Does Fibrin Sealant Reduce Seroma after Immediate Breast Reconstruction Utilizing a Latissimus Dorsi Myocutaneous Flap?

Directory of Open Access Journals (Sweden)

Han Gyu Cha

2012-09-01

Full Text Available Background The most common complication of latissimus dorsi myocutaneous flap in breastreconstruction is seroma formation in the back. Many clinical studies have shown that fibrinsealant reduces seroma formation. We investigated any statistically significant differences inpostoperative drainage and seroma formation when utilizing the fibrin sealant on the site ofthe latissimus dorsi myocutaneous flap harvested for immediate breast reconstruction afterskin-sparing partial mastectomy.Methods A total of 46 patients underwent immediate breast reconstruction utilizing alatissimus dorsi myocutaneous island flap. Of those, 23 patients underwent the procedurewithout fibrin sealant and the other 23 were administered the fibrin sealant. All flaps wereelevated with manual dissection by the same surgeon and were analyzed to evaluate thepotential benefits of the fibrin sealant. The correlation analysis and Mann-Whitney U testwere used for analyzing the drainage volume according to age, weight of the breast specimen,and body mass index.Results Although not statistically significant, the cumulative drainage fluid volume was higherin the control group until postoperative day 2 (530.1 mL compared to 502.3 mL, but thefibrin sealant group showed more drainage beginning on postoperative day 3. The donor sitecomparisons showed the fibrin sealant group had more drainage beginning on postoperativeday 3 and the drain was removed 1 day earlier in the control group.Conclusions The use of fibrin sealant resulted in no reduction of seroma formation. Becausethe benefits of the fibrin sealant are not clear, the use of fibrin sealant must be fully discussedwith patients before its use as a part of informed consent.

Measures to reduce occupational radiation exposure in PET facilities from nurses' point of view

International Nuclear Information System (INIS)

Miyazawa, Keiko; Takahashi, Juri; Mochiduki, Yoshikazu

2006-01-01

In parallel with the increase in the number of institutions having PET facilities, the number of nurse working in these facilities has also increased, and the issue of occupational radiation exposure has assumed ever greater importance. In our clinic, since nurses have started to administer FDG intravenous injections, their annual radiation exposure has amounted to 4.8 - 7.1 mSv. To reduce their annual radiation exposure to less than 5 mSv, we identified sources of increased exposure and considered countermeasures based on this information. By implementing countermeasures such as improvements in daily working conditions and ways to avoid various troubles, it was possible to reduce the annual radiation exposure of all nurses to less than 5 mSv. Our experience demonstrates that to provide a working environment with a minimum of occupational radiation exposure, educational training and enhancement of knowledge and technical skills are vital. (author)

Gender differences in care-seeking behavior and healthcare consumption immediately after whiplash trauma

Science.gov (United States)

Tenenbaum, Artur; Nordeman, Lena; Sunnerhagen, Katharina S.; Gunnarsson, Ronny

2017-01-01

Objective The aim was to study gender differences in care-seeking behavior and treatment provided immediately after whiplash trauma. Methods Participants were residents from a defined geographical area, Skaraborg County in the southwestern part of Sweden. A cohort of 3,368 persons exposed to whiplash trauma and attending a healthcare facility immediately after the trauma between 1999 and 2008 were identified in a database. Information about gender, age, time elapsed prior to seeking care, type of healthcare contact, initial treatment provided and eventual hospitalization time was retrieved. Results Women sought care later than men (p = 0.00074). Women consulted primary healthcare first more often than men, who more often first sought hospital care (p = 0.0060). There were no gender differences regarding the type of treatment after trauma. Women had longer hospital admission than men (p = 0.022), indicating their injuries were at least similar to or worse than men’s. Conclusion Women sought healthcare later than men after whiplash trauma. Although not directly investigated in this study, it raises the question if this may reduce their probability of getting financial compensation compared to men. PMID:28441465

Gender equality and childbirth in a health facility: Nigeria and MDG5.

Science.gov (United States)

Singh, Kavita; Bloom, Shelah; Haney, Erica; Olorunsaiye, Comfort; Brodish, Paul

2012-09-01

This paper examined how addressing gender equality can lead to reductions in maternal mortality in Nigeria through an increased use of facility delivery. Because the majority of maternal complications cannot be predicted and often arise suddenly during labor, delivery and the immediate postpartum period, childbirth in a health facility is key to reducing maternal mortality. This paper used data from the 2008 Nigeria Demographic and Health Survey (DHS) to examine associations of gender measures on the utilization of facility delivery after controlling for socio-demographic factors. Four gender equality measures were studied: household decision-making, financial decision-making, attitudes towards wife beating, and attitudes regarding a wife's ability to refuse sex. Results found older, more educated, wealthier, urban, and working women were more likely to have a facility delivery than their counterparts. In addition ethnicity was a significant variable indicating the importance of cultural and regional diversity. Notably, after controlling for the socioeconomic variables, two of the gender equality variables were significant: household decision-making and attitudes regarding a wife's ability to refuse sex. In resource-poor settings such as Nigeria, women with more decision-making autonomy are likely better able to advocate for and access a health facility for childbirth. Thus programs and policies that focus on gender in addition to focusing on education and poverty have the potential to reduce maternal mortality even further.

Do Prolonged Prophylactic Antibiotics Reduce the Incidence of Surgical-Site Infections in Immediate Prosthetic Breast Reconstruction?

Science.gov (United States)

Wang, Frederick; Chin, Robin; Piper, Merisa; Esserman, Laura; Sbitany, Hani

2016-12-01

Approximately 50,000 women in the United States undergo mastectomy and immediate prosthetic breast reconstruction annually, and most receive postoperative prophylactic antibiotics. The effect of these antibiotics on the risk of surgical-site infections remains unclear. The authors searched the Medline, Embase, and Cochrane Library databases for studies that compared less than 24 hours and greater than 24 hours of antibiotics following immediate prosthetic breast reconstruction. Primary outcomes were surgical-site infections and implant loss. Conservative random effects models were used to obtain pooled relative risk estimates. The authors identified 927 studies, but only four cohort studies and one randomized controlled trial met their inclusion criteria. Unadjusted incidences of surgical-site infections were 14 percent with more than 24 hours of antibiotics, 19 percent with less than 24 hours of antibiotics, and 16 percent overall. Unadjusted incidences of implant loss were 8 percent with more than 24 hours of antibiotics, 10 percent with less than 24 hours of antibiotics, and 9 percent overall. The pooled relative risk of implant loss was 1.17 (95 percent CI, 0.39 to 3.6) with less than 24 hours of antibiotics, which was not statistically significant. Prolonged antibiotic use did not have a statistically significant effect on reducing surgical-site infections or implant loss. There was significant heterogeneity between studies, and prolonged antibiotics may have increased the risk of implant loss in the randomized controlled trial. Definitive evidence may only be obtained with data from more prospective randomized controlled trials.

Reducing the potential for conflict between proponents and the public regarding the risks entailed by radioactive waste management facilities

International Nuclear Information System (INIS)

Rogers, B.G.

1984-01-01

Sources of potential conflict between proponents and the public regarding the risks entailed by radioactive waste management facilities are identified and analyzed. Programs and policies are suggested that could reduce conflict over the siting and operation of such facilities

A facile and green preparation of reduced graphene oxide using Eucalyptus leaf extract

Science.gov (United States)

Li, Chengyang; Zhuang, Zechao; Jin, Xiaoying; Chen, Zuliang

2017-11-01

In this paper, a green and facile synthesis of reduced graphene oxide (GO) by Eucalyptus leaf extract (EL-RGO) was investigated, which was characterized with ultraviolet-visible spectroscopy (UV), Raman spectroscopy, X-ray diffraction (XRD), scanning electron microscope (SEM), atomic force microscopy (AFM), X-ray photoelectron spectroscopy (XPS) and Thermal gravimetric analysis (TG). Eucalyptus leaf extract also play both reducing and capping stabilizing agents prepared EL-RGO as shown a good stability and electrochemical properties. This approach could provide an alternative method to prepare EL-RGO in large-scale production. Moreover, the good electrochemical property and biocompatibility can be used in various applications. In addition, the merit of this study is that both the oxidized products and the reducing agents are environmental friendly by green reduction.

Renton's Quendall Terminals on List of EPA Superfund Sites Targeted for Immediate, Intense Attention

Science.gov (United States)

EPA released the list of Superfund sites that Administrator Pruitt has targeted for intense and immediate attention, including the Quendall Terminals Site, a former creosote facility on the shore of Lake Washington in Renton, Washington.

Structural evaluation of spent nuclear fuel storage facilities under aircraft crash impact (2). Horizontal impact test onto reduced scale metal cask due to aircraft engine missile

International Nuclear Information System (INIS)

Namba, Kosuke; Shirai, Koji; Saegusa, Toshiari

2009-01-01

In this study, to confirm the sealing performance of a metal cask subjected to impact force due to possible commercial aircraft crash against a spent fuel storage facility, the horizontal impact test was carried out. In the test, an aircraft engine missile with a speed of 57.3 m/s attacked the reduced scale metal cask containing helium gas, which stands vertically. Then the leak rate and sliding displacement of the lid were measured. The leak rate increased rapidly and reached to 4.0 x 10 -6 Pa·m 3 /sec. After that, the leak rate decreased slowly and converged to 1.0x10 -6 Pa·m 3 /sec after 20 hours from the impact test. The leak rate of a full scale cask was evaluated using that of reduced scale cask obtained by the test. Then the leak rate of the full scale cask was 3.5x10 -5 Pa·m 3 /sec. This result showed that the sealing performance of the full scale metal cask would not be affected immediately by the horizontal impact of the aircraft engine with a speed of 57.3 m/s. (author)

The impact of reducing financial barriers on utilisation of a primary health care facility in Rwanda

Science.gov (United States)

Dhillon, Ranu S.; Bonds, Matthew H.; Fraden, Max; Ndahiro, Donald; Ruxin, Josh

2011-01-01

This study investigates the impact of subsidising community-based health insurance (mutuelle) enrolment, removing point-of-service co-payments, and improving service delivery on health facility utilisation rates in Mayange, a sector of rural Rwanda of approximately 25,000 people divided among five ‘imidugudu’ or small villages. While comprehensive service upgrades were introduced in the Mayange Health Centre between April 2006 and February 2007, utilisation rates remained similar to comparison sites. Between February 2007 and April 2007, subsidies for mutuelle enrolment established virtually 100% coverage. Immediately after co-payments were eliminated in February 2007, patient visits levelled at a rate triple the previous value. Regression analyses using data from Mayange and two comparison sites indicate that removing financial barriers resulted in about 0.6 additional annual visits for curative care per capita. Although based on a single local pilot, these findings suggest that in order to achieve improved health outcomes, key short-term objectives include improved service delivery and reduced financial barriers. Based on this pilot, higher utilisation rates may be affected if broader swaths of the population are enrolled in mutuelle and co-payments are eliminated. Health leaders in Rwanda should consider further studies to determine if the impact of eliminating co-payments and increasing subsidies for mutuelle enrolment as seen in Mayange holds at greater levels of scale. Broader studies to better elucidate the impact of enrolment subsidies and co-payment subsidies on utilisation, health outcomes, and costs would also provide policy insights. PMID:21732708

Neonatal resuscitation and immediate newborn assessment and stimulation for the prevention of neonatal deaths: a systematic review, meta-analysis and Delphi estimation of mortality effect

Science.gov (United States)

2011-01-01

Background Of 136 million babies born annually, around 10 million require assistance to breathe. Each year 814,000 neonatal deaths result from intrapartum-related events in term babies (previously “birth asphyxia”) and 1.03 million from complications of prematurity. No systematic assessment of mortality reduction from tactile stimulation or resuscitation has been published. Objective To estimate the mortality effect of immediate newborn assessment and stimulation, and basic resuscitation on neonatal deaths due to term intrapartum-related events or preterm birth, for facility and home births. Methods We conducted systematic reviews for studies reporting relevant mortality or morbidity outcomes. Evidence was assessed using GRADE criteria adapted to provide a systematic approach to mortality effect estimates for the Lives Saved Tool (LiST). Meta-analysis was performed if appropriate. For interventions with low quality evidence but strong recommendation for implementation, a Delphi panel was convened to estimate effect size. Results We identified 24 studies of neonatal resuscitation reporting mortality outcomes (20 observational, 2 quasi-experimental, 2 cluster randomized controlled trials), but none of immediate newborn assessment and stimulation alone. A meta-analysis of three facility-based studies examined the effect of resuscitation training on intrapartum-related neonatal deaths (RR= 0.70, 95%CI 0.59-0.84); this estimate was used for the effect of facility-based basic neonatal resuscitation (additional to stimulation). The evidence for preterm mortality effect was low quality and thus expert opinion was sought. In community-based studies, resuscitation training was part of packages with multiple concurrent interventions, and/or studies did not distinguish term intrapartum-related from preterm deaths, hence no meta-analysis was conducted. Our Delphi panel of 18 experts estimated that immediate newborn assessment and stimulation would reduce both intrapartum

The role of economic incentives in nuclear waste facility siting

International Nuclear Information System (INIS)

Davis, E.M.

1986-01-01

There is a need to provide some public benefit and/or reward for accepting a ''locally unwanted land use'' (LULU) facility such as a nuclear waste storage or disposal facility. This paper concludes that DOE, Congress and the states should immediately quantify an economic incentive for consideration ''up front'' by society on siting decisions for nuclear waste storage and disposal facilities

Challenges and Consequences of Reduced Skilled Nursing Facility Lengths of Stay.

Science.gov (United States)

Tyler, Denise A; McHugh, John P; Shield, Renée R; Winblad, Ulrika; Gadbois, Emily A; Mor, Vincent

2018-06-05

To identify the challenges that reductions in length of stay (LOS) pose for skilled nursing facilities (SNFs) and their postacute care (PAC) patients. Seventy interviews with staff in 25 SNFs in eight U.S. cities, LOS data for patients in those SNFs. Data were qualitatively analyzed, and key themes were identified. Interview data from SNFs with and without reductions in median risk-adjusted LOS were compared and contrasted. We conducted 70 semistructured interviews. LOS data were derived from minimum dataset (MDS) admission records available for all patients in all U.S. SNFs from 2012 to 2014. Challenges reported regardless of reductions in LOS included frequent and more complicated re-authorization processes, patients becoming responsible for costs, and discharging patients whom staff felt were unsafe at home. Challenges related to reduced LOS included SNFs being pressured to discharge patients within certain time limits. Some SNFs reported instituting programs and processes for following up with patients after discharge. These programs helped alleviate concerns about patients, but they resulted in nonreimbursable costs for facilities. The push for shorter LOS has resulted in unexpected challenges and costs for SNFs and possible unintended consequences for PAC patients. © Health Research and Educational Trust.

Reducing Hospital Readmissions Through Preferred Networks Of Skilled Nursing Facilities.

Science.gov (United States)

McHugh, John P; Foster, Andrew; Mor, Vincent; Shield, Renée R; Trivedi, Amal N; Wetle, Terrie; Zinn, Jacqueline S; Tyler, Denise A

2017-09-01

Establishing preferred provider networks of skilled nursing facilities (SNFs) is one approach hospital administrators are using to reduce excess thirty-day readmissions and avoid Medicare penalties or to reduce beneficiaries' costs as part of value-based payment models. However, hospitals are also required to provide patients at discharge with a list of Medicare-eligible providers and cannot explicitly restrict patient choice. This requirement complicates the development of a SNF network. Furthermore, there is little evidence about the effectiveness of network development in reducing readmission rates. We used a concurrent mixed-methods approach, combining Medicare claims data for the period 2009-13 with qualitative data gathered from interviews during site visits to hospitals in eight US markets in March-October 2015, to examine changes in rehospitalization rates and differences in practices between hospitals that did and did not develop formal SNF networks. Four hospitals had developed formal SNF networks as part of their care management efforts. These hospitals saw a relative reduction from 2009 to 2013 in readmission rates for patients discharged to SNFs that was 4.5 percentage points greater than the reduction for hospitals without formal networks. Interviews revealed that those with networks expanded existing relationships with SNFs, effectively managed patient data, and exercised a looser interpretation of patient choice. Project HOPE—The People-to-People Health Foundation, Inc.

Zebra mussels mitigation at Ontario Hydro's hydroelectric generating facilities

International Nuclear Information System (INIS)

Dorneanu, A.M.

1992-01-01

The Great Lakes and their connecting channels have recently been invaded by a tiny freshwater mollusc that has already cost Ontario Hydro millions of dollars. Dreissena polymorpha, commonly known as the zebra mussel, entered the great lakes in ballast water carried by a ship from Europe in 1985. These mussels threaten to reduce or totally block the flow of water in auxiliary systems of any generating station, water treatment plant or municipal water facility that uses raw lake water and to cause accelerated corrosion of the metallic substrate to which they attach themselves. To satisfy the immediate need for control, chlorination was identified as the most effective interim measure to prevent the biofouling of the raw water systems. Detection and monitoring of mussels and the installation, operation, environmental constraints, benefits and deficiencies of the chemical treatment system are presented. Long term objectives for control of the mussels are to develop alternatives to chlorination (ozone, hydrogen peroxide, protective coatings, thermal shock, mechanical filtration, etc.) for application at existing facilities and for incorporation into the design of new facilities and rehabilitation programs. 3 refs., 5 figs

Facile synthesis of iron oxides/reduced graphene oxide composites: application for electromagnetic wave absorption at high temperature

OpenAIRE

Lili Zhang; Xinxin Yu; Hongrui Hu; Yang Li; Mingzai Wu; Zhongzhu Wang; Guang Li; Zhaoqi Sun; Changle Chen

2015-01-01

Iron oxides/reduced graphene oxide composites were synthesized by facile thermochemical reactions of graphite oxide and FeSO4?7H2O. By adjusting reaction temperature, ?-Fe2O3/reduced graphene oxide and Fe3O4/reduced graphene oxide composites can be obtained conveniently. Graphene oxide and reduced graphene oxide sheets were demonstrated to regulate the phase transition from ?-Fe2O3 to Fe3O4 via ?-Fe2O3, which was reported for the first time. The hydroxyl groups attached on the graphene oxide ...

Applicability of the Theory of Planned Behavior in Predicting Supportive Behaviors by Parents and Adult Siblings of Immediate Relatives with Intellectual Disability

Science.gov (United States)

Rimmerman, Arie; Chen, Ariel

2012-01-01

This research examines the applicability of the Theory of Planned Behavior in predicting supportive behaviors by parents and adult siblings of immediate relatives with intellectual disability. Participants were 67 parents and 63 siblings whose immediate relatives with intellectual disability resided in two institutional care facilities. Three…

Measures taken by the supervisory authority to reduce extremity doses in nuclear medicine facilities in Switzerland

International Nuclear Information System (INIS)

Stritt, Nicolas; Linder, Reto

2011-01-01

In its capacity as the supervisory authority, the Swiss Federal Office of Public Health (SFOPH) has responded to the increase in extremity doses observed in nuclear medicine facilities in Switzerland over the past decade by introducing facility-specific radiation protection audits. These audits have raised the awareness of the staff members concerned with the problem of high extremity doses which arise from handling beta emitters and PET nuclides and prevented any further rise in the extremity doses. However, the evaluation of these audits has also shown that there is still considerable scope for improvement in terms of reducing extremity doses and that further measures are therefore required. Facility-specific and person-specific investigations are currently being conducted with the support of the SFOPH. Their aim is to show facilities which operations during the preparation and application of diagnostic and therapeutic radiopharmaceuticals lead to high extremity doses. This will enable the reduction of extremity doses for nuclear medicine staff as well as ensure that the dose limits are adhered to, in spite of the increasing numbers of examinations.

Development of the Los Alamos National Laboratory Plutonium Facility decontamination room

International Nuclear Information System (INIS)

Mosso, J.S.; Smith, F.E.; Owen, M.J.; Treadaway, W.A.

1987-01-01

For several years the Health Protection Group attempted to remedy the problem of a facility to adequately handle personnel plutonium contamination incidents. Through the efforts of our Quality Circle a presentation was made to management, which immediately appropriated space and funds for the construction of a complete decontamination facility. 9 refs

ACP Facility Safety Surveillance System Installation

International Nuclear Information System (INIS)

You, Gil Sung; Kook, D. H.; Choung, W. M.; Ku, J. H.; Cho, I. J.; You, G. S.; Kwon, K. C.; Lee, W. K.; Lee, E. P.

2006-10-01

The Advanced spent fuel Conditioning Process is under development for effective management of spent fuel by converting UO 2 into U-metal. For demonstration of this process, α-γ type new hotcell was built in the IMEF basement. All facilities which treat radioactive materials must manage CCTV system which is under control of Health Physics department. Three main points (including hotcell rear door area) have each camera, but operators who are in charge of facility management need to check the safety of the facility immediately through the network in his office. This needs introduce additional network cameras installation and this new surveillance system is expected to update the whole safety control ability with existing system

Losartan reduces the immediate and sustained increases in muscle sympathetic nerve activity after hyperacute intermittent hypoxia.

Science.gov (United States)

Jouett, Noah P; Moralez, Gilbert; Raven, Peter B; Smith, Michael L

2017-04-01

Obstructive sleep apnea (OSA) is characterized by intermittent hypoxemia, which produces elevations in sympathetic nerve activity (SNA) and associated hypertension in experimental models that persist beyond the initial exposure. We tested the hypotheses that angiotensin receptor blockade in humans using losartan attenuates the immediate and immediately persistent increases in 1 ) SNA discharge and 2 ) mean arterial pressure (MAP) after hyperacute intermittent hypoxia training (IHT) using a randomized, placebo-controlled, repeated-measures experimental design. We measured ECG and photoplethysmographic arterial pressure in nine healthy human subjects, while muscle SNA (MSNA) was recorded in seven subjects using microneurography. Subjects were exposed to a series of hypoxic apneas in which they inhaled two to three breaths of nitrogen, followed by a 20-s apnea and 40 s of room air breathing every minute for 20 min. Hyperacute IHT produced substantial and persistent elevations in MSNA burst frequency (baseline: 15.3 ± 1.8, IHT: 24 ± 1.5, post-IHT 20.0 ± 1.3 bursts/min, all P 0.70). This investigation confirms the role of angiotensin II type 1a receptors in the immediate and persistent sympathoexcitatory and pressor responses to IHT. NEW & NOTEWORTHY This study demonstrates for the first time in humans that losartan, an angiotensin receptor blocker (ARB), abrogates the acute and immediately persistent increases in muscle sympathetic nerve activity and arterial pressure in response to acute intermittent hypoxia. This investigation, along with others, provides important beginning translational evidence for using ARBs in treatment of the intermittent hypoxia observed in obstructive sleep apnea patients. Copyright © 2017 the American Physiological Society.

Reducing cooling energy consumption in data centres and critical facilities

Science.gov (United States)

Cross, Gareth

Given the rise of our everyday reliance on computers in all walks of life, from checking the train times to paying our credit card bills online, the need for computational power is ever increasing. Other than the ever-increasing performance of home Personal Computers (PC's) this reliance has given rise to a new phenomenon in the last 10 years ago. The data centre. Data centres contain vast arrays of IT cabinets loaded with servers that perform millions of computational equations every second. It is these data centres that allow us to continue with our reliance on the internet and the PC. As more and more data centres become necessary due to the increase in computing processing power required for the everyday activities we all take for granted so the energy consumed by these data centres rises. Not only are more and more data centres being constructed daily, but operators are also looking at ways to squeeze more processing from their existing data centres. This in turn leads to greater heat outputs and therefore requires more cooling. Cooling data centres requires a sizeable energy input, indeed to many megawatts per data centre site. Given the large amounts of money dependant on the successful operation of data centres, in particular for data centres operated by financial institutions, the onus is predominantly on ensuring the data centres operate with no technical glitches rather than in an energy conscious fashion. This report aims to investigate the ways and means of reducing energy consumption within data centres without compromising the technology the data centres are designed to house. As well as discussing the individual merits of the technologies and their implementation technical calculations will be undertaken where necessary to determine the levels of energy saving, if any, from each proposal. To enable comparison between each proposal any design calculations within this report will be undertaken against a notional data facility. This data facility will

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)

78 FR 53812 - Self-Regulatory Organizations; BOX Options Exchange LLC; Notice of Filing and Immediate...

Science.gov (United States)

2013-08-30

... Organizations; BOX Options Exchange LLC; Notice of Filing and Immediate Effectiveness of a Proposed Rule Change... Proprietary Trader Program (S501) Continuing Education Regulatory Element Session on the BOX Market LLC (``BOX'') options facility. While changes to the fee schedule pursuant to this proposal will be effective upon...

Comparison of visual acuity in reduced lumination and facility of ocular accommodation in table tennis champions and non- players.

Science.gov (United States)

Jafarzadehpur, Ebrahim; Yarigholi, Mohammad R

2004-03-01

A table tennis player should fixate at different distances; track the objects with different speed, and in different visual environment. Their visual skills must be well developed for these capabilities. Therefore, visual acuity in reduced lumination and facility of ocular accommodation those are two criteria for visual skills have been compared in table tennis players and normal non-players. Twenty-nine young table tennis champions and 29 normal matched non-players (did not take part in any racket sports game) were evaluated. Basic visual and eye examinations were done for both of them. Normal results in basic examination were fundamental requirement for all the subjects. +/-2.00 sphere lenses for accommodation facility are used. An electrical current regulator changed the output light intensity of a conventional chart projector (Topcon). Light intensity decreased to 10 cd·m(-2) and visual acuity tested. In comparison of visual acuity in reduced lumination and facility of ocular accommodation in table tennis champions and non-players there are significant differences (p reflecting a better perceptual system of experts to the constraints encountered during table tennis and its use in practical settings for evaluating athletes or detecting sport talents. However some visual and perceptual training that usually used in orthoptics can be used for novice table tennis player to improve their abilities. Key PointsThat the ability of a champion depends on many sensory, motor and perceptual factors.Visual factors such as facility of accommodation and visual acuity in reduced lumination should be considered in table tennis players.Visual training may be useful for novice and also for experts.

Experimental results of the SMART ECC injection performance with reduced scale of test facility

Energy Technology Data Exchange (ETDEWEB)

Cho, Young Il; Cho, Seok; Ko, Yung Joo; Shin, Yong Cheol; Kwon, Tae Soon [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

2011-05-15

SMART pressurized water reactor type is different from the existing integral NSSS commercial pressurized water reactor system which is equipped with the main features. In addition, RCS piping is removed and the feature of the SBLOCA is a major design break accident. SWAT (SMART ECC Water Asymmetric Two-phase choking test facility) test facility is to simulate the 2 inch SBLOCA of the SMART using with reduced scale. The Test was performed to produce experimental data for the validation of the TASS/SMR-S thermal hydraulic analysis code, and to investigate the related thermal hydraulic phenomena in the down-comer region during the 2 inch SBLOCA of the safety inject line. The particular phenomena for the observation are ECC bypass and multi-dimensional flow characteristics to verify the effectiveness and performance of the safety injection system. In this paper, the corresponding steady state test conditions, including initial and boundary conditions along with major measuring parameters, and related experimental results were described

Quality of newborn care: a health facility assessment in rural Ghana using survey, vignette and surveillance data

NARCIS (Netherlands)

Vesel, Linda; Manu, Alexander; Lohela, Terhi J.; Gabrysch, Sabine; Okyere, Eunice; ten Asbroek, Augustinus H. A.; Hill, Zelee; Agyemang, Charlotte Tawiah; Owusu-Agyei, Seth; Kirkwood, Betty R.

2013-01-01

To assess the structural capacity for, and quality of, immediate and essential newborn care (ENC) in health facilities in rural Ghana, and to link this with demand for facility deliveries and admissions. Health facility assessment survey and population-based surveillance data. Seven districts in

Mohawk Tannery Hazardous Waste Site in New Hampshire included on EPA List of Targeted for Immediate Attention

Science.gov (United States)

Today, the U.S. Environmental Protection Agency released the list of Superfund sites that Administrator Pruitt has targeted for immediate and intense attention. The former Mohawk Tannery facility (a.k.a. Granite State Leathers) is one of the 21 sites on th

Using drugs in un/safe spaces: Impact of perceived illegality on an underground supervised injecting facility in the United States.

Science.gov (United States)

Davidson, Peter J; Lopez, Andrea M; Kral, Alex H

2018-03-01

Supervised injection facilities (SIFs) are spaces where people can consume pre-obtained drugs in hygienic circumstances with trained staff in attendance to provide emergency response in the event of an overdose or other medical emergency, and to provide counselling and referral to other social and health services. Over 100 facilities with formal legal sanction exist in ten countries, and extensive research has shown they reduce overdose deaths, increase drug treatment uptake, and reduce social nuisance. No facility with formal legal sanction currently exists in the United States, however one community-based organization has successfully operated an 'underground' facility since September 2014. Twenty three qualitative interviews were conducted with people who used the underground facility, staff, and volunteers to examine the impact of the facility on peoples' lives, including the impact of lack of formal legal sanction on service provision. Participants reported that having a safe space to inject drugs had led to less injections in public spaces, greater ability to practice hygienic injecting practices, and greater protection from fatal overdose. Constructive aspects of being 'underground' included the ability to shape rules and procedures around user need rather than to meet political concerns, and the rapid deployment of the project, based on immediate need. Limitations associated with being underground included restrictions in the size and diversity of the population served by the site, and reduced ability to closely link the service to drug treatment and other health and social services. Unsanctioned supervised injection facilities can provide a rapid and user-driven response to urgent public health needs. This work draws attention to the need to ensure such services remain focused on user-defined need rather than external political concerns in jurisdictions where supervised injection facilities acquire local legal sanction. Copyright © 2017 Elsevier B.V. All

Uterotonic use immediately following birth: using a novel methodology to estimate population coverage in four countries.

Science.gov (United States)

Ricca, Jim; Dwivedi, Vikas; Varallo, John; Singh, Gajendra; Pallipamula, Suranjeen Prasad; Amade, Nazir; de Luz Vaz, Maria; Bishanga, Dustan; Plotkin, Marya; Al-Makaleh, Bushra; Suhowatsky, Stephanie; Smith, Jeffrey Michael

2015-01-22

Postpartum hemorrhage (PPH) is the leading cause of maternal mortality in developing countries. While incidence of PPH can be dramatically reduced by uterotonic use immediately following birth (UUIFB) in both community and facility settings, national coverage estimates are rare. Most national health systems have no indicator to track this, and community-based measurements are even more scarce. To fill this information gap, a methodology for estimating national coverage for UUIFB was developed and piloted in four settings. The rapid estimation methodology consisted of convening a group of national technical experts and using the Delphi method to come to consensus on key data elements that were applied to a simple algorithm, generating a non-precise national estimate of coverage of UUIFB. Data elements needed for the calculation were the distribution of births by location and estimates of UUIFB in each of those settings, adjusted to take account of stockout rates and potency of uterotonics. This exercise was conducted in 2013 in Mozambique, Tanzania, the state of Jharkhand in India, and Yemen. Available data showed that deliveries in public health facilities account for approximately half of births in Mozambique and Tanzania, 16% in Jharkhand and 24% of births in Yemen. Significant proportions of births occur in private facilities in Jharkhand and faith-based facilities in Tanzania. Estimated uterotonic use for facility births ranged from 70 to 100%. Uterotonics are not used routinely for PPH prevention at home births in any of the settings. National UUIFB coverage estimates of all births were 43% in Mozambique, 40% in Tanzania, 44% in Jharkhand, and 14% in Yemen. This methodology for estimating coverage of UUIFB was found to be feasible and acceptable. While the exercise produces imprecise estimates whose validity cannot be assessed objectively in the absence of a gold standard estimate, stakeholders felt they were accurate enough to be actionable. The exercise

Reducing Organic Contamination in NASA JSC Astromaterial Curation Facility

Science.gov (United States)

Calaway, M. J.; Allen, C. C.; Allton, J. H.

2013-01-01

Future robotic and human spaceflight missions to the Moon, Mars, asteroids and comets will require handling and storing astromaterial samples with minimal inorganic and organic contamination to preserve the scientific integrity of each sample. Much was learned from the rigorous attempts to minimize and monitor organic contamination during Apollo, but it was not adequate for current analytical requirements; thus [1]. OSIRIS-REx, Hayabusa-2, and future Mars sample return will require better protocols for reducing organic contamination. Future isolation con-tainment systems for astromaterials, possibly nitrogen enriched gloveboxes, must be able to reduce organic and inorganic cross-contamination. In 2012, a baseline study established the current state of organic cleanliness in gloveboxes used by NASA JSC astromaterials curation labs that could be used as a benchmark for future mission designs [2, 3]. After standard ultra-pure water (UPW) cleaning, the majority of organic contaminates found were hydrocarbons, plasticizers, silicones, and solvents. Hydro-carbons loads (> C7) ranged from 1.9 to 11.8 ng/cm2 for TD-GC-MS wafer exposure analyses and 5.0 to 19.5 ng/L for TD-GC-MS adsorbent tube exposure. Plasticizers included peracetic acid sterilization were used in the atmospheric de-contamination (R) cabinets. Later, Lunar curation gloveboxes were degreased with a pressurized Freon 113 wash. Today, UPW has replaced Freon as the standard cleaning procedure, but does not have the degreasing solvency power of Freon. Future Cleaning Studies: Cleaning experiments are cur-rently being orchestrated to study how to degrease and reduce organics in a JSC curation glovebox lower than the established baseline. Several new chemicals in the industry have replaced traditional degreasing solvents such as Freon and others that are now federally restricted. However, these new suites of chemicals remain untested for lowering organics in curation gloveboxes. 3M's HFE-7100DL and Du

ORNL Isotopes Facilities Shutdown Program Plan

International Nuclear Information System (INIS)

Gibson, S.M.; Patton, B.D.; Sears, M.B.

1990-10-01

This plan presents the results of a technical and economic assessment for shutdown of the Oak Ridge National Laboratory (ORNL) isotopes production and distribution facilities. On December 11, 1989, the Department of Energy (DOE), Headquarters, in a memorandum addressed to DOE Oak Ridge Operations Office (DOE-ORO), gave instructions to prepare the ORNL isotopes production and distribution facilities, with the exception of immediate facility needs for krypton-85, tritium, and yttrium-90, for safe shutdown. In response to the memorandum, ORNL identified 17 facilities for shutdown. Each of these facilities is located within the ORNL complex with the exception of Building 9204-3, which is located at the Y-12 Weapons Production Plant. These facilities have been used extensively for the production of radioactive materials by the DOE Isotopes Program. They currently house a large inventory of radioactive materials. Over the years, these aging facilities have inherited the problems associated with storing and processing highly radioactive materials (i.e., facilities' materials degradation and contamination). During FY 1990, ORNL is addressing the requirements for placing these facilities into safe shutdown while maintaining the facilities under the existing maintenance and surveillance plan. The day-to-day operations associated with the surveillance and maintenance of a facility include building checks to ensure that building parameters are meeting the required operational safety requirements, performance of contamination control measures, and preventative maintenance on the facility and facility equipment. Shutdown implementation will begin in FY 1993, and shutdown completion will occur by the end of FY 1994

Manufacturing and test of a low cost polypropylene bag to reduce the radioactive gas released by a radiopharmaceutical production facility

Energy Technology Data Exchange (ETDEWEB)

Tavares, Jose Carlos Freitas; Lacerda, Marco Aurelio de Sousa, E-mail: jcft@cdtn.b, E-mail: masl@cdtn.b [Centro de Desenvolvimento da Tecnologia Nuclear (SEPRA/ CDTN/CNEN-MG) Belo Horizonte, MG (Brazil). Servico de Protecao Radiologica; Nascimento, Leonardo Tafas Constantino do; Silva, Juliana Batista da, E-mail: ltcn@cdtn.b, E-mail: silvajb@cdtn.b [Centro de Desenvolvimento da Tecnologia Nuclear (SECPRA/ CDTN/CNEN-MG) Belo Horizonte, MG (Brazil). Secao de Producao de Radiofarmacos

2011-07-01

The main objective of this work was to evaluate the efficiency of a plastic gas storage bag to reduce the radioactive gas released by the chimney of a radiopharmaceutical production facility during the 2-[{sup 18}F]fluoro-2- deoxy-D-glucose ({sup 18}FDG) synthesis. The studied facility was the Development Centre of Nuclear Technology (CDTN/CNEN) in Belo Horizonte, Brazil. The bag was manufactured utilizing foils of polypropylene of 360 x 550 x 0.16 mm and disposable components of the cassette of the synthesizer. Two synthesis of {sup 18}FDG were done using the same hot cell and synthesizer to evaluate the efficiency of the bag. The manufactured bag was put in the gas exit of the synthesizer and the activity reported by the online radiation monitoring system in the first synthesis. These results were compared to the activity released in a synthesis performed without the bag. We observed when the bag was used the amount released was about 0.2% in 270 minutes. The second synthesis was performed without the bag, about 7,1% of the input activity was released by the exhaust of the facility in the same time interval. The bag presented a very good efficiency in the reducing of the radioactive gas released by the chimney of the radiopharmaceutical production facility. (author)

Manufacturing and test of a low cost polypropylene bag to reduce the radioactive gas released by a radiopharmaceutical production facility

International Nuclear Information System (INIS)

Tavares, Jose Carlos Freitas; Lacerda, Marco Aurelio de Sousa; Nascimento, Leonardo Tafas Constantino do; Silva, Juliana Batista da

2011-01-01

The main objective of this work was to evaluate the efficiency of a plastic gas storage bag to reduce the radioactive gas released by the chimney of a radiopharmaceutical production facility during the 2-[ 18 F]fluoro-2- deoxy-D-glucose ( 18 FDG) synthesis. The studied facility was the Development Centre of Nuclear Technology (CDTN/CNEN) in Belo Horizonte, Brazil. The bag was manufactured utilizing foils of polypropylene of 360 x 550 x 0.16 mm and disposable components of the cassette of the synthesizer. Two synthesis of 18 FDG were done using the same hot cell and synthesizer to evaluate the efficiency of the bag. The manufactured bag was put in the gas exit of the synthesizer and the activity reported by the online radiation monitoring system in the first synthesis. These results were compared to the activity released in a synthesis performed without the bag. We observed when the bag was used the amount released was about 0.2% in 270 minutes. The second synthesis was performed without the bag, about 7,1% of the input activity was released by the exhaust of the facility in the same time interval. The bag presented a very good efficiency in the reducing of the radioactive gas released by the chimney of the radiopharmaceutical production facility. (author)

A facile route to porous beta-gallium oxide nanowires-reduced graphene oxide hybrids with enhanced photocatalytic efficiency

International Nuclear Information System (INIS)

Xu, X.; Lei, M.; Huang, K.; Liang, C.; Xu, J.C.; Shangguan, Z.C.; Yuan, Q.X.; Ma, L.H.; Du, Y.X.; Fan, D.Y.; Yang, H.J.; Wang, Y.G.; Tang, W.H.

2015-01-01

Highlights: • A facile route was developed to fabricate porous β-Ga 2 O 3 NWs-rGO hybrids. • Supercritical water can act as an efficient reductant to situ-reduce GO into RGO. • The Ga 2 O 3 NWs attach on the surface of RGO through a strong coupling forces. • The photocatalytic performance of the hybrids can be obviously improved. - Abstract: A facile route was developed to fabricate porous beta-gallium oxide nanowires (β-Ga 2 O 3 NWs)-reduced graphene oxide (rGO) hybrids using β-Ga 2 O 3 NWs and graphene oxide (GO) as raw materials. The characterization results indicate that supercritical water can act as an efficient reductant to situ-reduce GO into rGO, and porous β-Ga 2 O 3 NWs can further attach on the surface of as-reduced rGO through a strong coupling forces between the β-Ga 2 O 3 NWs and rGO. The photocatalytic performance of the hybrids can be obviously improved (about 74%) for the decomposition of methylene blue (MB) solution after coupling with 1 wt% rGO compared with the pure β-Ga 2 O 3 NWs. The enhanced photocatalytic activity can be attributed to the synergistic effect of extended optical absorption band, the enrichment of MB molecular on the rGO and the valid inhibition of recombination of photo-generated electron–hole pairs induced by the strong coupling interaction between rGO nanosheets and porous β-Ga 2 O 3 NWs

Routine delivery of artemisinin-based combination treatment at fixed health facilities reduces malaria prevalence in Tanzania: an observational study

Directory of Open Access Journals (Sweden)

Khatib Rashid A

2012-04-01

Full Text Available Abstract Background Artemisinin-based combination therapy (ACT has been promoted as a means to reduce malaria transmission due to their ability to kill both asexual blood stages of malaria parasites, which sustain infections over long periods and the immature derived sexual stages responsible for infecting mosquitoes and onward transmission. Early studies reported a temporal association between ACT introduction and reduced malaria transmission in a number of ecological settings. However, these reports have come from areas with low to moderate malaria transmission, been confounded by the presence of other interventions or environmental changes that may have reduced malaria transmission, and have not included a comparison group without ACT. This report presents results from the first large-scale observational study to assess the impact of case management with ACT on population-level measures of malaria endemicity in an area with intense transmission where the benefits of effective infection clearance might be compromised by frequent and repeated re-infection. Methods A pre-post observational study with a non-randomized comparison group was conducted at two sites in Tanzania. Both sites used sulphadoxine-pyrimethamine (SP monotherapy as a first-line anti-malarial from mid-2001 through 2002. In 2003, the ACT, artesunate (AS co-administered with SP (AS + SP, was introduced in all fixed health facilities in the intervention site, including both public and registered non-governmental facilities. Population-level prevalence of Plasmodium falciparum asexual parasitaemia and gametocytaemia were assessed using light microscopy from samples collected during representative household surveys in 2001, 2002, 2004, 2005 and 2006. Findings Among 37,309 observations included in the analysis, annual asexual parasitaemia prevalence in persons of all ages ranged from 11% to 28% and gametocytaemia prevalence ranged from Interpretation The introduction of ACT at

Designing for Immediate Play

DEFF Research Database (Denmark)

Pichlmair, Martin; Mech, Lena; Sicart, Miguel Angel

2017-01-01

This paper is concerned with designing for immediate play, the experience that a player has when joining a game designed for being played without particular preparation. Museum games, urban games, casual sports, and ad-hoc multiplayer video games are kinds of games that facilitate immediate play...... offer using examples and expert opinions. While most practices and game examples mentioned in this paper are from non-digital games, a special focus is put on the role of technology in immediately playable experiences. Still, the examined design dimensions are independent of the technological foundation...... of the game. This paper provides a starting point for designing better immediate play situations....

How School Facilities Managers and Business Officials Are Reducing Operating Costs and Saving Money. Energy-Smart Building Choices.

Science.gov (United States)

Department of Energy, Washington, DC.

This guide addresses contributions that school facility administrators and business officials can make in an effort to reduce operating costs and free up money for capital improvements. The guide explores opportunities available to utilize energy-saving strategies at any stage in a building's life, from its initial design phase through renovation.…

Facile synthesis of hierarchical dendritic PtPd nanogarlands supported on reduced graphene oxide with enhanced electrocatalytic properties

Science.gov (United States)

Li, Shan-Shan; Zheng, Jie-Ning; Ma, Xiaohong; Hu, Yuan-Yuan; Wang, Ai-Jun; Chen, Jian-Rong; Feng, Jiu-Ju

2014-05-01

A simple and facile method is developed for one-pot preparation of hierarchical dendritic PtPd nanogarlands supported on reduced graphene oxide (PtPd/RGO) at room temperature, without using any seed, organic solvent, or complex apparatus. It is found that octylphenoxypolyethoxyethanol (NP-40) as a soft template and its amount are critical to the formation of PtPd garlands. The as-prepared nanocomposites are further applied to methanol and ethanol oxidation with significantly enhanced electrocatalytic activity and better stability in alkaline media.A simple and facile method is developed for one-pot preparation of hierarchical dendritic PtPd nanogarlands supported on reduced graphene oxide (PtPd/RGO) at room temperature, without using any seed, organic solvent, or complex apparatus. It is found that octylphenoxypolyethoxyethanol (NP-40) as a soft template and its amount are critical to the formation of PtPd garlands. The as-prepared nanocomposites are further applied to methanol and ethanol oxidation with significantly enhanced electrocatalytic activity and better stability in alkaline media. Electronic supplementary information (ESI) available: Experimental section, Fig. S1-S12 and Tables S1 and S2. See DOI: 10.1039/c3nr06808k

A facile route to porous beta-gallium oxide nanowires-reduced graphene oxide hybrids with enhanced photocatalytic efficiency

Energy Technology Data Exchange (ETDEWEB)

Xu, X. [State Key Laboratory of Information Photonics and Optical Communications, Beijing University of Posts and Telecommunications, Beijing 100876 (China); School of Science, Beijing University of Posts and Telecommunications, Beijing 100876 (China); Lei, M., E-mail: minglei@bupt.edu.cn [State Key Laboratory of Information Photonics and Optical Communications, Beijing University of Posts and Telecommunications, Beijing 100876 (China); School of Science, Beijing University of Posts and Telecommunications, Beijing 100876 (China); Huang, K.; Liang, C.; Xu, J.C.; Shangguan, Z.C. [School of Science, Beijing University of Posts and Telecommunications, Beijing 100876 (China); Yuan, Q.X. [Department of Mathematics and Physics, Zhengzhou Institute of Aeronautical Industry Management, Zhengzhou 450015 (China); Ma, L.H. [School of Science, Beijing University of Posts and Telecommunications, Beijing 100876 (China); Du, Y.X., E-mail: duyinxiao@zzia.edu.cn [Department of Mathematics and Physics, Zhengzhou Institute of Aeronautical Industry Management, Zhengzhou 450015 (China); Fan, D.Y.; Yang, H.J.; Wang, Y.G.; Tang, W.H. [School of Science, Beijing University of Posts and Telecommunications, Beijing 100876 (China)

2015-02-25

Highlights: • A facile route was developed to fabricate porous β-Ga{sub 2}O{sub 3} NWs-rGO hybrids. • Supercritical water can act as an efficient reductant to situ-reduce GO into RGO. • The Ga{sub 2}O{sub 3} NWs attach on the surface of RGO through a strong coupling forces. • The photocatalytic performance of the hybrids can be obviously improved. - Abstract: A facile route was developed to fabricate porous beta-gallium oxide nanowires (β-Ga{sub 2}O{sub 3} NWs)-reduced graphene oxide (rGO) hybrids using β-Ga{sub 2}O{sub 3} NWs and graphene oxide (GO) as raw materials. The characterization results indicate that supercritical water can act as an efficient reductant to situ-reduce GO into rGO, and porous β-Ga{sub 2}O{sub 3} NWs can further attach on the surface of as-reduced rGO through a strong coupling forces between the β-Ga{sub 2}O{sub 3} NWs and rGO. The photocatalytic performance of the hybrids can be obviously improved (about 74%) for the decomposition of methylene blue (MB) solution after coupling with 1 wt% rGO compared with the pure β-Ga{sub 2}O{sub 3} NWs. The enhanced photocatalytic activity can be attributed to the synergistic effect of extended optical absorption band, the enrichment of MB molecular on the rGO and the valid inhibition of recombination of photo-generated electron–hole pairs induced by the strong coupling interaction between rGO nanosheets and porous β-Ga{sub 2}O{sub 3} NWs.

Facility for protection of technological, especially power assemblies

International Nuclear Information System (INIS)

Cichon, S.; Hahn, J.; Malatek, K.; Randak, O.; Vitovec, P.; Zidek, M.

1987-01-01

The facility consists of sensors producing analog signals, used as input information for the evaluation of process conditions or equipment failures. The sensors are fitted to partial functional parts of technological assemblies, such as nuclear reactors. The individual sensors are connected via unification converters to the respective protection units. The facility is resistant to breakdowns of the analog sensors and other components including the computer; it features the possibility of in-service failure detection and the capability of immediate regeneration following a failure. This capability prevents, with high probability, the production of non-accident failures of the technological assembly. The block diagram is described of the facility and its operation in the event of an emergency. (J.B.). 1 fig

Does Injection of Lidocaine with 1/100000 Epinephrine Immediately before Lateral Osteotomy Reduce Post-Operative Periorbital Edema and Ecchymosis in Rhinoplasty?

Directory of Open Access Journals (Sweden)

mansoor zojajy

2014-06-01

Full Text Available Background: Postoperative periorbital edema and ecchymosis are common after rhinoplasty. We studied the effect of local injection of Lidocaine/Adrenaline immediately before osteotomy on prevention of post-operative periorbital edema and ecchymosis in rhinoplasty.Materials and Methods: Thirty healthy candidates for rhinoplasty were enrolled in the self-controlled clinical trial study. Lidocaine/Adrenaline solution injected randomly to one side just prior to the lateral osteotomy. The opposite side used as a control. The degree of edema/ecchymosis on both sides was compared on the 1st, 2nd and 7th day postoperatively.Results: Mean of severity of edema, 24 hours after operation was 3in both sides, (Mann-whitney U; p=0.829. Mean of severity of edema, 48 hours after operation was 2 in both sides (Mann-whitney U; p=0.867 and it was 1 in both sides 7 days after operation (Mann-whitney U; p=0.756.There was no significant difference between two sides. Mean of severity of ecchymosis, 24 hours after operation was 3 in both sides (Mann-whitney U; p=0.692. Mean of severity of ecchymosis, 48 hours after operation was 2 in both sides (Mann-whitney U; p=0.655 and it was 1 in both sides 7 days after operation (Mann-whitney U; p=0.873. There was no significant difference between two sides.Conclusion: local injection of Lidocaine/Adrenaline solution immediately before lateral osteotomy could not reduce postoperative edema and ecchymosis in rhinoplasty.

The perceived impact of an emergency department immediate reporting service: An exploratory survey

International Nuclear Information System (INIS)

Snaith, Beverly; Hardy, Maryann

2013-01-01

Background: Immediate reporting, commonly referred to as a ‘hot reporting’, has been advocated as a method of effectively supporting clinical decision making. However, its implementation nationally has been limited with poor understanding of its value in practice. Method: A cross sectional attitudinal survey was distributed to emergency department clinicians (medical and nursing staff) and radiographers to explore perceptions of an immediate reporting service in terms of its influence on professional role and autonomy, patient care and service quality. Results: A total of 87 (n = 87/155; 56.1%) completed questionnaires were returned. The findings suggest that significant support for immediate reporting exists. Immediate reporting is believed to improve service quality, reduce clinical errors and provide opportunity for image interpretation skills development. However, responses were not consistent across clinical professions and staff grades. Conclusion: The immediate reporting of emergency department images is perceived to benefit patient, emergency department clinicians and hospital organisation

Facile synthesis of NiWO4/reduced graphene oxide nanocomposite with excellent capacitive performance for supercapacitors

International Nuclear Information System (INIS)

Xu, Xiaowei; Pei, Liyuan; Yang, Yang; Shen, Jianfeng; Ye, Mingxin

2016-01-01

NiWO 4 /reduced graphene oxide (NWG) nanocomposite was successfully synthesized through a facile one-pot solvothermal method for the first time. The resulting nanocomposite is composed of NiWO 4 nanoparticles that are uniformly attached on graphene sheets by in situ reducing. The as-prepared NWG composite has been systematically characterized by Powder X-ray diffraction, Fourier transform infrared spectra, Raman spectroscopy, Thermogravimetric analysis, Scanning electron microscopy, Transmission electron microscopy, X-ray photoelectron spectra, and Brunauer–Emmett–Teller analysis. The capacitive performances of the as-prepared NWG composite as electrode material are investigated. It is found that the NWG composite exhibits a high specific capacitance up to 1031.3 F g −1 at a current density of 0.5 A g −1 . The greatly enhanced capacitive performance of the NWG electrode can be attributed to the synergetic effect of NiWO 4 nanoparticles and RGO, which provides conducting channels and active sites. The cyclic stability tests demonstrated no decreases of its initial values after 5000 cycles, suggesting that such hybrid electrode possesses a great potential application in energy-storage devices. - Highlights: • NiWO 4 /RGO composite was successfully prepared through a facile solvothermal method. • The NiWO 4 /RGO composite shows a high specific capacitance of 1031.3 F g −1 . • Enhanced electrical conductivity leads to superior electrochemical performance.

Common Modality Effects in Immediate Free Recall and Immediate Serial Recall

Science.gov (United States)

Grenfell-Essam, Rachel; Ward, Geoff; Tan, Lydia

2017-01-01

In 2 experiments, participants were presented with lists of between 2 and 12 words for either immediate free recall (IFR) or immediate serial recall (ISR). Auditory recall advantages at the end of the list (modality effects) and visual recall advantages early in the list (inverse modality effects) were observed in both tasks and the extent and…

Earthquake research for the safer siting of critical facilities

Energy Technology Data Exchange (ETDEWEB)

Cluff, J.L. (ed.)

1980-01-01

The task of providing the necessities for living, such as adequate electrical power, water, and fuel, is becoming more complicated with time. Some of the facilities that provide these necessities would present potential hazards to the population if serious damage were to occur to them during earthquakes. Other facilities must remain operable immediately after an earthquake to provide life-support services to people who have been affected. The purpose of this report is to recommend research that will improve the information available to those who must decide where to site these critical facilities, and thereby mitigate the effects of the earthquake hazard. The term critical facility is used in this report to describe facilities that could seriously affect the public well-being through loss of life, large financial loss, or degradation of the environment if they were to fail. The term critical facility also is used to refer to facilities that, although they pose a limited hazard to the public, are considered critical because they must continue to function in the event of a disaster so that they can provide vital services.

19 CFR 10.101 - Immediate delivery.

Science.gov (United States)

2010-04-01

... 19 Customs Duties 1 2010-04-01 2010-04-01 false Immediate delivery. 10.101 Section 10.101 Customs... Importations § 10.101 Immediate delivery. (a) Shipments entitled to immediate delivery. Shipments consigned to... as shipments the immediate delivery of which is necessary within the purview of section 448(b...

Vertical Root Fracture: Preservation of the Alveolar Ridge Using Immediate Implants

Directory of Open Access Journals (Sweden)

Edmar de Oliveira Oya

2014-01-01

Full Text Available Teeth with vertical root fracture (VRF have complete or incomplete fractures that begin in the root and extend toward the occlusal surface. The most frequent causes of VRF originate from physical trauma, occlusal prematurity, inadequate endodontic treatment, and iatrogenic causes. Diagnose is difficult and delay can cause stomatognathic system problem. The purpose of this case report was to evaluate immediate implant placement after extraction of teeth with vertical root fracture. For the 1st case, the VRF in 1st left lower molar was confirmed during surgical flap and at the same time, the tooth was removed and immediate implant was placed. For the 2nd case, the VRF 1st left lower molar was confirmed during endodontic access and at the same appointment, the tooth was removed and the immediate implant is placed. Several studies have shown that immediate implants have similar success rates when compared with late implants. Consider that this approach is a safe procedure with favorable prognosis. In cases of VRF, the main factor to be considered is the presence of adequate bone support and immediate implants can preserve the vertical bone height, adding the fact that good patient compliance reduces the number of surgical interventions and promotes the functionality of stomatognathic system.

75 FR 10525 - In the Matter of: AREVA Enrichment Services, LLC (Eagle Rock Enrichment Facility) and All Other...

Science.gov (United States)

2010-03-08

...: AREVA Enrichment Services, LLC (Eagle Rock Enrichment Facility) and All Other Persons Who Seek or Obtain... for the Implementation of a Safeguards Information Program (Effective Immediately) I AREVA Enrichment... it to construct and operate a uranium enrichment facility in Bonneville County, Idaho. AES submitted...

Nuclear Rocket Facility Decommissioning Project: Controlled Explosive Demolition of Neutron-Activated Shield Wall

International Nuclear Information System (INIS)

Michael R. Kruzic

2007-01-01

Located in Area 25 of the Nevada Test Site (NTS), the Test Cell A (TCA) Facility was used in the early to mid-1960s for the testing of nuclear rocket engines, as part of the Nuclear Rocket Development Program, to further space travel. Nuclear rocket testing resulted in the activation of materials around the reactors and the release of fission products and fuel particles in the immediate area. Identified as Corrective Action Unit 115, the TCA facility was decontaminated and decommissioned (D and D) from December 2004 to July 2005 using the Streamlined Approach for Environmental Restoration (SAFER) process, under the ''Federal Facility Agreement and Consent Order''. The SAFER process allows environmental remediation and facility closure activities (i.e., decommissioning) to occur simultaneously provided technical decisions are made by an experienced decision maker within the site conceptual site model, identified in the Data Quality Objective process. Facility closure involved a seven-step decommissioning strategy. Key lessons learned from the project included: (1) Targeted preliminary investigation activities provided a more solid technical approach, reduced surprises and scope creep, and made the working environment safer for the D and D worker. (2) Early identification of risks and uncertainties provided opportunities for risk management and mitigation planning to address challenges and unanticipated conditions. (3) Team reviews provided an excellent mechanism to consider all aspects of the task, integrated safety into activity performance, increase team unity and ''buy-in'' and promoted innovative and time saving ideas. (4) Development of CED protocols ensured safety and control. (5) The same proven D and D strategy is now being employed on the larger ''sister'' facility, Test Cell C

Selective post-training time window for memory consolidation interference of cannabidiol into the prefrontal cortex: Reduced dopaminergic modulation and immediate gene expression in limbic circuits.

Science.gov (United States)

Rossignoli, Matheus Teixeira; Lopes-Aguiar, Cleiton; Ruggiero, Rafael Naime; Do Val da Silva, Raquel Araujo; Bueno-Junior, Lezio Soares; Kandratavicius, Ludmyla; Peixoto-Santos, José Eduardo; Crippa, José Alexandre; Cecilio Hallak, Jaime Eduardo; Zuardi, Antonio Waldo; Szawka, Raphael Escorsim; Anselmo-Franci, Janete; Leite, João Pereira; Romcy-Pereira, Rodrigo Neves

2017-05-14

The prefrontal cortex (PFC), amygdala and hippocampus display a coordinated activity during acquisition of associative fear memories. Evidence indicates that PFC engagement in aversive memory formation does not progress linearly as previously thought. Instead, it seems to be recruited at specific time windows after memory acquisition, which has implications for the treatment of post-traumatic stress disorders. Cannabidiol (CBD), the major non-psychotomimetic phytocannabinoid of the Cannabis sativa plant, is known to modulate contextual fear memory acquisition in rodents. However, it is still not clear how CBD interferes with PFC-dependent processes during post-training memory consolidation. Here, we tested whether intra-PFC infusions of CBD immediately after or 5h following contextual fear conditioning was able to interfere with memory consolidation. Neurochemical and cellular correlates of the CBD treatment were evaluated by the quantification of extracellular levels of dopamine (DA), serotonin, and their metabolites in the PFC and by measuring the cellular expression of activity-dependent transcription factors in cortical and limbic regions. Our results indicate that bilateral intra-PFC CBD infusion impaired contextual fear memory consolidation when applied 5h after conditioning, but had no effect when applied immediately after it. This effect was associated with a reduction in DA turnover in the PFC following retrieval 5days after training. We also observed that post-conditioning infusion of CBD reduced c-fos and zif-268 protein expression in the hippocampus, PFC, and thalamus. Our findings support that CBD interferes with contextual fear memory consolidation by reducing PFC influence on cortico-limbic circuits. Copyright © 2017 IBRO. Published by Elsevier Ltd. All rights reserved.

Intraoperative ketamine reduces immediate postoperative opioid consumption after spinal fusion surgery in chronic pain patients with opioid dependency: a randomized, blinded trial.

