectively. In patients without any of the nine features, appendicitis was present in 2 % of cases. After multivariate analysis, only an appendix diameter >7 mm, peri-appendiceal fat infiltration and restricted diffusion of the appendiceal wall were significantly associated with appendicitis. The probability of appendicitis was 96 % in their presence and 2 % in their absence. An appendix diameter >7 mm, peri-appendiceal fat infiltration and restricted diffusion of the appendiceal wall have the strongest association with appendicitis on MRI. (orig.)

  2. Streptococcal Pharyngitis and Appendicitis in Children.

    Science.gov (United States)

    Nielsen, Jason W; Abel, Stuart A; Kenney, Brian

    2018-01-01

    Several pathologies, including pharyngitis, are associated with abdominal pain that can mimic appendicitis. We sought to further understand the link between appendicitis-like symptoms and streptococcal (strep) pharyngitis. All patients undergoing ultrasound imaging for appendicitis in our emergency department during 2013 were reviewed (n = 1572). A total of 207 patients were identified who underwent both ultrasound for appendicitis and testing for strep pharyngitis. Demographic and outcomes data between rule out appendicitis patients who underwent strep testing and those who did not were compared. Strep testing was more common in younger patients (mean age = 8.26 vs 10.26 years P appendicitis and 35 (16.9%) patients tested positive for strep pharyngitis. No cases of concurrent strep pharyngitis and appendicitis were identified. The negative appendectomy rate in the strep pharyngitis tested group was 38.5% (5/13), compared with 7.7% (23/296) ( P = .003) in the nontested group. The appendicitis rate among the strep tested group was 3.8% (8/207) compared with 20% (273/1365) in the nontested group ( P appendicitis, and had a higher rate of negative appendectomy. A diagnosis of concurrent appendicitis and strep pharyngitis is rare. In cases of patients with sufficient symptoms to warrant testing for strep pharyngitis a diagnosis of appendicitis is less likely and surgical intervention leads to higher negative appendectomy rates.

  3. MRI features associated with acute appendicitis

    International Nuclear Information System (INIS)

    Leeuwenburgh, Marjolein M.N.; Jensch, Sebastiaan; Gratama, Jan W.C.; Spilt, Aart; Wiarda, Bart M.; Es, H.W. van; Cobben, Lodewijk P.J.; Bossuyt, Patrick M.M.; Boermeester, Marja A.; Stoker, Jaap

    2014-01-01

    To identify MRI features associated with appendicitis. Features expected to be associated with appendicitis were recorded in consensus by two expert radiologists on 223 abdominal MRIs in patients with suspected appendicitis. Nine MRI features were studied: appendix diameter >7 mm, appendicolith, peri-appendiceal fat infiltration, peri-appendiceal fluid, absence of gas in the appendix, appendiceal wall destruction, restricted diffusion of the appendiceal wall, lumen or focal fluid collections. Appendicitis was assigned as the final diagnosis in 117/223 patients. Associations between imaging features and appendicitis were evaluated with logistic regression analysis. All investigated features were significantly associated with appendicitis in univariate analysis. Combinations of two and three features were associated with a probability of appendicitis of 88 % and 92 %, respectively. In patients without any of the nine features, appendicitis was present in 2 % of cases. After multivariate analysis, only an appendix diameter >7 mm, peri-appendiceal fat infiltration and restricted diffusion of the appendiceal wall were significantly associated with appendicitis. The probability of appendicitis was 96 % in their presence and 2 % in their absence. An appendix diameter >7 mm, peri-appendiceal fat infiltration and restricted diffusion of the appendiceal wall have the strongest association with appendicitis on MRI. (orig.)

  4. Engineered surface barriers for waste disposal sites: lysimeter facility design and construction

    International Nuclear Information System (INIS)

    Phillips, S.J.; Ruben, M.S.; Kirkham, R.R.

    1988-01-01

    A facility to evaluate performance of engineered surface carriers for confinement of buried wastes has been designed, constructed, and operations initiated. The Field Lysimeter Test Facility is located at the US Department of Energy's Hanford Site in Richland, Washington. The facility consists of 18 one-dimensional drainage and weighing lysimeters used to evaluate 7 replicated barrier treatments. Distinct layers of natural earth materials were used to construct layered soil and rock barriers in each lysimeter. These barrier designs are capable in principal of significantly reducing or precluding infiltration of meteoric water through barriers into underlying contaminated zones. This paper summarizes salient facility design and construction features used in testing of the Hanford Site's engineered surface barriers

  5. A Qualitative Comparison on Guidelines for Construction Workers Accommodation and Facility

    OpenAIRE

    Khamis Norasyikin; Suratkon Azeanita; Mohammad Hairuddin; Yaman Siti Khalijah

    2017-01-01

    Construction industry in Malaysia covers almost 1.3 million workers. Thus, realizing the importance of human-centred trait, a long-term plan that is led by the Construction Industry Development Board Malaysia (CIDB) has been designed to improve accommodation and facilities of workers at construction site. In conjunction to that, the Institute for Industrial Research and Standards Malaysia (SIRIM) has developed Malaysia Standard (MS 2593:2015) as the guideline for improvement of accommodation ...

  6. Ecological studies related to construction of the Defense Waste Processing Facility on the Savannah River Site

    International Nuclear Information System (INIS)

    Scott, D.E.; Pechmann, J.H.K.; Knox, J.N.; Estes, R.A.; McGregor, J.H.; Bailey, K.

    1988-12-01

    The Savannah River Ecology Laboratory has completed 10 years of ecological studies related to the construction of the Defense Waste Processing Facility (DWPF) on the Savannah River Site. This progress report examines water quality studies on streams peripheral to the DWPF construction site and examines the effectiveness of ''refuge ponds'' in ameliorating the effects of construction on local amphibians. Individual papers on these topics are indexed separately. 93 refs., 15 figs., 15 tabs

  7. Ecological studies related to construction of the Defense Waste Processing Facility on the Savannah River Site

    Energy Technology Data Exchange (ETDEWEB)

    Scott, D.E.; Pechmann, J.H.K.; Knox, J.N.; Estes, R.A.; McGregor, J.H.; Bailey, K. (ed.)

    1988-12-01

    The Savannah River Ecology Laboratory has completed 10 years of ecological studies related to the construction of the Defense Waste Processing Facility (DWPF) on the Savannah River Site. This progress report examines water quality studies on streams peripheral to the DWPF construction site and examines the effectiveness of refuge ponds'' in ameliorating the effects of construction on local amphibians. Individual papers on these topics are indexed separately. 93 refs., 15 figs., 15 tabs. (MHB)

  8. Lunar materials for construction of space manufacturing facilities

    Science.gov (United States)

    Criswell, D. R.

    1977-01-01

    Development of industrial operations in deep space would be prohibitively expensive if most of the construction and expendable masses had to be transported from earth. Use of lunar materials reduces the needed investments by a factor of 15 to 20. It is shown in this paper that judicious selection of lunar materials will allow one to obtain hydrogen, nitrogen, carbon, helium and other specific elements critical to the support of life in large space habitats at relatively low costs and lower total investment even further. Necessary selection techniques and extraction schemes are outlined. In addition, tables are presented of the oxide and elemental abundances characteristic of the mare and highland regions of the moon which should be useful in evaluating what can be extracted from the lunar soils.

  9. Upgraded Features of Newly Constructed Fuel Assembly Mechanical Characterization Test Facility in KAERI

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Kang Hee; Kang, Heung Seok; Yoon, Kyung Ho; Kim, Hyung Kyu; Lee, Young Ho; Kim, Soo Ho; Yang, Jae Ho [KAERI, Daejeon (Korea, Republic of)

    2016-05-15

    Fuel assembly mechanical characterization test facility (FAMeCT) in KAERI is newly constructed with upgraded functional features such as increased loading capacity, under-water vibration testing and severe earthquake simulation for extended fuel design guideline. The facility building is compactly designed in the scale of 3rd floor building and has regions for assembly-wise mechanical test equipment, dynamic load (seismic) simulating test system, small scale hydraulic loop and component wise test equipment. Figure 1 shows schematic regional layout of the facility building. Mechanical test platform and system is designed to increase loading capacity for axial compression test. Structural stability of the support system of new upper core plate simulator is validated through a limit case functional test. Fuel assembly mechanical characterization test facility in KAERI is newly constructed and upgraded with advanced functional features such as uprated loading capacity, under-water vibration testing and severe earthquake simulation for extended fuel design guideline. This paper briefly introduce the test facility construction and scope of the facility and is focused on the upgraded design features of the facility. Authors hope to facilitate the facility more in the future and collaborate with the industry.

  10. Design and construction of the defense waste processing facility project at the Savannah River Plant

    International Nuclear Information System (INIS)

    Baxter, R.G.

    1986-01-01

    The Du Pont Company is building for the Department of Energy a facility to vitrify high-level radioactive waste at the Savannah River Plant (SRP) near Aiken, South Carolina. The Defense Waste Processing Facility (DWPF) will solidify existing and future radioactive wastes by immobilizing the waste in Processing Facility (DWPF) will solidify existing and future radioactives wastes by immobilizing the waste in borosilicate glass contained in stainless steel canisters. The canisters will be sealed, decontaminated and stored, prior to emplacement in a federal repository. At the present time, engineering and design is 90% complete, construction is 25% complete, and radioactive processing in the $870 million facility is expected to begin by late 1989. This paper describes the SRP waste characteristics, the DWPF processing, building and equipment features, and construction progress of the facility

  11. Construction of water intake facilities from partially drying up watercourses

    Directory of Open Access Journals (Sweden)

    Orlov Evgeniy Vladimirovich

    Full Text Available Partially ephemeral streams are complex objects that can still be used for water supply or irrigation of agricultural land. The problem of such streams is poorly studied, because the influence of various environmental factors complicates carrying out any experiments. Also it is not possible to make their full classification due to their very strong variability not only on a particular geographical belt, but also within separate areas of the river. All this undoubtedly complicates the task of the designers when designing the system. Creation of laboratory models, allowing us to evaluate the possibilities of a spring use for the purpose of water supply, is very promising. These watercourses have a large amount of suspended sediments, so it is not possible to use the standard scheme of water using of the coastal and fluvial water intake structures. It is proposed to organize the fight with the sediments in the flow chart of primary clarifiers, which will perform the function of settling suspensions, to facilitate the work of water treatment facilities. Also the creation of artificial prop is useful in order to achieve the required level of water in a watercourse for water organization. If under the bottom of the river there is underground water, and the permeability of the soil is good, it is possible to arrange the withdrawal of water through infiltration intakes, by setting the filter under the bottom of the watercourse with its connection to filter, from which the water will climb to submersible pumps. Additional filtration through the soil of the river bottom allows not using the scheme sumps, which significantly reduces the cost of epy incoming water treatment.

  12. Diagnosis of acute appendicitis with MSCT

    International Nuclear Information System (INIS)

    Li Xi

    2011-01-01

    Objective: To analyze the CT appearance of acute appendicitis and investigate diagnostic value of MSCT on acute appendicitis. Methods: The type and CT appearance of 15 cases with acute appendicitis proved by surgery and histopathology or clinic was analyzed retrospectively. Multi-stages scanning was carried out on the whole abdomen with 16 row CT. Post processing techniques including MPR, CPR and MIP were performed to observe the lesions. Results: There were 3 acute suppurative appendicitis, 12 acute gangrene and perforative appendicitis and appendiceal abscess. Complication occurred in 10 cases with gangrene and perforative appendix or appendix molten. The complication included 4 pelvic abscess, 3 intra-abdminal abscess, 1 combined pelvic and intra-abdominal abscess, 4 conglutination bowel obstruction, 1 ureteritis stegnosis and 1 abdominal wall fistulae. The exact ratio of CT diagnosis on acute suppurative appendicitis and appendiceal abscess reached 93.3% preoperatively. It is difficult to distinguish between acute suppurative appendicitis and acute gangrenous appendicitis without perforation. Conclusion: The MSCT appearance of acute appendicitis was marked and of important value on diagnosis of acute appendicitis. (authors)

  13. Design and construction of low level radioactive waste disposal facility at Rokkasho storage center

    International Nuclear Information System (INIS)

    Takahashi, K.; Itoh, H.; Iimura, H.; Shimoda, H.

    1992-01-01

    Japan Nuclear Fuel Industries Co., Inc. (JNFI) which has been established to dispose through burial the low-level radioactive waste (LLW) produced by nuclear power stations over the country is now constructing Rokkasho LLW Storage Center at Rokkasho Village,Aomori Prefecture. At this storage center JNFI plans to bury about 200,000m 3 , of LLW (equivalent to about one million drums each with a 200 liter capacity), and ultimately plans to bury about 600,000m 3 about 3 million drums of LLW. About the construction of the burial facilities for the first-stage LLW equivalent to 200,000 drums (each with a 200-liter capacity) we obtained the government's permit in November, 1990 and set out the construction work from the same month, which has since been promoted favorably. The facilities are scheduled to start operation from December, 1992. This paper gives an overview of at these facilities

  14. Field and laboratory test methods for geomembranes during waste management facility construction

    International Nuclear Information System (INIS)

    Allen, S.R.; McCutchan, J.B.

    1991-01-01

    Hazardous waste management facilities are required to use approved lining and leak detection systems to prevent the migration of waste into the environment. Synthetic flexible membrane liners (FMLs) have effectively served as the critical barrier for waste containment and fluid migration. The U.S. EPA has established minimum technology requirements for the construction of lined facilities that include detailed and documented Construction Quality Assurance (CQA) plans. The U.S. EPA (EPA) recognizes that CQA during field construction is imperative for successful completion of project work and long-term facility operation. This paper discusses the importance of CQA during FML installation and the practical aspects of implementing a successful CQA program. Standard methods used for FML evaluation, in both the field and laboratory, are discussed and specific aspects of seam testing and data evaluation are addressed. The general importance of comprehensive definition of geomembrane seam field failures is strongly emphasized so that an appropriate response to test failures can be recommended

  15. Design, construction and monitoring of temporary storage facilities for removed contaminants

    International Nuclear Information System (INIS)

    Saegusa, Hiromitsu; Funaki, Hironori; Kurikami, Hiroshi; Sakamoto, Yoshiaki; Tokizawa, Takayuki

    2013-01-01

    Since the Fukushima Daiichi nuclear power plant accident caused by the Tohoku Region Pacific Coast Earthquake on March 11, 2011, decontamination work has been conducted in the surrounding environment within the Fukushima prefecture. Removed contaminants including soil, grass and trees are to be stored safely at temporary storage facilities for up to three years, after which they will be transferred to a planned interim storage facility. The decontamination pilot project was carried out in both the restricted and planned evacuation areas in order to assess decontamination methods and demonstrate measures for radiation protection of workers. Fourteen temporary storage facilities of different technical specifications were designed and constructed under various topographic conditions and land use. In order to support the design, construction and monitoring of temporary storage facilities for removed contaminants during the full-scale decontamination within the prefecture of Fukushima, technical know-how obtained during the decontamination pilot project has been identified and summarized in this paper. (author)

  16. Association between climatic elements and acute appendicitis in Japan.

    Science.gov (United States)

    Sato, Yasuto; Kojimahara, Noriko; Kiyohara, Kosuke; Endo, Motoki; Yamaguchi, Naohito

    2017-05-01

    In Japan, it has been reported that an increase in atmospheric pressure is associated with a higher incidence of acute appendicitis. The aim of this epidemiologic study was to investigate the association between climatic elements and the incidence of acute appendicitis. A case-crossover design was used in the present study. Two wk before diagnosis was used for the target period. The same 2-wk period, but 1, 2, and 3 y before diagnosis, was used for the control period. The study participants were patients with acute appendicitis (10-29 y) from 14 facilities in the Greater Tokyo Area. Mean of the observed values for atmospheric pressure, temperature, relative humidity, and hours of sunshine calculated for each target and control period were used as climatic elements to investigate trends 1 and 2 wk before diagnosis. The year of diagnosis, a statistically significant moderate upward trend in atmospheric pressure was observed during the 2-wk period before diagnosis of acute appendicitis (tau = 0.47; P = 0.0213), whereas a weak nonsignificant downward trend was observed 1 y before diagnosis (tau = -0.29; P = 0.1596), and weak nonsignificant upward trends were observed 2 (tau = 0.24; P = 0.2505) and 3 y (tau = 0.28; P = 0.1634) before diagnosis. An association was found between atmospheric pressure and the incidence of acute appendicitis. However, no significant differences were found in relation to sex or age. These findings suggest that changes in atmospheric pressure are associated with the likelihood of patients visiting the hospital. Copyright © 2016 Elsevier Inc. All rights reserved.

  17. Manhattan Project buildings and facilities at the Hanford Site: A construction history

    Energy Technology Data Exchange (ETDEWEB)

    Gerber, M.S.

    1993-09-01

    This document thoroughly examines the role that the Hanford Engineer Works played in the Manhattan project. The historical aspects of the buildings and facilities are characterized. An in depth look at the facilities, including their functions, methods of fabrication and appearance is given for the 100 AREAS, 200 AREAS, 300 AREAS, 500, 800 and 900 AREAS, 600 AREA, 700 AREA, 1100 AREA and temporary construction structures.

  18. Manhattan Project buildings and facilities at the Hanford Site: A construction history

    International Nuclear Information System (INIS)

    Gerber, M.S.

    1993-09-01

    This document thoroughly examines the role that the Hanford Engineer Works played in the Manhattan project. The historical aspects of the buildings and facilities are characterized. An in depth look at the facilities, including their functions, methods of fabrication and appearance is given for the 100 AREAS, 200 AREAS, 300 AREAS, 500, 800 and 900 AREAS, 600 AREA, 700 AREA, 1100 AREA and temporary construction structures

  19. Design, construction, and operation of the contact size reduction facility at the West Valley Demonstration Project

    International Nuclear Information System (INIS)

    Frank, D.E.; Reeves, S.R.; Valenti, P.J.

    1988-05-01

    This paper describes the design, construction and initial operation of the Contact-Handled Size Reduction Facility (CSRF) at the West Valley Demonstration Project. The facility was constructed to size reduce contaminated tanks, piping, and other metallic scrap and package the scrap for disposal. In addition, the CSRF has the capability to decontaminate scrap prior to disposal. The anticipated result of decontaminating the scrap is to reduce waste classified as transuranic or low-level Class B and C to Class A or release for unrestricted use as nonradioactive equipment. 10 figs., 1 tab

  20. Staff technical position on regulatory considerations in the design and construction of the exploratory shaft facility

    International Nuclear Information System (INIS)

    Gupta, D.; Peshel, J.; Bunting, J.

    1991-07-01

    The staff of the US Nuclear Regulatory Commission has prepared this staff technical position for the purpose of compiling and further clarifying previous staff positions on regulatory considerations in the design and construction of the exploratory shaft facility (ESF). (The US Department of Energy (DOE) now refers to the ESF as the ''exploratory studies facility.'' DOE's change in terminology does not affect the positions taken in this guidance.) This document lists the key regulations in 10 CFR Part 60 that should be considered in the design and construction of the ESF and presents the staff position statements and corresponding discussions. 13 refs., 1 fig

  1. Sonography in the diagnosis of acute appendicitis

    Directory of Open Access Journals (Sweden)

    Ahmad Ryazi

    2003-09-01

    Full Text Available Graded compressive sonography may be useful as an adjuvant in the diagnosis of acute appendicitis. To determine the role of sonography in the differential diagnosis of acute appendicitis, preappendectomy sonographic data of 164 consecutive cases in Fatemeh-Zahra Teaching Hospital were evaluated. Of 113 (68.9% patients who had acute appendicitis in histopathology, 64 (56.6% cases had preoperative sonographic diagnosis of acute appendicitis. Of 51 patients who had normal appendices, 40 (78.4% cases had normal appendices in sonographic evaluations. Sensitivity, specificity and accuracy of sonography for acute appendicitis were 56.7%, 78.4% and 0.63, respectively. The positive and negative predictive values were 85.3% and 44.49% respectively. As a result, sonographic evaluation is an additional diagnostic tool in acute appendicitis.

  2. Ten years of cryo-magnetic W7-X test facility construction and operation

    International Nuclear Information System (INIS)

    Renard, B.; Dispau, G.; Donati, A.; Genini, L.; Gournay, J.F.; Kuster, O.; Molinie, F.; Schild, T.; Touzery, R.; Vieillard, L.; Walter, C.

    2011-01-01

    The construction, commissioning, and operation phases of the W7-X cryo-magnetic test facility in CEA Saclay lasted ten years. The large diversity of equipments called, specialties involved and problems solved attest the expertise that was required to operate the test facility and test the coils. Nearly one hundred cryogenic tests were performed on the seventy W7-X coils, at a rate always increasing, using two cryostats each holding two coils. This paper presents the test facility and its operation first, the cryogenic difficulties that were confronted with their solutions, the electro-magnetic difficulties encountered along with corrective actions, and finally the instrumentation and data acquisition aspects. (authors)

  3. Construction and operation of an improved radiation calibration facility at Brookhaven National Laboratory. Environmental assessment

    International Nuclear Information System (INIS)

    1994-10-01

    Calibration of instruments used to detect and measure ionizing radiation has been conducted over the last 20 years at Brookhaven National Laboratory's (BNL) Radiation Calibration Facility, Building 348. Growth of research facilities, projects in progress, and more stringent Department of Energy (DOE) orders which involve exposure to nuclear radiation have placed substantial burdens on the existing radiation calibration facility. The facility currently does not meet the requirements of DOE Order 5480.4 or American National Standards Institute (ANSI) N323-1978, which establish calibration methods for portable radiation protection instruments used in the detection and measurement of levels of ionizing radiation fields or levels of radioactive surface contaminations. Failure to comply with this standard could mean instrumentation is not being calibrated to necessary levels of sensitivity. The Laboratory has also recently obtained a new neutron source and gamma beam irradiator which can not be made operational at existing facilities because of geometry and shielding inadequacies. These sources are needed to perform routine periodic calibrations of radiation detecting instruments used by scientific and technical personnel and to meet BNL's substantial increase in demand for radiation monitoring capabilities. To place these new sources into operation, it is proposed to construct an addition to the existing radiation calibration facility that would house all calibration sources and bring BNL calibration activities into compliance with DOE and ANSI standards. The purpose of this assessment is to identify potential significant environmental impacts associated with the construction and operation of an improved radiation calibration facility at BNL

  4. CT findings of acute appendicitis in children

    International Nuclear Information System (INIS)

    Lee, Hae Seung; Kim, Young Tong; Kim, Hyun Cheol; Bae, Won Kyung; Kim, Il Young

    2005-01-01

    Acute appendicitis is the most common cause of surgical abdomen in children. Because of the various locations where you can find the appendix and the different presentation for the symptoms of appendicitis, the clinical diagnosis of appendicitis is often difficult in children, and radiologic diagnosis is becoming increasingly important. Being familiar with the findings of acute appendicitis on the MDCT axial image and the multiplanar reformation images may aid the physician in reaching an early diagnosis and so prevent complications and reduce negative appendectomy rates

  5. RADIATION CONTROL DURING THE CONSTRUCTION OF THE OLYMPIC FACILITIES IN SOCHI CITY

    Directory of Open Access Journals (Sweden)

    I. K. Romanovich

    2015-01-01

    Full Text Available This paper presents data on the organization and results of the provision of the radiation safety in the period of preparation for the Winter Olympic and Paralympic games in Sochi, 2014. The following topics are overviewed in the paper: allocation of land plots for construction of the Olympic facilities; organization of the sanitary surveillance of the imported equipment, construction materials and designs for the construction of the Olympic facilities; putting the Olympic venues into operation. Dose rate of gamma radiation at all land plots, which were allocated for the construction of the Olympic facilities, conformed to the requirements of sanitary regulations. The average dose rate of gamma radiation was 0.11 μSv h-1 in the Coastal cluster and 0.14 μSv h-1 in the Mountain cluster. The radon fluence rate from the ground surface exceeded the prescribed limit of 80 mBq m-2 s-1 only at the land plot allocated for construction of the «House of receiving official delegations «Achipse» and the «House of receiving official delegations «Psekhako» in the Mountain cluster. The maximal value of 188 mBq m-2 s -1 was registered here. The buildings projects for this area included using radon protection measures, which were implemented during the construction.

  6. LSST summit facility construction progress report: reacting to design refinements and field conditions

    Science.gov (United States)

    Barr, Jeffrey D.; Gressler, William; Sebag, Jacques; Seriche, Jaime; Serrano, Eduardo

    2016-07-01

    The civil work, site infrastructure and buildings for the summit facility of the Large Synoptic Survey Telescope (LSST) are among the first major elements that need to be designed, bid and constructed to support the subsequent integration of the dome, telescope, optics, camera and supporting systems. As the contracts for those other major subsystems now move forward under the management of the LSST Telescope and Site (T and S) team, there has been inevitable and beneficial evolution in their designs, which has resulted in significant modifications to the facility and infrastructure. The earliest design requirements for the LSST summit facility were first documented in 2005, its contracted full design was initiated in 2010, and construction began in January, 2015. During that entire development period, and extending now roughly halfway through construction, there continue to be necessary modifications to the facility design resulting from the refinement of interfaces to other major elements of the LSST project and now, during construction, due to unanticipated field conditions. Changes from evolving interfaces have principally involved the telescope mount, the dome and mirror handling/coating facilities which have included significant variations in mass, dimensions, heat loads and anchorage conditions. Modifications related to field conditions have included specifying and testing alternative methods of excavation and contending with the lack of competent rock substrate where it was predicted to be. While these and other necessary changes are somewhat specific to the LSST project and site, they also exemplify inherent challenges related to the typical timeline for the design and construction of astronomical observatory support facilities relative to the overall development of the project.

  7. Promoting the Construction of an Optimal Nurse's Office Facility: One School District's Experience.

    Science.gov (United States)

    McKibben, Cynthia; DiPaolo, Sonja J.

    1997-01-01

    Details recommendations for updating or constructing nurses' offices based upon a descriptive study done in one midwestern school district. Suggestions are provided on size, location, and equipment needed. Also addressed is the communication process needed to persuade a board of education and school administrators that nursing facilities must be a…

  8. Mixed Waste Management Facility (MWMF) closure, Savannah River Plant: Clay cap test section construction report

    Energy Technology Data Exchange (ETDEWEB)

    1988-02-26

    This report contains appendices 3 through 6 for the Clay Cap Test Section Construction Report for the Mixed Waste Management Facility (MWMF) closure at the Savannah River Plant. The Clay Cap Test Program was conducted to evaluate the source, lab. permeability, in-situ permeability, and compaction characteristics, representative of kaolin clays from the Aiken, South Carolina vicinity. (KJD)

  9. 20 CFR 670.210 - How are center facility improvements and new construction handled?

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false How are center facility improvements and new construction handled? 670.210 Section 670.210 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR THE JOB CORPS UNDER TITLE I OF THE WORKFORCE INVESTMENT ACT Site Selection and Protection...

  10. Construction and operation of replacement hazardous waste handling facility at Lawrence Berkeley Laboratory

    International Nuclear Information System (INIS)

    1992-09-01

    The US Department of Energy (DOE) has prepared an environmental assessment (EA), DOE/EA-0423, for the construction and operation of a replacement hazardous waste handling facility (HWHF) and decontamination of the existing HWHF at Lawrence Berkeley Laboratory (LBL), Berkeley, California. The proposed facility would replace several older buildings and cargo containers currently being used for waste handling activities and consolidate the LBL's existing waste handling activities in one location. The nature of the waste handling activities and the waste volume and characteristics would not change as a result of construction of the new facility. Based on the analysis in the EA, DOE has determined that the proposed action would not constitute a major Federal action significantly affecting the quality of the human environment within the meaning of the National Environmental Policy Act (NEPA) of 1969, 42 USC. 4321 et seq. Therefore, an environmental impact statement is not required

  11. Construction and operation of replacement hazardous waste handling facility at Lawrence Berkeley Laboratory. Environmental Assessment

    Energy Technology Data Exchange (ETDEWEB)

    1992-09-01

    The US Department of Energy (DOE) has prepared an environmental assessment (EA), DOE/EA-0423, for the construction and operation of a replacement hazardous waste handling facility (HWHF) and decontamination of the existing HWHF at Lawrence Berkeley Laboratory (LBL), Berkeley, California. The proposed facility would replace several older buildings and cargo containers currently being used for waste handling activities and consolidate the LBL`s existing waste handling activities in one location. The nature of the waste handling activities and the waste volume and characteristics would not change as a result of construction of the new facility. Based on the analysis in the EA, DOE has determined that the proposed action would not constitute a major Federal action significantly affecting the quality of the human environment within the meaning of the National Environmental Policy Act (NEPA) of 1969, 42 USC. 4321 et seq. Therefore, an environmental impact statement is not required.

  12. Application for approval to construct the Waste Receiving And Processing facility

    International Nuclear Information System (INIS)

    1993-02-01

    The following Application For Approval Of Construction is being submitted by the US Department of Energy, Richland Field Office pursuant to 40 CFR 61.07, ''Application for Approval of Construction or Modification,'' for the Waste Receiving and Processing (WRAP) Module 1 facility (also referred to as WRAP 1). The WRAP 1 facility will be a new source of radioactive emissions to the atmosphere. The WRAP 1 facility will be housed in the new 2336-W Building, which will be located in the 200 West Area south of 23rd Street and west of Dayton Avenue. The 200 West Area is located within the boundary of the Hanford Site. The mission of the WRAP 1 facility is to examine, assay, characterize, treat, and repackage solid radioactive and mixed waste to enable permanent disposal of the waste in accordance with all applicable regulations. The solid wastes to be handled in the WRAP 1 facility include low-level waste (LLW), Transuranic (TRU) waste, TRU mixed waste, and low-level mixed waste (LLMW). The WRAP 1 facility will only accept contact handled (CH) waste containers. CH waste is a waste category whose external surface dose rate does not exceed 200 mrem/h. These containers have a surface dose rate of less than 200 mrem/h

  13. Lessons Learned from Design and Construction of New US Nuclear Facility

    International Nuclear Information System (INIS)

    Seamans, S. E.; Horvath, D. A.

    2012-01-01

    For reasons related to licensing uncertainty, economic slowdown, and questionable financial backing, no new nuclear facility projects have been undertaken in the United States since the Three Mile Island Incident in 1979; however, a need for such facilities (both nuclear power plants and nuclear fuel facilities) continues and various incentives leading to the start of a nuclear renaissance have occurred. One incentive is a complete overhaul by the US Nuclear Regulatory Commission of the earlier two step licensing process under 10 CFR 50. The earlier approach required first a construction permit and then an operating license, whereas the new approach allows a more streamlined (one step) combined license (COL) approach utilizing Standard Design Certifications via the regulatory framework created by 10 CFR 52. Other incentives include US Government backed loan guarantees as well as private company contributions. One aspect to the new process has been consideration and implementation of many new topic-specific regulations and industry standards which have continued to evolve during the past 30 years in spite of the lack of new plant design and construction activity. Therefore, an Owner attempting a new nuclear facility project under 10 CFR 52 needs to address a myriad of new requirements previously unconsidered. Several new projects including both power plants and fuel facilities have begun the new licensing process with its many new requirements to consider, but a uranium enrichment facility has run the gamut first. This paper will summarize many of the lessons learned from designing, constructing and testing this first new nuclear facility to be built in the US in over 30 years.(author).

  14. Pediatric patients transferred for operative management of appendicitis: are they at a disadvantage?

    Science.gov (United States)

    Farach, Sandra M; Danielson, Paul D; Walford, N Elizabeth; Harmel, Richard P; Chandler, Nicole M

    2015-09-01

    Many pediatric patients are initially diagnosed with appendicitis at referring hospitals and are subsequently transferred to pediatric facilities. We aimed to compare outcomes of patients transferred to a pediatric referral center to those who present primarily for operative management of appendicitis. A retrospective review of 326 patients with operative appendicitis from July 2012 to July 2013 was performed. Demographic data, clinical parameters, and outcomes were analyzed. Transferred (n=222, 68%) and primary patients (n=104, 32%) were similar except for mean age (primary 12.4 vs. transferred 11.2 years, pprimary patients. Primary patients were more likely to present between the hours of 09:00 and 17:59 (52%), while transferred arrived equally across all hours. Both groups were more likely to present with acute appendicitis (primary 56% vs. transfer 61%, p=NS). There was no difference in time of diagnosis to time of appendectomy, length of hospital stay, or 30 day complications (primary 8.6% vs. transfer 5.8%, p=NS). Patients transferred for definitive care of appendicitis are not found to have more advanced disease or have increased complications; however, they are exposed to significantly more ionizing radiation during evaluation for appendicitis. Copyright © 2015 Elsevier Inc. All rights reserved.

  15. Acute Perforated Schistosomal Appendicitis: A Case Report ...

    African Journals Online (AJOL)

    Appendicitis is occasionally the first clinical manifestation of schistosomal infestation which may require treatment. A rare case of perforated schistosomal appendicitis in a 12 –year old Nigerian boy diagnosed on the basis of histological evaluation of the appendectomy specimen is reported to highlight the clinical ...

  16. Echographic handling of the acute appendicitis

    International Nuclear Information System (INIS)

    Neira de Ortiz, Clara Lucia; Vela H, Gregorio

    1993-01-01

    This study made an evaluation of the echography as a diagnostic method of the acute appendicitis in 22 paediatric patients with clinical suspicion of acute appendicitis. It was found a sensibility of 95% and a specificity of 90% for this diagnosis

  17. Simultaneous acute appendicitis with right testicular torsion

    Directory of Open Access Journals (Sweden)

    Tanveer Akhtar

    2012-01-01

    Full Text Available We present a child with both acute appendicitis and torsion of the right testis presenting at the same time. Testicular torsion possibly occurring due to vomiting in acute appendicitis so far has not been reported in the literature.

  18. Appendicitis, appendectomie en de wet van Murphy

    NARCIS (Netherlands)

    Heij, H. A.; van Lieburg, M. J.

    2016-01-01

    Non-surgical treatment of acute phlegmonous appendicitis has been receiving increasing attention in recent years, representing a reversal of policy. The appendectomy came into vogue at the beginning of the 20th century. It is true that prompt surgical intervention in all patients with appendicitis

  19. Discriminating between simple and perforated appendicitis

    NARCIS (Netherlands)

    Bröker, Mirelle E. E.; van Lieshout, Esther M. M.; van der Elst, Maarten; Stassen, Laurents P. S.; Schepers, Tim

    2012-01-01

    Several studies have been performed in order to diagnose an acute appendicitis using history taking and laboratory investigations. The aim of this study was to create a model for the identification of a perforated appendicitis. All consecutive patients who have undergone an appendectomy in the

  20. Infantile perforated appendicitis: A forgotten diagnosis

    Directory of Open Access Journals (Sweden)

    Katherine W. Gonzalez

    2015-04-01

    Full Text Available Acute appendicitis in the infant is a rare surgical diagnosis despite its frequency in older patients. The clinical presentation is often vague and can be misleading. We present the successful diagnosis and treatment of a 3 month old female with perforated appendicitis.

  1. Conservative treatment of acute appendicitis: an overview

    NARCIS (Netherlands)

    Wojciechowicz, K. H.; Hoffkamp, H. J.; van Hulst, R. A.

    2010-01-01

    Background. Although the standard treatment for appendicitis (since 1883) is an appendectomy, this is not always possible in a maritime or military setting. To avoid relying on improvisation in such situations this study examines the evidence for conservative management of appendicitis. Material and

  2. Buffer Construction Methodology in Demonstration Test For Cavern Type Disposal Facility

    International Nuclear Information System (INIS)

    Yoshihiro, Akiyama; Takahiro, Nakajima; Katsuhide, Matsumura; Kenji, Terada; Takao, Tsuboya; Kazuhiro, Onuma; Tadafumi, Fujiwara

    2009-01-01

    A number of studies concerning a cavern type disposal facility have been carried out for disposal of low level radioactive waste mainly generated by power plant decommissioning in Japan. The disposal facility is composed of an engineered barrier system with concrete pit and bentonite buffer, and planed to be constructed in sub-surface 50 - 100 meters depth. Though the previous studies have mainly used laboratory and mock-up tests, we conducted a demonstration test in a full-size cavern. The main objectives of the test were to study the construction methodology and to confirm the quality of the engineered barrier system. The demonstration test was planned as the construction of full scale mock-up. It was focused on a buffer construction test to evaluate the construction methodology and quality control in this paper. Bentonite material was compacted to 1.6 Mg/m 3 in-site by large vibrating roller in this test. Through the construction of the buffer part, a 1.6 Mg/m 3 of the density was accomplished, and the data of workability and quality is collected. (authors)

  3. Cytological diagnosis of xanthogranulomatous appendicitis

    Directory of Open Access Journals (Sweden)

    Rajni Kaushik

    2017-01-01

    Full Text Available Xanthogranulomatous reaction can occur in any organ but the most common sites are kidney and gallbladder. Xanthogranulomatous appendicitis (XA is a rare clinical entity. There are a few case reports of XA diagnosed on histopathology but none on cytology. Here we report a case of a 47-year-old lady who presented with acute abdomen and was found to have a mass lesion in the right iliac fossa. She was diagnosed with XA intraoperatively on imprint cytology that was subsequently confirmed on histopathological examination. Due to the rarity of XA itself and the use of imprint cytology for intraoperative diagnosis the case is being presented.

  4. MRI use in acute appendicitis in pregnancy

    International Nuclear Information System (INIS)

    Maleeva, A.

    2017-01-01

    Acute appendicitis is the most common surgical emergency in pregnancy. The incidence of appendicitis in pregnancy was one in 766 births. The preoperative diagnosis was correct in 75% of the cases. Because of considerable fetal loss after appendectomy during pregnancy in the first and second trimester, surgeons decide to use diagnostic imaging to prove the diagnosis. The American College of Radiology (ACR) approves of MR imaging of the pregnant patient in any trimester, including the first. In this case -30 years old, pregnant 12 week gestation, present with right lower quadrant abdominal pain. Acute appendicitis is suspected, because of positive Romberg and ilio-psoas sign and high WBC and CRP. After MR imaging the diagnosis of acute appendicitis was proved together with intrauterine gestation. Key words: Acute Appendicitis. MRI. Pregnancy. Fetal Loss [bg

  5. Preliminary Feasibility Study on the Construction of Steel Hot Cell Facility for Precise Manipulated Examinations

    International Nuclear Information System (INIS)

    Ahn, Sangbok; Kwon, Hyungmun; Kim, Heemoon; Kim, Dosik; Min, Duckkee; Hong, Kwonpyo

    2006-01-01

    Hot laboratory is essential facility to research and develop in the nuclear industries to examine radioactive materials. The post irradiation examinations for irradiated fuels and materials should be mainly conducted in the hot cell facility to protect radiations to operators. Hot cells are divided into a concrete hot cell and a steel hot cell according to the wall materials. Usually a concrete hot cell is applied to test for high level radioactive materials like as a fuel assembly, rods, and large structure specimens, and a steel hot cell for comparatively lower level activity materials in fuel fragments, and small structural materials. A steel hot cell has many benefits in a specimen manipulation, construction and maintenance costs. In recent the test for the irradiated materials is more frequently required a small and precise manipulating examination for higher degree tests of research and developments. Unfortunately hot laboratory facilities in domestics have mainly constituted of concrete hot cells, and not ready for techniques in steel hot cells. In this paper the construction feasibility of steel hot cell facility is preliminary reviewed in the points of the status of domestic facilities, the test demand prospect and detailed plans

  6. Construction of an underground facility for ''in-situ'' experimentation in the boom clay

    International Nuclear Information System (INIS)

    Bonne, A.; Manfroy, P.; Van Haelewijn, R.; Heremans, R.

    1985-01-01

    The Belgian R and D Programme concerning the disposal of high-level and alpha-bearing radioactive waste in continental geological formations was launched by SCK/CEN, Mol in 1974. The programme is characterised by its site and formation specific approach, i.e. Mol and Boom clay. In the framework of site confirmation, an important issue is the ''in situ'' experimentation which should allow to determine with a higher degree of confidence the numerical value of the data needed for the evaluations, assessments and designs. The present report deals with the construction of an underground experimental facility, which was scheduled to be fully completed in mid 1984. Initially, the completion was scheduled for the end of 1983, but supplementary experiments related to geomechanics and mining capabilities and to be performed during the construction phase of the experimental facility delayed the completion of the underground facility. During the construction, a continuous observation was made of the behaviour of the clay mass and the structures. In this final contract-report, only the as-built structure, the time schedule and the ''in situ'' experiments launched or performed during the construction phase are dealt with

  7. Construction program for a large superconducting MHD magnet system at the coal-fired flow facility

    International Nuclear Information System (INIS)

    Wang, S.T.; Genens, L.; Gonczy, J.; Ludwig, H.; Lieberg, M.; Kraft, E.; Gacek, D.; Huang, Y.C.; Chen, C.J.

    1980-01-01

    The Argonne National Laboratory has designed and is constructing a 6 T large aperture superconducting MHD magnet for use in the Coal-Fired Flow Facility (CFFF) at the University of Tennessee Space Institute (UTSI) at Tullahoma, Tennessee. The magnet system consists of the superconducting magnet, a magnet power supply, an integrated instrumentation for operation, control and protection, and a complete cryogenic facility including a CTI Model 2800 helium refrigerator/liquefier with two compressors, helium gas handling system and a 7500 liter liquid helium dewar. The complete system will be tested at Argonne, IL in 1981. The magnet design is reviewed, and the coil fabrication programs are described in detail

  8. Proposal for construction of a proton--proton storage accelerator facility (Isabelle)

    International Nuclear Information System (INIS)

    1975-06-01

    A proposal is made for the construction of proton storage rings at the Brookhaven Alternating Gradient Synchrotron (AGS) using superconducting magnets for which much of the technology has already been developed. This proton-proton colliding beam facility, ''ISABELLE,'' will provide large increases in both the center-of-mass energy and the luminosity, key machine parameters for high energy physics. The physics potential and the general description of the facility are discussed in detail, and the physical plant layout, a cost estimate and schedule, and future options are given.(U.S.)

  9. The construction of a facility for 14 Mev neutron activation analysis of oxygen in aluminium

    International Nuclear Information System (INIS)

    Bjoernstad, T.; Alstad, J.

    1984-02-01

    The article describes the construction and performance of a facility for 14 MeV neutron activation analysis, mainly for oxygen in aluminium, at the University of Oslo. It consists of a sealed tube neutron generator, a biaxial rotation system for samples in irradiation position, a mechanism for automatic separation of sample and container, and appropriate detectors and counting electronics. Especially considered are the procedures for sample preparation and packing, standardization, optimization of the energy range for integration and optimization of the irradiation, decay and counting times. The applicability of the facility is exemplified by analytical results from comparative investigations in different laboratories using different methods. (Auth.)

  10. Scientific Support of Construction of Unique Buildings and Structures and Facilities of Increased Danger

    Science.gov (United States)

    Alekhin, V. N.; Antipin, A. A.; Gorodilov, S. N.

    2017-11-01

    A range of works on scientific support for the construction of unique buildings and the structures and facilities of increased danger, such as airport facilities, long-span and high-rise buildings is being implemented at the department “Computer Aided Design in Civil Engineering” of Ural Federal University. The scope of work includes: numerical simulation of wind and snow loads, analysis of progressive collapse and seismic impacts, verification of design solutions. The results of wind, snow loads and progressive collapse of airport buildings in the cities of Orenburg, Rostov-on-Don and Perm are considered in the article.

  11. Materials and construction techniques for cryogenic wind tunnel facilities for instruction/research use

    Science.gov (United States)

    Morse, S. F.; Roper, A. T.

    1975-01-01

    The results of the cryogenic wind tunnel program conducted at NASA Langley Research Center are presented to provide a starting point for the design of an instructional/research wind tunnel facility. The advantages of the cryogenic concept are discussed, and operating envelopes for a representative facility are presented to indicate the range and mode of operation. Special attention is given to the design, construction and materials problems peculiar to cryogenic wind tunnels. The control system for operation of a cryogenic tunnel is considered, and a portion of a linearized mathematical model is developed for determining the tunnel dynamic characteristics.

  12. Evaluation on applicability of construction methods and construction quality of low-diffusion layer of cavern type radioactive waste disposal facility

    International Nuclear Information System (INIS)

    Takechi, Shin-ichi; Yokozeki, Kosuke; Terada, Kenji; Akiyama, Yoshihiro; Yada, Tsutomu; Tsuji, Yukikazu

    2014-01-01

    A performance verification experiment of cavern type radioactive waste disposal facility with a real scale construction is being conducted to evaluate the applicability of proposed construction methods and construction quality of the facility. In this paper, we confirmed that the low-diffusion layer, which is one of the cementitious materials based members, could be filled with mortar from end to end of the member; cracks of low-diffusion layer would not affect the long-term safety evaluation of the facility. And also we figured out the relationship between the material strength and the accumulated temperature, relationship between diffusion coefficient and porosity of low-diffusion layer. (author)

  13. Evaluation on construction quality of pit filler material of cavern type radioactive waste disposal facility

    International Nuclear Information System (INIS)

    Takechi, Shin-ichi; Yokozeki, Kosuke; Shimbo, Hiroshi; Terada, Kenji; Akiyama, Yoshihiro; Yada, Tsutomu; Tsuji, Yukikazu

    2014-01-01

    The pit filler material of the underground cavern-type radioactive waste disposal facility, which is poured directly around the radioactive waste packages where high temperature environment is assumed by their decay heat, is concerned to be adversely affected on the filling behavior and its hardened properties. There also are specific issues that required quality of construction must be achieved by unmanned construction with remote operation, because the pit filler construction shall be done under radiation environment. In this paper, the mix proportion of filler material is deliberated with filling experiments simulating high temperature environment, and also the effect of temperature on hardened properties are confirmed with high temperature curing test. Subsequently, the feasibility of unmanned construction method of filler material by pumping, and by movable bucket, are comparatively discussed through a real size demonstration. (author)

  14. Development and implementation of a construction environmental protection program at a solid radioactive waste management facility

    Energy Technology Data Exchange (ETDEWEB)

    Wong, T.S. [Atomic Energy of Canada Limited, Mississauga, Ontario (Canada); Bishop, T. [Atomic Energy of Canada Limited, Saint John, New Brunswick (Canada); Hickman, C.N. [Point Lepreau Generating Station, Saint John, New Brunswick (Canada)

    2007-07-01

    Refurbishment of ageing nuclear stations has great economic and environmental benefits, including reduced greenhouse gas emissions. The Government of New Brunswick (NB) decided in 2005 to refurbish the Point Lepreau Generating Station with Atomic Energy of Canada Limited (AECL) as the general contractor. The project includes construction of additional radioactive waste management facilities. AECL developed, for the construction project, an environmental protection program to comply with commitments made during the environmental assessment process, and regulatory requirements. The program covers detailed environmental plans, training courses, and engagement of consultants to provide training and conduct monitoring of the construction activities. Construction related environmental effects have been successfully mitigated and the monitoring results indicate compliance with all environmental requirements. (author)

  15. Lead Coolant Test Facility Technical and Functional Requirements, Conceptual Design, Cost and Construction Schedule

    International Nuclear Information System (INIS)

    Soli T. Khericha

    2006-01-01

    This report presents preliminary technical and functional requirements (T and FR), thermal hydraulic design and cost estimate for a lead coolant test facility. The purpose of this small scale facility is to simulate lead coolant fast reactor (LFR) coolant flow in an open lattice geometry core using seven electrical rods and liquid lead or lead-bismuth eutectic. Based on review of current world lead or lead-bismuth test facilities and research need listed in the Generation IV Roadmap, five broad areas of requirements of basis are identified: Develop and Demonstrate Prototype Lead/Lead-Bismuth Liquid Metal Flow Loop Develop and Demonstrate Feasibility of Submerged Heat Exchanger Develop and Demonstrate Open-lattice Flow in Electrically Heated Core Develop and Demonstrate Chemistry Control Demonstrate Safe Operation and Provision for Future Testing. These five broad areas are divided into twenty-one (21) specific requirements ranging from coolant temperature to design lifetime. An overview of project engineering requirements, design requirements, QA and environmental requirements are also presented. The purpose of this T and FRs is to focus the lead fast reactor community domestically on the requirements for the next unique state of the art test facility. The facility thermal hydraulic design is based on the maximum simulated core power using seven electrical heater rods of 420 kW; average linear heat generation rate of 300 W/cm. The core inlet temperature for liquid lead or Pb/Bi eutectic is 420 C. The design includes approximately seventy-five data measurements such as pressure, temperature, and flow rates. The preliminary estimated cost of construction of the facility is $3.7M. It is also estimated that the facility will require two years to be constructed and ready for operation

  16. The Abbott School Construction Program: Report on the NJ Department of Education Proposed Regulations on Long-Range Facilities Plans

    Science.gov (United States)

    Ponessa, Joan

    2004-01-01

    This report on Long Range Facilities Plans (LRFPs) analyzes regulations proposed by the New Jersey Department of Education (NJDOE) to implement the Educational Facilities Construction and Financing Act. (EFCFA). EFCFA, which authorizes and governs New Jersey's public school construction program, was enacted in July 2000 to implement the State…

  17. 32 CFR 644.486 - Disposal of buildings and improvements constructed under emergency plant facilities (EPF) or...

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 4 2010-07-01 2010-07-01 true Disposal of buildings and improvements constructed under emergency plant facilities (EPF) or similar contracts. 644.486 Section 644.486 National... Disposal of buildings and improvements constructed under emergency plant facilities (EPF) or similar...

  18. Outline of construction and facility features of Onagawa nuclear power station Unit No. 2

    International Nuclear Information System (INIS)

    Umimura, Yoshiharu; Tsunoda, Ryohei; Watanabe, Kazunori

    1996-01-01

    Tohoku Electric Power Company promotes development of various power sources to provide a stable supply of electricity in the future, and nuclear power takes a leading part. In August 1989, construction of Onagawa nuclear power plant Unit No. 2 (825MW) was started, following Unit No. 1 (524MW) which went on line in 1984 as Tohoku Electric's first nuclear power plant unit. Unit No. 2 began commercial operation in July 1995 through satisfactory construction work such as RPV hydraulic test in March 1994, fuel loading in October 1994, and various startup tests in each power stage. The design and construction of Unit No. 2 reflect construction and operation experience gained from Unit No. 1, and the latest technology, including that of the LWR Improvement and Standardization Program, was adopted to enhance facility reliability, improve operation and maintenance performance, and reduce worker dosage. Features of the facility, construction techniques, and a description of preoperation of Onagawa nuclear power plant Unit No. 2 are described in this paper. (author)

  19. Facile construction of a random protein domain insertion library using an engineered transposon.

    Science.gov (United States)

    Shah, Vandan; Pierre, Brennal; Kim, Jin Ryoun

    2013-01-15

    Insertional fusion between multiple protein domains represents a novel means of creating integrated functionalities. Currently, there is no robust guideline for selection of insertion sites ensuring the desired functional outcome of insertional fusion. Therefore, construction and testing of random domain insertion libraries, in which a host protein domain is randomly inserted into a guest protein domain, significantly benefit extensive exploration of sequence spaces for insertion sites. Short peptide residues are usually introduced between protein domains to alleviate structural conflicts, and the interdomain linker residues may affect the functional outcome of protein insertion complexes. Unfortunately, optimal control of interdomain linker residues is not always available in conventional methods used to construct random domain insertion libraries. Moreover, most conventional methods employ blunt-end rather than sticky-end ligation between host and guest DNA fragments, thus lowering library construction efficiency. Here, we report the facile construction of random domain insertion libraries using an engineered transposon. We show that random domain insertion with optimal control of interdomain linker residues was possible with our engineered transposon-based method. In addition, our method employs sticky-end rather than blunt-end ligation between host and guest DNA fragments, thus allowing for facile construction of relatively large sized libraries. Copyright © 2012 Elsevier Inc. All rights reserved.

  20. A Qualitative Comparison on Guidelines for Construction Workers Accommodation and Facility

    Directory of Open Access Journals (Sweden)

    Khamis Norasyikin

    2017-01-01

    Full Text Available Construction industry in Malaysia covers almost 1.3 million workers. Thus, realizing the importance of human-centred trait, a long-term plan that is led by the Construction Industry Development Board Malaysia (CIDB has been designed to improve accommodation and facilities of workers at construction site. In conjunction to that, the Institute for Industrial Research and Standards Malaysia (SIRIM has developed Malaysia Standard (MS 2593:2015 as the guideline for improvement of accommodation and facilities for workers which is able to contribute to the achievement of the target in the Construction Industry Transformation Programme (CITP. However, a phenomenon that is centred on the level of itscorroboration compared with other similar guidelines has been voiced by some practitioners of construction, especially when the guideline are likely to be the basis of a new related act. Therefore, based on MS 2593:2015, this introductory research is conducted to qualitatively analyse the corroborative level of the guideline compared to its counterpart guidelines. By using a comprehensive document analysis method which anchored to frequency approach and assisted by NVivo v.8 software, the report found out that the Malaysia-based guideline is on par to the restwith some introduction of new variables (especially towards leisure and social aspects. Thus, further research on gauging industry’s willingness and existing compliance rates is deemed appropriate in order to inculcate positive impacts towards the objectives of MS 2593:2015, and subsequently contributes to the formation of the forthcoming corresponding act.

  1. FEASIBILITY OF CONSTRUCTION OF SOLAR ENERGY FACILITIES ON THE TERRITORY OF RUSSIA

    Directory of Open Access Journals (Sweden)

    Виталий Игоревич Беляев

    2017-11-01

    Full Text Available The article shows the energy problems that could solve the construction of solar energy facilities in Russia. From various points of view, it is considered how rational is the placement of solar stations in Russia. A number of problems experienced by solar energy are presented directly on the territory of Russia. A comparison of Russia with Western states with respect to the construction of solar stations is shown. A new branch of "green" energy in the world is presented - bio photovoltaic systems

  2. Risk management at the stage of design of high-rise construction facilities

    Science.gov (United States)

    Politi, Violetta

    2018-03-01

    This paper describes the assessment of the probabilistic risk of an accident formed in the process of designing a technically complex facility. It considers values of conditional probabilities of the compliance of load-bearing structures with safety requirements, provides an approximate list of significant errors of the designer and analyzes the relationship between the degree of compliance and the level of danger of errors. It describes and proposes for implementation the regulated procedures related to the assessment of the safety level of constructive solutions and the reliability of the construction process participants.

  3. Construction and performance of the magnetic bunch compressor for the THz facility at Chiang Mai University

    International Nuclear Information System (INIS)

    Saisut, J.; Kusoljariyakul, K.; Rimjaem, S.; Kangrang, N.; Wichaisirimongkol, P.; Thamboon, P.; Rhodes, M.W.; Thongbai, C.

    2011-01-01

    The Plasma and Beam Physics Research Facility at Chiang Mai University has established a THz facility to focus on the study of ultra-short electron pulses. Short electron bunches can be generated from a system that consists of a radio-frequency (RF) gun with a thermionic cathode, an alpha magnet as a magnetic bunch compressor, and a linear accelerator as a post-acceleration section. The alpha magnet is a conventional and simple instrument for low-energy electron bunch compression. With the alpha magnet constructed in-house, several hundred femtosecond electron bunches for THz radiation production can be generated from the thermionic RF gun. The construction and performance of the alpha magnet, as well as some experimental results, are presented in this paper.

  4. Construction and performance of the magnetic bunch compressor for the THz facility at Chiang Mai University

    Science.gov (United States)

    Saisut, J.; Kusoljariyakul, K.; Rimjaem, S.; Kangrang, N.; Wichaisirimongkol, P.; Thamboon, P.; Rhodes, M. W.; Thongbai, C.

    2011-05-01

    The Plasma and Beam Physics Research Facility at Chiang Mai University has established a THz facility to focus on the study of ultra-short electron pulses. Short electron bunches can be generated from a system that consists of a radio-frequency (RF) gun with a thermionic cathode, an alpha magnet as a magnetic bunch compressor, and a linear accelerator as a post-acceleration section. The alpha magnet is a conventional and simple instrument for low-energy electron bunch compression. With the alpha magnet constructed in-house, several hundred femtosecond electron bunches for THz radiation production can be generated from the thermionic RF gun. The construction and performance of the alpha magnet, as well as some experimental results, are presented in this paper.

  5. Environmental assessment for the construction and operation of waste storage facilities at the Paducah Gaseous Diffusion Plant, Paducah, Kentucky

    International Nuclear Information System (INIS)

    1994-06-01

    DOE is proposing to construct and operate 3 waste storage facilities (one 42,000 ft 2 waste storage facility for RCRA waste, one 42,000 ft 2 waste storage facility for toxic waste (TSCA), and one 200,000 ft 2 mixed (hazardous/radioactive) waste storage facility) at Paducah. This environmental assessment compares impacts of this proposed action with those of continuing present practices aof of using alternative locations. It is found that the construction, operation, and ultimate closure of the proposed waste storage facilities would not significantly affect the quality of the human environment within the meaning of NEPA; therefore an environmental impact statement is not required

  6. Design and construction of the facility for neutron depth profiling in research reactor RECH-1

    International Nuclear Information System (INIS)

    Mutis P, Octavio; Navarro A, Gustavo; Henriquez A, Carlos; Pereda B, Claudio

    2002-01-01

    Here is described the experimental facility for Neutron Depth Profiling, NDP, constructed at the CCHEN laboratories, as well as some general aspects of the technique. It is also shown applications to the concentration analysis of 10 B and 6 Li as a function of depth for borophosphosilicate glass, BPSG, and for a thick sinter of 6 Li in a zinc-nickel-manganese oxide. Achieved depth resolution is comparable to that obtained in reference advanced laboratories. (author)

  7. Design and construction of solidification and dewatering facility at Alabama Power Company's Farley Nuclear Plant

    International Nuclear Information System (INIS)

    Farnsworth, P.

    1988-01-01

    The approximate total cost of the structure and supporting piping systems is estimated to be 4.1 million dollars. Total dose savings per year could be as high as 70 man Rem for resin processing alone. The ability to store refueling equipment, process contaminated oils, load and unload trucks and containers regardless of weather conditions and support repair work on equipment greatly enhances the cost effectiveness of the project. It will take at least one year of operation of the facility to accurately assess the true cost savings to Alabama Power Company. The morale factor for the Waste and Decon Group has escalated measurably due to the dose reduction to our personnel. Plant and company management are well pleased due to the possibility of a spill or release to the environment has been eliminated which was on intangible cost. Facility construction has been completed as of this date and resin transfer anticipated within the next few days. Some of the problems encountered in planning and constructing this solidification and dewatering facility are presented. A safety evaluation for the facility is included in the appendix

  8. Indium-111 leukocyte imaging in appendicitis

    International Nuclear Information System (INIS)

    Navarro, D.A.; Weber, P.M.; Kang, I.Y.; dos Remedios, L.V.; Jasko, I.A.; Sawicki, J.E.

    1987-01-01

    Indium- 111 -labeled leukocyte scintigraphy was applied to the diagnosis of acute appendicitis. Thirty-two patients observed in the hospital for possible appendicitis were prospectively studied. Scanning was done 2 hr after radiopharmaceutical injection. Thirteen scans were positive for acute appendicitis, and all but one were confirmed at laparotomy. In addition, two cases of colitis and two cases of peritonitis were detected. Of 15 negative studies, 11 had a benign course. Four patients with negative studies had laparotomy; two were found to have appendicitis and two had a normal appendix. Of 14 proven cases of appendicitis, 12 scans were positive for appendicitis with one false-positive scan, providing a sensitivity of 86%. Specificity was 93%: all negative cases except one had negative scans. Overall accuracy was 91% (29 of 32), comparing favorably with the accepted false-positive laparotomy rate of 25%. Use of In- 111 -labeled leukocyte scintigraphy serves to reduce the false-positive laparotomy rate and to shorten the clinical observation time in patients with acute appendicitis

  9. Appendicitis

    Science.gov (United States)

    ... Definition & Facts Symptoms & Causes Diagnosis Treatment Eating, Diet, & Nutrition Clinical Trials Acid Reflux (GER & GERD) in Children & Teens Definition & Facts Symptoms & Causes Diagnosis Treatment Eating, Diet, & Nutrition Clinical Trials Acid Reflux (GER & GERD) in Infants Definition & ...

  10. Appendiceal diverticulum associated with chronic appendicitis

    OpenAIRE

    Zubieta-O’Farrill, Gregorio; Guerra-Mora, José Raúl; Gudiño-Chávez, Andrés; Gonzalez-Alvarado, Carlos; Cornejo-López, Gilberto Bernabe; Villanueva-Sáenz, Eduardo

    2014-01-01

    INTRODUCTION: Appendiceal diverticulosis is a rare entity, with a global incidence between 0.004% and 2.1% of all appendectomies. It has been related with an elevated risk of perforation in comparison to acute appendicitis, as well as an increased risk for synchronic appendicular cancer in 48% of the cases, and colonic cancer in 43%. The incidence of chronic appendicitis has been reported in 1.5% of all appendicitis cases. PRESENTATION OF CASE: We present a 73-year-old female, with no rele...

  11. How to diagnose acute appendicitis

    DEFF Research Database (Denmark)

    Mostbeck, Gerhard; Adam, E Jane; Nielsen, Michael Bachmann

    2016-01-01

    appendicitis (AA). • Primary US for AA diagnosis will decrease ionizing radiation and cost. • Sensitivity of US to diagnose AA is lower than of CT/MRI. • Non-visualization of the appendix should lead to clinical reassessment. • Complementary MRI or CT may be performed if diagnosis remains unclear....... and complementary imaging with MRI/CT if indicated. Accordingly, both ionizing radiation to our patients and cost of pre-therapeutic diagnosis of AA will be low, with low negative appendectomy and perforation rates. Main Messages • Ultrasound (US) should be the first imaging modality for diagnosing acute...... specificity both in the paediatric and adult patient populations. As US sensitivity is limited, and non-diagnostic US examinations with non-visualization of the appendix are more a rule than an exception, diagnostic strategies and algorithms after non-diagnostic US should focus on clinical reassessment...

  12. Construction of new biological research facility for internal emitter and prospect

    International Nuclear Information System (INIS)

    Matsuoka, Osamu

    1979-01-01

    The construction of the new biological research facility for internal emitters is to start in 1979 in the National Institute of Radiological Sciences. The bodily harm of plutonium had been studied in 1965 for the first time in Japan, and mice and rats were tested as the experimental animals. The conceptual design of the biological research facility for internal emitters has been conducted from 1976 to 1978. The causes making the construction of this facility difficult are as follows: 1) the regulation concerning the handling of plutonium has no lower limit, and the animals administered with dosage of plutonium are not permitted to be kept outdoors, 2) the waste disposal of dead bodies and excrements of the animals is controlled very severely, 3) many animal breeders with the knowledge of radiation protection are needed for the special experiment, and 4) the budget is not sufficient for this experiment of handling plutonium. To resolve these problems, much efforts have been exerted on the test of breeding dogs and monkeys, the disposal of radioactive animal wastes, the treatment of urine of radioactive animals, the reduction of labor for breeding contaminated animals, and keeping of safety. The present situation of the researches on internal emitters in the USA, Germany, Britain, France and the Soviet Union is reviewed for reference. The outline of the new biological research facility for internal emitters is presented. The building has seven floors with the total area of about 13,000 m 2 , and comprises three controlled areas and no contamination laboratories. The future experiments, which are expected to be conducted after the completion of this facility, are the animal tests to evaluate the influence of fissile materials, especially plutonium, and the fundamental experiments to take out the radioactive nuclides accidentally taken into bodies. (Nakai, Y.)

  13. Ecological studies related to construction of the Defense Waste Processing Facility on the Savannah River Site

    Energy Technology Data Exchange (ETDEWEB)

    Pechmann, J.H.K.; Scott, D.E.; McGregor, J.H.; Estes, R.A.; Chazal, A.C.

    1993-02-01

    The Defense Waste Processing Facility (DWPF) was built on the Savannah River Site (SRS) during the mid-1980's. The Savannah River Ecology Laboratory (SREL) has completed 12 years of ecological studies related to the construction of the DWPF complex. Prior to construction, the 600-acre site (S-Area) contained a Carolina bay and the headwaters of a stream. Research conducted by the SREL has focused primarily on four questions related to these wetlands: (1) Prior to construction, what fauna and flora were present at the DWPF site and at similar, yet undisturbed, alternative sites (2) By comparing the Carolina bay at the DWPF site (Sun Bay) with an undisturbed control Carolina bay (Rainbow Bay), what effect is construction having on the organisms that inhabited the DWPF site (3) By comparing control streams with streams on the periphery of the DWPF site, what effect is construction having on the peripheral streams (4) How effective have efforts been to lessen the impacts of construction, both with respect to erosion control measures and the construction of refuge ponds'' as alternative breeding sites for amphibians that formerly bred at Sun Bay Through the long-term census-taking of biota at the DWPF site and Rainbow Bay, SREL has begun to evaluate the impact of construction on the biota and the effectiveness of mitigation efforts. Similarly, the effects of erosion from the DWPF site on the water quality of S-Area peripheral streams are being assessed. This research provides supporting data relevant to the National Environmental Policy Act (NEPA) of 1969, the Endangered Species Act of 1973, Executive Orders 11988 (Floodplain Management) and 11990 (Protection of Wetlands), and United States Department of Energy (DOE) Guidelines for Compliance with Floodplain/Wetland Environmental Review Requirements (10CFR1022).

  14. Acute appendicitis after blunt abdominal trauma

    Directory of Open Access Journals (Sweden)

    Marjan Joudi

    2012-02-01

    Full Text Available Appendecitis is one of the most frequent surgeries. Inflammation of appendix may be due to variable causes such as fecalit, hypertrophy of Peyer’s plaques, seeds of fruits and parasites. In this study we presented an uncommon type of appendicitis which occurred after abdominal blunt trauma. In this article three children present who involved acute appendicitis after blunt abdominal trauma. These patients were 2 boys (5 and 6-year-old and one girl (8-year-old who after blunt abdominal trauma admitted to the hospital with abdominal pain and symptoms of acute abdomen and appendectomy had been done for them.Trauma can induce intramural hematoma at appendix process and may cause appendicitis. Therefore, physicians should be aware of appendicitis after blunt abdominal trauma

  15. Long term integrity of spent fuel and construction materials for dry storage facilities

    Energy Technology Data Exchange (ETDEWEB)

    Saegusa, T [CRIEPI (Japan)

    2012-07-01

    In Japan, two dry storage facilities at reactor sites have already been operating since 1995 and 2002, respectively. Additionally, a large scale dry storage facility away from reactor sites is under safety examination for license near the coast and desired to start its operation in 2010. Its final storage capacity is 5,000tU. It is therefore necessary to obtain and evaluate the related data on integrity of spent fuels loaded into and construction materials of casks during long term dry storage. The objectives are: - Spent fuel rod: To evaluate hydrogen migration along axial fuel direction on irradiated claddings stored for twenty years in air; To evaluate pellet oxidation behaviour for high burn-up UO{sub 2} fuels; - Construction materials for dry storage facilities: To evaluate long term reliability of welded stainless steel canister under stress corrosion cracking (SCC) environment; To evaluate long term integrity of concrete cask under carbonation and salt attack environment; To evaluate integrity of sealability of metal gasket under long term storage and short term accidental impact force.

  16. [Enterobius vermicularis causing symptoms of acute appendicitis].

    Science.gov (United States)

    Antal, András; Kocsis, Béla

    2008-08-01

    The authors present a case of enterobiasis of the appendix. Enterobius infection is an uncommon cause of acute appendicitis. Preoperative diagnosis of pinworm infestation is almost impossible unless there is a strong clinical suspicion. Parasites may produce symptoms which resemble acute appendicitis. Careful observation of the appendix stump may lead to intraoperative diagnosis of enterobiasis. A quick diagnosis and appropriate treatment may prevent future complications.

  17. Outcomes of Nonoperative Management of Uncomplicated Appendicitis.

    Science.gov (United States)

    Bachur, Richard G; Lipsett, Susan C; Monuteaux, Michael C

    2017-07-01

    Nonoperative management (NOM) of uncomplicated pediatric appendicitis has promise but remains poorly studied. NOM may lead to an increase in resource utilization. Our objective was to investigate the trends in NOM for uncomplicated appendicitis and study the relevant clinical outcomes including subsequent appendectomy, complications, and resource utilization. Retrospective analysis of administrative data from 45 US pediatric hospitals. Patients appendicitis between 2010 and 2016 were studied. NOM was defined by an ED visit for uncomplicated appendicitis treated with antibiotics and the absence of appendectomy at the index encounter. The main outcomes included trends in NOM among children with uncomplicated appendicitis and frequency of subsequent diagnostic imaging, ED visits, hospitalizations, and appendectomy during 12-month follow-up. 99 001 children with appendicitis were identified, with a median age of 10.9 years. Sixty-six percent were diagnosed with nonperforated appendicitis, of which 4190 (6%) were managed nonoperatively. An increasing number of nonoperative cases were observed over 6 years (absolute difference, +20.4%). During the 12-month follow-up period, NOM patients were more likely to have the following: advanced imaging (+8.9% [95% confidence interval (CI) 7.6% to 10.3%]), ED visits (+11.2% [95% CI 9.3% to 13.2%]), and hospitalizations (+43.7% [95% CI 41.7% to 45.8%]). Among patients managed nonoperatively, 46% had a subsequent appendectomy. A significant increase in NOM of nonperforated appendicitis was observed over 6 years. Patients with NOM had more subsequent ED visits and hospitalizations compared with those managed operatively at the index visit. A substantial proportion of patients initially managed nonoperatively eventually had an appendectomy. Copyright © 2017 by the American Academy of Pediatrics.

  18. Advances in technology for the construction of deep-underground facilities

    Energy Technology Data Exchange (ETDEWEB)

    1987-12-31

    The workshop was organized in order to address technological issues important to decisions regarding the feasibility of strategic options. The objectives of the workshop were to establish the current technological capabilities for deep-underground construction, to project those capabilities through the compressed schedule proposed for construction, and to identify promising directions for timely allocation of existing research and development resources. The earth has been used as a means of protection and safekeeping for many centuries. Recently, the thickness of the earth cover required for this purpose has been extended to the 2,000- to 3,000-ft range in structures contemplated for nuclear-waste disposal, energy storage, and strategic systems. For defensive missile basing, it is now perceived that the magnitude of the threat has increased through better delivery systems, larger payloads, and variable tactics of attack. Thus, depths of 3,000 to 8,000 ft are being considered seriously for such facilities. Moreover, it appears desirable that the facilities be operational (if not totally complete) for defensive purposes within a five-year construction schedule. Deep excavations such as mines are similar in many respects to nearsurface tunnels and caverns for transit, rail, sewer, water, hydroelectric, and highway projects. But the differences that do exist are significant. Major distinctions between shallow and deep construction derive from the stress fields and behavior of earth materials around the openings. Different methodologies are required to accommodate other variations resulting from increased depth, such as elevated temperatures, reduced capability for site exploration, and limited access during project execution. This report addresses these and other questions devoted to geotechnical characterization, design, construction, and excavation equipment.

  19. Environmental assessment report: Nuclear Test Technology Complex. [Construction and operation of proposed facility

    Energy Technology Data Exchange (ETDEWEB)

    Tonnessen, K.; Tewes, H.A.

    1982-08-01

    The US Department of Energy (USDOE) is planning to construct and operate a structure, designated the Nuclear Test Technology Complex (NTTC), on a site located west of and adjacent to the Lawrence Livermore National Laboratory. The NTTC is designed to house 350 nuclear test program personnel, and will accommodate the needs of the entire staff of the continuing Nuclear Test Program (NTP). The project has three phases: land acquisition, facility construction and facility operation. The purpose of this environmental assessment report is to describe the activities associated with the three phases of the NTTC project and to evaluate potential environmental disruptions. The project site is located in a rural area of southeastern Alameda County, California, where the primary land use is agriculture; however, the County has zoned the area for industrial development. The environmental impacts of the project include surface disturbance, high noise levels, possible increases in site erosion, and decreased air quality. These impacts will occur primarily during the construction phase of the NTTC project and can be mitigated in part by measures proposed in this report.

  20. Imaging Acute Appendicitis: State of the Art

    Directory of Open Access Journals (Sweden)

    Diana Gaitini

    2011-01-01

    Full Text Available The goal of this review is to present the state of the art in imaging tests for the diagnosis of acute appendicitis. Relevant publications regarding performance and advantages/disadvantages of imaging modalities for the diagnosis of appendicitis in different clinical situations were reviewed. Articles were extracted from a computerized database (MEDLINE with the following activated limits: Humans, English, core clinical journals, and published in the last five years. Reference lists of relevant studies were checked manually to identify additional, related articles. Ultrasound (US examination should be the first imaging test performed, particularly among the pediatric and young adult populations, who represent the main targets for appendicitis, as well as in pregnant patients. A positive US examination for appendicitis or an alternative diagnosis of possible gastrointestinal or urological origin, or a negative US, either showing a normal appendix or presenting low clinical suspicion of appendicitis, should lead to a final diagnosis. A negative or indeterminate examination with a strong clinical suspicion of appendicitis should be followed by a computed tomography (CT scan or alternatively, a magnetic resonanace imaging (MRI scan in a pregnant patient. A second US examination in a patient with persistent symptoms, especially if the first one was performed by a less experienced imaging professional, is a valid alternative to a CT.

  1. Current state of the construction of an integrated test facility for hydrogen risk

    Energy Technology Data Exchange (ETDEWEB)

    Na, Young Su; Hong, Seong-Ho; Hong, Seong-Wan [KAERI, Daejeon (Korea, Republic of)

    2015-05-15

    Experimental research on hydrogen as a combustible gas is important for an assessment of the integrity of a containment building under a severe accident. The Korea Atomic Energy Research Institute (KAERI) is preparing a large-scaled test facility, called SPARC (SPray-Aerosol-Recombiner-Combustion), to estimate the hydrogen behavior such as the distribution, combustion and mitigation. This paper introduces the experimental research activity on hydrogen risk, which was presented at International Congress on Advances in Nuclear Power Plants (ICAPP) this year. The KAERI is preparing a test facility, called SPARC (SPray-Aerosol-Recombiner-Combustion test facility), for an assessment of the hydrogen risk. In the SPARC, hydrogen behavior such as mixing with steam and air, distribution, and combustion in the containment atmosphere will be observed. The SPARC consists of a pressure vessel with a 9.5 m height and 3.4 m in diameter and the operating system to control the thermal hydraulic conditions up to 1.5 MPa at 453 K in a vessel. The temperature, pressure, and gas concentration at various locations will be measured to estimate the atmospheric behavior in a vessel. To install the SPARC, an experimental building, called LIFE (Laboratory for Innovative mitigation of threats from Fission products and Explosion), was constructed at the KAERI site. LIFE has an area of 480 m''2 and height of 18.6 m, and it was designed by considering the experimental safety and specification of a large-sized test facility.

  2. Safety analysis report for the Cold Vacuum Drying Facility, phase 1, supporting civil/structural construction

    International Nuclear Information System (INIS)

    Pili-Vincens, C.

    1997-01-01

    The US Department of Energy established the K Basins Spent Nuclear Fuel Project to address safety and environmental concerns associated with deteriorating spent nuclear fuel presently stored under water in the Hanford Site's K Basins, which are located near the Columbia River. Recommendations for a series of aggressive projects to construct and operate systems and facilities to manage the safe removal of K Basins fuel were made in WHC-EP-0830, Hanford Spent Nuclear Fuel Recommended Path Forward,' and its subsequent update, WHC-SD-SNF-SP-005, Hanford Spent Nuclear Fuel Project Integrated Process Strategy for K Basins Fuel. The integrated process strategy recommendations include the following process steps: fuel preparation activities at the K Basins, including removing the fuel elements from their K Basin canisters, separating fuel particulate from fuel elements and fuel fragments greater than 0.6 cm (0.25 in.) in any dimension, removing excess sludge from the fuel and fuel fragments by means of flushing, as necessary, and packaging the fuel into multicanister overpacks; removal of free water by draining and vacuum drying at the Cold Vacuum Drying Facility (CVDF), a new facility in the 100 K Area of the Hanford Site. This report is contains the safety analysis for the Cold Vacuum Drying Facility, Phase 1

  3. Construction of mixed waste storage RCRA facilities, Buildings 7668 and 7669: Environmental assessment

    International Nuclear Information System (INIS)

    1994-04-01

    The Department of Energy has prepared an environmental assessment, DOE/EA-0820, to assess the potential environmental impacts of constructing and operating two mixed waste Resource Conservation and Recovery Act (RCRA) storage facilities. The new facilities would be located inside and immediately west of the security-fenced area of the Oak Ridge National Laboratory Hazardous Waste Management Area in Melton Valley, Tennessee. Based on the analyses in the environmental assessment, the Department has determined that the proposed action does not constitute a major Federal action significantly affecting the quality of the human environment within the meaning of the National Environmental Policy Act of 1969. Therefore, the preparation of an environmental impact statement is not required, and the Department is issuing this finding of no significant impact

  4. Construction and characterization of the redesigned PGAA facility at The University of Texas at Austin

    International Nuclear Information System (INIS)

    Revay, Zs.; Harrison, R.K.; Alvarez, E.; Biegalski, S.R.; Landsberger, S.

    2007-01-01

    The prompt gamma activation analysis (PGAA) facility at The University of Texas at Austin (UT) has been redesigned and reconstructed. As a result of the new shielding of the system, the neutron (at all energies) and gamma-ray backgrounds have been reduced by more than an order of magnitude, considerably improving the signal-to-noise ratio for the characteristic peaks. The prompt gamma peaks from the construction materials have also been decreased, providing better detection limits for elements. The calibration of the new system is shown in detail. All these efforts significantly improved the sensitivity and reliability of the chemical analyses performed in the facility. The characteristics of the improved PGAA system are also presented

  5. Acute appendicitis in the public and private sectors in Cape Town, South Africa.

    Science.gov (United States)

    Yang, Estin; Cook, Colin; Kahn, Delawir

    2015-07-01

    South Africa has a low incidence of acute appendicitis, but poor outcomes. However, South African studies on appendicitis focus solely on public hospitals, neglecting those who utilize private facilities. This study aims to compare appendicitis characteristics and outcomes in public and private hospitals in South Africa. A prospective cohort study was conducted among two public and three private hospitals in the Cape Town metropole, from September 2013 to March 2014. Hospital records, operative notes, and histology results were reviewed for patients undergoing appendectomy for acute appendicitis. Patients were interviewed during their hospitalization and followed up at monthly intervals until normal function was attained. A total of 134 patients were enrolled, with 73 in the public and 61 in the private sector. Education and employment were higher among private sector patients. Public sector patients had a higher rupture rate (30.6 vs 13.2 %, p = 0.023). Times to presentation were not statistically different between the two cohorts. Public sector patients had longer hospital stays (5.3 vs 2.9 days, p = 0.036) and longer return to work times (23.0 vs 12.1 days, p public hospitals were more severe. Public sector patients in South Africa with appendicitis have higher rupture rates, worse complications, longer hospital stays, and longer recoveries than private sector patients. Patients with perforation had longer delays in presentation than patients without perforation.

  6. Construction safety program for the National Ignition Facility Appendix A: Safety Requirements

    International Nuclear Information System (INIS)

    Cerruti, S.J.

    1997-01-01

    These rules apply to all LLNL employees, non-LLNL employees (including contract labor, supplemental labor, vendors, personnel matrixed/assigned from other National Laboratories, participating guests, visitors and students) and construction contractors/subcontractors. The General Safety and Health rules shall be used by management to promote accident prevention through indoctrination, safety and health training and on-the-job application. As a condition for contracts award, all contractors and subcontractors and their employees must certify on Form S ampersand H A-1 that they have read and understand, or have been briefed and understand, the National Ignition Facility OCIP Project General Safety Rules

  7. Radiation control aspects of the civil construction for a high power free electron laser (FEL) facility

    International Nuclear Information System (INIS)

    Dunn, T.; Neil, G.; Stapleton, G.

    1996-01-01

    The paper discusses some of the assumptions and methods employed for the control of ionizing radiation in the specifications for the civil construction of a planned free electron laser facility based on a 200 MeV, 5 mA superconducting recirculation electron accelerator. Consideration is given firstly to the way in which the underlying building configuration and siting aspects were optimized on the basis of the early assumptions of beam loss and radiation goals. The various design requirements for radiation protection are then considered, and how they were folded into an aesthetically pleasing and functional building

  8. Construction safety program for the National Ignition Facility Appendix A: Safety Requirements

    Energy Technology Data Exchange (ETDEWEB)

    Cerruti, S.J.

    1997-01-14

    These rules apply to all LLNL employees, non-LLNL employees (including contract labor, supplemental labor, vendors, personnel matrixed/assigned from other National Laboratories, participating guests, visitors and students) and construction contractors/subcontractors. The General Safety and Health rules shall be used by management to promote accident prevention through indoctrination, safety and health training and on-the-job application. As a condition for contracts award, all contractors and subcontractors and their employees must certify on Form S & H A-1 that they have read and understand, or have been briefed and understand, the National Ignition Facility OCIP Project General Safety Rules.

  9. Proactive information provision for reducing social construct risk of nuclear facility

    International Nuclear Information System (INIS)

    Kitamura, Masaharu; Takahashi, Makoto; Hashizume, Hidetoshi; Shiraishi, Natsuki; Yagi, Ekou

    2006-01-01

    Outlines of, and the empirical observations from, an action research project aiming at improvement of relationship between nuclear community and the public have been reported in this paper. Ultimate goal of the project is effective reduction of social construct risk of nuclear power plants. As an initial approach to the goal, a proactive information provision scheme has been designed based on the knowledge acquired during our previous attempt of public communication named repetitive dialogue forum. The information contents consistent with the actual need of local citizens has been derived from the previous experiences and provided in the present project. Although the project is in its incipient stage, the observations are informative enough to develop the project further to attain the ultimate purpose of reducing the social construct component of technological risk of nuclear facilities. (author)

  10. Development of a test facility to evaluate the optimal design of BMPs for managing environmental problems at construction sites.

    Science.gov (United States)

    2012-06-01

    The following document is the final report for ALDOT Project 930655 which summarizes the design and : construction of the Auburn University Erosion and Sediment Control Testing Facility (AUESCTF) along : with several intermediatescale, f...

  11. Notification: EPA Region 10 Management Controls Over Allowing Substantial Public Funds to Construct the Spokane County Wastewater Treatment Facility

    Science.gov (United States)

    January 20, 2012. This EPA's OIG is initiating a review from an OIG hotline complaint regarding whether federal funds were properly used to construct the new Spokane County wastewater treatment facility in accordance with 40 CFR 35, Subpart K.

  12. 77 FR 33782 - License Amendment To Construct and Operate New In Situ Leach Uranium Recovery Facility; Uranium...

    Science.gov (United States)

    2012-06-07

    ... and Operate New In Situ Leach Uranium Recovery Facility; Uranium One Americas; Ludeman AGENCY: Nuclear... provided the first time that a document is referenced. The Ludeman facility In Situ Leach Uranium Recovery... request to amend Source Material License SUA-1341 to construct and operate a new in situ leach uranium...

  13. ISABELLE: a proposal for construction of a proton--proton storage accelerator facility

    International Nuclear Information System (INIS)

    1976-05-01

    The construction of an Intersecting Storage Accelerator Facility (ISA or ISABELLE) at Brookhaven National Laboratory is proposed. ISABELLE will permit the exploration of proton-proton collisions at center-of-mass energies continuously variable from 60 to 400 GeV and with luminosities of 10 32 to 10 33 cm -2 sec -1 over the entire range. An overview of the physics potential of this machine is given, covering the production of charged and neutral intermediate vector bosons, the hadron production at high transverse momentum, searches for new, massive particles, and the energy dependence of the strong interactions. The facility consists of two interlaced rings of superconducting magnets in a common tunnel about 3 km in circumference. The proton beams will collide at eight intersection regions where particle detectors will be arranged for studying the collision processes. Protons of approximately 30 GeV from the AGS will be accumulated to obtain the design current of 10A prior to acceleration to final energy. The design and performance of existing full-size superconducting dipoles and quadrupoles is described. The conceptual design of the accelerator systems and the conventional structures and buildings is presented. A preliminary cost estimate and construction schedule are given. Possible future options such as proton-antiproton, proton-deuteron and electron-proton collisions are discussed

  14. Final environmental impact statement, construction and operation of the Spallation Neutron Source Facility. Summary

    International Nuclear Information System (INIS)

    1999-04-01

    DOE proposes to construct and operate a state-of-the-art, short-pulsed, spallation neutron source comprised of an ion source, a linear accelerator, a proton accumulator ring, and an experiment building containing a liquid mercury target and a suite of neutron scattering instrumentation. The proposed Spallation Neutron Source would be designed to operate at a proton beam power of 1 megawatt. The design would accommodate future upgrades to a peak operating power of 4 megawatts. These upgrades may include construction of a second proton accumulator ring and a second target. This document analyzes the potential environmental impacts from the proposed action and the alternatives. The analysis assumes a facility operating at a power of 1 MW and 4 MW over the life of the facility. The two primary alternatives analyzed in this FEIS are: the proposed action (to proceed with building the Spallation Neutron Source) and the No-Action Alternative. The No-Action Alternative describes the expected condition of the environment if no action were taken. Four siting alternatives for the Spallation Neutron Source are evaluated: Oak Ridge National Laboratory, Oak Ridge, TN, (preferred alternative); Argonne National Laboratory, Argonne, IL; Brookhaven National Laboratory, Upton, NY; and Los Alamos National Laboratory, Los Alamos, NM

  15. Construction and initial operation of MHD PbLi facility at UCLA

    Energy Technology Data Exchange (ETDEWEB)

    Smolentsev, S., E-mail: sergey@fusion.ucla.edu; Li, F.-C.; Morley, N.; Ueki, Y.; Abdou, M.; Sketchley, T.

    2013-06-15

    Highlights: • New MHD PbLi loop has been constructed and tested at UCLA. • Pressure diagnostics system has been developed and successfully tested. • Ultrasound Doppler velocimeter is tested as velocity diagnostics. • Experiments on pressure drop reduction have been performed. • Experiments on MHD flow in a duct with SiC flow channel insert are underway. -- Abstract: A magnetohydrodynamic flow facility MaPLE (Magnetohydrodynamic PbLi Experiment) that utilizes molten eutectic alloy lead–lithium (PbLi) as working fluid has been constructed and tested at University of California, Los Angeles. The loop operation parameters are: maximum magnetic field 1.8 T, PbLi temperature up to 350 °C, maximum PbLi flow rate with/without a magnetic field 15/50 l/min, maximum pressure head 0.15 MPa. The paper describes the loop itself and its major components, basic operation procedures, experience of handling PbLi, initial loop testing, flow diagnostics and current and near-future experiments. The obtained test results of the loop and its components have demonstrated that the new facility is fully functioning and ready for experimental studies of magnetohydrodynamic, heat and mass transfer phenomena in PbLi flows and also can be used in mock up testing in conditions relevant to fusion applications.

  16. Designing and constructing/installing technical security countermeasures (TSCM) into supersensitive facilities

    International Nuclear Information System (INIS)

    Davis, D.L.

    1988-01-01

    The design and construction of supersensitive facilities and the installation of systems secure from technical surveillance and sabotage penetration involve ''TSCM'' in the broad sense of technical ''security'' countermeasures. When the technical threat was at a lower level of intensity and sophistication, it was common practice to defer TSCM to the future facility occupant. However, the New Moscow Embassy experience has proven this course of action subject to peril. Although primary concern with the embassy was audio surveillance, elsewhere there are other threats of equal or greater concern, e.g., technical implants may be used to monitor readiness status or interfere with the operation of C3I and weapons systems. Present and future technical penetration threats stretch the imagination. The Soviets have committed substantial hard scientific resources to a broad range of technical intelligence, even including applications or parapsychology. Countering these threats involves continuous TSCM precautions from initial planning to completion. Designs and construction/installation techniques must facilitate technical inspections and preclude the broadest range of known and suspected technical penetration efforts

  17. Designing and constructing/installing technical security countermeasures (TSCM) into supersensitive facilities

    Energy Technology Data Exchange (ETDEWEB)

    Davis, D.L.

    1988-01-01

    The design and construction of supersensitive facilities and the installation of systems secure from technical surveillance and sabotage penetration involve ''TSCM'' in the broad sense of technical ''security'' countermeasures. When the technical threat was at a lower level of intensity and sophistication, it was common practice to defer TSCM to the future facility occupant. However, the New Moscow Embassy experience has proven this course of action subject to peril. Although primary concern with the embassy was audio surveillance, elsewhere there are other threats of equal or greater concern, e.g., technical implants may be used to monitor readiness status or interfere with the operation of C3I and weapons systems. Present and future technical penetration threats stretch the imagination. The Soviets have committed substantial hard scientific resources to a broad range of technical intelligence, even including applications or parapsychology. Countering these threats involves continuous TSCM precautions from initial planning to completion. Designs and construction/installation techniques must facilitate technical inspections and preclude the broadest range of known and suspected technical penetration efforts.

  18. A Novel Reporting System to Improve Accuracy in Appendicitis Imaging

    Science.gov (United States)

    Godwin, Benjamin D.; Drake, Frederick T.; Simianu, Vlad V.; Shriki, Jabi E.; Hippe, Daniel S.; Dighe, Manjiri; Bastawrous, Sarah; Cuevas, Carlos; Flum, David; Bhargava, Puneet

    2015-01-01

    OBJECTIVE The purpose of this study was to ascertain if standardized radiologic reporting for appendicitis imaging increases diagnostic accuracy. MATERIALS AND METHODS We developed a standardized appendicitis reporting system that includes objective imaging findings common in appendicitis and a certainty score ranging from 1 (definitely not appendicitis) through 5 (definitely appendicitis). Four radiologists retrospectively reviewed the preoperative CT scans of 96 appendectomy patients using our reporting system. The presence of appendicitis-specific imaging findings and certainty scores were compared with final pathology. These comparisons were summarized using odds ratios (ORs) and the AUC. RESULTS The appendix was visualized on CT in 89 patients, of whom 71 (80%) had pathologically proven appendicitis. Imaging findings associated with appendicitis included appendiceal diameter (odds ratio [OR] = 14 [> 10 vs appendicitis. In this initially indeterminate group, using the standardized reporting system, radiologists assigned higher certainty scores (4 or 5) in 21 of the 28 patients with appendicitis (75%) and lower scores (1 or 2) in five of the seven patients without appendicitis (71%) (AUC = 0.90; p = 0.001). CONCLUSION Standardized reporting and grading of objective imaging findings correlated well with postoperative pathology and may decrease the number of CT findings reported as indeterminate for appendicitis. Prospective evaluation of this reporting system on a cohort of patients with clinically suspected appendicitis is currently under way. PMID:26001230

  19. SINBAD—The accelerator R&D facility under construction at DESY

    Energy Technology Data Exchange (ETDEWEB)

    Dorda, U., E-mail: ulrich.dorda@desy.de [DESY, Hamburg & Zeuthen (Germany); Assmann, R.; Brinkmann, R.; Flöttmann, K.; Hartl, I.; Hüning, M.; Kärtner, F.; Fallahi, A.; Marchetti, B.; Nie, Y.; Osterhoff, J.; Schlarb, H.; Zhu, J. [DESY, Hamburg & Zeuthen (Germany); Maier, A.R. [University Hamburg (Germany)

    2016-09-01

    The SINBAD facility (Short INnovative Bunches and Accelerators at DESY) is a long-term dedicated accelerator research and development facility currently under construction at DESY. It will be located in the premises of the old DORIS accelerator complex and host multiple independent experiments cost-effectively accessing the same central infrastructure like a central high power laser. With the removal of the old DORIS accelerator being completed, the refurbishment of the technical infrastructure is currently starting up. The presently ongoing conversion of the area into the SINBAD facility and the currently foreseen layout is described. The first experiment will use a compact S-band linac for the production of ultra-short bunches at hundred MeV. Once established, one of the main usages will be to externally inject electrons into a laser-driven plasma wakefield accelerator to boost the energy to GeV-level while maintaining a usable beam quality, ultimately aiming to drive an FEL. The second experiment already under planning is the setup of an attosecond radiation source with advanced technology. Further usage of the available space and infrastructure is revised and national and international collaborations are being established.

  20. The Design and Construction of the Advanced Mixed Waste Treatment Facility

    Energy Technology Data Exchange (ETDEWEB)

    Harrop, G.

    2003-02-27

    The Advanced Mixed Treatment Project (AMWTP) privatized contract was awarded to BNFL Inc. in December 1996 and construction of the main facility commenced in August 2000. The purpose of the advanced mixed waste treatment facility is to safely treat plutonium contaminated waste, currently stored in drums and boxes, for final disposal at the Waste Isolation Pilot Plant (WIPP). The plant is being built at the Idaho National Engineering and Environmental Laboratory. Construction was completed in 28 months, to satisfy the Settlement Agreement milestone of December 2002. Commissioning of the related retrieval and characterization facilities is currently underway. The first shipment of pre-characterized waste is scheduled for March 2003, with AMWTP characterized and certified waste shipments from June 2003. To accommodate these challenging delivery targets BNFL adopted a systematic and focused construction program that included the use of a temporary structure to allow winter working, proven design and engineering principles and international procurement policies to help achieve quality and schedule. The technology involved in achieving the AMWTP functional requirements is primarily based upon a BNFL established pedigree of plant and equipment; applied in a manner that suits the process and waste. This technology includes the use of remotely controlled floor mounted and overhead power manipulators, a high power shredder and a 2000-ton force supercompactor with the attendant glove box suite, interconnections and automated material handling. The characterization equipment includes real-time radiography (RTR) units, drum and box assay measurement systems, drum head space gas sampling / analysis and drum venting, drum coring and sampling capabilities. The project adopted a particularly stringent and intensive pre-installation testing philosophy to ensure that equipment would work safely and reliably at the required throughput. This testing included the complete off site

  1. The Design and Construction of the Advanced Mixed Waste Treatment Facility

    International Nuclear Information System (INIS)

    Harrop, G.

    2003-01-01

    The Advanced Mixed Treatment Project (AMWTP) privatized contract was awarded to BNFL Inc. in December 1996 and construction of the main facility commenced in August 2000. The purpose of the advanced mixed waste treatment facility is to safely treat plutonium contaminated waste, currently stored in drums and boxes, for final disposal at the Waste Isolation Pilot Plant (WIPP). The plant is being built at the Idaho National Engineering and Environmental Laboratory. Construction was completed in 28 months, to satisfy the Settlement Agreement milestone of December 2002. Commissioning of the related retrieval and characterization facilities is currently underway. The first shipment of pre-characterized waste is scheduled for March 2003, with AMWTP characterized and certified waste shipments from June 2003. To accommodate these challenging delivery targets BNFL adopted a systematic and focused construction program that included the use of a temporary structure to allow winter working, proven design and engineering principles and international procurement policies to help achieve quality and schedule. The technology involved in achieving the AMWTP functional requirements is primarily based upon a BNFL established pedigree of plant and equipment; applied in a manner that suits the process and waste. This technology includes the use of remotely controlled floor mounted and overhead power manipulators, a high power shredder and a 2000-ton force supercompactor with the attendant glove box suite, interconnections and automated material handling. The characterization equipment includes real-time radiography (RTR) units, drum and box assay measurement systems, drum head space gas sampling / analysis and drum venting, drum coring and sampling capabilities. The project adopted a particularly stringent and intensive pre-installation testing philosophy to ensure that equipment would work safely and reliably at the required throughput. This testing included the complete off site

  2. Radioactive Air Emmission Notice of Construction (NOC) for the Waste Receiving and Processing Facility (WRAP)

    Energy Technology Data Exchange (ETDEWEB)

    MENARD, N.M.

    2000-12-01

    This document serves as a notice of construction (NOC) pursuant to the requirements of Washington Administrative Code (WAC) 246-247-060, and as a request for approval to modify pursuant to 40 Code of Federal Regulations (CFR) 61.07 for the Waste Receiving and Processing (WRAP) Facility. The rewrite of this NOC incorporates all the approved revisions (Sections 5.0, 6.0, 8.0, and 9.0), a revised potential to emit (PTE) based on the revised maximally exposed individual (MEI) (Sections 8.0, 10.0, 11.0, 12.0, 13.0, 14.0, and 15.0), the results of a study on fugitive emissions (Sections 6.0, 10.0, and 15.0), and reflects the current operating conditions at the WRAP Facility (Section 5.0). This NOC replaces DOE/RL-93-15 and DOE/RL-93-16 in their entirety. The primary function of the WRAP Facility is to examine, assay, characterize, treat, verify, and repackage radioactive material and mixed waste. There are two sources of emissions from the WRAP Facility: stack emissions and fugitive emissions. The stack emissions have an unabated total effective dose equivalent (TEDE) estimate to the hypothetical offsite MEI of 1.13 E+02 millirem per year. The abated TEDE for the stack emissions is estimated at 5.63 E-02 millirem per year to the MEI. The fugitive emissions have an unabated TEDE estimate to the hypothetical offsite MEI of 5.87 E-04. There is no abatement for the fugitive emissions.

  3. Radioactive Air Emmission Notice of Construction (NOC) Application for the Waste Receiving and Processing Facility (WRAP)

    International Nuclear Information System (INIS)

    MENARD, N.M.

    2000-01-01

    This document serves as a notice of construction (NOC) pursuant to the requirements of Washington Administrative Code (WAC) 246-247-060, and as a request for approval to modify pursuant to 40 Code of Federal Regulations (CFR) 61.07 for the Waste Receiving and Processing (WRAP) Facility. The rewrite of this NOC incorporates all the approved revisions (Sections 5.0, 6.0, 8.0, and 9.0), a revised potential to emit (PTE) based on the revised maximally exposed individual (MEI) (Sections 8.0, 10.0, 11.0, 12.0, 13.0, 14.0, and 15.0), the results of a study on fugitive emissions (Sections 6.0, 10.0, and 15.0), and reflects the current operating conditions at the WRAP Facility (Section 5.0). This NOC replaces DOE/RL-93-15 and DOE/RL-93-16 in their entirety. The primary function of the WRAP Facility is to examine, assay, characterize, treat, verify, and repackage radioactive material and mixed waste. There are two sources of emissions from the WRAP Facility: stack emissions and fugitive emissions. The stack emissions have an unabated total effective dose equivalent (TEDE) estimate to the hypothetical offsite MEI of 1.13 E+02 millirem per year. The abated TEDE for the stack emissions is estimated at 5.63 E-02 millirem per year to the MEI. The fugitive emissions have an unabated TEDE estimate to the hypothetical offsite MEI of 5.87 E-04. There is no abatement for the fugitive emissions

  4. Evidence for eosinophil degranulation in acute appendicitis

    Directory of Open Access Journals (Sweden)

    Santosh G

    2008-04-01

    Full Text Available Finding of increased numbers of eosinophils in the muscle in cases of acute appendicitis has led to the hypothesis that it may have an allergic origin. This study aimed to measure the eosinophil degranulation resulting in a rise in the serum of eosinophil granule proteins that would be expected in such cases. The levels of serum eosinophil cationic protein (ECP measured by chemiluminescence assay in acute appendicitis were compared, with those of appropriate controls. Mean (95% CI serum ECP (µg/L levels were: acute appendicitis 45.3 (27.7-63.0; normal appendix 22.7 (16.0-29.3; asthma 24.2 (4.6-43.8; and healthy volunteers 13.2 (8.3-18.1. In cases of acute appendicitis, there is an inverse relationship between duration of symptoms and serum ECP. However, this was not statistically significant. Significant local eosinophil activation and degranulation occurs in acute appendicitis, enough to cause a rise in serum levels of eosinophil chemotactic protein

  5. Problems and Concerns Regarding Access Control System Construction in Radiation Facilities Based on the NIFS Experience

    International Nuclear Information System (INIS)

    Kawano, T.; Inoue, N.; Sakuma, Y.; Motojima, O.

    2001-01-01

    Full text: In 1998, access control system for the large helical device (LHD) experimental hall was constructed and put into operation at the National Institute for Fusion Science (NIFS) in Toki, Japan. Since then, the system has been continuously improved. It now controls access into the LHD controlled area through four entrances. The system has five turnstile gates and enables control of access at the four entrances. The system is always checking whether the shielding doors are open or closed at eight positions. The details pertaining to the construction of the system were reported at IRPA-10 held in Hiroshima, Japan, in 2000. Based on our construction experience of the NIFS access control system, we will discuss problems related to software and operational design of the system. We will also discuss some concerns regarding the use of the system in radiation facilities. The problems we will present concern, among other thing, individual registration, time control, turnstile control, interlock signal control, data aggregation and transactions, automatic and manual control, and emergency procedures. For example, in relation to the time control and turnstile control functions, we will discuss the gate-opening time interval for an access event, the timing of access data recording, date changing, turn bar control, double access, and access error handling. (author)

  6. The immune impact of mimic endoscopic retrograde appendicitis therapy and appendectomy on rabbits of acute appendicitis.

    Science.gov (United States)

    Liu, Suqin; Pei, Fenghua; Wang, Xinhong; Li, Deliang; Zhao, Lixia; Song, Yanyan; Chen, Zhendong; Liu, Bingrong

    2017-09-12

    This study was conducted to evaluate the immune impact of mimic endoscopic retrograde appendicitis therapy and appendectomy on rabbits of acute suppurative appendicitis and to determine whether TLR4/MYD88/NF-κB signaling pathway was activated in this process. 48 rabbits were assigned into 4 groups: group I, the mimic endoscopic retrograde appendicitis therapy group; group II, the appendectomy group; group III, the model group; and group IV, the blank group. White blood cells decreased, while levels of C-reactive protein, tumor necrosis factor-α, interleukin-6, interleukin-4, and interleukin-10 increased on the 2 nd day in group I and II. IgA in feces decreased at 2 weeks, while fecal microbiota changed at 2 and 4 weeks after appendectomy. CD8 + cells in appendix of group I increased within 8 weeks. Upregulated expression of TLR4, MYD88, and nuclear NF-κB were detected on the 2 nd day in group I and II. Mimic endoscopic retrograde appendicitis therapy and appendectomy are effective ways for acute suppurative appendicitis. Mimic endoscopic retrograde appendicitis therapy was more preferable due to its advantage in maintaining intestinal immune function. TLR4/MYD88/NF-κB signaling pathway was activated in acute phase of appendicitis.

  7. Appendicitis in Children: Evaluation of the Pediatric Appendicitis Score in Younger and Older Children

    Directory of Open Access Journals (Sweden)

    Martin Salö

    2014-01-01

    Full Text Available Background. This study aimed to evaluate Pediatric Appendicitis Score (PAS, diagnostic delay, and factors responsible for possible late diagnosis in children <4 years compared with older children who were operated on for suspected appendicitis. Method. 122 children, between 1 and 14 years, operated on with appendectomy for suspected appendicitis, were retrospectively analyzed. The cohort was divided into two age groups: ≥4 years (n=102 and <4 years (n=20. Results. The mean PAS was lower among the younger compared with the older patients (5.3 and 6.6, resp.; P=0.005, despite the fact that younger children had more severe appendicitis (75.0% and 33.3%, resp.; P=0.001. PAS had low sensitivity in both groups, with a significantly lower sensitivity among the younger patients. Parent and doctor delay were confirmed in children <4 years of age with appendicitis. PAS did not aid in patients with doctor delay. Parameters in patient history, symptoms, and abdominal examination were more diffuse in younger children. Conclusion. PAS should be used with caution when examining children younger than 4 years of age. Diffuse symptoms in younger children with acute appendicitis lead to delay and to later diagnosis and more complicated appendicitis.