Science.gov (United States)

Nielsen, Rikke Vibeke; Fomsgaard, Jonna Storm; Siegel, Hanna; Martusevicius, Robertas; Nikolajsen, Lone; Dahl, Jørgen Berg; Mathiesen, Ole

2017-03-01

Perioperative handling of surgical patients with opioid dependency represents an important clinical problem. Animal studies suggest that ketamine attenuates central sensitization and hyperalgesia and thereby reduces postoperative opioid tolerance. We hypothesized that intraoperative ketamine would reduce immediate postoperative opioid consumption compared with placebo in chronic pain patients with opioid dependency undergoing lumbar spinal fusion surgery. Primary outcome was morphine consumption 0 to 24 hours postoperatively. Secondary outcomes were acute pain at rest and during mobilization 2 to 24 hours postoperatively (visual analogue scale), adverse events, and persistent pain 6 months postoperatively. One hundred fifty patients were randomly assigned to intraoperative S-ketamine bolus 0.5 mg/kg and infusion 0.25 mg·kg·h or placebo. Postoperatively, patients received their usual opioids, paracetamol and IV patient-controlled analgesia with morphine. In the final analyses, 147 patients were included. Patient-controlled analgesia IV morphine consumption 0 to 24 hours postoperatively was significantly reduced in the ketamine group compared with the placebo group: 79 (47) vs 121 (53) mg IV, mean difference 42 mg (95% confidence interval -59 to -25), P ketamine group 6 and 24 hours postoperatively. There were no significant differences regarding acute pain, nausea, vomiting, hallucinations, or nightmares. Back pain at 6 months postoperatively compared with preoperative pain was significantly more improved in the ketamine group compared with the placebo group, P = 0.005. In conclusion, intraoperative ketamine significantly reduced morphine consumption 0 to 24 hours after lumbar fusion surgery in opioid-dependent patients. The trend regarding less persistent pain 6 months postoperatively needs further investigation.

Facile synthesis of reduced graphene oxide/CoWO4 nanocomposites with enhanced electrochemical performances for supercapacitors

International Nuclear Information System (INIS)

Xu, Xiaowei; Shen, Jianfeng; Li, Na; Ye, Mingxin

2014-01-01

Highlights: • RGO/CoWO 4 composites were successfully prepared through a facile hydrothermal method. • RGO/CoWO 4 composites show much higher specific capacitances than pure CoWO 4 . • Enhanced electrical conductivity leads to superior electrochemical performance. - Abstract: A facile one-pot hydrothermal method was provided for synthesis of the reduced graphene oxide-cobalt tungstate (RGO/CoWO 4 ) nanocomposites with the enhanced electrochemical performances for supercapacitors for the first time. The resulting nanocomposites are comprised of CoWO 4 nanospheres that are well-anchored on graphene sheets by in situ reducing. The prepared RGO/CoWO 4 nanocomposites have been thoroughly characterized by Fourier–transform infrared spectroscopy, X-ray diffraction, Raman spectroscopy, Thermogravimetric analysis, Scanning electron microscopy, Transmission electron microscopy, X-ray photoelectron spectroscopy, and N 2 adsorption–desorption. Importantly, the prepared nanocomposites exhibit superior electrochemical performance to CoWO 4 as electrodes for supercapacitors. As a result, RGO/CoWO 4 nanocomposites with 91.6 wt% CoWO 4 content achieved a specific capacitance about 159.9 F g −1 calculated from the CV curves at 5 mV s −1 , which was higher than that of CoWO 4 (60.6 F g −1 ). The good electrochemical performance can be attributed to the increased electrical conductivity and the creation of new active sites due to the synergetic effect of RGO and CoWO 4 nanospheres. The cyclic stability tests demonstrated capacitance retention of about 94.7% after 1000 cycles, suggesting the potential application of RGO/CoWO 4 nanocomposites in energy-storage devices

Facile, low temperature synthesis of SnO_2/reduced graphene oxide nanocomposite as anode material for lithium-ion batteries

International Nuclear Information System (INIS)

Hou, Chau-Chung; Brahma, Sanjaya; Weng, Shao-Chieh; Chang, Chia-Chin; Huang, Jow-Lay

2017-01-01

Highlights: • Facile, one-pot, low temperature synthesis of SnO_2-RGO composite. • In-situ reduction of graphene oxide and growth of SnO_2 nanoparticle. • Concentration of reductant during synthesis affects the properties significantly. • SnO_2-RGO composite shows good rate capability and stable capacitance. • Synthesis method is energy efficient and scalable for other metal oxides. - Abstract: We demonstrate a facile, single step, low temperature and energy efficient strategy for the synthesis of SnO_2-reduced graphene oxide (RGO) nanocomposite where the crystallization of SnO_2 nanoparticles and the reduction of graphene oxide takes place simultaneously by an in situ chemical reduction process. The electrochemical property of the SnO_2-RGO composite prepared by using low concentrations of reducing agent shows better Li storage performance, good rate capability (378 mAh g"−"1 at 3200 mA g"−"1) and stable capacitance (522 mAh g"−"1 after 50 cycles). Increasing the reductant concentration lead to crystallization of high concentration of SnO_2 nanoparticle aggregation and degrade the Li ion storage property.

Wind Energy Facilities

Energy Technology Data Exchange (ETDEWEB)

Laurie, Carol

2017-02-01

This book takes readers inside the places where daily discoveries shape the next generation of wind power systems. Energy Department laboratory facilities span the United States and offer wind research capabilities to meet industry needs. The facilities described in this book make it possible for industry players to increase reliability, improve efficiency, and reduce the cost of wind energy -- one discovery at a time. Whether you require blade testing or resource characterization, grid integration or high-performance computing, Department of Energy laboratory facilities offer a variety of capabilities to meet your wind research needs.

12 CFR 561.24 - Immediate family.

Science.gov (United States)

2010-01-01

... 12 Banks and Banking 5 2010-01-01 2010-01-01 false Immediate family. 561.24 Section 561.24 Banks and Banking OFFICE OF THRIFT SUPERVISION, DEPARTMENT OF THE TREASURY DEFINITIONS FOR REGULATIONS AFFECTING ALL SAVINGS ASSOCIATIONS § 561.24 Immediate family. The term immediate family of any natural...

Workplace Violence and Safety Issues in Long-Term Medical Care Facilities: Nurses' Perspectives

OpenAIRE

Bankole K. Fasanya; Emmanuel A. Dada

2016-01-01

Background: Workplace violence (WPV) is becoming an issue that needs immediate attention in the United States, especially during this period as more states are adopting the “stand your ground laws to promote worker protection.” This study was conducted to investigate how WPV has contributed to an unsafe environment for nurses and nursing assistants who work in long-term medical care facilities. Methods: A structure questionnaire was used to collect data for the study. Three facilities were...

Developing of the protocol for electron beam food irradiation facility

International Nuclear Information System (INIS)

Petreska, Svetlana

2012-01-01

By establishing the needs for institution of new technologies in the process of food processing, in this case a randomized choice of electron beam accelerator facility, arises the need for designing a protocol for safe and secure performance of the facility. The protocol encompasses safety and security measures for protection from ionizing radiation of the individuals who work at the facility, as well as, the population and the environment in the immediate neighborhood of the facility. Thus, the adopted approach is the establishment of appropriate systems responding to the protocol. Dosimetry system, which includes appropriate procedures for accurate measure and recording of the absorbed dose values, according to the provisions for protection from ionizing radiation. Ionizing radiation protection system and providing the safety and security of the facility for food processing by means of ionizing radiation. System for providing quality and safety control of the facility for food processing by means of ionizing radiation. Pursuant to the designed a protocol for safe and secure performance of the facility for electron beam food processing, contributes to protection against ionizing radiation as occupationally exposed persons as well the population. (Author)

Facile synthesis of iron oxides/reduced graphene oxide composites: application for electromagnetic wave absorption at high temperature.

Science.gov (United States)

Zhang, Lili; Yu, Xinxin; Hu, Hongrui; Li, Yang; Wu, Mingzai; Wang, Zhongzhu; Li, Guang; Sun, Zhaoqi; Chen, Changle

2015-03-19

Iron oxides/reduced graphene oxide composites were synthesized by facile thermochemical reactions of graphite oxide and FeSO4 · 7H2O. By adjusting reaction temperature, α-Fe2O3/reduced graphene oxide and Fe3O4/reduced graphene oxide composites can be obtained conveniently. Graphene oxide and reduced graphene oxide sheets were demonstrated to regulate the phase transition from α-Fe2O3 to Fe3O4 via γ-Fe2O3, which was reported for the first time. The hydroxyl groups attached on the graphene oxide sheets and H2 gas generated during the annealing of graphene oxide are believed to play an important role during these phase transformations. These samples showed good electromagnetic wave absorption performance due to their electromagnetic complementary effect. These samples possess much better electromagnetic wave absorption properties than the mixture of separately prepared Fe3O4 with rGO, suggesting the crucial role of synthetic method in determining the product properties. Also, these samples perform much better than commercial absorbers. Most importantly, the great stability of these composites is highly advantageous for applications as electromagnetic wave absorption materials at high temperatures.

Validation of a methodology to develop a test facility in reduced scale related to boron dispersion in a pressurizer of an iPWR

Energy Technology Data Exchange (ETDEWEB)

Nascimento, Samira R.V.; Lira, Carlos A.B.O.; Lapa, Celso M.F.; Lima, Fernando R.A.; Bezerra, Jair L.; Silva, Mário A.B., E-mail: cabol@ufpe.br [Universidade Federal de Pernambuco (UFPE), Recife, PE (Brazil). Centro de Tecnologia e Geociências. Departamento de Energia Nuclear; Instituto de Engenharia Nuclear (IEN/CNEN-RJ), Rio de Janeiro, RJ (Brazil); Centro Regional de Ciências Nucleares do Nordeste (CRCN/CNEN-PE), Recife, PE (Brazil)

2017-11-01

The conception and the project of a 1:200 reduced scale test facility have been developed in earlier researches. Such a facility aims to investigate boron homogenization process inside the pressurizer of an iPWR (integral PWR) by considering water mixing from this component with that coming from the reactor core. For this kind of reactor, the pressurizer is located at the top of the pressure vessel demanding the need of identifying the proper mechanisms in order to warrant an adequate homogenization for the water mixture. Once the installation of the experimental setup was concluded, its behavior has been analyzed by considering the concentration of a tracer diluted in the circulation water, whose measurements were obtained at the pressurizer outlet orifices. Two experiments representing boration(boron concentration increase)/deboration(boron concentration decrease) scenarios have been accomplished. Sample acquisition was carried out for every ten minutes during a total time equal to 180 minutes. Results showed that the combination of Fractional Scaling Analysis with local Froude number consisted of an appropriate methodology to provide the reduced scale test facility parameters, inasmuch the measured concentrations from the experiments reproduced the theoretical behavior with sufficient accuracy. (author)

Validation of a methodology to develop a test facility in reduced scale related to boron dispersion in a pressurizer of an iPWR

International Nuclear Information System (INIS)

Nascimento, Samira R.V.; Lira, Carlos A.B.O.; Lapa, Celso M.F.; Lima, Fernando R.A.; Bezerra, Jair L.; Silva, Mário A.B.

2017-01-01

The conception and the project of a 1:200 reduced scale test facility have been developed in earlier researches. Such a facility aims to investigate boron homogenization process inside the pressurizer of an iPWR (integral PWR) by considering water mixing from this component with that coming from the reactor core. For this kind of reactor, the pressurizer is located at the top of the pressure vessel demanding the need of identifying the proper mechanisms in order to warrant an adequate homogenization for the water mixture. Once the installation of the experimental setup was concluded, its behavior has been analyzed by considering the concentration of a tracer diluted in the circulation water, whose measurements were obtained at the pressurizer outlet orifices. Two experiments representing boration(boron concentration increase)/deboration(boron concentration decrease) scenarios have been accomplished. Sample acquisition was carried out for every ten minutes during a total time equal to 180 minutes. Results showed that the combination of Fractional Scaling Analysis with local Froude number consisted of an appropriate methodology to provide the reduced scale test facility parameters, inasmuch the measured concentrations from the experiments reproduced the theoretical behavior with sufficient accuracy. (author)

Facile synthesis of porous Pt-Pd nanospheres supported on reduced graphene oxide nanosheets for enhanced methanol electrooxidation

Science.gov (United States)

Li, Shan-Shan; Lv, Jing-Jing; Hu, Yuan-Yuan; Zheng, Jie-Ning; Chen, Jian-Rong; Wang, Ai-Jun; Feng, Jiu-Ju

2014-02-01

In this study, a simple, facile, and effective wet-chemical strategy was developed in the synthesis of uniform porous Pt-Pd nanospheres (Pt-Pd NSs) supported on reduced graphene oxide nanosheets (RGOs) under ambient temperature, where octylphenoxypolye thoxyethanol (NP-40) is used as a soft template, without any seed, organic solvent or special instruments. The as-prepared nanocomposites display enhanced electrocatalytic activity and good stability toward methanol oxidation, compared with commercial Pd/C and Pt/C catalysts. This strategy may open a new route to design and prepare advanced electrocatalysts for fuel cells.

The immediate effectiveness of barley straw mulch in reducing soil erodibility and surface runoff generation in Mediterranean vineyards.

Science.gov (United States)

Prosdocimi, Massimo; Jordán, Antonio; Tarolli, Paolo; Keesstra, Saskia; Novara, Agata; Cerdà, Artemi

2016-03-15

Soil and water loss in agriculture is a major problem throughout the world, and especially in Mediterranean areas. Non-conservation agricultural practices have further aggravated the situation, especially in vineyards, which are affected by one of the highest rates of soil loss among cultivated lands. Therefore, it is necessary to find the right soil practices for more sustainable viticulture. In this regard, straw mulching has proven to be effective in other crop and fire affected soils, but, nonetheless, little research has been carried out in vineyards. This research tests the effect of barley straw mulching on soil erosion and surface runoff on vineyards in Eastern Spain where the soil and water losses are non-sustainable. An experiment was setup using rainfall simulation tests at 55 mm h(-1) over 1h on forty paired plots of 0.24 m(2): twenty bare and twenty straw covered. Straw cover varied from 48 to 90% with a median value of 59% as a result of the application of 75 g of straw per m(2). The use of straw mulch resulted in delayed ponding and runoff generation and, as a consequence, the median water loss decreased from 52.59 to 39.27% of the total rainfall. The straw cover reduced the median sediment concentration in runoff from 9.8 to 3.0 g L(-1) and the median total sediment detached from 70.34 to 15.62 g per experiment. The median soil erosion rate decreased from 2.81 to 0.63 Mg ha(-1)h(-1) due to the straw mulch protection. Straw mulch is very effective in reducing soil erodibility and surface runoff, and this benefit was achieved immediately after the application of the straw. Copyright © 2015 Elsevier B.V. All rights reserved.

Environmental monitoring of nuclear facilities

International Nuclear Information System (INIS)

Papadopoulos, D.; Winter, M.

1982-01-01

Environmental monitoring adds to the control of emissions of radioactive substances from nuclear facilities. The radioactive substances released with the exhaust air and the liquid effluent result in impact levels in the immediate vicinity, which must be ascertained by measurement. Impact control serves for the quantitative assessment of man-made radioactivity in different media of relevant pathways and for the direct assessment of the radiation exposure of the public living in the vicinity. In this way, the radiation exposure of the environment, which can be calculated if the emission data and the meteorological diffusion parameters are known, is controlled directly. (orig./RW)

Why Integrate Educational and Community Facilities?

Science.gov (United States)

Fessas-Emmanouil, Helen D.

1978-01-01

Discusses coordination of educational and community facilities in order to encourage more rational investments and more efficient use of premises. Such coordination may reduce the economic burden imposed upon citizens for the provision of separate facilities for school and community. However, implementation of such a facility presupposes radical…

Immediate effects of chocolate on experimentally induced mood states.

Science.gov (United States)

Macht, Michael; Mueller, Jochen

2007-11-01

In this work two hypotheses were tested: (1) that eating a piece of chocolate immediately affects negative, but not positive or neutral mood, and (2) that this effect is due to palatability. Experiment 1 (48 normal-weight and healthy women and men) examined the effects of eating a piece of chocolate and drinking water on negative, positive and neutral mood states induced by film clips. Eating chocolate reduced negative mood compared to drinking water, whereas no or only marginal effects were found on neutral and positive moods. Experiment 2 (113 normal-weight and healthy women and men) compared effects of eating palatable and unpalatable chocolate on negative mood, and examined the duration of chocolate-induced mood change. Negative mood was improved after eating palatable chocolate as compared to unpalatable chocolate or nothing. This effect was short lived, i.e., it disappeared after 3 min. In both experiments, chocolate-induced mood improvement was associated with emotional eating. The present studies demonstrate that eating a small amount of sweet food improves an experimentally induced negative mood state immediately and selectively and that this effect of chocolate is due to palatability. It is hypothesized that immediate mood effects of palatable food contribute to the habit of eating to cope with stress.

Automation of electromagnetic compatability (EMC) test facilities

Science.gov (United States)

Harrison, C. A.

1986-01-01

Efforts to automate electromagnetic compatibility (EMC) test facilities at Marshall Space Flight Center are discussed. The present facility is used to accomplish a battery of nine standard tests (with limited variations) deigned to certify EMC of Shuttle payload equipment. Prior to this project, some EMC tests were partially automated, but others were performed manually. Software was developed to integrate all testing by means of a desk-top computer-controller. Near real-time data reduction and onboard graphics capabilities permit immediate assessment of test results. Provisions for disk storage of test data permit computer production of the test engineer's certification report. Software flexibility permits variation in the tests procedure, the ability to examine more closely those frequency bands which indicate compatibility problems, and the capability to incorporate additional test procedures.

Placement of single tooth implant in healed socket with immediate temporization: Clinical study

Directory of Open Access Journals (Sweden)

Jeevan Lata

2012-01-01

Full Text Available Introduction: Edentulous condition inadequately compensated for, by dentures, impair oral function and is accompanied by reduced self–confidence. In a continued effort to achieve these goals, implant dentistry was introduced. Immediate temporization is somehow a recent concept, which allows the maintenance of soft tissue contours, along with interdental alveolar contours. Aims and Obectives: Aims of the present study were to study the placement of implant in the post-extracted healed tooth socket of anterior maxilla and to evaluate the feasibility of early function on implants placed. Materials and Methods: In the present study, HI-TECH IMPLANTS TRX-OP one-piece immediate loading implant system with the built on abutment has been used.Immediate temporisation has been done and results have been evaluated in terms of stability, gingival health, esthetics, marginal bone loss, patient′s psychological attitude, and satisfaction.
Results: Out of eight implants, 6 successfully healed whereas 2 implants suffered failure
Conclusion: Overall conclusion drawn from the study is, immediate temporization is a successful method providing psychological, financial and emotional benefits to the patient.

Interior design for ambulatory care facilities: how to reduce stress and anxiety in patients and families.

Science.gov (United States)

Frasca-Beaulieu, K

1999-01-01

The following article illustrates some important factors to consider when designing ambulatory care facilities (ACFs), and focuses on how wayfinding, noise control, privacy, security, color and lighting, general ambience, textures, and nature can have a profound influence on patient and family stress, consumer satisfaction, health and well-being. Other important design issues: convenience and accessibility, accommodation to various populations, consumer and family focus, patient education, image, as well as current equipment needs and future growth are examined in light of the prevailing trends in health care delivery. In sum, this feature explores the important stress-reducing and health-promoting elements involved in successful ACF design.

Facile, low temperature synthesis of SnO{sub 2}/reduced graphene oxide nanocomposite as anode material for lithium-ion batteries

Energy Technology Data Exchange (ETDEWEB)

Hou, Chau-Chung; Brahma, Sanjaya; Weng, Shao-Chieh [Department of Materials Science and Engineering, National Cheng Kung University, Tainan 70001, Taiwan, ROC (China); Chang, Chia-Chin [Department of Greenergy, National University of Tainan, Tainan 70005, Taiwan, ROC (China); Huang, Jow-Lay, E-mail: jlh888@mail.ncku.edu.tw [Department of Materials Science and Engineering, National Cheng Kung University, Tainan 70001, Taiwan, ROC (China); Department of Chemical and Materials Engineering, National University of Kaohsiung, Kaohsiung 81148, Taiwan, ROC (China); Center for Micro/Nano Science and Technology, National Cheng Kung University, Tainan 70101, Taiwan, ROC (China)

2017-08-15

Highlights: • Facile, one-pot, low temperature synthesis of SnO{sub 2}-RGO composite. • In-situ reduction of graphene oxide and growth of SnO{sub 2} nanoparticle. • Concentration of reductant during synthesis affects the properties significantly. • SnO{sub 2}-RGO composite shows good rate capability and stable capacitance. • Synthesis method is energy efficient and scalable for other metal oxides. - Abstract: We demonstrate a facile, single step, low temperature and energy efficient strategy for the synthesis of SnO{sub 2}-reduced graphene oxide (RGO) nanocomposite where the crystallization of SnO{sub 2} nanoparticles and the reduction of graphene oxide takes place simultaneously by an in situ chemical reduction process. The electrochemical property of the SnO{sub 2}-RGO composite prepared by using low concentrations of reducing agent shows better Li storage performance, good rate capability (378 mAh g{sup −1} at 3200 mA g{sup −1}) and stable capacitance (522 mAh g{sup −1} after 50 cycles). Increasing the reductant concentration lead to crystallization of high concentration of SnO{sub 2} nanoparticle aggregation and degrade the Li ion storage property.

Evaluation of scaling concepts for integral system test facilities

International Nuclear Information System (INIS)

Condie, K.G.; Larson, T.K.; Davis, C.B.

1987-01-01

A study was conducted by EG and G Idaho, Inc., to identify and technically evaluate potential concepts which will allow the U.S. Nuclear Regulatory Commission to maintain the capability to conduct future integral, thermal-hydraulic facility experiments of interest to light water reactor safety. This paper summarizes the methodology used in the study and presents a rankings for each facility concept relative to its ability to simulate phenomena identified as important in selected reactor transients in Babcock and Wilcox and Westinghouse large pressurized water reactors. Established scaling methodologies are used to develop potential concepts for scaled integral thermal-hydraulic experiment facilities. Concepts selected included: full height, full pressure water; reduced height, reduced pressure water; reduced height, full pressure water; one-tenth linear, full pressure water; and reduced height, full scaled pressure Freon. Results from this study suggest that a facility capable of operating at typical reactor operating conditions will scale most phenomena reasonably well. Local heat transfer phenomena is best scaled by the full height facility, while the reduced height facilities provide better scaling where multi-dimensional phenomena are considered important. Although many phenomena in facilities using Freon or water at nontypical pressure will scale reasonably well, those phenomena which are heavily dependent on quality can be distorted. Furthermore, relation of data produced in facilities operating with nontypical fluids or at nontypical pressures to large plants will be a difficult and time-consuming process

Design of integrated safeguards systems for nuclear facilities

International Nuclear Information System (INIS)

de Montmollin, J.M.; Walton, R.B.

1976-01-01

Safeguards systems that are capable of countering postulated threats to nuclear facilities must be closely integrated with plant layout and processes if they are to be effective and if potentially severe impacts on plant operations are to be averted. A facilities safeguards system suitable for a production plant is described in which the traditional elements of physical protection and periodic material-balance accounting are extended and augmented to provide close control of material flows. Discrete material items are subjected to direct, overriding physical control where appropriate. Materials in closely coupled process streams are protected by on-line NDA and weight measurements, with rapid computation of material balances to provide immediate indication of large-scale diversion. The system provides an information and actions at the safeguards/operations interface

Design of integrated safeguards systems for nuclear facilities

International Nuclear Information System (INIS)

de Montmollin, J.M.; Walton, R.B.

1978-06-01

Safeguards systems that are capable of countering postulated threats to nuclear facilities must be closely integrated with plant layout and processes if they are to be effective and if potentially-severe impacts on plant operations are to be averted. This paper describes a facilities safeguards system suitable for production plant, in which the traditional elements of physical protection and periodic material-balance accounting are extended and augmented to provide close control of material flows. Discrete material items are subjected to direct, overriding physical control where appropriate. Materials in closely-coupled process streams are protected by on-line NDA and weight measurements, with rapid computation of material balances to provide immediate indication of large-scale diversion. The system provides information and actions at the safeguards/operations interface

Impact of a national QI programme on reducing electronic health record notifications to clinicians.

Science.gov (United States)

Shah, Tina; Patel-Teague, Shilpa; Kroupa, Laura; Meyer, Ashley N D; Singh, Hardeep

2018-03-05

Emerging evidence suggests electronic health record (EHR)-related information overload is a risk to patient safety. In the US Department of Veterans Affairs (VA), EHR-based 'inbox' notifications originally intended for communicating important clinical information are now cited by 70% of primary care practitioners (PCPs) to be of unmanageable volume. We evaluated the impact of a national, multicomponent, quality improvement (QI) programme to reduce low-value EHR notifications. The programme involved three steps: (1) accessing daily PCP notification load data at all 148 facilities operated nationally by the VA; (2) standardising and restricting mandatory notification types at all facilities to a recommended list; and (3) hands-on training for all PCPs on customising and processing notifications more effectively. Designated leaders at each of VA's 18 regional networks led programme implementation using a nationally developed toolkit. Each network supervised technical requirements and data collection, ensuring consistency. Coaching calls and emails allowed the national team to address implementation challenges and monitor effects. We analysed notification load and mandatory notifications preintervention (March 2017) and immediately postintervention (June-July 2017) to assess programme impact. Median number of mandatory notification types at each facility decreased significantly from 15 (IQR: 13-19) to 10 (IQR: 10-11) preintervention to postintervention, respectively (Pmanage them. Nevertheless, our project suggests feasibility of using large-scale 'de-implementation' interventions to reduce unintended safety or efficiency consequences of well-intended electronic communication systems. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Adherence to evidence based care practices for childbirth before and after a quality improvement intervention in health facilities of Rajasthan, India.

Science.gov (United States)

Iyengar, Kirti; Jain, Motilal; Thomas, Sunil; Dashora, Kalpana; Liu, William; Saini, Paramsukh; Dattatreya, Rajesh; Parker, Indrani; Iyengar, Sharad

2014-08-13

After the launch of Janani Suraksha Yojana, a conditional cash transfer scheme in India, the proportion of women giving birth in institutions has rapidly increased. However, there are important gaps in quality of childbirth services during institutional deliveries. The aim of this intervention was to improve the quality of childbirth services in selected high caseload public health facilities of 10 districts of Rajasthan. This intervention titled "Parijaat" was designed by Action Research & Training for Health, in partnership with the state government and United Nations Population Fund. The intervention was carried out in 44 public health facilities in 10 districts of Rajasthan, India. These included district hospitals (9), community health centres (32) and primary health centres (3). The main intervention was orientation training of doctors and program managers and regular visits to facilities involving assessment, feedback, training and action. The adherence to evidence based practices before, during and after this intervention were measured using structured checklists and scoring sheets. Main outcome measures included changes in practices during labour, delivery or immediate postpartum period. Use of several unnecessary or harmful practices reduced significantly. Most importantly, proportion of facilities using routine augmentation of labour reduced (p = 0), episiotomy for primigravidas (p = 0.0003), fundal pressure (p = 0.0003), and routine suction of newborns (0 = 0.0005). Among the beneficial practices, use of oxytocin after delivery increased (p = 0.0001) and the practice of listening foetal heart sounds during labour (p = 0.0001). Some practices did not show any improvements, such as dorsal position for delivery, use of partograph, and hand-washing. An intervention based on repeated facility visits combined with actions at the level of decision makers can lead to substantial improvements in quality of childbirth practices at health facilities.

Reduced cost design of liquid lithium target for international fusion material irradiation facility (IFMIF)

International Nuclear Information System (INIS)

Nakamura, Hiroo; Ida, Mizuho; Sugimoto, Masayoshi; Takeuchi, Hiroshi; Yutani, Toshiaki

2001-01-01

The International Fusion Materials Irradiation Facility (IFMIF) is being jointly planned to provide an accelerator-based D-Li neutron source to produce intense high energy neutrons (2 MW/m 2 ) up to 200 dpa and a sufficient irradiation volume (500 cm 3 ) for testing the candidate materials and components up to about a full lifetime of their anticipated use in ITER and DEMO. To realize such a condition, 40 MeV deuteron beam with a current of 250 mA is injected into high speed liquid lithium flow with a speed of 20 m/s. Following Conceptual Design Activity (1995-1998), a design study with focus on cost reduction without changing its original mission has been done in 1999. The following major changes to the CAD target design have been considered in the study and included in the new design: i) number of the Li target has been changed from 2 to 1, ii) spare of impurity traps of the Li loop was removed although the spare will be stored in a laboratory for quick exchange, iii) building volume was reduced via design changes in lithium loop length. This paper describes the reduced cost design of the lithium target system and recent status of Key Element Technology activities. (author)

COMPARISON OF VISUAL ACUITY IN REDUCED LUMINATION AND FACILITY OF OCULAR ACCOMMODATION IN TABLE TENNIS CHAMPIONS AND NON- PLAYERS

Directory of Open Access Journals (Sweden)

Ebrahim Jafarzadehpur

2004-03-01

Full Text Available A table tennis player should fixate at different distances; track the objects with different speed, and in different visual environment. Their visual skills must be well developed for these capabilities. Therefore, visual acuity in reduced lumination and facility of ocular accommodation those are two criteria for visual skills have been compared in table tennis players and normal non-players. Twenty-nine young table tennis champions and 29 normal matched non-players (did not take part in any racket sports game were evaluated. Basic visual and eye examinations were done for both of them. Normal results in basic examination were fundamental requirement for all the subjects. +/-2.00 sphere lenses for accommodation facility are used. An electrical current regulator changed the output light intensity of a conventional chart projector (Topcon. Light intensity decreased to 10 cd·m-2 and visual acuity tested. In comparison of visual acuity in reduced lumination and facility of ocular accommodation in table tennis champions and non-players there are significant differences (p < 0.001. In the preliminary visual tests there was not any significant different in the two groups but the results in the top level table tennis player was very uniform and in every test and the standard deviation was lesser in tennis player group than non-players. These results show that motor and sensorial functions of expert players are well developed. That is consistent with other researchers. This result was interpreted as reflecting a better perceptual system of experts to the constraints encountered during table tennis and its use in practical settings for evaluating athletes or detecting sport talents. However some visual and perceptual training that usually used in orthoptics can be used for novice table tennis player to improve their abilities

Rubber-like Quasi-thermosetting Polyetheramine-cured Epoxy Asphalt Composites Capable of Being Opened to Traffic Immediately.

Science.gov (United States)

Kang, Yang; Wu, Qiang; Jin, Rui; Yu, Pengfei; Cheng, Jixiang

2016-01-06

This paper reports the facile preparation, mechanical performance and linear viscoelasticity of polyetheramine-cured rubber-like epoxy asphalt composites (EACs) with different asphalt contents. Compared with previous EACs prepared via complex chemical reactions and time-consuming high-temperature curing, the EACs reported here were obtained by using a compatible, bi-functional polyetheramine and a simple physical co-blend process, which make the EACs feasibly scalable for production at a lower cost. The EACs were cured for 1 h at 160 °C and 3 d at 60 °C; therefore, these composites can be opened to traffic immediately. The EACs have a much greater temperature stability than common thermoplastic polymer-modified asphalt composites from -30 °C to 120 °C, but their complex shear moduli at higher temperatures slightly decrease instead of remaining constant when temperatures are greater than 80 °C, especially for the higher asphalt content composites; that is, these composites are quasi-thermosetting. Wicket plots illustrate that the EACs reported here are thermorheological simple materials, and the master curves are constructed and well-fitted by generalized logistic sigmoidal model functions. This research provides a facile, low-cost method for the preparation of polyetheramine-cured EACs that can be opened to traffic immediately, and the concept of quasi-thermosetting may facilitate the development of cheaper EACs for advanced applications.

Rubber-like Quasi-thermosetting Polyetheramine-cured Epoxy Asphalt Composites Capable of Being Opened to Traffic Immediately

Science.gov (United States)

Kang, Yang; Wu, Qiang; Jin, Rui; Yu, Pengfei; Cheng, Jixiang

2016-01-01

This paper reports the facile preparation, mechanical performance and linear viscoelasticity of polyetheramine-cured rubber-like epoxy asphalt composites (EACs) with different asphalt contents. Compared with previous EACs prepared via complex chemical reactions and time-consuming high-temperature curing, the EACs reported here were obtained by using a compatible, bi-functional polyetheramine and a simple physical co-blend process, which make the EACs feasibly scalable for production at a lower cost. The EACs were cured for 1 h at 160 °C and 3 d at 60 °C therefore, these composites can be opened to traffic immediately. The EACs have a much greater temperature stability than common thermoplastic polymer-modified asphalt composites from -30 °C to 120 °C, but their complex shear moduli at higher temperatures slightly decrease instead of remaining constant when temperatures are greater than 80 °C, especially for the higher asphalt content composites; that is, these composites are quasi-thermosetting. Wicket plots illustrate that the EACs reported here are thermorheological simple materials, and the master curves are constructed and well-fitted by generalized logistic sigmoidal model functions. This research provides a facile, low-cost method for the preparation of polyetheramine-cured EACs that can be opened to traffic immediately, and the concept of quasi-thermosetting may facilitate the development of cheaper EACs for advanced applications.

Investigation of water accumulation in an offgas test facility HEPA housing

International Nuclear Information System (INIS)

Speed, D.L.; Burns, D.B.; Van Pelt, W.B.; Burns, H.H.

1997-01-01

The Consolidated Incineration Facility, at the Department of Energy's Savannah River Site, is designed to treat solid and liquid RCRA hazardous and mixed wastes generated by site operations and clean-up activities. During CIF's pretrial burn campaigns in 1995, an appreciable amount of water was recovered from the HEPA housings. Questions were immediately raised as to the source of the water, and the degree of wetness of the filters during operation. There are two primary issues involved: Water could reduce the life expectancy and performance of the HEPA filters, housing, and associated ducting, and wet HEPAs also present radiological concerns for personnel during filter change-out. A similar phenomenon was noted at the Offgas Components Test Facility (OCTF), a 1/10 scale pilot of CIF's air pollution control system. Tests at OCTF indicated the water's most likely origin to be vapor condensing out from the flue gas stream due to excessive air in-leakage at housing door seals, ducting flanges, and actual holes in the ducting. The rate of accumulation bears no statistical correlation to such process parameters as steam flow, reheater outlet temperature and offgas velocity in the duct. Test results also indicated that the HEPA filter media is moistened by the initial process flow while the facility is being brought on line. However, even when the HEPA filters were manually drenched prior to startup, they became completely dry within four hours of the time steam was introduced to the reheater. Finally, no demonstrable relationship was found between the degree of filter media wetness and filter dP

Risk management study for the Hanford Site facilities: Risk reduction cost comparison for the retired Hanford Site facilities

International Nuclear Information System (INIS)

Coles, G.A.; Egge, R.G.; Senger, E.; Shultz, M.W.; Taylor, W.E.

1994-02-01

This document provides a cost-comparison evaluation for implementing certain risk-reduction measures and their effect on the overall risk of the 100 and 200 Area retired, surplus facilities. The evaluation is based on conditions that existed at the time the risk evaluation team performed facility investigations, and does not acknowledge risk-reduction measures that occurred soon after risk identification. This evaluation is one part of an overall risk management study for these facilities. The retired facilities investigated for this evaluation are located in the 100 and 200 Areas of the 1450-km 2 Hanford Site. The Hanford Site is a semiarid tract of land in southeastern Washington State. The nearest population center is Richland, Washington, (population 32,000) 30 km southeast of the 200 Area. This cost-comparison evaluation (1) determines relative costs for reducing risk to acceptable levels; (2) compares the cost of reducing risk using different risk-reduction options; and (3) compares the cost of reducing risks at different facilities. The result is an identification of the cost effective risk-reduction measures. Supporting information required to develop costs of the various risk-reduction options also is included

Factors influencing immediate post-release survival of spectacled eiders following surgical implantation of transmitters with percutaneous antennae

Science.gov (United States)

Sexson, Matthew G.; Mulcahy, Daniel M.; Spriggs, Maria; Myers, Gwen E.

2014-01-01

Surgically implanted transmitters are a common method for tracking animal movements. Immediately following surgical implantation, animals pass through a critical recovery phase when behaviors may deviate from normal and the likelihood of individual survival may be reduced. Therefore, data collected during this period may be censored to minimize bias introduced by surgery-related behaviors or mortality. However, immediate post-release mortalities negate a sampling effort and reduce the amount of data potentially collected after the censoring period. Wildlife biologists should employ methods to support an animal’s survival through this period, but factors contributing to immediate post-release survival have not been formally assessed. We evaluated factors that potentially influenced the immediate post-release survival of 56 spectacled eiders (Somateria fischeri) marked with coelomically implanted satellite transmitters with percutaneous antennae in northern Alaska in 2010 and 2011. We modeled survival through the first 14 days following release and assessed the relative importance and effect of 15 covariates hypothesized to influence survival during this immediate post-release period. Estimated daily survival rate increased over the duration of the immediate post-release period; the probability of mortality was greatest within the first 5 days following release. Our top-ranking model included the effect of 2 blood analytes, pH and hematocrit, measured prior to surgical implantation of a transmitter. We found a positive response to pH; eiders exhibiting acidemia (low pH) prior to surgery were less likely to survive the immediate post-release period. We found a curvilinear response to hematocrit; eiders exhibiting extremely low or high pre-surgery hematocrit were also less likely to survive the immediate post-release period. In the interest of maximizing the survival of marked birds following release, hematological data obtained prior to surgical implantation of

Immediately sequential bilateral cataract surgery: advantages and disadvantages.

Science.gov (United States)

Singh, Ranjodh; Dohlman, Thomas H; Sun, Grace

2017-01-01

The number of cataract surgeries performed globally will continue to rise to meet the needs of an aging population. This increased demand will require healthcare systems and providers to find new surgical efficiencies while maintaining excellent surgical outcomes. Immediately sequential bilateral cataract surgery (ISBCS) has been proposed as a solution and is increasingly being performed worldwide. The purpose of this review is to discuss the advantages and disadvantages of ISBCS. When appropriate patient selection occurs and guidelines are followed, ISBCS is comparable with delayed sequential bilateral cataract surgery in long-term patient satisfaction, visual acuity and complication rates. In addition, the risk of bilateral postoperative endophthalmitis and concerns of poorer refractive outcomes have not been supported by the literature. ISBCS is cost-effective for the patient, healthcare payors and society, but current reimbursement models in many countries create significant financial barriers for facilities and surgeons. As demand for cataract surgery rises worldwide, ISBCS will become increasingly important as an alternative to delayed sequential bilateral cataract surgery. Advantages include potentially decreased wait times for surgery, patient convenience and cost savings for healthcare payors. Although they are comparable in visual acuity and complication rates, hurdles that prevent wide adoption include liability concerns as ISBCS is not an established standard of care, economic constraints for facilities and surgeons and inability to fine-tune intraocular lens selection in the second eye. Given these considerations, an open discussion regarding the advantages and disadvantages of ISBCS is important for appropriate patient selection.

Immediate and Longer-Term Stressors and the Mental Health of Hurricane Ike Survivors

Science.gov (United States)

Lowe, Sarah R.; Tracy, Melissa; Cerdá, Magdalena; Norris, Fran H.; Galea, Sandro

2014-01-01

Previous research has documented that individuals exposed to more stressors during disasters and their immediate aftermath (immediate stressors) are at risk of experiencing longer-term postdisaster stressors. Longer-term stressors, in turn, have been found to play a key role in shaping postdisaster psychological functioning. Few studies have simultaneously explored the links from immediate to longer-term stressors, and from longer-term stressors to psychological functioning, however. Additionally, studies have inadequately explored whether postdisaster psychological symptoms influence longer-term stressors. In the current study, we aimed to fill these gaps. Participants (N = 448) were from population-based study of Hurricane Ike survivors and completed assessments 2–5 months (Wave 1), 5–9 months (Wave 2) and 14–18 months (Wave 3) postdisaster. Through path analysis, we found that immediate stressors, assessed at Wave 1, were positively associated with Wave 2 and Wave 3 stressors, which in turn were positively associated with Wave 2 and Wave 3 posttraumatic stress and depressive symptoms. Wave 2 posttraumatic stress symptoms were positively associated with Wave 3 stressors, and Wave 1 depressive symptoms were positively associated with Wave 2 stressors. The findings suggest that policies and interventions can reduce the impact of disasters on mental health by preventing and alleviating both immediate and longer-term postdisaster stressors. PMID:24343752

Exhaust gas processing facility

International Nuclear Information System (INIS)

Terada, Shin-ichi.

1995-01-01

The facility of the present invention comprises a radioactive liquid storage vessel, an exhaust gas dehumidifying device for dehumidifying gases exhausted from the vessel and an exhaust gas processing device for reducing radioactive materials in the exhaust gases. A purified gas line is disposed to the radioactive liquid storage vessel for purging exhaust gases generated from the radioactive liquid, then dehumidified and condensed liquid is recovered, and exhaust gases are discharged through an exhaust gas pipe disposed downstream of the exhaust gas processing device. With such procedures, the scale of the exhaust gas processing facility can be reduced and exhaust gases can be processed efficiently. (T.M.)

Immediate vs. delayed endosseous integration of maxi implants: a torque removal animal study

Directory of Open Access Journals (Sweden)

Hanif Allahbakhshi

2017-06-01

Full Text Available Background. Delayed loading is one of the concerns in implant patients. Immediate loading can solve the problem and make patients more satisfied. The present study aimed to compare the removal torque of maxi implants under different loading (immediate and delayed patterns. Methods. This split-mouth experimental study included 2 dogs. Impressions were made and then all the premolars were extracted under general anesthesia. After a three-month healing period, 3 implants were inserted in each quadrant (a total of 12 implants. Anterior and posterior implants (the case group were splinted by an acrylic temporary bridge in order to make the middle implants (the control group off the occlusion. The dogs were sacrificed after 6 weeks and bone blocks were submitted for removal torque test. Data were analyzed with ANOVA (P<0.05. Results. Mean torque values for the cases and control groups were 46.82±25.58 and 59.88±15.19, respectively (P=0.582; not significant. Conclusion. It may be concluded that immediate loading does not reduce the reverse torque values of maxi implants. This supports the advantages of immediate loading for maxi implants.

Immediate postoperative digitalization in the prophylaxis of supraventricular arrhythmias following coronary artery bypass.

Science.gov (United States)

Csicsko, J F; Schatzlein, M H; King, R D

1981-03-01

Regimens of acute preoperative digitalization have been evaluated previously in the prophylaxis of supraventricular tachycardias (SVT) following coronary artery bypass operations, with equivocal results. This study assesses the effectiveness of immediate postoperative digitalization on the incidence of arrhythmias in 407 consecutive patients recovering from myocardial revascularization. In 137 patients treated by our regimen, which begins digitalization within 4 hours postoperatively, the incidence of supraventricular tachyarrhythmias was 2%, while the corresponding figure for 270 untreated patients was 15%. Digitalization reduced the incidence of supraventricular arrhythmias significantly (p less than 0.01), whereas death, ventricular ectopy, and infarction rates were similar in the two groups. The few patients who did have supraventricular arrhythmias while receiving prophylactic digoxin were no more easily treated than patients in the undigitalized group. The timing of administration of digoxin for SVT prophylaxis may be more important than previously recognized. Immediately postoperative digitalization, theoretically preferable to preoperative regimens, is a safe, effective way to reduce the incidence of supraventricular arrhythmias following myocardial revascularization.

Immediate movement history influences reach-to-grasp action selection in children and adults.

Science.gov (United States)

Kent, Samuel W; Wilson, Andrew D; Plumb, Mandy S; Williams, Justin H G; Mon-Williams, Mark

2009-01-01

Action selection is subject to many biases. Immediate movement history is one such bias seen in young infants. Is this bias strong enough to affect adult behavior? Adult participants reached and grasped a cylinder positioned to require either pronation or supination of the hand. Successive cylinder positions changed either randomly or systematically between trials. Random positioning led to optimized economy of movement. In contrast, systematic changes in position biased action selection toward previously selected actions at the expense of movement economy. Thus, one switches to a new movement only when the savings outweigh the costs of the switch. Immediate movement history had an even larger influence on children aged 7-15 years. This suggests that switching costs are greater in children, which is consistent with their reduced grasping experience. The presence of this effect in adults suggests that immediate movement history exerts a more widespread and pervasive influence on patterns of action selection than researchers had previously recognized.

Theoretical and experimental investigations into natural circulation behaviour in a simulated facility of the Indian PHWR under reduced inventory conditions

International Nuclear Information System (INIS)

Satish Kumar, N.V.; Nayak, A.K.; Vijayan, P.K.; Pal, A.K.; Saha, D.; Sinha, R.K.

2004-01-01

A theoretical and experimental investigation has been carried out to study natural circulation characteristics of an Indian PHWR under reduced inventory conditions. The theoretical model incorporates a quasi-steady state analysis of natural circulation at different system inventories. It predicts the system flow rate under single-phase and two-phase conditions and the inventory at which reflux condensation occurs. The model predictions were compared with test data obtained from FISBE (facility for integral system behaviour experiments), which simulates the thermal hydraulic behaviour of the Indian 220 MWe PHWR. The experimental results were found to be in close agreement with the predictions. It was also found that the natural circulation could be oscillatory under reduced inventory conditions. (orig.)

Pressure suppression system (PSS) for nuclear ships. Experimental results obtained at the GKSS PSS-test-facillity

International Nuclear Information System (INIS)

Aust, E.; Niemann, H.R.; Schwan, H.; Vollbrandt, J.

1978-01-01

The PSS-test facility is shortly presented which was designed to show experimentally the operation of the pressure suppression containment for the NCS 80 concept. The results of the experimental LOCA-simulation tests in the PSS-test facility are illustrated by diagrams. The observed phenomena as chugging and pessure oscillations immediately after vent clearing are reported as well as the thermohydraulic loadings of the total system. Finally a short view is given on the future test program

The internationalisation of research facilities

International Nuclear Information System (INIS)

Sabine, T.M.

1999-01-01

Full text: During the past twenty five years arrangements have been made for sharing the use of major national research facilities amongst the world community of neutron users. The administrative requirements are simple. Scientists are invited to apply for measurement time. The scientific merit of the application is assessed by a committee appointed by the host organisation. If the application is considered to have sufficient merit time is allocated. The only costs to the user are transport and living expenses. These arrangements have advantages for users and for hosts. The user can apply for time on the most suitable instrument. The host in the user country is freed from the responsibility of supplying all instruments. It can specialise in those instruments in which it has particular expertise. The host retains, through its committee, complete control over the use of instruments. The amount of time allocated to international users is dependent on the national demand. The result is efficient use of national facilities. An equally important result is the interaction between members of the international scientific community. Australian scientists routinely use overseas facilities however Australia has refused to join the international group. There is international resentment to this attitude. We have, for example powder diffraction facilities which others wish to use. We have no small-angle scattering facilities and must do our experiments at international centres. I will argue that we should join the international community now. The capacity of the replacement reactor will be far greater than the internal Australian requirements. We will become the natural host for users from countries in the Asian region. To enable us to make a smooth transition to this stage we should immediately advertise an international program for HIFAR

Atmospheric ammonia mixing ratios at an open-air cattle feeding facility.

Science.gov (United States)

Hiranuma, Naruki; Brooks, Sarah D; Thornton, Daniel C O; Auvermann, Brent W

2010-02-01

Mixing ratios of total and gaseous ammonia were measured at an open-air cattle feeding facility in the Texas Panhandle in the summers of 2007 and 2008. Samples were collected at the nominally upwind and downwind edges of the facility. In 2008, a series of far-field samples was also collected 3.5 km north of the facility. Ammonium concentrations were determined by two complementary laboratory methods, a novel application of visible spectrophotometry and standard ion chromatography (IC). Results of the two techniques agreed very well, and spectrophotometry is faster, easier, and cheaper than chromatography. Ammonia mixing ratios measured at the immediate downwind site were drastically higher (approximately 2900 parts per billion by volume [ppbv]) than thos measured at the upwind site (open-air animal feeding operations, especially under the hot and dry conditions present during these measurements.

Facile synthesis of glucose-functionalized reduced graphene oxide (GFRGO)/poly(vinyl alcohol) nanocomposites for improving thermal and mechanical properties

Energy Technology Data Exchange (ETDEWEB)

Abdolmaleki, Amir, E-mail: abdolmaleki@cc.iut.ac.ir [Department of Chemistry, Isfahan University of Technology, Isfahan 84156-83111 (Iran, Islamic Republic of); Nanotechnology and Advanced Materials Institute, Isfahan University of Technology, Isfahan 84156-83111 (Iran, Islamic Republic of); Center of Excellence in Sensors and Green Chemistry, Department of Chemistry, Isfahan University of Technology, Isfahan 84156-83111 (Iran, Islamic Republic of); Mallakpour, Shadpour, E-mail: mallak@cc.iut.ac.ir [Department of Chemistry, Isfahan University of Technology, Isfahan 84156-83111 (Iran, Islamic Republic of); Nanotechnology and Advanced Materials Institute, Isfahan University of Technology, Isfahan 84156-83111 (Iran, Islamic Republic of); Center of Excellence in Sensors and Green Chemistry, Department of Chemistry, Isfahan University of Technology, Isfahan 84156-83111 (Iran, Islamic Republic of); Karshenas, Azam [Department of Chemistry, Isfahan University of Technology, Isfahan 84156-83111 (Iran, Islamic Republic of)

2017-03-15

Highlights: • GFRGO composites were synthesized and used for fabrication of PVA/GFRGO NCs. • Attached glucose on RGO enhances RGO interaction with PVA hydroxyl groups. • PVA/GFRGO NCs exhibited enhanced thermal and mechanical properties. • FE-SEM and TEM micrographs prove good dispersion of GFRGO into PVA matrix. - Abstract: In this work, we provided a facile pathway to the modification of reduced graphene oxide (RGO) nanosheets by glucose as a biologically active molecule through covalent functionalization. Then, flexible and smooth poly(vinyl alcohol) (PVA)/glucose-functionalized reduced graphene oxide (PVA/GFRGO) nanocomposite (NC) films were fabricated using 0, 1, 3 and 5 wt% concentrations of RGO-glucose in water. As a reducing sugar, glucose can reduce graphene oxide. Thus, graphene oxide was converted to reduced graphene oxide (RGO) by hydrazine hydrate. Then, RGO was functionalized with glucose to achieve good dispersion in the polymer matrix. Due to the increased interfacial interaction between GFRGO and PVA matrix, the prepared PVA/GFRGO NCs showed a 52% increase in tensile strength and a 47% improvement in Young’s modulus by adding of only 5 wt% of GFRGO. Thermal analysis results showed that the thermal stability of the PVA/GFRGO NCs increased compared to the neat PVA film.

Facile synthesis of glucose-functionalized reduced graphene oxide (GFRGO)/poly(vinyl alcohol) nanocomposites for improving thermal and mechanical properties

International Nuclear Information System (INIS)

Abdolmaleki, Amir; Mallakpour, Shadpour; Karshenas, Azam

2017-01-01

Highlights: • GFRGO composites were synthesized and used for fabrication of PVA/GFRGO NCs. • Attached glucose on RGO enhances RGO interaction with PVA hydroxyl groups. • PVA/GFRGO NCs exhibited enhanced thermal and mechanical properties. • FE-SEM and TEM micrographs prove good dispersion of GFRGO into PVA matrix. - Abstract: In this work, we provided a facile pathway to the modification of reduced graphene oxide (RGO) nanosheets by glucose as a biologically active molecule through covalent functionalization. Then, flexible and smooth poly(vinyl alcohol) (PVA)/glucose-functionalized reduced graphene oxide (PVA/GFRGO) nanocomposite (NC) films were fabricated using 0, 1, 3 and 5 wt% concentrations of RGO-glucose in water. As a reducing sugar, glucose can reduce graphene oxide. Thus, graphene oxide was converted to reduced graphene oxide (RGO) by hydrazine hydrate. Then, RGO was functionalized with glucose to achieve good dispersion in the polymer matrix. Due to the increased interfacial interaction between GFRGO and PVA matrix, the prepared PVA/GFRGO NCs showed a 52% increase in tensile strength and a 47% improvement in Young’s modulus by adding of only 5 wt% of GFRGO. Thermal analysis results showed that the thermal stability of the PVA/GFRGO NCs increased compared to the neat PVA film.

Risk management study for the Hanford Site facilities: Risk reduction cost comparison for the retired Hanford Site facilities. Volume 4

Energy Technology Data Exchange (ETDEWEB)

Coles, G.A.; Egge, R.G.; Senger, E.; Shultz, M.W.; Taylor, W.E.

1994-02-01

This document provides a cost-comparison evaluation for implementing certain risk-reduction measures and their effect on the overall risk of the 100 and 200 Area retired, surplus facilities. The evaluation is based on conditions that existed at the time the risk evaluation team performed facility investigations, and does not acknowledge risk-reduction measures that occurred soon after risk identification. This evaluation is one part of an overall risk management study for these facilities. The retired facilities investigated for this evaluation are located in the 100 and 200 Areas of the 1450-km{sup 2} Hanford Site. The Hanford Site is a semiarid tract of land in southeastern Washington State. The nearest population center is Richland, Washington, (population 32,000) 30 km southeast of the 200 Area. This cost-comparison evaluation (1) determines relative costs for reducing risk to acceptable levels; (2) compares the cost of reducing risk using different risk-reduction options; and (3) compares the cost of reducing risks at different facilities. The result is an identification of the cost effective risk-reduction measures. Supporting information required to develop costs of the various risk-reduction options also is included.

Recovery Act: Hydroelectric Facility Improvement Project - Replacement of Current Mechanical Seal System with Rope Packing System

Energy Technology Data Exchange (ETDEWEB)

Stephens, Jessica D.

2013-05-29

On January 27, 2010 the City of North Little Rock, Arkansas received notification of the awarding of a Department of Energy (DOE) grant totaling $450,000 in funding from the American Recovery and Reinvestment Act (ARRA) under the Project Title: Recovery Act: Hydroelectric Facility Improvement Project – Automated Intake Clearing Equipment and Materials Management. The purpose of the grant was for improvements to be made at the City’s hydroelectric generating facility located on the Arkansas River. Improvements were to be made through the installation of an intake maintenance device (IMD) and the purchase of a large capacity wood grinder. The wood grinder was purchased in order to receive the tree limbs, tree trunks, and other organic debris that collects at the intake of the plant during high flow. The wood grinder eliminates the periodic burning of the waste material that is cleared from the intake and reduces any additional air pollution to the area. The resulting organic mulch has been made available to the public at no charge. Design discussion and planning began immediately and the wood grinder was purchased in July of 2010 and immediately put to work mulching debris that was gathered regularly from the intake of the facility. The mulch is currently available to the public for free. A large majority of the design process was spent in discussion with the Corps of Engineers to obtain approval for drawings, documents, and permits that were required in order to make changes to the structure of the powerhouse. In April of 2011, the City’s Project Engineer, who had overseen the application, resigned and left the City’s employ. A new Systems Mechanical Engineer was hired and tasked with overseeing the project. The transfer of responsibility led to a re-examination of the original assumptions and research upon which the grant proposal was based. At that point, the project went under review and a trip was booked for July 2011 to visit facilities that currently

Proposed design criteria for a fusion facility electrical ground system

International Nuclear Information System (INIS)

Armellino, C.A.

1983-01-01

Ground grid design considerations for a nuclear fusion reactor facility are no different than any other facility in that the basis for design must be safety first and foremost. Unlike a conventional industrial facility the available fault energy comes not only from the utility source and in-house rotating machinery, but also from energy storage capacitor banks, collapsing magnetic fields and D.C. transmission lines. It is not inconceivable for a fault condition occurrence where all available energy can be discharged. The ground grid must adequately shunt this sudden energy discharge in a way that personnel will not be exposed by step and/or touch to hazardous energy levels that are in excess of maximum tolerable levels for humans. Fault energy discharge rate is a function of the ground grid surge impedance characteristic. Closed loop paths must be avoided in the ground grid design so that during energy discharge no stray magnetic fields or large voltage potentials between remote points can be created by circulating currents. Single point connection of equipment to the ground grid will afford protection to personnel and sensitive equipment by reducing the probability of circulating currents. The overall ground grid system design is best illustrated as a wagon wheel concept with the fusion machine at the center. Radial branches or spokes reach out to the perimeter limits designated by step-and-touch high risk areas based on soil resistivity criteria considerations. Conventional methods for the design of a ground grid with all of its radial branches are still pertinent. The center of the grid could include a deep well single ground rod element the length of which is at least equivalent to the radius of an imaginary sphere that enshrouds the immediate machine area. Special facilities such as screen rooms or other shielded areas are part of the ground grid system by way of connection to radial branches

Reducing recurrence in non-muscle-invasive bladder cancer using photodynamic diagnosis and immediate post-transurethral resection of the bladder chemoprophylaxis

DEFF Research Database (Denmark)

Risager, Malene Bøg; Nielsen, Tommy Kjærgaard; Zieger, Karsten Egbert Arnold

2015-01-01

Abstract Objective. The aim of this study was to evaluate the effect of fluorescence cystoscopy and immediate post-transurethral resection of the bladder (TURB) chemoprophylaxis on the risk of recurrence of non-muscle-invasive bladder cancer (NMIBC) under routine clinical conditions. Materials...

The Aged Residential Care Healthcare Utilization Study (ARCHUS): a multidisciplinary, cluster randomized controlled trial designed to reduce acute avoidable hospitalizations from long-term care facilities.

Science.gov (United States)

Connolly, Martin J; Boyd, Michal; Broad, Joanna B; Kerse, Ngaire; Lumley, Thomas; Whitehead, Noeline; Foster, Susan

2015-01-01

To assess effect of a complex, multidisciplinary intervention aimed at reducing avoidable acute hospitalization of residents of residential aged care (RAC) facilities. Cluster randomized controlled trial. RAC facilities with higher than expected hospitalizations in Auckland, New Zealand, were recruited and randomized to intervention or control. A total of 1998 residents of 18 intervention facilities and 18 control facilities. A facility-based complex intervention of 9 months' duration. The intervention comprised gerontology nurse specialist (GNS)-led staff education, facility bench-marking, GNS resident review, and multidisciplinary (geriatrician, primary-care physician, pharmacist, GNS, and facility nurse) discussion of residents selected using standard criteria. Primary end point was avoidable hospitalizations. Secondary end points were all acute admissions, mortality, and acute bed-days. Follow-up was for a total of 14 months. The intervention did not affect main study end points: number of acute avoidable hospital admissions (RR 1.07; 95% CI 0.85-1.36; P = .59) or mortality (RR 1.11; 95% CI 0.76-1.61; P = .62). This multidisciplinary intervention, packaging selected case review, and staff education had no overall impact on acute hospital admissions or mortality. This may have considerable implications for resourcing in the acute and RAC sectors in the face of population aging. Australian and New Zealand Clinical Trials Registry (ACTRN12611000187943). Copyright © 2015 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.

Facilities for studying the double beta decay processes

International Nuclear Information System (INIS)

Zdesenko, Yu.G.

1980-01-01

Modern state, tendencies and perspectiVes of the development of experimental installations to study double β-decay are treated. The main peculiarities of direct recognition and full experiments on the study of double β-decay are considered. A simple ratio is obtained from statistical considerations which connects the life time limits of the nuclei with the facility parameters to conduct direct recognition experiments. Possibilities of different detectors are evaluated on the basis of the ratio. Requirements for the modern technique for complete investigation of double β-decay are formulated and two designs of facilities meeting the requirements are considered. It is shown that the facility with proportional chambers is more perspective. On the basis of the analysis of the facility development to study double β-decay, conclusion is made that the final and unambiguous proof of the existence of double β-decay process can be obtained only directly in the experiments with immediate recording of the decay acts. Possibilities of the existing and developed facilities to conduct recognition (direct) experiments are such, that with their help life time limits as to neutronless double β-decay at the level of 10 21 -10 22 years can be established. Counters on the basis of the condensed noble gases, semiconductor detectors made of TeCd, scintillators of big volume are the most perspective detectors. To conduct complete experiments it is necessary to develop a facility with sensitivity sufficient for the detection of two-neutrino double β-activeness when Tsub(1/2)=10sup(21) years [ru

An analysis of decommissioning costs for the AFRRI TRIGA reactor facility

International Nuclear Information System (INIS)

Forsbacka, Matt

1990-01-01

A decommissioning cost analysis for the AFRRI TRIGA Reactor Facility was made. AFRRI is not at this time suggesting that the AFRRI TRIGA Reactor Facility be decommissioned. This report was prepared to be in compliance with paragraph 50.33 of Title 10, Code of Federal Regulations which requires the assurance of availability of future decommissioning funding. The planned method of decommissioning is the immediate decontamination of the AFRRI TRIGA Reactor site to allow for restoration of the site to full public access - this is called DECON. The cost of DECON for the AFRRI TRIGA Reactor Facility in 1990 dollars is estimated to be $3,200,000. The anticipated ancillary costs of facility site demobilization and spent fuel shipment is an additional $600,000. Thus the total cost of terminating reactor operations at AFRRI will be about $3,800,000. The primary basis for this cost estimate is a study of the decommissioning costs of a similar reactor facility that was performed by Battelle Pacific Northwest Laboratory (PNL) as provided in USNRC publication NUREG/CR-1756. The data in this study were adapted to reflect the decommissioning requirements of the AFRRI TRIGA. (author)

Alpha Fuels Environmental Test Facility impact gun

International Nuclear Information System (INIS)

Anderson, C.G.