  8. Environmental assessment for the construction and operation of waste storage facilities at the Paducah Gaseous Diffusion Plant, Paducah, Kentucky

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-06-01

    DOE is proposing to construct and operate 3 waste storage facilities (one 42,000 ft{sup 2} waste storage facility for RCRA waste, one 42,000 ft{sup 2} waste storage facility for toxic waste (TSCA), and one 200,000 ft{sup 2} mixed (hazardous/radioactive) waste storage facility) at Paducah. This environmental assessment compares impacts of this proposed action with those of continuing present practices aof of using alternative locations. It is found that the construction, operation, and ultimate closure of the proposed waste storage facilities would not significantly affect the quality of the human environment within the meaning of NEPA; therefore an environmental impact statement is not required.

  9. Pitfalls in CT diagnosis of appendicitis: pictorial essay

    International Nuclear Information System (INIS)

    Shademan, Ashkan; Tappouni, Rafel F.R.

    2013-01-01

    Despite the high diagnostic accuracy of CT for appendicitis, numerous pitfalls exist that may result in a misdiagnosis. This pictorial review outlines the potential pitfalls in the CT diagnosis of appendicitis that includes atypical position of the appendix and coexisting pathologies. Various mimickers of appendicitis and clinical dilemmas will be highlighted. Upon completion, the reviewer should have an improved ability to recognise appendicitis mimickers and identify equivocal or atypical findings.

  10. Efficiency improvement of the investment and innovation activities in the transport facility construction field with public-private partnership involvement

    Science.gov (United States)

    Shibayeva, Marina; Serebryakova, Yelena; Shalnev, Oleg

    2017-10-01

    Growing demand to increase the investment volume in modernization and development projects for transport infrastructure define the urgency of the current study. The amount of private sector investments in the field is insufficient to implement the projects for road construction due to their significant capital intensity and long payoff period. The implementation of social significant infrastructure projects on the principles of public-private partnership is one of the key strategic directions of growth for transport facilities. The authors come up with a concept and methodology for modeling the investment and innovation activity in the transport facility construction. Furthermore, there is developed a model to find the balance between public and private sector investments in implementing construction projects for transport infrastructure with involvement of PPP (further - public-private partnership). The suggested concepts aim to improve the efficiency rate of the investment and innovation activity in the field of transport facility construction on the basis of public and private sectors collaboration.

  11. Alternative diagnoses at paediatric appendicitis MRI

    International Nuclear Information System (INIS)

    Moore, M.M.; Kulaylat, A.N.; Brian, J.M.; Khaku, A.; Hulse, M.A.; Engbrecht, B.W.; Methratta, S.T.; Boal, D.K.B.

    2015-01-01

    As the utilization of MRI in the assessment for paediatric appendicitis increases in clinical practice, it is important to recognize alternative diagnoses as the cause of abdominal pain. The purpose of this review is to share our institution's experience using MRI in the evaluation of 510 paediatric patients presenting with suspected appendicitis over a 30 month interval (July 2011 to December 2013). An alternative diagnosis was documented in 98/510 (19.2%) patients; adnexal pathology (6.3%, n = 32), enteritis–colitis (6.3%, n = 32), and mesenteric adenitis (2.2%, n = 11) comprised the majority of cases. These common entities and other less frequent illustrative cases obtained during our overall institutional experience with MRI for suspected appendicitis are reviewed

  12. Barium appendicitis after upper gastrointestinal imaging.

    Science.gov (United States)

    Novotny, Nathan M; Lillemoe, Keith D; Falimirski, Mark E

    2010-02-01

    Barium appendicitis (BA) is a rarely seen entity with fewer than 30 reports in the literature. However, it is a known complication of barium imaging. To report a case of BA in a patient whose computed tomography (CT) scan was initially read as foreign body ingestion. An 18-year-old man presented with right lower quadrant pain after upper gastrointestinal imaging 2 weeks prior. A CT scan was obtained of his abdomen and pelvis that revealed a finding that was interpreted as a foreign body at the area of the terminal ileum. A plain X-ray study of the abdomen revealed radiopaque appendicoliths. Pathology confirmed the diagnosis of barium appendicitis. BA is a rare entity and the pathogenesis is unclear. Shorter intervals between barium study and presentation with appendicitis usually correlate with fewer complications. Copyright (c) 2010 Elsevier Inc. All rights reserved.

  13. Perforated appendicitis presenting as a thigh abscess: A lethal ...

    African Journals Online (AJOL)

    Typical cases of acute appendicitis have excellent treatment outcomes, if managed appropriately.1 We discuss an unusual case of perforated retrocaecal appendicitis that presented as a right thigh abscess without prominent abdominal symptoms, which highlights the lethal nature of advanced appendicitis even when ...

  14. The value of hyperbilirubinaemia in the diagnosis of acute appendicitis.

    LENUS (Irish Health Repository)

    Emmanuel, Andrew

    2011-04-01

    No reliably specific marker for acute appendicitis has been identified. Although recent studies have shown hyperbilirubinaemia to be a useful predictor of appendiceal perforation, they did not focus on the value of bilirubin as a marker for acute appendicitis. The aim of this study was to determine the value of hyperbilirubinaemia as a marker for acute appendicitis.

  15. MODIFIED ALVARADO SCORING IN ACUTE APPENDICITIS

    Directory of Open Access Journals (Sweden)

    Varadarajan Sujath

    2016-12-01

    Full Text Available BACKGROUND Acute appendicitis is one of the most common surgical emergencies with a lifetime presentation of approximately 1 in 7. Its incidence is 1.5-1.9/1000 in males and females. Surgery for acute appendicitis is based on history, clinical examination and laboratory investigations (e.g. WBC count. Imaging techniques add very little to the efficacy in the diagnosis of appendix. A negative appendicectomy rate of 20-40% has been reported in literature. A difficulty in diagnosis is experienced in very young patients and females of reproductive age. The diagnostic accuracy in assessing acute appendicitis has not improved in spite of rapid advances in management. MATERIALS AND METHODS The modified Alvarado score was applied and assessed for its accuracy in preparation diagnosis of acute appendicitis in 50 patients. The aim of our study is to understand the various presentations of acute appendicitis including the age and gender incidence and the application of the modified Alvarado scoring system in our hospital setup and assessment of the efficacy of the score. RESULTS Our study shows that most involved age group is 3 rd decade with male preponderance. On application of Alvarado score, nausea and vomiting present in 50% and anorexia in 30%, leucocytosis was found in 75% of cases. Sensitivity and specificity of our study were 65% and 40% respectively with positive predictive value of 85% and negative predictive value of 15%. CONCLUSION This study showed that clinical scoring like the Alvarado score can be a cheap and quick tool to apply in emergency departments to rule out acute appendicitis. The implementation of modified Alvarado score is simple and cost effective.

  16. Predictors of Nondiagnostic Ultrasound for Appendicitis.

    Science.gov (United States)

    Keller, Christine; Wang, Nancy E; Imler, Daniel L; Vasanawala, Shreyas S; Bruzoni, Matias; Quinn, James V

    2017-03-01

    Ionizing radiation and cost make ultrasound (US), when available, the first imaging study for the diagnosis of suspected pediatric appendicitis. US is less sensitive and specific than computed tomography (CT) or magnetic resonance imaging (MRI) scans, which are often performed after nondiagnostic US. We sought to determine predictors of nondiagnostic US in order to guide efficient ordering of imaging studies. A prospective cohort study of consecutive patients 4 to 30 years of age with suspected appendicitis took place at an emergency department with access to 24/7 US, MRI, and CT capabilities. Patients with US as their initial study were identified. Clinical (i.e., duration of illness, highest fever, and right lower quadrant pain) and demographic (i.e., age and sex) variables were collected. Body mass index (BMI) was calculated based on Centers for Disease Control and Prevention criteria; BMI >85th percentile was categorized as overweight. Patients were followed until day 7. Univariate and stepwise multivariate logistic regression analysis was performed. Over 3 months, 106 patients had US first for suspected appendicitis; 52 (49%) had nondiagnostic US results. Eighteen patients had appendicitis, and there were no missed cases after discharge. On univariate analysis, male sex, a yearly increase in age, and overweight BMI were associated with nondiagnostic US (p appendicitis, and it may be more efficient to consider alternatives to US first for these patients. Also, this information about the accuracy of US to diagnose suspected appendicitis may be useful to clinicians who wish to engage in shared decision-making with the parents or guardians of children regarding imaging options for children with acute abdominal pain. Copyright © 2016 Elsevier Inc. All rights reserved.

  17. Fast track pathway for perforated appendicitis.

    Science.gov (United States)

    Frazee, Richard; Abernathy, Stephen; Davis, Matthew; Isbell, Travis; Regner, Justin; Smith, Randall

    2017-04-01

    Perforated appendicitis is associated with an increased morbidity and length of stay. "Fast track" protocols have demonstrated success in shortening hospitalization without increasing morbidity for a variety of surgical processes. This study evaluates a fast track pathway for perforated appendicitis. In 2013, a treatment pathway for perforated appendicitis was adopted by the Acute Care Surgery Service for patients having surgical management of perforated appendicitis. Interval appendectomy was excluded. Patients were treated initially with intravenous antibiotics and transitioned to oral antibiotics and dismissed when medically stable and tolerating oral intake. A retrospective review of patients managed on the fast track pathway was undertaken to analyze length of stay, morbidity, and readmissions. Thirty-four males and twenty-one females with an average age of 46.8 years underwent laparoscopic appendectomy for perforated appendicitis between January 2013 and December 2014. Pre-existing comorbidities included hypertension 42%, diabetes mellitus 11%, COPD 5% and heart disease 2%. No patient had conversion to open appendectomy. Average length of stay was 2.67 days and ranged from 1 to 12 days (median 2 days). Postoperative morbidity was 20% and included abscess (6 patients), prolonged ileus (3 patients), pneumonia (1 patient), and congestive heart failure (1 patient). Five patients were readmitted for abscess (3 patients), congestive heart failure (1 patient), and pneumonia (1 patient). A fast track pathway for perforated appendicitis produced shorter length of stay and acceptable postoperative morbidity and readmission. This offers the potential for significant cost savings over current national practice patterns. Copyright © 2016 Elsevier Inc. All rights reserved.

  18. Review of the Design, Construction, and Coming Scientific Capabilities of the New Arecibo HF Facility

    Science.gov (United States)

    Sulzer, M. P.

    2010-12-01

    complete power system for planetary radar, the HF facility, and site backup. Design of the mesh is complete and the construction phase has started. One of the tower base concrete pads will sit on ground that is softer than expected and this pad is being designed by the engineering firm Amman and Whitney. The other five use the standard design provided by the tower manufacturer. Amman and Whitney are also reviewing the mesh support design and have recommended some changes in the cable support system in order to provide better temperature stability. As the project construction is completed in the next few months, we face the problems of producing a practical scientific facility. This facility is inherently a lot less complicated than the HAARP facility in Alaska. Nonetheless, a computer control and monitoring system is very desirable, both to allow the most complete control over the transmitted waveforms, and to allow the highest reliability of operation. We are currently reviewing the best ways to accomplish this. We expect that a basic system will be in place for the first couple of operational campaigns, with full flexibility coming later. The basic operation would be similar to our previous facility at Islote, vertical operation with continuous wave or a simple pulse sequence on a single frequency.

  19. ACUTE APPENDICITIS- SONOLOGICAL AND HISTOPATHOLOGICAL CORRELATION

    Directory of Open Access Journals (Sweden)

    Anjani M. Reddy

    2016-12-01

    Full Text Available BACKGROUND The aim of the study is to study the- 1. Correlation between sonological and histopathological diagnosis of acute appendicitis. 2. Prevalence of acute appendicitis in various age groups. MATERIALS AND METHODS The study was conducted in the Department of Radiodiagnosis, MVJ Medical College and Research Hospital, Bangalore, for a period of 2 years from March 2013 to February 2015. Data collection was prospective. A computer-assisted search of all the reports of ultrasonography with the diagnosis of acute appendicitis was conducted within the departmental database. A total of 244 patients (128 male patients and 116 female patients with acute appendicitis were identified and the study was conducted. RESULTS In the study, total of 244 patients were diagnosed with acute appendicitis. Out of these, 128 patients were males and 116 patients were females. The incidence of acute appendicitis was most prevalent in age group between 21 to 30 years (36.5% in our study. The least incidence was noted in age group of above 60 yrs. with only 1 out of 244 patients (0.4% was diagnosed with acute appendicitis. The histological features noted were suppuration/inflammation, gangrenous, lymphoid hyperplasia and perforation. In our study, 143 inflammation/suppuration (58.6%, 37 gangrenous (15.1%, 24 lymphoid hyperplastic (9.8% and 1 perforation (0.4% was noted. Hence, the incidence of inflammation/suppuration was found to be most common and perforation was found to be the least finding. The suppurative/inflammatory feature was most common histological type in all the age groups except for the age group above 60 yrs. The gangrenous features were most commonly seen in the age group between 11 to 20 yrs. followed by 20 to 30 yrs. Faecolith was most commonly found in age group of 21 to 30 yrs. (12 cases followed by age group of 11 to 20 yrs. (10 cases. CONCLUSION It was noted that the incidence of acute appendicitis was most commonly noted in younger age group

  20. Extraintestinal heterotopic gastric tissue simulating acute appendicitis

    Institute of Scientific and Technical Information of China (English)

    Elizabeth Bender; Steven P Schmidt

    2008-01-01

    We describe the case of a 68-year-old otherwise healthy male who presented to our emergency room with signs and symptoms of acute appendicitis. Exploratory surgery revealed a normal appendix. Further examination revealed an enlarged lymph node-like mass of tissue near the appendix, in the ileocecal mesentery. This mass was removed and was found to be inflamed heterotopic gastric tissue. Although reports of heterotopic gastric tissue in the literature are common, we believe that this case represents the first report of inflamed heterotopic gastric tissue simulating appendicitis.

  1. Funiculitis mimicking appendicitis: A rare culprit

    Directory of Open Access Journals (Sweden)

    Lindsey L. Perea

    2017-01-01

    Full Text Available Acute appendicitis is an extremely common cause for pediatric admissions, most notably presenting with right lower quadrant pain. There are few other etiologies for a young male to have pain aside from appendicitis. We present a young boy who presented with right lower quadrant abdominal pain and fevers, but was found to have funiculitis. Funiculitis, or inflammation of the spermatic cord, is a very rare condition in the pediatric population, almost always occurring in the elderly with urinary flow conditions. We share our case to remind providers the importance of a full differential diagnosis.

  2. Evaluation of the microbiome in children's appendicitis.

    Science.gov (United States)

    Salö, Martin; Marungruang, Nittaya; Roth, Bodil; Sundberg, Tiia; Stenström, Pernilla; Arnbjörnsson, Einar; Fåk, Frida; Ohlsson, Bodil

    2017-01-01

    The role of the microbiome has been widely discussed in the etiology of appendicitis. The primary aim was to evaluate the microbiome in the normal appendix and in appendicitis specifically divided into the three clinically and histopathologically defined grades of inflammation. Secondary aims were to examine whether there were any microbiome differences between proximal and distal appendices, and relate the microbiome with histopathological findings. A prospective pilot study was conducted of children undergoing appendectomy for appendicitis. The diagnosis was based on histopathological analysis. Children with incidental appendectomy were used as controls. The proximal and distal mucosa from the appendices were analyzed with 16S rRNA gene sequencing. A total of 22 children, 3 controls and 19 appendicitis patients; 11 phlegmonous, 4 gangrenous, and 4 perforated appendices, were prospectively included. The amount of Fusobacterium increased and Bacteroides decreased in phlegmonous and perforated appendicitis compared to controls, but statistical significance was not reached, and this pattern was not seen in gangrenous appendicitis. No relation could be seen between different bacteria and the grade of inflammation, and there was a wide variation of abundances at phylum, genus, and species level within every specific group of patients. Further, no significant differences could be detected when comparing the microbiome in proximal and distal mucosa, which may be because the study was underpowered. A trend with more abundance of Fusobacteria in the distal mucosa was seen in appendicitis patients with obstruction (25 and 13 %, respectively, p = 0.06). The pattern of microbiome differed not only between groups, but also within groups. However, no statistically significant differences could be found in the microbiome between groups or clinical conditions. No correlation between a specific bacteria and grade of inflammation was found. In the vast majority of cases of

  3. Construction of the neutron beam facility at Australia's OPAL research reactor

    International Nuclear Information System (INIS)

    Kennedy, Shane J.

    2006-01-01

    Australia's new research reactor, OPAL, has been designed principally for neutron beam science and radioisotope production. It has a capacity for 18 neutron beam instruments, located at the reactor face and in a neutron guide hall. The neutron beam facility features a 20 l liquid deuterium cold neutron source and cold and thermal supermirror neutron guides. Nine neutron beam instruments are under development, of which seven are scheduled for completion in early 2007. The project is approaching the hot-commissioning stage, when criticality will be demonstrated. Installation of the neutron beam transport system and neutron beam instruments in the neutron guide hall and at the reactor face is underway, and the path to completion of this project is relatively clear. This paper will outline the key features of the OPAL reactor, and will describe the neutron beam facility in particular. The status of the construction and a forecast of the program to completion, including commissioning and commencement of routine operation in 2007 will also be discussed

  4. Construction of the Neutron Beam Facility at Australia's OPAL Research Reactor

    International Nuclear Information System (INIS)

    Kennedy, J.S.

    2005-01-01

    Full text: Australia's new research reactor, OPAL, has been designed for high quality neutron beam science and radioisotope production. It has a capacity for eighteen neutron beam instruments to be located at the reactor face and in a neutron guide hall. The new neutron beam facility features a 20 litre liquid deuterium cold neutron source and supermirror neutron reflecting guides for intense cold and thermal neutron beams. Nine neutron beam instruments are under development, of which seven are scheduled for completion in early 2007. The project is approaching the hot-commissioning stage, where criticality will be demonstrated. Installation of the neutron beam transport system and neutron beam instruments in the neutron guide hall and at the reactor face is underway, and the path to completion of this project is relatively clear. The lecture will outline Australia's aspirations for neutron science at the OPAL reactor, and describe the neutron beam facility under construction. The status of this project and a forecast of the program to completion, including commissioning and commencement of routine operation in 2007 will also be discussed. This project is the culmination of almost a decade of effort. We now eagerly anticipate catapulting Australia's neutron beam science capability to meet the best in the world today. (author)

  5. Strategy of Construction and Demolition Waste Management after Chemical Industry Facilities Removal

    Science.gov (United States)

    Tashkinova, I. N.; Batrakova, G. M.; Vaisman, Ya I.

    2017-06-01

    Mixed waste products are generated in the process of irrelevant industrial projects’ removal if conventional techniques of their demolition and dismantling are applied. In Russia the number of unused chemical industry facilities including structures with high rate of wear is growing. In removing industrial buildings and production shops it is used conventional techniques of demolition and dismantling in the process of which mixed waste products are generated. The presence of hazardous chemicals in these wastes makes difficulties for their use and leads to the increasing volume of unutilized residues. In the process of chemical industry facilities’ removal this fact takes on special significance as a high level of hazardous chemicals in the waste composition demands for the realization of unprofitable measures aimed at ensuring environmental and industrial safety. The proposed strategy of managing waste originated from the demolition and dismantling of chemical industry facilities is based on the methodology of industrial metabolism which allows identifying separate material flows of recycled, harmful and ballast components, performing separate collection of components during removal and taking necessary preventive measures. This strategy has been tested on the aniline synthesis plant being in the process of removal. As a result, a flow of 10 wt. %, subjected to decontamination, was isolated from the total volume of construction and demolition waste (C&D waste). The considered approach allowed using the resource potential of more than 80wt. % of waste and minimizing the disposed waste volume.

  6. Heavy metals in recovered fines from construction and demolition debris recycling facilities in Florida.

    Science.gov (United States)

    Townsend, Timothy; Tolaymat, Thabet; Leo, Kevin; Jambeck, Jenna

    2004-10-01

    A major product recovered from the processing and recycling of construction and demolition (C&D) debris is screened soil, also referred to as fines. A proposed reuse option for C&D debris fines is fill material, typically in construction projects as a substitute for natural soil. Waste material that is reused in a manner similar to soil must first be characterized to examine potential risks to human health and the environment. In Florida, samples of C&D debris fines from 13 C&D debris recycling facilities were characterized for 11 total and leachable heavy metal concentrations. Total metal concentration results (mg/kg) were compared to existing data on background Florida soil concentrations and to Florida's risk-based soil cleanup target levels (SCTLs). All of the detected metals were found to be elevated with respect to background. The 95% upper confidence level of arsenic from 99 samples was 3.2 mg/kg; arsenic presented the greatest limitation to reuse when compared to the SCTLs. Lead was not found to pose a major problem, likely because of the relatively new building infrastructure in Florida, which results in less demolition debris and less material impacted by lead-based paint. The results of batch leaching tests conducted using simulated rainwater (mg/l) were compared directly to risk-based groundwater levels for Florida and were found not to pose a risk using existing risk assessment policies.

  7. Important considerations related to the construction of observation wells in radiation facilities sites: A review research

    International Nuclear Information System (INIS)

    El-Sayed, S. A.; Salem, W. M.; Atta, E. R.

    2012-01-01

    Observation wells in radiation facility sites are considered the main sources of the required subsurface geologic and hydrogeologic data. They are the most important means to detect the radioactive and/or chemical contaminants within the ground water. Also, they are used to observe the groundwater level fluctuations and perform the different aquifer tests to understand the hydraulic properties of aquifers and the behavior of contaminants transportation. This research reviews the necessary considerations and available techniques for constructing the observation wells properly. The review process depends on the international guidelines presented in the literature and the field experience. The proper well completion is essential for the well efficiency and longevity. Three main important topics are considered and discussed briefly in this review. They are the preliminary considerations, the drilling program and the well protection procedures. The preliminary considerations included are the collection of the available geologic and hydrogeologic data and information, selection of drilling method and the legal requirements. The drilling program comprises the site preparation, drilling processes, sampling, well logging, well design, casing components and materials, gravel pack and well development. The well protection procedures include well grout, concrete slab and others requirements. Observation wells should be constructed to a high standard and should be properly maintained and protected to ensure ongoing and reliable data collection

  8. Heavy metals in recovered fines from construction and demolition debris recycling facilities in Florida

    International Nuclear Information System (INIS)

    Townsend, Timothy; Tolaymat, Thabet; Leo, Kevin; Jambeck, Jenna

    2004-01-01

    A major product recovered from the processing and recycling of construction and demolition (C and D) debris is screened soil, also referred to as fines. A proposed reuse option for C and D debris fines is fill material, typically in construction projects as a substitute for natural soil. Waste material that is reused in a manner similar to soil must first be characterized to examine potential risks to human health and the environment. In Florida, samples of C and D debris fines from 13 C and D debris recycling facilities were characterized for 11 total and leachable heavy metal concentrations. Total metal concentration results (mg/kg) were compared to existing data on background Florida soil concentrations and to Florida's risk-based soil cleanup target levels (SCTLs). All of the detected metals were found to be elevated with respect to background. The 95% upper confidence level of arsenic from 99 samples was 3.2 mg/kg; arsenic presented the greatest limitation to reuse when compared to the SCTLs. Lead was not found to pose a major problem, likely because of the relatively new building infrastructure in Florida, which results in less demolition debris and less material impacted by lead-based paint. The results of batch leaching tests conducted using simulated rainwater (mg/l) were compared directly to risk-based groundwater levels for Florida and were found not to pose a risk using existing risk assessment policies

  9. Opening and construction of facilities in succession for particle beam therapy of cancer

    International Nuclear Information System (INIS)

    Nakano, Takashi; Yamamoto, Kazutaka; Hishikawa, Yoshio; Totoki, Tadahide; Hoshino, Junichi; Aoki, Takashi; Yoshiyuki, Takeshi; Hirabayashi, Masayuki; Nakamura, Fumito

    2011-01-01

    This feature article describes the current state of practical particle beam therapy of cancer, its future prospect, recent opening/construction of its facilities and manufacturers' view with following 9 topics presented by relevant experts. Gunma University (topic 1) started the carbon ion therapy from Mar., 2010, and has treated more than 100 cancer patients to aim the treatment of about 600 patients/year after several years. Fukui Prefectural Hospital Proton Therapy Center (topic 2) started from this March with proton beams for patients with its therapeutic standard, in cooperation with insurance companies and hotels for patients' convenience. Medipolis Proton Therapy and Research Center (Kagoshima Pref.) (topic 3) started this year with proton beams for 13 patients hitherto with reference protocol of Hyogo Ion Beam Medical Center. A new stereotactic irradiation system of proton beams for breast cancer has been developed. Construction of Saga Heavy Ion Medical Accelerator in Tosu (Saga Pref.) (topic 4) began this year to be completed in 2013. Aizawa Hospital (Nagano Pref.) (topic 5) plans to introduce the small-sized proton accelerator-gantry system (Sumitomo Heavy Ind., Ltd.) aiming the practice in 2013. Association for Nuclear Technology in Medicine (topic 6) reports the trends of current and future construction inside/outside Japan. Manufacturers comment their respective business: high-speed scanning irradiation system, next generation handling system of patient and particle beam therapy information system by Toshiba (topic 7); designation of the whole heavy ion beam therapy system (with NIRS), proton beam (as in topic 5) and system of BNCT (boron neutron-capture therapy) (Kyoto Univ.) by Sumitomo Heavy Ind., Ltd. (topic 8); and small-size proton therapeutic machine with 4D tracing capability for patient's movement (Hokkaido Univ.) and with spot-scanning irradiation technique by Hitachi (topic 9). (author)

  10. Acute amebic appendicitis: Report of a rare case

    Directory of Open Access Journals (Sweden)

    Singh Naorem

    2010-10-01

    Full Text Available Acute appendicitis of amebic origin is considered a rare cause of acute appendicitis. We report a case of amebic appendicitis presenting with fever, severe pain in the right lower quadrant of the abdomen and rebound tenderness. Lab investigations revealed neutrophilic leukocytosis. The patient underwent appendectomy. Histopathological examination revealed numerous Entameba histolytica trophozoites in the mucosa of the appendix. Acute appendicitis of amebic origin does not appear frequently. Appendicular amebiasis can give the clinical features of acute appendicitis and should be treated accordingly.

  11. Usefulness and limit of CT diagnosis on appendicitis

    International Nuclear Information System (INIS)

    Kuchiki, Megumi; Takanashi, Toshiyasu; Yamaguchi, Koichi.

    1997-01-01

    CT was performed in 104 patients with abdominal pain suspected appendicitis. CT showed positive finding (abnormal appendix, appendicolith, pericecal inflammatory change, fluid collection, LN swelling, abscess) and complication of appendicitis clearly. CT diagnosis showed high accuracy than clinical diagnosis. CT proved its usefulness especially only CT imaging showed the correct diagnosis. On the other hand, diverticulitis and terminal ileitis common diagnostic disease of appendicitis showed similar clinical appearance and CT image, caused to be difficult to diagnose correctly. In the cases showing similar image to appendicitis or atypical image, CT also proved its limit of the diagnosis on appendicitis. (author)

  12. Further Improvements Needed in Navy’s Oversight and Management of Contracting for Facilities Construction on Diego Garcia.

    Science.gov (United States)

    1984-05-23

    1981, the Navy awarded a cost reimbursable contract to a joint venture to construct facility projects for fiscal years 1981 and 1982 with an estimated...through fiscal year 1986. In July 1981, the Navy awarded a cost reimburs - able contract (cost plus award fee) to Raymond, Brown & Root, Molem, a joint...Navy’s oversight and management of the acquisition of these facilities. A COST REIMBURSABLE CONTRACT MAKES STRONG CONTRACT ADMINISTRATION VITAL Under

  13. Appendicitis in paediatric age group: Correlation between ...

    African Journals Online (AJOL)

    Introduction: Clinical diagnosis of appendicitis can be challenging, particularly in the paediatric age group. There is an increased risk of perforation in paediatrics; therefore, a need for sensitive and specific diagnostic tool is mandatory. Aim: The aim of this study is to evaluate the role of preoperative inflammatory markers in ...

  14. Granulomatous appendicitis in children: A single institutional ...

    African Journals Online (AJOL)

    Background: Granulomatous appendicitis (GA) is a rare entity, mostly mentioned in adults. There have been anecdotal case reports describing GA in the paediatric population. This study was aimed at reviewing the cases of appendectomies to assess the incidence and characteristics of GA in children in a tertiary care ...

  15. SCHISTOSOMAL APPENDICITIS IN A SLIDING HERNIA (CASE ...

    African Journals Online (AJOL)

    We report a rare case of a forty-seven year old Nigeria male with schistosomal appendicitis in a sliding hernia. The clinical and pathological features of the case are discussed, followed by a review of the literature. It is concluded that a high index of suspicion is necessary to diagnose unusual presentations of ...

  16. Practical issues in treatment of appendicitis

    NARCIS (Netherlands)

    van Rossem, C.C.

    2016-01-01

    Appendicitis is a common cause of acute abdominal pain and an appendectomy is still the gold standard of treatment. In spite of the high incidence, variance in diagnostic and treatment modalities remains an issue among surgeons. In this thesis several practical issues in the diagnosis and treatment

  17. Sarcopenia in children with perforated appendicitis.

    Science.gov (United States)

    López, Joseph J; Cooper, Jennifer N; Albert, Brett; Adler, Brent; King, Denis; Minneci, Peter C

    2017-12-01

    Decreased skeletal muscle mass, or sarcopenia, has been shown to be associated with worse postoperative recovery and a higher risk of complications in adult surgical patients. We hypothesized that pediatric patients with complicated appendicitis may experience sarcopenic changes over the course of their treatment. The medical records and computed tomography scans of 36 pediatric complex appendicitis patients who had both preoperative and postoperative computerized tomography scans at our hospital were reviewed. Changes in psoas muscle area were examined using linear mixed models with random patient-level intercept and time effects. The median change in body mass index among all patients from admission to discharge was -0.8 kg/m 2 (interquartile range: -1.3 to -0.2). The mean percentage change in psoas muscle area per day over the course of appendicitis-related treatment was -0.81% (95% confidence interval: -1.12 to -0.50) (P  0.10 for all interactions). Our data suggest that pediatric patients with complex appendicitis experience sarcopenic changes during their hospital admission. Given previous reports that sarcopenia is a significant predictor of worse surgical outcomes, more investigation is warranted to assess whether these changes are associated with postsurgical complications and to evaluate potential interventions that may prevent these changes. Copyright © 2017 Elsevier Inc. All rights reserved.

  18. Water permeability is a measure of severity in acute appendicitis.

    Science.gov (United States)

    Pini, Nicola; Pfeifle, Viktoria A; Kym, Urs; Keck, Simone; Galati, Virginie; Holland-Cunz, Stefan; Gros, Stephanie J

    2017-12-01

    Acute appendicitis is the most common indication for pediatric abdominal emergency surgery. Determination of the severity of appendicitis on clinical grounds is challenging. Complicated appendicitis presenting with perforation, abscess or diffuse peritonitis is not uncommon. The question remains why and when acute appendicitis progresses to perforation. The aim of this study was to assess the impact of water permeability on the severity of appendicitis. We show that AQP1 expression and water permeability in appendicitis correlate with the stage of inflammation and systemic infection parameters, leading eventually to perforation of the appendix. AQP1 is also expressed within the ganglia of the enteric nervous system and ganglia count increases with inflammation. Severity of appendicitis can be correlated with water permeability measured by AQP1 protein expression and increase of ganglia count in a progressive manner. This introduces the question if regulation of water permeability can present novel curative or ameliorating therapeutic options.

  19. Measurements of nuclear data and possibility to construct the nuclear data production facility based on electron linac

    Energy Technology Data Exchange (ETDEWEB)

    Namkung, Won; Ko, In Soo; Cho, Moo Hyun; Kim, Gui Nyun; Lee, Young Seok; Kang, Heung Sik [Pohang University of Science and Technology, Pohang(Korea)

    2001-04-01

    In order to construct an infrastructure to produce nuclear data, we studied three main items; (1) Study on the possibility to construct a facility for nuclear data production, (2) Production of nuclear data for nuclear power plant, and (3) Pulsed neutron source based on a 100-MeV electron linac at Pohang Accelerator Laboratory (PAL). We confirmed the possibility to build a nuclear data production facility utilizing a 100-MeV electron linac at PAL and manpower who wanted to participate the nuclear data production experiments. In order to measure the nuclear data for nuclear power plant, we used several nuclear data production facilities in abroad. We measured total cross sections and neutron caprure cross sections for {sup nat}Dy and {sup nat}Hf using the pulsed neutron facility in the Research Reactor Institute, Kyoto University (KURRI). The neutron capture cross sections for {sup 161,162,163,164}Dy were measured at KURRI in the neutron energy region between 0.001 eV and several tens keV, and at the fast neutron facility in Tokyo Institute of Technology in the neutron energy region between 10 keV and 100 keV. We also measured the neutron capture cross sections and gamma multiplicity of {sup 232}Th at the IBR30 in Dubna, Russia. We have construct a pulsed neutron source using a 100-MeV electron linac at PAL. We measured neutron time-of-flight (TOF) spectra in order to check the characteristics of the pulsed neutron source. We also measured a neutron total cross sections of W and Cu. The pulsed neutron facility can be utilized in the education facility for nuclear data production and the test facility for the R and D purpose of the nuclear data production facility. 29 refs., 57 figs., 22 tabs. (Author)

  20. Design, construction and commissioning of the new solid waste management and storage facilities of Ignalina NPP, Lithuania

    Energy Technology Data Exchange (ETDEWEB)

    Goehring, R.; Wenninger, K. [RWE NUKEM GmbH, Alzenau (Germany)

    2006-04-15

    The contract for the design, construction and commissioning (turn-key) of the New Solid Waste Management and Storage Facilities (SWMSF) has been awarded to RWE NUKEM GmbH. The contract was signed on the 30.11.2005. The New Solid Waste Management and Storage Facilities (SWMSF) are financed by the Ignalina Decommissioning Support Fund which is managed by European Bank for Reconstruction and Development (EBRD). The new facilities are required on the Ignalina Nuclear Power Plant (INPP) in order to support ongoing decomissioning work, including removal of waste from existing waste storage buildings. (orig.)

  1. Application of quality assurance to the design, procurement and construction of the fast flux test facility

    International Nuclear Information System (INIS)

    Garland, D.L.; Glasscock, R.B.

    1978-01-01

    Experience has clearly demonstrated the need for effective quality assurance programmes throughout the design, procurement and construction phases of the Fast Flux Test Facility (FFTF). Formal quality assurance programmes for FFTF have contributed significantly to the achievement of project objectives thus far in a safe, reliable and predictable manner. Quality assurance programmes empolyed by major FFTF Project participants are based on the requirements of RDT Standard F 2-2, one of the first and most comprehensive standards of its kind. RDT F 2-2 is similar in its basic requirements to ANSI N45.2 and other quality assurance programme standards but differs in its degree of specificity, particularly in its coverage of development activities. RDT F 2-2 is widely applied to a variety of large and small nuclear energy development projects and technology programmes. Full implementation of RDT F 2-2 across the FFTF Project has had its problems and rewards. Problems have been encountered involving misinterpretation or overapplication of requirements. In some instances the problems pointed to the need for more specific requirements, and so the standard was amended to rectify the shortcomings. One valuable lesson learned is that feedback of use experience is essential to the development of a living, viable standard which can be beneficially applied to other projects. Benefits and cost savings have accrued from the preventive aspects of RDT F 2-2. Some examples of experiences and resulting amendments to RDT F 2-2, and their favourable impact on facility costs and schedule, are discussed in this paper. (author)

  2. ISABELLE: a proton-proton colliding beam facility. [Proposal for the construction of ISABELLE

    Energy Technology Data Exchange (ETDEWEB)

    None

    1977-04-01

    A proposal is presented for the construction of an Intersecting Storage Accelerator, ISABELLE, to be located at Brookhaven National Laboratory. At this major research facility, colliding beams of protons will be produced and studied by particle physicists. This proposal combines the interests of these particle physicists in exploring a new energy regime with the challenge of building a new research instrument. The proposal results from several years of considering such devices in parallel with extensive developmental work. The proposal is divided into several major parts. Following an introduction is an overall summary of the proposal covering its highlights. Part II contains a thorough discussion of the physics objectives that can be addressed by the storage ring. It begins with an explanation of current theoretical concepts that occupy the curiosity of high energy physicists. Then follows a brief discussion of possible experiments that might be assembled at the interaction regions to test these concepts. The third part of the proposal goes into the details of the design of the intersecting storage accelerators. It begins with a description of the entire facility and the design of the magnet ring structure. The processes of proton beam accumulation and acceleration are thoroughly described. The discussion then turns to the design of the components and subsystems for the accelerator. The accelerator elements are described followed by a description of the physical plant. The cost estimate and time scales are displayed in Part IV. Here the estimate has been based on the experience gained from working with the prototype units at the laboratory. The appendices are an important part of the proposal. The parameter list for the 200 x 200 GeV ISABELLE is carefully documented. An example of a possible research program can be found in an appendix. The performance of prototype units is documented in one of the appendices.

  3. Liquid Metal Fast Breeder Reactor Program: Argonne facilities

    International Nuclear Information System (INIS)

    Stephens, S.V.

    1976-09-01

    The objective of the document is to present in one volume an overview of the Argonne National Laboratory test facilities involved in the conduct of the national LMFBR research and development program. Existing facilities and those under construction or authorized as of September 1976 are described. Each profile presents brief descriptions of the overall facility and its test area and data relating to its experimental and testing capability. The volume is divided into two sections: Argonne-East and Argonne-West. Introductory material for each section includes site and facility maps. The profiles are arranged alphabetically by title according to their respective locations at Argonne-East or Argonne-West. A glossary of acronyms and letter designations in common usage to describe organizations, reactor and test facilities, components, etc., involved in the LMFBR program is appended

  4. Total antioxidant capacity in children with acute appendicitis.

    Science.gov (United States)

    Kaya, M; Boleken, M E; Kanmaz, T; Erel, O; Yucesan, S

    2006-02-01

    This study aimed to investigate antioxidant capacity by using a novel automated method in children with acute appendicitis. Blood samples were obtained from consecutive patients with acute appendicitis (appendicitis group, n = 12) and acute abdominal pain due to non surgical disease (non-appendicitis group, n = 11), and from patients with inguinal hernia (healthy group, n = 12) as the control group. At admission, total antioxidant capacity (TAC) levels of plasma were evaluated in all patients by a method recently developed by Erel. Four other major individual plasma antioxidant components, the levels of total protein, albumin, uric acid and bilirubin, were also evaluated. Total antioxidant capacity in patients with acute appendicitis was statistically compared with the two other groups. While the TAC level in the appendicitis group was significantly greater than in the non-appendicitis group, no significant difference was found in healthy groups (p 0.05, 1.94 +/- 0.38, 1.40 +/- 0.36, and 1.99 +/- 0.35 respectively). Individual components of total antioxidant capacity, i.e. total protein, albumin, uric acid and bilirubin concentrations, were also higher in the patients with acute appendicitis than those of the other two control groups. Our data show that children with acute appendicitis do not have deficient blood plasma antioxidant capacity. These results provide evidence that acute appendicitis results in more induction of antioxidative response than non-surgical diseases.

  5. The computed tomography appearance of recurrent and chronic appendicitis.

    Science.gov (United States)

    Rao, P M; Rhea, J T; Novelline, R A; McCabe, C J

    1998-01-01

    The objective of this study was to determine computed tomography (CT) appearance of recurrent and chronic appendicitis. In 100 consecutive appendiceal CT examinations of proven appendicitis, 18 patients met criteria for recurrent (multiple discrete episodes) or chronic (continuous symptoms > 3 weeks, pathological findings) appendicitis. CT findings were reviewed. Ten patients had recurrent appendicitis, 3 had chronic appendicitis, 3 had both, and 2 had pathological chronic appendicitis. CT findings in 18 recurrent/chronic cases were identical to 82 acute appendicitis cases, including pericecal stranding (both 100%), dilated (> 6 mm) appendix (88.9% versus 93.9%), apical thickening (66.7% versus 69.5%), adenopathy (66.7% versus 61.0%), appendolith(s) (50% versus 42.7%), arrowhead (27.8% versus 22.0%), abscess (11.1% versus 11.0%), phlegmon (11.1% versus 6.1%), and fluid (5.6% versus 19.5%). CT findings in recurrent and chronic appendicitis are the same as those in acute appendicitis. Appendiceal CT can be beneficial for evaluating patients with suspected recurrent or chronic appendicitis.

  6. Early Uncomplicated Appendicitis-Who Can We Treat Nonoperatively?

    Science.gov (United States)

    Horattas, Mark C; Horattas, Ileana K; Vasiliou, Elya M

    2018-02-01

    This study evaluated nonoperative treatment for mild appendicitis and reviewed selection criteria to be used in introducing this option into clinical practice. A retrospective review of 73 consecutive cases of appendicitis treated by a single surgeon from 2011 to 2013 was completed. Patients who were diagnosed with mild appendicitis meeting the criteria of an APPENDICITIS scoring algorithm proposed in this manuscript were considered for nonoperative management. An additional 17 patients with mild appendicitis were offered and successfully treated nonoperatively between 2014 and 2016 and reviewed. Of these original 73 patients, 37 had moderate to severe appendicitis and directly underwent appendectomy. The remaining patients were diagnosed with mild appendicitis and considered eligible for nonoperative management. Of these, 14 patients were offered nonoperative therapy. Thirteen responded successfully; one patient responded partially, but later opted for surgery. In 2014, this scoring system and preliminary results were shared with the other surgeons in our department. Nonoperative management was then selectively adopted by a few of the surgeons from 2014 to 2016 with another 17 patients (APPENDICITIS score of 0 or 1) being offered and successfully managed nonoperatively. Patients with mild or early appendicitis can be successfully managed nonoperatively. A proposed APPENDICITIS scoring system may provide a helpful mnemonic for successfully selecting patients for this option.

  7. 25 CFR 502.22 - Construction and maintenance of the gaming facility, and the operation of that gaming is...

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false Construction and maintenance of the gaming facility, and the operation of that gaming is conducted in a manner which adequately protects the environment and the public health and safety. 502.22 Section 502.22 Indians NATIONAL INDIAN GAMING COMMISSION...

  8. Environmental assessment for the construction, operation, and decommissioning of the Waste Segregation Facility at the Savannah River Site

    International Nuclear Information System (INIS)

    1998-01-01

    This Environmental Assessment (EA) has been prepared by the Department of Energy (DOE) to assess the potential environmental impacts associated with the construction, operation and decontamination and decommissioning (D ampersand D) of the Waste Segregation Facility (WSF) for the sorting, shredding, and compaction of low-level radioactive waste (LLW) at the Savannah River Site (SRS) located near Aiken, South Carolina. The LLW to be processed consists of two waste streams: legacy waste which is currently stored in E-Area Vaults of SRS and new waste generated from continuing operations. The proposed action is to construct, operate, and D ampersand D a facility to process low-activity job-control and equipment waste for volume reduction. The LLW would be processed to make more efficient use of low-level waste disposal capacity (E-Area Vaults) or to meet the waste acceptance criteria for treatment at the Consolidated Incineration Facility (CIF) at SRS

  9. Development of inherent technologies for advanced PWR core - A study on the current status and the construction feasibility of critical facilities

    Energy Technology Data Exchange (ETDEWEB)

    Yang, Won Sik; Yang, Hyun Seok [Chosun University, Kwangju (Korea); Kim, Chang Hyo; Shim, Hyung Jin [Seoul National University, Seoul (Korea)

    1999-03-01

    The objective of this study is to examine the appropriateness of constructing critical facilities in our country and to decide a course of constructing them if necessary by surveying the status and utilization of foreign facilities and by investigating the demand for domestic facilities. We investigated the status and the utilization of foreign critical facilities through literature survey and personal visitation. In our judgement, critical facilities are necessary for developing the advanced reactors and fuels which are being studied as parts of the Nuclear R and D Program by MOST. Considering the construction cost and the current state of domestic economy, however, it is unjustifiable to build three different types of critical facilities (the light water, the heavy water, and the fast critical facility). It appears to be reasonable to build a light water critical, considering the construction cost, degree of utilization, and other constraints. (author). 89 refs., 134 figs., 64 tabs.

  10. Ultrasound Accuracy in Diagnosing Appendicitis in Obese Pediatric Patients.

    Science.gov (United States)

    Love, Bryan E; Camelo, Monica; Nouri, Sarvenaz; Kriger, Diego; Ludi, Daniel; Nguyen, Henry

    2017-10-01

    The use of ultrasound to diagnose appendicitis in pediatric patients has been growing with the improvement of ultrasound technology and operator skills, but its utility in the increasingly obese pediatric population has not been thoroughly investigated. A retrospective review of all pediatric (≤18 years old) patients with appendicitis who were admitted at a single hospital from 2014 to 2016 was conducted. Patients were stratified into body mass index (BMI) percentile categories based on the centers for disease control guidelines. Comparisons were then made. There were 231 patients with an average BMI percentile of 72.6; 99 (42.9%) who had an ultrasound, of which 54 (54.5%) were positive for acute appendicitis, whereas 43 (43.4%) were nondiagnostic. In patients who had a nondiagnostic ultrasound, 37 had a CT demonstrating acute appendicitis. These were compared with 123 patients who had CT alone demonstrating acute appendicitis. The CT-only group was older (12 vs 9, P appendicitis.

  11. The sonographic features of neonatal appendicitis: A case report.

    Science.gov (United States)

    Si, Shu-Yu; Guo, Yi-Yi; Mu, Jian-Feng; Yan, Chao-Ying

    2017-11-01

    Neonatal appendicitis is extremely rare, and preoperative diagnosis is challenging. This study aimed to investigate the utility of ultrasound for the diagnosis of neonatal appendicitis. Four cases of neonatal appendicitis were included in this case series. One was a female infant and the other 3 were male infants; they were aged from 10 to 17 days. Neonatal appendicitis. Four newborns in our hospital were diagnosed with neonatal appendicitis by abdominal ultrasound. Their sonographic features were summarized and compared with surgical and pathological findings. In these infants, abdominal ultrasound demonstrated ileocecal bowel dilatation, intestinal and bowel wall thickening, and localized encapsulated effusion in the right lower quadrant and the abscess area, which was assumed to surround the appendix. Ultrasound is helpful for the diagnosis of neonatal appendicitis.

  12. Can common serum biomarkers predict complicated appendicitis in children?

    Science.gov (United States)

    Zani, Augusto; Teague, Warwick J; Clarke, Simon A; Haddad, Munther J; Khurana, Sanjeev; Tsang, Thomas; Nataraja, Ramesh M

    2017-07-01

    As appendicitis in children can be managed differently according to the severity of the disease, we investigated whether commonly used serum biomarkers on admission could distinguish between simple and complicated appendicitis. Admission white blood cell (WBC), neutrophil (NEU), and C-reactive protein (CRP) levels were analysed by ROC curve, and Kruskal-Wallis and contingency tests. Patients were divided according to age and histology [normal appendix (NA), simple appendicitis (SA), complicated appendicitis (CA)]. Of 1197 children (NA = 186, SA = 685, CA = 326), 7% were 40 mg/L in 58% CA and 37% SA (p 15 × 10 9 /L in 58% CA and 43% SA (p appendicitis in children older than 5 years of age. Early distinction of appendicitis severity using these tests may guide caregivers in the preoperative decision-making process.

  13. Primary epiploic appendicitis and echography findings

    International Nuclear Information System (INIS)

    Mederos Curbelo, Orestes Noel; Da Costa Fernandez, Jose Manuel; Jequin Savariego, Esther; Ramos Hernandez, Ricardo Ulises

    2010-01-01

    This is the case of a woman aged 55 presenting with localized acute abdominal pain in right inferior quadrant of 12 hours of course, leukocytosis and peritoneal reaction. The abdominal echography findings showed a supposed epiploitis but the pain intensity and persistence determined the surgical intervention. Epiploic acute appendicitis is a infrequent affection that must to be suspected in case of acute pain in inferior abdominal quadrants and imaging studies are essential for preoperative diagnosis. (author)

  14. Iliopsoas myositis mimicking appendicitis: MRI diagnosis

    Energy Technology Data Exchange (ETDEWEB)

    Wysoki, M.G. [Department of Radiology, Medical College of Pennsylvania Hospital and Hahnemann University, 3300 Henry Avenue, Philadelphia PA 19129 (United States); Angeid-Backman, E. [Department of Radiology, Medical College of Pennsylvania Hospital and Hahnemann University, 3300 Henry Avenue, Philadelphia PA 19129 (United States); Izes, B.A. [Department of Radiology, Medical College of Pennsylvania Hospital and Hahnemann University, 3300 Henry Avenue, Philadelphia PA 19129 (United States)

    1997-05-01

    Myositis of the truncal muscles can closely mimic acute appendicitis. Myositis is the early stage of muscular infection. It is characterized by diffuse muscular pain and swelling without a distinct mass. Early diagnosis of myositis improves the outcome and surgical debridement is usually avoided. Pyomyositis, the advanced stage of the disease, can be diagnosed by MRI examination. We present a case of early bacterial myositis that was diagnosed by MRI. (orig.). With 3 figs.

  15. Iliopsoas myositis mimicking appendicitis: MRI diagnosis

    International Nuclear Information System (INIS)

    Wysoki, M.G.; Angeid-Backman, E.; Izes, B.A.

    1997-01-01

    Myositis of the truncal muscles can closely mimic acute appendicitis. Myositis is the early stage of muscular infection. It is characterized by diffuse muscular pain and swelling without a distinct mass. Early diagnosis of myositis improves the outcome and surgical debridement is usually avoided. Pyomyositis, the advanced stage of the disease, can be diagnosed by MRI examination. We present a case of early bacterial myositis that was diagnosed by MRI. (orig.). With 3 figs

  16. Appendicitis in Pregnancy: Presentation, Management and Complications

    Directory of Open Access Journals (Sweden)

    Abdoulhossein Davoodabadi

    2016-06-01

    Full Text Available Background Diagnosis of acute appendicitis in pregnancy is difficult. Delay operation, increase complications. Objectives This study focused on early operation on base of careful history, precise physical examination, and rational close observation and evaluates its results with conventional investigation in pregnant women suspected acute appendicitis. Materials and Methods A cross sectional study in100 pregnant women and 100 aged matched non pregnant women underwent appendectomy during Sep 2011 - Dec 2014. The data were analyzed by chi-square test through SPSS 16.0. Results Age 16 - 37 years, mean age in pregnant women and no pregnant women were24.75 ± 4.4 and 27.56 ± 6.53 years (P > 0.05, respectively. 20 - 25 years age group, were more frequent = 44%. 70% patients were gravid 1, mean hospital stay in pregnant women, and non-pregnant women were 48 ± 6 and 85.2 ± 43.19 hours (P value < 0.001. respectively. acute appendicitis was confirmed histological in non-pregnant was 72%, but In pregnant women 62%, most cases were in the third Trimester 66% (n = 41. Peri umbilical pain, with migration to the right lower quadrant, was in 75% of patients. Right-lower-quadrant pain was the most common presenting symptom. Diagnosis (62% was made on base care full history and precise physical examination and close observation of 12 ± 8 hours. there were no maternal and fetal complications related to all of the appendectomies during the all trimester up to delivery period. Conclusions There are no diagnostic laboratory findings in acute appendicitis during pregnancy. Careful history and physical examination and close observation of 12 ± 8 hours are sufficient for surgery decision making. In spite of high negative appendectomy since it has no Surgical and obstetric complication, early Appendectomy without aggressive investigation recommend.

  17. Gallbladder Volvulus Presenting as Acute Appendicitis

    Directory of Open Access Journals (Sweden)

    Zachary Bauman

    2015-01-01

    Full Text Available We encountered a case of gallbladder volvulus in an 88-year-old thin female in which the initial presentation was more consistent with that of acute appendicitis. After complete work-up, including physical exam, lab work, and computed tomography, the definite diagnosis of gallbladder volvulus was not made until intraoperative visualization was obtained. Gallbladder volvulus is a rare but serious condition, which requires a high clinical suspicion so prompt surgical intervention can be undertaken.

  18. Design and construction of a low-level waste shallow land burial experimental facility

    International Nuclear Information System (INIS)

    Boegly, W.J. Jr.; Davis, E.C.