1978-01-01

The Alpha Fuels Environmental Test Facility (AFETF) impact gun is a unique tool for impact testing 238 PuO 2 -fueled heat sources of up to 178-mm dia at velocities to 300 m/s. An environmentally-sealed vacuum chamber at the muzzle of the gun allows preheating of the projectile to 1,000 0 C. Immediately prior to impact, the heat source projectile is completely sealed in a vacuum-tight catching container to prevent escape of its radioactive contents should rupture occur. The impact velocity delivered by this gas-powered gun can be regulated to within +-2%

The assessment system based on virtual decommissioning environments to reduce abnormal hazards from human errors for decommissioning of nuclear facilities

Energy Technology Data Exchange (ETDEWEB)

Jeong, Kwan Seong; Moon, Jei Kwon; Choi, Byung Seon; Hyun, Dong jun; Lee, Jong Hwan; Kim, Ik June; Kang, Shin Young [KAERI, Daejeon (Korea, Republic of)

2016-05-15

Decommissioning of nuclear facilities has to be accomplished by assuring the safety of workers. So, it is necessary that before decommissioning, the exposure dose to workers has to be analyzed and assessed under the principle of ALARA (as low as reasonably achievable). Furthermore, to improve the proficiency of decommissioning environments, method and system need to be developed. To establish the plan of exposure dose to workers during decommissioning of nuclear facilities before decommissioning activities, it is necessary that assessment system is developed. This system has been successfully developed so that exposure dose to workers could be real-time measured and assessed in virtual decommissioning environments. It can be concluded that this system could be protected from accidents and enable workers to improve his familiarization about working environments. It is expected that this system can reduce human errors because workers are able to improve the proficiency of hazardous working environments due to virtual training like real decommissioning situations.

The Dermal Apron Technique for Immediate Implant Socket Management: A Novel Technique.

Science.gov (United States)

Levin, Barry P

2016-01-01

With immediate implant placement and provisionalization (IIP) in the esthetic zone, measures to counter hard and soft tissue loss are frequently necessary. To reduce the morbidity associated with bone and connective tissue procurement, various exogenous materials are utilized. The "Dermal Apron Technique" presented in this article demonstrates the use of a composite bone particulate (allograft/xenograft) plus a dermal allograft, adapted around screw-retained temporary crowns and secured within a subperiosteal pouch. The purpose is to augment the thickness of peri-implant mucosa for the purpose of preserving ridge dimensions and preventing mucosal recession. Controlled studies are required to further support its use. Clinical significance: Soft tissue health and harmony are critical for successful implant therapy in the esthetic regions of the dentition. Often, autogenous soft tissue grafts are used to augment peri-implant soft tissues. The Dermal Apron Technique is a method, that in specific situations, obviates the need for autogenous grafting. This reduces treatment time and morbidity associated with procurement of these grafts. The Dermal Apron Technique is used simultaneous with immediate placement and provisionalization and can improve long-term esthetic outcomes for patients. © 2016 Wiley Periodicals, Inc.

Probabilistic safety assessment for food irradiation facility

International Nuclear Information System (INIS)

Solanki, R.B.; Prasad, M.; Sonawane, A.U.; Gupta, S.K.

2012-01-01

Highlights: ► Different considerations are required in PSA for Non-Reactor Nuclear Facilities. ► We carried out PSA for food irradiation facility as a part of safety evaluation. ► The results indicate that the fatal exposure risk is below the ‘acceptable risk’. ► Adequate operator training and observing good safety culture would reduce the risk. - Abstract: Probabilistic safety assessment (PSA) is widely used for safety evaluation of Nuclear Power Plants (NPPs) worldwide. The approaches and methodologies are matured and general consensus exists on using these approaches in PSA applications. However, PSA applications for safety evaluation for non-reactor facilities are limited. Due to differences in the processes in nuclear reactor facilities and non-reactor facilities, the considerations are different in application of PSA to these facilities. The food irradiation facilities utilize gamma irradiation sources, X-ray machines and electron accelerators for the purpose of radiation processing of variety of food items. This is categorized as Non-Reactor Nuclear Facility. In this paper, the application of PSA to safety evaluation of food irradiation facility is presented considering the ‘fatality due to radiation overexposure’ as a risk measure. The results indicate that the frequency of the fatal exposure is below the numerical acceptance guidance for the risk to the individual. Further, it is found that the overall risk to the over exposure can be reduced by providing the adequate operator training and observing good safety culture.

Immediately lower emissions and often also lower energy demand. Exchange of refrigerants with only reduced technical expenditure; Sofort weniger Emissionen und oft auch weniger Energiebedarf. Kaeltemittelaustausch mit nur wenigen technischem Aufwand

Energy Technology Data Exchange (ETDEWEB)

Corr, Stuart; Cooper, Martyn [Mexichem Fluor, Runcorn (United Kingdom); Schwennesen, Karsten [Mexichem Fluor, Frankfurt am Main (Germany)

2012-11-15

The refrigeration industry as well as the air conditioning industry face again the challenges in the selection of refrigerants. The keyword here is Global Warming Potential (GWP). The search for the best solution for the future is already in full swing. But, can you do something already today? Yes, you can. A simple exchange of refrigerants with an enhanced GWP value such as R404A against a refrigerant with a lower GWP value such as KLEA407A from Mexichem Fluor can reduce the environmental impact immediately.

Mineralogy in the Waste Isolation Pilot Plant (WIPP) facility stratigraphic horizon

International Nuclear Information System (INIS)

Stein, C.L.

1985-09-01

Forty-six samples were selected for this study from two cores, one extending 50 ft up through the roof of the WIPP facility and the other penetrating 50 ft below the facility floor. These samples, selected from approximately every other foot of core length, represent the major lithologies present in the immediate vicinity of the WIPP facility horizon: ''clean'' halite, polyhalitic halite, argillaceous halite, and mixed polyhalitic-argillaceous halite. Samples were analyzed for non-NaCl mineralogy by determining weight percents of water- and EDTA-insoluble residues, which were then identified by x-ray diffraction. In general, WIPP halite contains at most 5 wt % non-NaCl residue. The major mineral constituents are quartz, magnesite, anhydrite, gypsum, polyhalite, and clays. Results of this study confirm that, in previous descriptions of WIPP core, trace mineral quantities have been visually overestimated by approximately an order of magnitude. 9 refs., 5 figs., 5 tabs

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

CERN Document Server

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

2014-01-01

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

29 CFR 780.308 - Definition of immediate family.

Science.gov (United States)

2010-07-01

... 29 Labor 3 2010-07-01 2010-07-01 false Definition of immediate family. 780.308 Section 780.308... 13(a)(6) Statutory Provisions § 780.308 Definition of immediate family. The Act does not define the scope of “immediate family.” Whether an individual other than a parent, spouse or child will be...

Immediate loading versus immediate provisionalization of maxillary single-tooth replacements: a prospective randomized study with BioComp implants

NARCIS (Netherlands)

Lindeboom, Jerome A.; Frenken, Joost W.; Dubois, Leander; Frank, Michael; Abbink, Ingmar; Kroon, Frans H.

2006-01-01

PURPOSE: The aim of this prospective randomized study was to evaluate the clinical outcome of immediately loaded solid plasma sprayed (TPS) BioComp (BioComp Industries BV, Vught, The Netherlands) implants versus immediate provisionalized but non-loaded BioComp implants in the anterior and premolar

A pilot study to investigate the effect of a hydration regime upon immediate and 24 h delayed MRI contrast agent reactions

International Nuclear Information System (INIS)

Bailey, William; Marshall, Gill; Coals, Jacqui

2007-01-01

Purpose: Adverse reaction rates to gadolinium based magnetic resonance imaging (MRI) contrast agents which occur immediately post-injection are well documented. However little research has investigated delayed reaction rates (i.e. 30 min-24 h). This study evaluated the rate of immediate and delayed adverse reaction rates to a gadolinium based MRI contrast agent (Dotarem) and investigated the effect of a hydration regime on the rate of adverse events. Method: Fifty-eight patients received no preparation, prior to administration of the contrast agent, whilst another 58 underwent a hydration protocol. The patients had their answers to a questionnaire recorded immediately after the scanning procedure and also via a follow-up telephone call 24 h later. Results: In the unprepared group 9 patients (15.5%) experienced immediate adverse events, i.e. within 0-30 min, whereas 24 (41.4%) experienced delayed reactions (30 min-24 h) after administration of the contrast agent. In the hydrated patient group 6 (10.3%) experienced an immediate adverse event, whilst 8 (13.7%) experienced delayed events post-injection. The difference in the total reaction rates for the unprepared and hydrated groups was statistically significant for immediate and delayed reactions. The difference in the rates of delayed headache, nausea, dizziness and problems with the injection site, for the unprepared and hydrated groups was statistically significant. Conclusion: An oral hydration regime administered to patients, both before and after MRI contrast agent administration significantly reduced the total number of immediate and delayed reactions. It also significantly reduced delayed headache, nausea, dizziness and problems at the injection site. Whilst this pilot study had methodological shortcomings, the strength of the relationship demonstrated are worthy of further investigation

304 Concretion facility closure plan

International Nuclear Information System (INIS)

1990-04-01

The Hanford Site, located northwest of Richland, Washington, houses reactors, chemical-separation systems, and related facilities used for the production of special nuclear materials. The 300 Area of the Hanford Site contains reactor fuel manufacturing facilities and several research and development laboratories. Recyclable scrap uranium Zircaloy-2 and copper silicon alloy, uranium-titanium alloy, beryllium/Zircaloy-2 alloy, and Zircaloy-2 chips and fines were secured in concrete billets in the 304 Concretion Facility, located in the 300 Area. The beryllium/Zircaloy-2 alloy and Zircaloy-2 chips and fines are designated as low-level radioactive mixed waste (LLRMW) with the characteristic of ignitability. The concretion process reduced the ignitability of the fines and chips for safe storage and shipment. This process has been discontinued and the 304 Concretion Facility is now undergoing closure as defined in the Resource Conservation and Recovery Act of 1976 (RCRA). This closure plan presents a description of the facility, the history of materials and wastes managed, and the procedures that will be followed to close the 304 Concretion Facility (304 Facility). Clean closure of the 304 Facility is the proposed method for closure of the facility. Justification for this proposal is presented. 15 refs., 22 figs., 4 tabs

Accidents in nuclear facilities: classification, incidence and impact

International Nuclear Information System (INIS)

Galicia A, J.; Paredes G, L. C.

2012-10-01

A general analysis of the 146 accidents reported officially in nuclear facilities from 1945 to 2012 is presented, among them some took place in: power or research nuclear reactors, critical and subcritical nuclear assemblies, handling of nuclear materials inside laboratories belonging to institutes or universities, in radiochemistry industrial plants and nuclear fuel factories. In form graph the incidence of these accidents is illustrated classified for; category, decades, geographical localization, country classification before the OECD, failure type, and the immediate or later victims. On the other hand, the main learned lessons of the nuclear accidents of Three Mile Island, Chernobyl and Fukushima are stood out, among those that highlight; the human factors, the necessity of designs more innovative and major technology for the operation, control and surveillance of the nuclear facilities, to increase the criterions of nuclear, radiological and physics safety applied to these facilities, the necessity to carry out probabilistic analysis of safety more detailed for cases of not very probable accidents and their impact, to revalue the selection criterions of the sites for nuclear locations, the methodology of post-accident sites recovery and major instrumentation for parameters evaluation and the radiological monitoring among others. (Author)

Inositol polyphosphate multikinase is a coactivator for serum response factor-dependent induction of immediate early genes

Science.gov (United States)

Kim, Eunha; Tyagi, Richa; Lee, Joo-Young; Park, Jina; Kim, Young-ran; Beon, Jiyoon; Chen, Po Yu; Cha, Jiyoung Y.; Snyder, Solomon H.; Kim, Seyun

2013-01-01

Inositol polyphosphate multikinase (IPMK) is a notably pleiotropic protein. It displays both inositol phosphate kinase and phosphatidylinositol kinase catalytic activities. Noncatalytically, IPMK stabilizes the mammalian target of rapamycin complex 1 and acts as a transcriptional coactivator for CREB-binding protein/E1A binding protein p300 and tumor suppressor protein p53. Serum response factor (SRF) is a major transcription factor for a wide range of immediate early genes. We report that IPMK, in a noncatalytic role, is a transcriptional coactivator for SRF mediating the transcription of immediate early genes. Stimulation by serum of many immediate early genes is greatly reduced by IPMK deletion. IPMK stimulates expression of these genes, an influence also displayed by catalytically inactive IPMK. IPMK acts by binding directly to SRF and thereby enhancing interactions of SRF with the serum response element of diverse genes. PMID:24248338

Project No. 4 - Waste incineration facility

International Nuclear Information System (INIS)

2000-01-01

There are currently 12000 m 3 of combustible waste stored at the Ignalina NPP site. It is estimated that by 2005 the volume will have increase to 15000 m 3 (filters, personnel protection, clothing and plastics). As a part of the preparation for the closure of the Ignalina NPP an incineration facility will be required to process combustible wastes to reduce the overall volume of short-lived radioactive wastes stored at the Ignalina NPP site, thus reducing the overall risk to the environment. Project activities includes the design, construction and commissioning of the proposed facility, including all licensing documentation

Immediate effects of thermal-tactile stimulation on timing of swallow in idiopathic Parkinson's disease.

Science.gov (United States)

Regan, Julie; Walshe, Margaret; Tobin, W Oliver

2010-09-01

Oropharyngeal dysphagia frequently presents in people with idiopathic Parkinson's disease (IPD). Clinical sequelae of dysphagia in this group include weight loss and aspiration pneumonia, the latter of which is the leading cause of hospital admissions and death in IPD. Thermal-tactile stimulation (TTS) is a sensory technique whereby stimulation is provided to the anterior faucial pillars to speed up the pharyngeal swallow. The effects of TTS on swallowing have not yet been investigated in IPD. The aim of this study was to investigate the immediate effects of TTS on the timing of swallow in a cohort of people with IPD and known oropharyngeal dysphagia. Thirteen participants with IPD and known dysphagia attended for videofluoroscopy during which standardised volumes of liquid barium and barium paste were administered preceding and immediately subsequent to TTS. The immediate effects of TTS on swallowing were examined using oral, pharyngeal, and total transit times and pharyngeal delay times as outcome measures. TTS significantly reduced median pharyngeal transit time on fluids (0.20 s, 95% CI = 0.12-0.28, p = 0.004) and on paste (0.3 s, 95% CI = 0.08-0.66, p = 0.01). Median total transit time was also reduced on fluids (0.48 s, 95% CI = 0.00-1.17, p = 0.049) and on paste (0.52 s, 95% CI = 0.08-1.46, p = 0.033). Median pharyngeal delay time was reduced on fluids (0.20 s, 95% CI = 0.12-0.34, p = 0.002). TTS did not significantly alter median oral transit time on either fluid or paste consistency. TTS significantly reduced temporal measures of the pharyngeal phase of swallowing in the IPD population. Significant results may be attributed to the role of sensory stimulation in improving motor function in IPD, with emphasis on the impaired glossopharyngeal and vagus nerves in this population. It is still unclear whether these findings will translate into a clinically beneficial effect.

Immediate effects of thermal-tactile stimulation on timing of swallow in idiopathic Parkinson's disease.

LENUS (Irish Health Repository)

Regan, Julie

2012-02-01

Oropharyngeal dysphagia frequently presents in people with idiopathic Parkinson\\'s disease (IPD). Clinical sequelae of dysphagia in this group include weight loss and aspiration pneumonia, the latter of which is the leading cause of hospital admissions and death in IPD. Thermal-tactile stimulation (TTS) is a sensory technique whereby stimulation is provided to the anterior faucial pillars to speed up the pharyngeal swallow. The effects of TTS on swallowing have not yet been investigated in IPD. The aim of this study was to investigate the immediate effects of TTS on the timing of swallow in a cohort of people with IPD and known oropharyngeal dysphagia. Thirteen participants with IPD and known dysphagia attended for videofluoroscopy during which standardised volumes of liquid barium and barium paste were administered preceding and immediately subsequent to TTS. The immediate effects of TTS on swallowing were examined using oral, pharyngeal, and total transit times and pharyngeal delay times as outcome measures. TTS significantly reduced median pharyngeal transit time on fluids (0.20 s, 95% CI = 0.12-0.28, p = 0.004) and on paste (0.3 s, 95% CI = 0.08-0.66, p = 0.01). Median total transit time was also reduced on fluids (0.48 s, 95% CI = 0.00-1.17, p = 0.049) and on paste (0.52 s, 95% CI = 0.08-1.46, p = 0.033). Median pharyngeal delay time was reduced on fluids (0.20 s, 95% CI = 0.12-0.34, p = 0.002). TTS did not significantly alter median oral transit time on either fluid or paste consistency. TTS significantly reduced temporal measures of the pharyngeal phase of swallowing in the IPD population. Significant results may be attributed to the role of sensory stimulation in improving motor function in IPD, with emphasis on the impaired glossopharyngeal and vagus nerves in this population. It is still unclear whether these findings will translate into a clinically beneficial effect.

Immediate placement of implants into infected sites: a systematic review.

Science.gov (United States)

Chrcanovic, Bruno Ramos; Martins, Maximiliano Delany; Wennerberg, Ann

2015-01-01

Traditionally, before placing dental implants, the compromised teeth are removed and the extraction sockets are left to heal for several months. To preserve the alveolar bone level from the collapse caused by healing and to reduce treatment time in situations in which tooth extraction precedes implant placement, some clinicians began to install the implant immediately into the postextraction socket without waiting for the site to heal. The purpose of this study was to review the literature regarding treatment outcomes of immediate implant placement into sites exhibiting pathology after clinical procedures to perform the decontamination of the implant's site. The following questions were raised: Does the presence of periodontal or endodontic infection affect immediate implant placement success? What is suggested to address the infection in the socket prior to immediate placement? An electronic search in PubMed (U.S. National Library of Medicine, Bethesda, MD, USA) was undertaken in March 2013. The titles and abstracts from these results were read to identify studies within the selection criteria. Eligibility criteria included both animal and human studies, and excluded any review and case reports articles. The publication's intervention had to have been implant placement into a site classified as having an infection (periapical, endodontic, perioendodontic, and periodontal). The search strategy initially yielded 706 references. Thirty-two studies were identified within the selection criteria, from which nine were case reports and review articles and were excluded. Additional hand-searching of the reference lists of selected studies yielded five additional papers. The high survival rate obtained in several studies supports the hypothesis that implants may be successfully osseointegrated when placed immediately after extraction of teeth presenting endodontic and periodontal lesions, provided that appropriate clinical procedures are performed before the implant

IFRS Mandatory Adoption Effect on the Information Asymmetry: Immediate or Delayed?

Directory of Open Access Journals (Sweden)

Hela Turki

2017-03-01

Full Text Available Abstract The purpose of this paper is to examine the relationship between the mandatory adoption of IFRS/IAS and the information content of earnings in the European Union. More accurately, this study aims to determine if the effect of IFRS adoption on the level of information asymmetry, apprehended by the cost of capital and the financial analysts’ forecasts, is immediate or delayed. Based on a longitudinal study, we find evidence that for the two first years of adoption, international standards reduces significantly the cost of capital and the dispersion of the financial analysts’ forecasts. Furthermore, the magnitude of this effect increases with increasing the number of years after IFRS adoption. The findings further show that the effect of IFRS adoption on financial analysts’ errors is not immediate and that the errors decrease from the third year following the date of the first adoption. Overall, the findings of this study highlight the importance of adopting IFRS in the reduction of information asymmetry.

Facile fabrication of graphene/nickel oxide composite with superior supercapacitance performance by using alcohols-reduced graphene as substrate

International Nuclear Information System (INIS)

Deng, Peng; Zhang, Haiyan; Chen, Yiming; Li, Zhenghui; Huang, Zhikun; Xu, Xingfa; Li, Yunyong; Shi, Zhicong

2015-01-01

Highlights: • G/NiO was synthesized by using alcohols-reduced graphene as substrate. • G/NiO presents a globule-on-sheet structure and reveals a synergistic effect. • G/NiO displays high specific capacitance and superior cycling stability. - Abstract: Graphene/nickel oxide composite (G/NiO) was synthesized through a facile hydrothermal method and subsequently microwave thermal treatment by using alcohols-reduced graphene as substrate. The as-prepared G/NiO was characterized by X-ray diffraction, Raman spectra, Fourier transform infrared spectroscopy, X-ray photoelectron spectroscopy, scanning electron microscope and transmission electron microscope. The results indicate that the graphene oxide has been successfully reduced to graphene, and NiO nanoparticles are homogeneous anchored on the surface of graphene, forming a globule-on-sheet structure. The loading content of NiO nanoparticles anchoring on the surface of graphene nanosheets can be controlled by adjusting the hydrothermal temperature. The G/NiO displays superior electrochemical performance with a specific capacitance of 530 F g −1 at 1 A g −1 in 2 M of NaOH. After 5000 cycles, the supercapacitor still maintains a specific capacitance of 490 F g −1 (92% retention of the initial capacity), exhibiting excellent cycling stability

Large scale facilities for synchrotron radiation and neutrons. New possibilities for Denmark

International Nuclear Information System (INIS)

Feidenhans'l, R.

2003-02-01

New large-scale facilities for investigating the structure and dynamics of matter and biological systems are currently under construction or are being planned at many locations around Europe. These facilities are likely to have a large impact on the science landscape in Europe, and more locally, as some will be located in the immediate neighbourhood of Denmark. The facilities will enable new analytical capabilities of matter, which will push the frontiers of science and technology in many areas of research of importance for Denmark. This report provides an overview of the new facilities (including very rough funding estimates) of importance for Danish science, describes possible ways of engaging in the various projects and identifies potential user groups. The report also includes a summary of the status of the current use of existing facilities as a benchmark. This is done by showing different cross sections through this multiple parameter space of activities. The intention is that the report should serve as guideline for making a long-term national strategy for the exploitation of large-scale facilities in order to help to optimise their impact on science, education and industry within Denmark, and to safeguard the prominent internationally leading role that Denmark has in this area. (LN)

Conceptual design of low activation target chamber and components for the National Ignition Facility

International Nuclear Information System (INIS)

Streckert, H.H.; Schultz, K.R.; Sager, G.T.; Kantner, R.D.

1996-01-01

The baseline design for the target chamber and chamber components for the National Ignition Facility (NIF) consists of aluminum alloy structural material. Low activation composite chamber and components have important advantages including enhanced environmental and safety characteristics and improved accessibility due to reduced neutron-induced radioactivity. A low activation chamber can be fabricated from carbon fiber reinforced epoxy using thick wall laminate technology similar to submarine bow dome fabrication for the U.S. Navy. A risk assessment analysis indicates that a composite chamber has a reasonably high probability of success, but that an aluminum alloy chamber represents a lower risk. Use of low activation composite materials for several chamber components such as the final optics assemblies, the target positioner and inserter, the diagnostics manipulator tubes, and the optics beam tubes would offer an opportunity to make significant reductions in post-shot radiation dose rate with smaller, less immediate impact on the NIF design. 7 refs., 3 figs

Study of immediate technetium 99m uptake by intracranial meningiomas and meningoblastomas

International Nuclear Information System (INIS)

Garcin, Gerard.

1976-01-01

The immediate uptake of technetium 99m in 43 meningiomas and meningoblastomas, observed with a scintillation camera, was analysed. The study concerns the first 30 seconds of the scintigraphic examination, a period corresponding to the arrival of the tracer in the carotids and its progress in the brain circulation (arterial time, capillary time and venous time). The principle of the examination and the facilities of use of the tracer employed are described, after which the examination procedure and the normal images obtained are reported. The technique applied to these 43 patients revealed an instant uptake site in 37 cases, i.e. about 65%. Of the 6 remaining cases 2 were meningiomas of the posterior cranial fossa, 1 was due to technical mistakes, another corresponded to a cystic meningioma of the convexity and the last two to meningiomas of the small splenoid wing. These results confirm those of other authors. Other immediate uptake centres are provided by angiomas, arteriovenous anevrisms and certain glioblastomas. This sign although very important for the meningioma diagnosis, must be corroborated by results of other examinations. It would be useful to make a kinematic study of instant uptake in order to establish, if possible, the exact time of appearance (arterial, capillary or veinous) of this site in meningiomas and in other tumours where the some clinical sign is observed [fr

A low-temperature research facility for space

International Nuclear Information System (INIS)

Donnelly, R.J.

1991-01-01

The Jet Propulsion Laboratory is proposing to NASA a new initiative to construct a Low Temperature Research Facility for use in space. The facility is described, together with some details of timing and support. An advisory group has been formed which seeks to advise JPL and NASA of the capabilities required in this facility and to invite investigators to propose experiments which require the combination of low temperature and reduced gravity to be successful. (orig.)

304 Concretion Facility Closure Plan

International Nuclear Information System (INIS)

1991-10-01

The Hanford Site, located northwest of Richland, Washington, houses reactors, chemical-separation systems, and related facilities used for the production of special nuclear materials. The 300 Area of the Hanford Site contains reactor fuel manufacturing facilities and several research and development laboratories. Recyclable scrap uranium with Zircaloy-2 and copper silicon allo , uranium-titanium alloy, beryllium/Zircaloy-2 alloy, and Zircaloy-2 chips and fines were secured in concrete billets (7.5-gal containers) in the 304 Concretion Facility (304 Facility), located in the 300 Area. The beryllium/Zircaloy-2 alloy and Zircaloy-2 chips and fines are designated as low-level radioactive mixed waste (LLRMW) with the characteristic of ignitability. The concretion process reduced the ignitability of the fines and chips for safe storage and shipment. This process has been discontinued and the 304 Concretion Facility is now undergoing closure as defined in the Resource Conservation and Recovery Act of 1976 (RCRA) and the Washington Administrative Code (WAC) Dangerous Waste Regulations, WAC 173-303-040 (Ecology 1991). This closure plan presents a description of the facility, the history of materials and wastes managed, and the procedures that will be followed to close the 304 Facility. The strategy for closure of the 304 Facility is presented in Section 6.0

National Ignition Facility (NIF) FY2015 Facility Use Plan

Energy Technology Data Exchange (ETDEWEB)

Folta, P. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Wisoff, Jeff [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2014-12-18

Major features of the FY2015 NIF Use Plan include: • Performing a record number of layered DT experiments with 28 planned compared with 15 in FY2014. Executing the first plutonium experiments on the NIF in support of the Science Campaigns. • Over 300 targets shots, a 57% increase compared to FY14. This is a stretch goal defined in the 120-Day Study document, and relies upon the success of many shot-rate improvement actions, as well as on the distribution of shot type selected by the users. While the Plan is consistent with this goal, the increased proportion of layered DT experiments described above reduces the margin against this goal. • Commissioning of initial ARC capability, which will support both SSP-HED and SSPICF programs. • Increase in days allocated to Discovery Science to a level that supports an ongoing program for academic use of NIF and an annual solicitation for new proposals. • Six Facility Maintenance and Reconfiguration (FM&R) periods totaling 30 days dedicated to major facility maintenance and modifications. • Utilization of the NIF Facility Advisory Schedule Committee (FASC) to provide stakeholder review and feedback on the NIF schedule. The Use Plan assumes a total FY2015 LLNL NIF Operations funding in MTE 10.7 of $229.465M and in MTE 10.3 of 47.0M. This Use Plan will be revised in the event of significant changes to the FY2015 funding or if NNSA provides FY2016 budget guidance significantly reduced compared to FY2015.

Nursing Facility Initiative Annual Report

Data.gov (United States)

U.S. Department of Health & Human Services — This annual report summarizes impacts from the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents in 2014. This initiative is designed...

Microvascular dysfunction in the immediate aftermath of chronic total coronary occlusion recanalization.

Science.gov (United States)

Ladwiniec, Andrew; Cunnington, Michael S; Rossington, Jennifer; Thackray, Simon; Alamgir, Farquad; Hoye, Angela

2016-05-01

The aim of this study was to compare microvascular resistance under both baseline and hyperemic conditions immediately after percutaneous coronary intervention (PCI) of a chronic total occlusion (CTO) with an unobstructed reference vessel in the same patient Microvascular dysfunction has been reported to be prevalent immediately after CTO PCI. However, previous studies have not made comparison with a reference vessel. Patients with a CTO may have global microvascular and/or endothelial dysfunction, making comparison with established normal values misleading. After successful CTO PCI in 21 consecutive patients, coronary pressure and flow velocity were measured at baseline and hyperemia in distal segments of the CTO/target vessel and an unobstructed reference vessel. Hemodynamics including hyperemic microvascular resistance (HMR), basal microvascular resistance (BMR), and instantaneous minimal microvascular resistance at baseline and hyperemia were calculated and compared between reference and target/CTO vessels. After CTO PCI, BMR was reduced in the target/CTO vessel compared with the reference vessel: 3.58 mm Hg/cm/s vs 4.94 mm Hg/cm/s, difference -1.36 mm Hg/cm/s (-2.33 to -0.39, p = 0.008). We did not detect a difference in HMR: 1.82 mm Hg/cm/s vs 2.01 mm Hg/cm/s, difference -0.20 (-0.78 to 0.39, p = 0.49). Instantaneous minimal microvascular resistance correlated strongly with the length of stented segment at baseline (r = 0.63, p = 0.005) and hyperemia (r = 0.68, p = 0.002). BMR is reduced in a recanalized CTO in the immediate aftermath of PCI compared to an unobstructed reference vessel; however, HMR appears to be preserved. A longer stented segment is associated with increased microvascular resistance. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

Evaluation of hands-on seminar for reduced port surgery using fresh porcine cadaver model

Directory of Open Access Journals (Sweden)

Saseem Poudel

2016-01-01

Full Text Available Background: The use of various biological and non-biological simulators is playing an important role in training modern surgeons with laparoscopic skills. However, there have been few reports of the use of a fresh porcine cadaver model for training in laparoscopic surgical skills. The purpose of this study was to report on a surgical training seminar on reduced port surgery using a fresh cadaver porcine model and to assess its feasibility and efficacy. Materials and Methods: The hands-on seminar had 10 fresh porcine cadaver models and two dry boxes. Each table was provided with a unique access port and devices used in reduced port surgery. Each group of 2 surgeons spent 30 min at each station, performing different tasks assisted by the instructor. The questionnaire survey was done immediately after the seminar and 8 months after the seminar. Results: All the tasks were completed as planned. Both instructors and participants were highly satisfied with the seminar. There was a concern about the time allocated for the seminar. In the post-seminar survey, the participants felt that the number of reduced port surgeries performed by them had increased. Conclusion: The fresh cadaver porcine model requires no special animal facility and can be used for training in laparoscopic procedures.

Evaluation of hands-on seminar for reduced port surgery using fresh porcine cadaver model.

Science.gov (United States)

Poudel, Saseem; Kurashima, Yo; Shichinohe, Toshiaki; Kitashiro, Shuji; Kanehira, Eiji; Hirano, Satoshi

2016-01-01

The use of various biological and non-biological simulators is playing an important role in training modern surgeons with laparoscopic skills. However, there have been few reports of the use of a fresh porcine cadaver model for training in laparoscopic surgical skills. The purpose of this study was to report on a surgical training seminar on reduced port surgery using a fresh cadaver porcine model and to assess its feasibility and efficacy. The hands-on seminar had 10 fresh porcine cadaver models and two dry boxes. Each table was provided with a unique access port and devices used in reduced port surgery. Each group of 2 surgeons spent 30 min at each station, performing different tasks assisted by the instructor. The questionnaire survey was done immediately after the seminar and 8 months after the seminar. All the tasks were completed as planned. Both instructors and participants were highly satisfied with the seminar. There was a concern about the time allocated for the seminar. In the post-seminar survey, the participants felt that the number of reduced port surgeries performed by them had increased. The fresh cadaver porcine model requires no special animal facility and can be used for training in laparoscopic procedures.

77 FR 15163 - Self-Regulatory Organizations; The NASDAQ Stock Market LLC; Notice of Filing and Immediate...

Science.gov (United States)

2012-03-14

... troubling trend of reduced participation in the equity markets by individual investors, and that nearly 30... different asset classes within a single strategy. NASDAQ also notes that cash equities and options markets...-Regulatory Organizations; The NASDAQ Stock Market LLC; Notice of Filing and Immediate Effectiveness of...

The Educational Facilities Professional's Practical Guide to Reducing the Campus Carbon Footprint

Science.gov (United States)

Hignite, Karla

2009-01-01

As more institutions respond to the American College & University Presidents Climate Commitment, or are otherwise responsible for campus environmental stewardship, this implementation guide gives educational facilities professionals a practical framework for moving forward in their unique role within this process. The intent is to help facilities…

Mothers' feelings about breastfeeding their premature babies in a rooming-in facility.

Science.gov (United States)

Davim, Rejane Marie Barbosa; Enders, Bertha Cruz; da Silva, Richardson Augusto Rosendo

2010-09-01

This study aimed at learning about the feelings experienced by mothers while breastfeeding their premature babies in a rooming-in facility, by means of individual interviews with 33 mothers during the period of February to April 2006, at a maternity hospital in Natal/RN/Brazil. The main feelings referred by the mothers regarding their inability to breastfeed their premature babies immediately after delivery were: sorrow, guilt, disappointment, frustration, insecurity, and fear of touching, holding or harming the delicate babies while breastfeeding. However, the mother-child bond that was formed when the baby was discharged from the Neonatal Intensive Care Unit and taken to the rooming-in facility was reflected by feelings of fulfillment, pride, and satisfaction at experiencing the first breastfeeding.

Quality of the delivery services in health facilities in Northern Ethiopia.

Science.gov (United States)

Fisseha, Girmatsion; Berhane, Yemane; Worku, Alemayehu; Terefe, Wondwossen

2017-03-09

Substantial improvements have been observed in the coverage of and access to maternal health service, especially in skilled birth attendants, in Ethiopia. However, the quality of care has been lagging behind. Therefore, this study investigated the status of the quality of delivery services in Northern Ethiopia. A facility based survey was conducted from December 2014 to February 2015 in Northern Ethiopia. The quality of delivery service was assessed in 32 health facilities using a facility audit checklist, by reviewing delivery, by conducting in-depth interview and observation, and by conducting exit interviews with eligible mothers. Facilities were considered as 'good quality' if they scored positively on 75% of the quality indicators set in the national guidelines for all the three components; input (materials, infrastructure, and human resource), process (adherence to standard care procedures during intrapartum and immediate postpartum periods) and output (the mothers' satisfaction and utilization of lifesaving procedures). Overall 2 of 32 (6.3%) of the study facilities fulfilled all the three quality components; input, process and output. Two of the three components were assessed as good in 11 of the 32 (34.4%) health facilities. The input quality was the better of the other quality components; which was good in 21 out of the 32 (65.6%) health facilities. The process and output quality was good in only 10 of the 32 (31.3%) facilities. Only 6.3% of the studied health facilities had good quality in all three dimensions of quality measures that was done in accordance to the national delivery service guidelines. The most compromised quality component was the process. Systematic and sustained efforts need to be strengthened to improve all dimensions of quality in order to achieve the desired quality of delivery services and increase the proportion of births occurring in health facilities.

77 FR 21823 - Self-Regulatory Organizations; The NASDAQ Stock Market LLC; Notice of Filing and Immediate...

Science.gov (United States)

2012-04-11

... Commission Chairman on what she viewed as a troubling trend of reduced participation in the equity markets by... investment strategy. NASDAQ also notes that cash equities and options markets are linked, with liquidity and...-Regulatory Organizations; The NASDAQ Stock Market LLC; Notice of Filing and Immediate Effectiveness of...

Conceptual design of a fission-based integrated test facility for fusion reactor components

International Nuclear Information System (INIS)

Watts, K.D.; Deis, G.A.; Hsu, P.Y.S.; Longhurst, G.R.; Masson, L.S.; Miller, L.G.

1982-01-01

The testing of fusion materials and components in fission reactors will become increasingly important because of lack of fusion engineering test devices in the immediate future and the increasing long-term demand for fusion testing when a fusion reactor test station becomes available. This paper presents the conceptual design of a fission-based Integrated Test Facility (ITF) developed by EG and G Idaho. This facility can accommodate entire first wall/blanket (FW/B) test modules such as those proposed for INTOR and can also accommodate smaller cylindrical modules similar to those designed by Oak Ridge National laboratory (ORNL) and Westinghouse. In addition, the facility can be used to test bulk breeder blanket materials, materials for tritium permeation, and components for performance in a nuclear environment. The ITF provides a cyclic neutron/gamma flux as well as the numerous module and experiment support functions required for truly integrated tests

Remote Decontamination Facility and Repair Station for hot-cell manipulators

International Nuclear Information System (INIS)

Ryz, M.A.

1977-01-01

Increasingly high radiation levels on manipulators at the Whiteshell Nuclear Research Establishment, Pinawa, Manitoba, Canada, necessitated design and construction of a Remote Decontamination Facility and Repair Station. This facility reduces radiation levels on manipulators by an order of magnitude over previous hand decontamination techniques. The reduced radiation levels have allowed superior manipulator repair and maintenance, resulting in 50% fewer manipulator breakdowns

Sensation Following Immediate Breast Reconstruction with Implants.

Science.gov (United States)

Lagergren, Jakob; Wickman, Marie; Hansson, Per

2010-01-01

Sensation is a neglected aspect of the outcome of breast reconstructions with implants. The aim of this prospective study was to evaluate the cutaneous somatosensory status in breasts following mastectomy and immediate reconstruction with permanent adjustable prostheses and to analyze the patients' subjective experience of the sensation. Twenty-four consecutive patients diagnosed with invasive or in situ breast carcinoma were examined preoperatively and 2 years after mastectomy and reconstruction, for assessment of perception thresholds for touch, cold, warmth, and heat pain above and below the areola. Von Frey filaments and a Peltier element-based thermode were used. The patients completed a questionnaire concerning their experienced sensation in the reconstructed breast. Using quantitative somato-sensory testing, the sensation to all the examined modalities was significantly impaired compared to preoperatively. Most affected was the area above the areola. Patients given postoperative radiotherapy (n = 9) did not differ from those without radiotherapy (n = 15) regarding any of the modalities. All patients reported reduced sensation in the reconstructed breast compared to that preoperatively. Twenty-three patients stated that the reconstructed breast felt different from the other breast; nevertheless 16 reported that the reconstructed breast felt like a real breast. The study revealed sensation impairment following mastectomy and immediate reconstruction with implants. Patients should be informed about this effect preoperatively to allow adequate expectations regarding the sensation outcome. However, two-thirds of the study patients considered that the reconstructed breast felt like a real breast, which must be one of the main purposes of a breast reconstruction.

Life-Cycle Assessments of Selected NASA Ground-Based Test Facilities

Science.gov (United States)

Sydnor, George Honeycutt

2012-01-01

In the past two years, two separate facility-specific life cycle assessments (LCAs) have been performed as summer student projects. The first project focused on 13 facilities managed by NASA s Aeronautics Test Program (ATP), an organization responsible for large, high-energy ground test facilities that accomplish the nation s most advanced aerospace research. A facility inventory was created for each facility, and the operational-phase carbon footprint and environmental impact were calculated. The largest impacts stemmed from electricity and natural gas used directly at the facility and to generate support processes such as compressed air and steam. However, in specialized facilities that use unique inputs like R-134a, R-14, jet fuels, or nitrogen gas, these sometimes had a considerable effect on the facility s overall environmental impact. The second LCA project was conducted on the NASA Ames Arc Jet Complex and also involved creating a facility inventory and calculating the carbon footprint and environmental impact. In addition, operational alternatives were analyzed for their effectiveness at reducing impact. Overall, the Arc Jet Complex impact is dominated by the natural-gas fired boiler producing steam on-site, but alternatives were provided that could reduce the impact of the boiler operation, some of which are already being implemented. The data and results provided by these LCA projects are beneficial to both the individual facilities and NASA as a whole; the results have already been used in a proposal to reduce carbon footprint at Ames Research Center. To help future life cycle projects, several lessons learned have been recommended as simple and effective infrastructure improvements to NASA, including better utility metering and data recording and standardization of modeling choices and methods. These studies also increased sensitivity to and appreciation for quantifying the impact of NASA s activities.

A facile and novel strategy to synthesize reduced TiO₂ nanotubes photoelectrode for photoelectrocatalytic degradation of diclofenac.

Science.gov (United States)

Cheng, Xiuwen; Cheng, Qingfeng; Deng, Xiaoyong; Wang, Pu; Liu, Huiling

2016-02-01

TiO2 nano-materials have been considered as a versatile candidate for the photoelectrochemical (PECH) applications. In this study, we reported a facile and novel strategy to synthesize reduced TiO2 nanotubes (TiO2 NTs) photoelectrode. The microwave reduction could introduce oxygen vacancy in the lattice of TiO2, while the rapid-production of oxygen vacancy facilitated the generation of impurity level between the forbidden band and greatly enhancement of visible light absorption, thereby resulting in an improved separation efficiency of photogenerated charge carriers and photocatalytic (PC) performance. Additionally, the derived valence band X-ray photoelectron spectroscopy (VBXPS) and photoluminescence (PL) spectra confirmed the existence of oxygen vacancy in the lattice of TiO2 NTs photoelectrode, in which the valence bond maximum (VBM) and charge carriers concentration of reduced TiO2 NTs photoelectrode was determined to be 1.75 eV and 5.36 × 10(19) cm(-3), respectively. Furthermore, the scavenging experiments revealed that ·OH radical was the dominated species for the degradation of diclofenac. The enhanced-visible-light PC mechanism could mainly be attributed to the generation of oxygen vacancy, which can provide not only the visible light absorption capacity but also charge separation efficiency. Copyright © 2015 Elsevier Ltd. All rights reserved.

Implementation of the DYMAC system at the new Los Alamos Plutonium Processing Facility. Phase II report

Energy Technology Data Exchange (ETDEWEB)

Malanify, J.J.; Amsden, D.C.

1982-08-01

The DYnamic Materials ACcountability System - called DYMAC - performs accountability functions at the new Los Alamos Plutonium Processing Facility where it began operation when the facility opened in January 1978. A demonstration program, DYMAC was designed to collect and assess inventory information for safeguards purposes. It accomplishes 75% of its design goals. DYMAC collects information about the physical inventory through deployment of nondestructive assay instrumentation and video terminals throughout the facility. The information resides in a minicomputer where it can be immediately sorted and displayed on the video terminals or produced in printed form. Although the capability now exists to assess the collected data, this portion of the program is not yet implemented. DYMAC in its present form is an excellent tool for process and quality control. The facility operator relies on it exclusively for keeping track of the inventory and for complying with accountability requirements of the US Department of Energy.

Implementation of the DYMAC system at the new Los Alamos Plutonium Processing Facility. Phase II report

International Nuclear Information System (INIS)

Malanify, J.J.; Amsden, D.C.

1982-08-01

The DYnamic Materials ACcountability System - called DYMAC - performs accountability functions at the new Los Alamos Plutonium Processing Facility where it began operation when the facility opened in January 1978. A demonstration program, DYMAC was designed to collect and assess inventory information for safeguards purposes. It accomplishes 75% of its design goals. DYMAC collects information about the physical inventory through deployment of nondestructive assay instrumentation and video terminals throughout the facility. The information resides in a minicomputer where it can be immediately sorted and displayed on the video terminals or produced in printed form. Although the capability now exists to assess the collected data, this portion of the program is not yet implemented. DYMAC in its present form is an excellent tool for process and quality control. The facility operator relies on it exclusively for keeping track of the inventory and for complying with accountability requirements of the US Department of Energy

Implementing RCRA during facility deactivation

International Nuclear Information System (INIS)

Lebaron, G.J.

1997-01-01

RCRA regulations require closure of permitted treatment, storage and disposal (TSD) facilities within 180 days after cessation of operations, and this may essentially necessitate decommissioning to complete closure. A more cost effective way to handle the facility would be to significantly reduce the risk to human health and the environment by taking it from its operational status to a passive, safe, inexpensive-to-maintain surveillance and maintenance condition (deactivation) prior to decommissioning. This paper presents an innovative approach to the cost effective deactivation of a large, complex chemical processing facility permitted under RCRA. The approach takes into account risks to the environment posed by this facility in comparison to risks posed by neighboring facilities at the site. The paper addresses the manner in which: 1) stakeholders and regulators were involved; 2) identifies a process by which the project proceeds and regulators and stakeholders were involved; 3) end points were developed so completion of deactivation was clearly identified at the beginning of the project, and 4) innovative practices were used to deactivate more quickly and cost effectively

Immediate and sustained effects of user fee exemption on healthcare utilization among children under five in Burkina Faso: A controlled interrupted time-series analysis.

Science.gov (United States)

Zombré, David; De Allegri, Manuela; Ridde, Valéry

2017-04-01

Little is known about the long-term effects of user fee exemption policies on health care use in developing countries. We examined the association between user fee exemption and health care use among children under five in Burkina Faso. We also examined how factors related to characteristics of health facilities and their environment moderate this association. We used a multilevel controlled interrupted time-series design to examine the strength of effect and long term effects of user fee exemption policy on the rate of health service utilization in children under five between January 2004 and December 2014. The initiation of the intervention more than doubled the utilization rate with an immediate 132.596% increase in intervention facilities (IRR: 2.326; 95% CI: 1.980 to 2.672). The effect of the intervention was 32.766% higher in facilities with higher workforce density (IRR: 1.328; 95% CI (1.209-1.446)) and during the rainy season (IRR:1.2001; 95% CI: 1.0953-1.3149), but not significant in facilities with higher dispersed populations (IRR: 1.075; 95% CI: (0.942-1.207)). Although the intervention effect was substantially significant immediately following its inception, the pace of growth, while positive over a first phase, decelerated to stabilize itself three years and 7 months later before starting to decrease slowly towards the end of the study period. This study provides additional evidence to support user fee exemption policies complemented by improvements in health care quality. Future work should include an assessment of the impact of user fee exemption on infant morbidity and mortality and better discuss factors that could explain the slowdown in this upward trend of utilization rates three and a half years after the intervention onset. Copyright © 2017. Published by Elsevier Ltd.

The contribution to immediate serial recall of rehearsal, search speed, access to lexical memory, and phonological coding: an investigation at the construct level.

Science.gov (United States)

Tehan, Gerald; Fogarty, Gerard; Ryan, Katherine

2004-07-01

Rehearsal speed has traditionally been seen to be the prime determinant of individual differences in memory span. Recent studies, in the main using young children as the participant population, have suggested other contributors to span performance. In the present research, we used structural equation modeling to explore, at the construct level, individual differences in immediate serial recall with respect to rehearsal, search, phonological coding, and speed of access to lexical memory. We replicated standard short-term phenomena; we showed that the variables that influence children's span performance influence adult performance in the same way; and we showed that speed of access to lexical memory and facility with phonological codes appear to be more potent sources of individual differences in immediate memory than is either rehearsal speed or search factors.

Can facility delivery reduce the risk of intrapartum complications-related perinatal mortality? Findings from a cohort study.

Science.gov (United States)

Khanam, Rasheda; Baqui, Abdullah H; Syed, Mamun Ibne Moin; Harrison, Meagan; Begum, Nazma; Quaiyum, Abdul; Saha, Samir K; Ahmed, Saifuddin

2018-06-01

Intrapartum complications increase the risk of perinatal deaths. However, population-based data from developing countries assessing the contribution of intrapartum complications to perinatal deaths is scarce. Using data from a cohort of pregnant women followed between 2011 and 2013 in Bangladesh, this study examined the rate and types of intrapartum complications, the association of intrapartum complications with perinatal mortality, and if facility delivery modified the risk of intrapartum-related perinatal deaths. Trained community health workers (CHWs) made two-monthly home visits to identify pregnant women, visited them twice during pregnancy and 10 times in the first two months postpartum. During prenatal visits, CHWs collected data on women's prior obstetric history, socio-demographic status, and complications during pregnancy. They collected data on intrapartum complications, delivery care, and pregnancy outcome during the first postnatal visit within 7 days of delivery. We examined the association of intrapartum complications and facility delivery with perinatal mortality by estimating odds ratios (OR) and 95% confidence intervals (CI) adjusting for covariates using multivariable logistic regression analysis. The overall facility delivery rate was low (3922/24 271; 16.2%). Any intrapartum complications among pregnant women were 20.9% (5,061/24,271) and perinatal mortality was 64.7 per 1000 birth. Compared to women who delivered at home, the risk of perinatal mortality was 2.4 times higher (OR = 2.40; 95% CI = 2.08-2.76) when delivered in a public health facility and 1.3 times higher (OR = 1.32, 95% CI = 1.06-1.64) when delivered in a private health facility. Compared to women who had no intrapartum complications and delivered at home, women with intrapartum complications who delivered at home had a substantially higher risk of perinatal mortality (OR = 3.45; 95% CI = 3.04-3.91). Compared to women with intrapartum complications who

SNL Five-Year Facilities & Infrastructure Plan FY2015-2019

Energy Technology Data Exchange (ETDEWEB)

Cipriani, Ralph J. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

2014-12-01

Sandia’s development vision is to provide an agile, flexible, safer, more secure, and efficient enterprise that leverages the scientific and technical capabilities of the workforce and supports national security requirements in multiple areas. Sandia’s Five-Year Facilities & Infrastructure Planning program represents a tool to budget and prioritize immediate and short-term actions from indirect funding sources in light of the bigger picture of proposed investments from direct-funded, Work for Others and other funding sources. As a complementary F&I investment program, Sandia’s indirect investment program supports incremental achievement of the development vision within a constrained resource environment.

Isometric exercise induces analgesia and reduces inhibition in patellar tendinopathy.

Science.gov (United States)

Rio, Ebonie; Kidgell, Dawson; Purdam, Craig; Gaida, Jamie; Moseley, G Lorimer; Pearce, Alan J; Cook, Jill

2015-10-01

Few interventions reduce patellar tendinopathy (PT) pain in the short term. Eccentric exercises are painful and have limited effectiveness during the competitive season. Isometric and isotonic muscle contractions may have an immediate effect on PT pain. This single-blinded, randomised cross-over study compared immediate and 45 min effects following a bout of isometric and isotonic muscle contractions. Outcome measures were PT pain during the single-leg decline squat (SLDS, 0-10), quadriceps strength on maximal voluntary isometric contraction (MVIC), and measures of corticospinal excitability and inhibition. Data were analysed using a split-plot in time-repeated measures analysis of variance (ANOVA). 6 volleyball players with PT participated. Condition effects were detected with greater pain relief immediately from isometric contractions: isometric contractions reduced SLDS (mean±SD) from 7.0±2.04 to 0.17±0.41, and isotonic contractions reduced SLDS (mean±SD) from 6.33±2.80 to 3.75±3.28 (peffect on inhibition (pre 30.26±3.89, post 31.92±4.67; p=0.004). Condition by time analysis showed pain reduction was sustained at 45 min postisometric but not isotonic condition (ptendon pain immediately for at least 45 min postintervention and increased MVIC. The reduction in pain was paralleled by a reduction in cortical inhibition, providing insight into potential mechanisms. Isometric contractions can be completed without pain for people with PT. The clinical implications are that isometric muscle contractions may be used to reduce pain in people with PT without a reduction in muscle strength. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Monitored retrievable storage (MRS) facility and salt repository integration: Engineering study report

International Nuclear Information System (INIS)

1987-07-01

This MRS Facility and Salt Repository Integration Study evaluates the impacts of an integrated MRS/Salt Repository Waste Management System on the Salt Repository Surface facilities' design, operations, cost, and schedule. Eight separate cases were studied ranging from a two phase repository design with no MRS facility to a design in which the repository only received package waste from the MRS facility for emplacement. The addition of the MRS facility to the Waste Management System significantly reduced the capital cost of the salt repository. All but one of the cases studied were capable of meeting the waste acceptance data. The reduction in the size and complexity of the Salt Repository waste handling building with the integration of the MRS facility reduces the design and operating staff requirements. 7 refs., 35 figs., 43 tabs

Waste Calcining Facility remote inspection report

International Nuclear Information System (INIS)

Patterson, M.W.; Ison, W.M.

1994-08-01

The purpose of the Waste Calcining Facility (WCF) remote inspections was to evaluate areas in the facility which are difficult to access due to high radiation fields. The areas inspected were the ventilation exhaust duct, waste hold cell, adsorber manifold cell, off-gas cell, calciner cell and calciner vessel. The WCF solidified acidic, high-level mixed waste generated during nuclear fuel reprocessing. Solidification was accomplished through high temperature oxidation and evaporation. Since its shutdown in 1981, the WCFs vessels, piping systems, pumps, off-gas blowers and process cells have remained contaminated. Access to the below-grade areas is limited due to contamination and high radiation fields. Each inspection technique was tested with a mock-up in a radiologically clean area before the equipment was taken to the WCF for the actual inspection. During the inspections, essential information was obtained regarding the cleanliness, structural integrity, in-leakage of ground water, indications of process leaks, indications of corrosion, radiation levels and the general condition of the cells and equipment. In general, the cells contain a great deal of dust and debris, as well as hand tools, piping and miscellaneous equipment. Although the building appears to be structurally sound, the paint is peeling to some degree in all of the cells. Cracking and spalling of the concrete walls is evident in every cell, although the east wall of the off-gas cell is the worst. The results of the completed inspections and lessons learned will be used to plan future activities for stabilization and deactivation of the facility. Remote clean-up of loose piping, hand tools, and miscellaneous debris can start immediately while information from the inspections is factored into the conceptual design for deactivating the facility

Immediation (Cultures of Immediacy)

DEFF Research Database (Denmark)

Kacunko, Slavko

2018-01-01

with a complex interplay of social-, security-, science- and economy-related issues. The growing interest in immediation confirms its status as a new but as yet underestimated paradigm for the arts, sciences and humanities which calls for a future-focused inquiry into the cultures of immediacy. However...

Immediate effect of irradiation on microvasculature

International Nuclear Information System (INIS)

Krishnan, L.; Krishnan, E.C.; Jewell, W.R.

1988-01-01

The immediate effects of irradiation on microvasculature in muscle in an animal model are described in this paper. By using triple isotopes of 125 I, 131 I, and 22 Na, the transcapillary transfer of albumin from the vascular bed to the extravascular space is determined in terms of mg/g of tissue, after single doses of 2 to 14 Gy. These results reveal an increase in the extravascular albumin immediately after irradiation and suggest an instantaneous compromise in vascular permeability even after 2 Gy. This effect was apparently dose related

78 FR 48029 - Improving Chemical Facility Safety and Security

Science.gov (United States)

2013-08-07

... Improving Chemical Facility Safety and Security By the authority vested in me as President by the... at reducing the safety risks and security risks associated with hazardous chemicals. However... to further improve chemical facility safety and security in coordination with owners and operators...

Immediate therapist self-disclosure bolsters the effect of brief integrative psychotherapy on psychiatric symptoms and the perceptions of therapists: A randomized clinical trial.

Science.gov (United States)

Ziv-Beiman, Sharon; Keinan, Giora; Livneh, Elad; Malone, Patrick S; Shahar, Golan

2017-09-01

We report a first randomized clinical trial examining the effect of immediate and non-immediate therapist self-disclosure in the context of a brief integrative psychotherapy for mild to moderate distress. A total of 86 patients with mild to moderate forms of distress were randomly divided into three 12-session integrative psychotherapy conditions based primarily on [Hill, C. E. (2009). Helping skills: Facilitating, exploration, insight, and action (3rd ed.). Washington, DC: American Psychological Association.] three-stage model. Therapists trained in this treatment modality were instructed to use either immediate self-disclosure (expressing feelings towards the patient/treatment/therapeutic relationship) or non-immediate self-disclosure (expressing personal or factual information regarding the therapist's life outside the treatment). In the comparison condition, the therapists were instructed to refrain from self-disclosure altogether. Immediate therapist self-disclosure reduced psychiatric symptoms among patients with elevated pretreatment symptoms (as assessed by the Brief Symptoms Inventory) and bolstered a favorable perception of the therapist. Therapists in both the immediate and non-immediate self-disclosure group evaluated themselves more favorably than their counterparts in the non-disclosure group. Therapist self-disclosure, particularly of the immediate type, might enhance the effect of brief integrative treatment on psychiatric symptoms of high symptomatic patients and contribute to favorable perception of therapists.

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

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.)

Immediate placement of dental implants in the mandible

Directory of Open Access Journals (Sweden)

Gurkar Haraswarupa Puttaraju

2013-01-01

Full Text Available This case describes extraction of teeth in the mandibular arch, i.e., 41 42 43 44 45 51 52 53 54 55 56 57 58 (grade two mobility, followed by immediate placement of four dental implants (3i biomet, two in the 45 55 region and two dental implants in 12 21 region. A prefabricated provisional mandibular denture was immediately placed. The purpose of immediate placement was to aid the patient resume his professional duties the next day itself along with esthetic and functional comfort, psychological well-being and most importantly preserving the remaining tissue in a healthy condition.

Socket welds in nuclear facilities

International Nuclear Information System (INIS)

Anderson, P.A.; Torres, L.L.

1995-01-01

Socket welds are easier and faster to make than are butt welds. However, they are often not used in nuclear facilities because the crevices between the pipes and the socket sleeves may be subject to crevice corrosion. If socket welds can be qualified for wider use in facilities that process nuclear materials, the radiation exposures to welders can be significantly reduced. The current tests at the Idaho Chemical Processing Plant (ICPP) are designed to determine if socket welds can be qualified for use in the waste processing system at a nuclear fuel processing plant

Technical Safety Requirements for the Gamma Irradiation Facility (GIF)

CERN Document Server

Mahn, J A E M J G

2003-01-01

This document provides the Technical Safety Requirements (TSR) for the Sandia National Laboratories Gamma Irradiation Facility (GIF). The TSR is a compilation of requirements that define the conditions, the safe boundaries, and the administrative controls necessary to ensure the safe operation of a nuclear facility and to reduce the potential risk to the public and facility workers from uncontrolled releases of radioactive or other hazardous materials. These requirements constitute an agreement between DOE and Sandia National Laboratories management regarding the safe operation of the Gamma Irradiation Facility.

Reactor feedwater facility

Energy Technology Data Exchange (ETDEWEB)

Fujii, Tadashi; Kinoshita, Shoichiro; Akatsu, Jun-ichi

1996-04-30

In a reactor feedwater facility in which one stand-by system and at least three ordinary systems are disposed in parallel, each of the feedwater pumps is driven by an electromotor, and has substantially the same capacity. At least two systems among the ordinary systems have a pump rotation number variable means. Since the volume of each of the feedwater pump of each system is determined substantially equal, standardization is enabled to facilitate the production. While the number of electromotors is increased, since they are driven by electromotors, turbines, steam pipelines and valves for driving feed water pumps can be eliminated. Therefore, the feedwater pumps can be disposed to a region of low radiation dose being separated from a main turbine and a main condensator, to improve the degree of freedom in view of the installation. In addition, accessibility to equipments during operation is improved to improve the maintenance of feed water facilities. The number of parts for equipments can be reduced compared with that in a turbine-driving system thereby capable of reducing the operation amount for the maintenance and inspection. (N.H.)

Examining the relationship between immediate serial recall and immediate free recall: common effects of phonological loop variables but only limited evidence for the phonological loop.