    1983-11-01

    The Environmental Sciences Division (ESD) of the Oak Ridge National Laboratory (ORNL) has been investigating improved shallow land burial (SLB) practices for disposing of low-level radioactive wastes in humid environments. Two improvements currently being studied are the use of a cement-bentonite grout applied to waste trenches before they are covered and the use of an impermeable Hypalon fabric liner, which completely surrounds the waste in a trench. A field-scale demonstration site, known as the Engineered Test Facility (ETF), has been established for these studies in the complex geologic setting typical of the Oak Ridge area. Design of the ETF was initiated in 1980 for purposes of (1) evaluating the ability of the grouted and lined trench treatments to minimize water contact and concurrent waste leaching, (2) evaluating selected waste disposal site characterization criteria, (3) integrating site characterization data into model development, and (4) validating the ETF site model and using it to predict long-term site performance. A total of nine trenches (six treated and three control) were excavated at the site in June of 1981. Bales of ORNL compacted waste were used to fill the 3m x 3m x 3m trenches, and, after treatment, all trenches were closed (backfilled and covered) according to current practice. Evaluation of the trench treatments is in progress using a series of inorganic and organic tracer tests designed to monitor water movement in three regions of interest: the trenches, the unsaturated zone around the trenches, and the saturated zone below the site. A successful demonstration of reduced waste leaching resulting from either of these two trench modifications described in this design and construction report will have immediate application to larger disposal sites having similar water-related problems. 9 references, 14 figures, 3 tables

  19. Diagnosis of acute appendicitis: Current criteria

    International Nuclear Information System (INIS)

    Rodriguez Fernandez, Zenen

    2009-01-01

    INTRODUCTION: The aim of present paper was to identify some features related to preoperative diagnosis of acute appendicitis, according the selected variables, as well as to establish comparisons with findings from other authors. METHODS: We made a prospective, descriptive and observational study of 560 patients operated on and discharged with the histopathology diagnosis of acute appendicitis. Patients were seen in General Surgery Service of the 'Saturnino Lora' Teaching Provincial Hospital of Santiago de Cuba during year 2006. RESULTS: Among the more significant results were the predominance of young males with a mean age of 25,2 years, and the preponderance of the clinical diagnosis. Mean time of preoperative course was greater in men, and there was a predominance of gangrenous and perforated varieties, although the primacy was for the suppurative appendicitis. In the deceased ones the more severe pathologic histology ways were detected, and these were elderlies presenting with atypical clinical manifestations of disease. CONCLUSIONS: Clinical method has nowadays is of capital significance, since thorough it is possible early to diagnose this so common urgency, and to reduce the preoperative course time, whose length is cause of a unnecessary morbidity and mortality. (author)

  20. Antibiotika som primær behandling af appendicitis

    DEFF Research Database (Denmark)

    Hupfeld, Line; Pommergaard, Hans-Christian; Burcharth, Jakob

    2014-01-01

    Acute appendicitis has traditionally been treated surgically. Conservative approach with antibiotic treatment has been suggested as an alternative to the surgical procedure. The available studies on surgery versus antibiotics may indicate the safe use of conservative treatment for uncomplicated...... appendicitis, but the available studies are typically of low quality. Thus, further studies are needed to clarify the role of conservative treatment, and in the meantime appendectomy remains the standard treatment for acute appendicitis....

  1. MRI for clinically suspected pediatric appendicitis: case interpretation

    International Nuclear Information System (INIS)

    Moore, Michael M.; Brian, James M.; Methratta, Sosamma T.; Hulse, Michael A.; Choudhary, Arabinda K.; Eggli, Kathleen D.; Boal, Danielle K.B.

    2014-01-01

    As utilization of MRI for clinically suspected pediatric appendicitis becomes more common, there will be increased focus on case interpretation. The purpose of this pictorial essay is to share our institution's case interpretation experience. MRI findings of appendicitis include appendicoliths, tip appendicitis, intraluminal fluid-debris level, pitfalls of size measurements, and complications including abscesses. The normal appendix and inguinal appendix are also discussed. (orig.)

  2. MRI for clinically suspected pediatric appendicitis: case interpretation

    Energy Technology Data Exchange (ETDEWEB)

    Moore, Michael M.; Brian, James M.; Methratta, Sosamma T.; Hulse, Michael A.; Choudhary, Arabinda K.; Eggli, Kathleen D.; Boal, Danielle K.B. [Penn State Milton S. Hershey Medical Center, Division of Pediatric Radiology, Department of Radiology, Hershey, PA (United States)

    2014-05-15

    As utilization of MRI for clinically suspected pediatric appendicitis becomes more common, there will be increased focus on case interpretation. The purpose of this pictorial essay is to share our institution's case interpretation experience. MRI findings of appendicitis include appendicoliths, tip appendicitis, intraluminal fluid-debris level, pitfalls of size measurements, and complications including abscesses. The normal appendix and inguinal appendix are also discussed. (orig.)

  3. Randomized clinical trial of Appendicitis Inflammatory Response score-based management of patients with suspected appendicitis.

    Science.gov (United States)

    Andersson, M; Kolodziej, B; Andersson, R E

    2017-10-01

    The role of imaging in the diagnosis of appendicitis is controversial. This prospective interventional study and nested randomized trial analysed the impact of implementing a risk stratification algorithm based on the Appendicitis Inflammatory Response (AIR) score, and compared routine imaging with selective imaging after clinical reassessment. Patients presenting with suspicion of appendicitis between September 2009 and January 2012 from age 10 years were included at 21 emergency surgical centres and from age 5 years at three university paediatric centres. Registration of clinical characteristics, treatments and outcomes started during the baseline period. The AIR score-based algorithm was implemented during the intervention period. Intermediate-risk patients were randomized to routine imaging or selective imaging after clinical reassessment. The baseline period included 1152 patients, and the intervention period 2639, of whom 1068 intermediate-risk patients were randomized. In low-risk patients, use of the AIR score-based algorithm resulted in less imaging (19·2 versus 34·5 per cent; P appendicitis (6·8 versus 9·7 per cent; P = 0·034). Intermediate-risk patients randomized to the imaging and observation groups had the same proportion of negative appendicectomies (6·4 versus 6·7 per cent respectively; P = 0·884), number of admissions, number of perforations and length of hospital stay, but routine imaging was associated with an increased proportion of patients treated for appendicitis (53·4 versus 46·3 per cent; P = 0·020). AIR score-based risk classification can safely reduce the use of diagnostic imaging and hospital admissions in patients with suspicion of appendicitis. Registration number: NCT00971438 ( http://www.clinicaltrials.gov). © 2017 BJS Society Ltd Published by John Wiley & Sons Ltd.

  4. Role of CT scan in diagnosis of acute appendicitis

    International Nuclear Information System (INIS)

    Salem, O.A.; Khasawneh, M.

    2007-01-01

    To evaluate the diagnostic accuracy of the spiral-CT in patients with clinically suspected acute appendicitis. A total of 124 patients referred for CT scan with suspected appendicitis between January 2005 and October 2006 were assessed for the appendiceal size and the presence of signs of appendicitis. The findings were correlated with surgical histopathology. CT scan had a sensitivity of 95 percent and a specifity of 93 percent and an overall accuracy of 92 percent. The use of spiral CT in patients with equivocal clinical presentation suspected of having acute appendicitis can lead to significant improvement in the preoperative diagnosis. (author)

  5. Utility of Immature Granulocyte Percentage in Pediatric Appendicitis

    Science.gov (United States)

    Mathews, Eleanor K.; Griffin, Russell L.; Mortellaro, Vincent; Beierle, Elizabeth A.; Harmon, Carroll M.; Chen, Mike K.; Russell, Robert T.

    2014-01-01

    Background Acute appendicitis is the most common cause of abdominal surgery in children. Adjuncts are utilized to help clinicians predict acute or perforated appendicitis, which may affect treatment decisions. Automated hematologic analyzers can perform more accurate automated differentials including immature granulocyte percentages (IG%). Elevated IG% has demonstrated improved accuracy for predicting sepsis in the neonatal population than traditional immature to total neutrophil count (I/T) ratios. We intended to assess the additional discriminatory ability of IG% to traditionally assessed parameters in the differentiation between acute and perforated appendicitis. Materials and Methods We identified all patients with appendicitis from July 2012 to June 2013 by ICD-9 code. Charts were reviewed for relevant demographic, clinical, and outcome data, which were compared between acute and perforated appendicitis groups using Fischer’s exact and t-test for categorical and continuous variables, respectively. We utilized an adjusted logistic regression model utilizing clinical lab values to predict the odds of perforated appendicitis. Results 251 patients were included in the analysis. Those with perforated appendicitis had a higher white blood cell (WBC) count (p=0.0063), C-reactive protein (CRP) (pappendicitis. The c-statistic of the final model was 0.70, suggesting fair discriminatory ability in predicting perforated appendicitis. Conclusions IG% did not provide any additional benefit to elevated CRP and presence of left shift in the differentiation between acute and perforated appendicitis. PMID:24793450

  6. Environmental Assessment for the construction and operation of the Health Physics Site Support Facility on the Savannah River Site

    International Nuclear Information System (INIS)

    1995-07-01

    DOE has prepared an environmental assessment for the proposed construction and operation of the Health Physics Site Support Facility on the Savannah River Site. This (new) facility would meet requirements of the site radiological protection program and would ensure site compliance with regulations. It was determined that the proposed action is not a major Federal action significantly affecting the quality of the environment within the meaning of NEPA. Therefore, a finding of no significant impact is made, and no environmental impact statement is needed

  7. Design and construction of γ-rays irradiation facility for remote-handling parts and components of fusion reactor

    International Nuclear Information System (INIS)

    Yagi, Toshiaki; Morita, Yousuke; Seguchi, Tadao

    1995-03-01

    For the evaluation of radiation resistance of remote-handling system for International Thermonuclear Experimental Reactor(ITER), 'high dose-rate and high temperature (upper 350degC) γ-rays irradiation facility' was designed and constructed. In this facility, the parts and components of remote-handling system such as sensing devices, motors, optical glasses, wires and cables, etc., are tested by irradiation with 2x10 6 Roentgen/h Co-60 γ-rays at a temperature up to 350degC under various atmospheres (dry nitrogen gas, argon gas, dry air and vacuum). (author)

  8. 29 CFR 776.26 - Relationship of the construction work to the covered facility.

    Science.gov (United States)

    2010-07-01

    ... OF 1938 Construction Industry Individual Employee Coverage in the Construction Industry § 776.26... commerce or the engagement in commerce. For this reason the erection, maintenance or repair of dwellings...

  9. Renovation versus New Construction and Building Decision Tool for Educational Facilities

    OpenAIRE

    Pope, Carrie; Marks, Eric; Back, Edward; Leopard, Tim; Love, Thomas

    2016-01-01

    Renovation of an existing building is an accomplished stem of the construction industry because it supplies financial diversification for construction stakeholders. Although several construction planning tools and stakeholder alignment exercises have been developed, no tool exists to assist project owners to decide between renovating an existing building and new construction with a comprehensive decision criteria. The objective of this research is to create and test a renovation versus new bu...

  10. Horonobe Underground Research Laboratory project. Plans of investigations during shaft and drift excavation (Construction of underground facilities: Phase II)

    International Nuclear Information System (INIS)

    2005-06-01

    Horonobe Underground Research Laboratory Project is planned for over 20 years to establish the scientific and technical basis for the underground disposal of high-level radioactive wastes in Japan. The investigations are conducted by JNC in three phases, from the surface (Phase I), during the construction of the underground facilities (Phase II), and using the facilities (Phase III). This report concerns the investigation plans for Phase II. During excavation of shafts and drifts, detailed geological and borehole investigation will be conducted and the geological model constructed in Phase I is evaluated and revised by newly acquired data of geophysical and geological environment. Detailed in-situ experiments, as well as the effects of shaft excavation, are also done to study long-term changes, rock properties, groundwater flow and chemistry to ensure the reliability of repository technology and establish safety assessment methodology. (S. Ohno)

  11. Draft Environmental Impact Statement for Construction and Operation of a Depleted Uranium Hexafluoride Conversion Facility at the Paducah, Kentucky, Site

    International Nuclear Information System (INIS)

    2003-01-01

    This document is a site-specific environmental impact statement (EIS) for construction and operation of a proposed depleted uranium hexafluoride (DUF 6 ) conversion facility at the U.S. Department of Energy (DOE) Paducah site in northwestern Kentucky (Figure S-1). The proposed facility would convert the DUF 6 stored at Paducah to a more stable chemical form suitable for use or disposal. In a Notice of Intent (NOI) published in the ''Federal Register'' (FR) on September 18, 2001 (''Federal Register'', Volume 66, page 48123 [66 FR 48123]), DOE announced its intention to prepare a single EIS for a proposal to construct, operate, maintain, and decontaminate and decommission two DUF 6 conversion facilities at Portsmouth, Ohio, and Paducah, Kentucky, in accordance with the National Environmental Policy Act of 1969 (NEPA) (''United States Code'', Title 42, Section 4321 et seq. [42 USC 4321 et seq.]) and DOE's NEPA implementing procedures (''Code of Federal Regulations'', Title 10, Part 1021 [10 CFR Part 1021]). Subsequent to award of a contract to Uranium Disposition Services, LLC (hereafter referred to as UDS), Oak Ridge, Tennessee, on August 29, 2002, for design, construction, and operation of DUF 6 conversion facilities at Portsmouth and Paducah, DOE reevaluated its approach to the NEPA process and decided to prepare separate site-specific EISs. This change was announced in a ''Federal Register'' Notice of Change in NEPA Compliance Approach published on April 28, 2003 (68 FR 22368); the Notice is included as Attachment B to Appendix C of this EIS. This EIS addresses the potential environmental impacts from the construction, operation, maintenance, and decontamination and decommissioning (DandD) of the proposed conversion facility at three alternative locations within the Paducah site; from the transportation of depleted uranium conversion products to a disposal facility; and from the transportation, sale, use, or disposal of the fluoride-containing conversion products

  12. Baseline concentrations of radionuclides and heavy metals in soils and vegetation around the DARHT facility: Construction phase (1997). Progress report

    International Nuclear Information System (INIS)

    Fresquez, P.R.; Haagenstad, H.T.; Naranjo, L. Jr.

    1998-06-01

    As part of the Department of Energy's Mitigation Action Plan for the Dual Axis Radiographic Hydrodynamic Test (DARHT) facility at Los Alamos National Laboratory (LANL), baseline concentrations of radionuclides ( 3 H, 137 Cs, 90 Sr, 238 Pu, 239,240 Pu, 241 Am, and tot U) and heavy metals (Ag, As, Ba, Be, Cd, Cr, Cu, Hg, Ni, Pb, Sb, Se, and Tl) in soil, sediment, and vegetation (overstory and understory) around the DARHT facility during the construction phase in 1997 were determined. Most radionuclides and heavy metals in soils, sediments, and vegetation, with the exception of 90 Sr in soils and sediments, were within upper (95%) limit background concentrations. Although the levels of 90 Sr in soils and sediments around the DARHT facility were higher than background, they were below LANL screening action levels ( -1 dry) and are of no concern

  13. Baseline concentrations of radionuclides and heavy metals in soils and vegetation around the DARHT facility: Construction phase (1996)

    International Nuclear Information System (INIS)

    Fresquez, P.R.; Haagenstad, H.T.; Naranjo, L. Jr.

    1997-04-01

    As part of the Department of Energy's Mitigation Action Plan for the Dual Axis Radiographic Hydrodynamic Test (DARHT) Facility at Los Alamos National Laboratory (LANL), baseline concentrations of radionuclides ( 3 H, 137 Cs, 90 Sr, 238 Pu, 239 Pu, 241 Am, total U), and heavy metals (Ag, As, Ba, Be, Cd, Cr, Cu, Hg, Ni, Pb, Sb, Se and Tl) in soil, sediment, and vegetation (overstory and understory) around the DARHT facility during the construction phase in 1996 were determined. Also, U and Be concentrations in soil samples collected in 1993 from within the proposed DARHT facility area are reported. Most radionuclides in soils, sediments, and vegetation were within current background and/or long-term regional statistical reference levels

  14. Nonradioactive air emissions notice of construction for the Waste Receiving And Processing facility

    International Nuclear Information System (INIS)

    1993-02-01

    The mission of the Waste Receiving And Processing (WRAP) Module 1 facility (also referred to as WRAP 1) is to examine assay, characterize, treat, and repackage solid radioactive and mixed waste to enable permanent disposal of the wastes in accordance with all applicable regulations. WRAP 1 will contain equipment and facilities necessary for non-destructive examination (NDE) of wastes and to perform a non-destructive examination assay (NDA) of the total radionuclide content of the wastes, without opening the outer container (e.g., 55-gal drum). WRAP 1 will also be equipped to open drums which do not meet waste acceptance and shipping criteria, and to perform limited physical treatment of the wastes to ensure that storage, shipping, and disposal criteria are met. The solid wastes to be handled in the WRAP 1 facility include low level waste (LLW), transuranic (TRU) waste, and transuranic and low level mixed wastes (LLMW). The WRAP 1 facility will only accept contact handler (CH) waste containers. A Best Available Control Technology for Toxics (TBACT) assessment has been completed for the WRAP 1 facility (WHC 1993). Because toxic emissions from the WRAP 1 facility are sufficiently low and do not pose any health or safety concerns to the public, no controls for volatile organic compounds (VOCs), and installation of HEPA filters for particulates satisfy TBACT for the facility

  15. Siting history and current construction status of disposal facility for low and intermediate level radioactive waste in Korea

    International Nuclear Information System (INIS)

    Sakai, Akihiro; Kikuchi, Saburo; Maruyama, Masakatsu

    2008-01-01

    Korean government decided disposal site for low and intermediate level radioactive waste (LILW), which is located at coastal area near the Wolsong nuclear power plants in Gyeong-Ju city in December. 2005, based on the result of votes of residents in four candidate sites. Since then, Korea Hydro and Nuclear Power Co., Ltd (KHNP), which is the management company of the LILW disposal facility, has carried out the preparation for construction of disposal facility and its licensing process. At the first phase, 100 thousand drums in 200 liter are planned to be disposed of in the rock cavern type disposal facility located at the depth from 80m to 130m below the sea level, and finally 800 thousand drums in 200 liter are planned to be disposed of in the site. This report shows the history of siting for the LILW disposal, the outline of design of disposal facility and current status of its construction, based on the information which was obtained mainly during our visit to the disposal site in Korea. (author)

  16. The planning, construction, and operation of a radioactive waste storage facility for an Australian state radiation regulatory authority

    Energy Technology Data Exchange (ETDEWEB)

    Wallace, J.D.; Kleinschmidt, R.; Veevers, P. [Radiation Health, Queensland (Australia)

    1995-12-31

    Radiation regulatory authorities have a responsibility for the management of radioactive waste. This, more often than not, includes the collection and safe storage of radioactive sources in disused radiation devices and devices seized by the regulatory authority following an accident, abandonment or unauthorised use. The public aversion to all things radioactive, regardless of the safety controls, together with the Not In My Back Yard (NIMBY) syndrome combine to make the establishment of a radioactive materials store a near impossible task, despite the fact that such a facility is a fundamental tool for regulatory authorities to provide for the radiation safety of the public. In Queensland the successful completion and operational use of such a storage facility has taken a total of 8 years of concerted effort by the staff of the regulatory authority, the expenditure of over $2 million (AUS) not including regulatory staff costs and the cost of construction of an earlier separate facility. This paper is a summary of the major developments in the planning, construction and eventual operation of the facility including technical and administrative details, together with the lessons learned from the perspective of the overall project.

  17. Military Construction of the Defense Finance and Accounting Service Operations Facility, Columbus, Ohio

    National Research Council Canada - National Science Library

    Granetto, Paul

    1995-01-01

    The audit objectives were to determine whether the Defense Finance and Accounting Service Columbus Center properly planned and programmed the FY 1996 proposed military construction project and whether...

  18. Risk stratification by the Appendicitis Inflammatory Response score to guide decision-making in patients with suspected appendicitis.

    Science.gov (United States)

    Scott, A J; Mason, S E; Arunakirinathan, M; Reissis, Y; Kinross, J M; Smith, J J

    2015-04-01

    Current management of suspected appendicitis is hampered by the overadmission of patients with non-specific abdominal pain and a significant negative exploration rate. The potential benefits of risk stratification by the Appendicitis Inflammatory Response (AIR) score to guide clinical decision-making were assessed. During this 50-week prospective observational study at one institution, the AIR score was calculated for all patients admitted with suspected appendicitis. Appendicitis was diagnosed by histological examination, and patients were classified as having non-appendicitis pain if histological findings were negative or surgery was not performed. The diagnostic performance of the AIR score and the potential for risk stratification to reduce admissions, optimize imaging and prevent unnecessary explorations were quantified. A total of 464 patients were included, of whom 210 (63·3 per cent) with non-appendicitis pain were correctly classified as low risk. However, 13 low-risk patients had appendicitis. Low-risk patients accounted for 48·1 per cent of admissions (223 of 464), 57 per cent of negative explorations (48 of 84) and 50·7 per cent of imaging requests (149 of 294). An AIR score of 5 or more (intermediate and high risk) had high sensitivity for all severities of appendicitis (90 per cent) and also for advanced appendicitis (98 per cent). An AIR score of 9 or more (high risk) was very specific (97 per cent) for appendicitis, and the majority of patients with appendicitis in the high-risk group (21 of 30, 70 per cent) had perforation or gangrene. Ultrasound imaging could not exclude appendicitis in low-risk patients (negative likelihood ratio (LR) 1·0) but could rule-in the diagnosis in intermediate-risk patients (positive LR 10·2). CT could exclude appendicitis in low-risk patients (negative LR 0·0) and rule-in appendicitis in the intermediate group (positive LR 10·9). Risk stratification of patients with suspected appendicitis by the AIR score could

  19. Acute Appendicitis in Children in Kumasi, Ghana:Macroscopic ...

    African Journals Online (AJOL)

    Background A lot has been written about acute appendicitis in children in the developed countries but very little is written about this condition among children in the sub Saharan region. It used to be said that acute appendicitis is rare in Africa but this is no longer the case. We are unable to find, in the literature, any reference ...

  20. Case Report: Perforated appendicitis in a septuagenarian | Sanda ...

    African Journals Online (AJOL)

    Appendicitis in the elderly is becoming an increasingly frequent clinical encounter due to the increased life expectancy in the human race over the last half-century. Appendicitis in this age group has, therefore, become relatively more common with an atypical presentation that incurs delay in diagnosis with attendant ...

  1. Acute appendicitis in situs inversus- a case report | Shugaba ...

    African Journals Online (AJOL)

    This was a case of acute appendicitis in a patient with situs inversus found at Surgery for twisted left ovarian cyst in a 26 year old married woman. The case was interesting because the diagnosis of acute appendicitis as apposed to twisted left ovarian cyst was made intraoperatively when it was found in the left iliac fossa ...

  2. Treatment of acute appendicitis with one-port transumbilical ...

    African Journals Online (AJOL)

    Background: Laparoscopic appendectomy is a feasible and safe alternative to open appendectomy for uncomplicated appendicitis. In the past decade several laparoscopic procedures have been described using one or more ports. We report our experience in treating acute appendicitis with one-port transumbilical ...

  3. A paratubal cyst associated with flegmonous appendicitis: A case ...

    African Journals Online (AJOL)

    These masses have been reported in all age groups, beginning from the premenarchial period up to menopause, and are mostly benign. A 14-year-old girl with flegmonous appendicitis diagnosed and treated during the management of PTC is presented. This report shows that PTC and flegmonous appendicitis can be seen ...

  4. Septic Mesenteric Venous Thrombophlebitis: A Rare Complication of Acute Appendicitis

    Directory of Open Access Journals (Sweden)

    Stylianos Kykalos

    2011-01-01

    Full Text Available Mesenteric venous thrombophlebitis represents a very rare complication of acute appendicitis. Based on the findings of a 45-year-old patient with mesenteric venous thrombophlebitis due to acute appendicitis, we herein describe the diagnostic difficulties and therapeutic options in this uncommon disease. The treatment in our case consisted of simple appendectomy and perioperative anticoagulation therapy.

  5. Selective use of diagnostic laparoscopy in patients with suspected appendicitis

    NARCIS (Netherlands)

    van den Broek, W. T.; Bijnen, A. B.; van Eerten, P. V.; de Ruiter, P.; Gouma, D. J.

    2000-01-01

    BACKGROUND: Diagnostic laparoscopy has been introduced as a new diagnostic tool for patients with acute appendicitis. We performed diagnostic laparoscopy when the clinical diagnosis of appendicitis was in doubt. The aims of this study were to evaluate this strategy and to analyze the efficacy of

  6. Stratified computed tomography findings improve diagnostic accuracy for appendicitis

    Science.gov (United States)

    Park, Geon; Lee, Sang Chul; Choi, Byung-Jo; Kim, Say-June

    2014-01-01

    AIM: To improve the diagnostic accuracy in patients with symptoms and signs of appendicitis, but without confirmative computed tomography (CT) findings. METHODS: We retrospectively reviewed the database of 224 patients who had been operated on for the suspicion of appendicitis, but whose CT findings were negative or equivocal for appendicitis. The patient population was divided into two groups: a pathologically proven appendicitis group (n = 177) and a non-appendicitis group (n = 47). The CT images of these patients were re-evaluated according to the characteristic CT features as described in the literature. The re-evaluations and baseline characteristics of the two groups were compared. RESULTS: The two groups showed significant differences with respect to appendiceal diameter, and the presence of periappendiceal fat stranding and intraluminal air in the appendix. A larger proportion of patients in the appendicitis group showed distended appendices larger than 6.0 mm (66.3% vs 37.0%; P appendicitis group. Furthermore, the presence of two or more of these factors increased the odds ratio to 6.8 times higher than baseline (95%CI: 3.013-15.454; P appendicitis with equivocal CT findings. PMID:25320531

  7. Acute Appendicitis in Port Harcourt, Nigeria | Mangete | Orient ...

    African Journals Online (AJOL)

    Acute Appendicitis was also found to be commoner in the better educated social classes. The duration of hospitalization and postoperative complications were affected by late presentation to surgery but not by the status of the operating surgeon. Conclusion: Acute appendicitis was diagnosed more often in females than in ...

  8. Acute appendicitis following blunt abdominal trauma. Coincidence or causality?

    Directory of Open Access Journals (Sweden)

    Sergio Iván Latorre

    2017-01-01

    Full Text Available Acute appendicitis is a common disease in clinical practice; some well-defined causes include luminal obstruction by fecoliths, lymphoid hyperplasia, foreign bodies and intestinal parasites. Closed abdominal trauma has been associated as an etiological factor, although, their causal relationship is still unclear. This paper presents the case of a patient with appendicitis after a closed abdominal trauma.

  9. Validity of samul's paediatric appendicitis score (pas) in the diagnosis of acute appendicitis in children

    International Nuclear Information System (INIS)

    Rehman, S.; Butt, M. Q.

    2014-01-01

    Objective: To validate the paediatric appendicitis score for the diagnosis of acute appendicitis in children using histopathology as a gold standard. Study Design: Case control study. Place and Duration of Study: Military Hospital (MH) and Combined Military Hospital (CMH) Rawalpindi, Pakistan from Dec 2009 to Jul 2010. Patients and Methods: Eighty five children 1-7year old who came to our tertiary surgical department with the chief complaint of abdominal pain of less than 7 days duration were included in the study. Paediatric appendicitis score (PAS) components including fever > 380 C, anorexia, nausea/vomiting, cough/percussion/hopping tenderness, right-lower-quadrant tenderness, migration of pain, leukocytosis > 10,000 (109/1) and polymorphonuclear - neutrophilia > 7500 (109/1) were assessed and recorded on admission, but the sum was not calculated until later and the score did not play any role in the management of the patient. The diagnosis of appendicitis was made by the trainees and consultants clinically and with the aid of routine sonography of abdomen. After appendicetomies, resected specimens were sent for histopathological examination. Pre-operative PAS, histopathology report of resected appendix were endorsed on patient's performa. A two by two table was used to determine sensitivity, specificity, positive and negative predictive values and diagnostic efficacy of PAS. Results: Sensitivity of PAS was 92.16%, specificity 88.23%, positive predictive value 92.16%, negative predictive value 88.23% and the diagnostic efficacy 90.59%. Conclusion: PAS is a highly sensitive test with fair degree of specificity in diagnosing acute appendicitis in children and its routine usage may improve the diagnostic accuracy. (author)

  10. HEAVY METALS IN RECOVERED FINES FOR CONSTRUCTION AND DEMOLITION DEBRIS RECYCLING FACILITIES IN FLORIDA

    Science.gov (United States)

    A major product recovered from the processing and recycling of construction and demolition (C&D) debris is screened soil, also referred to as fines. A proposed reuse option for C&D debris fines is fill material, typically in construction projects as a substitute for natural soil....

  11. SCHOOLS OF PRESTRESSED CONCRETE. PLANNING, DESIGN AND CONSTRUCTION OF EDUCATIONAL FACILITIES FOR SCHOOLS AND COLLEGES.

    Science.gov (United States)

    LYMAN, ROBERT J.

    THE USE OF PRESTRESSED CONCRETE IS EMPHASIZED IN THE AREAS OF SCHOOL PLANNING, DESIGN, AND CONSTRUCTION. THE PLANNING SECTION INCLUDES--(1) ROLES OF ACTIVE PARTIES AND RELATED ORGANIZATIONS, (2) PROCEDURES, AND (3) CONCEPTUAL DATA FOR SITE AND BUILDING. THE DESIGN SECTION CONTAINS--(1) DEVELOPMENT OF CONSTRUCTION SYSTEMS, (2) INTEGRATION OF…

  12. Acute appendicitis in a premature baby

    International Nuclear Information System (INIS)

    Beluffi, Giampiero; Alberici, Elisa

    2002-01-01

    A case of acute appendicitis in a premature baby in whom diagnosis was suggested on plain films of the abdomen is presented. In this baby air in a hollow viscus suspected of being an enlarged appendix was the clue to diagnosis. The diagnostic dilemma of this rare and life-threatening condition in premature babies and newborns is underlined. The relevance of different imaging modalities and of different findings in this age group is discussed. Awareness of this rare condition and possible differential diagnosis in newborns and premature babies is stressed. (orig.)

  13. Unusual computed tomography findings and complications in acute appendicitis

    International Nuclear Information System (INIS)

    Palacio, Glaucia Andrade e Silva; D'Ippolito, Giuseppe

    2003-01-01

    The objective of this article is to describe and illustrate unusual computed tomography (CT) findings in patients with acute appendicitis. We reviewed the charts of 200 patients with clinical suspicion of acute appendicitis who were submitted to abdominal CT before surgery. Patients with unusual presentation or complications were selected for illustrating the main CT findings. Unusual complications of acute appendicitis were related to anomalous position of the appendix, contiguity to intraperitoneal organs such as the liver, gall bladder, annexes and the bladder and continuous use of anti inflammatory or antibiotics during the diagnostic process. We concluded that CT is a useful diagnostic tool in patients with complicated or unusual presentation acute appendicitis. The first step towards diagnosis in these cases i to have in mind the hypothesis of appendicitis in patients with acute abdominal pain. (author)

  14. Complications of acute appendicitis: a review of 120 cases

    International Nuclear Information System (INIS)

    Baloch, I.; Bhatti, Y.; Abro, H.

    2009-01-01

    To find out the frequency of complications of acute appendicitis. Patients and Methods: A retrospective study was conducted at surgical unit-I and III, Chandka Medical College Hospital, Larkana. Case records of patients who were admitted with complications of appendicitis from June 2004 to May 2007 were examined and data analysed. Most common complications of appendicitis were appendicular mass (38.3%) followed by appendicular perforation and peritonitis (37.5%), appendicular abscess (10%), gangrene of appendix (11.6%) and intestinal obstruction (2.5%). Majority (66.6 %) of the cases were operated while 33:3% were treated by conservative measures. Appendicular mass and perforation were the main complications of untreated acute appendicitis. Complications of appendicitis usually result due to delay in diagnosis and treatment. (author)

  15. No Circadian Variation in Surgeons' Ability to Diagnose Acute Appendicitis

    DEFF Research Database (Denmark)

    Jørgensen, Anders Bech; Amirian, Ilda; Kehlet Watt, Sara

    2016-01-01

    OBJECTIVE: To examine if there were circadian variations in surgeons' ability to diagnose acute appendicitis. DESIGN: Retrospective database study of all patients admitted to an acute surgical procedure under the potential diagnosis of acute appendicitis in a 4-year period. The day was divided...... patients were included. There were no age limitations or selection in sex. RESULTS: There was no significant difference in the ability to diagnose appendicitis in day-evening hours vs night hours (p = 0.391), nor was any significant difference found on weekdays (Monday-Thursday) vs weekends (Friday...... of imaging had no effect on the ability to diagnose appendicitis. Male sex showed a higher probability of the diagnosis being appendicitis compared with other or no pathology (odds ratio: 3.094; p

  16. Ultrasound for Appendicitis: Performance and Integration with Clinical Parameters

    Science.gov (United States)

    Löfvenberg, Fanny

    2016-01-01

    Objective. To evaluate the performance of ultrasound in pediatric appendicitis and the integration of US with the pediatric appendicitis score (PAS) and C-reactive protein (CRP). Method. An institution-based, retrospective study of children who underwent abdominal US for suspected appendicitis between 2012 and 2015 at a tertiary pediatric surgery center. US results were dichotomized, with a nonvisualized appendix considered as a negative examination. Results. In total, 438 children were included (mean 8.5 years, 54% boys), with an appendicitis rate of 29%. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) for US were 82%, 97%, 92%, and 93%, respectively, without significant age or gender differences. Pediatric radiologists had significantly higher sensitivity compared to general radiologists, 88% and 71%, respectively (p appendicitis, regardless of age or gender, and should be the first choice of imaging modalities. Combining US with PAS and CRP may reduce several unnecessary admissions for in-hospital observation. PMID:28044133

  17. Current state of the construction of SPARC test facility for observing hydrogen′s behavior

    Energy Technology Data Exchange (ETDEWEB)

    Na, Young Su; Hong, Seong-Ho; Park, Ki Han; Hong, Seong-Wan [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2016-10-15

    Hydrogen combustion can make a dynamic load, which can cause severe damage to a structure or facility. Many studies on hydrogen behavior, such as distribution, combustion and mitigation, have been conducted since the TMI accident, and they were recently summarized in. A large-scaled experimental facility is required for simulating the complex severe accident phenomena in a closed containment building. We are preparing the test facility, called the SPARC (Spray, Aerosol, Recombiner, Combustion), to resolve the international open issues regarding hydrogen risk as well as the validation of the Korean PAR (Passive Auto-catalytic Recombiner). This paper summarized the previous study submitted to the NUTHOS-11, which introduced the SPARC test facility. KAERI (Korea Atomic Energy Research Institute) is preparing a test facility, called the SPARC for an assessment of the containment integrity under a severe accident. In the SPARC test facility, the hydrogen behavior such as mixing with steam and air, distribution, and combustion will be observed under various thermal-hydraulic conditions. We will carry out the performance tests of the safety systems such as the spray, cooling fan, PAR, and igniter. The SPARC test facility consists of a pressure vessel with a 9.5 m height and 3.4 m diameter, and an operating system to control and measure the thermal hydraulic conditions. In a commissioning test, we verified the controllable thermal conditions. It took about 8,400 seconds to increase up to 5 bar. The increment rate of the atmosphere temperature is about 34° C/h from room temperature to 100° C.

  18. Construction of BIM-based SMART-ITL Facility Management System

    International Nuclear Information System (INIS)

    Jeon, Woo-Jin; Yi, Sung-Jae; Park, Hyun-Sik; Ryu, Sung-Uk; Bae, Hwang; Hwang, Sang-Chul; Min, Byung-Eui

    2015-01-01

    The flow area and volume are scaled down to 1/49. The ratio of the hydraulic diameter is 1/7. Therefore, SMART-ITL is a large-scale thermalhydraulic test facility with about 45 m height, which is consisted of 10 m underground and 35 m from the ground level. Until now, the management of design data and maintenance of large scale test facilities have been managed based on hard-copy information. Recently, Thermal Hydraulics Safety Research Division (THSRD) at Korea Atomic Energy Research Institute (KAERI) has developed Facility Management System (FMS) based Building Information Modeling (BIM) to manage its design data more effectively for these large scale test facilities of SMART-ITL and ATLAS, and this BIM technology has been applied to SMART-ITL at the first. This study proposed a method of effective management and maintenance of design data applied to the SMART-ITL. That is, a FMS was developed based on the BIM technology for SMART-ITL. Figure 2 shows an overview of FMS development process based on BIM technology. SMART-ITL FMS facilitates its management and maintenance more effectively and accurately by 3- dimensional visualization. It enables the shape information of large scale test facilities to be visualized intuitively in a virtual space, and the efficient maintenance of data and instruments is possible by linking 3D shape information

  19. Construction of BIM-based SMART-ITL Facility Management System

    Energy Technology Data Exchange (ETDEWEB)

    Jeon, Woo-Jin; Yi, Sung-Jae; Park, Hyun-Sik; Ryu, Sung-Uk; Bae, Hwang [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of); Hwang, Sang-Chul; Min, Byung-Eui [DDRsoft Co., Daejeon (Korea, Republic of)

    2015-10-15

    The flow area and volume are scaled down to 1/49. The ratio of the hydraulic diameter is 1/7. Therefore, SMART-ITL is a large-scale thermalhydraulic test facility with about 45 m height, which is consisted of 10 m underground and 35 m from the ground level. Until now, the management of design data and maintenance of large scale test facilities have been managed based on hard-copy information. Recently, Thermal Hydraulics Safety Research Division (THSRD) at Korea Atomic Energy Research Institute (KAERI) has developed Facility Management System (FMS) based Building Information Modeling (BIM) to manage its design data more effectively for these large scale test facilities of SMART-ITL and ATLAS, and this BIM technology has been applied to SMART-ITL at the first. This study proposed a method of effective management and maintenance of design data applied to the SMART-ITL. That is, a FMS was developed based on the BIM technology for SMART-ITL. Figure 2 shows an overview of FMS development process based on BIM technology. SMART-ITL FMS facilitates its management and maintenance more effectively and accurately by 3- dimensional visualization. It enables the shape information of large scale test facilities to be visualized intuitively in a virtual space, and the efficient maintenance of data and instruments is possible by linking 3D shape information.

  20. Redesign, construction and characterization of the new neutron radiography facility of the RA-6

    International Nuclear Information System (INIS)

    Marin, J.; Sanchez, F.A.; Blaumann, H.

    2012-01-01

    Neutron radiography is a non-destructive test in which it is registered an image of the attenuation experienced by a collimated neutron beam while it passes through a sample. The image is generated by using a neutron-sensitive screen. The applications of this technique are wide, some of them include: services to industries, study of explosives, study of pieces belonging to cultural heritage and studies of the distribution of hydrogen. The actual neutron radiography facility is placed in the RA-6 reactor at the Centro Atomico Bariloche. Due to the reactor's nucleus change and the subsequent power raise, it has been necessary to redesign the facility. During the last year the pieces that constitute it had been designed and built. In April 2012 the facility has been mounted. The system employed is of on-line neutron radiographies. The maximum area of study is of 20 cm x 20 cm. The images obtained are registered by a CCD camera, whose maximum resolution is of 2776 x 2074 pixels and 65536 gray levels. In this work the initial steps towards characterization of the facility are presented, these include neutron fluxes and dose rates levels determinations. Also, in order to evaluate the functionality, images of several objects have been taken, as the one shown in Fig. 7. The results obtained reveal the good performance of the facility and its wide potential (author)

  1. Characterization and remediation of soil prior to construction of an on-site disposal facility at Fernald

    International Nuclear Information System (INIS)

    Hunt, A.; Jones, G.; Nelson, K.

    1998-03-01

    During the production years at the Feed Materials Production Center (FMPC), the soil of the site and the surrounding areas was surficially impacted by airborne contamination. The volume of impacted soil is estimated at 2.2 million cubic yards. During site remediation, this contamination will be excavated, characterized, and disposed of. In 1986 the US Environmental Protection Agency (EPA) and the Department of Energy (DOE) entered into a Federal Facility Compliance Agreement (FFCA) covering environmental impacts associated with the FMPC. A site wide Remedial Investigation/Feasibility Study (RI/FS) was initiated pursuant to the Comprehensive Environmental Response, Compensation, and Liability Act, as amended by the Superfund Amendments and Reauthorization Act (CERCLA). The DOE has completed the RI/FS process and has received approval of the final Records of Decision. The name of the facility was changed to the Fernald Environmental Management Project (FEMP) to emphasize the change in mission to environmental restoration. Remedial actions which address similar scopes of work or types of contaminated media have been grouped into remedial projects for the purpose of managing the remediation of the FEMP. The Soil Characterization and Excavation Project (SCEP) will address the remediation of FEMP soils, certain waste units, at- and below-grade material, and will certify attainment of the final remedial limits (FRLs) for the FEMP. The FEMP will be using an on-site facility for low level radioactive waste disposal. The facility will be an above-ground engineered structure constructed of geological material. The area designated for construction of the base of the on-site disposal facility (OSDF) is referred to as the footprint. Contaminated soil within the footprint must be identified and remediated. Excavation of Phase 1, the first of seven remediation areas, is complete

  2. A RETROSPECTIVE ANALYSIS OF ACUTE APPENDICITIS, RUPTURED APPENDICITIS AND THE LEVEL OF LEUKOCYTOSIS IN PAEDIATRIC SURGICAL PATIENTS OF NELSON MANDELA CENTRAL HOSPITAL.

    Science.gov (United States)

    Mtimba, L; Dhaffala, A; Molaoa, S Z

    2017-06-01

    Appendicectomy is the most commonly performed operation worldwide. The diagnosis is predominantly based on clinical findings. Some patients will clinically be unclear if ruptured or acute inflamed appendicitis; the level of white cell count has been used as the predictor for ruptured appendicitis. This was a retrospective chart review of paediatric surgical patients admitted at Nelson Mandela Central Hospital, Mthatha South Africa. A total of 214 patients with a diagnosis of acute appendicitis. Overall, the ruptured appendicitis was 62% and 38% were inflamed appendicitis. Nature of the acute appendicitis: White cell count, Inflamed, Ruptured, Total p-value 30 0 4 4. This study has demonstrated that in patients who are diagnosed with acute appendicitis clinically, the normal white cell count does not necessarily rule out ruptured acute appendicitis. But the risks of ruptured acute appendicitis increase with the increase level of white cell count.

  3. Ecological studies related to the construction of the Defense Waste Processing Facility on the Savannah River Site

    International Nuclear Information System (INIS)

    Scott, D.E.; Chazel, A.C.; Pechmann, J.H.K.; Estes, R.A.

    1993-06-01

    The Defense Waste Processing Facility (DWPF) was built on the Savannah River Site (SRS) during the mid-1980's. The Savannah River Ecology Laboratory (SREL) has completed 14 years of ecological studies related to the construction of the DWPF complex. Prior to construction, the 600-acre site (S-Area) contained a Carolina bay and the headwaters of a stream. Research conducted by the SREL has focused primarily on four questions related to these wetlands: (1) Prior to construction, what fauna and flora were present at the DWPF site and at similar, yet undisturbed, alternative sites? (2) By comparing the Carolina bay at the DWPF site (Sun Bay) with an undisturbed control Carolina bay (Rainbow Bay), what effect is construction having on the organisms that inhabited the DWPF site? (3) By comparing control streams with streams on the periphery of the DWPF site, what effect is construction having on the peripheral streams? (4) How effective have efforts been to lessen the impacts of construction, both with respect to erosion control measures and the construction of ''refuge ponds'' as alternative breeding sites for amphibians that formerly bred at Sun Bay? Through the long-term census-taking of biota at the DWPF site and Rainbow Bay, SREL has begun to evaluate the impact of construction on the biota and the effectiveness of mitigation efforts. Similarly, the effects of erosion from the DWPF site on the water quality of S-Area peripheral streams are being assessed. This research provides supporting data relevant to the National Environmental Policy Act (NEPA) of 1969, the Endangered Species Act of 1973, Executive Orders 11988 (Floodplain Management) and 11990 (Protection of Wetlands), and United States Department of Energy (DOE) Guidelines for Compliance with Floodplain/Wetland Environmental Review Requirements (10 CFR 1022)

  4. Incidence of Appendicitis over Time: A Comparative Analysis of an Administrative Healthcare Database and a Pathology-Proven Appendicitis Registry

    Science.gov (United States)

    Clement, Fiona; Zimmer, Scott; Dixon, Elijah; Ball, Chad G.; Heitman, Steven J.; Swain, Mark; Ghosh, Subrata

    2016-01-01

    Importance At the turn of the 21st century, studies evaluating the change in incidence of appendicitis over time have reported inconsistent findings. Objectives We compared the differences in the incidence of appendicitis derived from a pathology registry versus an administrative database in order to validate coding in administrative databases and establish temporal trends in the incidence of appendicitis. Design We conducted a population-based comparative cohort study to identify all individuals with appendicitis from 2000 to2008. Setting & Participants Two population-based data sources were used to identify cases of appendicitis: 1) a pathology registry (n = 8,822); and 2) a hospital discharge abstract database (n = 10,453). Intervention & Main Outcome The administrative database was compared to the pathology registry for the following a priori analyses: 1) to calculate the positive predictive value (PPV) of administrative codes; 2) to compare the annual incidence of appendicitis; and 3) to assess differences in temporal trends. Temporal trends were assessed using a generalized linear model that assumed a Poisson distribution and reported as an annual percent change (APC) with 95% confidence intervals (CI). Analyses were stratified by perforated and non-perforated appendicitis. Results The administrative database (PPV = 83.0%) overestimated the incidence of appendicitis (100.3 per 100,000) when compared to the pathology registry (84.2 per 100,000). Codes for perforated appendicitis were not reliable (PPV = 52.4%) leading to overestimation in the incidence of perforated appendicitis in the administrative database (34.8 per 100,000) as compared to the pathology registry (19.4 per 100,000). The incidence of appendicitis significantly increased over time in both the administrative database (APC = 2.1%; 95% CI: 1.3, 2.8) and pathology registry (APC = 4.1; 95% CI: 3.1, 5.0). Conclusion & Relevance The administrative database overestimated the incidence of appendicitis

  5. The design, construction, and commissioning of a multi-use cyclotron facility

    International Nuclear Information System (INIS)

    Ho, S.; Hutcheson, M.; Schick-Martin, D.; Dalzell, M.; Alexander, N.

    2015-01-01

    The Sylvia Fedoruk Canadian Centre for Nuclear Innovation in Saskatchewan is in the process of commissioning the Saskatchewan Centre for Cyclotron Sciences that is to be used for both academic research and commercial radiopharmaceutical production. The hybrid nature of this facility comes with unique challenges in satisfying both the rigid demands of pharmaceutical production while providing the necessary flexibility for academic research. In order to meet these competing demands, the Fedoruk Centre has assembled a distinct combination of skill sets and areas of expertise to operate a facility with an interdisciplinary focus. (author)

  6. Thermohydraulic study of a MTR fuel element aimed at the construction of an irradiation facility

    International Nuclear Information System (INIS)

    Coragem, Helio Boemer de Oliveira

    1980-01-01

    A thermohydraulic study of MTR fuel element is presented as a basic requirement for the development of an irradiation facility for testing fuel elements. A computer code named 'Thermo' has been developed for this purpose, which can stimulate different working conditions, such as, cooling, power elements and neutron flux, performing all pertinent thermohydraulic calculations. Thermocouples were used to measure the temperature gradients of the cooling fluid throughout the IEAR-1 reactor core. All experimental data are in good agreement with the theoretical model applied in this work. Finally, a draft of the proposed facility and its safety system is presented. (author)

  7. Quality assurance during construction of civil engineering structures important to safety of nuclear facilities

    International Nuclear Information System (INIS)

    2011-11-01

    The present manual is developed to deal with quality assurance aspect of civil engineering structures in a greater detail. This manual gives detail to develop QA plans specific to multifarious activities of civil engineering construction

  8. Construction of CaF2-appended PVA nanofibre scaffold

    Indian Academy of Sciences (India)

    2018-02-02

    Feb 2, 2018 ... 1College of Medicine and Dentistry, James Cook University, Cairns 4878, Australia ... loaded into this core–shell nanofibres to test the attachment .... indeed took place between the hydroxyl in PVA and formalde- hyde [12,13].

  9. Diagnosis of Acute Appendicitis by Endoscopic Retrograde Appendicitis Therapy (ERAT): Combination of Colonoscopy and Endoscopic Retrograde Appendicography.

    Science.gov (United States)

    Li, Yingchao; Mi, Chen; Li, Weizhi; She, Junjun

    2016-11-01

    Acute appendicitis is the most common abdominal emergency, but the diagnosis of appendicitis remains a challenge. Endoscopic retrograde appendicitis therapy (ERAT) is a new and minimally invasive procedure for the diagnosis and treatment of acute appendicitis. To investigate the diagnostic value of ERAT for acute appendicitis by the combination of colonoscopy and endoscopic retrograde appendicography (ERA). Twenty-one patients with the diagnosis of suspected uncomplicated acute appendicitis who underwent ERAT between November 2014 and January 2015 were included in this study. The main outcomes, imaging findings of acute appendicitis including colonoscopic direct-vision imaging and fluoroscopic ERA imaging, were retrospectively reviewed. Secondary outcomes included mean operative time, mean hospital stay, rate of complication, rate of appendectomy during follow-up period, and other clinical data. The diagnosis of acute appendicitis was established in 20 patients by positive ERA (5 patients) or colonoscopy (1 patient) alone or both (14 patients). The main colonoscopic imaging findings included mucosal inflammation (15/20, 75 %), appendicoliths (14/20, 70 %), and maturation (5/20, 25 %). The key points of ERA for diagnosing acute appendicitis included radiographic changes of appendix (17/20, 85 %), intraluminal appendicoliths (14/20, 70 %), and perforation (1/20, 5 %). Mean operative time of ERAT was 49.7 min, and mean hospital stay was 3.3 days. No patient converted to emergency appendectomy. Perforation occurred in one patient after appendicoliths removal was not severe and did not require invasive procedures. During at least 1-year follow-up period, only one patient underwent laparoscopic appendectomy. ERAT is a valuable procedure of choice providing a precise yield of diagnostic information for patients with suspected acute appendicitis by combination of colonoscopy and ERA.

  10. Sonographic study about differential diagnosis between acute appendicitis and non-appendicitis in appendices of borderline diameter

    International Nuclear Information System (INIS)

    Chung, Hwan Hoon; Kim, Yun Hwan; Kim, Hong Won; Park, Seung Cheol; Lee, Eun Jeong; Chung, Kyoo Byung; Suh, Won Hyuck

    2000-01-01

    To find out the sonographic criteria which can be effectively used to differentiate acute appendicitis from non-appendicitis in patients with appendices with borderline diameter(5-8 mm). Sixteen patients diagnosed as acute appendicitis, another 16 patients diagnosed as non-appendicitis were included in this study. They complained of RLQ pain and their appendices measured 5-8 mm in diameter on sonogram. Features such as appendiceal wall thickness, presence or absence of air in appendiceal lumen, movability of tip of the appendix, compressibility of the appendix were evaluated on gray-scale sonogram and thereafter, presence or absence of color flow in the wall of the appendix was evaluated on color Doppler sonogram. Thickness of appendiceal wall is 2.98 ± 0.77 mm in acute appendicitis group and 1.73 ± 0.44 mm in non-appendicitis group (p<0.05). When 2.5 mm thickness of appendiceal wall is applied for diagnosis of acute appendicitis, sensitivity is 81.3%, specificity is 87.5% and accuracy is 84.4%. With absence of air in appendiceal lumen, sensitivity is 93.8%, specificity is 68.8% and accuracy is 81.3%. With absence of movability of appendiceal tip, sensitivity is 87.5%, specificity is 50% and accuracy is 68.8%. With absence of compressibility of the appendix, sensitivity is 100%, specificity is 31.3% and accuracy is 65.6%. With color flow in appendiceal wall, sensitivity is 81.3%, specificity is 62.5% and accuracy is 71.9%. The above mentioned criteria show statistically significant difference between acute appendicitis and non-appendicitis groups (p<0.05). When the diameter of the appendix measures 5-8 mm on sonogram, evaluation of thickness of appendiceal wall, air in appendiceal lumen, movability of tip, compressibility and color flow in the wall will be helpful to diagnose the acute appendicitis with confidence.