Science.gov (United States)

Spurgeon, Jessica; Ward, Geoff; Matthews, William J

2014-07-01

We examined the contribution of the phonological loop to immediate free recall (IFR) and immediate serial recall (ISR) of lists of between one and 15 words. Following Baddeley (1986, 2000, 2007, 2012), we assumed that visual words could be recoded into the phonological store when presented silently but that recoding would be prevented by concurrent articulation (CA; Experiment 1). We further assumed that the use of the phonological loop would be evidenced by greater serial recall for lists of phonologically dissimilar words relative to lists of phonologically similar words (Experiments 2A and 2B). We found that in both tasks, (a) CA reduced recall; (b) participants recalled short lists from the start of the list, leading to enhanced forward-ordered recall; (c) participants were increasingly likely to recall longer lists from the end of the list, leading to extended recency effects; (d) there were significant phonological similarity effects in ISR and IFR when both were analyzed using serial recall scoring; (e) these were reduced by free recall scoring and eliminated by CA; and (f) CA but not phonological similarity affected the tendency to initiate recall with the first list item. We conclude that similar mechanisms underpin ISR and IFR. Critically, the phonological loop is not strictly necessary for the forward-ordered recall of short lists on both tasks but may augment recall by increasing the accessibility of the list items (relative to CA), and in so doing, the order of later items is preserved better in phonologically dissimilar than in phonologically similar lists. PsycINFO Database Record (c) 2014 APA, all rights reserved.

SUPPLEMENTAL CARDIOPLEGIA IMMEDIATELY BEFORE GRAFT IMPLANTATION MAY IMPROVE EARLY POST-TRANSPLANTATION OUTCOME

Directory of Open Access Journals (Sweden)

Hendrik eTevaearai Stahel

2014-11-01

Full Text Available Background: Preservation of cardiac grafts for transplantation is not standardized and most centers use a single administration of crystalloid solution at the time of harvesting. We investigated possible benefits of an additional dose of cardioplegia dispensed immediately before implantation.Methods: Consecutive adult cardiac transplantations (2005-2012 were reviewed. Hearts were harvested following a standard protocol (Celsior 2L, 4-8oC. In 2008, 100mL crystalloid cardioplegic solution was added and administered immediately before implantation. Univariate and logistic regression analyses were used to investigate risk factors for post-operative graft failure and mid-term outcome. Results: A total of 81 patients, 44 standard (Cardio - versus 37 with additional cardioplegia (Cardio + were analyzed. Recipients and donors were comparable in both groups. Cardio + patients demonstrated a reduced need for defibrillation (24% vs. 48%, p=0.03, post-operative ratio of CK-MB/CK (10.1±3.9% vs. 13.3±4.2%, p=0.001, intubation time (2.0±1.6 vs. 7.2±11.5 days, p=0.05 and ICU stay (3.9±2.1 vs. 8.5±7.8 days, p=0.001. Actuarial survival was reduced when graft ischemic time was >180 minutes in Cardio – but not in Cardio + patients (p=0.033. Organ ischemic time >180 minutes (OR:5.48, CI:1.08-27.75, donor female gender (OR:5.84, CI:1.13-33.01 and recipient/donor age >60 (OR:6.33, CI:0.86-46.75, but not the additional cardioplegia nor the observation period appeared independent predictors of post-operative acute graft failure.Conclusion: An additional dose of cardioplegia administered immediately before implantation may be a simple way to improve early and late outcome of cardiac transplantation, especially in situations of prolonged graft ischemia. A large, ideally multicentric, randomized study is desirable to verify this preliminary observation.

Immediate placement of endosseous implants into the extraction sockets.

Science.gov (United States)

Ebenezer, Vijay; Balakrishnan, K; Asir, R Vigil Dev; Sragunar, Banu

2015-04-01

Implant by definition "means any object or material, such as an alloplastic substance or other tissue, which is partial or completely inserted into the body for therapeutic, diagnostic, prosthetic, or experimental purpose." The placement of a dental implant in an extraction socket at the time of extraction or explantation is known as immediate implant placement whereas delayed placement of implant signifies the implant placement in edentulous areas where healing has completed with new bone formation after the loss of tooth/teeth. Recent idea goes by "why late when it can be done immediately." There are several advantages of immediate placement of implants, and lots of studies have been done. In this article, the advantages and disadvantages of immediate versus delayed placement of implants have been reviewed.

9 CFR 93.316 - Horses from Canada for immediate slaughter.

Science.gov (United States)

2010-01-01

... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false Horses from Canada for immediate...; REQUIREMENTS FOR MEANS OF CONVEYANCE AND SHIPPING CONTAINERS Horses Canada 16 § 93.316 Horses from Canada for immediate slaughter. Horses imported from Canada for immediate slaughter shall be consigned from the port of...

Immediate extinction promotes the return of fear.

Science.gov (United States)

Merz, Christian J; Hamacher-Dang, Tanja C; Wolf, Oliver T

2016-05-01

Accumulating evidence indicates that immediate extinction is less effective than delayed extinction in attenuating the return of fear. This line of fear conditioning research impacts the proposed onset of psychological interventions after threatening situations. In the present study, forty healthy men were investigated in a differential fear conditioning paradigm with fear acquisition in context A, extinction in context B, followed by retrieval testing in both contexts 24h later to test fear renewal. Differently coloured lights served as conditioned stimuli (CS): two CS (CS+) were paired with an electrical stimulation that served as unconditioned stimulus, the third CS was never paired (CS-). Extinction took place immediately after fear acquisition or 24h later. One CS+ was extinguished whereas the second CS+ remained unextinguished to control for different time intervals between fear acquisition and retrieval testing. Immediate extinction led to larger skin conductance responses during fear retrieval to both the extinguished and unextinguished CS relative to the CS-, indicating a stronger return of fear compared to delayed extinction. Taken together, immediate extinction is less potent than delayed extinction and is associated with a stronger renewal effect. Thus, the time-point of psychological interventions relative to the offset of threatening situations needs to be carefully considered to prevent relapses. Copyright © 2016 Elsevier Inc. All rights reserved.

Reorganizing Nigeria's Vaccine Supply Chain Reduces Need For Additional Storage Facilities, But More Storage Is Required.

Science.gov (United States)

Shittu, Ekundayo; Harnly, Melissa; Whitaker, Shanta; Miller, Roger

2016-02-01

One of the major problems facing Nigeria's vaccine supply chain is the lack of adequate vaccine storage facilities. Despite the introduction of solar-powered refrigerators and the use of new tools to monitor supply levels, this problem persists. Using data on vaccine supply for 2011-14 from Nigeria's National Primary Health Care Development Agency, we created a simulation model to explore the effects of variance in supply and demand on storage capacity requirements. We focused on the segment of the supply chain that moves vaccines inside Nigeria. Our findings suggest that 55 percent more vaccine storage capacity is needed than is currently available. We found that reorganizing the supply chain as proposed by the National Primary Health Care Development Agency could reduce that need to 30 percent more storage. Storage requirements varied by region of the country and vaccine type. The Nigerian government may want to consider the differences in storage requirements by region and vaccine type in its proposed reorganization efforts. Project HOPE—The People-to-People Health Foundation, Inc.

Power Systems Development Facility

International Nuclear Information System (INIS)

1993-06-01

The objective of the PSDF would be to provide a modular facility which would support the development of advanced, pilot-scale, coal-based power systems and hot gas clean-up components. These pilot-scale components would be designed to be large enough so that the results can be related and projected to commercial systems. The facility would use a modular approach to enhance the flexibility and capability for testing; consequently, overall capital and operating costs when compared with stand-alone facilities would be reduced by sharing resources common to different modules. The facility would identify and resolve technical barrier, as well as-provide a structure for long-term testing and performance assessment. It is also intended that the facility would evaluate the operational and performance characteristics of the advanced power systems with both bituminous and subbituminous coals. Five technology-based experimental modules are proposed for the PSDF: (1) an advanced gasifier module, (2) a fuel cell test module, (3) a PFBC module, (4) a combustion gas turbine module, and (5) a module comprised of five hot gas cleanup particulate control devices. The final module, the PCD, would capture coal-derived ash and particles from both the PFBC and advanced gasifier gas streams to provide for overall particulate emission control, as well as to protect the combustion turbine and the fuel cell

β-Adrenoceptor Blockade in the Basolateral Amygdala, But Not the Medial Prefrontal Cortex, Rescues the Immediate Extinction Deficit.

Science.gov (United States)

Giustino, Thomas F; Seemann, Jocelyn R; Acca, Gillian M; Goode, Travis D; Fitzgerald, Paul J; Maren, Stephen

2017-12-01

Early psychological interventions, such as exposure therapy, rely on extinction learning to reduce the development of stress- and trauma-related disorders. However, recent research suggests that extinction often fails to reduce fear when administered soon after trauma. This immediate extinction deficit (IED) may be due to stress-induced dysregulation of neural circuits involved in extinction learning. We have shown that systemic β-adrenoceptor blockade with propranolol rescues the IED, but impairs delayed extinction. Here we sought to determine the neural locus of these effects. Rats underwent auditory fear conditioning and then received either immediate (30 min) or delayed (24 h) extinction training. We used bilateral intracranial infusions of propranolol into either the infralimbic division of the medial prefrontal cortex (mPFC) or the basolateral amygdala (BLA) to examine the effects of β-adrenoceptor blockade on immediate and delayed extinction learning. Interestingly, intra-BLA, but not intra-mPFC, propranolol rescued the IED; animals receiving intra-BLA propranolol prior to immediate extinction showed less spontaneous recovery of fear during extinction retrieval. Importantly, this was not due to impaired consolidation of the conditioning memory. In contrast, neither intra-BLA nor intra-mPFC propranolol affected delayed extinction learning. Overall, these data contribute to a growing literature suggesting dissociable roles for key nodes in the fear extinction circuit depending on the timing of extinction relative to conditioning. These data also suggest that heightened noradrenergic activity in the BLA underlies stress-induced extinction deficits. Propranolol may be a useful adjunct to behavioral therapeutic interventions in recently traumatized individuals who are at risk for developing trauma-related disorders.

A compact and facile microfluidic droplet creation device using a piezoelectric diaphragm micropump for droplet digital PCR platforms.

Science.gov (United States)

Okura, Naoaki; Nakashoji, Yuta; Koshirogane, Toshihiro; Kondo, Masaki; Tanaka, Yugo; Inoue, Kohei; Hashimoto, Masahiko

2017-10-01

We have exploited a compact and facile microfluidic droplet creation device consisting of a poly(dimethylsiloxane) microfluidic chip possessing T-junction channel geometry, two inlet reservoirs, and one outlet reservoir, and a piezoelectric (PZT) diaphragm micropump with controller. Air was evacuated from the outlet reservoir using the PZT pump, reducing the pressure inside. The reduced pressure within the outlet reservoir pulled oil and aqueous solution preloaded in the inlet reservoirs into the microchannels, which then merged at the T-junction, successfully forming water-in-oil emulsion droplets at a rate of ∼1000 per second with minimal sample loss. We confirmed that the onset of droplet formation occurred immediately after turning on the pump (<1 s). Over repeated runs, droplet formation was highly reproducible, with droplet size purity (polydispersity, <4%) comparable to that achieved using other microfluidic droplet preparation techniques. We also demonstrated single-molecule PCR amplification in the created droplets, suggesting that the device could be used for effective droplet digital PCR platforms in most laboratories without requiring great expense, space, or time for acquiring technical skills. © 2017 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

Facile synthesis of well-dispersed Bi_2S_3 nanoparticles on reduced graphene oxide and enhanced photocatalytic activity

International Nuclear Information System (INIS)

Chen, Yajie; Tian, Guohui; Mao, Guijie; Li, Rong; Xiao, Yuting; Han, Taoran

2016-01-01

Highlights: • Well-dispersed Bi_2S_3 nanoparticles on reduced graphene oxide were prepared. • Poly(sodium-p-styrenesul-fonate) can maintain Bi_2S_3 small particle size. • The prepared composites inhibit the recombination of photogenerated charges. • The prepared composites exhibited better visible light photoactivity. - Abstract: Here we present a facile method for the synthesis of highly dispersed Bi_2S_3 nanoparticles (Bi_2S_3 NPs) with an average diameter of ca. 25 ± 3 nm on the surface of reduced graphene oxide (RGO) via a poly(sodium-p-styrenesul-fonate) (PSS) asisted hydrothermal process. Such synthetic strategy can avoid excess aggregates of Bi_2S_3 nanoparticles, meanwhile from effective interfacial contact between Bi_2S_3 nanoparticles and RGO nanosheets, and inhibit the recombination of photogenerated charges. The enhanced charge transfer properties were proved by photoluminescence (PL) measurement. The obtained Bi_2S_3 NPs/RGO composites showed more significant visible light photoactivity for the degradation of 2,4-dichlorophenol and Rhodamine B than that pure Bi_2S_3 and the control sample prepared in the absence of PSS. The enhanced photocatalytic performance could be attributed to the synergistic effect of efficient separation of photogenerated electron-hole pairs, increased catalytic active sites and visible light utilization.

Effects of wind-energy facilities on grassland bird distributions

Science.gov (United States)

Shaffer, Jill A.; Buhl, Deb

2016-01-01

The contribution of renewable energy to meet worldwide demand continues to grow. Wind energy is one of the fastest growing renewable sectors, but new wind facilities are often placed in prime wildlife habitat. Long-term studies that incorporate a rigorous statistical design to evaluate the effects of wind facilities on wildlife are rare. We conducted a before-after-control-impact (BACI) assessment to determine if wind facilities placed in native mixed-grass prairies displaced breeding grassland birds. During 2003–2012, we monitored changes in bird density in 3 study areas in North Dakota and South Dakota (U.S.A.). We examined whether displacement or attraction occurred 1 year after construction (immediate effect) and the average displacement or attraction 2–5 years after construction (delayed effect). We tested for these effects overall and within distance bands of 100, 200, 300, and >300 m from turbines. We observed displacement for 7 of 9 species. One species was unaffected by wind facilities and one species exhibited attraction. Displacement and attraction generally occurred within 100 m and often extended up to 300 m. In a few instances, displacement extended beyond 300 m. Displacement and attraction occurred 1 year after construction and persisted at least 5 years. Our research provides a framework for applying a BACI design to displacement studies and highlights the erroneous conclusions that can be made without the benefit of adopting such a design. More broadly, species-specific behaviors can be used to inform management decisions about turbine placement and the potential impact to individual species. Additionally, the avoidance distance metrics we estimated can facilitate future development of models evaluating impacts of wind facilities under differing land-use scenarios.

Yoga Therapy in Children with Cystic Fibrosis Decreases Immediate Anxiety and Joint Pain

Directory of Open Access Journals (Sweden)

Christopher McNamara

2016-01-01

Full Text Available This study was designed to determine whether yoga might alleviate symptoms of pain, sleep disturbance, anxiety, and depression in children with cystic fibrosis (CF. CF is the most common genetic, life-limiting chronic disease among Caucasian populations. It primarily affects the lungs but also many other secretory organs and consequently leads to significant morbidities. Research has shown that children with CF have significantly increased depression, anxiety, and pain compared to their healthy counterparts. Subjects participated in six one-on-one sessions over a 10-week period with a certified instructor who designed each yoga practice based on a preestablished list of 30 yoga asanas. Questionnaires evaluating pain, sleep disturbance, sustained anxiety, immediate anxiety, and depression were administered. Differences between premeasures and postmeasures were evaluated using a two-sided test. Twenty subjects were assessed (12 females/8 males, median age of 11 (7–20 years. Mean immediate anxiety scores decreased (before session to after session 29 to 23.6, respectively, p<0.001. Joint pain improved (3.25 to 3.65, p=0.028. CFQ-R emotion subscale improved from 79.2 to 85 (p=0.073, and the respiratory subscale improved from 66.7 to 79.2 (p=0.076. Other results were less notable. We conclude that yoga may reduce immediate anxiety and joint pain in patients with CF.

Immediate placement of endosseous implants into the extraction sockets

Directory of Open Access Journals (Sweden)

Vijay Ebenezer

2015-01-01

Full Text Available Implant by definition "means any object or material, such as an alloplastic substance or other tissue, which is partial or completely inserted into the body for therapeutic, diagnostic, prosthetic, or experimental purpose." The placement of a dental implant in an extraction socket at the time of extraction or explantation is known as immediate implant placement whereas delayed placement of implant signifies the implant placement in edentulous areas where healing has completed with new bone formation after the loss of tooth/teeth. Recent idea goes by "why late when it can be done immediately." There are several advantages of immediate placement of implants, and lots of studies have been done. In this article, the advantages and disadvantages of immediate versus delayed placement of implants have been reviewed.

Beneficial Re-use of Decommissioned Former Nuclear Facilities

International Nuclear Information System (INIS)

Boing, L.E.

1997-01-01

With the decision to decommission a nuclear facility, it is necessary to evaluate whether to fully demolish a facility or to re-use the facility in some capacity. This evaluation is often primarily driven by both the past mission of the site and the facility and the site's perceived future mission. In the case where the facility to be decommissioned is located within a large research or industrial complex and represents a significant resource to the site's future mission, it may be a perfect candidate to be re-used in some fashion. However, if the site is a rather remote older facility with little chance of being modified to today's standards for its re-use, the chances for its re-use will be substantially reduced. In this presentation, some specific cases of former nuclear facilities being decommissioned and re-used will be reviewed and some factors required to be considered in making this decision will be reviewed

Mindful attention predicts greater recovery from negative emotions, but not reduced reactivity.

Science.gov (United States)

Cho, Sinhae; Lee, Hyejeen; Oh, Kyung Ja; Soto, José A

2017-09-01

This study investigated the role of dispositional mindful attention in immediate reactivity to, and subsequent recovery from, laboratory-induced negative emotion. One hundred and fourteen undergraduates viewed blocks of negative pictures followed by neutral pictures. Participants' emotional responses to negative pictures and subsequent neutral pictures were assessed via self-reported ratings. Participants' emotional response to negative pictures was used to index level of emotional reactivity to unpleasant stimuli; emotional response to neutral pictures presented immediately after the negative pictures was used to index level of emotional recovery from pre-induced negative emotion (residual negativity). Results indicated that mindful attention was not associated with the emotional response to negative pictures, but it was associated with reduced negative emotion in response to the neutral pictures presented immediately after the negative pictures, suggesting better recovery as opposed to reduced reactivity. This effect was especially pronounced in later experimental blocks when the accumulation of negative stimuli produced greater negative emotion from which participants had to recover. The current study extends previous findings on the relationship between dispositional mindfulness and reduced negative emotion by demonstrating that mindful attention may facilitate better recovery from negative emotion, possibly through more effective disengagement from previous stimuli.

Performance of the RI exhaust filter at Chosun university cyclotron facility and {sup 18}F emission reduction

Energy Technology Data Exchange (ETDEWEB)

Jeong, Cheol Ki; Jang, Han; Lee, Goung Jin [Dept. of Nuclear Engineering, Chosun University, Gwangju (Korea, Republic of)

2017-03-15

Recently, the number of PET cyclotrons has increased in Korea. A cyclotron mainly produces {sup 18}F, which is used for the production of [{sup 18}F]FDG, a cancer diagnostic radiopharmaceutical. For radiation protection, the discharge control standard under the Nuclear Safety Act limits the radioactive concentration of {sup 18}F in the exhaust discharged from a nuclear power utilization facility to below 2,000 Bq m-3. However, the radioactive concentration of 18F discharged during [18F]FDG production at the cyclotron facility at Chosun University is maintained at about 1,500 Bq m{sup -3} on average, which is 75% of the concentration limit of the discharge control standard, and temporarily exceeds the standard as per the real-time monitoring results. This study evaluated the performance of the exhaust flter unit of the cyclotron facility at Chosun University by assessing the concentration of {sup 18}F in the exhaust, and an experiment was conducted on the discharge reduction, where {sup 18}F is discharged without reacting with the FDG precursors during [{sup 18}F]FDG synthesis and is immediately captured by the [{sup 18}F]FDG automatic synthesis unit. Based on the performance evaluation results of the exhaust flter at the cyclotron facility of Chosun University, the measured capture effciency before and after the flter was found to be 92%. Furthermore, the results of the discharge reduction experiment, where the exhaust {sup 18}F was immediately captured by the [{sup 18}F]FDG synthesizer, showed a very satisfactory 94.3% reduction in the concentration of discharge compared to the existing discharge concentration.

Neutron research and facility development at the Oak Ridge Electron Linear Accelerator 1970 to 1995

International Nuclear Information System (INIS)

Peelle, R.W.; Harvey, J.A.; Maienschein, F.C.; Weston, L.W.; Olsen, D.K.; Larson, D.C.; Macklin, R.L.

1982-07-01

This report reviews the accomplishments of the first decade of operation of the Oak Ridge Electron Linear Accelerator (ORELA) and discusses the plans for the facility in the coming decade. Motivations for scientific and applied research during the next decade are included. In addition, ORELA is compared with competing facilities, and prospects for ORELA's improvement and even replacement are reported. Development efforts for the next few years are outlined that are consistent with the anticipated research goals. Recommendations for hardware development include improving the electron injection system to give much larger short-pulse currents on a reliable basis, constructing an Electron Beam Injector Laboratory to help make this improvement possible, continuing a study of possibly replacing the electron accelerator with a proton machine, and replacing or upgrading the facility's data-acquistion and immediate-analysis computer systems. Increased operating time and more involvement of nuclear theorists are recommended, and an effective staff size for optimum use of this unique facility is discussed. A bibliography of all ORELA-related publications is included

Actinide Separation Demonstration Facility, Tarapur

International Nuclear Information System (INIS)

Vishwaraj, I.

2017-01-01

Partitioning of minor actinide from high level waste could have a substantial impact in lowering the radio toxicity associated with high level waste as well as it will reduce the burden on geological repository. In Indian context, the partitioned minor actinide could be routed into the fast breeder reactor systems scheduled for commissioning in the near period. The technological breakthrough in solvent development has catalyzed the partitioning programme in India, leading to the setting up and hot commissioning of the Actinide Separation Demonstration Facility (ASDF) at BARC, Tarapur. The engineering scale Actinide Separation Demonstration Facility (ASDF) has been retrofitted in an available radiological hot cell situated adjacent to the Advanced Vitrification Facility (AVS). This location advantage ensures an uninterrupted supply of high-level waste and facilitates the vitrification of the high-level waste after separation of minor actinides

Hazard analysis in uranium hexafluoride production facility

International Nuclear Information System (INIS)

Marin, Maristhela Passoni de Araujo

1999-01-01

The present work provides a method for preliminary hazard analysis of nuclear fuel cycle facilities. The proposed method identify both chemical and radiological hazards, as well as the consequences associated with accident scenarios. To illustrate the application of the method, a uranium hexafluoride production facility was selected. The main hazards are identified and the potential consequences are quantified. It was found that, although the facility handles radioactive material, the main hazards as associated with releases of toxic chemical substances such as hydrogen fluoride, anhydrous ammonia and nitric acid. It was shown that a contention bung can effectively reduce the consequences of atmospheric release of toxic materials. (author)

Institutionalizing Safeguards By Design for Nuclear Facilities

International Nuclear Information System (INIS)

Morgan, James B.; Kovacic, Donald N.; Whitaker, J. Michael

2008-01-01

Safeguards for nuclear facilities can be significantly improved by developing and implementing methodologies for integrating proliferation resistance into the design of new facilities. This paper proposes a method to systematically analyze a facility's processes, systems, equipment, structures and management controls to ensure that all relevant proliferation scenarios that could potentially result in unacceptable consequences have been identified, evaluated and mitigated. This approach could be institutionalized into a country's regulatory structure similar to the way facilities are licensed to operate safely and are monitored through inspections and incident reporting to ensure compliance with domestic and international safeguards. Furthermore, taking credit for existing systems and equipment that have been analyzed and approved to assure a facility's reliable and safe operations will reduce the overall cost of implementing intrinsic and extrinsic proliferation-resistant features. The ultimate goal is to integrate safety, reliability, security and safeguards operations into the design of new facilities to effectively and efficiently prevent diversion, theft and misuse of nuclear material and sensitive technologies at both the facility and state level. To facilitate this approach at the facility level, this paper discusses an integrated proliferation resistance analysis (IPRA) process. If effectively implemented, this integrated approach will also facilitate the application of International Atomic Energy Agency (IAEA) safeguards

Pros and cons of immediately sequential bilateral cataract surgery (ISBCS).

Science.gov (United States)

Grzybowski, Andrzej; Wasinska-Borowiec, Weronika; Claoué, Charles

2016-01-01

Immediately sequential bilateral cataract surgery (ISBCS) is currently a "hot topic" in ophthalmology. There are well-documented advantages in terms of quicker visual rehabilitation and reduced costs. The risk of bilateral simultaneous endophthalmitis and bilateral blindness is now recognized to be minuscule with the advent of intracameral antibiotics and modern management of endophthalmitis. Refractive surprises are rare for normal eyes and with the use of optical biometry. Where a general anesthetic is indicated for cataract surgery, the risk of death from a second anesthetic is much higher than the risk of blindness. A widely recognized protocol from the International Society of Bilateral Cataract Surgeons needs to be adhered to if surgeons wish to start practicing ISBCS.

Emergency reactor core cooling facility

International Nuclear Information System (INIS)

Yoshikawa, Kazuhiro; Kinoshita, Shoichiro; Iwata, Yasutaka.

1996-01-01

The present invention provides an emergency reactor core cooling device for a BWR type nuclear power plant. Namely, D/S pit (gas/water separator storage pool) water is used as a water source for the emergency reactor core cooling facility upon occurrence of loss of coolant accidents (LOCA) by introducing the D/S pit water to the emergency reactor core cooling (ECCS) pump. As a result, the function as the ECCS facility can be eliminated from the function of the condensate storage tank which has been used as the ECCS facility. If the function is unnecessary, the level of quality control and that of earthquake resistance of the condensate storage tank can be lowered to a level of ordinary facilities to provide an effect of reducing the cost. On the other hand, since the D/S pit as the alternative water source is usually a facility at high quality control level and earthquake resistant level, there is no problem. The quality of the water in the D/S pit can be maintained constant by elevating pressure of the D/S pit water by a suppression pool cleanup (SPCU) pump to pass it through a filtration desalter thereby purifying the D/S pit water during the plant operation. (I.S.)

Emergency reactor core cooling facility

Energy Technology Data Exchange (ETDEWEB)

Yoshikawa, Kazuhiro; Kinoshita, Shoichiro; Iwata, Yasutaka

1996-11-01

The present invention provides an emergency reactor core cooling device for a BWR type nuclear power plant. Namely, D/S pit (gas/water separator storage pool) water is used as a water source for the emergency reactor core cooling facility upon occurrence of loss of coolant accidents (LOCA) by introducing the D/S pit water to the emergency reactor core cooling (ECCS) pump. As a result, the function as the ECCS facility can be eliminated from the function of the condensate storage tank which has been used as the ECCS facility. If the function is unnecessary, the level of quality control and that of earthquake resistance of the condensate storage tank can be lowered to a level of ordinary facilities to provide an effect of reducing the cost. On the other hand, since the D/S pit as the alternative water source is usually a facility at high quality control level and earthquake resistant level, there is no problem. The quality of the water in the D/S pit can be maintained constant by elevating pressure of the D/S pit water by a suppression pool cleanup (SPCU) pump to pass it through a filtration desalter thereby purifying the D/S pit water during the plant operation. (I.S.)

Monitoring of the incorporation of I-138 by inhalation in facilities of metabolic treatment

International Nuclear Information System (INIS)

Baquero, R.; Anton, D.; Miguel, D. de

2013-01-01

The measure of thyroid activity with a surface contamination meter allows you to rule out or confirm the presence of iodine in the thyroid of the nursing staff. You have these teams in all Nuclear Medicine facilities, which can be used with simplicity immediately. To carry out these measures is necessary to have a background environment in which are carried out low, so as the limit of detection got enable check low levels to determine. (Author)

5 CFR 847.902 - How does an election to credit NAFI service for immediate CSRS or FERS retirement under subpart H...

Science.gov (United States)

2010-01-01

... elects to use NAFI service to qualify for an immediate CSRS or FERS retirement benefit will be reduced to ensure the present value of the benefits payable will be actuarially equivalent to those that would have...

Effective use of electric power facilities and promotion of energy conservation

International Nuclear Information System (INIS)

Tokumitsu, Iwao

1999-01-01

The capacity of Japan's commercial electric power facilities has been increased to more than 200 million kw. In order to provide a stable supply of electric power to meet constantly fluctuaring electric power demands, Japan's power plants generate electricity using an optimal combination of facilities, with nuclear power and coal-fired thermoelectric power providing the base load supply. In the use of electric power, moreover, measures are being implemented to reduce generation costs, conserve energy, and cut carbon dioxide emissions by reducing maximum output and equalizing the load. This report presents information concerning measures for improving the efficiency of electric power facilities operation, equalizing the load and promoting energy conservation. (author)

Radiological safety design considerations for a laser-fusion facility

International Nuclear Information System (INIS)

Singh, M.S.

1977-01-01

Detailed neutronics and photonics calculations have been performed for analyzing prompt and residual radiations and required shielding associated with the design of a laser-fusion facility with a nominal yield of 10 19 neutrons per D--T burn pulse. The standard Livermore Monte Carlo codes and nuclear data cross section libraries were used in calculations. The Bateman equation was used to calculate the accumulation and decay of radionuclide chain products. A number of activation sensitivity experiments were conducted and the results were found to be in very good agreement within 10 percent of those calculated. It has been found that neutron yields of 2 x 10 19 per day can be conducted continuously if the reactor chamber is Kevlar-epoxy or silica, the primary shield is 0.60-m of water immediately on the chamber, and the building concrete is 1.80 m thick. These precautions result in dose equivalents below the primary protection limits inside the target room after a few hours of cool-down per each 10 19 pulse, 10 percent of the primary protection limits immediately outside the target room, and 1 percent of the natural background level at the nearest site boundary

Tritium handling facilities at the Los Alamos Scientific Laboratory

International Nuclear Information System (INIS)

Anderson, J.L.; Damiano, F.A.; Nasise, J.E.

1975-01-01

A new tritium facility, recently activated at the Los Alamos Scientific Laboratory, is described. The facility contains a large drybox, associated gas processing system, a facility for handling tritium gas at pressures to approximately 100 MPa, and an effluent treatment system which removes tritium from all effluents prior to their release to the atmosphere. The system and its various components are discussed in detail with special emphasis given to those aspects which significantly reduce personnel exposures and atmospheric releases. (auth)

The mixed waste management facility

International Nuclear Information System (INIS)

Streit, R.D.

1995-10-01

During FY96, the Mixed Waste Management Facility (MWMF) Project has the following major objectives: (1) Complete Project Preliminary Design Review (PDR). (2) Complete final design (Title II) of MWMF major systems. (3) Coordinate all final interfaces with the Decontamination and Waste Treatment Facility (DWTF) for facility utilities and facility integration. (4) Begin long-lead procurements. (5) Issue Project Baseline Revision 2-Preliminary Design (PB2), modifying previous baselines per DOE-requested budget profiles and cost reduction. Delete Mediated Electrochemical Oxidation (MEO) as a treatment process for initial demonstration. (6) Complete submittal of, and ongoing support for, applications for air permit. (7) Begin detailed planning for start-up, activation, and operational interfaces with the Laboratory's Hazardous Waste Management Division (HWM). In achieving these objectives during FY96, the Project will incorporate and implement recent DOE directives to maximize the cost savings associated with the DWTF/MWMF integration (initiated in PB1.2); to reduce FY96 new Budget Authority to ∼$10M (reduced from FY97 Validation of $15.3M); and to keep Project fiscal year funding requirements largely uniform at ∼$10M/yr. A revised Project Baseline (i.e., PB2), to be issued during the second quarter of FY96, will address the implementation and impact of this guidance from an overall Project viewpoint. For FY96, the impact of this guidance is that completion of final design has been delayed relative to previous baselines (resulting from the delay in the completion of preliminary design); ramp-up in staffing has been essentially eliminated; and procurements have been balanced through the Project to help balance budget needs to funding availability

Wound healing in immediately loaded implants.

Science.gov (United States)

Romanos, Georgios E

2015-06-01

The orthopedic field has accumulated ample evidence that bone formation is related to functional loading and in general to physical activity. However, despite evidence that immediately loaded implants can be predictably successful, many clinicians still use the classical (delayed loading) treatment protocol. This paper examines the effects of loading on dental implants and discusses the advantages of immediate loading. The role of loading on augmented alveolar ridges is also addressed and provides evidence that early bone resorption may be controlled when bone is functionally loaded. Similar data are emerging for advanced augmentation techniques in order to control crestal bone loss. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Effluent releases at the TRIGA reactor facility

Energy Technology Data Exchange (ETDEWEB)

Whittemore, W L [General Atomic Co., San Diego, CA (United States)

1974-07-01

The principal effluent from the operating TRIGA reactors in our facility is argon-41. As monitored by a recording gas and particulate stack monitor, the values shown in the table, the Mark III operating 24 hours per day for very long periods produced the largest amount of radioactive argon. The quantity of 23.7 Ci A-41 when diluted by the normal reactor room ventilation system corresponded to 1.45 x 10{sup -6} {mu}Ci/cc. As diluted in the roof stack stream and the reactor building wake, the concentration immediately outside the reactor building was 25% MPC for an unrestricted area. The continued dilution of this effluent resulted in a concentration of a few percent MPC at the site boundary (unrestricted area) 350 meters from the reactor. (author)

Development of Experimental Facilities for Advanced Spent Fuel Management Technology

Energy Technology Data Exchange (ETDEWEB)

You, G. S.; Jung, W. M.; Ku, J. H. [and others

2004-07-01

The advanced spent fuel management process(ACP), proposed to reduce the overall volume of the PWR spent fuel and improve safety and economy of the long-term storage of spent fuel, is under research and development. This technology convert spent fuels into pure metal-base uranium with removing the highly heat generating materials(Cs, Sr) efficiently and reducing of the decay heat, volume, and radioactivity from spent fuel by 1/4. In the next phase(2004{approx}2006), the demonstration of this technology will be carried out for verification of the ACP in a laboratory scale. For this demonstration, the hot cell facilities of {alpha}-{gamma} type and auxiliary facilities are required essentially for safe handling of high radioactive materials. As the hot cell facilities for demonstration of the ACP, a existing hot cell of {beta}-{gamma} type will be refurbished to minimize construction expenditures of hot cell facility. In this study, the design requirements are established, and the process detail work flow was analysed for the optimum arrangement to ensure effective process operation in hot cell. And also, the basic and detail design of hot cell facility and process, and safety analysis was performed to secure conservative safety of hot cell facility and process.

Is immediate adjunctive CBT more beneficial than delayed CBT in treating depression?: A Pilot Study.

Science.gov (United States)

Rizvi, Sakina J; Zaretsky, Ari; Schaffer, Ayal; Levitt, Anthony

2015-03-01

Cognitive-behavioral therapy (CBT) is an efficacious first-line therapy for patients with major depressive disorder (MDD). Due to the limited accessibility of CBT, long wait lists result in delayed treatment, which may affect treatment outcomes. The goal of this pilot study was to obtain preliminary data from a randomized controlled trial to determine whether delayed CBT reduces the effectiveness of the therapy compared to immediate CBT in patients with MDD receiving pharmacotherapy. Patients were randomized to receive immediate CBT (n=18) or to begin CBT after 6 months (n=20) and received 14 weekly sessions, followed by two additional booster sessions. During the active treatment months, patients in the immediate group demonstrated reductions in scores on the Beck Depression Inventory II (BDI-II) that were similar to those in the delayed CBT group. However, when the analysis was performed using only data from patients in the delayed group who were still in a depressive episode, there was an overall greater decrease in BDI-II scores in the immediate group vs. the delayed group over the active treatment months, but not specifically at the 6-month endpoint. These findings suggest delays in depression treatment, similar to what occurs with real-world wait list times, may not have a significant impact on the effectiveness of CBT in patients who are already receiving treatment as usual. However, such delays may affect the effectiveness of CBT in those patients who remain depressed during the time delay. A larger trial is necessary to confirm these findings. (Journal of Psychiatric Practice 2015;21:107-113).

Writing Tasks and Immediate Auditory Memory in Peruvian Schoolchildren

Directory of Open Access Journals (Sweden)

José Luis Ventura-León

2017-04-01

Full Text Available The purpose of the study is determine the relationship between a group of writing tasks and the immediate auditory memory, as well as to establish differences according to sex and level of study. Two hundred and three schoolchildren of fifth and sixth of elementary education from Lima (Peru participated, they were selected by a non-probabilistic sample. The Immediate Auditory Memory Test and the Battery for Evaluation of Writing Processes (known in Spanish as PROESC were used. Central tendency measures were used for descriptive analysis. We employed the Mann-Whitney U test, Spearman Rho test and probability of superiority as effect size measurement for the inferential analysis. The results indicated a moderate direct and significant correlation between writing tasks and immediate auditory memory in general way and low correlations between dimensions. Finally, it showed that the differences in immediate auditory memory and writing tasks according to sex and level of study does not have practical significance.

Overview - Defense Waste Processing Facility Operating Experience

International Nuclear Information System (INIS)

Norton, M.R.

2002-01-01

The Savannah River Site's Defense Waste Processing Facility (DWPF) near Aiken, SC is the world's largest radioactive waste vitrification facility. Radioactive operations began in March 1996 and over 1,000 canisters have been produced. This paper presents an overview of the DWPF process and a summary of recent facility operations and process improvements. These process improvements include efforts to extend the life of the DWPF melter, projects to increase facility throughput, initiatives to reduce the quantity of wastewater generated, improved remote decontamination capabilities, and improvements to remote canyon equipment to extend equipment life span. This paper also includes a review of a melt rate improvement program conducted by Savannah River Technology Center personnel. This program involved identifying the factors that impacted melt rate, conducting small scale testing of proposed process changes and developing a cost effective implementation plan

Women's social networks and use of facility delivery services for uncomplicated births in North West Ethiopia: a community-based case-control study.

Science.gov (United States)

Asrese, Kerebih; Adamek, Margaret E

2017-12-28

High maternal mortality has remained an unmet public health challenge in the developing world. Maternal mortality in Ethiopia is among the highest in the world. Since most maternal deaths occur during labor, delivery, and the immediate postpartum period, facility delivery with skilled birth attendants is recommended to reduce maternal mortality. Nonetheless, the majority of women in Ethiopia give birth at home. Individual attributes and availability and accessibility of services deter service utilization. The role of social networks that may facilitate or constrain service use is not well studied. Community-based case-control study was conducted between February and March 2014 in Jabi Tehinan District, North West Ethiopia. Retrospective data were collected from 134 women who had uncomplicated births at health facilities and 140 women who had uncomplicated births at home within a year preceding the survey. Interviews were held with eight women who had uncomplicated births at health facilities and 11 who had uncomplicated births at home. The quantitative data were entered and analyzed using SPSS for Windows versions 16.0 and hierarchical logistic regression model was used for analysis. The qualitative data were transcribed verbatim and data were used to substantiate the quantitative data. The results indicated that social network variables were significantly associated with the use of health facilities for delivery. Taking social networks into account improved the explanation of facility use for delivery services over women's individual attributes. Women embedded within homogeneous network members (Adjusted OR 2.53; 95% CI: 1.26-5.06) and embedded within high SBA endorsement networks (Adjusted OR 7.97; 95% CI: 4.07-12.16) were more likely to deliver at health facilities than their counterparts. Women living in urban areas (Adjusted OR 3.32; 95% CI: 1.37-8.05) and had better knowledge of obstetric complications (Adjusted OR 3.01; 95% CI: 1.46-6.18) were more likely to

Using reduce in supersymmetry

International Nuclear Information System (INIS)

Santos, R.P. dos.

1987-01-01

A procedure which allows one to do Supersymmetry calculus in REDUCE is described. Using the concept of an eight-dimensional 'superspace' (spanned by four space-time and four anticommuting coordinates) and of 'superfields' (which represent an entire supermultiplet of particles that transform among themselves), covariant derivatives with respect to supersymmetry are defined. Then, combining the vector facility and LET statement in REDUCE, spinors are simulated in a way to control the algebraic manipulation. (G.D.F.) [pt

Facility-wide synchronization of standard FAIR equipment controllers

International Nuclear Information System (INIS)

Rauch, S.; Terpstra, W.; Panschow, W.; Thieme, M.; Prados, C.; Zweig, M.; Kreider, M.; Beck, D.; Bär, R.

2012-01-01

The standard equipment controller under development for the new FAIR accelerator facility is the Scalable Control Unit (SCU). It is designed to synchronize and control the actions of up to 12 purpose-built slave cards, connected in a proprietary crate by a parallel backplane. Inter-crate coordination and facility-wide synchronization are a core FAIR requirement and thus precise timing of SCU slave actions is of vital importance. The SCU consists primarily of two components, an x86 COM Express daughter board and a carrier board with an Altera Arria II GX FPGA, interconnected by PCI Express. The x86 receives configuration and set values with which it programs the real-time event-condition-action (ECA) unit in the FPGA. The ECA unit receives event messages via the timing network, which also synchronizes the clocks of all SCUs in the facility using White Rabbit. Matching events trigger actions on the SCU slave cards such as: ramping magnets, triggering kickers, etc. Timing requirements differ depending on the action taken. For softer real-time actions, an interrupt can be generated for complex processing on the x86. Alternatively, the FPGA can directly fire a pulse out a LEMO output or an immediate SCU bus operation. The delay and synchronization achievable in each case differs and this paper examines the timing performance of each to determine which approach is appropriate for the required actions. (author)

Development of the scenario-based training system to reduce hazards and prevent accidents during decommissioning of nuclear facilities

Energy Technology Data Exchange (ETDEWEB)

Jeong, KwanSeong; Choi, Jong-Won; Moon, JeiKwon; Choi, ByungSeon; Hyun, Dongjun; Lee, Jonghwan; Kim, IkJune; Kim, GeunHo; Kang, ShinYoung [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

2015-10-15

Decommissioning of nuclear facilities has to be accomplished by assuring the safety of workers. Decommissioning workers need familiarization with working environments because working environment is under high radioactivity and work difficulty during decommissioning of nuclear facilities. On-the-job training of decommissioning works could effectively train decommissioning workers but this training approach could consume much costs and poor modifications of scenarios. The efficiency of virtual training system could be much better than that of physical training system. This paper was intended to develop the training system to prevent accidents for decommissioning of nuclear facilities. The requirements for the training system were drawn. The data management modules for the training system were designed. The training system of decommissioning workers was developed on the basis of virtual reality which is flexibly modified. The visualization and measurement in the training system were real-time done according as changes of the decommissioning scenario. It can be concluded that this training system enables the subject to improve his familiarization about working environments and to prevent accidents during decommissioning of nuclear facilities. In the end, the safety during decommissioning of nuclear facilities will be guaranteed under the principle of ALARA.

Development of the scenario-based training system to reduce hazards and prevent accidents during decommissioning of nuclear facilities

International Nuclear Information System (INIS)

Jeong, KwanSeong; Choi, Jong-Won; Moon, JeiKwon; Choi, ByungSeon; Hyun, Dongjun; Lee, Jonghwan; Kim, IkJune; Kim, GeunHo; Kang, ShinYoung

2015-01-01

Decommissioning of nuclear facilities has to be accomplished by assuring the safety of workers. Decommissioning workers need familiarization with working environments because working environment is under high radioactivity and work difficulty during decommissioning of nuclear facilities. On-the-job training of decommissioning works could effectively train decommissioning workers but this training approach could consume much costs and poor modifications of scenarios. The efficiency of virtual training system could be much better than that of physical training system. This paper was intended to develop the training system to prevent accidents for decommissioning of nuclear facilities. The requirements for the training system were drawn. The data management modules for the training system were designed. The training system of decommissioning workers was developed on the basis of virtual reality which is flexibly modified. The visualization and measurement in the training system were real-time done according as changes of the decommissioning scenario. It can be concluded that this training system enables the subject to improve his familiarization about working environments and to prevent accidents during decommissioning of nuclear facilities. In the end, the safety during decommissioning of nuclear facilities will be guaranteed under the principle of ALARA

Premature rupture of membranes at term: immediate induction of ...

African Journals Online (AJOL)

Objective: To compare the maternal outcomes of immediate induction of labor with expectant management in women presenting with premature rupture of membranes (PROM) at term. Methods: One hundred and fifty two women with PROM at term were randomized into either immediate induction of labor with oxytocin or ...

Radiation Alert Immediate Disclosure, Phase II

Data.gov (United States)

National Aeronautics and Space Administration — Invocon's Radiation Alert Immediate Disclosure (RAID) system is a miniature, low-power, real-time, active radiation badge. It is designed for monitoring personnel,...

Facile hydrothermal preparation of titanium dioxide decorated reduced graphene oxide nanocomposite

Science.gov (United States)

Chang, Betty Yea Sze; Huang, Nay Ming; An’amt, Mohd Nor; Marlinda, Abdul Rahman; Norazriena, Yusoff; Muhamad, Muhamad Rasat; Harrison, Ian; Lim, Hong Ngee; Chia, Chin Hua

2012-01-01

A simple single-stage approach, based on the hydrothermal technique, has been introduced to synthesize reduced graphene oxide/titanium dioxide nanocomposites. The titanium dioxide nanoparticles are formed at the same time as the graphene oxide is reduced to graphene. The triethanolamine used in the process has two roles. It acts as a reducing agent for the graphene oxide as well as a capping agent, allowing the formation of titanium dioxide nanoparticles with a narrow size distribution (~20 nm). Transmission electron micrographs show that the nanoparticles are uniformly distributed on the reduced graphene oxide nanosheet. Thermogravimetric analysis shows the nanocomposites have an enhanced thermal stability over the original components. The potential applications for this technology were demonstrated by the use of a reduced graphene oxide/titanium dioxide nanocomposite-modified glassy carbon electrode, which enhanced the electrochemical performance compared to a conventional glassy carbon electrode when interacting with mercury(II) ions in potassium chloride electrolyte. PMID:22848166

Immediate remediation of heavy metal (Cr(VI)) contaminated soil by high energy electron beam irradiation

International Nuclear Information System (INIS)

Zhang, Jing; Zhang, Guilong; Cai, Dongqing; Wu, Zhengyan

2015-01-01

Highlights: • An immediate remediation method for Cr(VI) contaminated soil (CCS) was developed. • High energy electron beam (HEEB) irradiation could reduce Cr(VI) in CCS to Cr(III). • This effect was attributed to electrons, hydrated electrons, and reductive radicals. • This remediation method was effective, environmentally friendly, and low-cost. - Abstract: This work developed an immediate and high-performance remediation method for Cr(VI) contaminated soil (CCS) using high energy electron beam (HEEB) irradiation. The result indicated that, compared with γ-ray irradiation, HEEB irradiation displayed a significant reduction efficiency on Cr(VI) in CCS to Cr(III) with substantially lower toxicity, which was mainly attributed to the reduction effects of electrons, hydrated electrons, and reductive radicals generated in the irradiation process of HEEB. This work could provide a one-step and effective method for the remediation of heavy metal contaminated soil (HMCS)

Immediate remediation of heavy metal (Cr(VI)) contaminated soil by high energy electron beam irradiation

Energy Technology Data Exchange (ETDEWEB)

Zhang, Jing; Zhang, Guilong [Key Laboratory of Ion Beam Bioengineering, Hefei Institutes of Physical Science, Chinese Academy of Sciences and Anhui Province, Hefei 230031 (China); Bioenergy Forest Research Center of State Forestry Administration, Hefei 230031 (China); Cai, Dongqing, E-mail: dqcai@ipp.ac.cn [Key Laboratory of Ion Beam Bioengineering, Hefei Institutes of Physical Science, Chinese Academy of Sciences and Anhui Province, Hefei 230031 (China); Bioenergy Forest Research Center of State Forestry Administration, Hefei 230031 (China); Wu, Zhengyan, E-mail: zywu@ipp.ac.cn [Key Laboratory of Ion Beam Bioengineering, Hefei Institutes of Physical Science, Chinese Academy of Sciences and Anhui Province, Hefei 230031 (China); Bioenergy Forest Research Center of State Forestry Administration, Hefei 230031 (China)

2015-03-21

Highlights: • An immediate remediation method for Cr(VI) contaminated soil (CCS) was developed. • High energy electron beam (HEEB) irradiation could reduce Cr(VI) in CCS to Cr(III). • This effect was attributed to electrons, hydrated electrons, and reductive radicals. • This remediation method was effective, environmentally friendly, and low-cost. - Abstract: This work developed an immediate and high-performance remediation method for Cr(VI) contaminated soil (CCS) using high energy electron beam (HEEB) irradiation. The result indicated that, compared with γ-ray irradiation, HEEB irradiation displayed a significant reduction efficiency on Cr(VI) in CCS to Cr(III) with substantially lower toxicity, which was mainly attributed to the reduction effects of electrons, hydrated electrons, and reductive radicals generated in the irradiation process of HEEB. This work could provide a one-step and effective method for the remediation of heavy metal contaminated soil (HMCS)

Deactivating a major nuclear fuels reprocessing facility

International Nuclear Information System (INIS)

LeBaron, G.J.

1997-01-01

This paper describes three key processes used in deactivating the Plutonium Uranium Extraction (PUREX) Facility, a large, complex nuclear reprocessing facility, 15 months ahead of schedule and $77 million under budget. The organization was reengineered to refine its business processes and more effectively organize around the deactivation work scope. Multi-disciplined work teams were formed to be self-sufficient and empowered to make decisions and perform work. A number of benefits were realized by reengineering. A comprehensive process to develop end points which clearly identified specific results and the post-project facility configuration was developed so all areas of a facility were addressed. Clear and specific end points allowed teams to focus on completing deactivation activities and helped ensure there were no unfulfilled end-of-project expectations. The RCRA regulations require closure of permitted facilities within 180 days after cessation of operations which may essentially necessitate decommissioning. A more cost effective approach was adopted which significantly reduced risk to human health and the environment by taking the facility to a passive, safe, inexpensive-to-maintain surveillance and maintenance condition (deactivation) prior to disposition. PUREX thus became the first large reprocessing facility with active TSD [treatment, storage, and disposal] units to be deactivated under the RCRA regulations

Immediate and delayed cutaneous reactions to radiocontrast media.

Science.gov (United States)

Brockow, Knut

2012-01-01

Hypersensitivity reactions to contrast media (CM) are frequent causes of anaphylaxis and drug exanthemas. Adverse events after CM exposure are classified into immediate (≤1 h) and non-immediate reactions (>1 h), with differing mechanisms. In the majority of patients with immediate reactions, IgE-mediated allergy cannot be demonstrated, and the underlying mechanism remains unknown. However, recent data have provided evidence for skin test positivity and/or specific IgE in some patients. T cell-mediated hypersensitivity is the responsible mechanism for the majority of non-immediate skin eruptions. These insights have consequences for diagnosis and prevention. Skin testing evolves to be a useful tool for diagnosis of CM allergy. Skin tests have been employed to confirm this hypersensitivity. Previous reactors have an increased risk to develop new reactions upon repeated exposure; however, other risk factors are poorly defined. The use of skin tests for the selection of a 'safe' CM is under investigation with promising results. In vitro tests to search for CM-specific cell activation include flow cytometric approaches, lymphocyte cultures and construction of cell lines and hybridomas. Premedication of previous reactors is common practice among radiologists; however, breakthrough reactions are a concern, and physicians should not rely on the efficacy of pharmacological premedication. Copyright © 2012 S. Karger AG, Basel.

Immediate loading with single-piece implant following extraction

Directory of Open Access Journals (Sweden)

Hemlata Dwivedi

2017-01-01

Full Text Available Although dental implantology had evolved over a number of years, many dental surgeons are unaware of the concept of immediate loading with the use of one-piece implant that began in the early 1960s. The goal of successful prosthodontics rehabilitation is to provide function, esthetics, and comfort to the patient. The aim of this literature is to provide an overview of one-piece implant, with its advantages and disadvantages over conventional two-piece implant. Immediate prosthetic of a one-piece system allows for a better tissue healing and better adhesion of gingival mucosa to form a collar which is healthy and adherent to the implant, avoiding a second surgical procedure, and also includes a very important aspect esthetics. This article describes a case report of immediate loading with single-piece implant following extraction.

Antibiotic Prophylaxis after Immediate Breast Reconstruction: The Reality of Its Efficacy.

Science.gov (United States)

Ranganathan, Kavitha; Sears, Erika D; Zhong, Lin; Chung, Ting-Ting; Chung, Kevin C; Kozlow, Jeffrey H; Momoh, Adeyiza O; Waljee, Jennifer F

2018-04-01

Numerous techniques are used to prevent infection after immediate implant-based breast reconstruction. Postoperative antibiotic prophylaxis is commonly prescribed to decrease the risk of reconstructive failure, despite conflicting evidence regarding its effectiveness. The authors studied whether postoperative antibiotic prophylaxis decreases the risk of infection-related explantation in the setting of immediate prosthesis-based breast reconstruction. Using Truven MarketScan databases, the authors identified all patients who underwent immediate implant reconstruction between January of 2010 and June of 2014 with at least 6 months of follow-up. Postoperative antibiotic prophylaxis was defined as any oral antibiotic course to be taken postoperatively based on prescriptions filled within 14 days preoperatively through 24 hours after discharge. Reconstructive failure, defined as explantation because of infection, was the primary outcome. Secondary outcomes of interest included wound complications, infection, and readmission for infection. Multivariable regression analyses controlled for demographic variables/comorbidities. Of the 7443 patients, 6049 (81 percent) filled prescriptions for postoperative antibiotic prophylaxis. These patients were equally likely to develop a wound complication (OR, 0.93; 95 percent CI, 0.71 to 1.23) or infection (OR, 0.89; 95 percent CI, 0.70 to 1.14), undergo explantation because of infection (OR, 0.82; 95 percent CI, 0.57 to 1.18), or require readmission for infection (OR, 1.21; 95 percent CI, 0.82 to 1.78) compared with those who did not receive antibiotics. There was no significant difference in the risk of infection-related outcomes based on postoperative antibiotic prophylaxis duration. Postoperative antibiotic prophylaxis was not associated with a reduced risk of infection or explantation following prosthesis-based breast reconstruction. Given rising rates of antibiotic resistance, focusing instead on technical considerations and the

Emission Facilities - Erosion & Sediment Control Facilities

Data.gov (United States)

NSGIC Education | GIS Inventory — An Erosion and Sediment Control Facility is a DEP primary facility type related to the Water Pollution Control program. The following sub-facility types related to...

Opportunities for Process Monitoring Techniques at Delayed Access Facilities

Energy Technology Data Exchange (ETDEWEB)

Curtis, Michael M.; Gitau, Ernest TN; Johnson, Shirley J.; Schanfein, Mark; Toomey, Christopher

2013-09-20

Except for specific cases where the International Atomic Energy Agency (IAEA) maintains a continuous presence at a facility (such as the Japanese Rokkasho Reprocessing Plant), there is always a period of time or delay between the moment a State is notified or aware of an upcoming inspection, and the time the inspector actually enters the material balance area or facility. Termed by the authors as “delayed access,” this period of time between inspection notice and inspector entrance to a facility poses a concern. Delayed access also has the potential to reduce the effectiveness of measures applied as part of the Safeguards Approach for a facility (such as short-notice inspections). This report investigates the feasibility of using process monitoring to address safeguards challenges posed by delayed access at a subset of facility types.

The impact of alcohol hand sanitizer use on infection rates in an extended care facility.

Science.gov (United States)

Fendler, E J; Ali, Y; Hammond, B S; Lyons, M K; Kelley, M B; Vowell, N A

2002-06-01

Nosocomial infections are a major problem in health care facilities, resulting in extended durations of care and substantial morbidity. Since alcohol gel hand sanitizers combine high immediate antimicrobial efficacy with ease of use, this study was carried out to determine the effect of the use of alcohol gel hand sanitizer by caregivers on infection types and rates in an extended care facility. Infection rate and type data were collected in a 275-bed extended care facility for 34 months (July 1997 to May 2000), during which an alcohol gel hand sanitizer was used by the caregivers in 2 units of the facility. The primary infection types found were urinary tract with Foley catheter, respiratory tract, and wound infections. Comparison of the infection types and rates for the units where hand sanitizer was used with those for the control units where the hand sanitizer was not used showed a 30.4% decrease in infection rates for the 34-month period in the units where hand sanitizer was used. This study indicates that use of an alcohol gel hand sanitizer can decrease infection rates and provide an additional tool for an effective infection control program.

Cost-Effectiveness Analysis of Interventions to Reduce Risk of Aspiration in Elderly Cancer Survivors Residing in Skilled Nursing Facilities.

Science.gov (United States)

Mantravadi, S

2017-04-01

Aspiration can occur in patients of any age group, but it can be prevented. The primary population at risk is made up of survivors of cancer because of their increased risk of mucositis, mucosal atrophy, and dysphagia associated with chemotherapy, radiotherapy, and the disease process itself. The rate of incidence of aspiration cannot be quantified, because minor cases of aspiration often go unreported. Sequelae ensuing from aspirations can include pneumonia, end-stage kidney disease, dialysis, and death. Analyses of cost, decision-tree modeling, and cost effectiveness were performed to compare a hypothetical, interventional model based on best practices with usual (standard) care. A societal perspective was used as the economic view point. Direct costs, caregiver time, and market values for wages were estimated for the 2 interventions. Effectiveness values for the cost-effectiveness and decision-tree analyses were obtained from the literature. The incremental-cost-effectiveness ratio was calculated and used to compare the intervention with usual care. The interventional method was more costly but more effective than usual care. A sensitivity analysis considered the uncertainty of event probability (aspiration vs no aspiration). The interventional protocol for aspiration reduction continued to be more cost effective than usual care. Aspiration takes a financial toll on all facets of health care, including on nurses, skilled nursing facilities, patients, their families, and insurers, among others. Implementing guidelines that describe best practices for aspiration appears to be a cost-effective strategy for reducing aspirations among cancer survivors - especially elderly patients - who live in skilled nursing facilities.

Reduction of radioactive waste by improvement of conditioning facilities

Energy Technology Data Exchange (ETDEWEB)

Radde, E.

2014-07-01

The NES (Nuclear Engineering Seibersdorf) is the only radioactive waste conditions and storage facility in Austria. It manages waste originating from research, industry and medicine. Its main goal is, not only to treat and store waste safety, but also to optimize processes to further reduce the waste volume. To achieve this goal, the New Handling Facility was built. In this paper we will show how the waste volume can be easily reduced by optimizing the conditioning and waste stream process. The NES owns a water treatment plant for cleaning of active waste water, an incineration plant that is used to burn radioactive waste. (Author)

Immediate loading of subcrestally placed dental implants in anterior and premolar sites.

Science.gov (United States)

Henningsen, Anders; Smeets, Ralf; Köppen, Kai; Sehner, Susanne; Kornmann, Frank; Gröbe, Alexander; Heiland, Max; Gerlach, Till

2017-11-01

Immediate loading of dental implants has been evolving into an appropriate procedure for the treatment of partially edentulous jaws. The purpose of this study was to evaluate the clinical success and radiological outcome of immediately and delayed loaded dental implants in anterior and premolar sites. In this retrospective study, data of 163 individuals requiring tooth removal with subsequent implant placement in anterior and premolar sites were analyzed. Implants were immediately loaded by provisional acrylic resin bridges or loaded with delay. Implants were followed up annually for up to 9 years including intraoral radiographs. A total of 285 implants in 163 patients were placed. 218 implants were immediately loaded and 67 implants with delay. Fifteen implants failed during the follow-up period resulting in survival rates of 94.5% for immediate loading and 95.5% for delayed loading. After an initial decrease of 0.3 mm in the first 12 months the marginal bone level remained stable. No statistically significant differences were found in marginal bone loss between immediately and delayed loaded implants (P = 0.518, 95% CI). Within the limits of this study, immediate loading of immediately subcrestally placed dental implants in anterior and premolar sites is a reliable treatment option for dental rehabilitation. Copyright © 2017 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

Correlation between hospital-level antibiotic consumption and incident health care facility-onset Clostridium difficile infection.

Science.gov (United States)

Crew, Page E; Rhodes, Nathaniel J; O'Donnell, J Nicholas; Miglis, Cristina; Gilbert, Elise M; Zembower, Teresa R; Qi, Chao; Silkaitis, Christina; Sutton, Sarah H; Scheetz, Marc H

2018-03-01

The purpose of this single-center, ecologic study is to characterize the relationship between facility-wide (FacWide) antibiotic consumption and incident health care facility-onset Clostridium difficile infection (HO-CDI). FacWide antibiotic consumption and incident HO-CDI were tallied on a monthly basis and standardized, from January 2013 through April 2015. Spearman rank-order correlation coefficients were calculated using matched-months analysis and a 1-month delay. Regression analyses were performed, with P < .05 considered statistically significant. FacWide analysis identified a matched-months correlation between ceftriaxone and HO-CDI (ρ = 0.44, P = .018). A unit of stem cell transplant recipients did not have significant correlation between carbapenems and HO-CDI in matched months (ρ = 0.37, P = .098), but a significant correlation was observed when a 1-month lag was applied (ρ = 0.54, P = .014). Three statistically significant lag associations were observed between FacWide/unit-level antibiotic consumption and HO-CDI, and 1 statistically significant nonlagged association was observed FacWide. Antibiotic consumption may convey extended ward-level risk for incident CDI. Consumption of antibiotic agents may have immediate and prolonged influence on incident CDI. Additional studies are needed to investigate the immediate and delayed associations between antibiotic consumption and C difficile colonization, infection, and transmission at the hospital level. Published by Elsevier Inc.

n_TOF facility past and future

CERN Document Server

Vlachoudis, V

2010-01-01

The neutron Time of Flight (n_TOF) facility at CERN is a source of high flux of neutrons obtained by the spallation process of 20 GeV/c protons onto a solid lead target and the remarkable beam intensity of the Proton Synchrotron (PS). From November 2008 the n_TOF facility resumed operation after a halt of 4 years due to radio-protection issues. It features a new lead spallation target with a more robust design, more efficient cooling, separate moderator circuit, target area ventilation and most important without any loss of the unique neutron performances of the previous target. Moreover the separate moderator circuit will permit in the future the use of borated or heavy water instead of normal water to reduce the 2.2 MeV gamma background for the neutron capture measurements. The facility has been commissioned in Nov 2008, with performances similar of the previous target and predicted by Monte Carlo simulations. The facility will resume operation for physics from May 2009 with 4 experimental proposals already...

Comparison of Immediate With Delayed Stenting Using the Minimalist Immediate Mechanical Intervention Approach in Acute ST-Segment-Elevation Myocardial Infarction: The MIMI Study.

Science.gov (United States)

Belle, Loic; Motreff, Pascal; Mangin, Lionel; Rangé, Grégoire; Marcaggi, Xavier; Marie, Antoine; Ferrier, Nadine; Dubreuil, Olivier; Zemour, Gilles; Souteyrand, Géraud; Caussin, Christophe; Amabile, Nicolas; Isaaz, Karl; Dauphin, Raphael; Koning, René; Robin, Christophe; Faurie, Benjamin; Bonello, Laurent; Champin, Stanislas; Delhaye, Cédric; Cuilleret, François; Mewton, Nathan; Genty, Céline; Viallon, Magalie; Bosson, Jean Luc; Croisille, Pierre

2016-03-01

Delayed stent implantation after restoration of normal epicardial flow by a minimalist immediate mechanical intervention aims to decrease the rate of distal embolization and impaired myocardial reperfusion after percutaneous coronary intervention. We sought to confirm whether a delayed stenting (DS) approach (24-48 hours) improves myocardial reperfusion, versus immediate stenting, in patients with acute ST-segment-elevation myocardial infarction undergoing primary percutaneous coronary intervention. In the prospective, randomized, open-label minimalist immediate mechanical intervention (MIMI) trial, patients (n=140) with ST-segment-elevation myocardial infarction ≤12 hours were randomized to immediate stenting (n=73) or DS (n=67) after Thrombolysis In Myocardial Infarction 3 flow restoration by thrombus aspiration. Patients in the DS group underwent a second coronary arteriography for stent implantation a median of 36 hours (interquartile range 29-46) after randomization. The primary end point was microvascular obstruction (% left ventricular mass) on cardiac magnetic resonance imaging performed 5 days (interquartile range 4-6) after the first procedure. There was a nonsignificant trend toward lower microvascular obstruction in the immediate stenting group compared with DS group (1.88% versus 3.96%; P=0.051), which became significant after adjustment for the area at risk (P=0.049). Median infarct weight, left ventricular ejection fraction, and infarct size did not differ between groups. No difference in 6-month outcomes was apparent for the rate of major cardiovascular and cerebral events. The present findings do not support a strategy of DS versus immediate stenting in patients with ST-segment-elevation infarction undergoing primary percutaneous coronary intervention and even suggested a deleterious effect of DS on microvascular obstruction size. URL: http://www.clinicaltrials.gov. Unique identifier: NCT01360242. © 2016 American Heart Association, Inc.

Diagnostic x-ray equipment compliance and facility survey. Recommended procedures for equipment and facility testing

International Nuclear Information System (INIS)

1994-01-01

The Radiation Protection Bureau has set out guidelines for the testing of diagnostic x-ray equipment and facilities. This guide provides information for the x-ray inspector, test engineer, technologist, medical physicist and any other person responsible for verifying the regulatory compliance or safety of diagnostic x-ray equipment and facilities. Diagnostic x-radiation is an essential part of present day medical practice. The largest contributor of irradiation to the general population comes from diagnostic x-radiation. Although individual irradiations are usually small, there is a concern of possible excess cancer risk when large populations are irradiated. Unnecessary irradiations to patients from radiological procedures can be significantly reduced with little or no decrease in the value of medical diagnostic information. This can be achieved by using well designed x-ray equipment which is installed, used and maintained by trained personnel, and by the adoption of standardized procedures. In general, when patient surface dose is reduced, there is a corresponding decrease in dose to x-ray equipment operators and other health care personnel. 2 tabs., 4 figs

Diagnostic x-ray equipment compliance and facility survey. Recommended procedures for equipment and facility testing

Energy Technology Data Exchange (ETDEWEB)

NONE

1994-12-31

The Radiation Protection Bureau has set out guidelines for the testing of diagnostic x-ray equipment and facilities. This guide provides information for the x-ray inspector, test engineer, technologist, medical physicist and any other person responsible for verifying the regulatory compliance or safety of diagnostic x-ray equipment and facilities. Diagnostic x-radiation is an essential part of present day medical practice. The largest contributor of irradiation to the general population comes from diagnostic x-radiation. Although individual irradiations are usually small, there is a concern of possible excess cancer risk when large populations are irradiated. Unnecessary irradiations to patients from radiological procedures can be significantly reduced with little or no decrease in the value of medical diagnostic information. This can be achieved by using well designed x-ray equipment which is installed, used and maintained by trained personnel, and by the adoption of standardized procedures. In general, when patient surface dose is reduced, there is a corresponding decrease in dose to x-ray equipment operators and other health care personnel. 2 tabs., 4 figs.

Direct chemoselective synthesis of glyconanoparticles from unprotected reducing glycans and glycopeptide aldehydes

DEFF Research Database (Denmark)

Thygesen, Mikkel Boas; Sørensen, Kasper Kildegaard; Cló, Emiliano

2009-01-01

Chemoselective oxime coupling was used for facile conjugation of unprotected, reducing glycans and glycopeptide aldehydes with core-shell gold nanoparticles carrying reactive aminooxy groups on the organic shell.......Chemoselective oxime coupling was used for facile conjugation of unprotected, reducing glycans and glycopeptide aldehydes with core-shell gold nanoparticles carrying reactive aminooxy groups on the organic shell....

Using cold air for reducing needle-injection pain.

Science.gov (United States)

Al-Qarqaz, Firas; Al-Aboosi, Mustafa; Al-shiyab, Diala; Al Dabbagh, Ziad

2012-07-01

Pain is associated with skin injections. Reducing injection-associated pain is important especially when multiple injections are needed in difficult areas, such as the palms. We present a new safe application for cold air used in laser therapy. The main objectives of this study are to see whether cold air can reduce needle-injection pain and to evaluate the safety of this new application. Patients undergoing skin injection (n=40) were included. Assessment of pain level using visual analog scale (VAS) was done using cold air and again without cold air in the same patient. Comparison of pain scores was performed. Thirty-three patients had lower VAS scores using cold air. Five patients had worse VAS scores, and two patients did not have any change in their pain score. In the group of patients where injections were made to the palms (n=5), there was even more reduction in VAS scores. There were no significant immediate or delayed side effects. Cold air seems to be useful in reducing needle-injection pain in the majority of patients, especially in the palms. This procedure is safe, apart from immediate tolerable discomfort when used around the nose. © 2012 The International Society of Dermatology.

Immediate Effects of Smoking on Cardiorespiratory Responses During Dynamic Exercise: Arm Vs. Leg Ergometry.

Science.gov (United States)

Chen, Chien-Liang; Tang, Jing-Shia; Li, Ping-Chia; Chou, Pi-Ling

2015-01-01

This study compared the immediate effects of smoking on cardiorespiratory responses to dynamic arm and leg exercises. This randomized crossover study recruited 14 college students. Each participant underwent two sets of arm-cranking (AC) and leg-cycling (LC) exercise tests. The testing sequences of the control trial (participants refrained from smoking for 8 h before testing) and the experimental trial (participants smoked two cigarettes immediately before testing) were randomly chosen. We observed immediate changes in pulmonary function and heart rate variability after smoking and before the exercise test. The participants then underwent graded exercise tests of their arms and legs until reaching exhaustion. We compared the peak work achieved and time to exhaustion during the exercise tests with various cardiorespiratory indices [i.e., heart rate, oxygen consumption (VO2), minute ventilation (VE)]. The differences between the smoking and control trials were calculated using paired t-tests. For the exercise test periods, VO2, heart rate, and VE values were calculated at every 10% increment of the maximal effort time. The main effects of the time and trial, as well as their trial-by-time (4 × 10) interaction effects on the outcome measures, were investigated using repeated measure ANOVA with trend analysis. 5 min after smoking, the participants exhibited reduced forced vital capacities and forced expiratory volumes in the first second (P exercise test periods, smoking reduced the time to exhaustion (P = 0.005) and the ventilatory threshold (P exercise test (all P exercise response of the smoking trial than in those of the control LC trials, whereas no discernable inter-trial difference was observed in the AC trials. Moreover, the differences in heart rate and VE response between the LC and AC exercises were significantly smaller after the participants smoked. This study verified that smoking significantly decreased performance and cardiorespiratory responses to leg

Radiological performance assessment for the E-Area Vaults Disposal Facility

Energy Technology Data Exchange (ETDEWEB)

Cook, J.R.; Hunt, P.D. [Westinghouse Savannah River Co., Aiken, SC (United States)

1994-04-15

The E-Area Vaults (EAVs) located on a 200 acre site immediately north of the current LLW burial site at Savannah River Site will provide a new disposal and storage site for solid, low-level, non-hazardous radioactive waste. The EAV Disposal Facility will contain several large concrete vaults divided into cells. Three types of structures will house four designated waste types. The Intermediate Level Non-Tritium Vaults will receive waste radiating greater than 200 mR/h at 5 cm from the outer disposal container. The Intermediate Level Tritium Vaults will receive waste with at least 10 Ci of tritium per package. These two vaults share a similar design, are adjacent, share waste handling equipment, and will be closed as one facility. The second type of structure is the Low Activity Waste Vaults which will receive waste radiating less than 200 mR/h at 5 cm from the outer disposal container and containing less than 10 Ci of tritium per package. The third facility, the Long Lived Waste Storage Building, provides covered, long term storage for waste containing long lived isotopes. Two additional types of disposal are proposed: (1) trench disposal of suspect soil, (2) naval reactor component disposal. To evaluate the long-term performance of the EAVs, site-specific conceptual models were developed to consider: (1) exposure pathways and scenarios of potential importance; (2) potential releases from the facility to the environment; (3) effects of degradation of engineered features; (4) transport in the environment; (5) potential doses received from radionuclides of interest in each vault type.

Radiological performance assessment for the E-Area Vaults Disposal Facility

International Nuclear Information System (INIS)

Cook, J.R.; Hunt, P.D.

1994-01-01

The E-Area Vaults (EAVs) located on a 200 acre site immediately north of the current LLW burial site at Savannah River Site will provide a new disposal and storage site for solid, low-level, non-hazardous radioactive waste. The EAV Disposal Facility will contain several large concrete vaults divided into cells. Three types of structures will house four designated waste types. The Intermediate Level Non-Tritium Vaults will receive waste radiating greater than 200 mR/h at 5 cm from the outer disposal container. The Intermediate Level Tritium Vaults will receive waste with at least 10 Ci of tritium per package. These two vaults share a similar design, are adjacent, share waste handling equipment, and will be closed as one facility. The second type of structure is the Low Activity Waste Vaults which will receive waste radiating less than 200 mR/h at 5 cm from the outer disposal container and containing less than 10 Ci of tritium per package. The third facility, the Long Lived Waste Storage Building, provides covered, long term storage for waste containing long lived isotopes. Two additional types of disposal are proposed: (1) trench disposal of suspect soil, (2) naval reactor component disposal. To evaluate the long-term performance of the EAVs, site-specific conceptual models were developed to consider: (1) exposure pathways and scenarios of potential importance; (2) potential releases from the facility to the environment; (3) effects of degradation of engineered features; (4) transport in the environment; (5) potential doses received from radionuclides of interest in each vault type

Results of RCRA groundwater quality assessment at the 216-B-3 Pond Facility

International Nuclear Information System (INIS)

Barnett, D.B.; Teel, S.S.

1997-06-01

This document describes a groundwater quality assessment of the 216-B-3 pond system, a Resources Conservation and Recovery act of 1976 (RCRA) waste facility. In 1990, sampling and chemical analysis of groundwater underlying the facility indicated that the contamination indicator parameters, total organic halogens (TOX), and total organic carbon (TOC) had exceeded established limits in two wells. This discovery placed the facility into RCRA groundwater assessment status and subsequently led to a more detailed hydrochemical analysis of groundwater underlying the facility. Comprehensive chemical analyses of groundwater samples from 1994 through 1996 revealed one compound, tris (2-chloroethyl) phosphate (TRIS2CH), that may have contributed to elevated TOX concentrations. No compound was identified as a contributor to TOC. Detailed evaluations of TOX, TOC, and TRIS2CH and comparison of occurrences of these parameters led to conclusions that (1) with few exceptions, these constituents occur at low concentrations below or near limits of quantitation; (2) it is problematic whether the low concentrations of TRIS2CH represent a contaminant originating from the facility or if it is a product of well construction; and (3) given the low and diminishing concentration of TOX, TOC, and TRIS2CH, no further investigation into the occurrent of these constituents is justified. Continued groundwater monitoring should include an immediate recalculation of background critical means of upgradient/downgradient comparisons and a return to seminannual groundwater monitoring under a RCRA indicator parameter evaluation program

Immediate effect of passive static stretching versus resistance exercises on postprandial blood sugar levels in type 2 diabetes mellitus: a randomized clinical trial.

Science.gov (United States)

Gurudut, Peeyoosha; Rajan, Abey P

2017-10-01

The prevalence of diabetes is rapidly rising all over the globe at an alarming rate. In India, more than 61.3 million people have been presently diagnosed with type 2 diabetes mellitus. It is possible to control the circulating blood glucose levels by reducing life style risk factors through physical activities comprising of muscle stretches, aerobic training, resistance exercises (REs), yoga, etc. The aim of this study is to identify and compare the immediate effect of passive static stretching (PSS) versus RE on blood glucose level in individuals with type 2 diabetes mellitus. The present study included 51 participants between the age of 40-65 years with type 2 diabetes mellitus, to study the immediate effect of 60-min PSS (n=25) and 60-min RE (n=26). The outcome measure was blood glucose level which was checked by glucometer (free-style neo). Blood sugar was assessed at 3 points of time that included fasting blood sugar level, 2 hr after the meal and immediately after the exercise regimen. Results of this study showed significant reduction in blood glucose level in subjects according to glucometer with PSS ( P =0.000) and RE ( P =0.00). However, both groups demonstrated equal effect in terms of lowering blood sugar level immediately after the exercise. The conclusion is both PSS and RE are effective in reducing postprandial blood glucose level in type 2 diabetes mellitus and must be prescribed for the patients who demonstrate difficulty in controlling post prandial spike.

Socioeconomic Factors Associated with Post-Mastectomy Immediate Reconstruction in a Contemporary Cohort of Breast Cancer Survivors.

Science.gov (United States)

Schumacher, Jessica R; Taylor, Lauren J; Tucholka, Jennifer L; Poore, Samuel; Eggen, Amanda; Steiman, Jennifer; Wilke, Lee G; Greenberg, Caprice C; Neuman, Heather B

2017-10-01

Post-mastectomy reconstruction is a critical component of high-quality breast cancer care. Prior studies demonstrate socioeconomic disparity in receipt of reconstruction. Our objective was to evaluate trends in receipt of immediate reconstruction and examine socioeconomic factors associated with reconstruction in a contemporary cohort. Using the National Cancer Database, we identified women rates (2004-2013) for the overall cohort and stratified by socioeconomic factors were examined using Join-point regression analysis, and annual percentage change (APC) was calculated. We then restricted our sample to a contemporary cohort (2010-2013, n = 145,577). Multivariable logistic regression identified socioeconomic factors associated with immediate reconstruction. Average adjusted predicted probabilities of receiving reconstruction were calculated. Immediate reconstruction rates increased from 27 to 48%. Although absolute rates of reconstruction for each stratification group increased, similar APCs across strata led to persistent gaps in receipt of reconstruction. On multivariable logistic regression using our contemporary cohort, race, income, education, and insurance type were all strongly associated with immediate reconstruction. Patients with the lowest predicted probability of receiving reconstruction were patients with Medicaid who lived in areas with the lowest rates of high-school graduation (Black 42.4% [95% CI 40.5-44.3], White 45.7% [95% CI 43.9-47.4]). Although reconstruction rates have increased dramatically over the past decade, lower rates persist for disadvantaged patients. Understanding how socioeconomic factors influence receipt of reconstruction, and identifying modifiable factors, are critical next steps towards identifying interventions to reduce disparities in breast cancer surgical care.

Immediate, but Not Delayed, Microsurgical Skull Reconstruction Exacerbates Brain Damage in Experimental Traumatic Brain Injury Model

Science.gov (United States)

Lau, Tsz; Kaneko, Yuji; van Loveren, Harry; Borlongan, Cesario V.

2012-01-01

Moderate to severe traumatic brain injury (TBI) often results in malformations to the skull. Aesthetic surgical maneuvers may offer normalized skull structure, but inconsistent surgical closure of the skull area accompanies TBI. We examined whether wound closure by replacement of skull flap and bone wax would allow aesthetic reconstruction of the TBI-induced skull damage without causing any detrimental effects to the cortical tissue. Adult male Sprague-Dawley rats were subjected to TBI using the controlled cortical impact (CCI) injury model. Immediately after the TBI surgery, animals were randomly assigned to skull flap replacement with or without bone wax or no bone reconstruction, then were euthanized at five days post-TBI for pathological analyses. The skull reconstruction provided normalized gross bone architecture, but 2,3,5-triphenyltetrazolium chloride and hematoxylin and eosin staining results revealed larger cortical damage in these animals compared to those that underwent no surgical maneuver at all. Brain swelling accompanied TBI, especially the severe model, that could have relieved the intracranial pressure in those animals with no skull reconstruction. In contrast, the immediate skull reconstruction produced an upregulation of the edema marker aquaporin-4 staining, which likely prevented the therapeutic benefits of brain swelling and resulted in larger cortical infarcts. Interestingly, TBI animals introduced to a delay in skull reconstruction (i.e., 2 days post-TBI) showed significantly reduced edema and infarcts compared to those exposed to immediate skull reconstruction. That immediate, but not delayed, skull reconstruction may exacerbate TBI-induced cortical tissue damage warrants a careful consideration of aesthetic repair of the skull in TBI. PMID:22438975

Immediate implants in extraction sockets with periapical lesions: an illustrated review

Directory of Open Access Journals (Sweden)

Arthur B. Novaes Jr.

2013-10-01

Full Text Available Aim Immediate implantation has gained great attention since first proposed. Immediate implants in replacement of teeth with periapical lesion is, to date, an issue of discussion. The aim of this study is to perform an illustrated literature review of immediate implants in sockets exhibiting previous periapical lesions.Materials and methods A search on medline/EMBASE database was done for the literature review which is presented together with two case reports illustrating the state of the art of immediate implants on sockets with periapical lesions. Both cases are presented in areas with great aesthetic demands and a periapical lesion of considerable size. The two cases were conducted following strict granulation tissue removal and careful rinsing and pre-operative antibiotics, followed by good primary stability of the dental implant.Results and conclusion Both cases represented successes in aesthetics and function, describing a successful protocol for immediate implant installation in areas exhibiting periapical lesions.

Money for Research, Not for Energy Bills: Finding Energy and Cost Savings in High Performance Computer Facility Designs

Energy Technology Data Exchange (ETDEWEB)

Drewmark Communications; Sartor, Dale; Wilson, Mark

2010-07-01

High-performance computing facilities in the United States consume an enormous amount of electricity, cutting into research budgets and challenging public- and private-sector efforts to reduce energy consumption and meet environmental goals. However, these facilities can greatly reduce their energy demand through energy-efficient design of the facility itself. Using a case study of a facility under design, this article discusses strategies and technologies that can be used to help achieve energy reductions.

Variation in fistula use across dialysis facilities: is it explained by case-mix?

Science.gov (United States)

Tangri, Navdeep; Moorthi, Ranjani; Tighiouhart, Hocine; Meyer, Klemens B; Miskulin, Dana C

2010-02-01

Arteriovenous fistulas (AVFs) remain the preferred vascular access for hemodialysis patients. Dialysis facilities that fail to meet Centers for Medicare & Medicaid Services goals cite patient case-mix as a reason for low AVF prevalence. This study aimed to determine the magnitude of the variability in AVF usage across dialysis facilities and the extent to which patient case-mix explains it. The vascular access used in 10,112 patients dialyzed at 173 Dialysis Clinic Inc. facilities from October 1 to December 31, 2004, was evaluated. The access in use was considered to be an AVF if it was used for >70% of hemodialysis treatments. Mixed-effects models with a random intercept for dialysis facilities evaluated the effect of facilities on AVF usage. Sequentially adjusted multivariate models measured the extent to which patient factors (case-mix) explain variation across facilities in AVF rates. 3787 patients (38%) were dialyzed using AVFs. There was a significant facility effect: 7.6% of variation in AVF use was attributable to facility. This was reduced to 7.1% after case-mix adjustment. There were no identified specific facility-level factors that explained the interfacility variation. AVF usage varies across dialysis facilities, and patient case-mix did not reduce this variation. In this study, 92% of the total variation in AVF usage was due to patient factors, but most were not measurable. A combination of patient factors and process indicators should be considered in adjudicating facility performance for this quality indicator.

Effects of wind-energy facilities on breeding grassland bird distributions.

Science.gov (United States)

Shaffer, Jill A; Buhl, Deborah A

2016-02-01

The contribution of renewable energy to meet worldwide demand continues to grow. Wind energy is one of the fastest growing renewable sectors, but new wind facilities are often placed in prime wildlife habitat. Long-term studies that incorporate a rigorous statistical design to evaluate the effects of wind facilities on wildlife are rare. We conducted a before-after-control-impact (BACI) assessment to determine if wind facilities placed in native mixed-grass prairies displaced breeding grassland birds. During 2003-2012, we monitored changes in bird density in 3 study areas in North Dakota and South Dakota (U.S.A.). We examined whether displacement or attraction occurred 1 year after construction (immediate effect) and the average displacement or attraction 2-5 years after construction (delayed effect). We tested for these effects overall and within distance bands of 100, 200, 300, and >300 m from turbines. We observed displacement for 7 of 9 species. One species was unaffected by wind facilities and one species exhibited attraction. Displacement and attraction generally occurred within 100 m and often extended up to 300 m. In a few instances, displacement extended beyond 300 m. Displacement and attraction occurred 1 year after construction and persisted at least 5 years. Our research provides a framework for applying a BACI design to displacement studies and highlights the erroneous conclusions that can be made without the benefit of adopting such a design. More broadly, species-specific behaviors can be used to inform management decisions about turbine placement and the potential impact to individual species. Additionally, the avoidance distance metrics we estimated can facilitate future development of models evaluating impacts of wind facilities under differing land-use scenarios. Published 2015. This article is a U.S. Government work and is in the public domain in the USA.

Computed tomography contrast media extravasation: treatment algorithm and immediate treatment by squeezing with multiple slit incisions.

Science.gov (United States)

Kim, Sue Min; Cook, Kyung Hoon; Lee, Il Jae; Park, Dong Ha; Park, Myong Chul

2017-04-01

In our hospital, an adverse event reporting system was initiated that alerts the plastic surgery department immediately after suspecting contrast media extravasation injury. This system is particularly important for a large volume of extravasation during power injector use. Between March 2011 and May 2015, a retrospective chart review was performed on all patients experiencing contrast media extravasation while being treated at our hospital. Immediate treatment by squeezing with multiple slit incisions was conducted for a portion of these patients. Eighty cases of extravasation were reported from approximately 218 000 computed tomography scans. The expected extravasation volume was larger than 50 ml, or severe pressure was felt on the affected limb in 23 patients. They were treated with multiple slit incisions followed by squeezing. Oedema of the affected limb disappeared after 1-2 hours after treatment, and the skin incisions healed within a week. We propose a set of guidelines for the initial management of contrast media extravasation injuries for a timely intervention. For large-volume extravasation cases, immediate management with multiple slit incisions is safe and effective in reducing the swelling quickly, preventing patient discomfort and decreasing skin and soft tissue problems. © 2016 Medicalhelplines.com Inc and John Wiley & Sons Ltd.

Metal Exposures at three U.S. electronic scrap recycling facilities.

Science.gov (United States)

Ceballos, Diana; Beaucham, Catherine; Page, Elena

2017-06-01

Many metals found in electronic scrap are known to cause serious health effects, including but not limited to cancer and respiratory, neurologic, renal, and reproductive damage. The National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention performed three health hazard evaluations at electronic scrap recycling facilities in the U.S. to characterize employee exposure to metals and recommend control strategies to reduce these exposures. We performed air, surface, and biological monitoring for metals. We found one overexposure to lead and two overexposures to cadmium. We found metals on non-production surfaces, and the skin and clothing of workers before they left work in all of the facilities. We also found some elevated blood lead levels (above 10 micrograms per deciliter), however no employees at any facility had detectable mercury in their urine or exceeded 34% of the OELs for blood or urine cadmium. This article focuses on sampling results for lead, cadmium, mercury, and indium. We provided recommendations for improving local exhaust ventilation, reducing the recirculation of potentially contaminated air, using respirators until exposures are controlled, and reducing the migration of contaminants from production to non-production areas. We also recommended ways for employees to prevent taking home metal dust by using work uniforms laundered on-site, storing personal and work items in separate lockers, and using washing facilities equipped with lead-removing cleaning products.

303-K Storage Facility closure plan

International Nuclear Information System (INIS)

1993-01-01

Recyclable scrap uranium with zircaloy-2 and copper silicon alloy, uranium-titanium alloy, beryllium/zircaloy-2 alloy, and zircaloy-2 chips and fines were secured in concrete billets (7.5-gallon containers) in the 303-K Storage Facility, located in the 300 Area. The beryllium/zircaloy-2 alloy and zircaloy-2 chips and fines are designated as mixed waste with the characteristic of ignitability. The concretion process reduced the ignitability of the fines and chips for safe storage and shipment. This process has been discontinued and the 303-K Storage Facility is now undergoing closure as defined in the Resource Conservation and Recovery Act (RCRA) of 1976 and the Washington Administrative Code (WAC) Dangerous Waste Regulations, WAC 173-303-040. This closure plan presents a description of the 303-K Storage Facility, the history of materials and waste managed, and the procedures that will be followed to close the 303-K Storage Facility. The 303-K Storage Facility is located within the 300-FF-3 (source) and 300-FF-5 (groundwater) operable units, as designated in the Hanford Federal Facility Agreement and Consent Order (Tri-Party Agreement) (Ecology et al. 1992). Contamination in the operable units 300-FF-3 and 300-FF-5 is scheduled to be addressed through the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) of 1980 remedial action process. Therefore, all soil remedial action at the 304 Facility will be conducted as part of the CERCLA remedial action of operable units 300-FF-3 and 300-FF-5

Long-term outcome after mastectomy with immediate breast reconstruction

DEFF Research Database (Denmark)

Stralman, K.; Mollerup, C.L.; Kristoffersen, U.S.

2008-01-01

INTRODUCTION: The purpose of this study was to investigate long term outcome for women who had undergone mastectomy and immediate breast reconstruction. MATERIAL AND METHODS: Patient files of 167 immediately reconstructed breast cancer patients were reviewed for late surgical complications....... Furthermore, information of local recurrence rate, radiotherapy and death was obtained from the Danish Breast Cancer Cooperative Group register. Histopatological high and low risk patients were compared with respect to locoregional recurrence rate, recurrence free survival and death. Unpaired t...... found no increase in the occurrence of capsular contracture in our study group in patients who received radiotherapy. CONCLUSION: Immediate breast reconstruction seems to be oncologically safe. Breast reconstruction performed with implants was associated with a higher risk of late complications...

Immediate-type hypersensitivity to polyethylene glycols

DEFF Research Database (Denmark)

Wenande, E; Garvey, L H

2016-01-01

Polyethylene glycols (PEGs) or macrogols are polyether compounds widely used in medical and household products. Although generally considered biologically inert, cases of mild to life-threatening immediate-type PEG hypersensitivity are reported with increasing frequency. Nevertheless, awareness...

Immediate effect of exercise on achilles tendon properties: systematic review.

Science.gov (United States)

Obst, Steven J; Barrett, Rod S; Newsham-West, Richard

2013-08-01

Understanding the mechanical and morphological adaptation of the Achilles tendon (AT) in response to acute exercise could have important implications for athletic performance, injury prevention, and rehabilitation. The purpose of this study was to conduct a systematic review and critical evaluation of the literature to determine the immediate effect of a single bout of exercise on the mechanical and morphological properties of the AT in vivo. Five electronic research databases were systematically searched for intervention-based studies reporting mechanical and morphological properties of the AT after a single bout of exercise. Searches revealed 3292 possible articles; 21 met the inclusion criteria. There is evidence that maximal isometric contractions and prolonged static stretching (>5 min) of the triceps surae complex cause an immediate decrease in AT stiffness, whereas prolonged running and hopping have minimal effect. Limited but consistent evidence exists, indicating that AT hysteresis is reduced after prolonged static stretching. Consistent evidence supports a reduction in free AT diameter (anterior-posterior) after dynamic ankle exercise, and this change appears most pronounced in the healthy tendon and after eccentric exercise. The mechanical and morphological properties of the AT in vivo are affected by acute exercise in a mode- and dose-dependent manner. Transient changes in AT stiffness, hysteresis, and diameter after unaccustomed exercise modes and doses may expose the tendon to increased risk of strain injury and impact on the mechanical function of the triceps surae muscle-tendon unit.

A facile approach to prepare crumpled CoTMPyP/electrochemically reduced graphene oxide nanohybrid as an efficient electrocatalyst for hydrogen evolution reaction

Energy Technology Data Exchange (ETDEWEB)

Ma, Juanjuan, E-mail: majj0518@hotmail.com [Department of Chemical Engineering, Huaihai Institute of Technology, Lianyungang 222005 (China); School of Materials Science and Engineering, Nanyang Technological University, 639798, Singapore (Singapore); Liu, Lin; Chen, Qian; Yang, Min [Department of Chemical Engineering, Huaihai Institute of Technology, Lianyungang 222005 (China); Wang, Danping [School of Materials Science and Engineering, Nanyang Technological University, 639798, Singapore (Singapore); Tong, Zhiwei [Department of Chemical Engineering, Huaihai Institute of Technology, Lianyungang 222005 (China); Chen, Zhong, E-mail: aszchen@ntu.edu.sg [School of Materials Science and Engineering, Nanyang Technological University, 639798, Singapore (Singapore)

2017-03-31

Highlights: • Crumpled CoTMPyP/ERGO hybrid was successfully prepared by a facile two-step process. • CoTMPyP nanoaggregates are homogeneously distributed over the graphene surface. • CoTMPyP/ERGO hybrid film shows good electrocatalytic activity and stability for HER. - Abstract: Elaborate design and synthesis of efficient and stable non-Pt electrocatalysts for some renewable energy related conversion/storage processes are one of the major goals of sustainable chemistry. Herein, we report a facile method to fabricate Co porphyrin functionalized electrochemically reduced graphene oxide (CoTMPyP/ERGO) thin film by direct assembly of oppositely charged tetrakis(N-methylpyridyl) porphyrinato cobalt (CoTMPyP) and GO nanosheets under mild conditions followed by an electrochemical reduction procedure. STEM analysis confirms that CoTMPyP nanoaggregates are homogeneously distributed over the graphene surface. The electrochemical properties of CoTMPyP/ERGO were investigated by cyclic voltammetry, linear sweep voltammetry and electrochemical impedance spectroscopy. The results demonstrate that CoTMPyP/ERGO nanohybrid film can serve as excellent electrocatalyst for hydrogen evolution in alkaline solution with high activity and stability. The intimate contact and efficient electron transfer between CoTMPyP and ERGO, as well as the crumpled structure, contribute to the improvement of the electrocatalytic performance.

Biomechanics and strain mapping in bone as related to immediately-loaded dental implants

Science.gov (United States)

Du, Jing; Lee, Jihyun; Jang, Andrew; Gu, Allen; Hossaini-Zadeh, Mehran; Prevost, Richard; Curtis, Don; Ho, Sunita

2015-01-01

The effects of alveolar bone socket geometry and bone-implant contact on implant biomechanics, and resulting strain distributions in bone were investigated. Following extraction of lateral incisors on a cadaver mandible, immediate implants were placed and bone-implant contact area, stability and bone strain were measured. In situ biomechanical testing coupled with micro X-ray microscope (μ-XRM) illustrated less stiff bone-implant complexes (701-822 N/mm) compared with bone-periodontal ligament (PDL)-tooth complexes (791-913 N/mm). X-ray tomograms illustrated that the cause of reduced stiffness was due to reduced and limited bone-implant contact. Heterogeneous elemental composition of bone was identified by using energy dispersive X-ray spectroscopy (EDS). The novel aspect of this study was the application of a new experimental mechanics method, that is, digital volume correlation, which allowed mapping of strains in volumes of alveolar bone in contact with a loaded implant. The identified surface and subsurface strain concentrations were a manifestation of load transferred to bone through bone-implant contact based on bone-implant geometry, quality of bone, implant placement, and implant design. 3D strain mapping indicated that strain concentrations are not exclusive to the bone-implant contact regions, but also extend into bone not directly in contact with the implant. The implications of the observed strain concentrations are discussed in the context of mechanobiology. Although a plausible explanation of surgical complications for immediate implant treatment is provided, extrapolation of results is only warranted by future systematic studies on more cadaver specimens and/or in vivo small scale animal models. PMID:26162549

Ground Shock Resistant of Buried Nuclear Power Plant Facility

International Nuclear Information System (INIS)

Ornai, D.; Adar, A.; Gal, E.

2014-01-01

Nuclear Power Plant (NPP) might be subjected to hostile attacks such as Earth Penetrating Weapons (EPW) that carry explosive charges. Explosions of these weapons near buried NPP facility might cause collapse, breaching, spalling, deflection, shear, rigid body motion (depending upon the foundations), and in-structure shock. The occupants and the equipment in the buried facilities are exposed to the in-structure motions, and if they are greater than their fragility values than occupants might be wounded or killed and the equipment might be damaged, unless protective measures will be applied. NPP critical equipment such as pumps are vital for the normal safe operation since it requires constant water circulation between the nuclear reactor and the cooling system, including in case of an immediate shut down. This paper presents analytical- semi empirical formulation and analysis of the explosion of a penetrating weapon with a warhead of 100kgs TNT (Trinitrotoluene) that creates ground shock effect on underground NPP structure containing equipment, such as a typical pump. If the in-structure spectral shock is greater than the pump fragility values than protective measures are required, otherwise a real danger to the NPP safety might occur

Integrated Facilities and Infrastructure Plan.

Energy Technology Data Exchange (ETDEWEB)

Reisz Westlund, Jennifer Jill

2017-03-01

Our facilities and infrastructure are a key element of our capability-based science and engineering foundation. The focus of the Integrated Facilities and Infrastructure Plan is the development and implementation of a comprehensive plan to sustain the capabilities necessary to meet national research, design, and fabrication needs for Sandia National Laboratories’ (Sandia’s) comprehensive national security missions both now and into the future. A number of Sandia’s facilities have reached the end of their useful lives and many others are not suitable for today’s mission needs. Due to the continued aging and surge in utilization of Sandia’s facilities, deferred maintenance has continued to increase. As part of our planning focus, Sandia is committed to halting the growth of deferred maintenance across its sites through demolition, replacement, and dedicated funding to reduce the backlog of maintenance needs. Sandia will become more agile in adapting existing space and changing how space is utilized in response to the changing requirements. This Integrated Facilities & Infrastructure (F&I) Plan supports the Sandia Strategic Plan’s strategic objectives, specifically Strategic Objective 2: Strengthen our Laboratories’ foundation to maximize mission impact, and Strategic Objective 3: Advance an exceptional work environment that enables and inspires our people in service to our nation. The Integrated F&I Plan is developed through a planning process model to understand the F&I needs, analyze solution options, plan the actions and funding, and then execute projects.

Economic consequences of immediate or delayed insemination of a cowhhhh

NARCIS (Netherlands)

Steeneveld, W.; Hogeveen, H.

2012-01-01

Most dairy farmers are not certain whether immediate insemination or delaying the insemination is the best economic decision for a cow in oestrus. A model was developed for determining, based on herd and cow characteristics, the economic consequences of immediate or delayed insemination. The model

An integrated lean-methods approach to hospital facilities redesign.

Science.gov (United States)

Nicholas, John

2012-01-01

Lean production methods for eliminating waste and improving processes in manufacturing are now being applied in healthcare. As the author shows, the methods are appropriate for redesigning hospital facilities. When used in an integrated manner and employing teams of mostly clinicians, the methods produce facility designs that are custom-fit to patient needs and caregiver work processes, and reduce operational costs. The author reviews lean methods and an approach for integrating them in the redesign of hospital facilities. A case example of the redesign of an emergency department shows the feasibility and benefits of the approach.

Tumulus Disposal Demonstration Facility for the Oak Ridge Reservation

International Nuclear Information System (INIS)

Clapp, R.B.; van Hoesen, S.D.

1987-01-01

This disposal concept is based on the Tumulus design developed by the French at the La Manche facility. Waste units are stacked above-grade on a concrete pad. The facility currently under development at the Oak Ridge National Laboratory (ORNL) involves sealing waste in concrete vaults, placing the vaults on a grade level concrete pad, and covering the pad and vaults with a soil cover after vault emplacement is complete. Emplacement is expected to continue until the facility exhausts its approximate 800 m 3 (28,000 ft 3 ) capacity. The facility incorporates engineered barriers to radionuclide migration; a monitoring system to ensure barrier performance; and a newly developed set of Demonstration Waste Acceptance Criteria to reduce the likelihood of groundwater contamination

Long-term evaluation of immediately loaded implants in the edentulous mandible using fixed bridges and platform shifting.

Science.gov (United States)

Romanos, Georgios E; Gaertner, Kathrin; Nentwig, Georg H

2014-08-01

The immediate loading concept has been extensively documented in the anterior part of the mandible when six primary stable implants are placed, splinted with a fixed prosthesis. The aim of this study was to evaluate the long-term success of immediately occlusal loaded implants with a progressive thread design and platform shifting in the edentulous mandible. Seventy-eight implants placed in 13 patients and were connected with their abutments immediately after surgery. The implants were splinted using a fixed temporary restoration having occlusal contacts in the centric and group function in the lateral movements of the mandible (immediate occlusal loading). The patients were advised to use soft/liquid diet for the first 6 to 8 weeks of healing in order to reduce excessive loading in the bone-to-implant interface. Abutment level impressions were taken without removing the abutments in order to fabricate the final prostheses. The final restorations were delivered 4 to 8 weeks after surgery and cemented temporarily in order to evaluate the peri-implant soft tissue condition at the different time intervals after removal of the restoration. Clinical stability and radiological indices were evaluated at the start of loading, at 3-month interval after loading, and then annually. After a mean loading period of 75.29 (± 38.18) months, no implant was lost (100% success rate). All clinical indices had values in normal levels. The Periotest values demonstrated a continuous reduction, representing high stability. The crestal bone level was relatively stable and only minimal crestal bone loss was observed in some implants. Long-term success and stability of the peri-implant tissues around immediately loaded mandibular implants are expected when implants with platform shifting are restored with bridges without abutment removal. © 2013 Wiley Periodicals, Inc.

IAEA safeguards in new nuclear facilities

Energy Technology Data Exchange (ETDEWEB)

Catton, A. [International Atomic Energy Agency, Vienna (Austria); Durbin, K. [United States Department of Energy, Washington, D.C. (United States); Hamilton, A. [International Atomic Energy Agency, Vienna (Austria); Martikka, E. [STUK, Helsinki (Finland); Poirier, S.; Sprinkle, J. K.; Stevens, R. [International Atomic Energy Agency, Vienna (Austria); Whitlock, J. [Atomic Energy of Canada Limited, Chalk River, ON (Canada)

2014-07-01

The inclusion of international safeguards early in the design of nuclear facilities offers an opportunity to reduce project risk. It also has the potential to minimize the impact of safeguards activities on facility operations. Safeguards by design (SBD) encourages stakeholders to become familiar with the requirements of their safeguards agreements and to decide when and how they will fulfil those requirements. As one example, modular reactors are at a design stage where SBD can have a useful impact. Modular reactors might be turnkey projects where the operator takes ownership after commissioning. This comes with a legal obligation to comply with International Atomic Energy Agency (IAEA) safeguards requirements. Some of the newcomer countries entering the reactor market have little experience with IAEA safeguards and the associated non-proliferation obligations. To reduce delays or cost increments, one can embed safeguards considerations in the bid and design phases of the project, along with the safety and security considerations. SBD does not introduce any new requirements - it is a process whereby facility designers facilitate the implementation of the existing safeguards requirements. In short, safeguards experts share their expertise with the designers and vice versa. Once all parties understand the fundamentals of all of the operational constraints, they are better able to decide how best to address them. This presentation will provide an overview of SBD activities. (author)

Payment methods for outpatient care facilities

Science.gov (United States)

Yuan, Beibei; He, Li; Meng, Qingyue; Jia, Liying

2017-01-01

Background Outpatient care facilities provide a variety of basic healthcare services to individuals who do not require hospitalisation or institutionalisation, and are usually the patient's first contact. The provision of outpatient care contributes to immediate and large gains in health status, and a large portion of total health expenditure goes to outpatient healthcare services. Payment method is one of the most important incentive methods applied by purchasers to guide the performance of outpatient care providers. Objectives To assess the impact of different payment methods on the performance of outpatient care facilities and to analyse the differences in impact of payment methods in different settings. Search methods We searched the Cochrane Central Register of Controlled Trials (CENTRAL), 2016, Issue 3, part of the Cochrane Library (searched 8 March 2016); MEDLINE, OvidSP (searched 8 March 2016); Embase, OvidSP (searched 24 April 2014); PubMed (NCBI) (searched 8 March 2016); Dissertations and Theses Database, ProQuest (searched 8 March 2016); Conference Proceedings Citation Index (ISI Web of Science) (searched 8 March 2016); IDEAS (searched 8 March 2016); EconLit, ProQuest (searched 8 March 2016); POPLINE, K4Health (searched 8 March 2016); China National Knowledge Infrastructure (searched 8 March 2016); Chinese Medicine Premier (searched 8 March 2016); OpenGrey (searched 8 March 2016); ClinicalTrials.gov, US National Institutes of Health (NIH) (searched 8 March 2016); World Health Organization (WHO) International Clinical Trials Registry Platform (ICTRP) (searched 8 March 2016); and the website of the World Bank (searched 8 March 2016). In addition, we searched the reference lists of included studies and carried out a citation search for the included studies via ISI Web of Science to find other potentially relevant studies. We also contacted authors of the main included studies regarding any further published or unpublished work. Selection criteria Randomised

Defocusing beam line design for an irradiation facility at the TAEA SANAEM Proton Accelerator Facility

Science.gov (United States)

Gencer, A.; Demirköz, B.; Efthymiopoulos, I.; Yiğitoğlu, M.

2016-07-01

Electronic components must be tested to ensure reliable performance in high radiation environments such as Hi-Limu LHC and space. We propose a defocusing beam line to perform proton irradiation tests in Turkey. The Turkish Atomic Energy Authority SANAEM Proton Accelerator Facility was inaugurated in May 2012 for radioisotope production. The facility has also an R&D room for research purposes. The accelerator produces protons with 30 MeV kinetic energy and the beam current is variable between 10 μA and 1.2 mA. The beam kinetic energy is suitable for irradiation tests, however the beam current is high and therefore the flux must be lowered. We plan to build a defocusing beam line (DBL) in order to enlarge the beam size, reduce the flux to match the required specifications for the irradiation tests. Current design includes the beam transport and the final focusing magnets to blow up the beam. Scattering foils and a collimator is placed for the reduction of the beam flux. The DBL is designed to provide fluxes between 107 p /cm2 / s and 109 p /cm2 / s for performing irradiation tests in an area of 15.4 cm × 21.5 cm. The facility will be the first irradiation facility of its kind in Turkey.

9 CFR 381.116 - Wording on labels of immediate containers.

Science.gov (United States)

2010-01-01

... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Wording on labels of immediate containers. 381.116 Section 381.116 Animals and Animal Products FOOD SAFETY AND INSPECTION SERVICE... the container: Provided, however, That there is, immediately to the right or left of such principal...

Strategies to reduce infant mortality rate in India.

Science.gov (United States)

Ghai, O P

1985-01-01

As a systems approach is needed to develop strategies to reduce the infant mortality rate (IMR), it is appropriate to analyze the present situation in India, reasons for low IMR in some Indian states vis-a-vis others, the status in some neighboring countries, and the cost effectiveness of various available technological interventions and their organizational constraints. A 1981 survey revealed 1) a low IMR for the state of Kerala, one which was comparable with Western nations, despite the fact that nearly half of the population in Kerala lived below the poverty line; 2) a very high IMR for the state of Uttar Pradesh, even though the number of people living below the poverty line was not significantly by different from the state of Kerala; and a moderate IMR reduction in the state of Punjab, even though only 15% of the population was below the poverty line. Favorable factors for low IMR appear to be a high female literacy rate, good medical and educational facilities close to the place of residence, and an excellent transportation and communication system. To significantly reduce IMR in a short period of time, it is necessary to adopt certain immediate measures. Nearly 55% of infant deaths occur in the 1st month of life, and these generally are not amenable to general measures and technological interventions. The problem is difficult, but a solution can be found by reaching a broad consensus among professionals and administrators. The major recommendations of a seminar on the Strategies for Reducing infant Mortality in India, held during January 1984, were: provide antenatal care to 100% of pregnant women; work for early registration of pregnancy and identification of high risk pregnancies; immunize 100% of pregnant women with tetanus toxoid; make available intrapartum care for all pregnant women; delineate anticipated job requirements, duties, and functions of village level health workers; make presterilized packaged delivery kits available to all female health

Measures to reduce the impact of anti-icing agents on the environment and on the work of wastewater treatment facilities

Directory of Open Access Journals (Sweden)

Voronov Yuriy Viktorovich

2014-09-01

Full Text Available This article analyses the impact of the excess of chemical agents in the snow on the environment and on the working waste water treatment facilities. The article presents some suggestions for improvement of regulatory requirements concerning design engineering of snow melting facilities in the water disposal system. This suggestion was substantiated to assess snow as waste disposed from road surface, and to register snow mass delivered to snow melting facilities in equivalent units. It is assumed that snow melting stations are facilities designed for waste treatment, and this is why the project documentation for construction of these facilities has to undergo a state expertise for Environmental Impact Assessment. Completed studies provide estimates of the receipted snow, its pollution, etc. But at the same time these studies serve as the basis for approving the necessity of developing a unified system for monitoring the city's snow-melting plants to ensure the reliability.

Non-specific Effect of Vaccines: Immediate Protection against Respiratory Syncytial Virus Infection by a Live Attenuated Influenza Vaccine

Directory of Open Access Journals (Sweden)

Young J. Lee

2018-01-01

Full Text Available The non-specific effects (NSEs of vaccines have been discussed for their potential long-term beneficial effects beyond direct protection against a specific pathogen. Cold-adapted, live attenuated influenza vaccine (CAIV induces local innate immune responses that provide a broad range of antiviral immunity. Herein, we examined whether X-31ca, a donor virus for CAIVs, provides non-specific cross-protection against respiratory syncytial virus (RSV. The degree of RSV replication was significantly reduced when X-31ca was administered before RSV infection without any RSV-specific antibody responses. The vaccination induced an immediate release of cytokines and infiltration of leukocytes into the respiratory tract, moderating the immune perturbation caused by RSV infection. The potency of protection against RSV challenge was significantly reduced in TLR3-/- TLR7-/- mice, confirming that the TLR3/7 signaling pathways are necessary for the observed immediate and short-term protection. The results suggest that CAIVs provide short-term, non-specific protection against genetically unrelated respiratory pathogens. The additional benefits of CAIVs in mitigating acute respiratory infections for which vaccines are not yet available need to be assessed in future studies.

Survey of current trends in DNA synthesis core facilities.

Science.gov (United States)

Hager, K M; Fox, J W; Gunthorpe, M; Lilley, K S; Yeung, A

1999-12-01

The Nucleic Acids Research Group of the Association of Biomolecular Resource Facilities (ABRF) last surveyed DNA synthesis core facilities in April 1995. Because of the introduction of new technologies and dramatic changes in the market, we sought to update survey information and to determine how academic facilities responded to the challenge presented by commercial counterparts. The online survey was opened in January 1999 by notifying members and subscribers to the ABRF electronic discussion group. The survey consisted of five parts: general facility information, oligonucleotide production profile, oligonucleotide charges, synthesis protocols, and trends in DNA synthesis (including individual comments). All submitted data were anonymously coded. Respondents from DNA synthesis facilities were primarily from the academic category and were established between 1984 and 1991. Typically, a facility provides additional services such as DNA sequencing and has upgraded to electronic ordering. There is stability in staffing profiles for these facilities in that the total number of employees is relatively unchanged, the tenure for staff averages 5.9 years, and experience is extensive. On average, academic facilities annually produce approximately 1/16 the number of oligonucleotides produced by the average commercial facilities, but all facilities report an increase in demand. Charges for standard oligonucleotides from academic facilities are relatively higher than from commercial companies; however, the opposite is true for modified phosphoramidites. Subsidized facilities charge less than nonsubsidized facilities. Synthesis protocols and reagents are standard across the categories. Most facilities offer typical modifications such as biotinylation. Despite the competition by large commercial facilities that have reduced costs dramatically, academic facilities remain a stable entity. Academic facilities enhance the quality of service by focusing on nonstandard

Different types of additional somatosensory information do not promote immediate benefits on gait in patients with Parkinson's disease and older adults

Directory of Open Access Journals (Sweden)

Ellen Lirani-Silva

2015-09-01

Full Text Available AbstractPlantar cutaneous stimulation has been shown to improve gait in Parkinson's disease (PD, but the effects of different types of insoles have not been tested. We evaluated the immediate effect of different types of insoles on gait in PD patients and healthy older adults. Nineteen PD patients and nineteen healthy older adults performed and performed a walking task at their self-selected speed in three conditions: conventional insole, insole with a raised ridge around the foot perimeter, and insole with half-spheres. Plantar sensation was evaluated before and after the walking protocol. There were no differences between groups for plantar sensation before and after the walking task. PD patients demonstrated reduced stride length and stride velocity. There were no immediate benefits offered by the insoles on gait of either group. The increased plantar cutaneous stimulation does not promote immediate benefits on gait in PD patients and healthy older adults.

Delivering information: a descriptive study of Australian women's information needs for decision-making about birth facility.

Science.gov (United States)

Thompson, Rachel; Wojcieszek, Aleena M

2012-06-18

Little information is known about what information women want when choosing a birth facility. The objective of this study was to inform the development of a consumer decision support tool about birth facility by identifying the information needs of maternity care consumers in Queensland, Australia. Participants were 146 women residing in both urban and rural areas of Queensland, Australia who were pregnant and/or had recently given birth. A cross-sectional survey was administered in which participants were asked to rate the importance of 42 information items to their decision-making about birth facility. Participants could also provide up to ten additional information items of interest in an open-ended question. On average, participants rated 30 of the 42 information items as important to decision-making about birth facility. While the majority of information items were valued by most participants, those related to policies about support people, other women's recommendations about the facility, freedom to choose one's preferred position during labour and birth, the aesthetic quality of the facility, and access to on-site neonatal intensive care were particularly widely valued. Additional items of interest frequently focused on postnatal care and support, policies related to medical intervention, and access to water immersion. The women surveyed had significant and diverse information needs for decision-making about birth facility. These findings have immediate applications for the development of decision support tools about birth facility, and highlight the need for tools which provide a large volume of information in an accessible and user-friendly format. These findings may also be used to guide communication and information-sharing by care providers involved in counselling pregnant women and families about their options for birth facility or providing referrals to birth facilities.

Natural disturbance reduces disease risk in endangered rainforest frog populations.

Science.gov (United States)

Roznik, Elizabeth A; Sapsford, Sarah J; Pike, David A; Schwarzkopf, Lin; Alford, Ross A

2015-08-21

Natural disturbances can drive disease dynamics in animal populations by altering the microclimates experienced by hosts and their pathogens. Many pathogens are highly sensitive to temperature and moisture, and therefore small changes in habitat structure can alter the microclimate in ways that increase or decrease infection prevalence and intensity in host populations. Here we show that a reduction of rainforest canopy cover caused by a severe tropical cyclone decreased the risk of endangered rainforest frogs (Litoria rheocola) becoming infected by a fungal pathogen (Batrachochytrium dendrobatidis). Reductions in canopy cover increased the temperatures and rates of evaporative water loss in frog microhabitats, which reduced B. dendrobatidis infection risk in frogs by an average of 11-28% in cyclone-damaged areas, relative to unaffected areas. Natural disturbances to the rainforest canopy can therefore provide an immediate benefit to frogs by altering the microclimate in ways that reduce infection risk. This could increase host survival and reduce the probability of epidemic disease outbreaks. For amphibian populations under immediate threat from this pathogen, targeted manipulation of canopy cover could increase the availability of warmer, drier microclimates and therefore tip the balance from host extinction to coexistence.

Soft and Hard Tissue Changes Following Immediate Placement or Immediate Restoration of Single-Tooth Implants in the Esthetic Zone: A Systematic Review and Meta-Analysis.

Science.gov (United States)

Yan, Qi; Xiao, Li-Qun; Su, Mei-Ying; Mei, Yan; Shi, Bin

This systematic review aimed to compare immediate protocols with conventional protocols of single-tooth implants in terms of changes in the surrounding hard and soft tissue in the esthetic area. Electronic and manual searches were performed in PubMed, EMBASE, Cochrane, and other data systems for research articles published between January 2001 and December 2014. Only randomized controlled trials (RCTs) reporting on hard and or soft tissue characteristics following a single-tooth implant were included. Based on the protocol used in each study, the included studies were categorized into three groups to assess the relationships between the factors and related esthetic indexes. Variables such as marginal bone level changes (mesial, distal, and mean bone level), peri-implant soft tissue changes (papilla level, midbuccal mucosa, and probing depth), and other esthetic indices were taken into consideration. The data were analyzed using RevMan version 5.3, Stata 12, and GRADEpro 3.6.1 software. A total of 13 RCTs met the inclusion criteria. Four studies examined immediate implant placement, five studies examined immediate implant restoration, and four studies examined immediate loading. Comparing the bone level changes following immediate and conventional restoration, no significant differences were found in the bone level of the mesial site (standard mean difference [SMD] = -0.04 mm; 95% confidence interval [CI]: -0.25 to 0.17 mm), the distal site (SMD = -0.15 mm; 95% CI: -0.38 to 0.09 mm), and the mean bone level changes (SMD = 0.05 mm; 95% CI: -0.18 to 0.27 mm). The difference in the marginal bone level changes between immediate and conventional loading was also not statistically significant (SMD = -0.05 mm; 95% CI: -0.15 to 0.06 mm for the mesial site and SMD = -0.02 mm; 95% CI: -0.09 to 0.05 mm for the distal site). Soft tissue changes following immediate and conventional restoration reported no significant differences in the papillae level of the mesial site (SMD = 0

Use of fire hazard analysis to cost effectively manage facility modifications

Energy Technology Data Exchange (ETDEWEB)

Krueger, K., E-mail: kkruger@plcfire.com [PLC Fire Safety Solutions, Fredericton, NB (Canada); Cronk, R., E-mail: rcronk@plcfire.com [PLC Fire Safety Solutions, Mississauga, ON (Canada)

2014-07-01

In Canada, licenced Nuclear power facilities, or facilities that process, handle or store nuclear material are required by the Canadian Nuclear Safety Commission to have a change control process in place. These processes are in place to avoid facility modifications that could result in an increase in fire hazards, or degradation of fire protection systems. Change control processes can have a significant impact on budgets associated with plant modifications. A Fire Hazard Analysis (FHA) is also a regulatory requirement for licenced facilities in Canada. An FHA is an extensive evaluation of a facility's construction, nuclear safety systems, fire hazards, and fire protection features. This paper is being presented to outline how computer based data management software can help organize facilities' fire safety information, manage this information, and reduce the costs associated with preparation of FHAs as well as facilities' change control processes. (author)

Nonexpansive immediate breast reconstruction using human acellular tissue matrix graft (AlloDerm).

Science.gov (United States)

Salzberg, C Andrew

2006-07-01

Immediate breast reconstruction has become a standard of care following mastectomy for cancer, largely due to improved esthetic and psychologic outcomes achieved with this technique. However, the current historical standards--transverse rectus abdominis myocutaneous flap reconstruction and expander--implant surgery-still have limitations as regards patient morbidity, short-term body-image improvements, and even cost. To address these shortcomings, we employ a novel concept of human tissue replacement to enhance breast shape and provide total coverage, enabling immediate mound reconstruction without the need for breast expansion prior to permanent implant placement. AlloDerm (human acellular tissue matrix) is a human-derived graft tissue with extensive experience in various settings of skin and soft tissue replacement surgery. This report describes the success using acellular tissue matrix to provide total coverage over the prosthesis in immediate reconstruction, with limited muscle dissection. In this population, 49 patients (76 breasts) successfully underwent the acellular tissue matrix-based immediate reconstruction, resulting in durable breast reconstruction with good symmetry. These findings may predict that acellular tissue matrix-supplemented immediate breast reconstruction will become a new technique for the immediate reconstruction of the postmastectomy breast.

Delayed versus immediate treatment for patients with acute hepatitis C: a randomised controlled non-inferiority trial.

Science.gov (United States)

Deterding, Katja; Grüner, Norbert; Buggisch, Peter; Wiegand, Johannes; Galle, Peter R; Spengler, Ulrich; Hinrichsen, Holger; Berg, Thomas; Potthoff, Andrej; Malek, Nisar; Großhennig, Anika; Koch, Armin; Diepolder, Helmut; Lüth, Stefan; Feyerabend, Sandra; Jung, Maria Christina; Rogalska-Taranta, Magdalena; Schlaphoff, Verena; Cornberg, Markus; Manns, Michael P; Wedemeyer, Heiner

2013-06-01

asymptomatic patients had a sustained virological response. 22 (42%) of 52 symptomatic patients allocated to receive delayed treatment did not complete follow-up compared with 20 (25%) of 80 symptomatic or asymptomatic patients assigned immediate treatment (p=0·037). 11 symptomatic patients (21%) assigned delayed treatment had spontaneous HCV clearance. 14 patients who received delayed pegylated interferon alfa-2b plus ribavirin treatment and completed follow-up achieved sustained virological response. Delayed treatment is effective although not of equal efficacy to immediate treatment; coupled with the rate of spontaneous clearance it can reduce unnecessary treatment in closely monitored populations. Immediate treatment seems preferable in populations where loss to follow-up is great. German Network of Competence on Viral Hepatitis (HepNet, funded by the German Federal Ministry of Education and Research, grants 01KI0102, 01KI0401, and 01KI0601), MSD, Schering-Plough. Copyright © 2013 Elsevier Ltd. All rights reserved.

Facility effluent monitoring plan determinations for the 400 Area facilities

International Nuclear Information System (INIS)

Nickels, J.M.