  11. 75 FR 68334 - Record of Decision (ROD) for Training Range and Garrison Support Facilities Construction and...

    Science.gov (United States)

    2010-11-05

    ... decision sites ranges and support facilities in locations that reflect the proper balance of initiatives for the protection of the environment, mission needs, and Soldier and Family quality of life..., Directorate of Public Works, Prevention and Compliance Branch, Environmental Division, 1550 Frank Cochran...

  12. Constructed wetland with a polyculture of ornamental plants for wastewater treatment at a rural tourism facility

    DEFF Research Database (Denmark)

    Calheiros, Cristina S C; Bessa, Vânia S.; Mesquita, Raquel B R

    2015-01-01

    Sewage management in remote rural and mountain areas constitutes a challenge because of the lack of adequate infrastructure and economical capability. Tourism facilities, in particular, possess a special challenge because of huge variability in sewage production and composition as a consequence o...

  13. Differences in Construction, Facilities, Equipment and Academic Achievement Among Ugandan Primary Schools

    Science.gov (United States)

    Heyneman, S. P.

    1977-01-01

    This study sets out to clarify two questions within the context of a non-industrial society's educational system: (1) In what areas would there be measurable variation in physical facilities between primary schools? (2) Is any of this variation statistically related to the academic performance of children on the national selection examination…

  14. Safety analysis report for the cold vacuum drying facility, phase 1, supporting civil/structural construction

    International Nuclear Information System (INIS)

    Pili-Vincens, C.

    1998-01-01

    The Cold Vacuum Drying Facility is a subproject of the overall Spent Nuclear Fuel Project. This Phase 2 Safety Analysis Report incorporates the CVD systems design and will update the SAR per DOE Order 5480.23 for manual and other Hanford infrastructure changes

  15. 45 CFR 1309.10 - Applications for the purchase, construction and major renovation of facilities.

    Science.gov (United States)

    2010-10-01

    ... legal description of the site of the facility, and an explanation of the appropriateness of the location... grantee's ability to collaborate with other child care, early education programs, social services and... permanent grant-supported improvements. (m) An assessment of the impact of the proposed project on the human...

  16. What is the complementary role of ultrasound evaluation in the diagnosis of acute appendicitis after CT?

    Energy Technology Data Exchange (ETDEWEB)

    Jang, Kyung Mi [Department of Radiology, Hallym University Sacred Heart Hospital, Anyang (Korea, Republic of); Lee, Kwanseop [Department of Radiology, Hallym University Sacred Heart Hospital, Anyang (Korea, Republic of)], E-mail: kwanseop@hallym.or.kr; Kim, Min-Jeong; Yoon, Hoi Soo; Jeon, Eui Yong; Koh, Sung Hye [Department of Radiology, Hallym University Sacred Heart Hospital, Anyang (Korea, Republic of); Min, Kwangseon [Department of Pathology, Hallym University Sacred Heart Hospital, Anyang (Korea, Republic of); Choi, Dongil [Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine (Korea, Republic of)

    2010-04-15

    The objective of our study was to estimate the complementary role of ultrasound evaluation in the diagnosis of acute appendicitis after abdominoplevic CT. A total of 104 patients initially underwent abdominopelvic CT before appendix US due to acute abdominal pain. All CT examinations were evaluated retrospectively for the presence of acute appendicitis. The findings of appendix on CT were classified into five categories (definite appendicitis, probably appendicitis, equivocal CT findings for diagnosis of appendicitis, probably not appendicitis, and normal looking appendix). Appendix US images and their radiologic reports were also evaluated retrospectively. Then, CT and US findings were correlated with clinical or pathologic diagnosis. Three all patients with definite appendicitis initially on CT again showed US findings of appendicitis. In the 32 patients of probably appendicitis on CT, US showed normal looking appendix in seven patients (21.8%, 7 of 32) who improved with medical treatment and discharged. In the 16 patients of equivocal CT findings for diagnosis of appendicitis, US showed appendicitis in seven patients (43.8%, 7 of 16) and normal looking appendix in nine patients. In the 12 patients of probably not appendicitis on CT, US showed acute appendicitis in two patients (16.7%, 2 of 12). In the 41 patients of normal looking appendix on CT, US showed acute appendicitis in five patients (12.2%, 5 of 41). US reevaluation enables us to avoid misdiagnosis of appendicitis on CT and improve diagnostic accuracy of acute appendicitis.

  17. Field test facility for monitoring water/radionuclide transport through partially saturated geologic media: design, construction, and preliminary description

    International Nuclear Information System (INIS)

    Phillips, S.J.; Campbell, A.C.; Campbell, M.D.; Gee, G.W.; Hoober, H.H.; Schwarzmiller, K.O.

    1979-11-01

    Shallow land burial has been a common practice for disposing radioactive waste materials since the beginning of plutonium production operations. Accurate monitoring of radionuclide transport and factors causing transport within the burial sites is essential to minimizing risks associated with disposal. However, monitoring has not always been adequate. Consequently, the Department of Energy (DOE) has begun a program aimed at better assuring and evaluating containment of radioactive wastes at shallow land burial sites. This program includes a technological base for monitoring transport. As part of the DOE program, Pacific Northwest Laboratory (PNL) is developing geohydrologic monitoring systems to evaluate burial sites located in arid regions. For this project, a field test facility was designed and constructed to assess monitoring systems for near-surface disposal of radioactive waste and to provide information for evaluating site containment performance. The facility is an integrated network of monitoring devices and data collection instruments. This facility is used to measure water and radionuclide migration under field conditions typical of arid regions. Monitoring systems were developed to allow for measurement of both mass and energy balance. Work on the facility is ongoing. Continuing work includes emplacement of prototype monitoring instruments, data collection, and data synthesis. At least 2 years of field data are needed to fully evaluate monitoring information

  18. Technical documentation in support of the project-specific analysis for construction and operation of the National Ignition Facility

    Energy Technology Data Exchange (ETDEWEB)

    Lazaro, M.A.; Vinikour, W. [Argonne National Lab., IL (United States). Environmental Assessment Div.; Allison, T. [Argonne National Lab., IL (United States). Decision and Information Sciences Div.] [and others

    1996-09-01

    This document provides information that supports or supplements the data and impact analyses presented in the National Ignition Facility (NIF) Project-Specific Analysis (PSA). The purposes of NIF are to achieve fusion ignition in the laboratory for the first time with inertial confinement fusion (ICF) technology and to conduct high- energy-density experiments ins support of national security and civilian application. NIF is an important element in the DOE`s science-based SSM Program, a key mission of which is to ensure the reliability of the nation`s enduring stockpile of nuclear weapons. NIF would also advance the knowledge of basic and applied high-energy- density science and bring the nation a large step closer to developing fusion energy for civilian use. The NIF PSA includes evaluations of the potential environmental impacts of constructing and operating the facility at one of five candidate site and for two design options.

  19. Construction and initial operation of MHD PbLi facility at UCLA

    International Nuclear Information System (INIS)

    Kunugi, T.; Yokomine, T.; Ueki, Y.; Smolentsev, S.; Li, F.-C.; Sketchley, T.; Abdou, M.A.; Yuki, K.

    2014-01-01

    We review current accomplishments in Task 1-3 'Flow Control and Thermofluid Modeling' of the Japan-US 'TITAN' collaboration program. Our task focuses on experimental activities and also computer modeling of magnetohydrodynamic flows and heat and mass transfer of electrically conducting fluids under conditions relevant to fusion blankets. Since our task started, major efforts were taken to design, construct and test a new magnetohydrodynamic lead-lithium (PbLi) loop at UCLA, to accumulate the PbLi handling technology, and to develop a high-temperature ultrasonic Doppler velocimetry and a differential-pressure measurement system for PbLi flows. In the present paper, the loop construction, the electromagnetic pump performance test, our on-going experiments with the constructed loop are described. (author)

  20. Does the Intestinal Parasite Enterobius vermicularis Cause Acute Appendicitis?

    Science.gov (United States)

    Pirhan, Yavuz; Özen, Fatma Zeynep; Kılınç, Çetin; Güçkan, Rıdvan

    2017-06-01

    Although intestinal parasitic infections rarely cause acute appendicitis, they are common public health problems in undeveloped and developing countries. Parasitic infections should be kept in mind in patients clinically suspected of having acute appendicitis, and treatment procedures should be adopted according to the etiology. Herein we presented the cases of four patients with clinical findings of acute appendicitis. Patients were clinically suspected of having acute appendicitis, and Enterobius vermicularis was detected in the pathological examinations of specimens. Pinworm infections are common parasitic infections that may mimic appendicitis. The pathology of the four cases was noted when the file of 186 patients aged between 4 and 72 years who underwent surgery for acute appendicitis in my hospital was retrospectively reviewed. When the appendectomy specimen was examined histopathologically it was understood that acute appendicitis was caused by Enterobius vermicularis parasite. In Enterobius infections, performing systemic therapy for patients and their family members is sufficient. To prevent unnecessary appendectomy, this type of infection should be made to ask in the history and clinical findings of patients.

  1. Value of noncontrast spiral CT for suspected acute appendicitis

    International Nuclear Information System (INIS)

    Choi, Pil Yeob; Lee, Sang Wook; Kwon, Jae Soo; Sung, Young Soon; Rho, Myoung Ho; Chang, Jeong A.

    1998-01-01

    To assess the diagnostic accuracy and clinical efficacy of noncontrast spiral CT in patients with suspected acute appendicitis. Over a six-month period, 100 patients with suspected acute appendicitis were prospectively evaluated with noncontrast spiral CT. All scans were obtained from the lower body of L3 to the symphysis pubis, with 5mm or 10mm collimation and pitch of 1 or 1.5, and without intravenous or oral contrast material. Diagnosis was established by means of surgical or clinical follow-up. Prospective diagnosis based on CT findings was compared with surgical results and clinical follow-up. Acute appendicitis was confirmed in 47 of 100 patients. On the basis of the Ct findings, SI patients were prospectively interpreted as positive for appendicitis, but in six the diagnosis was false-positive. Two of the 47 with acute appendicitis were prospectively interpreted as normal. The preoperative diagnosis of acute appendicitis was, thus, 45 true-positive, 47 true-negative, six false-positive and two false-negative yielding a sensitivity of 96%, a specificity of 89%, an accuracy of 92%, a positive predictive value of 88%, and a negative predictive value of 96%. Using CT, an alternative diagnosis was established in 14 patients. Noncontrast spiral CT is a useful technique for diagnosing acute appendicitis. =20

  2. Accuracy of Point-of-care Ultrasonography for Diagnosing Acute Appendicitis: A Systematic Review and Meta-analysis.

    Science.gov (United States)

    Matthew Fields, J; Davis, Joshua; Alsup, Carl; Bates, Amanda; Au, Arthur; Adhikari, Srikar; Farrell, Isaac

    2017-09-01

    The use of ultrasonography (US) to diagnose appendicitis is well established. More recently, point-of-care ultrasonography (POCUS) has also been studied for the diagnosis of appendicitis, which may also prove a valuable diagnostic tool. The purpose of this study was through systematic review and meta-analysis to identify the test characteristics of POCUS, specifically US performed by a nonradiologist physician, in accurately diagnosing acute appendicitis in patients of any age. We conducted a thorough and systematic literature search of English language articles published on point-of-care, physician-performed transabdominal US used for the diagnosis of acute appendicitis from 1980 to May, 2015 using OVID MEDLINE In-Process & Other Non-indexed Citations and Scopus. Studies were selected and subsequently independently abstracted by two trained reviewers. A random-effects pooled analysis was used to construct a hierarchical summary receiver operator characteristic curve, and a meta-regression was performed. Quality of studies was assessed using the QUADAS-2 tool. Our search yielded 5,792 unique studies and we included 21 of these in our final review. Prevalence of disease in this study was 29.8%, (range = 6.4%-75.4%). The sensitivity and specificity for POCUS in diagnosing appendicitis were 91% (95% confidence interval [CI] = 83%-96%) and 97% (95% CI = 91%-99%), respectively. The positive and negative predictive values were 91 and 94%, respectively. Studies performed by emergency physicians had slightly lower test characteristics (sensitivity = 80%, specificity = 92%). There was significant heterogeneity between studies (I 2 = 99%, 95% CI = 99%-100%) and the quality of the reported studies was moderate, mostly due to unclear reporting of blinding of physicians and timing of scanning and patient enrollment. Several of the studies were performed by a single operator, and the education and training of the operators were variably reported. Point-of-care US has relatively

  3. Construction and operational experiences of engineered barrier test facility for near surface disposal of LILW

    International Nuclear Information System (INIS)

    Park, Jin Beak; Park, Se Moon; Kim, Chang Lak

    2003-01-01

    Engineered barrier test facility is specially designed to demonstrate the performance of engineered barrier system for the near-surface disposal facility under the domestic environmental conditions. Comprehensive measurement systems are installed within each test cell. Long-and short-term monitoring of the multi-layered cover system can be implemented according to different rainfall scenarios with artificial rainfall system. Monitoring data on the water content, temperature, matric potential, lateral drainage and percolation of cover-layer system can be systematically managed by automatic data acquisition system. The periodic measurement data are collected and will be analyzed by a dedicated database management system, and provide a basis for performance verification of the disposal cover design

  4. TRI mu P - a radioactive isotope trapping facility under construction at KVI

    CERN Document Server

    Berg, G P; Dermois, O; Harakeh, M N; Hoekstra, R; Jungmann, Klaus; Kopecky, S; Morgenstern, R; Rogachevskiy, A; Timmermans, R; Willmann, L; Wilschut, H W

    2003-01-01

    At the Kernfysisch Versneller Instituut a new facility (TRI mu P) is under development which aims to investigate fundamental interactions using radioactive ions. A spectrum of radioactive isotopes will be produced in inverse-kinematics and fragmentation reactions using heavy-ion beams from the superconducting cyclotron AGOR. The reaction products will be separated from the primary beam in a dual-mode recoil and fragment separator. The beam of isotopes of interest will be transformed into a low-energy, high-quality, bunched beam and, after neutralization, stored in an atom trap. The emphasis will be put on studying the origin of parity violation via beta-nu angular correlations and the search for permanent electric dipole moments of atoms and nuclei. The facility will be open to outside users; suggestions for collaborations to extend the scientific program are encouraged.

  5. Research on the application of PPP model in the Chinese construction and operation of new energy vehicle charging facilities

    Science.gov (United States)

    Zhu, Liping

    2017-05-01

    New energy car charging equipment is the development and popularization of new energy vehicles. It has the nature of quasi-public goods. Due to the large number of construction projects, wide distribution, big investment, it needs huge sums of money. PPP mode is a new financing model and has the inherent driving force to lead the idea the technology and the system innovation. The government and the social subject cooperate on the basis of the spirit of contract thus achieve benefit sharing. This mode effectively improve the operation of new energy vehicle charging facilities operating efficiency

  6. Design and construction of a spectrometer facility and experiment for intermediate energy proton scattering on helium

    International Nuclear Information System (INIS)

    Rolfe, R.M.

    1976-12-01

    The goal of the research was to investigate proton scattering on nuclei at intermediate energies and in particular to investigate proton scattering on helium. A theoretical investigation of the helium nucleus and the nature of the intermediate energy interaction, design and optimization of an energy-loss spectrometer facility for proton-nucleus scattering, and the unique superfluid helium target and experimental design are discussed

  7. Design and construction of prompt-gamma spectroscopy facility applied to the boron determination

    International Nuclear Information System (INIS)

    Poblete, Victor; Henriquez, Carlos; Klein, Juan; Navarro, Gustavo

    1996-01-01

    A prompt-gamma spectroscopy facility was developed using the south tangential neutron beam of the RECH-1 research reactor for boron determination. The implementation of a thermal neutron beam was performed considering different aspects such as biological protection of working area and the beam collimation for a Ge detector, design and sample holder selection, standards and sample preparation. One ppm of Boron in different samples with counting-rate of 20 minutes and a good accuracy were determined. (author)

  8. Construction of a naturally occurring radioactive material project in the BeAAT hazardous waste facilities.

    Science.gov (United States)

    Abuahmad, H

    2015-06-01

    This paper does not necessarily reflect the views of the International Commission on Radiological Protection. Naturally occurring radioactive material (NORM) is produced during exploration and production operations of subsidiaries of the Abu Dhabi National Oil Company (ADNOC) in the United Arab Emirates, and accumulates in drilling tubulars, plant equipment, and components. These NORM hazardous wastes need to be managed in such a way that they do not damage human health and the environment. The primary radionuclides of concern in the oil and gas industries are radium-226 and radium-228. These radioisotopes are the decay products of uranium and thorium isotopes that are present in subsurface formations from which hydrocarbons are produced. While uranium and thorium are largely immobile, radium is slightly more soluble and may become mobilised in the fluid phases of the formation (International Association of Oil & Gas Producers, 2008). In order to treat and dispose of NORM waste products safely, ADNOC's subsidiary 'TAKREER' is developing a new facility, on behalf of all ADNOC subsidiaries, within the existing Central Environmental Protection Facilities (BeAAT) in Ruwais city. The NORM plant is envisaged to treat, handle, and dispose of NORM waste in the forms of scale, sludge, and contaminated equipment. The NORM treatment facility will cover activities such as decontamination, volume reduction, NORM handling, and concrete immobilisation of NORM waste into packages for designated landfilling. © The International Society for Prosthetics and Orthotics Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  9. Biological shielding design and qualification of concreting process for construction of electron beam irradiation facility

    International Nuclear Information System (INIS)

    Petwal, V.C.; Kumar, P.; Suresh, N.; Parchani, G.; Dwivedi, J.; Thakurta, A.C.

    2011-01-01

    A technology demonstration facility for irradiation of food and agricultural products is being set-up by RRCAT at Indore. The facility design is based on linear electron accelerator with maximum beam power of 10 kW and can be operated either in electron mode at 10 MeV or photon modes at 5/7.5 MeV. Biological shielding has been designed in accordance with NCRP 51 to achieve dose rate at all accessible points outside the irradiation vault less than the permissible limit of 0.1 mR/hr. In addition to radiation attenuation property, concrete must have satisfactory mechanical properties to meet the structural requirements. There are number of site specific variables which affect the structural, thermal and radiological properties of concrete, leading to considerable difference in actual values and design values. Hence it is essential to establish a suitable site and environmental specific process to cast the concrete and qualify the process by experimental measurement. For process qualification we have cast concrete test blocks of different thicknesses up to 3.25 m and evaluated the radiological and mechanical properties by radiometry, ultrasonic and mechanical tests. In this paper we describe the biological shielding design of the facility and analyse the results of tests carried out for qualification of the process. (author)

  10. Environmental Assessment for the Proposed Construction and Operation of New Vehicle Maintenance Facility

    Science.gov (United States)

    2007-08-01

    reasonably foreseeable future actions regardless of what agency (federal or non-federal) or person undertakes such actions” (40 CFR 1508.7). Cumulative... clubhouse /pool and playgrounds. MFH 734,789 and Clughouse 22,500 sf (Under Construction) 70,355 757,298 Yes (05) 05 1500 Army Aviation Support

  11. Environmental Assessment for Proposed Construction Freight Transfer Facility, Buckley Air Force Base, Colorado

    Science.gov (United States)

    2007-06-01

    incremental impact of the action when added to other past, present, and reasonably foreseeable future actions regardless of what agency (federal or...houses, landscaping, roads etc). Total acreage includes the clubhouse /pool and playgrounds.(Under Construction) 66175 712298 05 1500 Army

  12. Construction of Explosive Ordnance Disposal Facility Moody Air Force Base, Georgia Environmental Assessment

    Science.gov (United States)

    2008-07-01

    rodents and songbirds such as the northern mockingbird (Mimus polyglottis), northern cardinal (Cardinalis cardinalis), mourning dove (Zenaida... killed during construction activities. Additionally, the proposed action would result in the permanent destruction of less than one acre of wildlife...species likely to be displaced or killed are common, abundant species in the area. Additional short-term minor impacts to wildlife, including

  13. 7 CFR 1942.18 - Community facilities-Planning, bidding, contracting, constructing.

    Science.gov (United States)

    2010-01-01

    ...) RURAL HOUSING SERVICE, RURAL BUSINESS-COOPERATIVE SERVICE, RURAL UTILITIES SERVICE, AND FARM SERVICE... environments be protected for the benefit and enjoyment of present and future generations under the Wild and... constructed in accordance with the seismic provisions of one of the following model building codes or the...

  14. Selected Laws Relating to the Construction and Repair of Public School Facilities in North Carolina.

    Science.gov (United States)

    North Carolina State Dept. of Public Instruction, Raleigh.

    Schools in North Carolina are governed by numerous laws pertaining to construction and repair. A selection of these laws is presented. Financial concerns constitute the bulk of these statutes, covering areas such as bids (financial outlay, advertisement, rejecting bids, and withdrawing bids); sources of state funds; the selling or buying of school…

  15. Problems of development and putting into education process an electronic textbook on special discipline 'General theory and construction of heat-and-power engineering facilities'

    International Nuclear Information System (INIS)

    Karitskaya, S.G.; Ruzanov, K.A.; Davletov, V.S.

    2005-01-01

    The results of work of making the electronic textbook of special discipline ('General theory and construction of heat-and-power engineering facilities' are brought. The principles and requirements, presented towards literature of such type, are outlined. (author)

  16. Livstruende appendicitis forårsaget af Fusobacterium necrophorum

    DEFF Research Database (Denmark)

    Hagen, Trine Langfeldt; Maeda, Yasuko; Lindberg, Jens Aage

    2014-01-01

    Fusobacterium necrophorum is a well-known cause of Lemierre's syndrome. Recent studies suggest a causative association between F. necrophorum and acute appendicitis. We present a case of a 15-year-old previously healthy girl who presented with acute non-perforated appendicitis, intra......-abdominal abscesses and thrombosis that led to omental necrosis. This resulted in a life-threatening septic shock with the need for prolonged intensive care. We suggest that F. necrophorum identified in pus from the abdomen caused this fulminant variation of appendicitis with findings similar to those seen...

  17. High-Resolution Ultrasonography (US) of Appendiceal Specimens: Differentiation of Acute Non-perforated Appendicitis from Perforated Appendicitis

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Gyo Chang; Kim, Suk; Im, Han Hyeok; Lee, Sang Jin; Yang, Seung Boo; Lee, Seung Woo; Kim, Il Young [Soonchunhyang University Gumi Hospital, Gumi (Korea, Republic of); Lee, Hae Kyung [Soonchunhyang University Bucheon Hospital, Bucheon (Korea, Republic of); Kwon, Kui Hyang; Shin, Hyung Chul [Soonchunhyang University, College of Medicine, Seoul (Korea, Republic of)

    2007-09-15

    To analyze surgical specimens from patients with acute non-perforated and perforated appendicitis using high-resolution ultrasonography (US), and to correlate the US features with the pathologic findings. One hundred and six surgical appendix specimens obtained from patients with suspected acute appendicitis were evaluated. The following US features were evaluated for differentiating acute non-perforated appendicitis from perforated appendicitis: circumferential loss of the echogenic submucosal layer, disruption of the serosal layer, asymmetrical wall thickening, the sum of opposing walls {>=} 9 mm and the presence of appendicoliths. The sensitivity and specificity of the US findings for diagnosing perforated appendicitis were determined. All US features were detected significantly more often in the perforated appendicitis group of specimens. The disruption of the serosal layer was the most significant independent predictor of perforation (p < .001). The sensitivity for circumferential loss of the echogenic submucosal layer, disruption of the serosal layer, asymmetrical wall thickening, wall thickness {>=} 9 mm, and the presence of appendicoliths individually was 84.6%, 69.2%, 61.5%, 73.1% and 46.2%, respectively. The specificity for all of these findings was 86.3%, 98.7%, 95.0%, 85.0% and 85.0%, respectively. High-resolution US of appendiceal specimens was very useful for differentiating acute non-perforated from perforated appendicitis

  18. Massive ovarian edema, due to adjacent appendicitis.

    Science.gov (United States)

    Callen, Andrew L; Illangasekare, Tushani; Poder, Liina

    2017-04-01

    Massive ovarian edema is a benign clinical entity, the imaging findings of which can mimic an adnexal mass or ovarian torsion. In the setting of acute abdominal pain, identifying massive ovarian edema is a key in avoiding potential fertility-threatening surgery in young women. In addition, it is important to consider other contributing pathology when ovarian edema is secondary to another process. We present a case of a young woman presenting with subacute abdominal pain, whose initial workup revealed marked enlarged right ovary. Further imaging, diagnostic tests, and eventually diagnostic laparoscopy revealed that the ovarian enlargement was secondary to subacute appendicitis, rather than a primary adnexal process. We review the classic ultrasound and MRI imaging findings and pitfalls that relate to this diagnosis.

  19. Acute appendicitis with unusual dual pathology.

    Science.gov (United States)

    Riddiough, Georgina E; Bhatti, Imran; Ratliff, David A

    2012-01-01

    Meckel's diverticulum is a rare congenital abnormality arising due to the persistence of the vitelline duct in 1-3% of the population. Clinical presentation is varied and includes rectal bleeding, intestinal obstruction, diverticulitis and ulceration; therefore diagnosis can be difficult. We report a case of acute appendicitis complicated by persistent post operative small bowel obstruction. Further surgical examination of the bowel revealed an non-inflamed, inverted Meckel's diverticulum causing intussusception. Intestinal obstruction in patients with Meckel's diverticulum may be caused by volvulus, intussusception or incarceration of the diverticulum into a hernia. Obstruction secondary to intussusception is relatively uncommon and frequently leads to a confusing and complicated clinical picture. Consideration of Meckel's diverticulum although a rare diagnosis is imperative and this case raises the question "should surgeons routinely examine the bowel for Meckel's diverticulum at laparoscopy?"

  20. Neonatal appendicitis: a survival case study

    Directory of Open Access Journals (Sweden)

    Izabela Linha Secco

    Full Text Available ABSTRACT Objective: To report a case of neonatal appendicitis in a children’s hospital in southern Brazil, demonstrating the impact on neonatal survival. Method: Case study with data collection from medical records, approved by the Institution and Ethics Committee for Research with Human Beings. Results: The clinical picture is initially characterized by food intolerance, evolving to hypoactivity, alteration of vital signs and septicemia due to intestinal perforation. Management is exclusively surgical, since no case described in the literature was diagnosed preoperatively and the findings usually point to acute abdomen. Conclusion: A focused clinical surveillance should be established when the infant presents peritoneal irritation. Follow-up of the evolution and the worsening of the symptoms by nurses, as part of the care team in partnership with the medical team, enables an early surgical intervention, thereby avoiding complications such as septicemia and death.

  1. Xanthogranulomatous Appendicitis: A Rare Case Report

    Directory of Open Access Journals (Sweden)

    Nikhil Mehrotra

    2017-07-01

    Full Text Available Xanthogranulomatous inflammation is a form of chronic inflammation where the exact eitiology is not known. It is commonly reported in organs like kidney and gall bladder Very few cases of xanthogranulomatous inflammation of appendix have been reported in the literature. We report a case of 30 year female presenting with pain abdomen and fever for which provisional diagnosis of appendicitis was made. Open appendicectomy was performed which on intraoperative examination showed that appendix was adherent to surrounding structures forming a mass. Resection of the mass was done and sent for histopathological examination. Gross examination of the received specimen revealed multiple irregular tissue bits and one tubular tissue bit. Multiple sections studied from resected tissue showed features of xanthogranulomatous inflammation in appendix and periappendicular tissue.

  2. Radioactive air emissions notice of construction for the Waste Receiving And Processing facility

    International Nuclear Information System (INIS)

    1993-02-01

    The mission of the Waste Receiving And Processing (WRAP) Module 1 facility (also referred to as WRAP 1) includes: examining, assaying, characterizing, treating, and repackaging solid radioactive and mixed waste to enable permanent disposal of the wastes in accordance with all applicable regulations. The solid wastes to be handled in the WRAP 1 facility include low-level waste (LLW), transuranic (TRU) waste, TRU mixed wastes, and low-level mixed wastes (LLMW). Airborne releases from the WRAP 1 facility will be primarily in particulate forms (99.999 percent of total unabated emissions). The release of two volatilized radionuclides, tritium and carbon-14 will contribute less than 0.001 percent of the total unabated emissions. Table 2-1 lists the radionuclides which are anticipated to be emitted from WRAP 1 exhaust stack. The Clean Air Assessment Package 1988 (CAP-88) computer code (WHC 1991) was used to calculate effective dose equivalent (EDE) from WRAP 1 to the maximally exposed offsite individual (MEI), and thus demonstrate compliance with WAC 246-247. Table 4-1 shows the dose factors derived from the CAP-88 modeling and the EDE for each radionuclide. The source term (i.e., emissions after abatement in curies per year) are multiplied by the dose factors to obtain the EDE. The total projected EDE from controlled airborne radiological emissions to the offsite MEI is 1.31E-03 mrem/year. The dose attributable to radiological emissions from WRAP 1 will, then, constitute 0.013 percent of the WAC 246-247 EDE regulatory limit of 10 mrem/year to the offsite MEI

  3. Construction and use of an intense positron source at new linac facilities in Germany. Conceptual report

    International Nuclear Information System (INIS)

    Brauer, G.

    2000-07-01

    In this conceptual report the idea to establish an European positron source for applied research (''EPOS'') based on new LINAC facilities in Germany (ELBE/Rossendorf or TTF-DESY/Hamburg) is considered. The report contains not only the outline of obvious applications in atomic physics, materials science and surface physics, but also several new methodical developments which are only possible with an intense positron beam. This opportunity will also allow the use and further development of imaging techniques being of special interest for industrial applications. (orig.)

  4. Operational results for the raster scanning power supply system constructed at the Bevalac Biomedical Facility

    International Nuclear Information System (INIS)

    Stover, G.; Halliwell, J.; Nyman, M.; Dwinell, R.

    1989-03-01

    A raster scanning power supply for controlling an 8.0 Tesla-meter relativistic heavy-ion beam at the Biomedical Facility has been recently completed and is undergoing electrical testing before on- line operation in 1989. The scanner system will provide tightly controlled beam uniformity and off-axis treatment profiles with large aspect ratios and unusual dimensions. This article will discuss original specifications, agreement with measured results and special device performance (i.e. GTOs, FET actuator assembly, etc.). 5 refs., 4 figs

  5. Integration, design, and construction of a CELSS breadboard facility for bioregenerative life support system research

    Science.gov (United States)

    Prince, R.; Knott, W.; Buchanan, Paul

    1987-01-01

    Design criteria for the Biomass Production Chamber (BPC), preliminary operating procedures, and requirements for the future development of the Controlled Ecological Life Support System (CELSS) are discussed. CELSS, which uses a bioregenerative system, includes the following three major units: (1) a biomass production component to grow plants under controlled conditions; (2) food processing components to derive maximum edible content from all plant parts; and (3) waste management components to recover and recycle all solids, liquids, and gases necessary to support life. The current status of the CELSS breadboard facility is reviewed; a block diagram of a simplified version of CELSS and schematic diagrams of the BPS are included.

  6. Progress in the study and construction of the TESLA test facility injector

    Energy Technology Data Exchange (ETDEWEB)

    Chehab, R.; Bernard, M.; Bourdon, J.C.; Garvey, T. [Paris-11 Univ., 91 - Orsay (France). Lab. de l`Accelerateur Lineaire; Aune, B.; Desmons, M.; Fusellier, J.; Gougnaud, F. [CEA Centre d`Etudes de Saclay, 91 - Gif-sur-Yvette (France). Dept. d`Astrophysique, de la Physique des Particules, de la Physique Nucleaire et de l`Instrumentation Associee; Buhler, S.; Junquera, T. [Paris-11 Univ., 91 - Orsay (France). Inst. de Physique Nucleaire] [and others

    1995-12-31

    A 500 MeV, 1.3 GHz superconducting linear accelerator is being studied and built to serve as a test facility for the TESLA linear collider project. The phase 1 injector consists of a 250 keV electron gun, buncher and a superconducting capture cavity at the main linac frequency. The main characteristics (intensity, position, emittance, bunch length, energy spread) are to be measured using different techniques. A particular effort will be made on the use of optical transition radiation (OTR) for the determination of the transverse beam emittance as well as the bunch length. (K.A.). 7 refs.

  7. Progress in the study and construction of the TESLA test facility injector

    International Nuclear Information System (INIS)

    Chehab, R.; Bernard, M.; Bourdon, J.C.; Garvey, T.; Aune, B.; Desmons, M.; Fusellier, J.; Gougnaud, F.; Buhler, S.; Junquera, T.

    1995-01-01

    A 500 MeV, 1.3 GHz superconducting linear accelerator is being studied and built to serve as a test facility for the TESLA linear collider project. The phase 1 injector consists of a 250 keV electron gun, buncher and a superconducting capture cavity at the main linac frequency. The main characteristics (intensity, position, emittance, bunch length, energy spread) are to be measured using different techniques. A particular effort will be made on the use of optical transition radiation (OTR) for the determination of the transverse beam emittance as well as the bunch length. (K.A.)

  8. Thermal-vacuum facility with in-situ mechanical loading. [for testing space construction materials

    Science.gov (United States)

    Tennyson, R. C.; Hansen, J. S.; Holzer, R. P.; Uffen, B.; Mabson, G.

    1978-01-01

    The paper describes a thermal-vacuum space simulator used to assess property changes of fiber-reinforced polymer composite systems. The facility can achieve a vacuum of approximately .0000001 torr with temperatures ranging from -200 to +300 F. Some preliminary experimental results are presented for materials subjected to thermal loading up to 200 F. The tests conducted include the evaluation of matrix modulus and strength, coefficients of thermal expansion, and fracture toughness. Though the experimental program is at an early stage, the data appear to indicate that these parameters are influenced by hard vacuum.

  9. Design and construction of a Wien velocity filter for AMS facilities

    CERN Document Server

    Catana, D; Enachescu, M; Plostinaru, V D; Vata, I; Rohrer, L

    2001-01-01

    Many experiments in atomic and nuclear physics using accelerated particles require accurate ion beams with respect to their atomic number, mass number and ion charge. These requirements have special important for experiments of accelerated mass spectrometry. Double focussing analyzing magnets perform the mass selection of charged ions. However, the magnetic analyzer cannot distinguish between particles with equal charge and having the same mass-velocity product. A simple way of resolving this degeneracy is to use a Wien velocity filter, WVF, in conjunction with the magnet analyzers. The design and construction of a WVF is presented together with experiments performed to determine the separation power. A velocity separation DELTA v/v = 1/100 was obtained. The design in this separate arrangements of fields is simple and straightforward. The construction can be achieved in a usual workshop. The applications of the WVF are manifold, e.g., AMS, ERDA, RBS, etc. (authors)

  10. Design and construction of a Wien velocity filter for AMS facilities

    International Nuclear Information System (INIS)

    Catana, D.; Stan-Sion, C.; Enachescu, M.; Plostinaru, D.; Vata, I.; Rohrer, L.

    2001-01-01

    Many experiments in atomic and nuclear physics using accelerated particles require accurate ion beams with respect to their atomic number, mass number and ion charge. These requirements have special important for experiments of accelerated mass spectrometry. Double focussing analyzing magnets perform the mass selection of charged ions. However, the magnetic analyzer cannot distinguish between particles with equal charge and having the same mass-velocity product. A simple way of resolving this degeneracy is to use a Wien velocity filter, WVF, in conjunction with the magnet analyzers. The design and construction of a WVF is presented together with experiments performed to determine the separation power. A velocity separation Δv/v = 1/100 was obtained. The design in this separate arrangements of fields is simple and straightforward. The construction can be achieved in a usual workshop. The applications of the WVF are manifold, e.g., AMS, ERDA, RBS, etc. (authors)

  11. Surface facilities for geological deep repositories - Measures against dangers during construction and operation

    International Nuclear Information System (INIS)

    2013-09-01

    This brochure published by the Swiss National Cooperative for the Disposal of Radioactive Waste (NAGRA) discusses the measures that are to be taken to address the dangers encountered during the construction and operation of deep geological repositories for nuclear wastes. Firstly, the operation of such repositories during the emplacement of nuclear wastes is discussed and examples of possible repositories for fuel rods and highly-radioactive waste are presented. Various emission-protection issues and safety measures to be taken during construction of such repositories are looked at as is the protection of ground water. Safety considerations during the operational phase are discussed, including inclusion methods used for the wastes and radiation protection. The handling of radioactive wastes, the recognition of dangers and measures to be taken to counteract them are discussed. Various possible accidents are looked at

  12. Facile Site-Directed Mutagenesis of Large Constructs Using Gibson Isothermal DNA Assembly.

    Science.gov (United States)

    Yonemoto, Isaac T; Weyman, Philip D

    2017-01-01

    Site-directed mutagenesis is a commonly used molecular biology technique to manipulate biological sequences, and is especially useful for studying sequence determinants of enzyme function or designing proteins with improved activity. We describe a strategy using Gibson Isothermal DNA Assembly to perform site-directed mutagenesis on large (>~20 kbp) constructs that are outside the effective range of standard techniques such as QuikChange II (Agilent Technologies), but more reliable than traditional cloning using restriction enzymes and ligation.

  13. Construction of the facility for the testing of the TFTR Neutral Beam Injector

    International Nuclear Information System (INIS)

    Haughian, J.; Lou, K.; Roth, D.

    1979-11-01

    The prototype for the TFTR Neutral Beam Injection System has been assembled at the Lawrence Berkeley Laboraory, and is presently under test. Some of the construction features of the shielding enclosure, the cryogenic supply system, control and computer area, and the auxiliary vacuum and utility supply system are described. In addition, the paper describes the target chamber, its beam dump and cryopanels, and the duct that connects the target chamber to the injector vessel

  14. FELIX: construction and testing of a facility to study electromagnetic effects for first wall, blanket, and shield systems

    International Nuclear Information System (INIS)

    Praeg, W.F.; Turner, L.R.; Biggs, J.A.; Knott, M.J.; Lari, R.J.; McGhee, D.G.; Wehrle, R.B.

    1983-01-01

    An experimental test facility for the study of electromagnetic effects in the FWBS systems of fusion reactors has been constructed over the past 1-1/2 years at Argonne National Laboratory (ANL). In a test volume of 0.76 m 3 a vertical pulsed 0.5 T dipole field (B < 50 T/s) is perpendicular to a 1 T solenoid field. Power supplies of 2.75 MW and 5.5 MW and a solid state switch rated 13 kV, 13.1 kA (170 MW) control the pulsed magnetic fields. The total stored energy in the coils is 2.13 MJ. The coils are designed for a future upgrade to 4 T or the solenoid and 1 T for the dipole field (a total of 23.7 MJ). This paper describes the design and construction features of the facility. These include the power supplies, the solid state switches, winding and impregnation of large dipole saddle coils, control of the magnetic forces, computer control of FELIX and of experimental data acquisition and analysis, and an initial experimental test setup to analyze the eddy current distribution in a flat disk

  15. FELIX: Construction and testing of a facility to study electromagnetic effects for First Wall, Blanket, and Shield systems

    International Nuclear Information System (INIS)

    Praeg, W.F.; Biggs, J.; Knott, M.J.; Lari, R.J.; McGhee, D.G.; Turner, L.R.; Wehrle, R.

    1983-01-01

    An experimental test facility for the study of electromagnetic effects in the FWBS systems of fusion reactors has been constructed over the past 2-1/2 years at Argonne National Laboratory (ANL). In a test volume of 0.76 m 3 a vertical pulsed 0.5 T dipole field (B < 50 T/s) is perpendicular to a 1 T solenoid field. Power supplies of 2.75 MW and 5.5 MW and a solid state switch rated 13 kV, 13.1 kA (170 MW) control the pulsed magnetic fields. The total stored energy in the coils is 2.13 MJ. The coils are designed for a future upgrade to 4 T for the solenoid and 1 T for the dipole field (a total of 23.7 MJ). This paper describes the design and construction features of the facility. These include the power supplies, the solid state switches, winding and impregnation of large dipole saddle coils, control of the magnetic forces, computer control of FELIX and of experimental data acquisition and analysis, and an initial experimental test setup to analyze the eddy current distribution in a flat disk

  16. Construction and operation of a tritium extraction facility at the Savannah River Site. Final environmental impact statement

    International Nuclear Information System (INIS)

    1999-03-01

    DOE proposes to construct and operate a Tritium Extraction Facility (TEF) at H Area on the Savannah River Site (SRS) to provide the capability to extract tritium from commercial light water reactor (CLWR) targets and from targets of similar design. The proposed action is also DOE's preferred alternative. An action alternative is to construct and operate TEF at the Allied General Nuclear Services facility, which is adjacent to the eastern side of the SRS. Under the no-action alternative DOE could incorporate tritium extraction capabilities in the accelerator for production of tritium. This EIS is linked to the Final Programmatic Environmental Impact Statement for Tritium Supply and Recycling, from which DOE determined that it would produce tritium either in an accelerator or in a commercial light water reactor. The purpose of the proposed action and alternatives evaluated in this EIS is to provide tritium extraction capability to support either tritium production technology. The EIS assesses the environmental impacts from the proposed action and the alternatives, including the no action alternative

  17. Baseline concentrations of radionuclides and heavy metals in soils and vegetation around the DARHT facility: Construction phase (1997). Progress report

    Energy Technology Data Exchange (ETDEWEB)

    Fresquez, P.R.; Haagenstad, H.T.; Naranjo, L. Jr.

    1998-06-01

    As part of the Department of Energy`s Mitigation Action Plan for the Dual Axis Radiographic Hydrodynamic Test (DARHT) facility at Los Alamos National Laboratory (LANL), baseline concentrations of radionuclides ({sup 3}H, {sup 137}Cs, {sup 90}Sr, {sup 238}Pu, {sup 239,240}Pu, {sup 241}Am, and {sup tot}U) and heavy metals (Ag, As, Ba, Be, Cd, Cr, Cu, Hg, Ni, Pb, Sb, Se, and Tl) in soil, sediment, and vegetation (overstory and understory) around the DARHT facility during the construction phase in 1997 were determined. Most radionuclides and heavy metals in soils, sediments, and vegetation, with the exception of {sup 90}Sr in soils and sediments, were within upper (95%) limit background concentrations. Although the levels of {sup 90}Sr in soils and sediments around the DARHT facility were higher than background, they were below LANL screening action levels (<4.4 pCi g{sup {minus}1} dry) and are of no concern.

  18. Appendicitis: Trends in incidence, age, sex, and seasonal variations ...

    African Journals Online (AJOL)

    Background:Appendicitis is a common clinical condition worldwide. Differences in ... Aim:To assess the trends in incidence and pattern of variation with age, sex, and seasons of the year. .... population of 465000 (an annual population growth.

  19. Caecal diverticulitis presenting as acute appendicitis: a case report

    Directory of Open Access Journals (Sweden)

    Ayantunde Abraham A

    2009-07-01

    Full Text Available Abstract Solitary caecal diverticulum is an uncommon entity and therefore difficult to diagnose except at surgery. Caecal diverticulitis is an infrequent cause of acute abdomen and usually presents in a manner similar to acute appendicitis. It is extremely difficult to differentiate it preoperative from acute appendicitis and such distinction is usually made in the operating room. The optimal management of this clinical condition is still controversial, ranging from conservative treatment with antibiotics to aggressive surgical resections. We report a case of a 61 year old Caucasian who presented with acute onset right iliac fossa pain indistinguishable from acute appendicitis. The true diagnosis of a perforated acute caecal diverticulitis with an abscess mass was only made at operation in the presence of a macroscopically normal appendix. We reviewed the literature to highlight the difficulty of a preoperative diagnosis and the need for a high index of suspicion especially in the older age group presenting in manner similar to acute appendicitis.

  20. Study of 150 cases of acute appendicitis in children

    Directory of Open Access Journals (Sweden)

    Fallahi Gh

    1998-06-01

    Full Text Available Acute appendicitis is the most common condidition, requiring emergency operation in children. Late appendicitis is still a major sours of morbidity and potential mortality. The charts of all pediatric appendectomy patients (150 cases treated between 1367-1373 (Iranian calender in Amir Kabir Medical Center were reviewed. Mean hospital stay was 4.7 days. Mean ages of patients was 8.5 years. Male to female ratio was 1.2/1. Most common symptom was abdominal pain (100% and deep tenderness in right lower quadrant in 94.6%. Mean temprature was 37.2 and leucocytosis (more than 10000 were in the 76.3%. 14 patients had perforated appendicitis and most common pathology was acut supporative appendicitis. Accuracy of diagnosis was 96.6% and post operative pelvic abccess was 2%. Mortality occurred in one case (0.6%

  1. Acute appendicitis in inguinal hernia: report of two cases | Kidmas ...

    African Journals Online (AJOL)

    Amyand's hernia). One patient had gangrenous appendicitis that affected the adjoining caecum. A limited right hemicolectomy was done by extending the groin incision laterally and proximally. The second patient had simple appendicectomy.

  2. Endometriosis of the mesoappendix mimicking appendicitis: A case report

    Directory of Open Access Journals (Sweden)

    Suman Mewa Kinoo

    2016-09-01

    Full Text Available Although appendicitis is largely a clinical diagnosis, on occasions diagnostic modalities may be needed to aid with the diagnosis. Despite the use of adjuncts and exploratory surgery, the diagnosis may not be clear until a histological diagnosis is achieved. Endometriosis of the appendix mimicking appendicitis is one of these diagnoses described in several case reports. Endometriosis of the meso-appendix has been described in association with intussusception of the appendix in several case reports. However, to our knowledge, endometriosis of the meso-appendix mimicking appendicitis has not been reported to date. We present the case of a 33-year-old woman with classic clinical signs and symptoms of appendicitis endorsed on computed tomography imaging. The patient underwent a laparoscopic appendicectomy with the postoperative histology demonstrating a normal appendix with endometriosis of the meso-appendix.

  3. Unenhanced MR Imaging in adults with clinically suspected acute appendicitis

    DEFF Research Database (Denmark)

    Chabanova, Elizaveta; Balslev, Ingegerd; Achiam, Michael

    2011-01-01

    PURPOSE: The purpose of the study was to evaluate unenhanced Magnetic Resonance Imaging (MRI) for the diagnosis of appendicitis or another surgery-requiring condition in an adult population scheduled for emergency appendectomy based on a clinical diagnosis of suspected acute appendicitis. MATERIALS...... radiologists and one surgeon independent of each other and compared with surgical and pathological records. RESULTS: According to the surgical and histopathological findings 30 of 48 patients (63%) had acute appendicitis. Of the remaining 18 patients, 4 patients had no reasons for the clinical symptoms and 14...... patients had other pathology. For the three reviewers the performance of MRI in the diagnosis of acute appendicitis showed the following sensitivity, specificity and accuracy ranges: 83-93%, 50-83% and 77-83%. Moderate (kappa=0.51) and fair (kappa=0.31) interobserver agreements in the MR diagnosis of acute...

  4. Can New Inflammatory Markers Improve the Diagnosis of Acute Appendicitis?

    DEFF Research Database (Denmark)

    Andersson, Manne; Rubér, Marie; Ekerfelt, Christina

    2014-01-01

    BACKGROUND: The diagnosis of appendicitis is difficult and resource consuming. New inflammatory markers have been proposed for the diagnosis of appendicitis, but their utility in combination with traditional diagnostic variables has not been tested. Our objective is to explore the potential of new...... inflammatory markers for improving the diagnosis of appendicitis.METHODS: The diagnostic properties of the six most promising out of 21 new inflammatory markers (interleukin [IL]-6, chemokine ligand [CXCL]-8, chemokine C-C motif ligand [CCL]-2, serum amyloid A [SAA], matrix metalloproteinase [MMP]-9......, and myeloperoxidase [MPO]) were compared with traditional diagnostic variables included in the Appendicitis Inflammatory Response (AIR) score (right iliac fossa pain, vomiting, rebound tenderness, guarding, white blood cell [WBC] count, proportion neutrophils, C-reactive protein and body temperature) in 432 patients...

  5. Scoring system to distinguish uncomplicated from complicated acute appendicitis

    NARCIS (Netherlands)

    Atema, J. J.; van Rossem, C. C.; Leeuwenburgh, M. M.; Stoker, J.; Boermeester, M. A.

    2015-01-01

    Non-operative management may be an alternative for uncomplicated appendicitis, but preoperative distinction between uncomplicated and complicated disease is challenging. This study aimed to develop a scoring system based on clinical and imaging features to distinguish uncomplicated from complicated

  6. Thermionic system evaluation test (TSET) facility construction: A United States and Russian effort

    International Nuclear Information System (INIS)

    Wold, S.K.

    1993-01-01

    The Thermionic System Evaluation Test (TSET) is a ground test of an unfueled Russian TOPAZ-II in-core thermionic space reactor powered by electric heaters. The facility that will be used for testing of the TOPAZ-II systems is located at the New Mexico Engineering Research Institute (NMERI) complex in Albuquerque, NM. The reassembly of the Russian test equipment is the responsibility of International Scientific Products (ISP), a San Jose, CA, company and Inertek, a Russian corporation, with support provided by engineers and technicians from Phillips Laboratory (PL), Sandia National Laboratories (SNL), Los Alamos National Laboratory (LANL), and the University of New Mexico (UNM). This test is the first test to be performed under the New Mexico Strategic Alliance agreement. This alliance consists of the PL, SNL, LANL, and UNM. The testing is being funded by the Strategic Defense Initiative Organization (SDIO) with the PL responsible for project execution

  7. Ecological aspects in construction of West Siberian oil field surface facilities

    International Nuclear Information System (INIS)

    Scvortzov, I.D.; Crushin, P.N.

    1991-01-01

    The exploitation of arctic regions, where permanently frozen grounds are widespread, leads to problems concerning the climate and the geo-cryological environment. One of the most urgent tasks is to minimize effects on the environment, otherwise irreversible, catastrophic processes, the deterioration of permafrost into swamps, fouling subsoil waters and rivers, ground surface pollution with petroleum products, and destruction of fish and birds, may occur. The measures aimed at providing the environmental ecological equilibrium during the exploitation of the northern oil deposits of West Siberia are described in this paper. These measures are worked out during the design stage. Then appropriate engineering decisions and product procedures are chosen, where much prominence is given to reliability of the oil and gas field facilities. The paper includes information about developing measures for the preventive systematic maintenance of the oil pipelines, maintenance schedule, prediction of accidents and certain procedures for their rectification

  8. Constructing an optimal facility layout to maximize adjacency as a function of common boundary length

    Science.gov (United States)

    Ghassemi Tari, Farhad; Neghabi, Hossein

    2018-03-01

    An effective facility layout implies that departments with high flow are laid adjacent. However, in the case of a very narrow boundary length between the neighbouring departments, the adjacency would actually be useless. In traditional layout design methods, a score is generally assigned independent of the department's boundary length. This may result in a layout design with a restricted material flow. This article proposes a new concept of adjacency in which the department pairs are laid adjacent with a wider path. To apply this concept, a shop with unequal rectangular departments is contemplated and a mathematical programming model with the objective of maximizing the sum of the adjacency degrees is proposed. A computational experiment is conducted to demonstrate the efficiency of the layout design. It is demonstrated that the new concept provides a more efficient and a more realistic layout design.