1991-09-01

This Facility Effluent Monitoring Plan determination resulted from an evaluation conducted for the Westinghouse Hanford Company 400 Area facilities on the Hanford Site. The Facility Effluent Monitoring Plan determinations have been prepared in accordance with A Guide for Preparing Hanford Site Facility Effluent Monitoring Plans. Two major Westinghouse Hanford Company facilities in the 400 Area were evaluated: the Fast Flux Test Facility and the Fuels Manufacturing and examination Facility. The determinations were prepared by Westinghouse Hanford Company. Of these two facilities, only the Fast Flux Test Facility will require a Facility Effluent Monitoring Plan. 7 refs., 5 figs., 4 tabs

Immediate effects of chest physiotherapy on hemodynamic, metabolic, and oxidative stress parameters in subjects with septic shock.

Science.gov (United States)

dos Santos, Rafael S; Donadio, Márcio V F; da Silva, Gabriela V; Blattner, Clarissa N; Melo, Denizar A S; Nunes, Fernanda B; Dias, Fernando S; Squizani, Eamim D; Pedrazza, Leonardo; Gadegast, Isabella; de Oliveira, Jarbas R

2014-09-01

Septic shock presents as a continuum of infectious events, generating tissue hypoxia and hypovolemia, and increased oxidative stress. Chest physiotherapy helps reduce secretion, improving dynamic and static compliance, as well as improving secretion clearance and preventing pulmonary complications. The purpose of this study was to evaluate the immediate effect of chest physiotherapy on hemodynamic, metabolic, inflammatory, and oxidative stress parameters in subjects in septic shock. We conducted a quasi-experimental study in 30 subjects in septic shock, who underwent chest physiotherapy, without associated heart diseases and with vasopressors stress were evaluated before and 15 min after physiotherapy. Thirty subjects with a mean age of 61.8 ± 15.9 y and Sequential Organ Failure Assessment of 8 (range 6-10) were included. Chest physiotherapy caused a normalization of pH (P = .046) and P(aCO2) (P = .008); reduction of lactate (P = .001); and an increase in P(aO2) (P = .03), arterial oxygen saturation (P = .02), and P(aO2)/F(IO2) (P = .034), 15 min after it was applied. The results indicate that chest physiotherapy has immediate effects, improving oxygenation and reducing lactate and oxidative damage in subjects in septic shock. However, it does not cause alterations in the inflammatory and hemodynamic parameters. Copyright © 2014 by Daedalus Enterprises.

Development of thermo-plastic heating and compaction facility

International Nuclear Information System (INIS)

Ko, Dae Hak; Lim, Suk Nam

1998-01-01

Low- and intermediate-level radioactive wastes consist of spent resin, spent filter, concentrated waste and dry active waste(DAW) and they are solidified or packaged into drums or high integrated containers(HICs). DAWs occupy 50 percent of all low- and intermediate-level radioactive wastes generated from nuclear power plants in Korea. Incinerable wastes in the DAWs are about 60 percent. Therefore, it is very important for us to reduce the volume of incinerable wastes in DAWs. Experience of supercompaction turned out that thermo-plastic wastes have a swelling effect after supercompaction process due to their repulsive power. And the thermo-plastic heating and compaction facility has been developed by KEPCO. In conclusion, heating and compaction facility can reduce the volume of DAWs as well as upgrade the quality of treated wastes, because the swelling effect by repulsive power after compaction is removed, final wastes form the shape of block and they have no free-standing water in the wastes. Plan for practical use is that this facility will be installed in other nuclear power plants in Korea in 1999. (Cho, G. S.). 1 tab., 2 figs

Analysis of the NASA White Sands Test Facility (WSTF) Test System for Friction-Ignition of Metallic Materials

Science.gov (United States)

Shoffstall, Michael S.; Wilson, D. Bruce; Stoltzfus, Joel M.

2000-01-01

Friction is a known ignition source for metals in oxygen-enriched atmospheres. The test system developed by the NASA White Sands Test Facility in response to ASTM G-94 has been used successfully to determine the relative ignition from friction of numerous metallic materials and metallic materials pairs. These results have been ranked in terms of a pressure-velocity product (PV) as measured under the prescribed test conditions. A high value of 4.1(exp 8) watts per square meter for Inconel MA 754 is used to imply resistance to friction ignition, whereas a low value of 1.04(exp 8) watts per square meter for stainless steel 304 is taken as indicating material susceptible to friction ignition. No attempt has been made to relate PV values to other material properties. This work reports the analysis of the WSTF friction-ignition test system for producing fundamental properties of metallic materials relating to ignition through friction. Three materials, aluminum, titanium, and nickel were tested in the WSTF frictional ignition instrument system under atmospheres of oxygen or nitrogen. Test conditions were modified to reach a steady state of operation, that is applied, the force was reduced and the rotational speed was reduced. Additional temperature measurements were made on the stator sample. The aluminum immediately galled on contact (reproducible) and the test was stopped. Titanium immediately ignited as a result of non-uniform contact of the stator and rotor. This was reproducible. A portion of the stator sampled burned, but the test continued. Temperature measurements on the stator were used to validate the mathematical model used for estimating the interface (stator/rotor) temperature. These interface temperature measurements and the associate thermal flux into the stator were used to distinguish material-phase transitions, chemical reaction, and mechanical work. The mechanical work was used to analyze surface asperities in the materials and to estimate a

Diagnostic Ability of Percutaneous Needle Biopsy Immediately After Radiofrequency Ablation for Malignant Lung Tumors: An Initial Experience

Energy Technology Data Exchange (ETDEWEB)

Hasegawa, Takaaki, E-mail: t-hasegawa@aichi-cc.jp [Aichi Cancer Center Hospital, Department of Diagnostic and Interventional Radiology (Japan); Kondo, Chiaki [Aichi Cancer Center Hospital, Department of Pathology and Molecular Diagnosis (Japan); Sato, Yozo; Inaba, Yoshitaka; Yamaura, Hidekazu; Kato, Mina; Murata, Shinichi; Onoda, Yui [Aichi Cancer Center Hospital, Department of Diagnostic and Interventional Radiology (Japan); Kuroda, Hiroaki; Sakao, Yukinori [Aichi Cancer Center Hospital, Department of Thoracic Surgery (Japan); Yatabe, Yasushi [Aichi Cancer Center Hospital, Department of Pathology and Molecular Diagnosis (Japan)

2016-08-15

PurposeTo evaluate the safety and diagnostic ability of percutaneous needle biopsy performed immediately after lung radiofrequency ablation (RFA).Materials and MethodsFrom May 2013 to April 2014, percutaneous needle biopsy was performed immediately after RFA for 3 patients (2 men and 1 woman, aged 57–76 years) who had lung tumors measuring 1.3–2.6 cm in diameter. All patients had prior history of malignancy, and all tumors were radiologically diagnosed as malignant. Obtained specimens were pathologically classified using standard hematoxylin and eosin staining.ResultsWe completed three planned sessions of RFA followed by percutaneous needle biopsy, all of which obtained tumor tissue that could be pathologically diagnosed. Two tumors were metastatic from renal clear cell carcinoma and rectal adenocarcinoma, respectively; one tumor was primary lung adenocarcinoma. There was no death or major complication related to the procedures. Although pneumothorax occurred in two patients, these resolved without the need for aspiration or chest tube placement. Tumor seeding was not observed, but 21 months after the procedure, one case developed local tumor progression that was treated by additional RFA.ConclusionPathologic diagnosis was possible by needle biopsy immediately after RFA for lung tumors. This technique may reduce the risks and efforts of performing biopsy and RFA on separate occasions.

Maxillary and mandibular immediately loaded implant-supported interim complete fixed dental prostheses on immediately placed dental implants with a digital approach: A clinical report.

Science.gov (United States)

Lewis, Ryan C; Harris, Bryan T; Sarno, Robert; Morton, Dean; Llop, Daniel R; Lin, Wei-Shao

2015-09-01

This clinical report describes the treatment of maxillary and mandibular immediate implant placement and immediately loaded implant-supported interim complete fixed dental prostheses with a contemporary digital approach. The virtual diagnostic tooth arrangement eliminated the need for a customized radiographic template, and the diagnostic data collection required for computer-guided surgery (digital diagnostic impressions, digital photographs, and a cone beam-computed tomography [CBCT] scan) was completed in a single visit with improved workflow efficiency. Computer-aided design and computer-aided manufacturing (CAD/CAM)-fabricated surgical templates and interim prosthesis templates were made in a dental laboratory to facilitate computer-guided surgery and the immediate loading process. Copyright © 2015 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.

Work plan for the Isotopes Facilities Deactivation Project at Oak Ridge National Laboratory

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-05-01

The purpose of the Isotopes Facilities Deactivation Project (IFDP) is to place former isotopes production facilities at the Oak Ridge National Laboratory in a safe, stable, and environmentally sound condition; suitable for an extended period of minimum surveillance and maintenance (S&M) and as quickly and economical as possible. Implementation and completion of the deactivation project will further reduce the risks to the environment and to public safety and health. Furthermore, completion of the project will result in significant S&M cost savings in future years. The IFDP work plan defines the project schedule, the cost estimate, and the technical approach for the project. A companion document, the IFDP management plan, has been prepared to document the project objectives, define organizational relationships and responsibilities, and outline the management control systems to be employed in the management of the project. The project has adopted the strategy of deactivating the simple facilities first, to reduce the scope of the project and to gain experience before addressing more difficult facilities. A decision support system is being developed to identify the activities that best promote the project mission and result in the largest cost savings. This work plan will be reviewed and revised annually. Deactivation of IFDP facilities was initiated in FY 1994 and will be completed in FY 1999. The schedule for deactivation of facilities is shown. The total cost of the project is estimated to be $36M. The costs are summarized. Upon completion of deactivation, annual S&M costs of these facilities will be reduced from the current level of $5M per year to less than $1M per year.

[Catastrophic antiphospholipid syndrome in the immediate puerperium].

Science.gov (United States)

Ortiz, P; Castro, A; Vallés, M; Coll, E; Casas, M; Mauri, J M

2003-01-01

We describe a female previously diagnosed of primary antiphospholipid antibody syndrome who presented a preclampsia in the second pregnancy. An urgent caesaria was made because of a worsening high blood pressure and oliguria. In the immediated puerperium she showed low platelets and persistent high blood pressure. Afterwards acute renal failure and neurological signs with a severe aortic valvulopathy were diagnosed. An haemolytic anemia was also detected. Definitive diagnosis was made by kidney biopsy with the result of a thrombotic microangiopathy. Treatment with low weight heparin and aspirin and systemic corticosteroids was started in the immediate puerperium and fresh frozen plasma was then added with a good response to treatment. Actually she is still with high blood pressure, aortic valvulopathy. Renal function is normal one year later.

Health facility-based Active Management of the Third Stage of Labor: findings from a national survey in Tanzania

Directory of Open Access Journals (Sweden)

Mfinanga Godfrey S

2009-04-01

Full Text Available Abstract Background Hemorrhage is the leading cause of obstetric mortality. Studies show that Active Management of Third Stage of Labor (AMTSL reduces Post Partum Hemorrhage (PPH. This study describes the practice of AMTSL and barriers to its effective use in Tanzania. Methods A nationally-representative sample of 251 facility-based vaginal deliveries was observed for the AMTSL practice. Standard Treatment Guidelines (STG, the Essential Drug List and medical and midwifery school curricula were reviewed. Drug availability and storage conditions were reviewed at the central pharmaceutical storage site and pharmacies in the selected facilities. Interviews were conducted with hospital directors, pharmacists and 106 health care providers in 29 hospitals visited. Data were collected between November 10 and December 15, 2005. Results Correct practice of AMTSL according to the ICM/FIGO definition was observed in 7% of 251 deliveries. When the definition of AMTSL was relaxed to allow administration of the uterotonic drug within three minutes of fetus delivery, the proportion of AMTSL use increased to 17%. The most significant factor contributing to the low rate of AMTSL use was provision of the uterotonic drug after delivery of the placenta. The study also observed potentially-harmful practices in approximately 1/3 of deliveries. Only 9% out of 106 health care providers made correct statements regarding the all three components of AMTSL. The national formulary recommends ergometrine (0.5 mg/IM or oxytocin (5 IU/IM on delivery of the anterior shoulder or immediately after the baby is delivered. Most of facilities had satisfactory stores of drugs and supplies. Uterotonic drugs were stored at room temperature in 28% of the facilities. Conclusion The knowledge and practice of AMTSL is very low and STGs are not updated on correct AMTSL practice. The drugs for AMTSL are available and stored at the right conditions in nearly all facilities. All providers used

[Esthetic analysis on immediate single-tooth implant restoration in anterior maxilla].

Science.gov (United States)

Li, Shao-wei; Wang, Guo-shi; Sha, Yan-zhi

2015-10-01

To evaluate the esthetic outcomes of immediate single-tooth implant restoration in anterior maxilla with the pink esthetic score (PES). Nine patients were treated with 9 Straumann implants by immediate single-tooth implant restoration in anterior maxilla. Assessment of PES after crown placement at 1 week (baseline) and 6 months after implantation was conducted. Statistical analysis was performed using SPSS 16.0 software package. Nine implants achieved a retention rate of 100%. PES for single-tooth implant was 10.33 ± 1.50 at 1 week and 11.44 ± 0.88 at 6 months after crown placement. The difference was significant(P=0.021). This study indicates that immediate single-tooth implant restoration in anterior maxilla is predictable. Immediate single-tooth implantation can result in good clinical esthetic results in most patients with single-tooth missing in anterior maxilla.

Decommissioning of nuclear facilities using current criteria

International Nuclear Information System (INIS)

Shum, E.Y.; Swift, J.J.; Malaro, J.C.

1991-01-01

When a licensed nuclear facility ceases operation, the US Nuclear Regulatory Commission (NRC) is responsible for ensuring that the facility and its site are decontaminated to an acceptable level so that it is safe to release that facility and site for unrestricted public use. Currently, the NRC is developing decommissioning criteria based on reducing public doses from residual contamination in soils and structures at sites released for unrestricted use to as low as is reasonably achievable (ALARA). Plans are to quantify ALARA in terms of an annual total effective dose equivalent (TEDE) to an average member of the most highly exposed population group. The NRC is working on a regulatory guidance document to provide a technical basis for translating residual contamination levels to annual dose levels. Another regulatory guide is being developed to provide guidance to the licensee on how to conduct radiological surveys to demonstration compliance with the NRC decommissioning criteria. The methods and approaches used in these regulatory guides on the decommissioning of a nuclear facility are discussed in the paper

Rehearsal and recall in immediate memory

NARCIS (Netherlands)

Sanders, A.F.

1961-01-01

Experiments on the influence of rehearsal on the retention and recoil of digit combinations are described, from the results of which it appears that a rehearsal period facilitates recall by producing a transition from immediate to permanent memory. It further seems that some parts of the material

Heat removal tests on dry storage facilities for nuclear spent fuels

International Nuclear Information System (INIS)

Wataru, M.; Saegusa, T.; Koga, T.; Sakamoto, K.; Hattori, Y.

1999-01-01

In Japan, spent fuel generated in NPP is controlled and stored in dry storage facility away-from reactor. Natural convection cooling system of the storage facility is considered advantageous from both safety and economic point of view. In order to realize this type of facility it is necessary to develop an evaluation method for natural convection characteristics and to make a rational design taking account safety and economic factors. Heat removal tests with the reduces scale models of storage facilities (cask, vault and silo) identified the the flow pattern in the test modules. The temperature and velocity distributions were obtained and the heat transfer characteristics were evaluated

Calculation of MUF for the Pyro-processing Facility

Energy Technology Data Exchange (ETDEWEB)

Jeong, Yon Hong; Kim, Woo Jin; Han, Jae Jun; Chang, Sun Young; Hwang, Yong Soo

2016-05-15

The IAEA safeguards system is divided into DIQ (Design Information Questionnaire), nuclear material accountancy, and additional measure such as C/S (Containment and Surveillance). As the detailed requirements for judging the diversion of nuclear materials, the IAEA suggests SQ (Significant Quantity) about SNM (Special Nuclear Materials), such as U and Pu, and the timeliness goal of detection about the diversion of nuclear materials. To operate facilities, it is required to accomplish these goals. In particular, in the case of the treatment facilities of spent nuclear fuel that has a high Pu content, it is very important to meet the requirements to judge the diversion of nuclear materials. However, given that item counting is impossible in bulk facilities, MUF (Material Unaccounted For) occurs inevitably in the process of nuclear material accountancy. Therefore, to meet the requirements, it is necessary to make evaluation in advance. To reduce such a MUF, the effects on a total MUF were analyzed. As a result, the error arising in a particular process such as U/TRU ingot and Porous Pellets was significant. Therefore, it is necessary to reduce measurement error in the process. MUF is one of requirements to judge the diversion of nuclear materials, and the requirement should be met. Nevertheless, it is required to come up with additional measures to prevent the exclusive use and reduce MUF, such as containment, surveillance, or multi-channel based processing design.

Case of immediate hypersensitivity to beer.

Science.gov (United States)

Inoue, Tomoko; Yagami, Akiko; Shimojo, Naoshi; Hara, Kazuhiro; Nakamura, Masashi; Matsunaga, Kayoko

2016-06-01

We report here a case of immediate hypersensitivity to beer, in which a female patient developed angioedema of the eyelids shortly after consuming beer. In skin prick tests, the patient showed positive reactions to the base ingredients of beer, particularly malt and barley. The specific serum immunoglobulin E antibodies against barley and malt displayed weakly positive reactivity. To identify the immunoreactive antigens, malt and barley proteins were separated by 2-D polyacrylamide gel electrophoresis and immunoreacted with the patient's serum. The results of mass spectrometric analysis revealed that the main antigen was a protein with similarity to protein z-type serpin. Notably, the identified antigen had a molecular weight of 20-25 kDa, which is markedly smaller than that previously reported for protein Z4 (44 kDa). Taken together, these analyses indicate that a possible new antigen which belongs to the protein Z family elicits immediate hypersensitivity to beer. © 2015 Japanese Dermatological Association.

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.)

Examining the Relationship between Immediate Serial Recall and Immediate Free Recall: Common Effects of Phonological Loop Variables but Only Limited Evidence for the Phonological Loop

Science.gov (United States)

Spurgeon, Jessica; Ward, Geoff; Matthews, William J.

2014-01-01

We examined the contribution of the phonological loop to immediate free recall (IFR) and immediate serial recall (ISR) of lists of between one and 15 words. Following Baddeley (1986, 2000, 2007, 2012), we assumed that visual words could be recoded into the phonological store when presented silently but that recoding would be prevented by…

The Effect of D-Cycloserine on Immediate vs. Delayed Extinction of Learned Fear

Science.gov (United States)

Langton, Julia M.; Richardson, Rick

2010-01-01

We compared the effect of D-cycloserine (DCS) on immediate (10 min after conditioning) and delayed (24 h after conditioning) extinction of learned fear in rats. DCS facilitated both immediate and delayed extinction when the drug was administered after extinction training. However, DCS did not facilitate immediate extinction when administered prior…

GENIUS-TF - a test facility for the GENIUS project. Proposal

International Nuclear Information System (INIS)

Klapdor-Kleingrothaus, H.V.; Dietz, A.; Heusser, G.

2001-02-01

GENIUS is a proposal for a large scale detector of rare events. As a first step of the experiment, a small test version, the Genius Test-Facility is proposed to be built up at the Laboratori Nazionali del Gran Sasso (LNGS). With about 40 kg of natural Ge detectors operated in liquid nitrogen, Genius-TF could exclude (or directly confirm) the DAMA annual modulation signature within about two years of measurement using both, signal and signature of the claimed WIMP Dark matter. The funding of the experiment has already been approved and four 2.5 kg germanium detectors with an extreme low treshold of 500 eV have been produced. The installation can be started immediately. No additional space in the Underground Laboratory is required. (orig.)

Standard Specification for Nuclear Facility Transient Worker Records

CERN Document Server

American Society for Testing and Materials. Philadelphia

1995-01-01

1.1 This specification covers the required content and provides retention requirements for records needed for in-processing of nuclear facility transient workers. 1.2 This specification applies to records to be used for in-processing only. 1.3 This specification is not intended to cover specific skills records (such as equipment operating licenses, ASME inspection qualifications, or welding certifications). 1.4 This specification does not reduce any regulatory requirement for records retention at a licensed nuclear facility. Note 1—Nuclear facilities operated by the U.S. Department of Energy (DOE) are not licensed by the U.S. Nuclear Regulatory Commission (NRC), nor are other nuclear facilities that may come under the control of the U.S. Department of Defense (DOD) or individual agreement states. The references in this specification to licensee, the U.S. NRC Regulatory Guides, and Title 10 of the U.S. Code of Federal Regulations are to imply appropriate alternative nomenclature with respect to DOE, DOD...

R.4. Innovative concept for plutonium finishing facility

International Nuclear Information System (INIS)

Bertolotti, G.; Laguerie, I.V. de; Richter, R.; Gillet, B.

1998-01-01

After complete shutdown of the units of the previous UP2 plant, the new R4 facility will ensure the purification of Plutonium of the UP2-800 plant for the whole range of fuel to be reprocessed in the years to come. This facility features four main units: - Purification of plutonium nitrate; - Conversion into plutonium oxide; - PuO 2 conditioning into cans; Acid recovery. An extensive R and D program resulted in significant innovations. From a technological aspect the centrifugal extractor and the sub-critical tube bundle tank contributed to the reduction of the building dimensions. The extensive use of on-line analyses enables a more efficient follow-up of the process while minimizing the effluent production. On the other hand, the organization of the building which consists in grouping the rooms presenting the same risk of dispersal of nuclear materials also contributed to reduce the active zone volume. This facility, as any other facilities on the LA HAGUE site, will be remotely operated. (author)

Lead in Drinking Water in Schools and Childcare Facilities

Science.gov (United States)

... The heightened vulnerability of young children, and The importance of reducing potential sources of contamination from school and child care facilities. 3Ts – Training, Testing, and Telling: Join EPA’s effort ...

Upgrading safety systems of industrial irradiation facilities

International Nuclear Information System (INIS)

Gomes, R.S.; Gomes, J.D.R.L.; Costa, E.L.C.; Costa, M.L.L.; Thomé, Z.D.

2017-01-01

The first industrial irradiation facility in operation in Brazil was designed in the 70s. Nowadays, twelve commercial and research facilities are in operation and two already decommissioned. Minor modifications and upgrades, as sensors replacement, have been introduced in these facilities, in order to reduce the technological gap in the control and safety systems. The safety systems are designed in agreement with the codes and standards at the time. Since then, new standards, codes and recommendations, as well as lessons learned from accidents, have been issued by various international committees or regulatory bodies. The rapid advance of the industry makes the safety equipment used in the original construction become obsolete. The decreasing demand for these older products means that they are no longer produced, which can make it impossible or costly to obtain spare parts and the expansion of legacy systems to include new features. This work aims to evaluate existing safety systems at Brazilian irradiation facilities, mainly the oldest facilities, taking into account the recommended IAEA's design requirements. Irrespective of the fact that during its operational period no event with victims have been recorded in Brazilian facilities, and that the regulatory inspections do not present any serious deviations regarding the safety procedures, it is necessary an assessment of safety system with the purpose of bringing their systems to 'the state of the art', avoiding their rapid obsolescence. This study has also taken into account the knowledge, concepts and solutions developed to upgrading safety system in irradiation facilities throughout the world. (author)

Upgrading safety systems of industrial irradiation facilities

Energy Technology Data Exchange (ETDEWEB)

Gomes, R.S.; Gomes, J.D.R.L.; Costa, E.L.C.; Costa, M.L.L., E-mail: rogeriog@cnen.gov.br, E-mail: jlopes@cnen.gov.br, E-mail: evaldo@cnen.gov.br, E-mail: mara@cnen.gov.br [Comissão Nacional de Energia Nuclear (CNEN), Rio de Janeiro, RJ (Brazil). Diretoria de Radioproteção e Segurança Nuclear; Thomé, Z.D., E-mail: zielithome@gmail.com [Instituto Militar de Engenharia (IME), Rio de Janeiro, RJ (Brazil). Seção de Engenharia Nuclear

2017-07-01

The first industrial irradiation facility in operation in Brazil was designed in the 70s. Nowadays, twelve commercial and research facilities are in operation and two already decommissioned. Minor modifications and upgrades, as sensors replacement, have been introduced in these facilities, in order to reduce the technological gap in the control and safety systems. The safety systems are designed in agreement with the codes and standards at the time. Since then, new standards, codes and recommendations, as well as lessons learned from accidents, have been issued by various international committees or regulatory bodies. The rapid advance of the industry makes the safety equipment used in the original construction become obsolete. The decreasing demand for these older products means that they are no longer produced, which can make it impossible or costly to obtain spare parts and the expansion of legacy systems to include new features. This work aims to evaluate existing safety systems at Brazilian irradiation facilities, mainly the oldest facilities, taking into account the recommended IAEA's design requirements. Irrespective of the fact that during its operational period no event with victims have been recorded in Brazilian facilities, and that the regulatory inspections do not present any serious deviations regarding the safety procedures, it is necessary an assessment of safety system with the purpose of bringing their systems to 'the state of the art', avoiding their rapid obsolescence. This study has also taken into account the knowledge, concepts and solutions developed to upgrading safety system in irradiation facilities throughout the world. (author)

Delivering information: A descriptive study of Australian women’s information needs for decision-making about birth facility

Directory of Open Access Journals (Sweden)

Thompson Rachel

2012-06-01

Full Text Available Abstract Background Little information is known about what information women want when choosing a birth facility. The objective of this study was to inform the development of a consumer decision support tool about birth facility by identifying the information needs of maternity care consumers in Queensland, Australia. Methods Participants were 146 women residing in both urban and rural areas of Queensland, Australia who were pregnant and/or had recently given birth. A cross-sectional survey was administered in which participants were asked to rate the importance of 42 information items to their decision-making about birth facility. Participants could also provide up to ten additional information items of interest in an open-ended question. Results On average, participants rated 30 of the 42 information items as important to decision-making about birth facility. While the majority of information items were valued by most participants, those related to policies about support people, other women’s recommendations about the facility, freedom to choose one’s preferred position during labour and birth, the aesthetic quality of the facility, and access to on-site neonatal intensive care were particularly widely valued. Additional items of interest frequently focused on postnatal care and support, policies related to medical intervention, and access to water immersion. Conclusions The women surveyed had significant and diverse information needs for decision-making about birth facility. These findings have immediate applications for the development of decision support tools about birth facility, and highlight the need for tools which provide a large volume of information in an accessible and user-friendly format. These findings may also be used to guide communication and information-sharing by care providers involved in counselling pregnant women and families about their options for birth facility or providing referrals to birth facilities.

Balloon dilatation of tuberculous bronchial stenosis: immediate and long term effect

International Nuclear Information System (INIS)

Lee, Sang Yoon; Kwak, Byung Kook; Kang, Ho Yeong; Kim, Tae Hoon; Kim, Soo Rhan; Park, Hyun Sun; Lee, Shin Hyung; Lee, Chang Joon

1997-01-01

To evaluate the long-term immediate effects of balloon dilatation of the tuberculous bronchial stenosis. Twenty-three women with tuberculous bronchial stenosis (19, left main bronchus ; 4, right main bronchus) underwent balloon dilatation (13 bronchoscopically guided ; 10 fluoroscopically guided). Immediate (n=23) and long-term follow-up (mean, 17.2 months; range, 1month-6years 3months ; n=20) assessments focused on changes in the results of the pulmonary function test (PFT). An increase in FVC or FEVI of more than 10% after the procedure was considered effective. In all patients, any complications were evaluated. Balloon dilatation was effective at immediate follow-up in 69.5% of patients(16/23) and in 75.0%(15/20) at long-term follow-up. Bronchoscopically and fluoroscopically-guided balloon dilatation proved effective in 61.5%(8/13) and 80.0% of patients(8/10) on immediate follow-up respectively, but in 90.0%(9/10) and 60.0%(6/10) on long term follow-up respectively. Balloon dilatation was effective in the active(n 10) and inactive(n = 13) stage of tuberculous bronchitis in 80.0%(8/10) and 61.5% of cases(8/13) on immediate follow-up respectively, but in 66.6%(6/9) and 81.8%(9/11) on long term follow-up study, respectively. On immediate follow-up, balloon dilatation of tubular bronchial stenosis was more effective in the active than in the inactive stage, but on long-term follow-up was less effective ; long-term improvement in the inactive stage was, however, well-maintained

Immediate or deferred adjustment of drug regimens in multidose drug dispensing systems.

Science.gov (United States)

Mertens, Bram J; Kwint, Henk-Frans; van Marum, Rob J; Bouvy, Marcel L

2018-05-18

Multidose drug dispensing (MDD) is used to help patients take their medicines appropriately. Little is known about drug regimen changes within these MDD systems and how they are effectuated by the community pharmacist. Manual immediate adjustments of the MDD system could introduce dispensing errors. MDD guidelines therefore recommend to effectuate drug regimen changes at the start of a new MDD system. The aim of this study was to investigate the frequency, type, procedure followed, immediate necessity, and time taken to make MDD adjustments. This was a cross-sectional study in eight community pharmacies in the Netherlands. All adjustments to MDD systems were systematically documented for 3 weeks by the community pharmacist. Overall, 261 MDD adjustments involving 364 drug changes were documented for 250 patients: 127 (35%) drug changes involved the addition of a new drug, 124 (34%) a change in dosage, and 95 (26%) drug discontinuation. Of the MDD adjustments, 135 (52%) were effectuated immediately: 81 (31%) by adjusting the MDD system manually, 49 (19%) by temporarily dispensing the drug separately from the MDD system, and 5 (2%) by ordering a new MDD system. Pharmacists considered that 36 (27%) of the immediate MDD adjustments could have been deferred until the next MDD system was produced. Immediate adjustment took significantly longer than deferred adjustment (p < 0.001). This study shows that in patients using MDD systems, over half of the drug regimen changes are adjusted immediately. The necessity of these immediate changes should be critically evaluated. Copyright © 2018. Published by Elsevier Inc.

Australian national proton facility

International Nuclear Information System (INIS)

Jackson, M.

2000-01-01

important in children and other long-term survivors. When used with chemotherapy, the lower dose to normal tissue will reduce acute toxicity and the risk of second malignancies. It may also be possible to use a smaller number of radiotherapy fractions and thus reduce the total cost of treatment. With the development of more compact and reliable accelerators it is now possible to realistically plan for proton therapy in an Australian hospital. The Australian National Proton Project has been formed to look at the feasibility of such a facility, which would be primarily for patient treatment but would also be suitable for research and commercial applications. A detailed report will be produced early next year. This presentation will outline the planned facility that would have a combination of fixed and rotating beams with an energy range of 70-250 MeV. Such a centre would enable the conduct of randomised trials and a comparison with other radiotherapy techniques such as Intensity Modulated Radiation Therapy. The beam would be available for physics, engineering and biological research

BRAHMMA - accelerator driven subcritical facility

International Nuclear Information System (INIS)

Roy, Tushar; Shukla, Shefali; Shukla, M.; Ray, N.K.; Kashyap, Y.S.; Patel, T.; Gadkari, S.C.

2017-01-01

Accelerator Driven Subcritical systems are being studied worldwide for their potential in burning minor actinides and reducing long term radiotoxicity of spent nuclear fuels. In order to pursue the physics studies of Accelerator Driven Subcritical systems, a thermal subcritical assembly BRAHMMA (BeOReflectedAndHDPeModeratedMultiplying Assembly) has been developed at Purnima Labs, BARC. The facility consists of two major components: Subcritical core and Accelerator (DT/ DD Purnima Neutron Generator)

LASIK flap buttonhole treated immediately by PRK with mitomycin C.

Science.gov (United States)

Kymionis, George D; Portaliou, Dimitra M; Karavitaki, Alexandra E; Krasia, Maria S; Kontadakis, Georgios A; Stratos, Aimilianos; Yoo, Sonia H

2010-03-01

To describe the visual outcomes of three patients who had LASIK flap buttonhole and were treated immediately with photorefractive keratectomy (PRK) and topical mitomycin C (MMC) 0.02%. Three patients underwent bilateral LASIK with the SCHWIND Carriazo-Pendula 90 microm head microkeratome. In all three cases, a buttonhole flap occurred in the left eye. The flap was repositioned and phototherapeutic keratectomy for 50 microm was used for epithelial removal while immediate PRK with MMC was performed to treat the buttonhole flap. Three months after the procedure, uncorrected distance visual acuity and corrected distance visual acuity were 20/20 with regular topographic findings. Using PRK with MCC immediately after the occurrence of the LASIK flap buttonhole may be an effective treatment.

Space Nuclear Facility test capability at the Baikal-1 and IGR sites Semipalatinsk-21, Kazakhstan

Science.gov (United States)

Hill, T. J.; Stanley, M. L.; Martinell, J. S.

1993-01-01

The International Space Technology Assessment Program was established 1/19/92 to take advantage of the availability of Russian space technology and hardware. DOE had two delegations visit CIS and assess its space nuclear power and propulsion technologies. The visit coincided with the Conference on Nuclear Power Engineering in Space Nuclear Rocket Engines at Semipalatinsk-21 (Kurchatov, Kazakhstan) on Sept. 22-25, 1992. Reactor facilities assessed in Semipalatinski-21 included the IVG-1 reactor (a nuclear furnace, which has been modified and now called IVG-1M), the RA reactor, and the Impulse Graphite Reactor (IGR), the CIS version of TREAT. Although the reactor facilities are being maintained satisfactorily, the support infrastructure appears to be degrading. The group assessment is based on two half-day tours of the Baikals-1 test facility and a brief (2 hr) tour of IGR; because of limited time and the large size of the tour group, it was impossible to obtain answers to all prepared questions. Potential benefit is that CIS fuels and facilities may permit USA to conduct a lower priced space nuclear propulsion program while achieving higher performance capability faster, and immediate access to test facilities that cannot be available in this country for 5 years. Information needs to be obtained about available data acquisition capability, accuracy, frequency response, and number of channels. Potential areas of interest with broad application in the U.S. nuclear industry are listed.

Safeguards at NRC licensed facilities: Are we doing enough

International Nuclear Information System (INIS)

Asselstine, J.K.

1986-01-01

Safeguards at the Nuclear Regulatory Commission (NRC) facilities are discussed in this paper. The NRC is pursuing a number of initiatives in the safeguards area. The Commission is conducting a reassessment of its safeguards design basis threat statements to consider the possible implications of an explosive-laden vehicle for U.S. nuclear safeguards and to examine the comparability of safeguards features at NRC-licensed and DOE facilities. The Commission is also completing action on measures to protect against the sabotage threat from an insider at NRC-licensed facilities, and is examining the potential safety implications of safeguards measures. Finally, the NRC has developed measures to reduce the theft potential for high-enriched uranium

Audit of the Uranium Solidification Facility at the Savannah River Site

International Nuclear Information System (INIS)

1994-01-01

In the late 1980s, DOE decided to construct a Uranium Solidification Facility at the Savannah River Site to process liquid uranyl nitrate into powder. Since the need for weapons materials has been reduced, an audit was conducted to assess the need for this facility. The audit disclosed that DOE continued to construct the facility, because DOE's procedures did not ensure that projects of this type were periodically reassessed when significant program changes occurred. The audit identified more economical alternatives for processing existing quantities of liquid uranyl nitrate at the Savannah River Site

Performance evaluation on air pollution reducing facilities and mechanism research on the third-party governance on environmental pollution

Science.gov (United States)

Bingsheng, Xu; Ling, Lin; Jin, Huang; Geng, Wang; Jianhua, Chen; Shuo, Yang; Huiting, Guo

2017-11-01

The paper focuses on developing the operational efficiency of air pollution reducing facilities and the treatment effect of the third-party governance on environmental pollution. Comprehensive analysis method and influence factor analysis are employed to build an evaluation index system by means of discussing major pollution control factors derived from the performance of pollution control equipment operation, environmental protection, technological economy, recourse consumption and manufacturing management. Based on the pattern of environmental pollution control offered by the third-party company, the static games model is further established between the government and the pollution emission firm by considering the whole process of the pollution abatement including investment, construction and operation of the treatment project, which focuses on establishing the policy condition and consequence by discussing the cost and benefit in a short and a long time, respectively. The research results can improve the market access requests of the pollution control equipment and normalize the environmental protection service offered by the third-party company. Moreover, the establishment of the evaluation index system for pollution control equipment and the evaluation mechanism for the third-party governance on environmental pollution has guiding significance on leading environmental protection industry and promoting market-oriented development

Music-dependent memory in immediate and delayed word recall.

Science.gov (United States)

Balch, W R; Bowman, K; Mohler, L

1992-01-01

Undergraduate volunteers rated a series of words for pleasantness while hearing a particular background music. The subjects in Experiment 1 received, immediately or after a 48-h delay, an unexpected word-recall test in one of the following musical cue contexts: same cue (S), different cue (D), or no cue (N). For immediate recall, context dependency (S-D) was significant but same-cue facilitation (S-N) was not. No cue effects at all were found for delayed recall, and there was a significant interaction between cue and retention interval. A similar interaction was also found in Experiment 3, which was designed to rule out an alternative explanation with respect to distraction. When the different musical selection was changed specifically in either tempo or form (genre), only pieces having an altered tempo produced significantly lower immediate recall compared with the same pieces (Experiment 2). The results support a stimulus generalization view of music-dependent memory.

Accuracy Assessment of Immediate and Delayed Implant Placements Using CAD/CAM Surgical Guides.

Science.gov (United States)

Alzoubi, Fawaz; Massoomi, Nima; Nattestad, Anders

2016-10-01

The aim of this study is to assess the accuracy of immediately placed implants using Anatomage Invivo5 computer-assisted design/computer-assisted manufacturing (CAD/CAM) surgical guides and compare the accuracy to delayed implant placement protocol. Patients who had implants placed using Anatomage Invivo5 CAD/CAM surgical guides during the period of 2012-2015 were evaluated retrospectively. Patients who received immediate implant placements and/or delayed implant placements replacing 1-2 teeth were included in this study. Pre- and postsurgical images were superimposed to evaluate deviations at the crest, apex, and angle. A total of 40 implants placed in 29 patients were included in this study. The overall mean deviations measured at the crest, apex, and angle were 0.86 mm, 1.25 mm, and 3.79°, respectively. The means for the immediate group deviations were: crest = 0.85 mm, apex = 1.10, and angle = 3.49°. The means for the delayed group deviations were: crest = 0.88 mm, apex = 1.59, and angle = 4.29°. No statistically significant difference was found at the crest and angle; however, there was a statistically significant difference between the immediate and delayed group at the apex, with the immediate group presenting more accurate placements at the apical point than the delayed group. CAD/CAM surgical guides can be reliable tools to accurately place implants immediately and/or in a delayed fashion. No statistically significant differences were found between the delayed and the immediate group at the crest and angle, however apical position was more accurate in the immediate group.

Application of heat in postcook meat chillers reduces Listeria.

Science.gov (United States)

Eglezos, Sofroni; Dykes, Gary A

2011-06-01

Electrical air-blowing heaters were used to heat and dry out holding chillers used for postcook commercial processed meats in an attempt to control the presence of Listeria. A baseline study of the prevalence of Listeria in holding chillers in seven facilities was undertaken. Listeria was detected in four of the seven chillers, and swab samples showed Listeria prevalence ranging from 7 (7.8%) of 90 to 6 (20%) of 30, depending on the facility. Two of the facilities with established Listeria contamination (A and E) were chosen for further studies. The heating trials consisted of three individual heating interventions at each of the two facilities, with 2 weeks of postintervention sampling after each treatment. The initial Listeria prevalence in chiller A was 19 (10.6%) of 180, and treatment at 37°C for 36 h reduced prevalence to 3 (1.7%) of 180. The initial Listeria prevalence in chiller E was 7 (7.8%) of 90, and treatment at 50°C for 2 h reduced prevalence to 0 of 90. Both reductions were statistically significant at P prevalence of Listeria in chillers.

Los Alamos Transuranic Waste Size Reduction Facility

International Nuclear Information System (INIS)

Harper, J.; Warren, J.

1987-06-01

The Los Alamos Transuranic (TRU) Waste Size Reduction Facility (SRF) is a production oriented prototype. The facility is operated to remotely cut and repackage TRU contaminated metallic wastes (e.g., glove boxes, ducting and pipes) for eventual disposal at the Waste Isolation Pilot Plant (WIPP) near Carlsbad, New Mexico. The resulting flat sections are packaged into a tested Department of Transportation Type 7A metal container. To date, the facility has successfully processed stainless steel glove boxes (with and without lead shielding construction) and retention tanks. We have found that used glove boxes generate more cutting fumes than do unused glove boxes or metal plates - possibly due to deeply embedded chemical residues from years of service. Water used as a secondary fluid with the plasma arc cutting system significantly reduces visible fume generation during the cutting of used glove boxes and lead-lined glove boxes. 2 figs., 1 tab

Dance Facilities.

Science.gov (United States)

Ashton, Dudley, Ed.; Irey, Charlotte, Ed.

This booklet represents an effort to assist teachers and administrators in the professional planning of dance facilities and equipment. Three chapters present the history of dance facilities, provide recommended dance facilities and equipment, and offer some adaptations of dance facilities and equipment, for elementary, secondary and college level…

A research program to reduce interior noise in general aviation airplanes. Design of an acoustic panel test facility

Science.gov (United States)

Roskam, J.; Muirhead, V. U.; Smith, H. W.; Henderson, T. D.

1977-01-01

The design, construction, and costs of a test facility for determining the sound transmission loss characteristics of various panels and panel treatments are described. The pressurization system and electronic equipment used in experimental testing are discussed as well as the reliability of the facility and the data gathered. Tests results are compared to pertinent acoustical theories for panel behavior and minor anomalies in the data are examined. A method for predicting panel behavior in the stiffness region is also presented.

Facilities inventory protection for nuclear facilities

International Nuclear Information System (INIS)

Schmitt, F.J.

1989-01-01

The fact that shut-down applications have been filed for nuclear power plants, suggests to have a scrutinizing look at the scopes of assessment and decision available to administrations and courts for the protection of facilities inventories relative to legal and constitutional requirements. The paper outlines the legal bases which need to be observed if purposeful calculation is to be ensured. Based on the different actual conditions and legal consequences, the author distinguishes between 1) the legal situation of facilities licenced already and 2) the legal situation of facilities under planning during the licencing stage. As indicated by the contents and restrictions of the pertinent provisions of the Atomic Energy Act and by the corresponding compensatory regulation, the object of the protection of facilities inventor in the legal position of the facility owner within the purview of the Atomic Energy Act, and the licensing proper. Art. 17 of the Atomic Energy Act indicates the legislators intent that, once issued, the licence will be the pivotal point for regulations aiming at protection and intervention. (orig./HSCH) [de

Implementation of patient charges at primary care facilities in Kenya: implications of low adherence to user fee policy for users and facility revenue.

Science.gov (United States)

Opwora, Antony; Waweru, Evelyn; Toda, Mitsuru; Noor, Abdisalan; Edwards, Tansy; Fegan, Greg; Molyneux, Sassy; Goodman, Catherine

2015-05-01

With user fees now seen as a major hindrance to universal health coverage, many countries have introduced fee reduction or elimination policies, but there is growing evidence that adherence to reduced fees is often highly imperfect. In 2004, Kenya adopted a reduced and uniform user fee policy providing fee exemptions to many groups. We present data on user fee implementation, revenue and expenditure from a nationally representative survey of Kenyan primary health facilities. Data were collected from 248 randomly selected public health centres and dispensaries in 2010, comprising an interview with the health worker in charge, exit interviews with curative outpatients, and a financial record review. Adherence to user fee policy was assessed for eight tracer conditions based on health worker reports, and patients were asked about actual amounts paid. No facilities adhered fully to the user fee policy across all eight tracers, with adherence ranging from 62.2% for an adult with tuberculosis to 4.2% for an adult with malaria. Three quarters of exit interviewees had paid some fees, with a median payment of US dollars (USD) 0.39, and a quarter of interviewees were required to purchase additional medical supplies at a later stage from a private drug retailer. No consistent pattern of association was identified between facility characteristics and policy adherence. User fee revenues accounted for almost all facility cash income, with average revenue of USD 683 per facility per year. Fee revenue was mainly used to cover support staff, non-drug supplies and travel allowances. Adherence to user fee policy was very low, leading to concerns about the impact on access and the financial burden on households. However, the potential to ensure adherence was constrained by the facilities' need for revenue to cover basic operating costs, highlighting the need for alternative funding strategies for peripheral health facilities. Published by Oxford University Press in association with

Elimination of Porcine Epidemic Diarrhea Virus in an Animal Feed Manufacturing Facility.

Directory of Open Access Journals (Sweden)

Anne R Huss

Full Text Available Porcine Epidemic Diarrhea Virus (PEDV was the first virus of wide scale concern to be linked to possible transmission by livestock feed or ingredients. Measures to exclude pathogens, prevent cross-contamination, and actively reduce the pathogenic load of feed and ingredients are being developed. However, research thus far has focused on the role of chemicals or thermal treatment to reduce the RNA in the actual feedstuffs, and has not addressed potential residual contamination within the manufacturing facility that may lead to continuous contamination of finished feeds. The purpose of this experiment was to evaluate the use of a standardized protocol to sanitize an animal feed manufacturing facility contaminated with PEDV. Environmental swabs were collected throughout the facility during the manufacturing of a swine diet inoculated with PEDV. To monitor facility contamination of the virus, swabs were collected at: 1 baseline prior to inoculation, 2 after production of the inoculated feed, 3 after application of a quaternary ammonium-glutaraldehyde blend cleaner, 4 after application of a sodium hypochlorite sanitizing solution, and 5 after facility heat-up to 60°C for 48 hours. Decontamination step, surface, type, zone and their interactions were all found to impact the quantity of detectable PEDV RNA (P < 0.05. As expected, all samples collected from equipment surfaces contained PEDV RNA after production of the contaminated feed. Additionally, the majority of samples collected from non-direct feed contact surfaces were also positive for PEDV RNA after the production of the contaminated feed, emphasizing the potential role dust plays in cross-contamination of pathogen throughout a manufacturing facility. Application of the cleaner, sanitizer, and heat were effective at reducing PEDV genomic material (P < 0.05, but did not completely eliminate it.

Patient-driven resource planning of a health care facility evacuation.

Science.gov (United States)

Petinaux, Bruno; Yadav, Kabir

2013-04-01

The evacuation of a health care facility is a complex undertaking, especially if done in an immediate fashion, ie, within minutes. Patient factors, such as continuous medical care needs, mobility, and comprehension, will affect the efficiency of the evacuation and translate into evacuation resource needs. Prior evacuation resource estimates are 30 years old. Utilizing a cross-sectional survey of charge nurses of the clinical units in an urban, academic, adult trauma health care facility (HCF), the evacuation needs of hospitalized patients were assessed periodically over a two-year period. Survey data were collected on 2,050 patients. Units with patients having low continuous medical care needs during an emergency evacuation were the postpartum, psychiatry, rehabilitation medicine, surgical, and preoperative anesthesia care units, the Emergency Department, and Labor and Delivery Department (with the exception of patients in Stage II labor). Units with patients having high continuous medical care needs during an evacuation included the neonatal and adult intensive care units, special procedures unit, and operating and post-anesthesia care units. With the exception of the neonate group, 908 (47%) of the patients would be able to walk out of the facility, 492 (25.5%) would require a wheelchair, and 530 (27.5%) would require a stretcher to exit the HCF. A total of 1,639 patients (84.9%) were deemed able to comprehend the need to evacuate and to follow directions; the remainder were sedated, blind, or deaf. The charge nurses also determined that 17 (6.9%) of the 248 adult intensive care unit patients were too ill to survive an evacuation, and that in 10 (16.4%) of the 61 ongoing surgery cases, stopping the case was not considered to be safe. Heath care facilities can utilize the results of this study to model their anticipated resource requirements for an emergency evacuation. This will permit the Incident Management Team to mobilize the necessary resources both within

National Ignition Facility frequency converter development

International Nuclear Information System (INIS)

Barker, C.E.; Auerbach, J.M.; Adams, C.H.

1996-01-01

A preliminary error budget for the third harmonic converter for the National Ignition Facility (NIF) laser driver has been developed using a root-sum-square-accumulation of error sources. Such a budget sets an upper bound on the allowable magnitude of the various effects that reduce conversion efficiency. Development efforts on crystal mounting technology and crystal quality studies are discussed

Cost-effectiveness of 'immediate IVF' versus 'delayed IVF': a prospective study

NARCIS (Netherlands)

Eijkemans, M.J.; Kersten, F.A.M.; Lintsen, A.M.E.; Hunault, C.C.; Bouwmans, C.A.; Roijen, L.H.; Habbema, J.D.; Braat, D.D.M.

2017-01-01

STUDY QUESTION: How does the cost-effectiveness (CE) of immediate IVF compared with postponing IVF for 1 year, depend on prognostic characteristics of the couple? SUMMARY ANSWER: The CE ratio, i.e. the incremental costs of immediate versus delayed IVF per extra live birth, is the highest (range of

76 FR 23634 - Self-Regulatory Organizations; Chicago Stock Exchange, Inc.; Notice of Filing and Immediate...

Science.gov (United States)

2011-04-27

... Exchange and reduce automatic cancellations by the Exchange's core trading facility, the Matching System, for orders which lock or cross the best displayed quotes in the National Market System. CHX Only... the CHX Only order locks the NBBO at the time of order entry, and not if it crosses the NBBO. Such...

Ensuring the safety of nuclear facilities located in large cities

International Nuclear Information System (INIS)

Ryazantsev, E.P.; Kolyadin, V.I.; Bylkin, B.K.; Zverkov, Yu.A.

2002-01-01

The problems of ensuring the safety of nuclear facilities and other facilities representing a radiation hazard (hereinafter referred to as 'nuclear facilities') which are located in large cities are considered in the light of the experience with the 'Kurchatov Institute' Russian Research Centre. The accumulation of substantial quantities of spent nuclear fuel and radwaste at the Centre was an inevitable consequence of the military and civilian nuclear research programmes which started there in 1943. A comprehensive programme has been developed for reducing the impact of ionizing radiation on the Centre's personnel, the population living near the Centre and the local environment. The authors describe the basic elements of a programme for decommissioning reactor facilities and eliminating spent fuel and radwaste storage sites and also describe how the programme is progressing. (author)

Development and Validation of an Index to Measure the Quality of Facility-Based Labor and Delivery Care Processes in Sub-Saharan Africa.

Directory of Open Access Journals (Sweden)

Vandana Tripathi

Full Text Available High quality care is crucial in ensuring that women and newborns receive interventions that may prevent and treat birth-related complications. As facility deliveries increase in developing countries, there are concerns about service quality. Observation is the gold standard for clinical quality assessment, but existing observation-based measures of obstetric quality of care are lengthy and difficult to administer. There is a lack of consensus on quality indicators for routine intrapartum and immediate postpartum care, including essential newborn care. This study identified key dimensions of the quality of the process of intrapartum and immediate postpartum care (QoPIIPC in facility deliveries and developed a quality assessment measure representing these dimensions.Global maternal and neonatal care experts identified key dimensions of QoPIIPC through a modified Delphi process. Experts also rated indicators of these dimensions from a comprehensive delivery observation checklist used in quality surveys in sub-Saharan African countries. Potential QoPIIPC indices were developed from combinations of highly-rated indicators. Face, content, and criterion validation of these indices was conducted using data from observations of 1,145 deliveries in Kenya, Madagascar, and Tanzania (including Zanzibar. A best-performing index was selected, composed of 20 indicators of intrapartum/immediate postpartum care, including essential newborn care. This index represented most dimensions of QoPIIPC and effectively discriminated between poorly and well-performed deliveries.As facility deliveries increase and the global community pays greater attention to the role of care quality in achieving further maternal and newborn mortality reduction, the QoPIIPC index may be a valuable measure. This index complements and addresses gaps in currently used quality assessment tools. Further evaluation of index usability and reliability is needed. The availability of a streamlined

Using business intelligence for efficient inter-facility patient transfer.

Science.gov (United States)

Haque, Waqar; Derksen, Beth Ann; Calado, Devin; Foster, Lee

2015-01-01

In the context of inter-facility patient transfer, a transfer operator must be able to objectively identify a destination which meets the needs of a patient, while keeping in mind each facility's limitations. We propose a solution which uses Business Intelligence (BI) techniques to analyze data related to healthcare infrastructure and services, and provides a web based system to identify optimal destination(s). The proposed inter-facility transfer system uses a single data warehouse with an Online Analytical Processing (OLAP) cube built on top that supplies analytical data to multiple reports embedded in web pages. The data visualization tool includes map based navigation of the health authority as well as an interactive filtering mechanism which finds facilities meeting the selected criteria. The data visualization is backed by an intuitive data entry web form which safely constrains the data, ensuring consistency and a single version of truth. The overall time required to identify the destination for inter-facility transfers is reduced from hours to a few minutes with this interactive solution.

New irradiation facilities at the Australian national medical cyclotron

International Nuclear Information System (INIS)

Parcell, S.K.; Arnott, D.W.; Conard, E.M.

1999-01-01

Two new irradiation facilities have been developed at the National Medical Cyclotron for radionuclide production. The first relocates PET irradiations from the cyclotron vault to a dedicated PET beam room, to improve accessibility and reduce radiation exposures associated with target maintenance. This new facility consists of a beam line to transport 16-30 MeV proton beams from the cyclotron to 1 of 8 PET targets mounted on a target rack. The target rack has increased the number of targets available for production and experimentation. The second is a completely independent solid target irradiation facility for SPECT. This facility consists of a beam line to transport 26-30 MeV proton beams from the cyclotron to a dedicated beam room containing one solid target station. A new pneumatic target transfer system was also developed to transport the solid target to and from the existing chemistry hot cells. The beam line and target components are operated under the control of a dedicated PLC with a PC based user interface. The development and some technical aspects of these new irradiation facilities are discussed here. (author)

The upgrading of the cyclic neutron activation analysis facility at the Dalat research reactor

International Nuclear Information System (INIS)

Van Doanh Ho; Manh Dung Ho; Quang Thien Tran; Dong Vu Cao; Thanh Viet Ha

2018-01-01

The cyclic neutron activation analysis (CNAA) facility based on a pneumatic transfer system for short irradiation and rapid counting has recently been upgraded at the Dalat research reactor. The original facility was only designed for single irradiation. Therefore, this work has aimed to upgrade both hardware and software for the cyclic irradiation. In this paper, the upgrading of the facility for CNAA was described. Irradiation time of the facility were calibrated, thereby reducing irradiation time to seconds with precision. The accuracy and sensitivity of CNAA based-on the upgraded facility were assessed by determination of some short-lived nuclides. (author)

Description of pelletizing facility

Energy Technology Data Exchange (ETDEWEB)

Vojin Cokorilo; Dinko Knezevic; Vladimir Milisavljevic [University of Belgrade, Belgrade (Serbia). Faculty of Mining and Geology

2006-07-01

A lot of electrical energy in Serbia was used for heating, mainly for domestics. As it is the most expensive source for heating the government announced a National Program of Energy Efficiency with only one aim, to reduce the consumption of electric energy for the heating. One of the contributions to mentioned reduction is production of coal pellets from the fine coal and its use for domestic heating but also for heating of schools, hospitals, military barracks etc. Annual production of fine coal in Serbia is 300,000 tons. The stacks of fine coal present difficulties at each deep mine because of environmental pollution, spontaneous combustion, low price, smaller market etc. To overcome the difficulties and to give the contribution to National Program of Energy Efficiency researchers from the Department of Mining Engineering, the University of Belgrade designed and realized the project of fine coal pelletizing. This paper describes technical aspect of this project. Using a CPM machine Model 7900, a laboratory facility, then a semi-industrial pelletizing facility followed by an industrial facility was set up and produced good quality pellets. The plant comprised a coal fines hopper, conveyor belt, hopper for screw conveyor, screw conveyor, continuous mixer conditioner, binder reservoir, pump and pipelines, pellet mill, product conveyor belt and product hopper. 4 refs., 3 figs., 1 tab.

SuperCDMS Underground Detector Fabrication Facility

Energy Technology Data Exchange (ETDEWEB)

Platt, M.; Mahapatra, R.; Bunker, Raymond A.; Orrell, John L.

2018-03-01

The SuperCDMS SNOLAB dark matter experiment processes Ge and Si crystals into fully tested phonon and ionization detectors at surface fabrication and test facilities. If not mitigated, it is anticipated that trace-level production of radioisotopes in the crystals due to exposure to cosmic rays at (or above) sea level will result in the dominant source of background events in future dark matter searches using the current SuperCDMS detector technology. Fabrication and testing of detectors in underground facilities shielded from cosmic radiation is one way to directly reduce production of trace levels of radioisotopes, thereby improving experimental sensitivity for the discovery of dark matter beyond the level of the current experiment. In this report, we investigate the cost and feasibility to establish a complete detector fabrication processing chain in an underground location to mitigate cosmogenic activation of the Ge and Si detector substrates. For a specific and concrete evaluation, we explore options for such a facility located at SNOLAB, an underground laboratory in Sudbury, Canada hosting the current and future experimental phases of SuperCDMS.

Advanced immediate functional loading: requirements for long-term success in modern implant dentistry.

Science.gov (United States)

Romanos, Georgios E

2014-01-01

There are benefits to be derived from the use of advanced surgical protocols in conjunction with immediate functional loading using various dental implant designs and implant-abutment connections. Clinical protocols with simultaneous bone grafting, immediate implant placement, and/or sinus augmentations when a shortened treatment period is needed are included in this report, with the aim of providing understanding of the main protocol characteristics and prerequisites for long-term success in implant dentistry. This article presents three clinical cases that illustrate possibilities for advanced immediate loading using different implant designs. It demonstrates treatment of severe bone defects and the facilitation of placing implants in regenerated bone that can be immediately loaded.

Massachusetts Large Blade Test Facility Final Report

Energy Technology Data Exchange (ETDEWEB)

Rahul Yarala; Rob Priore

2011-09-02

Project Objective: The Massachusetts Clean Energy Center (CEC) will design, construct, and ultimately have responsibility for the operation of the Large Wind Turbine Blade Test Facility, which is an advanced blade testing facility capable of testing wind turbine blades up to at least 90 meters in length on three test stands. Background: Wind turbine blade testing is required to meet international design standards, and is a critical factor in maintaining high levels of reliability and mitigating the technical and financial risk of deploying massproduced wind turbine models. Testing is also needed to identify specific blade design issues that may contribute to reduced wind turbine reliability and performance. Testing is also required to optimize aerodynamics, structural performance, encourage new technologies and materials development making wind even more competitive. The objective of this project is to accelerate the design and construction of a large wind blade testing facility capable of testing blades with minimum queue times at a reasonable cost. This testing facility will encourage and provide the opportunity for the U.S wind industry to conduct more rigorous testing of blades to improve wind turbine reliability.

Development of High-Level Safety Requirements for a Pyroprocessing Facility

Energy Technology Data Exchange (ETDEWEB)

Seo, Seok Jun; Jo, Woo Jin; You, Gil Sung; Choung, Won Myung; Lee, Ho Hee; Kim, Hyun Min; Jeon, Hong Rae; Ku, Jeong Hoe; Lee, Hyo Jik [KAERI, Daejeon (Korea, Republic of)

2016-05-15

Korea Atomic Energy Research Institute (KAERI) has been developing a pyroproceesing technology to reduce the waste volume and recycle some elements. The pyroprocessing includes several treatment processes which are related with not only radiological and physical but also chemical and electrochemical properties. Thus, it is of importance to establish safety design requirements considering all the aspects of those properties for a reliable pyroprocessing facility. In this study, high-level requirements are presented in terms of not only radiation protection, nuclear criticality, fire protection, and seismic safety but also confinement and chemical safety for the unique characteristics of a pyroprocessing facility. Several high-level safety design requirements such as radiation protection, nuclear criticality, fire protection, seismic, confinement, and chemical processing were presented for a pyroprocessing facility. The requirements must fulfill domestic and international safety technology standards for a nuclear facility. Furthermore, additional requirements should be considered for the unique electrochemical treatments in a pyroprocessing facility.

Reducing environmental risks in water management in British Columbia

International Nuclear Information System (INIS)

Brownlow, H.

1998-01-01

The issue of water management regarding hydroelectric generating facilities in British Columbia was discussed. BC Hydro has adopted the following three processes to address water management risks: (1) the Electric System Operating Review, (2) Water Use Plans, and (3) an Environmental Management System. The greatest concern regarding water management are the potential impacts to fish and fish habitat. More than 90 per cent of BC Hydro's installed capacity is hydroelectric, with the balance produced by natural gas and diesel. All facilities are licensed under the provincial Water Act which has been in effect for the past century and is currently way out of date. Among its inadequacies is the fact that it does not provide for the protection of fish. The B.C. Fish Protection Act suggests that effective immediately, there should be no new dams on the Fraser and other significant rivers. BC Hydro facilities impact 16 of the 2,576 streams in British Columbia that support anadromous (migrating) salmon stocks. BC Hydro has 25 dams and diversions located on these 16 rivers. It was concluded that BC Hydro's impact on fish and fish habitat, although relatively small compared to the total fish resource in the province, is significant. The technology now used by BC Hydro is claimed to have the capacity to allow for easy documentation, rapid communication and the development of a comprehensive database for use in identifying and managing the impact of the Utility's operations on the fish population. 10 refs., 12 figs

Reducing drinking water supply chemical contamination: risks from underground storage tanks.

Science.gov (United States)

Enander, Richard T; Hanumara, R Choudary; Kobayashi, Hisanori; Gagnon, Ronald N; Park, Eugene; Vallot, Christopher; Genovesi, Richard

2012-12-01

Drinking water supplies are at risk of contamination from a variety of physical, chemical, and biological sources. Ranked among these threats are hazardous material releases from leaking or improperly managed underground storage tanks located at municipal, commercial, and industrial facilities. To reduce human health and environmental risks associated with the subsurface storage of hazardous materials, government agencies have taken a variety of legislative and regulatory actions--which date back more than 25 years and include the establishment of rigorous equipment/technology/operational requirements and facility-by-facility inspection and enforcement programs. Given a history of more than 470,000 underground storage tank releases nationwide, the U.S. Environmental Protection Agency continues to report that 7,300 new leaks were found in federal fiscal year 2008, while nearly 103,000 old leaks remain to be cleaned up. In this article, we report on an alternate evidence-based intervention approach for reducing potential releases from the storage of petroleum products (gasoline, diesel, kerosene, heating/fuel oil, and waste oil) in underground tanks at commercial facilities located in Rhode Island. The objective of this study was to evaluate whether a new regulatory model can be used as a cost-effective alternative to traditional facility-by-facility inspection and enforcement programs for underground storage tanks. We conclude that the alternative model, using an emphasis on technical assistance tools, can produce measurable improvements in compliance performance, is a cost-effective adjunct to traditional facility-by-facility inspection and enforcement programs, and has the potential to allow regulatory agencies to decrease their frequency of inspections among low risk facilities without sacrificing compliance performance or increasing public health risks. © 2012 Society for Risk Analysis.

Accelerator and Technical Sector Seminar: Future neutrino facilities: the neutrino factory

CERN Multimedia

2012-01-01

Thursday 19.January 2012 at 14:15  -  IT Auditorium (bldg. 31 3-004) Future neutrino facilities: the neutrino factory by Gersende Prior / University of Geneva and CERN EN/MEF The neutrino factory is one of the proposed designs for a future intense neutrino beam facility. In its current layout, a high-power proton beam impinges on an Hg jet target producing pions, decaying in turn into muons. In order to reduce the particle beam emittance, the muon transverse momentum is reduced through ionization cooling by a technically demanding set-up made of closely-packed RF cavities alternating with absorbers. In this talk I will present the motivation for building an intense neutrino beam and some of the proposed neutrino facilities' design. I will discuss the challenges inherent to the cooling of muons, possible optimization of the current baseline and the on-going R&D. ________________ ATS Seminars Organisers: H. Burkhardt (BE), S. Sgobba (EN), G. deRijk (TE)

Evaluation of a quality improvement intervention for obstetric and neonatal care in selected public health facilities across six states of India.

Science.gov (United States)

Sarin, Enisha; Kole, Subir K; Patel, Rachana; Sooden, Ankur; Kharwal, Sanchit; Singh, Rashmi; Rahimzai, Mirwais; Livesley, Nigel

2017-05-02

While increase in the number of women delivering in health facilities has been rapid, the quality of obstetric and neonatal care continues to be poor in India, contributing to high maternal and neonatal mortality. The USAID ASSIST Project supported health workers in 125 public health facilities (delivering approximately 180,000 babies per year) across six states to use quality improvement (QI) approaches to provide better care to women and babies before, during and immediately after delivery. As part of this intervention, each month, health workers recorded data related to nine elements of routine care alongside data on perinatal mortality. We aggregated facility level data and conducted segmented regression to analyse the effect of the intervention over time. Care improved to 90-99% significantly (p improving provision of routine care, yet these approaches are underused in the Indian health system. We discuss the implications of this for policy makers.

Immediate and Longer-Term Stressors and the Mental Health of Hurricane Ike Survivors

OpenAIRE

Lowe, Sarah R.; Tracy, Melissa; Cerdá, Magdalena; Norris, Fran H.; Galea, Sandro

2013-01-01

Previous research has documented that individuals exposed to more stressors during disasters and their immediate aftermath (immediate stressors) are at risk of experiencing longer-term postdisaster stressors. Longer-term stressors, in turn, have been found to play a key role in shaping postdisaster psychological functioning. Few studies have simultaneously explored the links from immediate to longer-term stressors, and from longer-term stressors to psychological functioning,...

Facility effluent monitoring plan determinations for the 200 Area facilities

International Nuclear Information System (INIS)

Nickels, J.M.

1991-11-01

The following facility effluent monitoring plan determinations document the evaluations conducted for the Westinghouse Hanford Company 200 Area facilities (chemical processing, waste management, 222-S Laboratory, and laundry) on the Hanford Site in south central Washington State. These evaluations determined the need for facility effluent monitoring plans for the 200 Area facilities. The facility effluent monitoring plan determinations have been prepared in accordance with A Guide for Preparing Hanford Site Facility Effluent Monitoring Plans, WHC-EP-0438 (WHC 1991). The Plutonium/Uranium Extraction Plant and UO 3 facility effluent monitoring plan determinations were prepared by Los Alamos Technical Associates, Richland, Washington. The Plutonium Finishing Plant, Transuranic Waste Storage and Assay Facility, T Plant, Tank Farms, Low Level Burial Grounds, and 222-S Laboratory determinations were prepared by Science Applications International Corporation of Richland, Washington. The B Plant Facility Effluent Monitoring Plan Determination was prepared by ERCE Environmental Services of Richland, Washington

Isolation Effect in Immediate and Delayed Recall

Science.gov (United States)

Bellezza, Francis S.; Cheney, Terry L.

1973-01-01

If the hypothesis of selective rehearsal is used to account for the isolation effect, then the recall of isolated items will depend both on the serial position of the isolated item and on whether recall is immediate or delayed. (Author)

Stored energy analysis in scale-down test facility

International Nuclear Information System (INIS)

Deng Chengcheng; Qin Benke; Fang Fangfang; Chang Huajian; Ye Zishen

2013-01-01

In the integral test facilities that simulate the accident transient process of the prototype nuclear power plant, the stored energy in the metal components has a direct influence on the simulation range and the test results of the facilities. Based on the heat transfer theory, three methods analyzing the stored energy were developed, and a thorough study on the stored energy problem in the scale-down test facilities was further carried out. The lumped parameter method and power integration method were applied to analyze the transient process of energy releasing and to evaluate the average total energy stored in the reactor pressure vessel of the ACME (advanced core-cooling mechanism experiment) facility, which is now being built in China. The results show that the similarity requirements for such three methods to analyze the stored energy in the test facilities are reduced gradually. Under the condition of satisfying the integral similarity of natural circulation, the stored energy releasing process in the scale-down test facilities can't maintain exact similarity. The stored energy in the reactor pressure vessel wall of ACME, which is released quickly during the early stage of rapid depressurization of system, will not make a major impact on the long-term behavior of system. And the scaling distortion of integral average total energy of the stored heat is acceptable. (authors)

CIF---Design basis for an integrated incineration facility

International Nuclear Information System (INIS)

Bennett, G.F.

1991-01-01

This paper discusses the evolution of chosen technologies that occurred during the design process of the US Department of Energy (DOE) incineration system designated the Consolidated Incineration Facility (CIF) as the Savannah River Plant, Aiken, South Carolina. The Plant is operated for DOE by the Westinghouse Savannah River Company. The purpose of the incineration system is to treat low level radioactive and/or hazardous liquid and solid wastes by combustion. The objective for the facility is to thermally destroy toxic constituents and volume reduce waste material. Design criteria requires operation be controlled within the limits of RCRA's permit envelope

Facilities & Leadership

Data.gov (United States)

Department of Veterans Affairs — The facilities web service provides VA facility information. The VA facilities locator is a feature that is available across the enterprise, on any webpage, for the...

Facility model for the Los Alamos Plutonium Facility

International Nuclear Information System (INIS)

Coulter, C.A.; Thomas, K.E.; Sohn, C.L.; Yarbro, T.F.; Hench, K.W.

1986-01-01

The Los Alamos Plutonium Facility contains more than sixty unit processes and handles a large variety of nuclear materials, including many forms of plutonium-bearing scrap. The management of the Plutonium Facility is supporting the development of a computer model of the facility as a means of effectively integrating the large amount of information required for material control, process planning, and facility development. The model is designed to provide a flexible, easily maintainable facility description that allows the faciltiy to be represented at any desired level of detail within a single modeling framework, and to do this using a model program and data files that can be read and understood by a technically qualified person without modeling experience. These characteristics were achieved by structuring the model so that all facility data is contained in data files, formulating the model in a simulation language that provides a flexible set of data structures and permits a near-English-language syntax, and using a description for unit processes that can represent either a true unit process or a major subsection of the facility. Use of the model is illustrated by applying it to two configurations of a fictitious nuclear material processing line

Immediate re-transplantation following early kidney transplant thrombosis.

LENUS (Irish Health Repository)

Phelan, Paul J

2012-02-01

Allograft thrombosis is a devastating early complication of renal transplantation that ultimately leads to allograft loss. We report here on our experience of nine cases of immediate re-transplantation following early kidney transplant thrombosis at a single centre between January 1990 and June 2009. The mean age was 42.9 years at time of transplant. For seven patients, the allograft thrombosis was their first kidney transplant and seven of the nine cases had a deceased donor transplant. The initial transplants functioned for a mean of 1.67 days and the patients received a second allograft at a mean of 3.1 days after graft failure. All of the re-transplants worked immediately. Four allografts failed after a mean of 52.5 months (2-155 months). Two of these died with a functioning allograft, one failed owing to chronic allograft nephropathy and one owing to persistent acute cellular rejection. The remaining five patients still have a functioning allograft after a mean of 101.8 months (7-187 months). One year allograft and patient survival after re-transplantation were 87.5% and 100% respectively (after 5 years, both were 57%). Immediate re-transplantation following early kidney transplant thrombosis can be a success. It may be considered in selected cases after allograft thrombosis.

Assistance in immediate puerperium: the role of physiotherapy

Directory of Open Access Journals (Sweden)

Juliana Schulze Burti

2017-01-01

Full Text Available Objective: To assess the effects of physical therapy intervention for women in immediately postpartum attended in a public hospital in the city of Barueri, São Paulo, Brazil. Methods: Women in the immediate postpartum period after vaginal delivery or cesarean section were included. They underwent a physical therapy evaluation, followed by a single intervention (45 minutes, including diaphragm and abdominal re-education exercises, pelvic floor muscle training, metabolic exercises, elimination of flatus maneuver and guidelines regarding posture, early walking and breastfeeding encouraging. Before and after intervention, the visual analogue scale (VAS of pain and the subjective scale for the general welfare were applied. For statistical analysis, the significance level used was 5%. Results: Fifty women, 25 vaginal deliveries and 25 caesarean sections were evaluated and treated. After intervention, which achieved 100% compliance, there was a significant improvement in pain in the cesarean group (3.99±2.11 to 2.85±2.63 and in the vaginal delivery group (2.00±1.52 to 1.34±0.92 (p<0.05. And 82% of the sample related improvement in general well-being, regardless of the type of delivery. Conclusion: The exercise protocol positively contributed to the improvement of pain and general well-being, diminishing discomforts of immediately postpartum.

Los Alamos Transuranic Waste Size Reduction Facility

International Nuclear Information System (INIS)

Harper, J.; Warren, J.

1987-01-01

The Los Alamos Transuranic (TRU) Waste Size Reduction Facility (SRF) is a production oriented prototype completed in 1981 and later modified during 1986 to enhance production. The facility is operated to remotely cut (with a plasma arc torch) and repackage TRU contaminated metallic wastes (e.g., glove boxes, ducting and pipes) for eventual disposal at the Waste Isolation Pilot Plant (WIPP) near Carlsbad, New Mexico. The resulting flat sections are packaged into a tested Department of Transportation Type 7A metal container. To date, the facility has successfully processed stainless steel glove boxes (with and without lead shielding construction) and retention tanks. It was found that used glove boxes generate more cutting fumes than do unused glove boxes or metal plates - possibly due to deeply embedded chemical residues from years of service. Water used as a secondary fluid with the plasma arc cutting system significantly reduces visible fume generation during the cutting of used glove boxes and lead-lined glove boxes

Planned caesarean in the interventional radiology cath lab to enable immediate uterine artery embolization for the conservative treatment of placenta accreta

International Nuclear Information System (INIS)

Bouvier, A.; Sentilhes, L.; Thouveny, F.; Bouet, P.-E.; Gillard, P.; Willoteaux, S.; Aubé, C.

2012-01-01

Aim: To evaluate the feasibility and efficacy of routine uterine artery embolization (UAE) immediately after planned caesareans performed in the cath lab for conservative treatment of placenta accreta. Materials and methods: A retrospective study included all patients who had a planned caesarean in the cath lab for conservative treatment of placenta accreta at Angers University Hospital, which is a tertiary care centre, from April 2001 to September 2010. Twelve patients underwent UAE immediately after caesarean with the placenta left partially or totally in situ. The success rate of embolization, blood loss, and complications were reported. Results: Diagnosis of abnormal placentation was confirmed by caesarean findings in 14 cases. Four patients had a percreta form with bladder invasion. In seven cases blood loss was insignificant and UAE was prophylactic; no secondary haemorrhage was observed in this group. Postpartum haemorrhage occurred in five cases: control of immediate postpartum bleeding by embolization was successful in three and failed in two leading to hysterectomy. In one case uterine necrosis occurred 6 weeks after embolization, requiring a hysterectomy. Delayed complications resulted in hysterectomy and partial bladder resection 3 months after delivery for one of the patients with placenta percreta. Conclusion: UAE immediately after a caesarean performed in the cath lab is a feasible therapeutic option for conservative treatment of placenta accreta. Advantages include reducing stress and risks associated with transferring women with potentially unstable haemodynamics.

A rapid assessment of the availability and use of obstetric care in Nigerian healthcare facilities.

Directory of Open Access Journals (Sweden)

Daniel O Erim

Full Text Available BACKGROUND: As part of efforts to reduce maternal deaths in Nigeria, pregnant women are being encouraged to give birth in healthcare facilities. However, little is known about whether or not available healthcare facilities can cope with an increasing demand for obstetric care. We thus carried out this survey as a rapid and tactical assessment of facility quality. We visited 121 healthcare facilities, and used the opportunity to interview over 700 women seeking care at these facilities. FINDINGS: Most of the primary healthcare facilities we visited were unable to provide all basic Emergency Obstetric Care (bEmOC services. In general, they lack clinical staff needed to dispense maternal and neonatal care services, ambulances and uninterrupted electricity supply whenever there were obstetric emergencies. Secondary healthcare facilities fared better, but, like their primary counterparts, lack neonatal care infrastructure. Among patients, most lived within 30 minutes of the visited facilities and still reported some difficulty getting there. Of those who had had two or more childbirths, the conditional probability of a delivery occurring in a healthcare facility was 0.91 if the previous delivery occurred in a healthcare facility, and 0.24 if it occurred at home. The crude risk of an adverse neonatal outcome did not significantly vary by delivery site or birth attendant, and the occurrence of such an outcome during an in-facility delivery may influence the mother to have her next delivery outside. Such an outcome during a home delivery may not prompt a subsequent in-facility delivery. CONCLUSIONS: In conclusion, reducing maternal deaths in Nigeria will require attention to both increasing the number of facilities with high-quality EmOC capability and also assuring Nigerian women have access to these facilities regardless of where they live.

Natural History of Food-Triggered Atopic Dermatitis and Development of Immediate Reactions in Children.

Science.gov (United States)

Chang, Angela; Robison, Rachel; Cai, Miao; Singh, Anne Marie

2016-01-01

Case reports suggest that children with food-triggered atopic dermatitis (AD) on elimination diets may develop immediate reactions on accidental ingestion or reintroduction of an avoided food. The objective of this study was to systematically study the incidence and risk factors associated with these immediate reactions. A retrospective chart review of 298 patients presenting to a tertiary-care allergy-immunology clinic based on concern for food-triggered AD was performed. Data regarding triggering foods, laboratory testing, and clinical reactions were collected prospectively from the initial visit. Food-triggered AD was diagnosed by an allergist-immunologist with clinical evaluation and laboratory testing. We identified immediate reactions as any reaction to a food for which there was evidence of sIgE and for which patients developed timely allergic signs and symptoms. Differences between children with and without new immediate reactions were determined by a Mann-Whitney, χ(2), or Fisher's exact test as appropriate. A total of 19% of patients with food-triggered AD and no previous history of immediate reactions developed new immediate food reactions after initiation of an elimination diet. Seventy percent of reactions were cutaneous but 30% were anaphylaxis. Cow's milk and egg were the most common foods causing immediate-type reactions. Avoidance of a food was associated with increased risk of developing immediate reactions to that food (P food. A significant number of patients with food-triggered AD may develop immediate-type reactions. Strict elimination diets need to be thoughtfully prescribed as they may lead to decreased oral tolerance. Copyright © 2015 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

Annual evaluation of routine radiological survey/monitoring frequencies for the High Ranking Facilities Deactivating Project at Oak Ridge, Tennessee

International Nuclear Information System (INIS)

1998-12-01

The Bethel Valley Watershed at the Oak Ridge National Laboratory (ORNL) has several Environmental Management (EM) facilities that are designated for deactivation and subsequent decontamination and decommissioning (D and D). The Surplus Facilities Program at ORNL provides surveillance and maintenance support for these facilities as deactivation objectives are completed to reduce the risks associated with radioactive material inventories, etc. The Bechtel Jacobs Company LLC Radiological Control (RADCON) Program has established requirements for radiological monitoring and surveying radiological conditions in these facilities. These requirements include an annual evaluation of routine radiation survey and monitoring frequencies. Radiological survey/monitoring frequencies were evaluated for two High Ranking Facilities Deactivation Project facilities, the Bulk Shielding Facility and Tower Shielding Facility. Considerable progress has been made toward accomplishing deactivation objectives, thus the routine radiological survey/monitoring frequencies are being reduced for 1999. This report identifies the survey/monitoring frequency adjustments and provides justification that the applicable RADCON Program requirements are also satisfied

Is it more effective group relaxation than individual to reduce anxiety in specific phobias?

Directory of Open Access Journals (Sweden)

Julián Carretero Román

2009-05-01

Full Text Available Relaxation is a standard technique used by nurses to reduce the level of anxiety. It seems that their implementation on a group can bring certain benefits compared with individual relaxation. This outline is intended to raise this hypothesis in caring for individuals diagnosed with specific phobia, by approaching the problem from the cognitive behavioural therapy perspective. In addition, it seeks to evaluate the usefulness of the nurse intervention relaxation to reduce the level of anxiety, in turn comparing the results obtained using an indicator of the scale of results NOC and the Hamilton Anxiety Scale. The phobia is a specific entity underdiagnosed, whose prevalence is about 10%. Those affected can live a really limited and debilitating, deteriorating quality of life. The community mental health nurses are in a unique position to participate in the cognitive behavioural therapy through relaxation, which will allow them to reduce the level of anxiety when people establish contact with the phobic stimulus. Methodology: quasi-experimental study in specific phobia diagnosed, 20 to 40 years old adults attending for the first time to the mental health facility derived from primary care. Both the control group as the pilot will be treated by conducted cognitive-behavioural psychotherapy individualized according to the therapeutic protocol MSC, except in terms of relaxation, which in the experimental group will be conducted at the group level. The effectiveness of treatment will be assessed with the Hamilton anxiety scale and the likert type scale of outcome indicators NOC "stress level" with 3 measurements, before starting, immediately after completing the sessions of relaxation and three months later, checking the decline in the average level of anxiety.

The clinical course of immediate breast implant reconstruction after breast cancer

DEFF Research Database (Denmark)

Hvilsom, Gitte B.; Friis, Søren; Frederiksen, Kirsten

2011-01-01

The number of women suitable for breast conserving treatment as well as immediate reconstruction after breast cancer has been increasing, and studies of complications hereafter are needed.......The number of women suitable for breast conserving treatment as well as immediate reconstruction after breast cancer has been increasing, and studies of complications hereafter are needed....

Operational Performance and Improvements to the RF Power Sources for the Compact Linear Collider Test Facility (CTF3) at CERN

CERN Document Server

McMonagle, Gerard

2006-01-01

The CERN CTF3 facility is being used to test and demonstrate key technical issues for the CLIC (Compact Linear Collider) study. Pulsed RF power sources are essential elements in this test facility. Klystrons at S-band (29998.55 GHz), in conjunction with pulse compression systems, are used to power the Drive Beam Accelerator (DBA) to achieve an electron beam energy of 150 MeV. The L-Band RF system, includes broadband Travelling Wave Tubes (TWTs) for beam bunching with 'phase coded' sub pulses in the injector and a narrow band high power L-Band klystron powering the transverse 1.5GHz RF deflector in the Delay Loop immediately after the DBA. This paper describes these different systems and discusses their operational performance.

Operational performance and improvements to the rf power sources for the Compact Linear Collider Test Facility (CTF3) at CERN

CERN Document Server

McMonagle, Gerard

2006-01-01

The CERN CTF3 facility is being used to test and demonstrate key technical issues for the CLIC (Compact Linear Collider) study. Pulsed RF power sources are essential elements in this test facility. Klystrons at S-band (29998.55 GHz), in conjunction with pulse compression systems, are used to power the Drive Beam Accelerator (DBA) to achieve an electron beam energy of 150 MeV. The L-Band RF system, includes broadband Travelling Wave Tubes (TWTs) for beam bunching with 'phase coded' sub pulses in the injector and a narrow band high power L-Band klystron powering the transverse 1.5 GHz RF deflector in the Delay Loop immediately after the DBA. This paper describes these different systems and discusses their operational performance.

Middle East respiratory syndrome clinical practice guideline for hemodialysis facilities

Directory of Open Access Journals (Sweden)

Hayne Cho Park

2017-06-01

Full Text Available The Korean Society of Nephrology participated in the task force team consisting of government authorities and civilian experts to prevent and control the spread of Middle East respiratory syndrome (MERS in 2015. The Korean Society of Nephrology MERS Task Force Team took an immediate action and drafted ‘the clinical recommendation for hemodialysis facilities’ to follow when the first and the only confirmed case was reported in the hemodialysis unit. Owing to the dedicated support from medical doctors, dialysis nurses, and related medical companies, we could prevent further transmission of MERS infection successfully in hemodialysis units. This special report describes the experience of infection control during MERS outbreak in 2015 and summarizes the contents of ‘the clinical practice guideline for hemodialysis facilities dealing with MERS patients’ built upon our previous experience.

Designing a Physical Security System for Risk Reduction in a Hypothetical Nuclear Facility

International Nuclear Information System (INIS)

Saleh, A.A.; Abd Elaziz, M.

2017-01-01

Physical security in a nuclear facility means detection, prevention and response to threat, the ft, sabotage, unauthorized access and illegal transfer involving radioactive and nuclear material. This paper proposes a physical security system designing concepts to reduce the risk associated with variant threats to a nuclear facility. This paper presents a study of the unauthorized removal and sabotage in a hypothetical nuclear facility considering deter, delay and response layers. More over, the study involves performing any required upgrading to the security system by investigating the nuclear facility layout and considering all physical security layers design to enhance the weakness for risk reduction

Optimum operation of a small power production facility

Energy Technology Data Exchange (ETDEWEB)

Capehart, B.L.; Mahoney, J.F.; Sivazlian, B.D.

1983-09-01

To help reduce the U.S.A.'s dependence on imported oil for electrical power generation, the 1978 National Energy Act established regulations to promote construction and operation of cogeneration and small power production facilities. Many of these facilities are presently under construction, with a great number planned. This paper examines the operation of a small power production facility with on-site generation and storage, on-site use, and connection to an electric utility grid system for the purpose of both selling excess power and buying power. It is assumed that the buying and selling price of electricity varies frequently during the day and that the relevant price and demand data may be accurately projected into the near future. With this system description, a mathematical model is formulated and solved by linear programming to obtain a series of periodic buy and sell decisions so as to maximize the profit from operating the small power production facility. Results are presented to illustrate the methodology for determining potential profits.

Release of UF6 from a ruptured Model 48Y cylinder at Sequoyah Fuels Corporation Facility: lessons-learned report

International Nuclear Information System (INIS)

1986-06-01

The uranium hexafluoride (UF 6 ) release of January 4, 1986, at the Sequoyah Fuels Corporation facility has been reviewed by a NRC Lessons-Learned Group. A Model 48Y cylinder containing UF 6 ruptured upon being heated after it was grossly overfilled. The Uf 6 released upon rupture of the cylinder reacted with airborne moisture to produce hydrofluoric acid (HF) and uranyl fluoride (UO 2 F 2 ). One individual died from exposure to airborne HF and several others were injured. There were no significant immediate effects from exposure to uranyl fluoride. This report of the Lessons-Learned Group presents discussions and recommendations on the process, operation and design of the facility, as well as on the responses of the licensee, NRC, and other local, state and federal agencies to the incident. It also provides recommendations in the areas of NRC licensing and inspection of fuel facility and certain other NMSS licensees. The implementation of some recommendations will depend on decisions to be made regarding the scope of NRC responsibilities with respect to those aspects of the design and operation of such facilities that are not directly related to radiological safety

A radioactive ion beam facility using photofission

CERN Document Server

Diamond, W T

1999-01-01

Use of a high-power electron linac as the driver accelerator for a Radioactive Ion Beam (RIB) facility is proposed. An electron beam of 30 MeV and 100 kW can produce nearly 5x10 sup 1 sup 3 fissions/s from an optimized sup 2 sup 3 sup 5 U target and about 60% of this from a natural uranium target. An electron beam can be readily transmitted through a thin window at the exit of the accelerator vacuum system and transported a short distance through air to a water-cooled Bremsstrahlung-production target. The Bremsstrahlung radiation can, in turn, be transported through air to the isotope-production target. This separates the accelerator vacuum system, the Bremsstrahlung target and the isotope-production target, reducing remote handling problems. The electron beam can be scanned over a large target area to reduce the power density on both the Bremsstrahlung and isotope-production targets. These features address one of the most pressing technological challenges of a high-power RIB facility, namely the production o...

Control in personnel exposure at HIRUP facility during the period 2006-2010

International Nuclear Information System (INIS)

Ojha, Shashikala; Suman, Santosh Kumar; Murali, S.

2012-01-01

HIRUP facility is designed to handle MCi of 60 Co, fabrication of sealed source, is carried out in hot cell. The design safety features allow the handling of sealed sources and other gamma emitters under suitable containment systems. The NP Unit of the facility provides personnel monitoring programmes viz., TLD/DRD monitoring for the radiation workers. 60 Co and other gamma emitters pose mainly external hazard during the handling of sealed source in hot cell. TLD is processed to assess the external exposure of personnel. Air activity and gross bg contamination at the work place is periodically monitored and reported. The TLD users of HIRUP are periodically referred for internal monitoring - whole body counting and bio-assay to estimate internal exposure. There is no reported internal exposure so far. Personnel from IAD and BRIT facility are provided with personnel monitoring coverage by HP Unit; the TLD is issued with respective institution no. as - 0283, 4288. Each person gets identified by individual TLD number, renewed TLD issue on quarterly service period. Based on job requirement such as handling of high activity, additional Wrist TLDs are provided. The used TLD of IAD and BRIT are sent for processing. The dose report obtained, enlists personnel exposure details. HP Unit does the report making to the concerned agencies enlisting the operational status, total occupational exposure of the facility (person mSv), average exposure (mSv) and few other details. Details of exposure for 2006 - 2010 (non-zero exposure cases), indicate that for IAD collective exposure got reduced by 78.5 %, average exposure got reduced by 62.6 %; for BRIT collective exposure got reduced by 58.2 %, average exposure got reduced by 46.8 %, at HIRUP facility. There is a decreasing trend in personnel exposure over the period 2006-2010, is due to HP safety protocol, on job HP surveillance and related safety measures. The personnel exposure is controlled as per ALARA, decreasing trend in the

Benefits of explosive cutting for nuclear-facility applications

International Nuclear Information System (INIS)

Hazelton, R.F.; Lundgren, R.A.; Allen, R.P.

1981-06-01

The study discussed in this report was a cost/benefit analysis to determine: (1) whether explosive cutting is cost effective in comparison with alternative metal sectioning methods and (2) whether explosive cutting would reduce radiation exposure or provide other benefits. Two separate approaches were pursued. The first was to qualitatively assess cutting methods and factors involved in typical sectioning cases and then compare the results for the cutting methods. The second was to prepare estimates of work schedules and potential radiation exposures for candidate sectioning methods for two hypothetical, but typical, sectioning tasks. The analysis shows that explosive cutting would be cost effective and would also reduce radiation exposure when used for typical nuclear facility sectioning tasks. These results indicate that explosive cutting should be one of the principal cutting methods considered whenever steel or similar metal structures or equipment in a nuclear facility are to be sectioned for repair or decommissioning. 13 figures, 7 tables

Bioaerosol releases from compost facilities: Evaluating passive and active source terms at a green waste facility for improved risk assessments

Science.gov (United States)

Taha, M. P. M.; Drew, G. H.; Longhurst, P. J.; Smith, R.; Pollard, S. J. T.

The passive and active release of bioaerosols during green waste composting, measured at source is reported for a commercial composting facility in South East (SE) England as part of a research programme focused on improving risk assessments at composting facilities. Aspergillus fumigatus and actinomycetes concentrations of 9.8-36.8×10 6 and 18.9-36.0×10 6 cfu m -3, respectively, measured during the active turning of green waste compost, were typically 3-log higher than previously reported concentrations from static compost windrows. Source depletion curves constructed for A. fumigatus during compost turning and modelled using SCREEN3 suggest that bioaerosol concentrations could reduce to background concentrations of 10 3 cfu m -3 within 100 m of this site. Authentic source term data produced from this study will help to refine the risk assessment methodologies that support improved permitting of compost facilities.

Immediate Implant Placement in Sockets with Asymptomatic Apical Periodontitis.

Science.gov (United States)

Crespi, Roberto; Capparé, Paolo; Crespi, Giovanni; Lo Giudice, Giuseppe; Gastaldi, Giorgio; Gherlone, Enrico

2017-02-01

The purpose of the present study was to evaluate if the presence of granulation tissue in asymptomatic apical periodontitis compromised immediate implant placement. Patients requiring extraction of one tooth (maxillary and mandibular incisive, canine or premolar) with asymptomatic apical periodontitis, were recruited for this prospective study. They were randomly scheduled into two groups: in first group (A) including 30 teeth, reactive soft tissue was debrided before implant placement, and in second group (B) including 30 teeth, reactive soft tissue was left in the apical lesion. Implants were positioned immediately after tooth extraction, and were loaded after 3 months in both groups. Cone beam computed tomography was performed before tooth extraction and at 1-year follow-up to evaluate the radiolucency around the root apex and the implant, bucco-lingual bone levels were also checked. Sixty patients were included in this study. Sixty implants were placed immediately after tooth extraction and, at 1-year follow-up, a survival rate of 100% was reported. After one year both groups showed absence of radiolucent zone at the apical region of implants. All fresh sockets presented a buccal-palatal bone reduction in both groups after one year, even if not statistically significant differences were found between baseline bone levels and within groups. Within the limitations of the present study, the immediate placement of implants into the extraction sockets with asymptomatic apical periodontitis, in presence of primary stability, did not lead to an increased rate of complications and rendered an equally favorable type of tissue integration. © 2016 Wiley Periodicals, Inc.

[Engineering aspects of seismic behavior of health-care facilities: lessons from California earthquakes].

Science.gov (United States)

Rutenberg, A

1995-03-15

The construction of health-care facilities is similar to that of other buildings. Yet the need to function immediately after an earthquake, the helplessness of the many patients and the high and continuous occupancy of these buildings, require that special attention be paid to their seismic performance. Here the lessons from the California experience are invaluable. In this paper the behavior of California hospitals during destructive earthquakes is briefly described. Adequate structural design and execution, and securing of nonstructural elements are required to ensure both safety of occupants, and practically uninterrupted functioning of equipment, mechanical and electrical services and other vital systems. Criteria for post-earthquake functioning are listed. In view of the hazards to Israeli hospitals, in particular those located along the Jordan Valley and the Arava, a program for the seismic evaluation of medical facilities should be initiated. This evaluation should consider the hazards from nonstructural elements, the safety of equipment and systems, and their ability to function after a severe earthquake. It should not merely concentrate on safety-related structural behavior.

Continuous Material Balance Reconciliation for a Modern Plutonium Processing Facility

International Nuclear Information System (INIS)

CLARK, THOMASG.

2004-01-01

This paper describes a safeguards approach that can be deployed at any modern plutonium processing facility to increase the level of safeguards assurance and significantly reduce the impact of safeguards on process operations. One of the most perplexing problems facing the designers of plutonium processing facilities is the constraint placed upon the limit of error of the inventory difference (LEID). The current DOE manual constrains the LEID for Category I and II material balance areas to 2 per cent of active inventory up to a Category II quantity of the material being processed. For 239Pu a Category II quantity is two kilograms. Due to the large material throughput anticipated for some of the modern plutonium facilities, the required LEID cannot be achieved reliably during a nominal two month inventory period, even by using state-of-the-science non-destructive assay (NDA) methods. The most cost-effective and least disruptive solution appears to be increasing the frequency of material balance closure and thus reducing the throughput being measured during each inventory period. Current inventory accounting practices and systems can already provide the book inventory values at any point in time. However, closing the material balance with measured values has typically required the process to be cleaned out, and in-process materials packaged and measured. This process requires one to two weeks of facility down time every two months for each inventory, thus significantly reducing productivity. To provide a solution to this problem, a non-traditional approach is proposed that will include using in-line instruments to provide measurement of the process materials on a near real-time basis. A new software component will be developed that will operate with the standard LANMAS application to provide the running material balance reconciliation, including the calculation of the inventory difference and variance propagation. The combined measurement system and software

Dynamic high energy density plasma environments at the National Ignition Facility for nuclear science research

Science.gov (United States)

Cerjan, Ch J.; Bernstein, L.; Berzak Hopkins, L.; Bionta, R. M.; Bleuel, D. L.; Caggiano, J. A.; Cassata, W. S.; Brune, C. R.; Frenje, J.; Gatu-Johnson, M.; Gharibyan, N.; Grim, G.; Hagmann, Chr; Hamza, A.; Hatarik, R.; Hartouni, E. P.; Henry, E. A.; Herrmann, H.; Izumi, N.; Kalantar, D. H.; Khater, H. Y.; Kim, Y.; Kritcher, A.; Litvinov, Yu A.; Merrill, F.; Moody, K.; Neumayer, P.; Ratkiewicz, A.; Rinderknecht, H. G.; Sayre, D.; Shaughnessy, D.; Spears, B.; Stoeffl, W.; Tommasini, R.; Yeamans, Ch; Velsko, C.; Wiescher, M.; Couder, M.; Zylstra, A.; Schneider, D.

2018-03-01

The generation of dynamic high energy density plasmas in the pico- to nano-second time domain at high-energy laser facilities affords unprecedented nuclear science research possibilities. At the National Ignition Facility (NIF), the primary goal of inertial confinement fusion research has led to the synergistic development of a unique high brightness neutron source, sophisticated nuclear diagnostic instrumentation, and versatile experimental platforms. These novel experimental capabilities provide a new path to investigate nuclear processes and structural effects in the time, mass and energy density domains relevant to astrophysical phenomena in a unique terrestrial environment. Some immediate applications include neutron capture cross-section evaluation, fission fragment production, and ion energy loss measurement in electron-degenerate plasmas. More generally, the NIF conditions provide a singular environment to investigate the interplay of atomic and nuclear processes such as plasma screening effects upon thermonuclear reactivity. Achieving enhanced understanding of many of these effects will also significantly advance fusion energy research and challenge existing theoretical models.

Use of alcohol hand sanitizer as an infection control strategy in an acute care facility.

Science.gov (United States)

Hilburn, Jessica; Hammond, Brian S; Fendler, Eleanor J; Groziak, Patricia A

2003-04-01

Nosocomial infections are a major problem in health care facilities, resulting in extended durations of care, substantial morbidity and mortality, and excess costs. Since alcohol gel hand sanitizers combine high immediate antimicrobial efficacy with ease of use, this study was carried out to determine the effect of the use of an alcohol gel hand sanitizer by caregivers on infection types and rates in an acute care facility. Patients were educated about the study through a poster on the unit, and teachable patients were given portable bottles of the alcohol hand gel for bedside use, along with an educational brochure explaining how and why to practice good hand hygiene. Infection rate and type data were collected in 1 unit of a 498-bed acute care facility for 16 months (February 2000 to May 2001). An alcohol gel hand sanitizer was provided and used by caregivers in the orthopedic surgical unit of the facility during this period. The primary infection types (more than 80%) found were urinary tract (UTI) and surgical site (SSI) infections. Infection types and rates for the unit during the period the alcohol hand sanitizer (intervention) was used were compared with the infection types and rates for the same unit when the alcohol hand sanitizer was not used (baseline); the results demonstrated a 36.1% decrease in infection rates for the 10-month period that the hand sanitizer was used. This study indicates that use of an alcohol gel hand sanitizer can decrease infection rates and provide an additional tool for an effective infection control program in acute care facilities.

Animal facilities

International Nuclear Information System (INIS)

Fritz, T.E.; Angerman, J.M.; Keenan, W.G.; Linsley, J.G.; Poole, C.M.; Sallese, A.; Simkins, R.C.; Tolle, D.

1981-01-01

The animal facilities in the Division are described. They consist of kennels, animal rooms, service areas, and technical areas (examining rooms, operating rooms, pathology labs, x-ray rooms, and 60 Co exposure facilities). The computer support facility is also described. The advent of the Conversational Monitor System at Argonne has launched a new effort to set up conversational computing and graphics software for users. The existing LS-11 data acquisition systems have been further enhanced and expanded. The divisional radiation facilities include a number of gamma, neutron, and x-ray radiation sources with accompanying areas for related equipment. There are five 60 Co irradiation facilities; a research reactor, Janus, is a source for fission-spectrum neutrons; two other neutron sources in the Chicago area are also available to the staff for cell biology studies. The electron microscope facilities are also described

303-K Storage Facility closure plan. Revision 2

Energy Technology Data Exchange (ETDEWEB)

1993-12-15

Recyclable scrap uranium with zircaloy-2 and copper silicon alloy, uranium-titanium alloy, beryllium/zircaloy-2 alloy, and zircaloy-2 chips and fines were secured in concrete billets (7.5-gallon containers) in the 303-K Storage Facility, located in the 300 Area. The beryllium/zircaloy-2 alloy and zircaloy-2 chips and fines are designated as mixed waste with the characteristic of ignitability. The concretion process reduced the ignitability of the fines and chips for safe storage and shipment. This process has been discontinued and the 303-K Storage Facility is now undergoing closure as defined in the Resource Conservation and Recovery Act (RCRA) of 1976 and the Washington Administrative Code (WAC) Dangerous Waste Regulations, WAC 173-303-040. This closure plan presents a description of the 303-K Storage Facility, the history of materials and waste managed, and the procedures that will be followed to close the 303-K Storage Facility. The 303-K Storage Facility is located within the 300-FF-3 (source) and 300-FF-5 (groundwater) operable units, as designated in the Hanford Federal Facility Agreement and Consent Order (Tri-Party Agreement) (Ecology et al. 1992). Contamination in the operable units 300-FF-3 and 300-FF-5 is scheduled to be addressed through the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) of 1980 remedial action process. Therefore, all soil remedial action at the 304 Facility will be conducted as part of the CERCLA remedial action of operable units 300-FF-3 and 300-FF-5.

Facilities Performance Indicators Report 2013-14: Tracking Your Facilities Vital Signs

Science.gov (United States)

APPA: Association of Higher Education Facilities Officers, 2015

2015-01-01

This paper features an expanded Web-based "Facilities Performance Indicators (FPI) Report." The purpose of APPA: Association of Higher Education Facilities Officers (APPA's) Facilities Performance Indicators is to provide a representative set of statistics about facilities in educational institutions. "The Facilities Performance…

Radiation protection requirements for dental X-ray diagnostic facilities

International Nuclear Information System (INIS)

Taschner, P.; Koenig, W.; Andreas, M.; Trinius, W.

1976-01-01

On the basis of radiation protection regulations the planning of dental X-ray facilities is discussed considering organizational, technical and structural measures suitable for fulfilling protection requirements. Finally, instructions are given aimed at reducing radiation doses to personnel and patients. (author)

Radiation protection requirements for dental X-ray diagnostic facilities

Energy Technology Data Exchange (ETDEWEB)

Taschner, P; Koenig, W [Staatliches Amt fuer Atomsicherheit und Strahlenschutz, Berlin (German Democratic Republic); Andreas, M [Karl-Marx-Universitaet, Leipzig (German Democratic Republic). Fachrichtung Stomatologie; Trinius, W [Karl-Marx-Universitaet, Leipzig (German Democratic Republic). Radiologische Klinik

1976-03-01

On the basis of radiation protection regulations the planning of dental X-ray facilities is discussed considering organizational, technical and structural measures suitable for fulfilling protection requirements. Finally, instructions are given aimed at reducing radiation doses to personnel and patients.

Immediate sensitivity to structural constraints in pronoun resolution

Directory of Open Access Journals (Sweden)

Wing Yee eChow

2014-06-01

Full Text Available Real-time interpretation of pronouns is sometimes sensitive to the presence of grammatically-illicit antecedents, and sometimes not. This occasional sensitivity has been taken as evidence that structural constraints do not immediately impact the initial antecedent retrieval for pronoun interpretation. We argue that it is important to separate effects that reflect the initial antecedent retrieval process from those that reflect later processes. We present results from five reading comprehension experiments. Both the current results and previous evidence support the hypothesis that agreement features and structural constraints immediately constrain the antecedent retrieval process for pronoun interpretation. Occasional sensitivity to grammatically-illicit antecedents may be due to repair processes triggered when the initial retrieval fails to return a grammatical antecedent.

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

Delayed flumazenil injection after endoscopic sedation increases patient satisfaction compared with immediate flumazenil injection.

Science.gov (United States)

Chung, Hyun Jung; Bang, Byoung Wook; Kim, Hyung Gil; Kwon, Kye Sook; Shin, Yong Woon; Jeong, Seok; Lee, Don Haeng; Park, Shin Goo

2014-01-01

Flumazenil was administered after the completion of endoscopy under sedation to reduce recovery time and increase patient safety. We evaluated patient satisfaction after endoscopy under sedation according to the timing of a postprocedural flumazenil injection. In total, 200 subjects undergoing concurrent colonoscopy and upper endoscopy while sedated with midazolam and meperidine were enrolled in our investigation. We randomly administered 0.3 mg of flumazenil either immediately or 15 minutes after the endoscopic procedure. A postprocedural questionnaire and next day telephone interview were conducted to assess patient satisfaction. Flumazenil injection timing did not affect the time spent in the recovery room when comparing the two groups of patients. However, the subjects in the 15 minutes injection group were more satisfied with undergoing endoscopy under sedation than the patients in the immediate injection group according to the postprocedural survey (p=0.019). However, no difference in overall satisfaction, memory, or willingness to undergo a future endoscopy was observed between the two groups when the telephone survey was conducted on the following day. This study demonstrated that a delayed flumazenil injection after endoscopic sedation increased patient satisfaction without prolonging recovery time, even though the benefit of the delayed flumazenil injection did not persist into the following day.

A facile synthesis of reduced holey graphene oxide for supercapacitors.

Science.gov (United States)

Hu, Xinjun; Bai, Dongchen; Wu, Yiqi; Chen, Songbo; Ma, Yu; Lu, Yue; Chao, Yuanzhi; Bai, Yongxiao

2017-12-12

Hydroxyl radicals (˙OH) generated from a UV/O 3 solution reaction is used to efficiently etch graphene oxide nanosheets under moderate conditions. Reduced holey graphene oxide is directly used as a supercapacitor electrode material and exhibits high specific capacitance (224 F g -1 at a current density of 1 A g -1 ) and high volumetric capacitance (up to 206 F cm -3 ).

Communication grounding facility

International Nuclear Information System (INIS)

Lee, Gye Seong

1998-06-01

It is about communication grounding facility, which is made up twelve chapters. It includes general grounding with purpose, materials thermal insulating material, construction of grounding, super strength grounding method, grounding facility with grounding way and building of insulating, switched grounding with No. 1A and LCR, grounding facility of transmission line, wireless facility grounding, grounding facility in wireless base station, grounding of power facility, grounding low-tenton interior power wire, communication facility of railroad, install of arrester in apartment and house, install of arrester on introduction and earth conductivity and measurement with introduction and grounding resistance.

Reducing Ageism: Education About Aging and Extended Contact With Older Adults.

Science.gov (United States)

Lytle, Ashley; Levy, Sheri R

2017-11-19

Ageism is of increasing concern due to the growing older population worldwide and youth-centered focus of many societies. The current investigation tested the PEACE (Positive Education about Aging and Contact Experiences) model for the first time. Two online experimental studies examined 2 key factors for reducing ageism: education about aging (providing accurate information about aging) and extended contact (knowledge of positive intergenerational contact) as well as their potential combined effect (education plus extended contact). In Study 1, 354 undergraduates in all 3 experimental conditions (vs. control participants) reported less negative attitudes toward older adults (delayed post-test) and greater aging knowledge (immediate and delayed post-tests), when controlling for pre-study attitudes. In Study 2, 505 national community participants (ages 18-59) in all experimental conditions (vs. control participants) reported less negative attitudes toward older adults (immediate post-test) and greater aging knowledge (immediate and delayed post-tests). In summary, across 2 online studies, education about aging and knowledge of intergenerational extended contact improved attitudes toward older adults and aging knowledge. Thus, brief, online ageism-reduction strategies can be an effective way to combat ageism. These strategies hold promise to be tested in other settings, with other samples, and to be elaborated into more in-depth interventions that aim to reduce ageism in everyday culture. © The Author 2017. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Facility effluent monitoring plan for the 327 Facility

International Nuclear Information System (INIS)

1994-11-01

The 327 Facility [Post-Irradiation Testing Laboratory] provides office and laboratory space for Pacific Northwest Laboratory (PNL) scientific and engineering staff conducting multidisciplinary research in the areas of post-irradiated fuels and structural materials. The facility is designed to accommodate the use of radioactive and hazardous materials in the conduct of these activities. This report summarizes the airborne emissions and liquid effluents and the results of the Facility Effluent Monitoring Plan (FEMP) determination for the facility. The complete monitoring plan includes characterization of effluent streams, monitoring/sampling design criteria, a description of the monitoring systems and sample analysis, and quality assurance requirements

Reactor auxiliary cooling facility and coolant supplying method therefor

International Nuclear Information System (INIS)

Ando, Koji; Kinoshita, Shoichiro.

1996-01-01

A reactor auxiliary cooling facility of the present invention comprises a coolant recycling line for recycling coolants by way of a reactor auxiliary coolant pump and a cooling load, a gravitational surge tank for supplying coolants to the coolant recycling line and a supplemental water supplying line for supplying a supply the supplemental water to the tank. Then, a pressurization-type supply water surge tank is disposed for operating the coolant recycling line upon performing an initial system performance test in parallel with the gravitational surge tank. With such a constitution, the period of time required from the start of the installation of reactor auxiliary cooling facilities to the completion of the system performance test can be shortened at a reduced cost without enlarging the scale of the facility. (T.M.)

Reactor auxiliary cooling facility and coolant supplying method therefor

Energy Technology Data Exchange (ETDEWEB)

Ando, Koji; Kinoshita, Shoichiro

1996-06-07

A reactor auxiliary cooling facility of the present invention comprises a coolant recycling line for recycling coolants by way of a reactor auxiliary coolant pump and a cooling load, a gravitational surge tank for supplying coolants to the coolant recycling line and a supplemental water supplying line for supplying a supply the supplemental water to the tank. Then, a pressurization-type supply water surge tank is disposed for operating the coolant recycling line upon performing an initial system performance test in parallel with the gravitational surge tank. With such a constitution, the period of time required from the start of the installation of reactor auxiliary cooling facilities to the completion of the system performance test can be shortened at a reduced cost without enlarging the scale of the facility. (T.M.)

Synchronization of workshops, using facilities planning

Science.gov (United States)

Zineb, Britel; Abdelghani, Cherkaoui

2017-08-01

In this paper, we will present a methodology used for the synchronization of two workshops of a sheet metal department. These two workshops have a supplier-customer relationship. The aim of the study is to synchronise the two workshops as a step towards creating a better material flow, reduced inventory and achieving Just in time and lean production. To achieve this, we used a different set of techniques: SMED, Facilities planning…

Immediate re-transplantation following early kidney transplant thrombosis.

LENUS (Irish Health Repository)

Phelan, Paul J

2011-08-01

Allograft thrombosis is a devastating early complication of renal transplantation that ultimately leads to allograft loss. We report here on our experience of nine cases of immediate re-transplantation following early kidney transplant thrombosis at a single centre between January 1990 and June 2009. The mean age was 42.9 years at time of transplant. For seven patients, the allograft thrombosis was their first kidney transplant and seven of the nine cases had a deceased donor transplant. The initial transplants functioned for a mean of 1.67 days and the patients received a second allograft at a mean of 3.1 days after graft failure. All of the re-transplants worked immediately. Four allografts failed after a mean of 52.5 months (2-155 months). Two of these died with a functioning allograft, one failed owing to chronic allograft nephropathy and one owing to persistent acute cellular rejection. The remaining five patients still have a functioning allograft after a mean of 101.8 months (7-187 months). One year allograft and patient survival after re-transplantation were 87.5% and 100% respectively (after 5 years, both were 57%). Immediate re-transplantation following early kidney transplant thrombosis can be a success. It may be considered in selected cases after allograft thrombosis.

Facility effluent monitoring plan for the 325 Facility

International Nuclear Information System (INIS)

1998-01-01

The Applied Chemistry Laboratory (325 Facility) houses radiochemistry research, radioanalytical service, radiochemical process development, and hazardous and mixed hazardous waste treatment activities. The laboratories and specialized facilities enable work ranging from that with nonradioactive materials to work with picogram to kilogram quantities of fissionable materials and up to megacurie quantities of other radionuclides. The special facilities include two shielded hot-cell areas that provide for process development or analytical chemistry work with highly radioactive materials, and a waste treatment facility for processing hazardous, mixed, low-level, and transuranic wastes generated by Pacific Northwest Laboratory. Radioactive material storage and usage occur throughout the facility and include a large number of isotopes. This material is in several forms, including solid, liquid, particulate, and gas. Some of these materials are also heated during testing which can produce vapors. The research activities have been assigned to the following activity designations: High-Level Hot Cell, Hazardous Waste Treatment Unit, Waste Form Development, Special Testing Projects, Chemical Process Development, Analytical Hot Cell, and Analytical Chemistry. The following summarizes the airborne and liquid effluents and the results of the Facility Effluent Monitoring Plan (FEMP) determination for the facility. The complete monitoring plan includes characterization of effluent streams, monitoring/sampling design criteria, a description of the monitoring systems and sample analysis, and quality assurance requirements

Immediate behavioural responses to earthquakes in Christchurch, New Zealand, and Hitachi, Japan.

Science.gov (United States)

Lindell, Michael K; Prater, Carla S; Wu, Hao Che; Huang, Shih-Kai; Johnston, David M; Becker, Julia S; Shiroshita, Hideyuki

2016-01-01

This study examines people's immediate responses to earthquakes in Christchurch, New Zealand, and Hitachi, Japan. Data collected from 257 respondents in Christchurch and 332 respondents in Hitachi revealed notable similarities between the two cities in people's emotional reactions, risk perceptions, and immediate protective actions during the events. Respondents' physical, household, and social contexts were quite similar, but Hitachi residents reported somewhat higher levels of emotional reaction and risk perception than did Christchurch residents. Contrary to the recommendations of emergency officials, the most frequent response of residents in both cities was to freeze. Christchurch residents were more likely than Hitachi residents to drop to the ground and take cover, whereas Hitachi residents were more likely than Christchurch residents to evacuate immediately the building in which they were situated. There were relatively small correlations between immediate behavioural responses and demographic characteristics, earthquake experience, and physical, social, or household context. © 2016 The Author(s). Disasters © Overseas Development Institute, 2016.

Focus on the future: Episodic future thinking reduces discount rate and snacking.

Science.gov (United States)

Dassen, Fania C M; Jansen, Anita; Nederkoorn, Chantal; Houben, Katrijn

2016-01-01

Obesity seems related to a preference for immediate gratification. By changing this focus on short term benefits to a more future-oriented outlook, delay discounting (impulsive decision making) can be changed by a manipulation of episodic future thinking (EFT). EFT comprises a vivid mental simulation of general future experiences. EFT may also affect consumption of unhealthy foods, which can be seen as a choice for immediate gratification. Recent research shows that future orientation should be tailored to the behavior at outcome. We therefore hypothesize that the effectiveness of EFT on food intake could be enhanced by making the content food-related. We conducted a 2 (future vs past thinking) by 2 (food vs non-food related thoughts) between-subject design experiment in female undergraduates (N = 94), to compare the efficacy of EFT versus the recalling of episodic past events in reducing discount rate and caloric intake. Content of imagery was either unrestricted or food-related. Participants engaged in EFT or control episodic imagery while snacks were offered to freely consume, and next the Monetary Choice Questionnaire was completed as a measure of delay discounting, while again being engaged in EFT or control imagery. Both types of EFT reduced delay discounting, however, only food-related EFT lead to more restricted caloric consumption. Thus, we found evidence that EFT reduced discount rate during decision making. However, in order to restrict caloric intake, EFT should entail food-related imagery. As discount rate and caloric intake were not related in the current sample, the underlying mechanism remains to be discovered. Results however suggest that EFT is a promising technique to resist immediate gratification. Copyright © 2015 Elsevier Ltd. All rights reserved.

Influence of immediate loading on provisional restoration in dental implant stability

Science.gov (United States)

Ikbal, M.; Odang, R. W.; Indrasari, M.; Dewi, R. S.

2017-08-01

The success of dental implant treatment is determined by the primary stability at placement. One factor that could influence this stability is occlusal loading through provisional restoration. Two types of loading protocols are usually used: immediate and delayed loading. However, some controversies remain about the influence of occlusal loading on implant stability. Therefore, the influence of immediate loading on implant stability must be studied. An animal study was conducted by placing nine dental implants in the mandibular jaw of three Macaca fascicularis. Provisional restorations with various occlusal contacts (no, light, and normal contact) were placed on the implant. The implant stability was measured using the Ostell ISQ three times: immediately (baseline) and at the first and second months after implant placement. The implant stability between implants with no and normal occlusal contact as well as light and normal occlusal contact showed significant differences (p implant placement. However, no significant increase (p > 0.05) in implant stability was seen at the baseline and the first and second months after implant placement for all occlusal contact groups. Immediate loading influenced the implant stability, and provisional restoration of implant without occlusal contact showed the highest implant stability.

Environmental assessment: Closure of the Waste Calcining Facility (CPP-633), Idaho National Engineering Laboratory

International Nuclear Information System (INIS)

1996-07-01

The U.S. Department of Energy (DOE) proposes to close the Waste Calcining Facility (WCF). The WCF is a surplus DOE facility located at the Idaho Chemical Processing Plant (ICPP) on the Idaho National Engineering Laboratory (INEL). Six facility components in the WCF have been identified as Resource Conservation and Recovery Ace (RCRA)-units in the INEL RCRA Part A application. The WCF is an interim status facility. Consequently, the proposed WCF closure must comply with Idaho Rules and Standards for Hazardous Waste contained in the Idaho Administrative Procedures Act (IDAPA) Section 16.01.05. These state regulations, in addition to prescribing other requirements, incorporate by reference the federal regulations, found at 40 CFR Part 265, that prescribe the requirements for facilities granted interim status pursuant to the RCRA. The purpose of the proposed action is to reduce the risk of radioactive exposure and release of hazardous constituents and eliminate the need for extensive long-term surveillance and maintenance. DOE has determined that the closure is needed to reduce potential risks to human health and the environment, and to comply with the Idaho Hazardous Waste Management Act (HWMA) requirements

A facile method of preparing LiMnPO4/reduced graphene oxide aerogel as cathodic material for aqueous lithium-ion hybrid supercapacitors

Science.gov (United States)

Xu, Lin; Wang, Senlin; Zhang, Xiao; He, Taobin; Lu, Fengxia; Li, Huichang; Ye, Junhui

2018-01-01

A facile method of preparing LiMnPO4/reduced graphene oxide aerogel (LMP/rGO) as cathodic material was reported here. LiMnPO4 nano-particles were prepared using a facile polyvinyl pyrrolidone-assisted solvothermal route. Then LMP/rGO aerogel was prepared using the accessible restacking method. The influence of the cathodic electrode composition (ratio of rGO to LiMnPO4) on the performance of the LMP/rGO was evaluated by constant-current discharge tests. When compared with 217C g-1 for the pristine LMP, the best LMP/rGO (the content of rGO is 27.3 wt%) exhibits a higher capacity of 464.5C g-1 (at 0.5 A g-1), which presenting the capacity enhance of 114%. Moreover, a lithium-ion hybrid supercapacitor (LIHS) was successfully assembled by using LMP/rGO aerogel as the cathodic electrode and rGO aerogel as the anodic electrode. The LMP/rGO//rGO device achieves excellent specific energy of 16.46 W h kg-1 at a power density of 0.38 kW kg-1, even under the higher specific power of 4.52 kW kg-1, there still holds the specific energy of 11.79 W h kg-1. The LMP/rGO//rGO device maintains 91.2% of the initial capacity after 10,000 cycles (at 2 A g-1), which displays high rate performance and long cycle life. The 3D LMP/rGO aerogel could be a promising candidate material for the lithium-ion hybrid supercapacitors.

Diagnostic delay amongst tuberculosis patients in Jogjakarta Province, Indonesia is related to the quality of services in DOTS facilities.

Science.gov (United States)

Ahmad, Riris Andono; Mahendradhata, Yodi; Utarini, Adi; de Vlas, Sake J

2011-04-01

To understand determinants of care-seeking patterns and diagnostic delay amongst tuberculosis (TB) patients diagnosed at direct observed treatment short course (DOTS) facilities in Jogjakarta, Indonesia. Cross-sectional survey amongst newly diagnosed TB patients in 89 DOTS facilities whose history of care-seeking was reconstructed through retrospective interviews gathering data on socio-demographic determinants, onset of TB symptoms, type of health facilities visited, duration of each care-seeking action were recorded. Two hundred and fifty-three TB patients were included in the study whose median duration of patients' delay was 1 week and whose total duration of diagnostic delay was 5.4 weeks. The median number of visits was 4. Many of the patients' socio-demographic determinants were not associated with the care-seeking patterns, and no socio-demographic determinants were associated with the duration of diagnostic delay. More than 60% of TB patients started their care-seeking processes outside DOTS facilities, but the number of visits in DOTS facilities was greater during the overall care-seeking process. Surprisingly, patient's immediate visits to a DOTS facility did not correspond to shorter diagnostic delay. Diagnostic delay in Jogjakarta province was not associated with patients' socio demographic factors, but rather with the health system providing DOTS services. This suggests that strengthening the health system and improving diagnostic quality within DOTS services is now a more rational strategy than expanding the TB programme to engage more providers. © 2010 Blackwell Publishing Ltd.