  9. Design and construction of a pre-injector for the Iranian Light Source Facility

    Directory of Open Access Journals (Sweden)

    A Sadeghipanah

    2015-09-01

    Full Text Available Every synchrotron accelerator requires a pre-injector for primary injection of the electrons into the booster ring. The Iranian Light Source Facility (ILSF pre-injector is a 150 MeV S-band linear accelerator with a thermionic cathode RF gun. The design of the pre-injector lattice and its beam dynamics calculation results together with the design of RF gun, alpha magnet, quadrupole magnets and linear accelerator structures are described in this article. The measurement results of the RF gun prototype fabricated in Iran demonstrate a dimension error less than 20 μm and a surface roughness of less than 0.8 μm

  10. An unusual manifestation of acute appendicitis with left flank pain

    Directory of Open Access Journals (Sweden)

    Roland Talanow, MD, PhD

    2008-08-01

    Full Text Available The author presents a case with an unusual presentation of early appendicitis. The patient presented initially with left sided flank pain. Workup for nephrolithiasis, including non-contrast CT of the abdomen and pelvis was negative for renal stones or hydronephrosis. After discharge, the patient presented one week later in the ED with right lower quadrant pain. Contrast enhanced CT of the abdomen revealed perforated appendicitis.

  11. A Rare Complication of Acute Appendicitis: Superior Mesenteric Vein Thrombosis

    Directory of Open Access Journals (Sweden)

    Hendra Koncoro

    2016-12-01

    Full Text Available Superior mesenteric vein (SMV thrombosis caused by acute appendicitis is quite rare nowadays. These conditions occurs secondary to infection in the region drained by the portal venous system. In this case, we report a successfully treated case of SMV thrombosis and liver abscess associated with appendicitis with antibiotics and anticoagulant.Early diagnosis and prompt treatment are basic to a favorable clinical course.

  12. Hyperbilirubinaemia: its utility in non-perforated appendicitis.

    Science.gov (United States)

    Sandstrom, Anna; Grieve, David A

    2017-07-01

    The diagnosis of acute appendicitis is made using clinical findings and investigations. Recent studies have suggested that serum bilirubin, a cheap and simple biochemical test, is a positive predictor in the diagnosis of appendiceal perforation and may be more specific than C-reactive protein (CRP) and white cell count (WCC). The aim of this study was to investigate the utility of the serum bilirubin level in patients with suspected acute but non-perforative appendicitis. A retrospective chart review of 213 patients who presented with suspected appendicitis in a 6-month period to Nambour General Hospital was performed. Serum bilirubin, WCC and CRP were recorded and analysed as to their utility in relation to the final diagnosis. A total of 196 patients underwent an appendicectomy and 41 of these were negative. The specificity of hyperbilirubinaemia for appendicitis overall was 0.83 with a positive predictive value (PPV) of 0.86, compared with CRP (specificity 0.40, PPV 0.75) and WCC (specificity 0.67, PPV 0.85). The area under the receiver operating characteristic curve for bilirubin was 0.6289 compared to 0.6171 for CRP and 0.7219 for WCC. A subgroup analysis of those with complicated appendicitis demonstrated a PPV for bilirubin of 0.66 compared to 0.58 for WCC and 0.34 for CRP in agreement with the literature. Subgroup analysis of hyperbilirubinaemia in simple appendicitis demonstrated a PPV of 0.81 compared to CRP (0.71) and WCC (0.82). Bilirubin had a higher specificity than CRP and WCC overall in patients with appendicitis. Hyperbilirubinaemia had a high PPV in patients with simple appendicitis. © 2015 Royal Australasian College of Surgeons.

  13. Computed tomography of the normal appendix and acute appendicitis

    International Nuclear Information System (INIS)

    Ghiatas, A.A.; Chopra, S.; Chintapalli, K.N.; Esola, C.C.; Daskalogiannaki, M.; Dodd, G.D. III; Gourtsoyiannis, N.

    1997-01-01

    The aim of this article is to present pictorially the spectrum of appearances of the appendix and appendicitis on CT. The images presented were selected from the database of our hospitals. The various appearances of the normal appendix on CT are shown. Appendicitis can be divided into four categories on the basis of CT findings. Examples of each category are shown. (orig.). With 14 figs

  14. Facile construction of terpridine-based metallo-polymers in hydrogels, crystals and solutions directed by metal ions.

    Science.gov (United States)

    Li, Yajuan; Guo, Jiangbo; Dai, Bo; Geng, Lijun; Shen, Fengjuan; Zhang, Yajun; Yu, Xudong

    2018-07-01

    Driven by tunable metal-ligand interactions, a polydentate ligand TC containing terpyridine and carboxylic acid units was developed to construct metallo-polymers that showed multiple aggregation modes with controlled macroscopic properties. In the presence of different kind of Zn 2+ ions or NaOH, TC could form metallo-polymers via π-π stacking and metal-ligand interaction that further trapped water molecules, resulting in hydrogels and crystals. Moreover, these TC/Zn 2+ hydrogels could transform to soluble and fluorescent aggregates in the presence of NaOH due to the formation of binuclear metallo-polymers with enhanced ICT emission. The metal-ligand interactions tuned by different metal salts in gels, crystals, and sols were also studied and illustrated in detail, it was also proved that water was an essential linker for constructing Na + -based metallo-polymers from the TC/NaOH crystal data. This work demonstrated the engineered coordination pathways in generating controllable hydrogels and metallo-polymers for the first time, which led to novel approach for facilely constructing a number of hydrogels with tailorable macroscopic properties. Copyright © 2018 Elsevier Inc. All rights reserved.

  15. Chronic appendicitis in a patient with 15 years abdominal pain

    Directory of Open Access Journals (Sweden)

    bizhan Khorasani

    2007-04-01

    Full Text Available Khorasani B1, Gholizadeh Pasha A2 1. Assistant professor, Department of surgery, Faculty of medicine, Tehran University of rehabilitation 2. Assistant professor, Department of surgery, Faculty of medicine, Babol University of medical sciences Abstract Background: Acute appendicitis is a completely known disease but for many physicians chronic appendicitis is unknown and some of them don believe in it. Although the number of people suffer from chronic appendicitis is much fewer than those who suffer from acute appendicitis, we shouldn ignore it. Clinical symptoms for these patients are chronic, longtime and recurrent abdominal pain, which is usually in the right lower quadrant of the abdomen. In the Para clinical examinations there isn any considerable pathological problem (in urine, stool, and sonography of the abdomen and pelvis. By recognizing appendicitis and appendectomy, the symptoms will be vanished and the patients will recover. Case presentation: The case was a 57-year-old man who has complained from chronic abdominal pain in the RLQ area since 15years ago. No pathological problem had been found in all diagnostic process. Conclusion: The problem was diagnosed as the chronic appendicitis and he underwent the appendectomy by laparoscopic procedure and was completely recovered.

  16. Acute appendicitis: most common clinical presentation and causative microorganism

    International Nuclear Information System (INIS)

    Awan, M.Y.; Shukr, I.; Mahmood, M.A.; Qasmi, S.A.

    2013-01-01

    Objective: To determine the most common clinical presentation and causative microorganism for acute appendicitis. Study Design: Descriptive. Place and duration of study: Department of Surgery, Combined Military Hospital Multan, from June 2002 to May 2004. Patients and Methods: Clinical features of all the patients, older than 5 years of age diagnosed with acute appendicitis were recorded. Patients presented with other pathology which mimic acute appendicitis were excluded from the study. Surgery was done under general anaesthesia. Appendices of all the patient as well as pus swabs from abdominal cavity were sent to the laboratory for histopathology and microbiological cultures to confirm the diagnoses of acute appendicitis and causative organism. Results: The mean age of 75 subjects was 32.56 +- 11.93 years. The most common symptom was pain in right iliac fossa (80 % cases) and the most common physical sign was tenderness (92% cases). Some of the patients(9.3%) had a histologically normal appendix. Maximum isolates on culture were E. coli. Conclusion: The most common presentation of acute appendicitis was pain in right iliac fossa while the most sensitive sign was tenderness. Proper history and sharp clinical examination is the key to diagnosis. The most frequent organism of appendicitis was Escherichia Coli. (author)

  17. Hydatidosis as a cause of acute appendicitis: a case report

    Directory of Open Access Journals (Sweden)

    Maryam Hajizadeh

    2013-02-01

    Full Text Available Acute appendicitis is considered the most common cause of emergency surgery in children and young adults. The association between parasitic infections and appendicitis has been widely investigated. Hydatidosis, a zoonotic helminthic disease caused by the larval stage of the Echinococcus granulosus, may cause illness in intermediate hosts, generally human and herbivorous animals. This disease is considered hyper endemic in northwest of Iran and is a serious public health problem. Hydatidosis predominantly is located in internal organs especially liver and lung but is considered a rare cause of acute appendicitis. Our aim was to study hydatid cyst that causes appendicitis. In this retrospective descriptive, 275 appendectomies performed during the years 2007-2012 in Tabriz Emam Reza hospital. Depending on the clinical notes, serological method, laboratory, surgical findings and attention to the histopathologic results, we found a patient with appendiceal hydatidosis. Acute appendicitis of hydatidosis origin is not seen frequently even in the hyper endemic area. Therefore, described an unusual cases of hydatidosis, should be considered in the differential diagnoses of appendicitis also education on how to prevent hydatidosis and eradication of stray dogs should be included in training programs to avoid and decrease the appendectomy operations.

  18. Acute appendicitis in children: not only surgical treatment.

    Science.gov (United States)

    Caruso, Anna Maria; Pane, Alessandro; Garau, Roberto; Atzori, Pietro; Podda, Marcello; Casuccio, Alessandra; Mascia, Luigi

    2017-03-01

    An accurate diagnosis of acute appendicitis is important to avoid severe outcome or unnecessary surgery but management is controversial. The aim of study was to evaluate, in younger and older children, the efficacy of conservative management for uncomplicated appendicitis and the outcome of complicated forms underwent early surgery. Children with acute appendicitis were investigated by clinical, laboratory variables and abdominal ultrasound and divided in two groups: complicated and uncomplicated. Complicated appendicitis underwent early surgery; uncomplicated appendicitis started conservative treatment with antibiotic. If in the next 24-48h it was worsening, the conservative approach failed and patients underwent late surgery. A total of 362 pediatric patients were included. One hundred sixty-five underwent early appendectomy; 197 patients were at first treated conservatively: of these, 82 were operated within 24-48h for failure. The total percentage of operated patients was 68.2%. An elevated association was found between surgery and ultrasound. Conservative treatment for uncomplicated appendicitis had high percentage of success (58%). Complications in operated patients were infrequent. Our protocol was effective in order to decide which patients treat early surgically and which conservatively; specific red flags (age and onset) can identified patients at most risk of complications or conservative failure. treatment study. II. Copyright © 2016 Elsevier Inc. All rights reserved.

  19. CT following US for possible appendicitis: anatomic coverage

    Energy Technology Data Exchange (ETDEWEB)

    O' Malley, Martin E. [University of Toronto, Princess Margaret Hospital, 3-920, Joint Department of Medical Imaging, Toronto, Ontario (Canada); Alharbi, Fawaz [University of Toronto, Toronto General Hospital, NCSB 1C572, Joint Department of Medical Imaging, Toronto, Ontario (Canada); Qassim University, Department of Medical Imaging, Buraydah, Qassim (Saudi Arabia); Chawla, Tanya P. [University of Toronto, Mount Sinai Hospital, Room 567, Joint Department of Medical Imaging, Toronto, Ontario (Canada); Moshonov, Hadas [University of Toronto, Joint Department of Medical Imaging, Toronto, Ontario (Canada)

    2016-02-15

    To determine superior-inferior anatomic borders for CT following inconclusive/nondiagnostic US for possible appendicitis. Ninety-nine patients with possible appendicitis and inconclusive/nondiagnostic US followed by CT were included in this retrospective study. Two radiologists reviewed CT images and determined superior-inferior anatomic borders required to diagnose or exclude appendicitis and diagnose alternative causes. This ''targeted'' coverage was used to estimate potential reduction in anatomic coverage compared to standard abdominal/pelvic CT. The study group included 83 women and 16 men; mean age 32 (median, 29; range 18-73) years. Final diagnoses were: nonspecific abdominal pain 50/99 (51 %), appendicitis 26/99 (26 %), gynaecological 12/99 (12 %), gastrointestinal 9/99 (10 %), and musculoskeletal 2/99 (2 %). Median dose-length product for standard CT was 890.0 (range, 306.3 - 2493.9) mGy.cm. To confidently diagnose/exclude appendicitis or identify alternative diagnoses, maximum superior-inferior anatomic CT coverage was the superior border of L2-superior border of pubic symphysis, for both reviewers. Targeted CT would reduce anatomic coverage by 30-55 % (mean 39 %, median 40 %) compared to standard CT. When CT is performed for appendicitis following inconclusive/nondiagnostic US, targeted CT from the superior border of L2-superior border of pubic symphysis can be used resulting in significant reduction in exposure to ionizing radiation compared to standard CT. (orig.)

  20. Diagnosis of Appendicitis with Left Lower Quadrant Pain

    Directory of Open Access Journals (Sweden)

    Sen-Kuang Hou

    2005-12-01

    Full Text Available Abdominal pain is one of the most common chief complaints of patients presenting to the emergency department and, among the diagnoses of abdominal pain, appendicitis is the most common surgical disorder. Traditionally, the diagnosis of appendicitis is based on well-established clinical criteria combined with physician experience. However, appendicitis presenting with rare and misleading left lower quadrant (LLQ pain may result in an initial false-negative diagnosis by the physician and even result in failure to order the subsidiary examination of computed tomography (CT or ultrasound, so increasing the risk of perforation/abscess formation and prolonged hospital stay. In this report, we present 2 cases of atypical appendicitis with LLQ pain where the correct diagnosis was not initially considered. One patient had right-sided appendicitis; the inflamed appendix was 12 cm in length and projected into the LLQ. Local peritonitis developed during observation. With the aid of CT, the diagnosis was established in time. The other patient had left-sided appendicitis with situs inversus totalis. Adverse outcomes with appendiceal rupture and abscess formation occurred due to inadvertent physical examinations and inadequate observation. Early clinical suspicion and adequate observation are indicated in patients with uncertain clinical features. However, in patients with unresolved clinical symptoms and/or local peritonitis that develop during observation, imaging studies play a significant role in preoperative diagnosis and determination of proper treatment.

  1. Do we need imaging to diagnose appendicitis in children?

    Directory of Open Access Journals (Sweden)

    Antonio Di Cesare

    2013-01-01

    Full Text Available Background: To evaluate the role of clinical assessment with selective use of imaging studies in the management of suspected acute appendicitis in children. Patients and Methods: Medical records of children referred to Emergency Room in 2010 for suspected appendicitis were retrospectively reviewed. Diagnostic investigations divided by age and sex were related to pathological findings. Negative appendectomy and complication rates were calculated. Results: 923 children needed surgical assessment : i0 n 75.7% of them surgical indication was excluded and 24.3% were admitted to surgical ward for observation. Appendectomy was eventually performed in 137 patients (61.9%, 82.4% of them without any preoperative imaging while 17.6% underwent selective studies, mainly abdominal ultrasonography (14.6%. Imaging was requested twice as frequently in not operated admitted children (39.3% than in the operated ones (17.5%, P < 0.001. Overall complicated appendicitis rate (peritonitis and abscess resulted 26.4% and negative appendectomy rate 8.8%. Females older than 10 years presented histologically not-confirmed appendicitis in 22.2% of cases, while the younger ones presented more frequently complicated appendicitis (29.3%. Conclusions: Clinical assessment is the key to diagnose appendicitis. Nevertheless, in girls older than 10 years, selected use of imaging should be implemented to avoid unnecessary appendectomies. Imaging of choice in equivocal cases should be ultrasonography.

  2. Diagnostic Value of Plasma Pentraxin-3 in Acute Appendicitis.

    Science.gov (United States)

    Aygun, Ali; Katipoglu, Burak; Ïmamoglu, Melih; Demir, Selim; Yadigaroglu, Metin; Tatli, Ozgur; Yurtsever, Selim; Usta, Arif; Mentese, Ahmet; Turkmen, Suha

    2017-10-11

    To measure serum PTX3 levels in patients admitted with right lower quadrant pain to emergency department and to investigate whether this parameter will be helpful for the diagnosis of acute appendicitis. This study was conducted with a group of 89 patients over 17 years of age who were admitted with the complaint of right lower quadrant pain to ED and had a preliminary diagnosis of acute appendicitis clinically and the control group of 31 healthy volunteers in a tertiary university hospital for 3 months. Median PTX3 levels were 3.28 (1.08-30.24) ng/mL in the acute appendicitis groups and 0.97 (0.34-2.62) ng/mL in the control group. A significant difference was observed between acute appendicitis groups and the control group (p < 0.05). PTX3 was found to be significantly higher in patient with acute appendicitis compared to the control group and the patients with non-specific abdominal pain. PTX3 can be used as an aid in the diagnosis of acute appendicitis.

  3. CT following US for possible appendicitis: anatomic coverage

    International Nuclear Information System (INIS)

    O'Malley, Martin E.; Alharbi, Fawaz; Chawla, Tanya P.; Moshonov, Hadas

    2016-01-01

    To determine superior-inferior anatomic borders for CT following inconclusive/nondiagnostic US for possible appendicitis. Ninety-nine patients with possible appendicitis and inconclusive/nondiagnostic US followed by CT were included in this retrospective study. Two radiologists reviewed CT images and determined superior-inferior anatomic borders required to diagnose or exclude appendicitis and diagnose alternative causes. This ''targeted'' coverage was used to estimate potential reduction in anatomic coverage compared to standard abdominal/pelvic CT. The study group included 83 women and 16 men; mean age 32 (median, 29; range 18-73) years. Final diagnoses were: nonspecific abdominal pain 50/99 (51 %), appendicitis 26/99 (26 %), gynaecological 12/99 (12 %), gastrointestinal 9/99 (10 %), and musculoskeletal 2/99 (2 %). Median dose-length product for standard CT was 890.0 (range, 306.3 - 2493.9) mGy.cm. To confidently diagnose/exclude appendicitis or identify alternative diagnoses, maximum superior-inferior anatomic CT coverage was the superior border of L2-superior border of pubic symphysis, for both reviewers. Targeted CT would reduce anatomic coverage by 30-55 % (mean 39 %, median 40 %) compared to standard CT. When CT is performed for appendicitis following inconclusive/nondiagnostic US, targeted CT from the superior border of L2-superior border of pubic symphysis can be used resulting in significant reduction in exposure to ionizing radiation compared to standard CT. (orig.)

  4. Value of ultrasonography in the diagnosis of acute appendicitis

    International Nuclear Information System (INIS)

    Sohn, Seok Ho; Jung, Kun Sik; Kim, Jung Sik; Woo, Seong Ku; Chung, Ki Yong; Kim, Hee Jin

    1993-01-01

    During a 12-month period high-resolution, real-time ultrasonography (US) with graded compression was performed on 268 consecutive patients with clinically suspected acute appendicitis and its complications. US visualization of a fluid-filled, non-compressed appendix or a decompressed, thick-walled appendix was the primary criterion for a diagnosis of acute appendicitis. The sonographic findings were correlated with surgical-pathologic outcome in 92 cases and with the findings of clinical follow-ups in the remainder. US was found to be accurate in the diagnosis of acute appendicitis and its complication with a sensitivity of 93.3%, a specificity of 98.9%, and an accuracy of 97%. The predictive value of a positive test was 97.7%; that of a negative test was 96.7%. There were two false-positive examinations in patients with a thick-walled appendix or periapperdiceal abscess, which were surgically confirmed as appendiceal adenocarcinoma and perforated cecal diverticulitis respectively. There were six false-negative examinations in patients with a sonographically no-visible appendix, which were confirmed surgically as acute appendicitis (n=5) and perforated appendicitis (n=1). Our results show that high-resolution, real-time US is an accurate imaging modality in the diagnosis of acute appendicitis and the evaluation of its complications

  5. Examinations of objective approaches on the social consensus formation methodology in public facility construction

    International Nuclear Information System (INIS)

    Inami, Mayumi; Horii, Kiyoshi; Endo, Hisashi; Saito, Yoshifuru

    2006-01-01

    The wavelet transform multi-resolution analysis for articles has revealed the lines of thought. The articles have carried in papers concerning a local referendum about the construction of a nuclear power station in a residential area, a seaside, a farm and a town. Employing this new method has clarified the line of thought in these four areas has been clarified. In the seaside three strong support opinions appeared in the first, middle and last part of the press, with a small number of adverse opinions at the beginning and at the end. In the town no adverse opinion was found but a small number of supporting opinions appeared in the middle of the article. Our method contributes to establishing an objective social consensus because the lines of thought would be based on interviewer's knowledge that contributes to mutual understandings. (author)

  6. The construction of a radiometric calibration facility at Lanseria Airport, Republic of South Africa

    International Nuclear Information System (INIS)

    Corner, B.; Smit, C.J.B.

    1982-10-01

    The construction of standard sources suitable for the calibration of airborne and truck-mounted gamma-spectrometer systems is described. Four sources were built, three of which were doped with preselected quantities of uranium, thorium or potassium. A fourth source was left barren so as to provide a measure of the background radiation in the area. The sources are 8 m in diameter, 0,35 m thick and are recessed into the disused northern portion of runway 17 at Lanseria Airport, north of Johannesburg. Adopted concentrations of the major radioelements in the sources are: 6,24 % K 2 O in the potassium source, 65,0 ppm U 3 O 8 in the uranium source and 150 ppm ThO 2 in the thorium source

  7. The construction of a radiometric calibration facility at Lanseria Airport, Republic of South Africa

    International Nuclear Information System (INIS)

    Corner, B.; Smit, C.J.B.

    1983-08-01

    The construction of standard sources suitable for the calibration of airborne and truck-mounted gamma-spectrometer systems is described. Four sources were built, three of which were doped with preselected quantities of uranium, thorium or potassium. A fourth source was left barren so as to provide a measure of the background radiation in the area. The sources are 8 m in diameter, 0,35 m thick and are recessed into the disused northern portion of runway 17 at Lanseria Airport, north of Johannesburg. Adopted concentrations of the major radioelements in the sources are: 6,10 % k 2 O in the potasssium source, 67,0 ppm U 3 O 8 in the uranium source (radiometric), 158 ppm ThO 2 in the thorium source

  8. Design and construction of a Gamma reaction history diagnostic for the National Ignition Facility

    International Nuclear Information System (INIS)

    Malone, R M; Cox, B C; Frogget, B C; Kaufman, M I; Tibbitts, A; Tunnell, T W; Evans, S C; Herrmann, H W; Kim, Y H; Mack, J M; Young, C S; McGillivray, K D; Palagi, M; Stoeffl, W

    2010-01-01

    Gas Cherenkov detectors have been used to convert fusion gammas into photons to record gamma reaction history measurements. These gas detectors include a converter, pressurized gas volume, relay collection optics, and a photon detector. A novel design for the National Ignition Facility (NIF) using 90 0 off-axis parabolic mirrors efficiently collects signal from fusion gammas with 8-ps time dispersion. Fusion gammas are converted to Compton electrons, which generate broadband Cherenkov light (response is from 250 to 700 nm) in a pressurized gas cell. This light is relayed into a high-speed detector using three parabolic mirrors. The relay optics collect light from a 125-mm-diameter by 600-mm-long interchangeable gas (CO 2 or SF 6 ) volume. The parabolic mirrors were electroformed instead of diamond turned to reduce scattering of the UV light. All mirrors are bare aluminum coated for maximum reflectivity. This design incorporates a 4.2-ns time delay that allows the detector to recover from prompt radiation before it records the gamma signal. At NIF, a cluster of four channels will allow for increased dynamic range, as well as different gamma energy thresholds.

  9. Construction safety program for the National Ignition Facility, July 30, 1999 (NIF-0001374-OC)

    International Nuclear Information System (INIS)

    Benjamin, D. W.

    1999-01-01

    These rules apply to all LLNL employees, non-LLNL employees (including contract labor, supplemental labor, vendors, personnel matrixed/assigned from other National Laboratories, participating guests, visitors and students) and contractors/subcontractors. The General Rules-Code of Safe Practices shall be used by management to promote accident prevention through indoctrination, safety and health training and on-the-job application. As a condition for contracts award, all contractors and subcontractors and their employees must certify on Form S and H A-l that they have read and understand, or have been briefed and understand, the National Ignition Facility OCIP Project General Rules-Code of Safe Practices. (An interpreter must brief those employees who do not speak or read English fluently.) In addition, all contractors and subcontractors shall adopt a written General Rules-Code of Safe Practices that relates to their operations. The General Rules-Code of Safe Practices must be posted at a conspicuous location at the job site office or be provided to each supervisory employee who shall have it readily available. Copies of the General Rules-Code of Safe Practices can also be included in employee safety pamphlets

  10. Soil Characterization by Large Scale Sampling of Soil Mixed with Buried Construction Debris at a Former Uranium Fuel Fabrication Facility

    International Nuclear Information System (INIS)

    Nardi, A.J.; Lamantia, L.

    2009-01-01

    Recent soil excavation activities on a site identified the presence of buried uranium contaminated building construction debris. The site previously was the location of a low enriched uranium fuel fabrication facility. This resulted in the collection of excavated materials from the two locations where contaminated subsurface debris was identified. The excavated material was temporarily stored in two piles on the site until a determination could be made as to the appropriate disposition of the material. Characterization of the excavated material was undertaken in a manner that involved the collection of large scale samples of the excavated material in 1 cubic meter Super Sacks. Twenty bags were filled with excavated material that consisted of the mixture of both the construction debris and the associated soil. In order to obtain information on the level of activity associated with the construction debris, ten additional bags were filled with construction debris that had been separated, to the extent possible, from the associated soil. Radiological surveys were conducted of the resulting bags of collected materials and the soil associated with the waste mixture. The 30 large samples, collected as bags, were counted using an In-Situ Object Counting System (ISOCS) unit to determine the average concentration of U-235 present in each bag. The soil fraction was sampled by the collection of 40 samples of soil for analysis in an on-site laboratory. A fraction of these samples were also sent to an off-site laboratory for additional analysis. This project provided the necessary soil characterization information to allow consideration of alternate options for disposition of the material. The identified contaminant was verified to be low enriched uranium. Concentrations of uranium in the waste were found to be lower than the calculated site specific derived concentration guideline levels (DCGLs) but higher than the NRC's screening values. The methods and results are presented

  11. Delta neutrophil index: A reliable marker to differentiate perforated appendicitis from non-perforated appendicitis in the elderly.

    Science.gov (United States)

    Shin, Dong Hyuk; Cho, Young Suk; Kim, Yoon Sung; Ahn, Hee Cheol; Oh, Young Taeck; Park, Sang O; Won, Moo-Ho; Cho, Jun Hwi; Kim, Young Myeong; Seo, Jeong Yeol; Lee, Young Hwan

    2018-01-01

    Delta neutrophil index (DNI) is a new inflammatory marker and the present study aimed to evaluate the predictive value of the DNI for the presence of a perforation in elderly with acute appendicitis. This retrospective observational study was conducted on 108 consecutive elderly patients (≥65 years old) with acute appendicitis treated over a 24-month period. Sixty-nine of the 108 patients (median, IQR: 72, 67-77 years) were allocated to the perforated appendicitis group (63.9%) and 39 to the non-perforated appendicitis group (36.1%). WBC, neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio and DNI were significantly higher in the perforated group. In multiple logistic regression analyses, initial DNI was the only independent marker that can significantly predict the presence of perforation in multiple regression [odds ratio 9.38, 95% confidence interval (2.51-35.00), P=.001]. Receiver operator characteristic curve analysis showed that DNI is a good predictor for the presence of appendiceal perforation at an optimal cut-off for DNI being 1.4% (sensitivity 67.7%, specificity 90.0%, AUC 0.807). Clinicians can reliably differentiate acute perforated appendicitis from non-perforated appendicitis by DNI level of 1.4 or more in elderly patients. © 2017 Wiley Periodicals, Inc.

  12. Ultrasound signs of acute appendicitis in children - clinical application

    International Nuclear Information System (INIS)

    Vegar-Zubovic, S.; Lincender, L.; Dizdarevic, S.; Sefic, I.; Dalagija, F.

    2005-01-01

    Background. Acute appendicitis is a leading cause of the abdominal pain in children that need an urgent surgical treatment. Neither of individually clinical variables doesn't have a real discriminational nor predictive strength to be used as the only diagnostic test. A goal of this study is to define ultrasound criteria of the acute appendicitis by appointing of ultrasound parameters for this pathological condition, determine the relation between ultrasound signs and pathohistological finding, determine the connection of several ultrasound signs with a degree of the inflammation of the acute appendicitis. Methods. In the prospective study with an ultrasound method we examine 50 patients with clinical signs of the acute abdomen. In these patients, the sonographic diagnosis is confirmed by the surgical finding, in fact with a pathohistological diagnosis. A basic, positive sonograph finding of the acute appendicitis was the identification of tubular, noncompresive, aperistaltic bowel which demonstrates a connection with coecum and blind terminal. In our work we analysed the lasting of the symptoms until the hospital intervention in patients stratified according to the pathohistological finding. We used ultrasound equipment- Toshiba Sonolayer with convex 3.75 MHz and linear 8 MHz probes. Results. From 8 ultrasound signs of the acute appendicitis, only an anterior-posterior (AP) diameter of appendices, FAT (width of periappendicular fat tissue) and a peristaltic absence are positive ultrasound signs of the acute appendicitis. Appendicitis phlegmonosa is the most common pathohistological finding in our study (44%). Perforate gangrenous appendicitis and gangrenous appendicitis are represented in more than half of patients (30% + 22%), which suggests a long period of persisting symptoms until a hospital treatment. A statistic analysis shows a great possibility for using values of AP diameter, width of periapendicular fat tissue, just like the values of mural thickness in

  13. Construction of a system for aid in running irradiated fuel reprocessing facilities

    International Nuclear Information System (INIS)

    Allanic, A.L.

    1993-01-01

    The availability of a diagnostic aid tool may prove to be extremely useful for monitoring complex processes such as those employed in nuclear fuel reprocessing plants. In the case of a malfunction, the choice of a corrective action demands the accurate knowledge of the disturbed state, because the same action applied to two distinct states of the process may have different consequences. The very high non-linearity of the responses of the process and the complexity of the mechanisms involved preclude the use of expert systems to perform the diagnosis. It was therefore decided to construct a diagnostic program based on the use of an available model allowing the dynamic simulation of the process. The program serves to identify a disturbance from its consequences, thus in some way achieving the 'inversion' of the model. The method adopted uses a regular mesh of a disturbance space and uses simulation to calculate the corresponding response space, in which a point close to the measured response is identified, thus helping to locate the disturbance. Tests on simulated and experimental data proved fairly conclusive, making it possible to consider the application of techniques used in industrial processes, despite the scale of the data processing resources required

  14. Design and construction of a time-of-flight wall detector at External Target Facility of HIRFL-CSR

    Science.gov (United States)

    Sun, Y.; Sun, Z. Y.; Yu, Y. H.; Yan, D.; Tang, S. W.; Sun, Y. Z.; Wang, S. T.; Zhang, X. H.; Yue, K.; Fang, F.; Chen, J. L.; Zhang, Y. J.; Hu, B. T.

    2018-06-01

    A Time-Of-Flight Wall (TOFW) detector has been designed and constructed at the External Target Facility (ETF) of HIRFL-CSR. The detector covers a sensitive area of 1.2 × 1.2 m2 and consists of 30 modules. Each module is composed of a long plastic scintillator bar with two photo-multiplier tubes coupled at both ends for readout. The design and manufacture details are described and the test results are reported. The performance of the TOFW detector has been tested and measured with cosmic rays and a 310 MeV/u 40Ar beam. The results show that the time resolutions of all the TOFW modules are better than 128 ps, satisfying the requirements of the experiments which will be carried out at the ETF.

  15. Initial non-operative management of uncomplicated appendicitis in children: a protocol for a multicentre randomised controlled trial (APAC trial)

    NARCIS (Netherlands)

    Knaapen, Max; van der Lee, Johanna H.; Bakx, Roel; The, Sarah-May L.; van Heurn, Ernst W. E.; Heij, Hugo A.; Gorter, Ramon R.; Rippen, H.; Bet, P. M.; Kazemier, G.; Kneepkens, C. M. F.; Wijnen, R.; Offringa, M.; Ahmadi, N.; Bonjer, H. J.; van Rijn, R. R.; Benninga, M. A.; Bemelman, W. A.; Hilarius, D. L.; van Veen, S. A. J. M.; Go, P. M. N. Y. H.; Cense, H. A.; de Vries, A.; Straatman, J.; in ’t Hof, K. H.; van Beek, E. J. A. H.; Bender, M. H. M.; van den Hill, L. C. L.; Bolhuis, H. W.; Treskes, K.; Bijlsma, T. S.; Geubbels, N.; de Blaauw, I.; Botden, S. M. B. I.; Leijdekkers, V. J.; Boonstra, M. C.; Rongen, L. H.; Boerma, E. J. G.; Luyer, M. D. P.; Vugts, G.; Copper, T.; Garssen, F. P.; Hulsker, C.; Visschers, R. G. J.

    2017-01-01

    Introduction Based on epidemiological, immunological and pathology data, the idea that appendicitis is not necessarily a progressive disease is gaining ground. Two types are distinguished: simple and complicated appendicitis. Non-operative treatment (NOT) of children with simple appendicitis has

  16. A facile construction strategy of stable lipid nanoparticles for drug delivery using a hydrogel-thickened microemulsion system

    Science.gov (United States)

    Chen, Huabing; Xiao, Ling; Du, Danrong; Mou, Dongsheng; Xu, Huibi; Yang, Xiangliang

    2010-01-01

    We report a novel facile method for preparing stable nanoparticles with inner spherical solid spheres and an outer hydrogel matrix using a hot O/W hydrogel-thickened microemulsion with spontaneous stability. The nanoparticles with average diameters of about 30.0 nm and 100.0 nm were constructed by cooling the hot hydrogel-thickened microemulsion at different temperatures, respectively. We explained the application of these nanoparticles by actualizing the cutaneous delivery of drug-loaded nanoparticles. The in vitro skin permeation studies showed that the nanoparticles could significantly reduce the penetration of model drugs through skin and resulted in their dermal uptakes in skin. The sol-gel process of TEOS was furthermore used in the template of HTM to regulate the particle size of nanoparticles. The coating of silica on the surface of nanoparticles could regulate the penetration of drug into skin from dermal delivery to transdermal delivery. This strategy provides a facile method to produce nanoparticles with long-term stability and ease of manufacture, which might have a promising application in drug delivery.

  17. Facile construction of structurally diverse thiazolidinedione-derived compounds via divergent stereoselective cascade organocatalysis and their biological exploratory studies.

    Science.gov (United States)

    Zhang, Yongqiang; Wang, Shengzheng; Wu, Shanchao; Zhu, Shiping; Dong, Guoqiang; Miao, Zhenyuan; Yao, Jianzhong; Zhang, Wannian; Sheng, Chunquan; Wang, Wei

    2013-06-10

    In this article, we present a new approach by merging two powerful synthetic tactics, divergent synthesis and cascade organocatalysis, to create a divergent cascade organocatalysis strategy for the facile construction of new "privileged" substructure-based DOS (pDOS) library. As demonstrated, notably 5 distinct molecular architectures are produced facilely from readily available simple synthons thiazolidinedione and its analogues and α,β-unsaturated aldehydes in 1-3 steps with the powerful strategy. The beauty of the chemistry is highlighted by the efficient formation of structurally new and diverse products from structurally close reactants under the similar reaction conditions. Notably, structurally diverse spiro-thiazolidinediones and -rhodanines are produced from organocatalytic enantioselective 3-component Michael-Michael-aldol cascade reactions of respective thiazolidinediones and rhodanines with enals. Nevertheless, under the similar reaction conditions, reactions of isorhodanine via a Michael-cyclization cascade lead to structurally different fused thiopyranoid scaffolds. This strategy significantly minimizes time- and cost-consuming synthetic works. Furthermore, these molecules possess high structural complexity and functional, stereochemical, and skeletal diversity with similarity to natural scaffolds. In the preliminary biological studies of these molecules, compounds 4f, 8a, and 10a exhibit inhibitory activity against the human breast cancer cells, while compounds 8a, 9a, and 9b display good antifungal activities against Candida albicans and Cryptococcus neoformans. Notably, their structures are different from clinically used triazole antifungal drugs. Therefore, they could serve as good lead compounds for the development of new generation of antifungal agents.

  18. Development and construction of a novel MOCVD facility for the growth of ferroelectric thin layers

    International Nuclear Information System (INIS)

    Schaefer, P.R.

    2002-02-01

    This thesis deals with the production of ferroelectric thin films using the MOCVD technology. The main focus is put on the design and construction of a complete MOCVD research system that is equipped with a novel non-contact vaporizer system. The precursors are nebulized in an ultrasonic atomizer and injected into a hot gas stream, so they can vaporize without getting into contact with a hot surface. Hence, one of the biggest disadvantages of conventional vaporizer concepts, the contamination of the vaporizing element with decomposing chemicals, could be avoided completely, resulting in a nearly maintenance-free system. In a direct comparison with the well-established Direct Liquid Injection Subsystem DLI-25C from MKS Instruments, the advantages of non-contact evaporation were clearly demonstrated. Additionally, the scope of this work included the development of standard deposition processes for the ternary oxides SrTiO 3 , BaTiO 3 und PbTiO 3 and growth studies were performed. Electrical measurements performed on MIM structures with Pt electrodes and SrTiO 3 as dielectric indicate a high film quality comparable with results presented in the literature. Furthermore, for the first time the solid solution (Pb x Ba 1-x )TiO 3 has been deposited by MOCVD. This material system is widely unknown in thin film form and it is well suited as a model system to investigate the influence of mechanical stresses on the film properties, because it represents a transition between the (as a thin film) superparaelectric barium titanate and the ferroelectric lead titanate. Through variation of the lead/barium ratio the tetragonal distortion of the lattice cell could be adjusted in a wide range. (orig.)

  19. The diagnostic value of barium enema in acute appendicitis

    International Nuclear Information System (INIS)

    Kim, Yong Ga; Chung, Duck Soo; Kim, Ok Dong

    1986-01-01

    Acute appendicitis is the most common acute surgical condition of the abdomen. When the clinical presentation is atypical, barium enema has proven to be safe and useful in confirming the diagnosis and reducing the negative surgical exploration. However, the performance of barium enema in acute appendicitis has known contraindication primarily because of fear of leakage by perforation of the inflamed appendix. This study using barium enema as a diagnostic aid in acute appendicitis with atypical clinical presentation was performed to further support the previously noted efficacy and safety of this procedure. The results were as followings: 1. In case of acute appendicitis with atypical clinical presentation, the use of barium enema as a diagnostic aid increased the accuracy of diagnosis and decreased the negative surgical exploration. In women between 11 to 50 years old age, especially, it played important role differentiating appendicitis from nonsurgical acute abdomen. 2. The results of the study were 92.31% in sensitivity, 7.69% in false positive, 6.9% in false negative, and 10.26% in negative appendectomy. 3. None of case of leakage of barium by perforation of the inflamed appendix was noted, therefore, barium enema was thought to be safe as a diagnostic aid in acute appendicitis. 4. A simple partial or non filling of appendix without other associated positive finding could not exclude appendicitis, therefore, close clinical observation was necessary. 5. The positive findings of barium enema and their sensitivity were as followings: 1. Non filling of appendix: 90% 2. Partial filling of appendix: 91.7% 3. Displacement or a local impression on terminal ileum: 100%

  20. Appendicitis with appendicular atresia: a rare presentation

    Science.gov (United States)

    Masood, Irfan; Majid, Zain; Rafiq, Ali; Fatima, Saba; Siddiqui, Osama Bin Zia

    2015-01-01

    Acute appendicitis is the most common acute surgical condition; making appendectomy the most commonly performed emergency surgical procedure in the world. Anomalies of the appendix are relatively uncommon. However, their presence may alter the course of pre-operative diagnosis and the surgical treatment provided, leading to medico-legal issues in certain cases as well. We hereby present the case of a 17 year-old female who had the suggestive signs, symptoms and investigations of appendicular lump. She was managed according to the Ochsner-Sherren regimen and then underwent interval open appendectomy 6 weeks later. During the procedure, the findings of a 5 cm long appendix were noted. The base of the appendix was attached to the caecum, however there was complete mucosal discontinuity between the base and the remaining portion of the appendix. A fibrous strand connected the two blind ending parts together. After thorough literature search, the authors concluded that this is only the fourth reported case of appendicular atresia ever to have been reported. Considering the rarity of this finding we feel this could be of valuable interest to surgeons and readers alike PMID:26090015

  1. Ultrasonic testing of a sealing construction made of salt concrete in an underground disposal facility for radioactive waste

    Energy Technology Data Exchange (ETDEWEB)

    Krause, Martin; Effner, Ute Antonie; Milmann, Boris; Voelker, Christoph; Wiggenhauser, Herbert [Federal Institute for Materials Research and Testing (BAM), Berlin (Germany); Mauke, Ralf [The Federal Office for Radiation Protection, Salzgitter (Germany)

    2015-07-01

    For the closure of radioactive waste disposal facilities engineered barriers- so called ''drift seals'' are used. The purpose of these barriers is to constrain the possible infiltration of brine and to prevent the migration of radionuclides into the biosphere. In a rock salt mine a large scale in-situ experiment of a sealing construction made of salt concrete was set up to prove the technical feasibility and operability of such barriers. In order to investigate the integrity of this structure, non-destructive ultrasonic measurements were carried out. Therefore two different methods were applied at the front side of the test-barrier: 1 Reflection measurements from boreholes 2 Ultrasonic imaging by means of scanning ultrasonic echo methods This extended abstract is a short version of an article to be published in a special edition of ASCE Journal that will briefly describe the sealing construction, the application of the non-destructive ultrasonic measurement methods and their adaptation to the onsite conditions -as well as parts of the obtained results. From this a concept for the systematic investigation of possible contribution of ultrasonic methods for quality assurance of sealing structures may be deduced.

  2. Engineering and construction projects for oil and gas processing facilities: Contracting, uncertainty and the economics of information

    International Nuclear Information System (INIS)

    Berends, Kees

    2007-01-01

    The amount of oil and gas processing capacity required to meet demand during the next 20 years is more than twice the amount realised during the last decades. Engineering and Construction contractors (ECs) play a key role in the development and implementation of Large Engineering and Construction Projects (LECPs) for these facilities. We examine the characteristics of LECPs, demand and supply of the contracting market and the strategies traditionally adopted by owners to contract out the development and implementation of these projects to ECs. We demonstrate that these traditional strategies are not longer effective, in the current 'sellers market', to mitigate the oligopolistic economic inefficiencies. As the 'overheating' of the contracting market is expected to continue for a considerable period of time, alternative contracting strategies are required. Contract theory, particularly the economics of information on LECPs, indicates how alternative contracting strategies can be used to overcome economic inefficiencies. The effective use of these alternative strategies requires increased owner involvement and their effectiveness is contingent upon owner competency and ECs acting as the owner's agent rather than its adversary. This will require an organisational and behavioural change process for both owners and ECs

  3. Clinical research. Acute appendicitis in children. Review of 324 operated cases

    International Nuclear Information System (INIS)

    Ohtsu, Kazuhiro; Furuta, Yasuhiko; Kamei, Naomi

    2007-01-01

    A retrospective review was made of 324 operated cases of acute appendicitis for sixteen years from 1989 to 2005. For seven years from 1999 to 2005, an additional review was made of 63 cases where patients visited our department on suspicion of acute appendicitis and received medical treatment without operation. Cases of hospitalization on suspicion of appendicitis averaged 18 a year for 1999 to 2005, with half these being appendicitis or peritonitis due to perforated appendicitis. The number of cases by age groups for those with acute appendicitis reached 25 per year in 1997 but fell off from 1998 onwards. Out of the total 324 cases, 179 were boys, 145 were girls, and there were 188 cases of acute appendicitis and 136 cases of perforated appendicitis. There were 23 cases of catarrhal appendicitis, with three cases out of the 63 cases overall of the last seven years. There were 66 cases for ages 0 to 6, 168 cases for ages 7 to 11, and 90 cases for ages 12 to 20, the peak age group being 7 to 11. Perforated appendicitis occurred in 65.2% of cases involving infants under six, which is relatively high compared to the 36.0% of the over seven age grouping. There were 112 cases of fecalith out of the 324 overall cases, 24.5% of acute appendicitis cases and 48.5% of perforated appendicitis cases. Over the last seven years ultrasound examination made visible the inflamed appendix in 41 cases of 46 (89.1%) for acute appendicitis and in 16 cases of 17 (94.1%) for perforated appendicitis. CT scans were used in five cases of acute appendicitis/perforated appendicitis out of the 324 overall cases. Five of the 63 cases of surgical operations from 1999 to 2005 involved surgery made after diagnosis of acute appendicitis after follow-up hospitalization. Types of operations involved 11 cases of laparoscopic appendectomy, the remaining 313 operations involving classical open appendectomy. (author)

  4. Structural health monitoring and lifecycle-management for civil engineering constructions in power plants and industrial facilities; Zustandsueberwachung und Lebensdauermanagement von baulichen Einrichtungen in Kraftwerken und Industrieanlagen

    Energy Technology Data Exchange (ETDEWEB)

    Lehnen, Dieter; Demmer, Martin; Pfister, Tobias [ZERNA Planen und Pruefen GmbH, Bochum (Germany)

    2013-09-01

    In contrast to other fields of engineering, structural health monitoring and lifecycle management for civil engineering constructions in power plants and industrial facilities have to be developed yet. The necessity of this development immediately arises from the building regulations law with its extensive set of regulations as well as from economic constraints. Approaches and methods of structural health monitoring and lifecycle management for civil engineering constructions in power plants and industrial facilities could be improved intensively during recent years. The paper focuses on practical examples that show the necessity of comprehensive and strategic structural health monitoring in conjunction with lifecycle management for civil engineering constructions in power plants and industrial facilities unambiguously und clear. (orig.)

  5. Shallow groundwater intrusion to deeper depths caused by construction and drainage of a large underground facility. Estimation using 3H, CFCs and SF6 as trace materials

    International Nuclear Information System (INIS)

    Hagiwara, Hiroki; Iwatsuki, Teruki; Hasegawa, Takuma; Nakata, Kotaro; Tomioka, Yuichi

    2015-01-01

    This study evaluates a method to estimate shallow groundwater intrusion in and around a large underground research facility (Mizunami Underground Research Laboratory-MIU). Water chemistry, stable isotopes (δD and δ 18 O), tritium ( 3 H), chlorofluorocarbons (CFCs) and sulfur hexafluoride (SF 6 ) in groundwater were monitored around the facility (from 20 m down to a depth of 500 m), for a period of 5 years. The results show that shallow groundwater inflows into deeper groundwater at depths of between 200–400 m. In addition, the content of shallow groundwater estimated using 3 H and CFC-12 concentrations is up to a maximum of about 50%. This is interpreted as the impact on the groundwater environment caused by construction and operation of a large facility over several years. The concomitant use of 3 H and CFCs is an effective method to determine the extent of shallow groundwater inflow caused by construction of an underground facility. (author)

  6. Lessons Learned from the 200 West Pump and Treatment Facility Construction Project at the US DOE Hanford Site - A Leadership for Energy and Environmental Design (LEED) Gold-Certified Facility - 13113

    Energy Technology Data Exchange (ETDEWEB)

    Dorr, Kent A.; Freeman-Pollard, Jhivaun R.; Ostrom, Michael J. [CH2M HILL Plateau Remediation Company, P.O. Box 1600, MSIN R4-41, 99352 (United States)

    2013-07-01

    CH2M Hill Plateau Remediation Company (CHPRC) designed, constructed, commissioned, and began operation of the largest groundwater pump and treatment facility in the U.S. Department of Energy's (DOE) nationwide complex. This one-of-a-kind groundwater pump and treatment facility, located at the Hanford Nuclear Reservation Site (Hanford Site) in Washington State, was built to an accelerated schedule with American Recovery and Reinvestment Act (ARRA) funds. There were many contractual, technical, configuration management, quality, safety, and Leadership in Energy and Environmental Design (LEED) challenges associated with the design, procurement, construction, and commissioning of this $95 million, 52,000 ft groundwater pump and treatment facility to meet DOE's mission objective of treating contaminated groundwater at the Hanford Site with a new facility by June 28, 2012. The project team's successful integration of the project's core values and green energy technology throughout design, procurement, construction, and start-up of this complex, first-of-its-kind Bio Process facility resulted in successful achievement of DOE's mission objective, as well as attainment of LEED GOLD certification (Figure 1), which makes this Bio Process facility the first non-administrative building in the DOE Office of Environmental Management complex to earn such an award. (authors)

  7. Lessons Learned from the 200 West Pump and Treatment Facility Construction Project at the US DOE Hanford Site - A Leadership for Energy and Environmental Design (LEED) Gold-Certified Facility - 13113

    International Nuclear Information System (INIS)

    Dorr, Kent A.; Freeman-Pollard, Jhivaun R.; Ostrom, Michael J.

    2013-01-01

    CH2M Hill Plateau Remediation Company (CHPRC) designed, constructed, commissioned, and began operation of the largest groundwater pump and treatment facility in the U.S. Department of Energy's (DOE) nationwide complex. This one-of-a-kind groundwater pump and treatment facility, located at the Hanford Nuclear Reservation Site (Hanford Site) in Washington State, was built to an accelerated schedule with American Recovery and Reinvestment Act (ARRA) funds. There were many contractual, technical, configuration management, quality, safety, and Leadership in Energy and Environmental Design (LEED) challenges associated with the design, procurement, construction, and commissioning of this $95 million, 52,000 ft groundwater pump and treatment facility to meet DOE's mission objective of treating contaminated groundwater at the Hanford Site with a new facility by June 28, 2012. The project team's successful integration of the project's core values and green energy technology throughout design, procurement, construction, and start-up of this complex, first-of-its-kind Bio Process facility resulted in successful achievement of DOE's mission objective, as well as attainment of LEED GOLD certification (Figure 1), which makes this Bio Process facility the first non-administrative building in the DOE Office of Environmental Management complex to earn such an award. (authors)

  8. Lessons Learned from the 200 West Pump and Treatment Facility Construction Project at the US DOE Hanford Site - A Leadership for Energy and Environmental Design (LEED) Gold-Certified Facility

    Energy Technology Data Exchange (ETDEWEB)

    Dorr, Kent A.; Ostrom, Michael J.; Freeman-Pollard, Jhivaun R.

    2013-01-11

    CH2M Hill Plateau Remediation Company (CHPRC) designed, constructed, commissioned, and began operation of the largest groundwater pump and treatment facility in the U.S. Department of Energy’s (DOE) nationwide complex. This one-of-a-kind groundwater pump and treatment facility, located at the Hanford Nuclear Reservation Site (Hanford Site) in Washington State, was built to an accelerated schedule with American Recovery and Reinvestment Act (ARRA) funds. There were many contractual, technical, configuration management, quality, safety, and Leadership in Energy and Environmental Design (LEED) challenges associated with the design, procurement, construction, and commissioning of this $95 million, 52,000 ft groundwater pump and treatment facility to meet DOE’s mission objective of treating contaminated groundwater at the Hanford Site with a new facility by June 28, 2012. The project team’s successful integration of the project’s core values and green energy technology throughout design, procurement, construction, and start-up of this complex, first-of-its-kind Bio Process facility resulted in successful achievement of DOE’s mission objective, as well as attainment of LEED GOLD certification, which makes this Bio Process facility the first non-administrative building in the DOE Office of Environmental Management complex to earn such an award.

  9. CRP in acute appendicitis--is it a necessary investigation?

    Science.gov (United States)

    Amalesh, T; Shankar, M; Shankar, R

    2004-01-01

    Appendectomy is one of the commonest procedures in surgery. In spite of various investigations used to improve the accuracy of diagnosis, the rate of normal appendices removed is still about 15-30%. Many studies have investigated the role of C-reactive protein (CRP) in acute appendicitis, but with conflicting results. In a prospective, double blind study, blood for the measurement of serum C-reactive protein was collected pre-operatively from 192 children before going to the operating theatre for appendectomy. The histopathology was grouped into positive (acute appendicitis) and negative (normal appendix) and this was correlated with CRP values. CRP was normal in 14 out of 33 negative explorations (normal appendix on histopathology). The specificity and sensitivity of serum CRP was 42% and 91% respectively. The predictive value of a positive (raised CRP) and negative (normal CRP) test is 88% and 48% respectively. We conclude that neither raised nor normal CRP value is helpful in the diagnosis of acute appendicitis. CRP is not a good tool for helping the surgeon make the diagnosis of appendicitis and it should not be measured in suspected appendicitis.

  10. Diagnosing perforated appendicitis in pediatric patients: a new model.

    Science.gov (United States)

    van den Bogaard, Veerle A B; Euser, Sjoerd M; van der Ploeg, Tjeerd; de Korte, Niels; Sanders, Dave G M; de Winter, Derek; Vergroesen, Diederik; van Groningen, Krijn; de Winter, Peter

    2016-03-01

    Studies have investigated sensitivity and specificity of symptoms and tests for diagnosing appendicitis in children. Less is known with regard to the predictive value of these symptoms and tests with respect to the severity of appendicitis. The aim of this study was to determine the predictive value of patient's characteristics and tests for discriminating between perforated and nonperforated appendicitis in children. Pediatric patients who underwent an appendectomy at Spaarne Hospital Hoofddorp, the Netherlands, between January 1, 2009 and December 31, 2013, were included. Baseline patient's characteristics, history, physical examination, laboratory data and results of ultrasounds were collected. Univariate and multivariate logistic regressions were used to determine predictors of perforation. In total, 375 patients were included in this study of which 97 children (25.9%) had significant signs of perforation. Univariate analysis showed that age, duration of complaints, temperature, vomiting, CRP, WBC, different findings on ultrasound and the diameter of the appendix were good predictors of a perforated appendicitis. The final multivariate prediction model included temperature, CRP, clearly visible appendix and free fluids on ultrasound and diameter of the appendix and resulted in an area under the curve (AUC) of 0.91 showing sensitivity and specificity of respectively 85.2% and 81.2%. This prediction model can be used for identification of 'high-risk' children for a perforated appendicitis and might be helpful to prevent complications and longer hospitalization by bringing these children to theater earlier. Copyright © 2016 Elsevier Inc. All rights reserved.

  11. Reduced risk of UC in families affected by appendicitis

    DEFF Research Database (Denmark)

    Nyboe Andersen, Nynne; Gørtz, Sanne; Frisch, Morten

    2017-01-01

    OBJECTIVE: The possible aetiological link between appendicitis and UC remains unclear. In order to investigate the hereditary component of the association, we studied the risk of UC in family members of individuals with appendicitis. DESIGN: A cohort of 7.1 million individuals was established...... million person-years of follow-up between 1977 and 2011, a total of 190 004 cohort members developed appendicitis and 45 202 developed UC. Individuals having a first-degree relative with appendicitis before age 20 years had significantly reduced risk of UC (RR 0.90; 95% CI 0.86 to 0.95); this association...... was stronger in individuals with a family predisposition to UC (RR 0.66; 95% CI 0.51 to 0.83). CONCLUSIONS: Individuals with a first-degree relative diagnosed with appendicitis before age 20 years are at reduced risk of UC, particularly when there is a family predisposition to UC. Our findings question...

  12. Lessons Learned From a Decade of Design, Construction, and Operations of the Environmental Management Waste Management Facility in Oak Ridge, Tennessee - 12062

    Energy Technology Data Exchange (ETDEWEB)

    Williams, Joe [Bechtel National, Inc., Oak Ridge, TN 37830 (United States)

    2012-07-01

    The Environmental Management Waste Management Facility (EMWMF) is the Department of Energy's on-site disposal facility for radioactive and hazardous waste generated by the CERCLA cleanup of the Oak Ridge Reservation (ORR). EMWMF recently completed building out to its maximum site capacity and is approaching a decade of operating experience. In meeting the challenges of design, construction, and operation of a mixed waste and low-level radioactive waste disposal facility within the framework of CERCLA, the Bechtel Jacobs Company LLC (BJC) project team learned valuable lessons that may be beneficial to other disposal facilities. Since project inception in 1998, the scope of the effort includes five regulator-approved designs, four phases of construction, and utilization of half of EMWMF's 1.63 M m{sup 3} of airspace during disposal of waste streams from across the ORR. Funding came from the broadest possible range of sources - privatization, American Recovery and Reinvestment Act, and two funding appropriation accounts. In the process of becoming the cost effective disposal outlet for the majority of the ORR cleanup waste, EMWMF overcame numerous challenges. Lessons learned were a key factor in achieving that success. Many of EMWMF's challenges are common to other disposal facilities. Sharing the successes and lessons learned will help other facilities optimize design, construction, and operations. (author)

  13. The Frequency Of Fungi In Doubtful Appendicitis

    Directory of Open Access Journals (Sweden)

    J Hashemi

    2006-06-01

    Full Text Available Background and Aim: While nowadays,great attainments have been achieved in curing and preventing the pathogenic fungal infections, and some how there has been reduction in the number of occurrences, the occurrences of opportunistic infections have been increased. Since the study of fungal infections in various organs (e.g.digestive system is crucial ,and because of few study were done in this field in the world, it is decided to examine the apendectomide tissue for fungal contamination in Iran. Materials and Methods: The work has been done for six months. After oparation sergery the appendix tissue in two media (formalin & normal salin were carried out in the medical mycology laboratory at Tehran University of medical sciences. The specimens were examined directly and cultured in sabourauds dextrose agar with chloramphenicol (sc. In this experiment 200 appendicular tissues were examined. Results: Out of them some fungi were isolated in 10 cases included 4 Candida albican (40%, 2 Candida tropicalis (20%,1 Cryptococcus sp. (10%,1 Candida sp.and 2 Geotrichum sp. Cryptococcus sp. was identified with mycological methods. This isolation related to a young man that has a history for long contact to pigeon.some of the fungi specially yeast can be a part of mycoflora in digestive system but the finding of Cryptococcus is uncommon. Conclusion: In this study the fungi were isolated from 5% of appendisits and with pay attention to this finding that the most patients hadn.t background factors causing the proliferation of the fungal agents in the intestine, so with further studies it is probable to consider the fungi as the agents causing appendicitis in this patients.

  14. The present status of medical application of particle accelerator. Started construction of a new medically dedicated proton accelerator facility in Tsukuba

    International Nuclear Information System (INIS)

    Sakae, Takeji; Maruhashi, Akira

    1999-01-01

    A new facility of PMRC starts the construction in the neighborhood of Tsukuba university hospital, in order to establish technical skill for practical use in the cancer treatment and to grope for new skill. The facility has a linac injection system, a compact synchrotron, two rotating gantry rooms and two fixed horizontal beam lines. The outline of the design arranged for the facility is reviewed. As one of the important technique for the treatment, investigation into target adjusting accuracy in respiration-gated proton irradiation is presented. (author)

  15. Corrosion behaviour of steel rebars embedded in a concrete designed for the construction of an intermediate-level radioactive waste disposal facility

    Directory of Open Access Journals (Sweden)

    Schulz F.M.

    2013-07-01

    Full Text Available The National Atomic Energy Commission of the Argentine Republic is developing a nuclear waste disposal management programme that contemplates the design and construction of a facility for the final disposal of intermediate-level radioactive wastes. The repository is based on the use of multiple, independent and redundant barriers. The major components are made in reinforced concrete so, the durability of these structures is an important aspect for the facility integrity. This work presents an investigation performed on an instrumented reinforced concrete prototype specifically designed for this purpose, to study the behaviour of an intermediate level radioactive waste disposal facility from the rebar corrosion point of view. The information obtained will be used for the final design of the facility in order to guarantee a service life more or equal than the foreseen durability for this type of facilities.

  16. Value of ultrasonography in the differential diagnosis of appendicitis

    International Nuclear Information System (INIS)

    Alonso, J.M.; Sandoval, E.

    1998-01-01

    To determine the utility of ultrasound in the diagnosis of diseases that can be confused with appendicitis or presenting with atypical clinical signs of appendiceal inflammation. Graded-compression ultrasound was performed in 226 patients presenting with pain in right iliac fossa. Twenty-three patients were excluded because of inconclusive examination. Appendicitis was confirmed intraoperatively in 98 cases. There was no appendiceal inflammation in 105 patients. A final diagnosis could not be reached in 26 cases (4.7%) and was considered to represent abdominal pain of unknown origin. Ultrasound provided the correct diagnosis in 72 of the 79 patients in whom a definitive diagnosis was reached (91.1%). A wide spectrum of pathologies was identified by ultrasound, including gastrointestinal complaints (n=51), gynecological disorders (n=10), bioliopancreatic abnormalities (n=4), urological diseases (n=3) and others (n=3). Ultrasound is useful in the differential diagnosis of patients with confusing clinical signs of appendicitis. (Author) 34 refs

  17. Recovery and convalescence after laparoscopic surgery for appendicitis

    DEFF Research Database (Denmark)

    Kleif, Jakob; Vilandt, Jesper; Gögenur, Ismail

    2016-01-01

    BACKGROUND: Information about predictors for the duration of convalescence and the overall general wellbeing after laparoscopic surgery for suspected appendicitis is missing in the scientific literature. We aimed to describe and identify predictors for the duration of convalescence and the quality...... of recovery for patients undergoing laparoscopic surgery for suspected appendicitis. METHODS: A prospective cohort of adult patients undergoing laparoscopic surgery for suspected appendicitis was performed between July 2014 and December 2014. Patients completed a QoR-15 questionnaire six times during the 30-d...... predictors of the quality of recovery during the 30-d postoperative period. A 10% increase in the QoR-15 score increased the hazard ratio of 1.24 (95% confidence interval, 1.08-1.43, P = 0.002) for ending the period of convalescence. CONCLUSIONS: Duration of convalescence after laparoscopic surgery...

  18. Laparoscopic management of acute appendicitis in situs inversus

    Directory of Open Access Journals (Sweden)

    Golash Vishwanath

    2006-01-01

    Full Text Available Situs inversus is often detected incidentally in adults during imaging for a acute surgical emergency. We present a case of acute appendicitis in an adult who was previously unaware about his situs anomaly. A laparoscopic approach is helpful to deal with this condition. A 40 year old man was admitted with history of acute left lower abdominal pain, with uncontrolled diabetic keto-acidosis. Clinically, he was diagnosed as acute diverticulitis with localized peritonitis. Subsequent imaging studies and laparoscopy confirmed the diagnosis of situs inversus and acute left- sided appendicitis. He successfully underwent laparoscopic appendectomy. His postoperative recovery was uneventful. Although technically more challenging because of the reverse laparoscopic view of the anatomy, the laparoscopic diagnosis and management of acute appendicitis is indicated in situs inversus.

  19. Imaging of appendicitis in adults; Bildgebung der Appendizitis beim Erwachsenen

    Energy Technology Data Exchange (ETDEWEB)

    Karul, M.; Berliner, C.; Keller, S.; Yamamura, J. [University Medical Center Hamburg-Eppendorf, Hamburg (Germany). Dept. of Diagnostic and Interventional Radiology; Tsui, T.Y. [University Medical Center Hamburg-Eppendorf, Hamburg (Germany). Dept. of General, Visceral- and Thoracic Surgery

    2014-06-15

    Three imaging modalities are available for the diagnosis of acute appendicitis: ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MRI). Transabdominal ultrasound should be the first-line imaging test. Abdominal CT is superior to US and is required immediately in patients with atypical clinical presentation of appendicitis and suspected perforation. However, low-dose unenhanced CT is equal to standard-dose CT with intravenous contrast agents in the detection of five signs of acute appendicitis (thickened appendiceal wall more than 2 mm, cross-sectional diameter greater than 6 mm, periappendicitis, abscess, and appendicolith). MRI is necessary in pregnant women and young adults. This review illustrates the principles of state-of-the-art imaging techniques and their clinical relevance. (orig.)

  20. A bibliometric analysis of the citation classics of acute appendicitis.

    Science.gov (United States)

    Varzgalis, Manvydas; Bowden, Dermot J; Mc Donald, Ciaran K; Kerin, Michael J

    2017-07-01

    Acute appendicitis is one of the most commonly encountered emergency surgical conditions. An understanding of the most highly cited research works in this field is key to good evidence based clinical practice. To perform a bibliometric analysis on the 100 most frequently cited articles in the field of acute appendicitis. The database of the Institute for Scientific Information (ISI) Web of Science Expanded citation index was searched to identify the 100 most frequently cited articles in the field of acute appendicitis. The web of science expanded citation index tracks article citations made since 1946. The top 100 most frequently cited articles were selected for analysis in this series. The most frequently cited article was cited 649 times and the least cited three article 93 times. The average number of citations per article was 167.74. The top 100 cited articles originated from 17 countries. Over half of the papers originated from the USA. Fifty-one of the papers concentrated on diagnostics of acute appendicitis. Thirty-six papers looked at the treatment of acute appendicitis with 30 of these dealing with the surgical management of the disease. There were 6 studies at level 1a, 20 studies at level 1b and 43,5,17 and 9 studies at levels 2, 3, 4 and 5 respectively. Bibliometric analysis of the citation classics in a given field can provide interesting insights into the relationship between the quality of research outputs and clinical practice. The study of acute appendicitis remains an active field of research with a growing body of higher quality evidence underpinning our clinical practice.

  1. The impact of ultrasound in suspected acute appendicitis

    International Nuclear Information System (INIS)

    Gracey, D.; McClure, M.J.

    2007-01-01

    Aims: To evaluate prospectively the impact of an appendix ultrasound (US) service on the clinical management of patients presenting with suspected acute appendicitis. Materials and methods: The referring clinician completed a proforma for patients presenting with suspected acute appendicitis. Two visual analogue scales assessed clinical suspicion before and after knowledge of laboratory results. The clinician also indicated if they intended to operate had US been unavailable. During a 3-year period, 327 patients were examined by graded-compression US and diagnosed 'positive' or 'negative' for acute appendicitis. Findings were correlated with histopathology results. The referring clinician completed a retrospective audit questionnaire to assess user satisfaction. Results: Clinical suspicion was altered by knowledge of laboratory results. The decision to operate if US had been unavailable, was 'yes' in 70 cases (group A), 'no' in 231 (group B), and incomplete in 26 (group C). In group A, 31 patients (44.3%) had a negative US and 25 avoided surgery. US identified 39 cases of appendicitis and 37 appendicectomies confirmed appendicitis in 34 cases. In group B, 72 (31.2%) patients had a positive US and 66 appendicectomies confirmed 51 cases of appendicitis. The sensitivity of US was 94.7% in group A, 93.3% in group B and 93.8% overall. Specificity was 90.6% in group A, 91.2% in group B and 91.3% overall. US findings were contrary to intended surgical management in 103 cases. Management was altered in 97 cases (32.2%), with a positive outcome in 85 (28.2%). The referrers found US of appendix very useful in planning appropriate management. Conclusion: US of the appendix increases diagnostic accuracy, alters management and is more sensitive and specific than clinical impression, either alone, or in conjunction with laboratory results

  2. COMPARISON BETWEEN RIPASA AND ALVARADO SCORING IN DIAGNOSING ACUTE APPENDICITIS

    Directory of Open Access Journals (Sweden)

    Balakrishnan Subramani

    2017-02-01

    Full Text Available BACKGROUND Acute appendicitis is one of the most common cause of acute abdominal pain and emergency appendicectomy is the most common emergency surgery. The diagnosis of appendicitis is confirmed by histopathological examination that is not possible before appendicectomy. The negative exploration remains high in the rate of about 15-30%. 1 Scoring systems based on history, clinical examination and basic investigations are there in aiding the diagnosis of acute appendicitis and decreasing negative exploration. This study compares RIPASA and ALVARADO scoring systems in diagnosing acute appendicitis. 2 MATERIALS AND METHODS A comparative study was done between November 2014 to June 2015. Patients diagnosed as acute appendicitis in Department of General Surgery, Government Royapettah Hospital. 100 of them are to be selected on the basis of nonprobability (purposive sampling method. After considering the inclusion and exclusion criteria, 96 were enrolled into the study. A full history, clinical examination and both scoring systems were done on the patients. RESULTS In 96 patients, 46 patients (48% were male and 50 patients (52% were female. 65 patients underwent emergency appendicectomy based on the clinical decision. The sensitivity and specificity of the RIPASA scoring system was 98.0% and 80.43%, respectively. The sensitivity and specificity of the ALVARADO scoring system was 80.43% and 86.95%, respectively. The PPV (positive predictive value of RIPASA and ALVARADO was 84% and 85%, respectively. The NPP (negative predictive value of RIPASA and ALVARADO was 97% and 71%, respectively. The diagnostic accuracy was 89% for RIPASA and 77% for ALVARADO. CONCLUSION The RIPASA scoring is better than ALVARADO scoring in the diagnosis of acute appendicitis.

  3. Risk of appendicitis in patients with incidentally discovered appendicoliths.

    Science.gov (United States)

    Khan, Muhammad Sohaib; Chaudhry, Mustafa Belal Hafeez; Shahzad, Noman; Tariq, Marvi; Memon, Wasim Ahmed; Alvi, Abdul Rehman

    2018-01-01

    An appendicolith-related appendiceal obstruction leading to appendicitis is a commonly encountered surgical emergency that has clear evidence-based management plans. However, there is no consensus on management of asymptomatic patients when appendicoliths are found incidentally. The objective of this study was to determine the risk of appendicitis in patients with an incidental finding of the appendicolith. A retrospective matched cohort study of patients with appendicolith discovered incidentally on computed tomographic scan from January 2008 to December 2014 at our institution was completed. The size and position of the appendicolith were ascertained. The study group was matched by age and gender to a control group. Both groups were contacted and interviewed regarding development of appendicitis. In total, 111 patients with appendicolith were successfully contacted and included in the study. Mean age was found to be 38 ± 15 y with 36 (32%) of the study population being females. Mean length of appendix was 66 ± 16 mm, and mean width was 5.8 ± 0.9 mm. Mean size of the appendicolith was 3.6 ± 1.1 mm (1.4-7.8 mm). Fifty-eight percent of appendicoliths was located at the proximal end or whole of appendix, 31% at mid area, and 11% at the distal end of appendix. All patients of the study and control groups were contacted, and at a mean follow-up of 4.0 ± 1.7 y, there was no occurrence of acute appendicitis in either group. Patients with incidentally discovered appendicolith on radiological imaging did not develop appendicitis. Hence, the risk of developing acute appendicitis for these patients does not seem higher than the general population. Copyright © 2017 Elsevier Inc. All rights reserved.

  4. MRI for clinically suspected pediatric appendicitis: an implemented program

    Energy Technology Data Exchange (ETDEWEB)

    Moore, Michael M.; Gustas, Cristy N.; Choudhary, Arabinda K.; Methratta, Sosamma T.; Hulse, Michael A.; Eggli, Kathleen D.; Boal, Danielle K.B. [Penn State Milton S. Hershey Medical Center, Department of Radiology, Mail Code H066, 500 University Drive, P.O. Box 850, Hershey, PA (United States); Geeting, Glenn [Penn State Milton S. Hershey Medical Center, Department of Emergency Medicine, Hershey, PA (United States)

    2012-09-15

    Emergent MRI is now a viable alternative to CT for evaluating appendicitis while avoiding the detrimental effects of ionizing radiation. However, primary employment of MRI in the setting of clinically suspected pediatric appendicitis has remained significantly underutilized. To describe our institution's development and the results of a fully implemented clinical program using MRI as the primary imaging evaluation for children with suspected appendicitis. A four-sequence MRI protocol consisting of coronal and axial single-shot turbo spin-echo (SS-TSE) T2, coronal spectral adiabatic inversion recovery (SPAIR), and axial SS-TSE T2 with fat saturation was performed on 208 children, ages 3 to 17 years, with clinically suspected appendicitis. No intravenous or oral contrast material was administered. No sedation was administered. Data collection includes two separate areas: time parameter analysis and MRI diagnostic results. Diagnostic accuracy of MRI for pediatric appendicitis indicated a sensitivity of 97.6% (CI: 87.1-99.9%), specificity 97.0% (CI: 93.2-99.0%), positive predictive value 88.9% (CI: 76.0-96.3%), and negative predictive value 99.4% (CI: 96.6-99.9%). Time parameter analysis indicated clinical feasibility, with time requested to first sequence obtained mean of 78.7 +/- 52.5 min, median 65 min; first-to-last sequence time stamp mean 14.2 +/- 8.8 min, median 12 min; last sequence to report mean 57.4 +/- 35.2 min, median 46 min. Mean age was 11.2 +/- 3.6 years old. Girls represented 57% of patients. MRI is an effective and efficient method of imaging children with clinically suspected appendicitis. Using an expedited four-sequence protocol, sensitivity and specificity are comparable to CT while avoiding the detrimental effects of ionizing radiation. (orig.)

  5. Lessons learnt during the design, construction and start-up phase of a molten salt testing facility

    International Nuclear Information System (INIS)

    Rodríguez-García, Margarita-Manuela; Herrador-Moreno, Miguel; Zarza Moya, Eduardo

    2014-01-01

    In 2010, CIEMAT (Centro de investigaciones energéticas medioambientales y tecnológicas) signed a turn-key contract to have an experimental plant for thermal storage using molten salts at its PSA (Plataforma Solar de Almeria) facilities. This plant was designed to evaluate components, instrumentation and operation strategies and to give support to the industry in the qualification and evaluation of components. During the design, construction and start-up phases of this plant, many different aspects regarding design, construction and commissioning have been learnt and these will contribute to the improvement of other plants. Among other tips explained in the paper, we recommend the use of venting valves to eliminate the water present in the system after the pressure test or released by the salts during the first melting. The selection of instrumentation with no electronic components near a heat source, thus preventing them from overheating, is also advisable. The heat exchanger design and dimensioning should take into account not only the thermal losses to the atmosphere and through pipes and supports, but any possible reduction in the heat exchange surface that could have detrimental consequences in the thermal performance. Special attention must be paid when dimensioning and installing the EHT and insulation because both components are decisive in the avoidance of plug formation. Its correct installation in valves and supports and the proper positioning of the temperature control sensors, i.e. where no other heat source can distort the readings, are crucial. Recommendations and strategies for the operation and shutdown of this experimental plant are being gathered for a future paper. -- Highlights: • Description of the experimental molten salt storage system built at CIEMAT. • Design technical considerations for an experimental molten salt storage plant. • Hints for piping and heat exchangers design and thermal losses calculation. • Recommendations for

  6. Facile Synthesis of Smart Nanocontainers as Key Components for Construction of Self-Healing Coating with Superhydrophobic Surfaces.

    Science.gov (United States)

    Liang, Yi; Wang, MingDong; Wang, Cheng; Feng, Jing; Li, JianSheng; Wang, LianJun; Fu, JiaJun

    2016-12-01

    SiO2-imidazoline nanocomposites (SiO2-IMI) owning high loading capacity of corrosion inhibitor, 1-hexadecyl-3-methylimidazolium bromide (HMID), and a special acid/alkali dual-stimuli-accelerated release property have been synthesized via a one-step modified Stöber method. SiO2-IMI were uniformly distributed into the hydrophobic SiO2 sol to construct "host"-"guest" feedback active coating with a superhydrophobic surface (SiO2-IMI@SHSC) on aluminium alloy, AA2024, by dip-coating technique. SiO2-IMI as "guest" components have good compatibility with "host" sol-gel coating, and more importantly, once localized corrosion occurs on the surface of AA2024, SiO2-IMI can simultaneously respond to the increase in environmental pH around corrosive micro-cathodic regions and decrease in pH near micro-anodic regions, promptly releasing HMID to form a compact molecular film on the damaged surface, inhibiting corrosion spread and executing a self-healing function. The scanning vibrating electrode technique (SVET) was applied to illustrate the suppression process of cathodic/anodic corrosion activities. Furthermore, benefiting from the superhydrophobic surface, SiO2-IMI@SHSC remained its protective ability after immersion in 0.5 M NaCl solution for 35 days, which is far superior to the conventional sol-gel coating with the same coating thickness. The facile fabrication method of SiO2-IMI simplifies the construction procedure of SiO2-IMI@SHSC, which have great potential to replace non-environmental chromate conversion coatings for practical use.

  7. Facile Synthesis of Smart Nanocontainers as Key Components for Construction of Self-Healing Coating with Superhydrophobic Surfaces

    Science.gov (United States)

    Liang, Yi; Wang, MingDong; Wang, Cheng; Feng, Jing; Li, JianSheng; Wang, LianJun; Fu, JiaJun

    2016-04-01

    SiO2-imidazoline nanocomposites (SiO2-IMI) owning high loading capacity of corrosion inhibitor, 1-hexadecyl-3-methylimidazolium bromide (HMID), and a special acid/alkali dual-stimuli-accelerated release property have been synthesized via a one-step modified Stöber method. SiO2-IMI were uniformly distributed into the hydrophobic SiO2 sol to construct "host"-"guest" feedback active coating with a superhydrophobic surface (SiO2-IMI@SHSC) on aluminium alloy, AA2024, by dip-coating technique. SiO2-IMI as "guest" components have good compatibility with "host" sol-gel coating, and more importantly, once localized corrosion occurs on the surface of AA2024, SiO2-IMI can simultaneously respond to the increase in environmental pH around corrosive micro-cathodic regions and decrease in pH near micro-anodic regions, promptly releasing HMID to form a compact molecular film on the damaged surface, inhibiting corrosion spread and executing a self-healing function. The scanning vibrating electrode technique (SVET) was applied to illustrate the suppression process of cathodic/anodic corrosion activities. Furthermore, benefiting from the superhydrophobic surface, SiO2-IMI@SHSC remained its protective ability after immersion in 0.5 M NaCl solution for 35 days, which is far superior to the conventional sol-gel coating with the same coating thickness. The facile fabrication method of SiO2-IMI simplifies the construction procedure of SiO2-IMI@SHSC, which have great potential to replace non-environmental chromate conversion coatings for practical use.

  8. Appendiceal and ovarian Burkitt's lymphoma presenting as acute appendicitis

    Directory of Open Access Journals (Sweden)

    Donovan Hui

    2018-05-01

    Full Text Available Burkitt's lymphoma is an extremely aggressive B-cell non-Hodgkin lymphoma. Patients with the sporadic form of Burkitt's lymphoma typically present with a rapidly growing abdominal mass, pain and distension. Involvement of either the appendix and/or ovaries in females is a rare manifestation of the disease. We present an unusual case of a 13 year old girl with appendiceal and ovarian Burkitt's lymphoma presenting with signs of acute appendicitis. This case demonstrates the potential for secondary involvement of the appendix and/or ovaries from Burkitt's lymphoma as well as the importance of the histopathology. Keywords: Appendicitis, Appendix, Burkitt's lymphoma, Lymphoma, Ovarian tumor

  9. Case report of recurrent acute appendicitis in a residual tip.

    LENUS (Irish Health Repository)

    O'Leary, Donal P

    2010-01-01

    INTRODUCTION: Residual appendicitis involving the stump of the appendix has been well described in the literature in the past. CASE REPORT: We report the case of a 43 year old male with acute onset of abdominal pain who had undergone an appendicectomy ten years previously. Ultrasound revealed the presence of an inflamed tubular structure. Subsequent laparotomy and histology confirmed that this structure was an inflamed residual appendiceal tip. CONCLUSION: Residual tip appendicitis has not been reported in the literature previously and should be considered in the differential diagnosis of localised peritonitis in a patient with a history of a previous open appendicectomy.

  10. Imaging findings of perforative appendicitis: a pictorial review

    Energy Technology Data Exchange (ETDEWEB)

    Hopkins, K.L.; Patrick, L.E.; Ball, T.I. [Dept. of Radiology, Children' s Healthcare of Atlanta, Egleston, GA (United States)

    2001-03-01

    Appendicitis is common in children. Early diagnosis depends on recognition of characteristic signs and symptoms: right lower quadrant or periumbilical pain, localized tenderness, fever, and leukocytosis. Because these classic features may be difficult to elicit or masked by other complaints, the incidence of perforative appendicitis in children is high. This paper reviews the imaging sequelae with emphasis on CT and sonography findings. Areas of focus include abdominopelvic abscess, peritonitis, pyelephlebitis, pyelethrombosis, and hepatic abscess. Secondary involvement of the urinary and gastrointestinal tracts is also discussed. (orig.)

  11. Oral antibiotics for perforated appendicitis is not recommended

    DEFF Research Database (Denmark)

    Alamili, Mahdi; Gögenur, Ismail; Rosenberg, Jacob

    2010-01-01

    In the majority of surgical departments in Denmark, the postoperative treatment for acute perforated appendicitis comprises three days of intravenous antibiotics. Recently, it has been proposed that such antibiotic regimen should be replaced by orally administered antibiotics. The aim of this paper...... was to give an overview of studies on acute perforated appendicitis with postoperative oral antibiotics. Five studies were found in a database search covering the 1966-2009 period. There is no evidence to support a conversion of the postoperative antibiotic regimen from intravenous to oral administration...

  12. Acute appendicitis mistaken as acute rejection in renal transplant recipients.

    Directory of Open Access Journals (Sweden)

    Talwalkar N

    1994-01-01

    Full Text Available Case histories of 2 renal transplant recipients are reported who had presenting features of fever, leukocytosis and pain/tenderness over right iliac fossa and were diagnosed to be due to acute appendicitis rather than more commonly suspected acute rejection episode which has very similar features. Diagnosis of acute appendicitis was suspected on the basis of rectal examination and later confirmed by laparotomy. The purpose of this communication is to emphasize the need for proper diagnosis in patient with such presentation; otherwise wrong treatment may be received.

  13. Cecal diverticulitis mimicking acute Appendicitis: a report of 4 cases

    Directory of Open Access Journals (Sweden)

    Kurtulus Idris

    2008-04-01

    Full Text Available Abstract Diverticulum of the cecum is a rare, benign, generally asymptomatic lesion that manifests itself only following inflammatory or hemorrhagic complications. Most patients with inflammation of a solitary diverticulum of the cecum present with abdominal pain that is indistinguishable from acute appendicitis. The optimal management of this condition is still controversial, ranging from conservative antibiotic treatment to aggressive resection. We describe four cases that presented with symptoms suggestive of appendicitis, but were found at operation to have an inflamed solitary diverticulum.

  14. Lessons Learned From The 200 West Pump And Treatment Facility Construction Project At The US DOE Hanford Site - A Leadership For Energy And Environmental Design (LEED) Gold-Certified Facility

    International Nuclear Information System (INIS)

    Dorr, Kent A.; Ostrom, Michael J.; Freeman-Pollard, Jhivaun R.

    2012-01-01

    CH2M Hill Plateau Remediation Company (CHPRC) designed, constructed, commissioned, and began operation of the largest groundwater pump and treatment facility in the U.S. Department of Energy's (DOE) nationwide complex. This one-of-a-kind groundwater pump and treatment facility, located at the Hanford Nuclear Reservation Site (Hanford Site) in Washington State, was built in an accelerated manner with American Recovery and Reinvestment Act (ARRA) funds and has attained Leadership in Energy and Environmental Design (LEED) GOLD certification, which makes it the first non-administrative building in the DOE Office of Environmental Management complex to earn such an award. There were many contractual, technical, configuration management, quality, safety, and LEED challenges associated with the design, procurement, construction, and commissioning of this $95 million, 52,000 ft groundwater pump and treatment facility. This paper will present the Project and LEED accomplishments, as well as Lessons Learned by CHPRC when additional ARRA funds were used to accelerate design, procurement, construction, and commissioning of the 200 West Groundwater Pump and Treatment (2W PandT) Facility to meet DOE's mission of treating contaminated groundwater at the Hanford Site with a new facility by June 28, 2012

  15. Lessons Learned From The 200 West Pump And Treatment Facility Construction Project At The US DOE Hanford Site - A Leadership For Energy And Environmental Design (LEED) Gold-Certified Facility

    Energy Technology Data Exchange (ETDEWEB)

    Dorr, Kent A. [CH2M HILL Plateau Remediation Company, Richland, WA (United States); Ostrom, Michael J. [CH2M HILL Plateau Remediation Company, Richland, WA (United States); Freeman-Pollard, Jhivaun R. [CH2M HILL Plateau Remediation Company, Richland, WA (United States)

    2012-11-14

    CH2M Hill Plateau Remediation Company (CHPRC) designed, constructed, commissioned, and began operation of the largest groundwater pump and treatment facility in the U.S. Department of Energy's (DOE) nationwide complex. This one-of-a-kind groundwater pump and treatment facility, located at the Hanford Nuclear Reservation Site (Hanford Site) in Washington State, was built in an accelerated manner with American Recovery and Reinvestment Act (ARRA) funds and has attained Leadership in Energy and Environmental Design (LEED) GOLD certification, which makes it the first non-administrative building in the DOE Office of Environmental Management complex to earn such an award. There were many contractual, technical, configuration management, quality, safety, and LEED challenges associated with the design, procurement, construction, and commissioning of this $95 million, 52,000 ft groundwater pump and treatment facility. This paper will present the Project and LEED accomplishments, as well as Lessons Learned by CHPRC when additional ARRA funds were used to accelerate design, procurement, construction, and commissioning of the 200 West Groundwater Pump and Treatment (2W P&T) Facility to meet DOE's mission of treating contaminated groundwater at the Hanford Site with a new facility by June 28, 2012.

  16. Facile construction of 3D graphene/MoS2 composites as advanced electrode materials for supercapacitors

    Science.gov (United States)

    Sun, Tianhua; Li, Zhangpeng; Liu, Xiaohong; Ma, Limin; Wang, Jinqing; Yang, Shengrong

    2016-11-01

    Flower-like molybdenum disulfide (MoS2) microstructures are synthesized based on three-dimensional graphene (3DG) skeleton via a simple and facile one-step hydrothermal method, aiming at constructing series of novel composite electrode materials of 3DG/MoS2 with high electrochemical performances for supercapacitors. The electrochemical properties of the samples are evaluated by cyclic voltammetry and galvanostatic charge/discharge tests. Specifically, the optimal 3DG/MoS2 composite exhibits remarkable performances with a high specific capacitance of 410 F g-1 at a current density of 1 A g-1 and an excellent cycling stability with ca. 80.3% capacitance retention after 10,000 continuous charge-discharge cycles at a high current density of 2 A g-1, making it adaptive for high-performance supercapacitors. The enhanced electrochemical performances can be ascribed to the combination of 3DG and flower-like MoS2, which provides excellent charge transfer network and electrolyte diffusion channels while effectively prevents the collapse, aggregation and morphology change of active materials during charge-discharge process. The results demonstrate that 3DG/MoS2 composite is one of the attractive electrode materials for supercapacitors.

  17. Double-shelled silicon anode nanocomposite materials: A facile approach for stabilizing electrochemical performance via interface construction

    Science.gov (United States)

    Du, Lulu; Wen, Zhongsheng; Wang, Guanqin; Yang, Yan-E.

    2018-04-01

    The rapid capacity fading induced by volumetric changes is the main issue that hinders the widespread application of silicon anode materials. Thus, double-shelled silicon composite materials where lithium silicate was located between an Nb2O5 coating layer and a silicon active core were configured to overcome the chemical compatibility issues related to silicon and oxides. The proposed composites were prepared via a facile co-precipitation method combined with calcination. Transmission electron microscopy and X-ray photoelectron spectroscopy analysis demonstrated that a transition layer of lithium silicate was constructed successfully, which effectively hindered the thermal inter-diffusion between the silicon and oxide coating layers during heat treatment. The electrochemical performance of the double-shelled silicon composites was enhanced dramatically with a retained specific capacity of 1030 mAh g-1 after 200 cycles at a current density of 200 mA g-1 compared with 598 mAh g-1 for a core-shell Si@Nb2O5 composite that lacked the interface. The lithium silicate transition layer was shown to play an important role in maintaining the high electrochemical stability.

  18. Proposed Use of a Constructed Wetland for the Treatment of Metals in the S-04 Outfall of the Defense Waste Processing Facility at the Savannah River Site

    International Nuclear Information System (INIS)

    Glover, T.

    1999-01-01

    The DWPF is part of an integrated waste treatment system at the SRS to treat wastes containing radioactive contaminants. In the early 1980s the DOE recognized that there would be significant safety and cost advantages associated with immobilizing the radioactive waste in a stable solid form. The Defense Waste Processing Facility was designed and constructed to accomplish this task

  19. Issues related to the construction and operation of a geological disposal facility for nuclear fuel waste in crystalline rock - the Canadian experience

    Energy Technology Data Exchange (ETDEWEB)

    Allan, C.J.; Baumgartner, P.; Ohta, M.M.; Simmons, G.R.; Whitaker, S.H. [Atomic Energy of Canada Ltd., Pinawa, MB (Canada). Whiteshell Labs

    1997-12-31

    This paper covers the overview of the Canadian nuclear fuel waste management program, the general approach to the siting, design, construction, operation and closure of a geological disposal facility, the implementing disposal, and the public involvement in implementing geological disposal of nuclear fuel waste. And two appendices are included. 45 refs., 5 tabs., 10 figs.

  20. Construction and operation of a 10 MeV electron accelerator and associated experimental facilities at Brookhaven National Laboratory, Upton, New York. Environmental assessment

    International Nuclear Information System (INIS)

    1994-02-01

    The purpose of this environmental impact statement is to determine whether there would be significant environmental impacts associated with the construction of an experimental facility at Brookhaven National Laboratory for radiation chemistry research and operation of the 10-MeV electron accelerator proposed for it. The document describes the need for action, alternative actions, the affected environment, and potential environmental impacts

  1. Issues related to the construction and operation of a geological disposal facility for nuclear fuel waste in crystalline rock - the Canadian experience

    International Nuclear Information System (INIS)

    Allan, C.J.; Baumgartner, P.; Ohta, M.M.; Simmons, G.R.; Whitaker, S.H.

    1997-01-01

    This paper covers the overview of the Canadian nuclear fuel waste management program, the general approach to the siting, design, construction, operation and closure of a geological disposal facility, the implementing disposal, and the public involvement in implementing geological disposal of nuclear fuel waste. And two appendices are included. 45 refs., 5 tabs., 10 figs

  2. Proposed Use of a Constructed Wetland for the Treatment of Metals in the S-04 Outfall of the Defense Waste Processing Facility at the Savannah River Site

    Energy Technology Data Exchange (ETDEWEB)

    Glover, T.

    1999-11-23

    The DWPF is part of an integrated waste treatment system at the SRS to treat wastes containing radioactive contaminants. In the early 1980s the DOE recognized that there would be significant safety and cost advantages associated with immobilizing the radioactive waste in a stable solid form. The Defense Waste Processing Facility was designed and constructed to accomplish this task.

  3. Faecal loading in the cecum as a new radiological sign of acute appendicitis

    International Nuclear Information System (INIS)

    Petroianu, Andy

    2005-01-01

    Purpose: Although the radiological features of acute appendicitis have been well documented, the value of the plain radiography has not been fully appreciated. The aim of this study was to determine the frequency of the association of acute appendicitis and images of faecal loading in the cecum. Methods: Plain abdominal radiographs of 100 consecutive adult patients operated on acute appendicitis were assessed. The presence of faecal loading was registered. Results: The presence of faecal loading in the cecum occurred in 97 of the cases of acute appendicitis. Conclusion: This study seems to demonstrate that the presence of radiological images of faecal loading in the cecum may be a useful sign of acute appendicitis

  4. Principal provisions of engineering and geological survey methodology in designing and construction of underground laboratory as a part of facility of RW underground isolation

    International Nuclear Information System (INIS)

    Prokopova, O.A.

    2006-01-01

    The most critical moment is the choice of a site for radioactive waste geological repository. Here the role of engineering and geological prospecting as a basis for the construction of a facility for underground isolation appears especially important; it is followed by finding a suitable area and subsequent allocation of the site and facility construction sites. The decision on the selection of construction site for the underground repository is taken by the principle 'descent from the general to the particular', which is a continuous process with the observance of stages in research for the design and exploration work. Each stage of research is typified by specific scale and methods of geological and geophysical studies and scientific research to be fulfilled in scopes sufficient for solution of basic problems for the designing. (author)

  5. Omental infarction in children misdiagnosed as acute appendicitis ...

    African Journals Online (AJOL)

    Omental infarction (OI) is a rare cause of acute abdomen in children. It is found in 0.1–0.5% of pediatric patients undergoing abdominal exploration for the suspect of acute appendicitis. OI is considered a self-limited entity, and conservative management should be considered. This approach implicates computer tomography ...

  6. Mean Platelet volume in diagnosis of acute appendicitis in children ...

    African Journals Online (AJOL)

    Background: The clinical diagnosis of acute appendicitis (AA) in children is still problematic in status. Objectives: To investigate the diagnostic value of mean platelet volume (MPV) in acute AA at childhood. Methods: One hundred patients diagnosed as AA patients and 100 healthy individuals. Laboratory tests were studied ...

  7. Endometriosis of the appendix presenting as acute appendicitis: A ...

    African Journals Online (AJOL)

    Endometriosis is a common disease generally, but appendiceal endometriosis causing acute appendicitis is a very uncommon clinical phenomenon and a few cases have been reported. The authors aim to highlight the rarity of such clinical entity in Nigeria. A 29 year old nulliparous woman presented with severe right iliac ...

  8. A Case of Appendicular Tuberculosis mimicking an Acute Appendicitis

    African Journals Online (AJOL)

    Les auteurs rapportent un cas rare de tuberculose de siège apendiculaire mimant un tableau d'appendicite aigue. La littérature sur cette question est revisée. Mots clés : tuberculose, appendice. The author report a rare case of appendiceal tuberculosis clinically presenting as acute appendicitis. The litterature is reviewed.

  9. Case Report - Missed appendicitis after self-induced abortion ...

    African Journals Online (AJOL)

    She was eventually referred to a rural District Hospital, where a laparotomy demonstrated acute appendicitis. After treating herself for a self-diagnosed pregnancy with illegally provided misoprostol, this patient presented with persistent lower abdominal pain. The differential diagnosis included ectopic pregnancy and all ...

  10. Uncommon mimics of appendicitis: Giant mucocele | Zahid | Pan ...

    African Journals Online (AJOL)

    Appendiceal mucocele is an infrequent but well recognized entity that can present with a variety of clinical syndromes or can be asymptomatic and discovered incidentally. A 55 years old patient was admitted in the emergency department for acute right lower quadrant pain. A diagnosis of appendicitis was made.

  11. Trans-umbilical Laparoscopic Appendectomy for Acute Appendicitis ...

    African Journals Online (AJOL)

    Trans-umbilical Laparoscopic Appendectomy for Acute Appendicitis without Raising Skin-flaps: An Easy-to-use Modification Applied to the Series of 164 Patients from a Rural Institute of Central India. Priyadarshan Anand Jategaonkar, Sudeep Pradeep Yadav1. INTRODUCTION. Laparoscopic appendectomy (LA) is widely ...

  12. Acute appendicitis: An overview | Saidi | East African Medical Journal

    African Journals Online (AJOL)

    Objective: To provide an overview of the changing epidemiology of acute appendicitis in the developed and developing countries and the presumptive reasons. Data source: Major published series of the last two decades were reviewed using Medline Search and Index Medicus. The myriad of diagnostic approaches ...

  13. A paratubal cyst associated with flegmonous appendicitis: a case ...

    African Journals Online (AJOL)

    appendicitis: a case report and review of literature. Volkan S. Erikci a. , Demet Payza a. , Malik Ergin b and Mu¨nevver Ho ¸sgo¨ r a. Paratubal cysts (PTCs) are rare clinical entities and are believed to originate from the mesothelium or to be a remnant of Mullerian duct and Wolffian duct. These masses have been reported in ...

  14. WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis.

    Science.gov (United States)

    Di Saverio, Salomone; Birindelli, Arianna; Kelly, Micheal D; Catena, Fausto; Weber, Dieter G; Sartelli, Massimo; Sugrue, Michael; De Moya, Mark; Gomes, Carlos Augusto; Bhangu, Aneel; Agresta, Ferdinando; Moore, Ernest E; Soreide, Kjetil; Griffiths, Ewen; De Castro, Steve; Kashuk, Jeffry; Kluger, Yoram; Leppaniemi, Ari; Ansaloni, Luca; Andersson, Manne; Coccolini, Federico; Coimbra, Raul; Gurusamy, Kurinchi S; Campanile, Fabio Cesare; Biffl, Walter; Chiara, Osvaldo; Moore, Fred; Peitzman, Andrew B; Fraga, Gustavo P; Costa, David; Maier, Ronald V; Rizoli, Sandro; Balogh, Zsolt J; Bendinelli, Cino; Cirocchi, Roberto; Tonini, Valeria; Piccinini, Alice; Tugnoli, Gregorio; Jovine, Elio; Persiani, Roberto; Biondi, Antonio; Scalea, Thomas; Stahel, Philip; Ivatury, Rao; Velmahos, George; Andersson, Roland

    2016-01-01

    Acute appendicitis (AA) is among the most common cause of acute abdominal pain. Diagnosis of AA is challenging; a variable combination of clinical signs and symptoms has been used together with laboratory findings in several scoring systems proposed for suggesting the probability of AA and the possible subsequent management pathway. The role of imaging in the diagnosis of AA is still debated, with variable use of US, CT and MRI in different settings worldwide. Up to date, comprehensive clinical guidelines for diagnosis and management of AA have never been issued. In July 2015, during the 3rd World Congress of the WSES, held in Jerusalem (Israel), a panel of experts including an Organizational Committee and Scientific Committee and Scientific Secretariat, participated to a Consensus Conference where eight panelists presented a number of statements developed for each of the eight main questions about diagnosis and management of AA. The statements were then voted, eventually modified and finally approved by the participants to The Consensus Conference and lately by the board of co-authors. The current paper is reporting the definitive Guidelines Statements on each of the following topics: 1) Diagnostic efficiency of clinical scoring systems, 2) Role of Imaging, 3) Non-operative treatment for uncomplicated appendicitis, 4) Timing of appendectomy and in-hospital delay, 5) Surgical treatment 6) Scoring systems for intra-operative grading of appendicitis and their clinical usefulness 7) Non-surgical treatment for complicated appendicitis: abscess or phlegmon 8) Pre-operative and post-operative antibiotics.

  15. Acute Appendicitis: Incidence and Management in Nigeria | Alatise ...

    African Journals Online (AJOL)

    Appendicitis is the leading cause of surgical emergency admission in most hospital in Nigeria. It accounts for about 15-40% of all emergency surgery done in most centers in the country. All age groups can develop the disease including the fetus in utero, but the incidence is higher in the second and third decade of life.

  16. Endometriosis of the meso-appendix mimicking appendicitis: A case ...

    African Journals Online (AJOL)

    urine examination were both negative. A diagnosis of appendicitis was entertained; however, in light of her gynaecological history, a computed tomography (CT) scan was performed. The CT scan revealed a mildly enlarged appendix (measuring 8.2 mm in cross- section), with rim enhancement and minimal surrounding fat.

  17. Torsion of an Epiploic Appendix Pretending as Acute Appendicitis

    Directory of Open Access Journals (Sweden)

    Kamran Ahmad Malik

    2010-07-01

    Full Text Available Torsion of an epiploic appendix is a rare surgical entity. Its unusual symptomatology, wide variation in physical findings and the absence of helpful laboratory and radiological studies makes it very difficult to diagnose pre-operatively. This is a report of this rare entity found in a patient upon diagnostic laparoscopy performed for suspected acute appendicitis

  18. Analysis on misdiagnosed cases of right colon cancer as appendicitis

    Directory of Open Access Journals (Sweden)

    Sijia Liu

    2016-08-01

    Full Text Available The aim of this case report is to investigate the causes of misdiagnosing right colon cancer as appendicitis, in order to reduce the misdiagnosis rate. The process of diagnosing and treating 44 misdiagnosed right colon cancer cases was analyzed. It was found that the right colonic lumen in these patients was thick, and their cancer consisted mostly of the ulcerative type or of a cauliflower-like tumor that protruded into the intestinal cavity. Moreover, ring-shaped and structured cancer was rarely observed, which suggested a decreased likelihood of obstruction. The patients showed limited peritoneal irritation signs in their right lower abdomen, which was also a potential cause for misdiagnosis. Right colon cancer associated with appendicitis is easily misdiagnosed as simple appendicitis, chronic appendicitis, or appendiceal abscess. Therefore, it is necessary to raise general awareness on the manifestations of the disease in order to exclude other common complications during diagnosis and to reduce the misdiagnosis rate. An accurate early diagnosis and treatment will improve patient prognosis.

  19. Venstresidig appendicitis forårsaget af intestinal malrotation

    DEFF Research Database (Denmark)

    Ilangkovan, Nivethitha; Rindom, Alesia; Mogensen, Christian Backer

    2013-01-01

    Left-sided appendicitis due to malrotation is a rare condition with an atypical presentation. We report a history of a 31-year-old man who had four days of right-sided abdominal pain, moving across lower abdomen and tenderness in both right and left side on examination. A computed tomography...

  20. Richtlijn voor diagnostiek en behandeling van acute appendicitis

    NARCIS (Netherlands)

    Bakker, O. J.; Go, P. M. N. Y. H.; Puylaert, J. B. C. M.; Kazemier, G.; Heij, H. A.

    2010-01-01

    - Every year, over 2500 unnecessary appendectomies are carried out in the Netherlands. - At the initiative of the Dutch College of Surgeons, the evidence-based guideline on the diagnosis and treatment of acute appendicitis was developed. - This guideline recommends that appendectomy should not be

  1. CT diagnosis of appendicitis. Usefulness for staging of the disease

    International Nuclear Information System (INIS)

    Abe, Yoshitaka; Shimizu, Tadafumi; Sugimura, Kazurou

    2002-01-01

    The main purpose of this study is to determine signs and indexes useful for differentiating grades of appendicitis (catarrhal, phlegmonous, gangrenous). We assessed CT findings of 98 cases of appendicitis retrospectively. Nonenhanced CT scans were obtained in 83 cases and enhanced scans in 15 cases. No patients were given oral or colon contrast media. Each examination was performed from the level of the diaphragm to the pubic symphysis with 10 mm or 7 mm slice thickness and intervals. All images were examined for CT signs of appendicitis and the diameter and appearance of the appendix. We statistically analyzed the results and white blood cell count. We detected an abnormal appendix in 88 cases. Two CT signs identified and their sensitivity, specificity, and accuracy, respectively, included fat stranding around the appendix (92.2%, 81.8%, 90.9%) and indistinct wall of the appendix (63.9%, 94.2%, 81.8%). The diameter of the appendix differed significantly among the three grades (p=0.0008). The appearance of the appendix could be divided into 5 types, which exhibited correlation with the grades, although white blood cell count did not (p=0.1988). Fat stranding and indistinct wall, and appendix diameter and CT appearances provided useful signs and indexes for staging of appendicitis. (author)

  2. Systematic review of nonoperative versus operative treatment of uncomplicated appendicitis.

    Science.gov (United States)

    Gorter, Ramon R; The, Sarah-May M L; Gorter-Stam, Marguerite A W; Eker, Hasan H; Bakx, Roel; van der Lee, Johanna H; Heij, Hugo A

    2017-08-01

    To compare the risk of complications between initial nonoperative treatment and appendectomy of uncomplicated (simple) appendicitis in children. Systematic literature search. Eligible for inclusion were both and randomized controlled trials and cohort studies including children in which the outcome of nonoperative treatment of uncomplicated appendicitis was reported with a minimum follow-up period of one year. Two authors extracted data independently and assessed quality. Primary outcome parameter was the percentage of children experiencing complications. Secondary outcomes were early failures, recurrent appendicitis and appendectomies, for all indications and on request. Five of the 2051 articles screened were eligible for inclusion, including 147 children (nonoperative treatment) and 173 children (appendectomy) with one year follow-up. Percentage of children experiencing complications ranged from 0 to 13% versus 0-17% for nonoperative and appendectomy, respectively. Nonoperative treatment avoided an appendectomy in 62-81% of the children after one year follow-up. The evidence base for initial nonoperative treatment of acute uncomplicated appendicitis in children is by far insufficient. It suggests that the percentage of patients experiencing complications in the initial nonoperative treatment group is comparable to the appendectomy group, and it may avoid an appendectomy in the large majority of children after one year follow-up. Systematic review. 1. Copyright © 2017 Elsevier Inc. All rights reserved.

  3. Ileocecocolic Intussusception Induced by Acute Appendicitis: A Case Report

    Energy Technology Data Exchange (ETDEWEB)

    Jo, Bang Sil; Kim, Min Jeong; Jang, Kyung Mi; Lee, Hyun; Jeon, Eui Yong; Lee, Kwan Seop; Lee, Yul [Hallym University Sacred Heart Hospital, Anyang (Korea, Republic of)

    2009-09-15

    Intussusception is a rare disease in adults. Moreover, appendiceal disease is very rarely the leading cause of adult intussusception. We report a case in which ileocecocolic intussusception is secondary to an acute appendicitis in an adult, and describe the radiologic, clinical, and pathologic findings.

  4. Unenhanced MR Imaging in adults with clinically suspected acute appendicitis

    DEFF Research Database (Denmark)

    Chabanova, Elizaveta; Balslev, Ingegerd; Achiam, Michael

    2011-01-01

    patients had other pathology. For the three reviewers the performance of MRI in the diagnosis of acute appendicitis showed the following sensitivity, specificity and accuracy ranges: 83-93%, 50-83% and 77-83%. Moderate (kappa=0.51) and fair (kappa=0.31) interobserver agreements in the MR diagnosis of acute...

  5. Elderly versus young patients with appendicitis 3 years experience ...

    African Journals Online (AJOL)

    Elderly group of patients had perforated appendix in 16 cases (69.5%) while in group II patients eight cases (20%) had perforated appendix. Conclusion: Acute appendicitis in the elderly remains a challenge for practicing surgeons and continues to be associated with high morbidity and mortality. Results might improve with ...

  6. Perforated appendicitis: Risk factors and outcomes of management ...

    African Journals Online (AJOL)

    The case files of patients with perforated appendicitis were analysed in relation to age, sex, clinical presentation, management and outcome of management. The aim was to detect the main factors that contributed to the perforation of the appendix in these patients and assess the effectiveness of the treatment offered.

  7. Randomized clinical trial of antibiotic therapy for uncomplicated appendicitis.

    Science.gov (United States)

    Park, H C; Kim, M J; Lee, B H

    2017-12-01

    Uncomplicated appendicitis may resolve spontaneously or require treatment with antibiotics or appendicectomy. The aim of this randomized trial was to compare the outcome of a non-antibiotic management strategy with that of antibiotic therapy in uncomplicated appendicitis. Patients presenting to a university teaching hospital with CT-verified uncomplicated simple appendicitis (appendiceal diameter no larger than 11 mm and without any signs of perforation) were randomized to management with a no-antibiotic regimen with supportive care (intravenous fluids, analgesia and antipyretics as necessary) or a 4-day course of antibiotics with supportive care. The primary endpoint was rate of total treatment failure, defined as initial treatment failure within 1 month and recurrence of appendicitis during the follow-up period. Some 245 patients were randomized within the trial, and followed up for a median of 19 months. The duration of hospital stay was shorter (mean 3·1 versus 3·7 days; P antibiotics. There was no difference in total treatment failure rate between the groups: 29 of 124 (23·4 per cent) in the no-antibiotic group and 25 of 121 (20·7 per cent) in the antibiotic group (P = 0·609). Eighteen patients (9 in each group) had initial treatment failure, 15 of whom underwent appendicectomy and three received additional antibiotics. Thirty-six patients (20 in the no-antibiotic group, 16 in the antibiotic group) experienced recurrence, of whom 30 underwent appendicectomy and six received further antibiotics. Treatment failure rates in patients presenting with CT-confirmed uncomplicated appendicitis appeared similar among those receiving supportive care with either a no-antibiotic regimen or a 4-day course of antibiotics. Registration number: KCT0000124 ( http://cris.nih.go.kr). © 2017 BJS Society Ltd Published by John Wiley & Sons Ltd.

  8. Unenhanced MR Imaging in adults with clinically suspected acute appendicitis

    Energy Technology Data Exchange (ETDEWEB)

    Chabanova, Elizaveta, E-mail: elcha@heh.regionh.dk [Department of Diagnostic Radiology, Copenhagen University Hospital at Herlev (Denmark); Balslev, Ingegerd, E-mail: inbal@heh.regionh.dk [Department of Pathology, Copenhagen University Hospital at Herlev (Denmark); Achiam, Michael, E-mail: micach01@heh.regionh.dk [Department of Gastrointestinal Surgery, Copenhagen University Hospital at Herlev (Denmark); Nielsen, Yousef W., E-mail: yujwni01@heh.regionh.dk [Department of Diagnostic Radiology, Copenhagen University Hospital at Herlev (Denmark); Adamsen, Sven, E-mail: svad@heh.regionh.dk [Department of Gastrointestinal Surgery, Copenhagen University Hospital at Herlev (Denmark); Gocht-Jensen, Peter, E-mail: petgoc01@heh.reginh.dk [Department of Gastrointestinal Surgery, Copenhagen University Hospital at Herlev (Denmark); Brisling, Steffen K., E-mail: stkibr01@heh.regionh.dk [Department of Gastrointestinal Surgery, Copenhagen University Hospital at Herlev (Denmark); Logager, Vibeke B., E-mail: viloe@heh.regionh.dk [Department of Diagnostic Radiology, Copenhagen University Hospital at Herlev (Denmark); Thomsen, Henrik S., E-mail: heth@heh.regionh.dk [Department of Diagnostic Radiology, Copenhagen University Hospital at Herlev (Denmark)

    2011-08-15

    Purpose: The purpose of the study was to evaluate unenhanced Magnetic Resonance Imaging (MRI) for the diagnosis of appendicitis or another surgery-requiring condition in an adult population scheduled for emergency appendectomy based on a clinical diagnosis of suspected acute appendicitis. Materials and methods: The prospective study included 48 consecutive patients (29 female, 19 male, 18-70 years old, mean age = 37.1 years). MRI examination was designed to be comfortable and fast; no contrast was administered. The sequences were performed during quiet respiration. The MRI findings were reviewed by two radiologists and one surgeon independent of each other and compared with surgical and pathological records. Results: According to the surgical and histopathological findings 30 of 48 patients (63%) had acute appendicitis. Of the remaining 18 patients, 4 patients had no reasons for the clinical symptoms and 14 patients had other pathology. For the three reviewers the performance of MRI in the diagnosis of acute appendicitis showed the following sensitivity, specificity and accuracy ranges: 83-93%, 50-83% and 77-83%. Moderate ({kappa} = 0.51) and fair ({kappa} = 0.31) interobserver agreements in the MR diagnosis of acute appendicitis were found between the reviewers. Sensitivity, specificity and accuracy values for overall performance of MRI in detecting pelvic abnormalities were 100%, 75% (3 of 4 healthy patients were identified by MRI) and 98%, respectively. Conclusion: Unenhanced fast MRI is feasible as an additional fast screening before the appendectomy. It may prevent unnecessary surgeries. The fast MRI examination can be adequately performed on an MRI unit of broad range of field strengths.

  9. Early appendectomy reduces costs in children with perforated appendicitis.

    Science.gov (United States)

    Church, Joseph T; Klein, Edwin J; Carr, Benjamin D; Bruch, Steven W

    2017-12-01

    Perforated appendicitis can be managed with early appendectomy, or nonoperative management followed by interval appendectomy. We aimed to identify the strategy with the lowest health care utilization and cost. We retrospectively reviewed the medical records of all children ≤18 years old with perforated appendicitis admitted to a single institution between January 2009 and March 2016. After excluding immunosuppressed patients and transfers from outside hospitals, we grouped the remaining patients by early or interval appendectomy. Cost accounting data were obtained from our institutional database. The primary outcome was total hospital cost over 2 y from initial admission for appendicitis. Other outcomes analyzed included initial admission costs, number of admissions, emergency room and clinic visits, percutaneous procedures, cross-sectional and overall imaging studies, and length of stay. A total of 203 children with perforated appendicitis were identified. After exclusion of immunosuppressed patients and outside hospital transfers, 94 patients were included in the study. Thirty-nine underwent early appendectomy and 55 initial nonoperative management; of these, 54 underwent elective interval appendectomy. Five of 55 patients (9%) failed initial nonoperative management and required earlier-than-planned appendectomy. Total cost over 2 y was significantly lower with early appendectomy than initial nonoperative management ($19,300 ± 14,300 versus $26,000 ± 17,500; P = 0.05). Early appendectomy resulted in fewer hospital admissions, clinic visits, invasive procedures, and imaging studies. Early appendectomy results in lower hospital costs and less health care utilization compared with initial nonoperative management with elective interval appendectomy. A prospective study will shed more light on this question and can assess the role of nonoperative management without interval appendectomy in children with perforated appendicitis. Copyright © 2017 Elsevier

  10. U.S. Environmental Protection Agency Clear Air Act notice of construction for the spent nuclear fuel project - Cold Vacuum Drying Facility, project W-441

    International Nuclear Information System (INIS)

    Turnbaugh, J.E.

    1996-01-01

    This document provides information regarding the source and the estimated quantity of potential airborne radionuclide emissions resulting from the operation of the Cold Vacuum Drying (CVD) Facility. The construction of the CVD Facility is scheduled to commence on or about December 1996, and will be completed when the process begins operation. This document serves as a Notice of Construction (NOC) pursuant to the requirements of 40 Code of Federal Regulations (CFR) 61 for the CVD Facility. About 80 percent of the U.S. Department of Energy's spent nuclear fuel (SNF) inventory is stored under water in the Hanford Site K Basins. Spent nuclear fuel in the K West Basin is contained in closed canisters, while the SNF in the K East Basin is in open canisters, which allow release of corrosion products to the K East Basin water. Storage of the current inventory in the K Basins was originally intended to be on an as-needed basis to sustain operation of the N Reactor while the Plutonium-Uranium Extraction (PUREX) Plant was refurbished and restarted. The decision in December 1992 to deactivate the PURF-X Plant left approximately 2,100 MT (2,300 tons) of uranium as part of the N Reactor SNF in the K Basins with no means for near-term removal and processing. The CVD Facility will be constructed in the 100 Area northwest of the 190 K West Building, which is in close proximity to the K East and K West Basins (Figures 1 and 08572). The CVD Facility will consist of five processing bays, with four of the bays fully equipped with processing equipment and the fifth bay configured as an open spare bay. The CVD Facility will have a support area consisting of a control room, change rooms, and other functions required to support operations

  11. Safety problems encountered in construction and operation of the sodium test facilities of the Institute of Reactor Development (IRD) at the Karlsruhe Nuclear Research Center

    International Nuclear Information System (INIS)

    Schleisiek, K.

    1971-01-01

    In this report the safety aspects of the design and construction of a sodium boiling loop and a sodium tank test facility are discussed. Subsequently two experiments concerning the safety of the facilities are described: the testing of a drip basin to collect the sodium and to limit the rate of burning in the case of a leak, and the investigation of the chemical reaction of sodium with the insulating materials. Finally some general emergency procedures in the case of sodium incidents are discussed. A 16 mm-film demonstrating sodium fires and fire fighting methods will be shown. (author)

  12. Mimicry of Appendicitis Symptomatology in Congenital Anomalies and Diseases of the Genitourinary System and Pregnancy

    Science.gov (United States)

    Dalpiaz, Amanda; Gandhi, Jason; Smith, Noel L.; Dagur, Gautam; Schwamb, Richard; Weissbart, Steven J.; Khan, Sardar Ali

    2017-01-01

    Introduction Appendicitis is a prevailing cause of acute abdomen, but is often difficult to diagnose due to its wide range of symptoms, anatomical variations, and developmental abnormalities. Urological disorders of the genitourinary tract may be closely related to appendicitis due to the close proximity of the appendix to the genitourinary tract. This review provides a summary of the urological complications and simulations of appendicitis. Both typical and urological symptoms of appendicitis are discussed, as well as recommended diagnostic and treatment methods. Methods Medline searches were conducted via PubMed in order to incorporate data from the recent and early literature. Results Urological manifestations of appendicitis affect the adrenal glands, kidney, retroperitoneum, ureter, bladder, prostate, scrotum, and penis. Appendicitis in pregnancy is difficult to diagnose due to variations in appendiceal position and trimester-specific symptoms. Ultrasound, CT, and MRI are used in diagnosis of appendicitis and its complications. Treatment of appendicitis may be done via open appendectomy or laparoscopic appendectomy. In some cases, other surgeries are required to treat urological complications, though surgery may be avoided completely in other cases. Conclusion Clinical presentation and complications of appendicitis vary among patients, especially when the genitourinary tract is involved. Appendicitis may mimic urological disorders and vice versa. Awareness of differential diagnosis and proper diagnostic techniques is important in preventing delayed diagnosis and possible complications. MRI is recommended for diagnosis of pregnant patients. Ultrasound is preferred in patients exhibiting typical symptoms. PMID:28413377

  13. Composition of the cellular infiltrate in patients with simple and complex appendicitis.

    Science.gov (United States)

    Gorter, Ramon R; Wassenaar, Emma C E; de Boer, Onno J; Bakx, Roel; Roelofs, Joris J T H; Bunders, Madeleine J; van Heurn, L W Ernst; Heij, Hugo A

    2017-06-15

    It is now well established that there are two types of appendicitis: simple (nonperforating) and complex (perforating). This study evaluates differences in the composition of the immune cellular infiltrate in children with simple and complex appendicitis. A total of 47 consecutive children undergoing appendectomy for acute appendicitis between January 2011 and December 2012 were included. Intraoperative criteria were used to identify patients with either simple or complex appendicitis and were confirmed histopathologically. Immune histochemical techniques were used to identify immune cell markers in the appendiceal specimens. Digital imaging analysis was performed using Image J. In the specimens of patients with complex appendicitis, significantly more myeloperoxidase positive cells (neutrophils) (8.7% versus 1.2%, P appendicitis. In contrast, fewer CD8+ T cells (0.4% versus 1.3%, P = 0.016), CD20 + cells (2.9% versus 9.0%, P = 0.027), and CD21 + cells (0.2% versus 0.6%, P = 0.028) were present in tissue from patients with complex compared to simple appendicitis. The increase in proinflammatory innate cells and decrease of adaptive cells in patients with complex appendicitis suggest potential aggravating processes in complex appendicitis. Further research into the underlying mechanisms may identify novel biomarkers to be able to differentiate simple and complex appendicitis. Copyright © 2017 Elsevier Inc. All rights reserved.

  14. Comparison of helical computed tomography and ultrasonography in diagnosis of acute appendicitis

    International Nuclear Information System (INIS)

    Nafees, M.; Abbas, G.; Sarwar, S.

    2010-01-01

    The objective of study is to compare the diagnostic accuracy of helical computed tomography and ultrasonography in acute appendicitis using histopathology as gold standard. Thirty cases of clinically suspected acute appendicitis were included in the study selected on non probability convenience sampling technique. Computed tomography and graded compression ultrasonography of right lower quadrant of abdomen were conducted and results compared with histopathological findings. Amongst 30 patients who underwent computed tomography and graded compression ultrasonography examinations of right lower quadrant for diagnosis of acute appendicitis, on computed tomography 19 were diagnosed with acute appendicitis, 10 were diagnosed as not having the disease and 01 patient diagnosed as not having appendicitis on computed tomography did not improve clinically, was operated upon and histopathology proved it as acute appendicitis. While on graded compression ultrasonography 15 were diagnosed with acute appendicitis, 11 were diagnosed as not having the disease and 04 patients diagnosed as not having appendicitis on ultrasonography, did not improve clinically, were operated upon and histopathology proved it as acute appendicitis. This showed that CT scan has sensitivity of 95%, specificity 100%, positive predictive value 100%, negative predictive value 90.91% and overall accuracy of 96.67% while ultrasonography has sensitivity of 78.9%, specificity 100%, positive predictive value 100%, negative predictive value 73.33% and overall accuracy of 86.67%. We concluded that Helical computed tomography is highly accurate in diagnosing acute appendicitis as compared to ultrasonography and it helps to reduce negative appendectomy rate. (author)

  15. Laparoscopic appendectomy in surgical treatment of acute appendicitis

    Directory of Open Access Journals (Sweden)

    G. I. Ohrimenko

    2016-06-01

    Full Text Available Relevance of the topic. At the present time laparoscopic appendectomy has taken its own place at the urgent surgery. In spite of this less is studied in the field of the use of the minimally invasive technologies in the cases of complicated acute appendicitis. The aim of research: to investigate the close results of the patients with acute appendicitis treatment with laparoscopic appendectomy, and to compare them with the open appendectomy results; to estimate the possibilities of laparoscopic appendectomy in the cases of complicated acute appendicitis. Materials and methods. The results of surgical treatment of 146 patients with acute appendicitis were analyzed – 59 patients in the main group, who undergone laparoscopic appendectomy, and 80 patients in the control group, who undergone open surgery. 7 patients who passed through conversion were included in the additional group. Results. The frequency of acute appendicitis complications, which were diagnosed during the operation, in the both groups had no significant distinction (50.8 % in the main group and 47.5% in the control group. But 5 patients with diffuse peritonitis and appendicular abscesses needed a conversion of laparoscopic operation into open one, because of the full sanitation necessity and technique difficulties. In the postoperative period among the patients of main group the suppuration of the wound was observed in 2 (3.4% cases, in the control group – in 10 (12.5%. The average duration of laparoscopic operation was 33.12±2.51 min, open surgery – 66.45±3.33 min. The average hospitalization period in the control group was 6.95±0.2 days and was statistically proved higher than in the main group – 4.72±0.21 days (p≤0.01. Conclusion. Laparoscopic appendectomy can be wide used in the cases of acute appendicitis, including complications, but it can be restricted in the cases of diffuse peritonitis and appendicular abscesses. This minimally invasive surgical operation

  16. Cost and schedule estimate to construct the tunnel and shaft remedial shielding concept, Los Alamos Meson Physics Facility, Los Alamos National Laboratory, Los Alamos, New Mexico. Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1993-11-30

    The report provides an estimate of the cost and associated schedule to construct the tunnel and shaft remedial shielding concept. The cost and schedule estimate is based on a preliminary concept intended to address the potential radiation effects on Line D and Line Facilities in event of a beam spill. The construction approach utilizes careful tunneling methods based on available excavation and ground support technology. The tunneling rates and overall productivity on which the cost and project schedule are estimated are based on conservative assumptions with appropriate contingencies to address the uncertainty associated with geological conditions. The report is intended to provide supplemental information which will assist in assessing the feasibility of the tunnel and shaft concept and justification for future development of this particular aspect of remedial shielding for Line D and Line D Facilities.

  17. Final Report on the Audit of Architect-Engineer Contracting at the Officer in Charge of Construction, Naval Facilities Engineering Command Contracts, Mediterranean, Madrid, Spain

    Science.gov (United States)

    1990-11-30

    This is our final report on the audit of Architect-Engineer Contracting for the Officer in Charge of Construction, Naval Facilities Engineering...Command Contracts, Mediterranean, for your information and use. This is the fourth in a series of reports issued as part of the audit of architect-engineer...A-E) contracting. The Contract Management Directorate made the audit from August 1989 through July 1990. When we expanded the audit scope to include

  18. Environmental Assessment For the Proposed Construction of A Hazardous Materials Issue Facility and a Hazardous Wastes Storage Facility at Buckley Air Force Base, Colorado

    Science.gov (United States)

    2005-04-01

    hazardous materials in accordance with the Occupational Health and Safety Administration ( OSHA ) storage standards. This facility would make the...subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia , Pakistan, or the Philippine Islands; and • Native Hawaiian and Other...regulated by the USEPA and the OSHA . The state of Colorado also has regulations pertaining to ACM abatement. Emissions of asbestos fibers into the

  19. Improving ultrasound for appendicitis through standardized reporting of secondary signs.

    Science.gov (United States)

    Partain, Kristin N; Patel, Adarsh U; Travers, Curtis; Short, Heather L; Braithwaite, Kiery; Loewen, Jonathan; Heiss, Kurt F; Raval, Mehul V

    2017-08-01

    Our aim was to implement a standardized US report that included secondary signs of appendicitis (SS) to facilitate accurate diagnosis of appendicitis and decrease the use of computed tomography (CT) and admissions for observation. A multidisciplinary team implemented a quality improvement (QI) intervention in the form of a standardized US report and provided stakeholders with monthly feedback. Outcomes including report compliance, CT use, and observation admissions were compared pretemplate and posttemplate. We identified 387 patients in the pretemplate period and 483 patients in the posttemplate period. In the posttemplate period, the reporting of SS increased from 5.4% to 79.5% (pappendicitis also improved in the posttemplate period. A focused QI initiative led to high compliance rates of utilizing the standardized US report and resulted in lower CT use and fewer admissions for observation. Study of a Diagnostic Test Level of Evidence: 1. Copyright © 2017 Elsevier Inc. All rights reserved.

  20. IMAGING AS AN AID TO THE DIAGNOSIS OF ACUTE APPENDICITIS

    Directory of Open Access Journals (Sweden)

    Lionel I Wijesuriya

    2007-01-01

    Full Text Available Acute appendicitis has been known as a disease entity for well over a century but a confident diagnosis before surgeryin all patients suspected of the condition is still not possible. Timely diagnosis is essential to minimise morbidity due topossible perforation of the inflamed organ in the event treatment is delayed; so much so that surgeons often preferredto operate at the slightest suspicion of the diagnosis in the past. This resulted in the removal of many normal appendixes.When the diagnosis of appendicitis is clear from the history and clinical examination, then no further investigation isnecessary and prompt surgical treatment is appropriate. Where there is doubt about the diagnosis however it is advisableto resort to imaging studies such as abdominal ultrasound or computed tomography to clear such suspicions beforesubjecting the patient to an appendicectomy. These studies would also help avoid delays in surgery in deservingpatients.

  1. Regional variation in rates of pediatric perforated appendicitis.

    Science.gov (United States)

    Sarda, Samir; Short, Heather L; Hockenberry, Jason M; McCarthy, Ian; Raval, Mehul V

    2017-09-01

    While trends in perforated appendicitis (PA) rates have been studied, regional variability in pediatric admissions for PA remains unknown. A retrospective, cross-sectional analysis of the 2006-2012 Kids' Inpatient Database was conducted to examine variation in PA admission rates by region of the United States and insurance status. PA rates were calculated and reported as per 1000 admissions in accordance with national quality measure specifications. National PA rates per 1000 admissions for 2006, 2009, and 2012 were 313.9, 279.2, and 309.1, respectively. Similarly, all regions demonstrated a statistically significant decrease in PA rates between 2006 and 2009 (pappendicitis, geographic region and insurance status appear to be associated with perforation upon presentation. Understanding regional variation in pediatric PA rates may inform health policymakers in the constantly evolving insurance coverage landscape. Level III Treatment Study - Retrospective comparative study of appendicitis presentation in children by region of the country. Copyright © 2017 Elsevier Inc. All rights reserved.

  2. Computed distributions of residual shaft drilling and construction water in the exploratory facilities at Yucca Mountain, Nevada

    International Nuclear Information System (INIS)

    Eaton, R.R.; Peterson, A.C.

    1989-01-01

    The Yucca Mountain Project is studying the feasibility of constructing a high-level nuclear waste repository at Yucca Mountain in southwest Nevada. One activity of site characterization is the construction of two exploratory shafts. This paper contains the results of engineering analytical calculations of the potential distribution of residual construction water in the exploratory shafts and drifts and numerical calculations of the movement of the residual water and how the movement is affected by drift ventilation. In all cases the increase in rock saturation resulting from the construction water was extremely small. 11 refs., 15 figs., 1 tab

  3. Environmental Assessment - Construct a Ground-to-Air Transmitter and Receiver (GATR) Facility at Grand Forks Air Force Base

    National Research Council Canada - National Science Library

    2006-01-01

    ...) facility on Grand Forks Air Force Base (AFB), North Dakota. The Communication Squadron is preparing to install new GATR communication antennas and systems, for tactical aircraft control and commercial air traffic control...

  4. Better Diagnosis of Acute Appendicitis by Using Artificial Intelligence

    OpenAIRE

    Mir Mekaeal Hosseini; Reza Safdari; Lila Shahmoradi; Mojtaba Javaherzadeh

    2017-01-01

    Background: Acute appendicitis is the most common cause for referral of patients with abdominal pains to emergency department of hospitals and appendectomy is the most common emergency operation. Despite of introduction of the various diagnostic methods unnecessary appendectomy rate is significant. Therefore, the use of artificial intelligence and machine learning methods as a tool to aid in the diagnosis can be timely and more accurate diagnosis, reduce length of stay in hospital and improve...

  5. Perforated appendicitis: an underappreciated mimic of intussusception on ultrasound

    Energy Technology Data Exchange (ETDEWEB)

    Newman, Beverley; Schmitz, Matthew; Gawande, Rakhee; Vasanawala, Shreyas; Barth, Richard [Lucile Packard Children' s Hospital, Department of Radiology, Stanford University, Stanford, CA (United States)

    2014-05-15

    We encountered multiple cases in which the US appearance of ruptured appendicitis mimicked intussusception, resulting in diagnostic and therapeutic delay and multiple additional imaging studies. To explore the clinical and imaging discriminatory features between the conditions. Initial US images in six children (age 16 months to 8 years; 4 boys, 2 girls) were reviewed independently and by consensus by three pediatric radiologists. These findings were compared and correlated with the original reports and subsequent US, fluoroscopic, and CT images and reports. All initial US studies demonstrated a multiple-ring-like appearance (target sign, most apparent on transverse views) with diagnostic consensus supportive of intussusception. In three cases, US findings were somewhat discrepant with clinical concerns. Subsequently, four of the six children had contrast enemas; two were thought to have partial or complete intussusception reduction. Three had a repeat US examination, with recognition of the correct diagnosis. None of the US examinations demonstrated definite intralesional lymph nodes or mesenteric fat, but central echogenicity caused by debris/appendicolith was misinterpreted as fat. All showed perilesional hyperechogenicity that, in retrospect, represented inflamed fat ''walling off'' of the perforated appendix. There were four CTs, all of which demonstrated a double-ring appearance that correlated with the US target appearance, with inner and outer rings representing the dilated appendix and walled-off appendiceal rupture, respectively. All six children had surgical confirmation of perforated appendicitis. Contained perforated appendicitis can produce US findings closely mimicking intussusception. Clinical correlation and careful multiplanar evaluation should allow for sonographic suspicion of perforated appendicitis, which can be confirmed on CT if necessary. (orig.)

  6. Perforated appendicitis: an underappreciated mimic of intussusception on ultrasound

    International Nuclear Information System (INIS)

    Newman, Beverley; Schmitz, Matthew; Gawande, Rakhee; Vasanawala, Shreyas; Barth, Richard

    2014-01-01

    We encountered multiple cases in which the US appearance of ruptured appendicitis mimicked intussusception, resulting in diagnostic and therapeutic delay and multiple additional imaging studies. To explore the clinical and imaging discriminatory features between the conditions. Initial US images in six children (age 16 months to 8 years; 4 boys, 2 girls) were reviewed independently and by consensus by three pediatric radiologists. These findings were compared and correlated with the original reports and subsequent US, fluoroscopic, and CT images and reports. All initial US studies demonstrated a multiple-ring-like appearance (target sign, most apparent on transverse views) with diagnostic consensus supportive of intussusception. In three cases, US findings were somewhat discrepant with clinical concerns. Subsequently, four of the six children had contrast enemas; two were thought to have partial or complete intussusception reduction. Three had a repeat US examination, with recognition of the correct diagnosis. None of the US examinations demonstrated definite intralesional lymph nodes or mesenteric fat, but central echogenicity caused by debris/appendicolith was misinterpreted as fat. All showed perilesional hyperechogenicity that, in retrospect, represented inflamed fat ''walling off'' of the perforated appendix. There were four CTs, all of which demonstrated a double-ring appearance that correlated with the US target appearance, with inner and outer rings representing the dilated appendix and walled-off appendiceal rupture, respectively. All six children had surgical confirmation of perforated appendicitis. Contained perforated appendicitis can produce US findings closely mimicking intussusception. Clinical correlation and careful multiplanar evaluation should allow for sonographic suspicion of perforated appendicitis, which can be confirmed on CT if necessary. (orig.)

  7. Standardized ultrasound templates for diagnosing appendicitis reduce annual imaging costs.

    Science.gov (United States)

    Nordin, Andrew B; Sales, Stephen; Nielsen, Jason W; Adler, Brent; Bates, David Gregory; Kenney, Brian

    2018-01-01

    Ultrasound is preferred over computed tomography (CT) for diagnosing appendicitis in children to avoid undue radiation exposure. We previously reported our experience in instituting a standardized appendicitis ultrasound template, which decreased CT rates by 67.3%. In this analysis, we demonstrate the ongoing cost savings associated with using this template. Retrospective chart review for the time period preceding template implementation (June 2012-September 2012) was combined with prospective review through December 2015 for all patients in the emergency department receiving diagnostic imaging for appendicitis. The type of imaging was recorded, and imaging rates and ultrasound test statistics were calculated. Estimated annual imaging costs based on pretemplate ultrasound and CT utilization rates were compared with post-template annual costs to calculate annual and cumulative savings. In the pretemplate period, ultrasound and CT rates were 80.2% and 44.3%, respectively, resulting in a combined annual cost of $300,527.70. Similar calculations were performed for each succeeding year, accounting for changes in patient volume. Using pretemplate rates, our projected 2015 imaging cost was $371,402.86; however, our ultrasound rate had increased to 98.3%, whereas the CT rate declined to 9.6%, yielding an annual estimated cost of $224,853.00 and a savings of $146,549.86. Since implementation, annual savings have steadily increased for a cumulative cost savings of $336,683.83. Standardizing ultrasound reports for appendicitis not only reduces the use of CT scans and the associated radiation exposure but also decreases annual imaging costs despite increased numbers of imaging studies. Continued cost reduction may be possible by using diagnostic algorithms. Copyright © 2017 Elsevier Inc. All rights reserved.

  8. Raoultella Planticola associated necrotizing appendicitis: A novel case report

    Directory of Open Access Journals (Sweden)

    Gayathri Naganathan

    Full Text Available Introduction: Raoultella Planticola is a gram negative, aerobic, rod bacteria found in water and soil and is rarely reported to cause infections in humans. This case study is the first of its kind in reporting R. planticola appendicitis. Presentation of case: We report a case of a woman presenting with a two-day history of increased weakness, fatigue and anorexia, localized pain to the right lower quadrant, and elevated white blood cell count. CT results demonstrated acute uncomplicated appendicitis which was managed via laparoscopic appendectomy. The patient became febrile on the day of the procedure and was found to have R. planticola bacteremia which was treated with amoxicillin-clavulanate. She was discharged on postoperative day two and reported an unremarkable recovery at her five-week follow-up appointment. Discussion: R. planticola is a common organism that is rarely, though increasingly, associated with human infection. Interestingly, prior to hospitalization, this patient did not have any risk factors commonly associated with R. planticola infection, such as seafood consumption. However, she may have had gastrointestinal tract colonization with R. planticola prior to onset of appendicitis and appendectomy. Bacteremia likely resulted from micro-perforation of the appendix. Conclusion: Although infection with R. planticola is typically benign when treated appropriately, this pathogen has homology with Klebsiella species, and has the potential to acquire antimicrobial resistance. The case presented here suggests that R. planticola should be considered as a potential source of bacteremia in inflammatory/infectious gastrointestinal tract diseases even in the absence of typical risk factors. Keywords: Raoultella planticola, Appendicitis, Case report

  9. An unusual presentation of perforated appendicitis in epigastric region☆

    Science.gov (United States)

    Odabasi, Mehmet; Arslan, Cem; Abuoglu, Hasan; Gunay, Emre; Yildiz, Mehmet Kamil; Eris, Cengiz; Ozkan, Erkan; Aktekin, Ali; Muftuoglu, M.A. Tolga

    2013-01-01

    INTRODUCTION Atypical presentations of appendix have been reported including backache, left lower quadrant pain and groin pain from a strangulated femoral hernia containing the appendix. We report a case presenting an epigastric pain that was diagnosed after computed tomography as a perforated appendicitis on intestinal malrotation. PRESENTATION OF CASE A 27-year-old man was admitted with a three-day history of epigastric pain. Physical examination revealed tenderness and defense on palpation of epigastric region. There was a left subcostal incision with the history of diaphragmatic hernia repair when the patient was 3 days old. He had an intestinal malrotation with the cecum fixed at the epigastric region and the inflamed appendix extending beside the left lobe of liver. DISCUSSION While appendicitis is the most common abdominal disease requiring surgical intervention seen in the emergency room setting, intestinal malrotation is relatively uncommon. When patients with asymptomatic undiagnosed gastrointestinal malrotation clinically present with abdominal pain, accurate diagnosis and definitive therapy may be delayed, possibly increasing the risk of morbidity and mortality. CONCLUSION Atypical presentations of acute appendicitis should be kept in mind in patients with abdominal pain in emergency room especially in patients with previous childhood operation for diaphragmatic hernia. PMID:24441442

  10. Prospective Observational Study on acute Appendicitis Worldwide (POSAW).

    Science.gov (United States)

    Sartelli, Massimo; Baiocchi, Gian L; Di Saverio, Salomone; Ferrara, Francesco; Labricciosa, Francesco M; Ansaloni, Luca; Coccolini, Federico; Vijayan, Deepak; Abbas, Ashraf; Abongwa, Hariscine K; Agboola, John; Ahmed, Adamu; Akhmeteli, Lali; Akkapulu, Nezih; Akkucuk, Seckin; Altintoprak, Fatih; Andreiev, Aurelia L; Anyfantakis, Dimitrios; Atanasov, Boiko; Bala, Miklosh; Balalis, Dimitrios; Baraket, Oussama; Bellanova, Giovanni; Beltran, Marcelo; Melo, Renato Bessa; Bini, Roberto; Bouliaris, Konstantinos; Brunelli, Daniele; Castillo, Adrian; Catani, Marco; Che Jusoh, Asri; Chichom-Mefire, Alain; Cocorullo, Gianfranco; Coimbra, Raul; Colak, Elif; Costa, Silvia; Das, Koray; Delibegovic, Samir; Demetrashvili, Zaza; Di Carlo, Isidoro; Kiseleva, Nadezda; El Zalabany, Tamer; Faro, Mario; Ferreira, Margarida; Fraga, Gustavo P; Gachabayov, Mahir; Ghnnam, Wagih M; Giménez Maurel, Teresa; Gkiokas, Georgios; Gomes, Carlos A; Griffiths, Ewen; Guner, Ali; Gupta, Sanjay; Hecker, Andreas; Hirano, Elcio S; Hodonou, Adrien; Hutan, Martin; Ioannidis, Orestis; Isik, Arda; Ivakhov, Georgy; Jain, Sumita; Jokubauskas, Mantas; Karamarkovic, Aleksandar; Kauhanen, Saila; Kaushik, Robin; Kavalakat, Alfie; Kenig, Jakub; Khokha, Vladimir; Khor, Desmond; Kim, Dennis; Kim, Jae I; Kong, Victor; Lasithiotakis, Konstantinos; Leão, Pedro; Leon, Miguel; Litvin, Andrey; Lohsiriwat, Varut; López-Tomassetti Fernandez, Eudaldo; Lostoridis, Eftychios; Maciel, James; Major, Piotr; Dimova, Ana; Manatakis, Dimitrios; Marinis, Athanasio; Martinez-Perez, Aleix; Marwah, Sanjay; McFarlane, Michael; Mesina, Cristian; Pędziwiatr, Michał; Michalopoulos, Nickos; Misiakos, Evangelos; Mohamedahmed, Ali; Moldovanu, Radu; Montori, Giulia; Mysore Narayana, Raghuveer; Negoi, Ionut; Nikolopoulos, Ioannis; Novelli, Giuseppe; Novikovs, Viktors; Olaoye, Iyiade; Omari, Abdelkarim; Ordoñez, Carlos A; Ouadii, Mouaqit; Ozkan, Zeynep; Pal, Ajay; Palini, Gian M; Partecke, Lars I; Pata, Francesco; Pędziwiatr, Michał; Pereira Júnior, Gerson A; Pintar, Tadeja; Pisarska, Magdalena; Ploneda-Valencia, Cesar F; Pouggouras, Konstantinos; Prabhu, Vinod; Ramakrishnapillai, Padmakumar; Regimbeau, Jean-Marc; Reitz, Marianne; Rios-Cruz, Daniel; Saar, Sten; Sakakushev, Boris; Seretis, Charalampos; Sazhin, Alexander; Shelat, Vishal; Skrovina, Matej; Smirnov, Dmitry; Spyropoulos, Charalampos; Strzałka, Marcin; Talving, Peep; Teixeira Gonsaga, Ricardo A; Theobald, George; Tomadze, Gia; Torba, Myftar; Tranà, Cristian; Ulrych, Jan; Uzunoğlu, Mustafa Y; Vasilescu, Alin; Occhionorelli, Savino; Venara, Aurélien; Vereczkei, Andras; Vettoretto, Nereo; Vlad, Nutu; Walędziak, Maciej; Yilmaz, Tonguç U; Yuan, Kuo-Ching; Yunfeng, Cui; Zilinskas, Justas; Grelpois, Gérard; Catena, Fausto

    2018-01-01

    Acute appendicitis (AA) is the most common surgical disease, and appendectomy is the treatment of choice in the majority of cases. A correct diagnosis is key for decreasing the negative appendectomy rate. The management can become difficult in case of complicated appendicitis. The aim of this study is to describe the worldwide clinical and diagnostic work-up and management of AA in surgical departments. This prospective multicenter observational study was performed in 116 worldwide surgical departments from 44 countries over a 6-month period (April 1, 2016-September 30, 2016). All consecutive patients admitted to surgical departments with a clinical diagnosis of AA were included in the study. A total of 4282 patients were enrolled in the POSAW study, 1928 (45%) women and 2354 (55%) men, with a median age of 29 years. Nine hundred and seven (21.2%) patients underwent an abdominal CT scan, 1856 (43.3%) patients an US, and 285 (6.7%) patients both CT scan and US. A total of 4097 (95.7%) patients underwent surgery; 1809 (42.2%) underwent open appendectomy and 2215 (51.7%) had laparoscopic appendectomy. One hundred eighty-five (4.3%) patients were managed conservatively. Major complications occurred in 199 patients (4.6%). The overall mortality rate was 0.28%. The results of the present study confirm the clinical value of imaging techniques and prognostic scores. Appendectomy remains the most effective treatment of acute appendicitis. Mortality rate is low.

  11. Gangrenous Appendicitis in a Boy with Mobile Caecum

    Science.gov (United States)

    Keskin, Suat; Keskin, Zeynep; Gunduz, Metin; Sekmenli, Taner; Kivrak, Hatice Yazar

    2015-01-01

    A mobile caecum and ascending colon is an uncommon congenital disorder, and it is even rarer as the cause of an acute abdomen during childhood. This report presents the case of a 6-year-old boy with acute gangrenous appendicitis with a mobile caecum and ascending colon. Data from the surgical course, as well as laboratory and imaging studies, were acquired and carefully examined. Emergency ultrasound (US) was performed and revealed no signs of appendicitis in the right lower quadrant. Serial imaging study, including non-enhanced computed tomography (CT), was performed. An imaging study identified epigastric appendicitis with mobile caecum. Surgery was executed under general anesthesia with a median incision extending from the epigastrium to the suprapubic region. The caecum was mobile and placed in the right epigastric area, next to the left lobe of the liver and gallbladder. The gangrenous appendix was discovered posterior to the caecum and transverse colon, enlarging to the left upper quadrant. Appendectomy was executed, the gangrenous appendix was confirmed pathologically, and the patient was released 4 days later. In the US, if there are unusual clinical findings or no findings in patients with abdominal pain, CT is beneficial in determining the location of the caecum and appendix and preventing misdiagnosis in children. PMID:26060548

  12. [Acute appendicitis: clinico-diagnostic and therapeutic considerations].

    Science.gov (United States)

    Carditello, A; Bartolotta, M; Bonavita, G; Lentini, B; Sturniolo, G

    1985-04-01

    Since january 1970-december 1982, 58 patients underwent emergently appendectomy for acute appendicitis. 31 (53,4 percent) where males; the average age was 21 +/- 2,3 years (M +/- SEM). The duration of symptoms ranged from 1-6 hours (10,3 percent of cases) to over 48 hours, before the hospital admission (15,4 percent of cases). 27 patients (46,5 percent) had a clinical examination at home by a physician. 21 patients (36,4 percent) came to hospital emergency unit without previous physical examination; 10 (17,2 percent) were transferred from other departments. In 6,9 percent of cases was present a perforated appendicitis with peritonitis. During operation, in 50 percent of patients was performed a therapeutic peritoneal lavage. In 63,7 percent of cases multiple drains were placed in peritoneal cavity. In all patients was effected postoperative antibiotic profilaxis. The mortality rate was 3,4 percent. General complications were observed more in patients with perforated appendicitis. This review suggests the following remarcable data: morbidity of this disease is still high; the physical examination is more important than laboratory work (especially in the elderly patients, which are often immunodepressed and in children, with leucocitosis-lack at hospital admission); early surgery is the most important factor to the improvement of prognosis in these cases and the results of surgical treatment are improved by large vertical incisions, peritoneal lavage and application of multiple intracavitary drains.

  13. Supplemental information for a notice of construction for the Fueled Clad Fabrication System, the Radioisotope Power Systems Facility, and the Fuel Assembly Area

    Energy Technology Data Exchange (ETDEWEB)

    1989-08-01

    This ''Notice of Construction'' has been submitted by the US Department of Energy-Richland Operations Office (P.O. Box 550, Richland, Washington 99352), pursuant to WAC 402-80-070, for three new sources of radionuclide emissions at the Hanford Site in Washington State (Figure 1). The three new sources, the Fueled Clad Fabrication System (FCFS) the Radioisotope Power Systems Facility (RPSF) and the Fuel Assembly Area (FAA) will be located in one facility, the Fuels and materials Examination Facility (FMEF) of the 400 Area. The FMEF was originally designed to provide for post- irradiation examination and fabrication of breeder reactor fuels. These FMEF missions were cancelled before the introduction of any fuel materials or any irradiated material. The current plans are to use the facility to fabricate power supplies to be used in space applications and to produce Fast Flux Test Facility (FFTF) fuel and target assemblies. The FCFS and the RPSF will produce materials and assemblies for application in space. The FAA project will produce FFTF fuel and target assemblies. The FCFS and the RPSF will share the same building, stack, and, in certain cases, the same floor space. Given this relationship, to the extent possible, these systems will be dealt with separately. The FAA is a comparatively independent operation though it will share the FMEF complex.

  14. The US findings of acute nonperforated and perforated appendicitis in children

    International Nuclear Information System (INIS)

    Bae, Jun Gi; Lee, Young Seok; Jung, Yoon Ho; Kim, Ji Hye; Lee, Woon Ki; Lee, Tae Hoon

    1996-01-01

    To analyse and interpret different sonographic findings in acute nonperforated and appendicitis. In 46 cases of acute appendicitis in children(26 girls, 20 boys) proven by surgery, sonographic findings were reviewed retrospectively. The findings of nonperforated and perforated appendicitis were analysed, focusing on the size, shape and echogenicity of the appendix, echo patterns of periappendiceal abscesses, mesenteric lymphadenopathy, and the prevalence of appendicolith. A noncompressible distended appendix was present in 18 of 21 patients with nonperforated appendicitis and in 13 of 25 patients with perforation. In 18 patients with nonperforated appendicitis, the average diameter of distended appendix was 8.6 mm ; target appearance was noted in 16 patients and loss of echogenic submucosa in two. In 13 patients with perforated appendicitis, the average diameter of appendix was 9.1 mm ; target appearance was noted in four patients and loss of echogenic submucosa in nine. Periappendiceal abscesses were present in 21 of 25 cases of perforated appendicitis, and the echogenicity of abscesses was mixed in 12 patients, hypoechogenic in eight, and hyperechogenic in one. Mesenteric lymphadenopathy was present in two of 21 patients with nonperforated appendicitis and in four of 25 with perforation. Appendicolith was detected on sonography in three of 25 patients with perforated appendicitis, but was found in seven patients during surgery. One patients with perforated appendicitis also had right side hydronephrosis. Sonographically false-negative results were obtained in six cases. A sonographic examination was useful to differenciate perforated and nonperforated appendicitis in children. Loss of echogenic submucosa in the distended appendix and periappendiceal abscess formation were important findings in diagnosis of perforated appendicitis

  15. Bedside Ultrasonography as an Adjunct to Routine Evaluation of Acute Appendicitis in the Emergency Department

    OpenAIRE

    Lam, Samuel H.F.; Grippo, Anthony; Kerwin, Chistopher; Konicki, P. John; Goodwine, Diana; Lambert, Michael J.

    2014-01-01

    Introduction: Appendicitis is a common condition presenting to the emergency department (ED). Increasingly emergency physicians (EP) are using bedside ultrasound (BUS) as an adjunct diagnostic tool. Our objective is to investigate the test characteristics of BUS for the diagnosis of appendicitis and identify components of routine ED workup and BUS associated with the presence of appendicitis. Methods: Patients four years of age and older presenting to the ED with suspect...

  16. Incidence of complicated acute appendicitis: a single-centre retrospective study

    Directory of Open Access Journals (Sweden)

    Aneta Piotrowska

    2017-12-01

    Full Text Available Introduction : Abdominal pain has been one of the most common reasons patients seek medical care for centuries. Nowadays, together with laboratory diagnostics and imaging, we are able to make an early diagnosis. This leads to the introduction of early adequate treatment. Aim of the research : To analyse the incidence and causes of complicated acute appendicitis in one medical centre in between 2004 and 2016. Material and methods : A retrospective study covered the period from December 23, 2004 to November 07, 2016. It included 2048 cases of children between 0 and 18 years of age undergoing surgery for suspected acute appendicitis.
 Demographic and clinical characteristics as well as length of hospitalisation, antibiotics schemes, and intraoperative diagnosis were reviewed. Complicated acute appendicitis cases were distinguished and compared with the incidence in world literature. Results : The percentage of complicated acute appendicitis ranged from 39% to 60%. Complicated acute appendicitis occurs much more often in children under 5 years of age. Conclusions : The delay and failure in diagnosis of acute appendicitis results in higher incidence of complicated acute appendicitis; consequently, there are higher costs of treatment. Improving the awareness of parents and primary care physicians may allow faster diagnosis and treatment of acute appendicitis. It was noted that the reform of the National Emergency Medical Services in Poland contributed to a reduction in the incidence of complicated appendicitis.

  17. A Rare Case: Appendectomy After Connected Stump Appendicitis Perforation of the Cecum

    Directory of Open Access Journals (Sweden)

    Berke Manoglu

    2016-01-01

    Full Text Available Stump appendicitis is a rare complication after appendectomy . Stump appendicitis made of incomplete appendectomy after a rest appendix tissue develops as a result of the inflammation. Admitted to the emergency department with acute abdomen and a history of appendectomy in patients with a history of current pain in the right lower quadrant , especially that of the patient must be evaluated in terms of stump appendicitis. The fact that the earlier story appendectomy patients , causing a delay in diagnosis and increasing the morbidity Cecal perforation was offered an advanced case of delayed depending on the stump appendicitis in this article.

  18. Differentiation of Acute Perforated from Non-Perforated Appendicitis: Usefulness of High-Resolution Ultrasonography

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Gyu Chang [Dept. of Radiology, Gumi Hospital, Soonchunhyang University College of Medicine, Gumi (Korea, Republic of)

    2011-07-15

    To evaluate the usefulness of high-resolution ultrasonography (US) for the differentiation of acute perforated appendicitis from non-perforated appendicitis. The high-resolution US features in 96 patients (49 males, 47 females; mean age, 33.8 years; age range, 4-80 years) with pathologically proven acute appendicitis were evaluated. The following US findings were evaluated for differentiation of acute perforated appendicitis from non-perforated appendicitis: circumferential loss of the echogenic submucosal layer, periappendiceal fluid collection, disruption of the serosal layer, asymmetrical wall thickening, maximum overall diameter > 10.5 mm, and the presence of appendicoliths. The sensitivity and specificity of the US features in the diagnosis of acute perforated appendicitis were calculated. All of the US findings, except for appendicoliths, were significantly more common in the acute perforated appendicitis group (p < 0.001). The sensitivity of circumferential loss of the echogenic submucosal layer, periappendiceal fluid collection, disruption of the serosal layer, asymmetrical wall thickening, maximum overall diameter > 10.5 mm, and the presence of appendicoliths was 85.4, 73.2, 68.3, 70.7, 80.5, and 36.6%, respectively, while the specificity was 65.5, 89.1, 96.4, 98.2, 81.8, and 80.0%, respectively. High-resolution US was found to be useful for differentiating acute perforated appendicitis from non-perforated appendicitis.

  19. Profiles of US and CT imaging features with a high probability of appendicitis

    International Nuclear Information System (INIS)

    Randen, A. van; Lameris, W.; Es, H.W. van; Hove, W. ten; Bouma, W.H.; Leeuwen, M.S. van; Keulen, E.M. van; Hulst, V.P.M. van der; Henneman, O.D.; Bossuyt, P.M.; Boermeester, M.A.; Stoker, J.

    2010-01-01

    To identify and evaluate profiles of US and CT features associated with acute appendicitis. Consecutive patients presenting with acute abdominal pain at the emergency department were invited to participate in this study. All patients underwent US and CT. Imaging features known to be associated with appendicitis, and an imaging diagnosis were prospectively recorded by two independent radiologists. A final diagnosis was assigned after 6 months. Associations between appendiceal imaging features and a final diagnosis of appendicitis were evaluated with logistic regression analysis. Appendicitis was assigned to 284 of 942 evaluated patients (30%). All evaluated features were associated with appendicitis. Imaging profiles were created after multivariable logistic regression analysis. Of 147 patients with a thickened appendix, local transducer tenderness and peri-appendiceal fat infiltration on US, 139 (95%) had appendicitis. On CT, 119 patients in whom the appendix was completely visualised, thickened, with peri-appendiceal fat infiltration and appendiceal enhancement, 114 had a final diagnosis of appendicitis (96%). When at least two of these essential features were present on US or CT, sensitivity was 92% (95% CI 89-96%) and 96% (95% CI 93-98%), respectively. Most patients with appendicitis can be categorised within a few imaging profiles on US and CT. When two of the essential features are present the diagnosis of appendicitis can be made accurately. (orig.)

  20. Analysis of Recurrence Management in Patients Who Underwent Nonsurgical Treatment for Acute Appendicitis

    Science.gov (United States)

    Liang, Tsung-Jung; Liu, Shiuh-Inn; Tsai, Chung-Yu; Kang, Chi-Hsiang; Huang, Wei-Chun; Chang, Hong-Tai; Chen, I-Shu

    2016-01-01

    Abstract The recurrence rate for acute appendicitis treated nonoperatively varies between studies. Few studies have adequately evaluated the management of these patients when appendicitis recurs. We aimed to explore the recurrence rate and management of patients with acute appendicitis that were first treated nonoperatively. We identified patients in the Taiwan National Health Insurance Research Database who were hospitalized due to acute appendicitis for the first time between 2000 and 2010 and received nonsurgical treatment. The recurrence and its management were recorded. Data were analyzed to access the risk factors for recurrence and factors that influenced the management of recurrent appendicitis. Among the 239,821 patients hospitalized with acute appendicitis for the first time, 12,235 (5.1%) patients were managed nonoperatively. Of these, 864 (7.1%) had a recurrence during a median follow-up of 6.5 years. Appendectomy was performed by an open and laparoscopic approach in 483 (55.9%) and 258 (29.9%) patients, respectively. The remaining 123 (14.2%) patients were again treated nonsurgically. Recurrence was independently associated with young age, male sex, percutaneous abscess drainage, and medical center admission by multivariable analysis. In addition, age appendicitis, percutaneous abscess drainage, nor length of first time hospital stay had an influence on the selection of surgical approach. In conclusion, a laparoscopic appendectomy can be performed in recurrent appendicitis cases, and its application may not be related to previous appendicitis severity. PMID:27015200