Technical on the TAB of air handling system in IMEF facility

International Nuclear Information System (INIS)

Oh, Yon Woo; Baik, S. Y.; Kim, S. D.; Lee, B. J.

2002-08-01

A T.A.B(Testing, Adjusting and Balancing) technique, the basic technique of air handling facility, is one of the essential technical items which workers in charge of operation of facilities have to acquire. Especially, through scientific and reasonable inspective procedures, the reduction of energy and guarantee of designed skill have become influential important problems in our time rather than in the past days. Entrepreneurs have required more thorough verify of performances and procedure of test in order to raise the investment efficiency and reduce expenditure. For that reason, I hope that cooperator acquire objective and substantial knowledges about air handling facility so that they are helped from them

Securing nuclear warheads and materials: seven steps for immediate action

International Nuclear Information System (INIS)

Bunn, M.

2002-01-01

Full text: In the last decade, substantial progress has been made in improving security and accounting for nuclear weapons and weapons-usable nuclear material worldwide, both by states' own domestic actions and through international cooperation. Thousands of nuclear warheads and hundreds of tons of nuclear material are demonstrably more secure than they were before, and through programs such as the U.S.-Russian Highly Enriched Uranium (He) Purchase Agreement, enough potentially vulnerable bomb material for thousands of nuclear weapons has been verifiably destroyed. Since the attacks of September 11, 2001, the international community has attempted to expand and accelerate these efforts. But much more remains to be done. This paper summarizes a recent report from Harvard University, which recommended seven further steps for immediate action in U.S.-Russian and international cooperation. It covers two recommendations that may be of particular interest to this audience in detail. The first is a proposed program to remove nuclear material entirely from many of the most vulnerable sites around the world (by offering incentives targeted to the needs of each facility to give up the material at that site). The second is a suggestion that participants in the global partnership against the spread of weapons and materials of mass destruction announced at the June 2002 Group of Eight summit make a political commitment to meet stringent security standards for nuclear materials on their territories, and urge (and assist) other states to do likewise. (author)

Air Quality Facilities

Data.gov (United States)

Iowa State University GIS Support and Research Facility — Facilities with operating permits for Title V of the Federal Clean Air Act, as well as facilities required to submit an air emissions inventory, and other facilities...

Facilities Performance Indicators Report, 2004-05. Facilities Core Data Survey

Science.gov (United States)

Glazner, Steve, Ed.

2006-01-01

The purpose of "Facilities Performance Indicators" is to provide a representative set of statistics about facilities in educational institutions. The second iteration of the web-based Facilities Core Data Survey was posted and available to facilities professionals at more than 3,000 institutions in the Fall of 2005. The website offered a printed…

High-risk facilities. Emergency management in nuclear, chemical and hazardous waste facilities

International Nuclear Information System (INIS)

Kloepfer, Michael

2012-01-01

The book on emergency management in high-risk facilities covers the following topics: Change in the nuclear policy, risk management of high-risk facilities as a constitutional problem - emergency management in nuclear facilities, operational mechanisms of risk control in nuclear facilities, regulatory surveillance responsibilities for nuclear facilities, operational mechanism of the risk control in chemical plants, regulatory surveillance responsibilities for chemical facilities, operational mechanisms of the risk control in hazardous waste facilities, regulatory surveillance responsibilities for hazardous waste facilities, civil law consequences in case of accidents in high-risk facilities, criminal prosecution in case of accidents in high-risk facilities, safety margins as site risk for emission protection facilities, national emergency management - strategic emergency management structures, warning and self-protection of the public in case of CBRN hazards including aspects of the psych-social emergency management.

Personalization of immediate feedback to learning styles

NARCIS (Netherlands)

Vasilyeva, E.; Pechenizkiy, M.; Gavrilova, T.; Puuronen, S.; Spector, J.M.; Sampson, D.G.; Okamoto, T.; Cerri, S.A.; Ueno, M.; Kashihara, A.

2007-01-01

Feedback provided to a user is an important part of learning and interaction in e-learning systems. In this paper we present the results of our pilot experiment aimed to study interrelation between several types of immediate feedback presentation and learning styles (LSs) of users. In the experiment

Discrimination Acquisition in Children with Developmental Disabilities under Immediate and Delayed Reinforcement

Science.gov (United States)

Sy, Jolene R.; Vollmer, Timothy R.

2012-01-01

We evaluated the discrimination acquisition of individuals with developmental disabilities under immediate and delayed reinforcement. In Experiment 1, discrimination between two alternatives was examined when reinforcement was immediate or delayed by 20 s, 30 s, or 40 s. In Experiment 2, discrimination between 2 alternatives was compared across an…

Disposal facility for radioactive wastes

International Nuclear Information System (INIS)

Utsunomiya, Toru.

1985-01-01

Purpose: To remove heat generated from radioactive wastes thereby prevent the working circumstances from being worsened in a disposal-facility for radioactive wastes. Constitution: The disposal-facility comprises a plurality of holes dug out into the ground inside a tunnel excavated for the storage of radioactive wastes. After placing radioactive wastes into the shafts, re-filling materials are directly filled with a purpose of reducing the dosage. Further, a plurality of heat pipes are inserted into the holes and embedded within the re-filling materials so as to gather heat from the radioactive wastes. The heat pipes are connected to a heat exchanger disposed within the tunnel. As a result, heating of the solidified radioactive wastes itself or the containing vessel to high temperature can be avoided, as well as thermal degradation of the re-filling materials and the worsening in the working circumstance within the tunnel can be overcome. (Moriyama, K.)

Nuclear facilities

International Nuclear Information System (INIS)

Anon.

2000-01-01

Here is given the decree (2000-1065) of the 25. of October 2000 reporting the publication of the convention between the Government of the French Republic and the CERN concerning the safety of the LHC (Large Hadron Collider) and the SPS (Proton Supersynchrotron) facilities, signed in Geneva on July 11, 2000. By this convention, the CERN undertakes to ensure the safety of the LHC and SPS facilities and those of the operations of the LEP decommissioning. The French legislation and regulations on basic nuclear facilities (concerning more particularly the protection against ionizing radiations, the protection of the environment and the safety of facilities) and those which could be decided later on apply to the LHC, SPS and auxiliary facilities. (O.M.)

Facility effluent monitoring plan for 242-A Evaporator facility

International Nuclear Information System (INIS)

Crummel, G.M.; Gustavson, R.D.

1993-03-01

A facility effluent monitoring plan is required by the US Department of Energy in DOE Order 5400.1* for any operations that involve hazardous materials and radioactive substances that could affect employee or public safety or the environment. A facility effluent monitoring plan determination was performed during Calendar Year 1991 and the evaluation showed the need for a facility effluent monitoring plan. This document is prepared using the specific guidelines identified in A Guide for Preparing Hanford Site Facility effluent Monitoring Plans, WHC-EP-0438-1**. This facility effluent monitoring plan assesses effluent monitoring systems and evaluates whether they are adequate to ensure the public health and safety as specified in applicable federal, state, and local requirements

North Slope, Alaska ESI: FACILITY (Facility Points)

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains data for oil field facilities for the North Slope of Alaska. Vector points in this data set represent oil field facility locations. This data...

Does Flooring Substrate Impact Kennel and Dog Cleanliness in Commercial Breeding Facilities?

Directory of Open Access Journals (Sweden)

Judith Stella

2018-04-01

Full Text Available Evaluation of kennel flooring surfaces is needed to understand their impacts on dog health and well-being. This pilot study aimed to characterize aspects of physical health, kennel cleanliness, and dog body cleanliness on flooring types common in US breeding kennels. Subjects were 118 adult dogs housed on diamond-coated expanded metal (DCEM, polypropylene (POLY, or concrete (CON flooring at five commercial breeding facilities in Indiana, U.S. Body condition, paw, elbow, and hock health scores were recorded. Each indoor kennel and dog was visually assessed for cleanliness. Kennels were swabbed immediately after cleaning with electrostatic dry cloths and cultured for Escherichia coli. Descriptive statistics were used for analysis. Mean body condition score (BCS, kennel and dog cleanliness scores were all near ideal (3, 1.15, and 1.04, respectively. Thirty-one percent or fewer kennels at each facility were culture-positive for E. coli after cleaning. No serious paw, elbow, or hock problems were identified. Overall, the findings indicate that with appropriate management and regular access to additional surfaces, dog foot health, cleanliness, and kennel cleanliness can be maintained on the flooring types investigated.

Waste minimization at a plutonium processing facility

International Nuclear Information System (INIS)

Pillay, K.K.S.

1995-01-01

As part of Los Alamos National Laboratory's (LANL) mission to reduce the nuclear danger throughout the world, the plutonium processing facility at LANL maintains expertise and skills in nuclear weapons technologies as well as leadership in all peaceful applications of plutonium technologies, including fuel fabrication for terrestrial and space reactors and heat sources and thermoelectric generators for space missions. Another near-term challenge resulted from two safety assessments performed by the Defense Nuclear Facilities Safety Board and the U.S. Department of Energy during the past two years. These assessments have necessitated the processing and stabilization of plutonium contained in tons of residues so that they can be stored safely for an indefinite period. This report describes waste streams and approaches to waste reduction of plutonium management

Tritium emissions from a detritiation facility

International Nuclear Information System (INIS)

Rodrigo, L.; El-Behairy, O.; Boniface, H.; Hotrum, C.; McCrimmon, K.

2010-01-01

Tritium is produced in heavy-water reactors through neutron capture by the deuterium atom. Annual production of tritium in a CANDU reactor is typically 52-74 TBq/MW(e). Some CANDU reactor operators have implemented detritiation technology to reduce both tritium emissions and dose to workers and the public from reactor operations. However, tritium removal facilities also have the potential to emit both elemental tritium and tritiated water vapor during operation. Authorized releases to the environment, in Canada, are governed by Derived Release Limits (DRLs). DRLs represent an estimate of a release that could result in a dose of 1 mSv to an exposed member of the public. For the Darlington Nuclear Generating Station, the DRLs for airborne elemental tritium and tritiated water emissions are ~15.6 PBq/week and ~825 TBq/week respectively. The actual tritium emissions from Darlington Tritium Removal Facility (DTRF) are below 0.1% of the DRL for elemental tritium and below 0.2% of the DRL for tritiated water vapor. As part of an ongoing effort to further reduce tritium emissions from the DTRF, we have undertaken a review and assessment of the systems design, operating performance, and tritium control methods in effect at the DTRF on tritium emissions. This paper discusses the results of this study. (author)

Environmental assessment for the deactivation of the N Reactor facilities. Revision 1

International Nuclear Information System (INIS)

1994-11-01

This environmental assessment (EA) provides information for the US Department of Energy (DOE) to decide whether the Proposed Action for the N Reactor facilities warrants a Finding of No Significant Impact or requires the preparation of an environmental impact statement (EIS). The EA describes current conditions at the N Reactor facilities, the need to take action at the facilities, the elements of the Proposed Action and alternatives, and the potential environmental impacts. The N Reactor facilities are currently in a surveillance and maintenance program, and will eventually be decontaminated and decommissioned (D and D). Operation and maintenance of the facilities resulted in conditions that could adversely impact human health or the environment if left as is until final D and D. The Proposed Action would deactivate the facilities to remove the conditions that present a potential threat to human health and the environment and to reduce surveillance and maintenance requirements. The action would include surveillance and maintenance after deactivation. Deactivation would take about three years and would involve about 80 facilities. Surveillance and maintenance would continue until final D and D, which is expected to be complete for all facilities except the N Reactor itself by the year 2018

Is immediate imaging important in managing low back pain?

Science.gov (United States)

Andersen, J C

2011-01-01

Chou R, Fu R, Carrino JA, Deyo RA. Imaging strategies for low-back pain: systematic review and meta-analysis. Lancet. 2009;373(9662):463-472. In patients with low back pain (LBP) who do not have indications of a serious underlying condition, does routine, immediate lumbar imaging result in improved patient outcomes when compared with clinical care without immediate imaging? Studies were identified by searching MEDLINE (1966 through first week of August 2008) and the Cochrane Central Register of Controlled Trials (third quarter of 2008). The reference lists of identified studies were manually reviewed for additional citations. The search terms spine, low-back pain, diagnostic imaging, and randomized controlled trials were used in both databases. The complete search strategy was made available as an online supplement. The search criteria were applied to the articles obtained from the electronic searches and the subsequent manual searches with no language restrictions. This systematic review and meta-analysis included randomized, controlled trials that compared immediate, routine lumbar imaging (or routine provision of imaging findings) with usual clinical care without immediate lumbar imaging (or not routinely providing results of imaging) for LBP without indications of serious underlying conditions. Data extraction and assessment of study quality were well described. The trials assessed one or more of the following outcomes: pain, function, mental health, quality of life, patient satisfaction, and overall patient-reported improvement. Two reviewers independently appraised citations considered potentially relevant, with disagreements between reviewers resolved by consensus. Two independent reviewers abstracted data from the trials and assessed quality with modified Cochrane Back Review Group criteria. The criterion for blinding of patients and providers was excluded because of lack of applicability to imaging studies. In addition, the criterion of co

26 CFR 1.142(a)(5)-1 - Exempt facility bonds: Sewage facilities.

Science.gov (United States)

2010-04-01

... 26 Internal Revenue 2 2010-04-01 2010-04-01 false Exempt facility bonds: Sewage facilities. 1.142... Bonds § 1.142(a)(5)-1 Exempt facility bonds: Sewage facilities. (a) In general. Under section 103(a), a... in section 142(a) is a sewage facility. This section defines the term sewage facility for purposes of...

Safeguards at NRC licensed facilities: Are we doing enough

International Nuclear Information System (INIS)

Asselstine, J.K.

1986-01-01

The Nuclear Regulatory Commission is pursuing a number of initiatives in the safeguards area. The Commission is conducting a reassessment of its safeguards design basis threat statements to consider the possible implications of an explosive-laden vehicle for U.S. nuclear safeguards and to examine the comparability of safeguards features at NRC-licensed and DOE facilities. The Commission is also completing action on measures to protect against the sabotage threat from an insider at NRC-licensed facilities, and is examining the potential safety implications of safeguards measures. Finally, the NRC has developed measures to reduce the theft potential for high-enriched uranium

Estimation of marginal costs at existing waste treatment facilities

DEFF Research Database (Denmark)

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

2016-01-01

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

Immediate Oral Rehabilitation of Atrophic Mandible

OpenAIRE

Batista Mendes GC; Padovan LEM; da Silva WS; Ribeiro-Junior PD

2016-01-01

The oral rehabilitation using osseointegrated implants in atrophic mandibles (AM) with severe bone resorption remains a surgical and prosthetic challenge, due to the risk of mandible fracture during implant surgery or under functional loading, paresthesia and pain. A patient with severe atrophic mandible was treated using a 2.0 locking system reconstruction plate combined with dental implants, in immediate loading system. Surgery was performed through intraoral approach and preserving mental ...

Facility transition instruction

International Nuclear Information System (INIS)

Morton, M.R.

1997-01-01

The Bechtel Hanford, Inc. facility transition instruction was initiated in response to the need for a common, streamlined process for facility transitions and to capture the knowledge and experience that has accumulated over the last few years. The instruction serves as an educational resource and defines the process for transitioning facilities to long-term surveillance and maintenance (S and M). Generally, these facilities do not have identified operations missions and must be transitioned from operational status to a safe and stable configuration for long-term S and M. The instruction can be applied to a wide range of facilities--from process canyon complexes like the Plutonium Uranium Extraction Facility or B Plant, to stand-alone, lower hazard facilities like the 242B/BL facility. The facility transition process is implemented (under the direction of the US Department of Energy, Richland Operations Office [RL] Assistant Manager-Environmental) by Bechtel Hanford, Inc. management, with input and interaction with the appropriate RL division and Hanford site contractors as noted in the instruction. The application of the steps identified herein and the early participation of all organizations involved are expected to provide a cost-effective, safe, and smooth transition from operational status to deactivation and S and M for a wide range of Hanford Site facilities

Work plan for the Isotopes Facilities Deactivation Project at Oak Ridge National Laboratory, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

1995-08-01

The purpose of the Isotopes Facilities Deactivation Project (IFDP) is to place former isotopes production facilities at the Oak Ridge National Laboratory in a safe, stable, and environmentally sound condition; suitable for an extended period of minimum surveillance and maintenance (S and M) and as quickly and economical as possible. Implementation and completion of the deactivation project will further reduce the risks to the environment and to public safety and health. Furthermore, completion of the project will result in significant S and M cost savings in future years. The IFDP work plan defines the project schedule, the cost estimate, and the technical approach for the project. A companion document, the EFDP management plan, has been prepared to document the project objectives, define organizational relationships and responsibilities, and outline the management control systems to be employed in the management of the project. The project has adopted the strategy of deactivating the simple facilities first, to reduce the scope of the project and to gain experience before addressing more difficult facilities. A decision support system is being developed to identify the activities that best promote the project mission and result in the largest cost savings. This work plan will be reviewed and revised annually. Deactivation of EFDP Facilities was initiated in FY 1994 and will be completed in FY 2000. The schedule for deactivation of facilities is shown. The total cost of the project is estimated to be $51M. The costs are summarized. Upon completion of deactivation, annual S and M costs of these facilities will be reduced from the current level of $5M per year to less than $1M per year

1994 Baseline biological studies for the Device Assembly Facility at the Nevada Test Site

Energy Technology Data Exchange (ETDEWEB)

Townsend, Y.E. [ed.; Woodward, B.D.; Hunter, R.B.; Greger, P.D.; Saethre, M.B.

1995-02-01

This report describes environmental work performed at the Device Assembly Facility (DAF) in 1994 by the Basic Environmental Monitoring and Compliance Program (BECAMP). The DAF is located near the Mojave-Great Basin desert transition zone 27 km north of Mercury. The area immediately around the DAF building complex is a gentle slope cut by 1 to 3 m deep arroyos, and occupied by transitional vegetation. In 1994, construction activities were largely limited to work inside the perimeter fence. The DAF was still in a preoperational mode in 1994, and no nuclear materials were present. The DAF facilities were being occupied so there was water in the sewage settling pond, and the roads and lights were in use. Sampling activities in 1994 represent the first year in the proposed monitoring scheme. The proposed biological monitoring plan gives detailed experimental protocols. Plant, lizard, tortoise, small mammal, and bird surveys were performed in 1994. The authors briefly outline procedures employed in 1994. Studies performed on each taxon are reviewed separately then summarized in a concluding section.

Systemic Immediate Hypersensitive Reactions after Treatment with Sweet Bee Venom: A Case Report

Directory of Open Access Journals (Sweden)

NaYoung Jo

2015-12-01

Full Text Available Objectives: A previous study showed that bee venom (BV could cause anaphylaxis or other hypersensitivity reactions. Although hypersensitivity reactions due to sweet bee venom (SBV have been reported, SBV has been reported to be associated with significantly reduced sensitization compared to BV. Although no systemic immediate hypersensitive response accompanied by abnormal vital signs has been reported with respect to SBV, we report a systemic immediate hypersensitive response that we experienced while trying to use SBV clinically. Methods: The patient had undergone BV treatment several times at other Oriental medicine clinics and had experienced no adverse reactions. She came to acupuncture & moxibustion department at Semyung university hospital of Oriental medicine (Je-cheon, Korea complaining of facial hypoesthesia and was treated using SBV injections, her first SBV treatment. SBV, 0.05 cc, was injected at each of 8 acupoints, for a total of 0.40 cc: Jichang (ST4, Daeyeong (ST5, Hyeopgeo (ST6, Hagwan (ST7, Yepung (TE17, Imun (TE21, Cheonghoe (GB2, and Gwallyeo (SI18. Results: The patient showed systemic immediate hypersensitive reactions. The main symptoms were abdominal pain, nausea and perspiration, but common symptoms associated with hypersensitivity, such as edema, were mild. Abdominal pain was the most long-lasting symptom and was accompanied by nausea. Her body temperature decreased due to sweating. Her diastolic blood pressure could not be measured on three occasions. She remained alert, though the symptoms persisted. The following treatments were conducted in sequence; intramuscular epinephrine, 1 mg/mL, injection, intramuscular dexamethasone, 5 mg/mL, injection, intramuscular buscopan, 20 mg/mL, injection, oxygen (O2 inhalation therapy, 1 L/minutes, via a nasal prong, and intravascular injection of normal saline, 1 L. After 12 hours of treatment, the symptoms had completely disappeared. Conclusion: This case shows that the use of SBV

Iconic and Immediate Memory in Elementary School Children.

Science.gov (United States)

Ewert, G. D.; Janzen, H. L.

1978-01-01

As age and grade increased, recall on all tasks increased; subjects in grades three to six were also seen to have a fully developed Iconic Memory, while only sixth graders had a functionally developed Immediate Memory. (KR)

Immediate resolution of acute, choreatic hyperkinesias following ...

African Journals Online (AJOL)

In addition, she was on treatment with pramipexole (0.18 mg) for RLS for years, citalopram 10 mg/day for ~4 years, and fentanyl 75 μg/day for 1 year. Hyperkinesias did not respond to benzodiazepines, quetiapine, biperiden, or valproic acid. Surprisingly, hyperkinetic bursts resolved immediately upon 15 mg fentanyl ...

A management scheme for reducing pollution at air discharge facility in advance

Energy Technology Data Exchange (ETDEWEB)

Kong, Sung Yong; Lee, Shin Chul [Korea Environment Institute, Seoul (Korea)

1998-12-01

The developed countries are implementing a policy minimizing damage from environmental pollution by reducing discharge in advance as well as the aftermath of a pollutant. The typical example is to use BAT (Best Available Technology). This is to prevent environmental damage by reducing the discharge of pollutants with available technology and to secure environmental margin to enable industrial activities of future generation. Therefore, the feasibility of introducing BAT requirement system was reviewed by considering foreign examples and Korean situation. 38 refs., 8 figs., 69 tabs.

Delivering Sustainable Facilities Management in Danish Housing Estates

DEFF Research Database (Denmark)

Nielsen, Susanne Balslev; Jensen, Jesper Ole; Jensen, Per Anker

2009-01-01

Housing plays a central role in sustainable development due to large resource consumption and as transition agent towards sustainable lifestyles. The aim is to evaluate current practice of housing administration in Denmark in order to evaluate if and how sustainable facilities management is suppo......Housing plays a central role in sustainable development due to large resource consumption and as transition agent towards sustainable lifestyles. The aim is to evaluate current practice of housing administration in Denmark in order to evaluate if and how sustainable facilities management...... is supporting social, economical and environmental sustainable development. Sustainable facility management (SFM) is as an 'umbrella' for various ways of reducing flows of energy, water and waste in the daily operation of the buildings, for instance by regular monitoring the consumption, by using 'green......-setting including the ownership of the building, the organisation of daily operation, the roles and relation between stakeholders are equally important in order to utilise the monitoring as a mean for transformation towards sustainable buildings and lifestyles....

Facilities Performance Indicators Report 2012-13: Tracking Your Facilities Vital Signs

Science.gov (United States)

APPA: Association of Higher Education Facilities Officers, 2014

2014-01-01

This paper features an expanded Web-based "Facilities Performance Indicators (FPI) Report." The purpose of APPA's Facilities Performance Indicators is to provide a representative set of statistics about facilities in educational institutions. "The Facilities Performance Indicators Report" is designed for survey…

Guide to research facilities

Energy Technology Data Exchange (ETDEWEB)

1993-06-01

This Guide provides information on facilities at US Department of Energy (DOE) and other government laboratories that focus on research and development of energy efficiency and renewable energy technologies. These laboratories have opened these facilities to outside users within the scientific community to encourage cooperation between the laboratories and the private sector. The Guide features two types of facilities: designated user facilities and other research facilities. Designated user facilities are one-of-a-kind DOE facilities that are staffed by personnel with unparalleled expertise and that contain sophisticated equipment. Other research facilities are facilities at DOE and other government laboratories that provide sophisticated equipment, testing areas, or processes that may not be available at private facilities. Each facility listing includes the name and phone number of someone you can call for more information.

Immediate Memory for Haptically-Examined Braille Symbols by Blind and Sighted Subjects.

Science.gov (United States)

Newman, Slater E.; And Others

The paper reports on two experiments in Braille learning which compared blind and sighted subjects on the immediate recall of haptically-examined Braille symbols. In the first study, sighted subjects (N=64) haptically examined each of a set of Braille symbols with their preferred or nonpreferred hand and immediately recalled the symbol by drawing…

Payment methods for outpatient care facilities.

Science.gov (United States)

Yuan, Beibei; He, Li; Meng, Qingyue; Jia, Liying

2017-03-03

Outpatient care facilities provide a variety of basic healthcare services to individuals who do not require hospitalisation or institutionalisation, and are usually the patient's first contact. The provision of outpatient care contributes to immediate and large gains in health status, and a large portion of total health expenditure goes to outpatient healthcare services. Payment method is one of the most important incentive methods applied by purchasers to guide the performance of outpatient care providers. To assess the impact of different payment methods on the performance of outpatient care facilities and to analyse the differences in impact of payment methods in different settings. We searched the Cochrane Central Register of Controlled Trials (CENTRAL), 2016, Issue 3, part of the Cochrane Library (searched 8 March 2016); MEDLINE, OvidSP (searched 8 March 2016); Embase, OvidSP (searched 24 April 2014); PubMed (NCBI) (searched 8 March 2016); Dissertations and Theses Database, ProQuest (searched 8 March 2016); Conference Proceedings Citation Index (ISI Web of Science) (searched 8 March 2016); IDEAS (searched 8 March 2016); EconLit, ProQuest (searched 8 March 2016); POPLINE, K4Health (searched 8 March 2016); China National Knowledge Infrastructure (searched 8 March 2016); Chinese Medicine Premier (searched 8 March 2016); OpenGrey (searched 8 March 2016); ClinicalTrials.gov, US National Institutes of Health (NIH) (searched 8 March 2016); World Health Organization (WHO) International Clinical Trials Registry Platform (ICTRP) (searched 8 March 2016); and the website of the World Bank (searched 8 March 2016).In addition, we searched the reference lists of included studies and carried out a citation search for the included studies via ISI Web of Science to find other potentially relevant studies. We also contacted authors of the main included studies regarding any further published or unpublished work. Randomised trials, non-randomised trials, controlled before

Experimental Fuels Facility Re-categorization Based on Facility Segmentation

Energy Technology Data Exchange (ETDEWEB)

Reiss, Troy P.; Andrus, Jason

2016-07-01

The Experimental Fuels Facility (EFF) (MFC-794) at the Materials and Fuels Complex (MFC) located on the Idaho National Laboratory (INL) Site was originally constructed to provide controlled-access, indoor storage for radiological contaminated equipment. Use of the facility was expanded to provide a controlled environment for repairing contaminated equipment and characterizing, repackaging, and treating waste. The EFF facility is also used for research and development services, including fuel fabrication. EFF was originally categorized as a LTHC-3 radiological facility based on facility operations and facility radiological inventories. Newly planned program activities identified the need to receive quantities of fissionable materials in excess of the single parameter subcritical limit in ANSI/ANS-8.1, “Nuclear Criticality Safety in Operations with Fissionable Materials Outside Reactors” (identified as “criticality list” quantities in DOE-STD-1027-92, “Hazard Categorization and Accident Analysis Techniques for Compliance with DOE Order 5480.23, Nuclear Safety Analysis Reports,” Attachment 1, Table A.1). Since the proposed inventory of fissionable materials inside EFF may be greater than the single parameter sub-critical limit of 700 g of U-235 equivalent, the initial re-categorization is Hazard Category (HC) 2 based upon a potential criticality hazard. This paper details the facility hazard categorization performed for the EFF. The categorization was necessary to determine (a) the need for further safety analysis in accordance with LWP-10802, “INL Facility Categorization,” and (b) compliance with 10 Code of Federal Regulations (CFR) 830, Subpart B, “Safety Basis Requirements.” Based on the segmentation argument presented in this paper, the final hazard categorization for the facility is LTHC-3. Department of Energy Idaho (DOE-ID) approval of the final hazard categorization determined by this hazard assessment document (HAD) was required per the

Air compliance through pollution prevention at Air Force Materiel Command facilities.

Energy Technology Data Exchange (ETDEWEB)

Kolpa, R.; Ryckman, S.J. Jr.; Smith, A.E.

1999-03-19

Options for air compliance through pollution prevention (P2) have been identified at 14 facilities of the US Air Force Materiel Command, ranging from depots with significant light industrial activity to laboratories. Previous P2 efforts concentrated on reducing hazardous and solid wastes, with any reduction in air impacts generally being a collateral benefit. This work focused on reducing air emissions and air compliance vulnerabilities. P2 options were identified in three stages. First, potentially applicable P2 options were identified from Internet and published information. Attention was given to identifying the types of sources to which an option could be applied, the option's state of development, and constraints that could limit its application. Traditional P2 options involving technology or equipment changes and material substitution were considered. In addition, newer approaches based on administrative ''controls'' were considered. These included inserting P2 into operating permits in exchange for administrative relief, privatization, derating boilers, and reducing an installation's potential to emit and compliance vulnerability by separating sources not under the Air Force's ''common control.'' Next, criteria and toxic emissions inventories by source category were prepared from inventory data supplied by facilities. The major problems at this stage were differences in the levels of detail provided by facilities and in the categories used by different installations. Emitting categories were matched to P2 option categories to identify candidate options. Candidates were screened to account for local regulations and technical information about sources in the inventories. When possible, emission reductions were estimated to help facility personnel prioritize options. Some options identified are being actively pursued by facilities to determine their site-specific feasibility. Although much work has been

Immediate and delayed contact hypersensitivity to verbena plants

DEFF Research Database (Denmark)

Potter, P C; Mather, S; Lockey, P

1995-01-01

Plants from the Verbenaceae family may cause contact dermatitis of unknown nature. This report describes 2 cases of allergic reactions to the Verbena species. A teenage boy developed an anaphylactic allergic response following contact with the leaves of Verbena hybrida. Characterization...... of the patient's specific IgE response to Verbena hybrida, using Western blots and autoradiography, identified the specific 62000 Dalton allergen present in the verbena leaves to which the patient reacted. This is the first report of an IgE-mediated immediate contact hypersensitivity reaction to Verbena hybrida......, a common perennial in South African gardens. The other case was a 23-year-old female gardener who developed immediate and delayed-type contact dermatitis from Verbena elegans 'Cleopatra' produced in a Danish nursery. Prick tests to plant material were considered positive and of an allergic nature....

Immediate and delayed reactions to radiocontrast media: is there an allergic mechanism?

Science.gov (United States)

Brockow, Knut

2009-08-01

Radiocontrast media can cause immediate (1 hour) and nonimmediate (>1 hour) hypersensitivity reactions that remain unpredictable and a cause of concern for radiologists and cardiologists. Immediate hypersensitivity reactions resemble anaphylaxis, whereas nonimmediate ones clinically are predominated by exanthemas. Increasing evidence indicates that immediate reactions and nonimmediate skin exanthemas may be allergic reactions involving either contrast media-reactive IgE or T cells, respectively. Skin testing is a useful tool for the diagnosis of contrast media allergy. It may have an important role in the selection of a safe product in previous reactors, although validation data are still lacking. In vitro tests to search for contrast media-specific cell activation are currently under investigation.

Hanford Facility dangerous waste permit application, liquid effluent retention facility and 200 area effluent treatment facility

International Nuclear Information System (INIS)

Coenenberg, J.G.

1997-01-01

The Hanford Facility Dangerous Waste Permit Application is considered to 10 be a single application organized into a General Information Portion (document 11 number DOE/RL-91-28) and a Unit-Specific Portion. The scope of the 12 Unit-Specific Portion is limited to Part B permit application documentation 13 submitted for individual, 'operating' treatment, storage, and/or disposal 14 units, such as the Liquid Effluent Retention Facility and 200 Area Effluent 15 Treatment Facility (this document, DOE/RL-97-03). 16 17 Both the General Information and Unit-Specific portions of the Hanford 18 Facility Dangerous Waste Permit Application address the content of the Part B 19 permit application guidance prepared by the Washington State Department of 20 Ecology (Ecology 1987 and 1996) and the U.S. Environmental Protection Agency 21 (40 Code of Federal Regulations 270), with additional information needs 22 defined by the Hazardous and Solid Waste Amendments and revisions of 23 Washington Administrative Code 173-303. For ease of reference, the Washington 24 State Department of Ecology alpha-numeric section identifiers from the permit 25 application guidance documentation (Ecology 1996) follow, in brackets, the 26 chapter headings and subheadings. A checklist indicating where information is 27 contained in the Liquid Effluent Retention Facility and 200 Area Effluent 28 Treatment Facility permit application documentation, in relation to the 29 Washington State Department of Ecology guidance, is located in the Contents 30 Section. 31 32 Documentation contained in the General Information Portion is broader in 33 nature and could be used by multiple treatment, storage, and/or disposal units 34 (e.g., the glossary provided in the General Information Portion). Wherever 35 appropriate, the Liquid Effluent Retention Facility and 200 Area Effluent 36 Treatment Facility permit application documentation makes cross-reference to 37 the General Information Portion, rather than duplicating

Hanford Facility dangerous waste permit application, liquid effluent retention facility and 200 area effluent treatment facility

Energy Technology Data Exchange (ETDEWEB)

Coenenberg, J.G.

1997-08-15

The Hanford Facility Dangerous Waste Permit Application is considered to 10 be a single application organized into a General Information Portion (document 11 number DOE/RL-91-28) and a Unit-Specific Portion. The scope of the 12 Unit-Specific Portion is limited to Part B permit application documentation 13 submitted for individual, `operating` treatment, storage, and/or disposal 14 units, such as the Liquid Effluent Retention Facility and 200 Area Effluent 15 Treatment Facility (this document, DOE/RL-97-03). 16 17 Both the General Information and Unit-Specific portions of the Hanford 18 Facility Dangerous Waste Permit Application address the content of the Part B 19 permit application guidance prepared by the Washington State Department of 20 Ecology (Ecology 1987 and 1996) and the U.S. Environmental Protection Agency 21 (40 Code of Federal Regulations 270), with additional information needs 22 defined by the Hazardous and Solid Waste Amendments and revisions of 23 Washington Administrative Code 173-303. For ease of reference, the Washington 24 State Department of Ecology alpha-numeric section identifiers from the permit 25 application guidance documentation (Ecology 1996) follow, in brackets, the 26 chapter headings and subheadings. A checklist indicating where information is 27 contained in the Liquid Effluent Retention Facility and 200 Area Effluent 28 Treatment Facility permit application documentation, in relation to the 29 Washington State Department of Ecology guidance, is located in the Contents 30 Section. 31 32 Documentation contained in the General Information Portion is broader in 33 nature and could be used by multiple treatment, storage, and/or disposal units 34 (e.g., the glossary provided in the General Information Portion). Wherever 35 appropriate, the Liquid Effluent Retention Facility and 200 Area Effluent 36 Treatment Facility permit application documentation makes cross-reference to 37 the General Information Portion, rather than duplicating

Nature and Causes of the Immediate Extinction Deficit: A Brief Review

OpenAIRE

Maren, Stephen

2013-01-01

Recent data in both rodents and humans suggests that the timing of extinction trials after conditioning influences the magnitude and duration of extinction. For example, administering extinction trials soon after Pavlovian fear conditioning in rats, mice, and humans results in minimal fear suppression--the so-called immediate extinction deficit. Here I review recent work examining the behavioral and neural substrates of the immediate extinction deficit. I suggest that extinction is most effec...

Facility effluent monitoring plan for 242-A evaporator facility

International Nuclear Information System (INIS)

Crummel, G.M.; Gustavson, R.D.

1995-02-01

A facility effluent monitoring plan is required by the U.S. Department of Energy in DOE Order 5400.1 for any operations that involve hazardous materials and radioactive substances that could affect employee or public safety or the environment. A facility effluent monitoring plan determination was performed during Calendar Year 1991 and the evaluation showed the need for a facility effluent monitoring plan. This document is prepared using the specific guidelines identified in A Guide for Preparing Hanford Site Facility Effluent Monitoring Plans, WHC-EP-0438-1. This facility effluent monitoring plan assesses effluent monitoring systems and evaluates whether they are adequate to ensure the public health and safety as specified in applicable federal, state, and local requirements. This facility effluent monitoring plan shall ensure long-range integrity of the effluent monitoring systems by requiring an update whenever a new process or operation introduces new hazardous materials or significant radioactive materials. This document must be reviewed annually even if there are no operational changes, and it must be updated, as a minimum, every three years

Immediate effect of mind sound resonance technique on state anxiety and cognitive functions in patients suffering from generalized anxiety disorder: A self-controlled pilot study

Directory of Open Access Journals (Sweden)

Vipin Dhansoia

2015-01-01

Conclusion: This pilot study suggests that MSRT may have a potential role in reducing state anxiety and enhancing psychomotor performance in patients suffering from GAD immediately after the practice. These findings need confirmation from studies with a larger sample size and randomized controlled design, which are implicated in the future.

EPA Facility Registry Service (FRS): Facility Interests Dataset

Data.gov (United States)

U.S. Environmental Protection Agency — This web feature service consists of location and facility identification information from EPA's Facility Registry Service (FRS) for all sites that are available in...

Factors That Influence Campus Dwelling University Students' Facility to Practice Healthy Living Guidelines.

Science.gov (United States)

Walsh, Audrey; Taylor, Claudette; Brennick, Debbie

2017-01-01

Background Young adult university students living on campus are at an increased risk of developing lifestyle habits that encourage unintentional weight gain. Purpose The purpose of this study was to identify the individual and contextual factors that influence campus dwelling university students' facility to practice healthy living guidelines that reduce their risk of unintentional weight gain. Lifestyle practices included nutrition, physical activity, and sleep. Methods For seven days, 48 campus dwelling students recorded their activities and reflected on how closely they were able to follow recommended healthy living guidelines. Recorded data were supplemented by follow-up focus groups. All data were analyzed using thematic analysis. Results Students described multiple factors and conditions that influenced their facility to practice healthy living guidelines for nutrition, activity, and sleep. Many students' lifestyle practices put them at an increased risk of unintentional weight gain. Conclusions The campus environment challenges student's facility to practice healthy living guidelines. Nurses can intervene to build individual student capacity and to advocate for environmental polices that increase students' facility to choose lifestyle practices that promote health, lessen their risk of unintentional weight gain, and reduce their risk of developing chronic illness.

Occupational dose reduction at Department of Energy contractor facilities: Study of ALARA programs

International Nuclear Information System (INIS)

Dionne, B.J.; Meinhold, C.B.; Khan, T.A.; Baum, J.W.

1992-03-01

This report provides the US Department of Energy (DOE) and its contractors with information that will be useful for reducing occupational radiation doses at DOE's nuclear facilities. In 1989 and 1990, health physicists from the Brookhaven National Laboratory's (BNL) ALARA Center visited twelve DOE contractor facilities with annual collective dose equivalents greater than 100 person-rem (100 person-cSv). The health physicists interviewed radiological safety staff, engineers, and training personnel who were responsible for dose control. The status of ALARA practices at the major contractor facilities was compared with the requirements and recommendation in DOE Order 5480.11 ''Radiation Protection for Occupational Workers'' and PNL-6577 ''Health Physics Manual of Good Practices for Reducing Radiation Exposure to Levels that are as Low as Reasonably Achievable.'' The information and data collected are described and examples of successful practices are presented. The findings on the status of the DOE Contractor ALARA Programs are summarized and evaluated. In addition, the supplement to this report contains examples of good-practice documents associated with implementing the major elements of a formally documented ALARA program for a major DOE contractor facility

Reducing stillbirths in Ethiopia: Results of an intervention programme.

Science.gov (United States)

Lindtjørn, Bernt; Mitike, Demissew; Zidda, Zillo; Yaya, Yaliso

2018-01-01

Previous studies from South Ethiopia have shown that interventions that focus on intrapartum care substantially reduce maternal mortality and there is a need to operationalize health packages that could reduce stillbirths. The aim of this paper is to evaluate if a programme that aimed to improve maternal health, and mainly focusing on strengthening intrapartum care, also would reduce the number of stillbirths, and to estimate if there are other indicators that explains high stillbirth rates. Our study used a "continuum of care" approach and focussed on providing essential antenatal and obstetric services in communities through health extension workers, at antenatal and health facility services. In this follow up study, which includes the same 38.312 births registered by community health workers, shows that interventions focusing on improved intrapartum care can also reduce stillbirths (by 46%; from 14.5 to 7.8 per 1000 births). Other risk factors for stillbirths are mainly related to complications during delivery and illnesses during pregnancy. We show that focusing on Comprehensive Emergency Obstetric Care and antenatal services reduces stillbirths. However, the study also underlines that illnesses during pregnancy and complications during delivery still represent the main risk factors for stillbirths. This indicates that obstetric care need still to be strengthened, should include the continuum of care from home to the health facility, make care accessible to all, and reduce delays.

Design of Test Facility to Evaluate Boric Acid Precipitation Following a LOCA

Energy Technology Data Exchange (ETDEWEB)

Suh, Jeong-Kwan; Song, Yong-Jae [KHNP CRI, Daejeon (Korea, Republic of)

2016-10-15

The U.S.NRC has identified a concern that debris associated with generic safety issue (GSI) - 191 may affect the potential precipitation of boric acid due to one or more of the following phenomena: - Reducing mass transport (i.e. mixing) between the core and the lower plenum (should debris accumulate at the core inlet) - Reduced lower plenum volume (should debris settle in the lower plenum), and, - Increased potential for boric acid precipitation (BAP) in the core (should debris accumulate in suspension in the core) To address these BAP issues, KHNP is planning to conduct validation tests by constructing a BAP test facility. This paper describes the design of test facility to evaluate BAP following a LOCA. The design of BAP test facility has been developed by KHNP. To design the test facility, test requirements and success criteria were established, and scaling analysis of power-to-volume method, Ishii-Kataoka method, and hierarchical two-tiered method were investigated. The test section is composed of two fuel assemblies with half of full of prototypic FA height. All the fuel rods are heated by the electric power supplier. The BAP tests in the presence of debris, buffering agents, and boron will be performed following the test matrix.

Pre-test analysis of a LBLOCA using the design data of the ATLAS facility, a reduced-height integral effect test loop for PWRs

International Nuclear Information System (INIS)

Hyun-Sik Park; Ki-Yong Choi; Dong-Jin Euh; Tae-Soon Kwon; Won-Pil Baek

2005-01-01

Full text of publication follows: The simulation capability of the KAERI integral effect test facility, ATLAS (Advanced Thermalhydraulic Test Loop for Accident Simulation), has been assessed for a large-break loss-of-coolant accident (LBLOCA) transient. The ATLAS facility is a 1/2 height-scaled, 1/144 area-scaled (1/288 in volume scale), and full-pressure test loop based on the design features of the APR1400, an evolutionary pressurized water reactor that has been developed by Korean industry. The APR1400 has four mechanically separated hydraulic trains for the emergency core cooling system (ECCS) with direct vessel injection (DVI). The APR1400 design features have brought about several new safety issues related to the LBLOCA including the steam-water interaction, ECC bypass, and boiling in the reactor vessel downcomer. The ATLAS facility will be used to investigate the multiple responses between the systems or between the components during various anticipated transients. The ATLAS facility has been designed according to a scaling method that is mainly based on the model suggested by Ishii and Kataoka. The ATLAS facility is being evaluated against the prototype plant APR1400 with the same control logics and accident scenarios using the best-estimated code, MARS. This paper briefly introduces the basic design features of the ATLAS facility and presents the results of pre-test analysis for a postulated LBLOCA of a cold leg. The LBLOCA analyses has been conducted to assess the validity of the applied scaling law and the similarity between the ATLAS facility and the APR1400. As the core simulator of the ATLAS facility has the 10% capability of the scaled full power, the blowdown phase can not be simulated, and the starting point of the accident scenario is around the end of blowdown. So it is an important problem to find the correct initial conditions. For the analyzed LBLOCA scenario, the ATLAS facility showed very similar thermal-hydraulic characteristics to the APR

Maintenance of marginal bone support and soft tissue esthetics at immediately provisionalized OsseoSpeed implants placed into extraction sites: 2-year results.

Science.gov (United States)

Noelken, Robert; Neffe, Bettina Anna; Kunkel, Martin; Wagner, Wilfried

2014-02-01

Placement of implants into extraction sockets targets the maintenance of peri-implant hard and soft tissue structures and the support of a natural and esthetic contour. The main advantages of immediate implant insertion in comparison with delayed implant placement protocols are as follows: a reduced treatment time, less number of sessions, and, thus, the less invasive procedure. This study examines the clinical performance (survival rate, marginal bone levels and Pink Esthetic Score [PES]) of OsseoSpeed implants placed into extraction sockets with immediate provisionalization in the anterior maxilla after a follow-up of at least 12 months. Twenty patients received a total number of 37 OsseoSpeed implants which were immediately inserted into extraction sockets with or without facial bone deficiencies of various dimensions. A flapless procedure was applied, and the implants were immediately provisionalized with temporary crowns without occlusal contacts. Facial gaps between implant surface and facial bone or the previous contour of the alveolar process were grafted with autogenous bone chips. Implants in diameters 3.5, 4.0, 4.5, and 5.0 with lengths of 11-17 mm were used in the study. During the course of the study, interproximal marginal bone levels, the thickness of the facial bony wall, implant success rate according to the criteria established by Buser, and the PES were assessed per implant. One patient with three implants did not continue the study after prosthesis delivery, the remaining 34 implants were still in function at the final follow-up (survival rate: 100%). The mean follow-up period was 27 months (range, 12-40 months). Marginal bone height at the level of the implant shoulder averaged -0.1 ± 0.55 mm (range, -1.25 to 1.47 mm) at the final follow-up. The mean PES ratings were 11.3 ± 1.8 (range, 6-14) at the final follow-up. In 78% of the patients, the PES was preserved or even improved. Success rates, marginal bone levels, and esthetic results suggest

A Case of Immediate Hypersensitivity Reaction to Maltitol

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Ana Rodríguez Trabado

2017-01-01

Full Text Available Background. Maltitol is a sugar alcohol that is frequently used as a noncaloric sweetener, although it is also used as an excipient, a plasticizer in gelatin capsules, and an emollient. It has not been previously described as an agent involved in immediate hypersensitivity reactions. Methods. We report on an anaphylactoid reaction with pharyngeal occlusion suffered by a 60-year-old man after ingestion of a candy containing maltitol syrup. A prick-to-prick test was performed with the candy and maltitol powder. Other allergens were excluded as causative agents of the adverse reaction, although the patient refused to undergo an oral challenge test with the candy. A basophil activation test (BAT was performed with maltitol powder, and a dose-response curve was generated. The test was also performed in 3 healthy controls. Results. Both prick-to-prick tests were negative. The result of the BAT was positive at all the concentrations tested in the patient’s blood and negative in all the controls. Conclusions. The BAT can help to clarify the agents implicated in an adverse reaction and can reduce the risk involved in diagnosis. The BAT can also prove useful in the study of reactions caused by low-molecular-weight antigens, for which routine diagnostic tests are not feasible.

Staged deployment of the International Fusion Materials Irradiation Facility

International Nuclear Information System (INIS)

Takeuchi, H.; Sugimoto, M.; Nakamura, H.

2001-01-01

The International Fusion Materials Irradiation Facility (IFMIF) employs an accelerator based D-Li intense neutron source as defined in the 1995-96 Conceptual Design Activity (CDA) study. In 1999, IEA mandated a review of the CDA IFMIF design for cost reduction without change to its original mission. This objective was accomplished by eliminating the previously assumed possibility of potential upgrade of IFMIF beyond the user requirements. The total estimated cost was reduced from $797.2 M to $487.8 M. An option of deployment in 3 stages was also examined to reduce the initial investment and annual expenditures during construction. In this scenario, full performance is achieved gradually with each interim stage as follows. 1st Stage: 20% operation for material selection for ITER breeding blanket, 2nd Stage: 50% operation to demonstrate materials performance of a reference alloy for DEMO, 3rd Stage: full performance operation ( 2MW/m 2 at 500cm 3 ) to obtain engineering data for potential DEMO materials under irradiation up to 100-200 dpa. In summary, the new, reduced cost IFMIF design and staged deployment still satisfies the original mission. The estimated cost of the 1st Stage facility is only $303.6 M making it financially much more attractive. Currently, IFMIF Key Element Technology Phase (KEP) is underway to reduce the key technology risk factors. (author)

Public crack cocaine smoking and willingness to use a supervised inhalation facility: implications for street disorder

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Qi Jiezhi

2011-02-01

Full Text Available Abstract Background The health risks of crack cocaine smoking in public settings have not been well described. We sought to identify factors associated with public crack smoking, and assess the potential for a supervised inhalation facility to reduce engagement in this behavior, in a setting planning to evaluate a medically supervised crack cocaine smoking facility. Methods Data for this study were derived from a Canadian prospective cohort of injection drug users. Using multivariate logistic regression we identified factors associated with smoking crack cocaine in public areas. Among public crack smokers we then identified factors associated with willingness to use a supervised inhalation facility. Results Among our sample of 623 people who reported crack smoking, 61% reported recently using in public locations. In multivariate analysis, factors independently associated with public crack smoking included: daily crack cocaine smoking; daily heroin injection; having encounters with police; and engaging in drug dealing. In sub analysis, 71% of public crack smokers reported willingness to use a supervised inhalation facility. Factors independently associated with willingness include: female gender, engaging in risky pipe sharing; and having encounters with police. Conclusion We found a high prevalence of public crack smoking locally, and this behavior was independently associated with encounters with police. However, a majority of public crack smokers reported being willing to use a supervised inhalation facility, and individuals who had recent encounters with police were more likely to report willingness. These findings suggest that supervised inhalation facilities offer potential to reduce street-disorder and reduce encounters with police.

Online air analysis of reduced sulfur compounds at a swine facility

Science.gov (United States)

Reduced sulfur compounds are emitted from waste management handling and can be important in odor production and atmospheric chemistry. Data on the emissions of these compounds have been obtained using off-line sampling and analysis methods, but on-line methods providing information on temporal chang...

The Aesthetic As Immediately Sensuous: An Historical Perspective

Science.gov (United States)

Madenfort, Duke

1974-01-01

The views of Immanuel Kant, Soren Kierkegaard, Henri Bergson, John Dewey, and Susanne Langer were discussed. In this article they served as five important figures in a historical account of the concept of the aesthetic as the immediately sensuous. (Author/RK)

Immediate Effects of Smoking on Cardiorespiratory Responses During Dynamic Exercise: Arm Versus Leg Ergometry

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Chien-Liang eChen

2015-12-01

Full Text Available Purpose: This study compared the immediate effects of smoking on cardiorespiratory responses to dynamic arm and leg exercises. Methods: This randomized crossover study recruited 14 college students. Each participant underwent 2 sets of arm-cranking (AC and leg-cycling (LC exercise tests. The testing sequences of the control trial (participants refrained from smoking for 8 hours before testing and the experimental trial (participants smoked 2 cigarettes were randomly chosen. We observed immediate changes in pulmonary function and heart rate variability after smoking and before the exercise test. The participants then underwent graded exercise tests of their arms and legs, respectively, until reaching exhaustion. We compared the peak work achieved and the time to exhaustion during the exercise tests with various cardiorespiratory indices [i.e., heart rate, oxygen consumption (VO2, minute ventilation (VE]. The main effects of the time and the trial, as well as their interaction effects on outcome measures, were investigated using repeated measure ANOVA.Results: Five minutes after smoking, the participants exhibited reduced forced vital capacities and forced expiratory volumes in the first second (P < .05, in addition to elevated resting heart rates (P < .001. The high-frequency, low-frequency, and the total power of the heart rate variability were also reduced (P < .05 at rest. For the exercise test periods, smoking reduced the time to exhaustion (P = .005 and the ventilatory threshold (P < .05 in the LC tests, whereas there were no significant effects in the AC tests. A trend analysis revealed a significant (P < .001 trial-by-time interaction effect for heart rate, VO2, and VE during the graded exercise test. Lower VO2 and VE levels were exhibited in the exercise response of the smoking trial than in that of the control LC trials, whereas there was no discernable inter-trial difference in the AC trials. Moreover, the differences in heart rate

Factors associated with bat mortality at wind energy facilities in the United States

Science.gov (United States)

Thompson, Maureen; Beston, Julie A.; Etterson, Matthew A.; Diffendorfer, James E.; Loss, Scott R.

2017-01-01

Hundreds of thousands of bats are killed annually by colliding with wind turbines in the U.S., yet little is known about factors causing variation in mortality across wind energy facilities. We conducted a quantitative synthesis of bat collision mortality with wind turbines by reviewing 218 North American studies representing 100 wind energy facilities. This data set, the largest compiled for bats to date, provides further evidence that collision mortality is greatest for migratory tree-roosting species (Hoary Bat [Lasiurus cinereus], Eastern Red Bat [Lasiurus borealis], Silver-haired Bat [Lasionycteris noctivagans]) and from July to October. Based on 40 U.S. studies meeting inclusion criteria and analyzed under a common statistical framework to account for methodological variation, we found support for an inverse relationship between bat mortality and percent grassland cover surrounding wind energy facilities. At a national scale, grassland cover may best reflect openness of the landscape, a factor generally associated with reduced activity and abundance of tree-roosting species that may also reduce turbine collisions. Further representative sampling of wind energy facilities is required to validate this pattern. Ecologically informed placement of wind energy facilities involves multiple considerations, including not only factors associated with bat mortality, but also factors associated with bird collision mortality, indirect habitat-related impacts to all species, and overall ecosystem impacts.

Project Management Plan for the Isotopes Facilities Deactivation Project at Oak Ridge National Laboratory

International Nuclear Information System (INIS)

1995-04-01

The purpose of the Isotopes Facilities Deactivation Project (IFDP) is to place former isotopes production facilities at the Oak Ridge National Laboratory in a safe, stable, and environmentally sound condition suitable for an extended period of minimum surveillance and maintenance (S ampersand M) and as quickly and economically as possible. Implementation and completion of the deactivation project will further reduce the already small risks to the environment and to public safety and health. Furthermore, the project should result in significant S ampersand M cost savings in the future. The IFDP management plan has been prepared to document the project objectives, define organizational relationships and responsibilities, and outline the management control systems to be employed in the management of the project. The project has adopted a strategy to deactivate the simple facilities first, to reduce the scope of the project, and to gain experience before addressing more difficult facilities. A decision support system is being developed to identify those activities, that best promote the project mission and result in largest cost savings. The Work Plan for the Isotopes Facilities Deactivation Project at Oak Ridge National Laboratory (Energy Systems 1994) defines the project schedule, the cost estimate, and the technical approach for the project

Measurement of Outflow Facility Using iPerfusion.

Directory of Open Access Journals (Sweden)

Joseph M Sherwood

Full Text Available Elevated intraocular pressure (IOP is the predominant risk factor for glaucoma, and reducing IOP is the only successful strategy to prevent further glaucomatous vision loss. IOP is determined by the balance between the rates of aqueous humour secretion and outflow, and a pathological reduction in the hydraulic conductance of outflow, known as outflow facility, is responsible for IOP elevation in glaucoma. Mouse models are often used to investigate the mechanisms controlling outflow facility, but the diminutive size of the mouse eye makes measurement of outflow technically challenging. In this study, we present a new approach to measure and analyse outflow facility using iPerfusion™, which incorporates an actuated pressure reservoir, thermal flow sensor, differential pressure measurement and an automated computerised interface. In enucleated eyes from C57BL/6J mice, the flow-pressure relationship is highly non-linear and is well represented by an empirical power law model that describes the pressure dependence of outflow facility. At zero pressure, the measured flow is indistinguishable from zero, confirming the absence of any significant pressure independent flow in enucleated eyes. Comparison with the commonly used 2-parameter linear outflow model reveals that inappropriate application of a linear fit to a non-linear flow-pressure relationship introduces considerable errors in the estimation of outflow facility and leads to the false impression of pressure-independent outflow. Data from a population of enucleated eyes from C57BL/6J mice show that outflow facility is best described by a lognormal distribution, with 6-fold variability between individuals, but with relatively tight correlation of facility between fellow eyes. iPerfusion represents a platform technology to accurately and robustly characterise the flow-pressure relationship in enucleated mouse eyes for the purpose of glaucoma research and with minor modifications, may be applied

Final closure plan for the high-explosives open burn treatment facility at Lawrence Livermore National Laboratory Experimental Test Site 300

Energy Technology Data Exchange (ETDEWEB)

Mathews, S.

1997-04-01

This document addresses the interim status closure of the HE Open Bum Treatment Facility, as detailed by Title 22, Division 4.5, Chapter 15, Article 7 of the Califonia Code of Regulations (CCR) and by Title 40, Code of Federal Regulations (CFR) Part 265, Subpart G, ``Closure and Post Closure.`` The Closure Plan (Chapter 1) and the Post- Closure Plan (Chapter 2) address the concept of long-term hazard elimination. The Closure Plan provides for capping and grading the HE Open Bum Treatment Facility and revegetating the immediate area in accordance with applicable requirements. The Closure Plan also reflects careful consideration of site location and topography, geologic and hydrologic factors, climate, cover characteristics, type and amount of wastes, and the potential for contaminant migration. The Post-Closure Plan is designed to allow LLNL to monitor the movement, if any, of pollutants from the treatment area. In addition, quarterly inspections will ensure that all surfaces of the closed facility, including the cover and diversion ditches, remain in good repair, thus precluding the potential for contaminant migration.

Decommissioning of a brachytherapy facility at the Oncology Hospital in Havana

International Nuclear Information System (INIS)

Benitez, J.C.; Salgado, M.; Madrazo, S.; Castillo, R.; Marcos, J.; Flores, J.

2001-01-01

, measurements of dose rate and surface contamination were carried out. The selection of the more convenient strategies for decommissioning included a justification, a proposed timetable and a demonstration of adequate financial provision. Different factors were considered, such as: the future use of the facility, the availability of a national waste treatment and storage facility, technical feasibility and cost benefit analysis. Dismantling, as one of the operations during decommissioning, was necessary for facilitating access to radium sources and for size reduction of contaminated materials to facilitate their handling. The dismantling strategy was very simple, using simple equipment. The generation of radioactive wastes from decommissioning process was kept to the minimum practical, by using appropriate decontamination and dismantling techniques. The decommissioning project was successfully completed. Adequate project management was applied to the program for safety assurance, radiation protection and waste management. One hundred and thirty six spent 226 Ra sources were recovered from the facility and properly managed. The requirements established by the Regulatory Body to release the facility from the regulatory control were achieved. Simple and effective decontamination and dismantling technology was applied for decommissioning of INOR brachytherapy facility allowing minimization of generated radioactive waste and the immediate site release from regulatory control. Upon successful completion of decommissioning, the Oncology Institute received the authorization from Regulatory Body for unrestricted use of the facility

Facility and market factors affecting transitions from nursing home to community.

Science.gov (United States)

Arling, Greg; Abrahamson, Kathleen A; Cooke, Valerie; Kane, Robert L; Lewis, Teresa

2011-09-01

Research into nursing home transitions has given limited attention to the facility or community contexts. To identify facility and market factors affecting transitions of nursing home residents back to the community. Multilevel models were used to estimate effects of facility and market factors on facility-level community discharge rates after controlling for resident demographic, health, and functional conditions. Facility discharge rates were adjusted using Empirical Bayes estimation. Annual cohort of first-time admissions (N=24,648) to 378 Minnesota nursing facilities in 75 nursing home markets from July 2005 to June 2006. Community discharge within 90 days of admission; facility occupancy, payer mix, ownership, case-mix acuity, size, admissions from hospitals, nurse staffing level, and proportion of admissions preferring or having support to return to the community; and nursing market population size, average occupancy, market concentration, and availability of home and community-based services. Rates of community discharge (Empirical Bayes residual) were highest in facilities with more residents preferring community discharge, more Medicare days, higher nurse staffing levels, and higher occupancy. In addition, facilities had higher community discharge rates if they were located in markets with a greater ratio of home and community-based services recipients to nursing home residents and with larger populations. State Medicaid programs should undertake system-level interventions that encourage nursing facilities to reduce unused bed capacity, balance the mix of payers, invest in nurse staffing, and take other steps to promote community discharges. In addition, states should increase home and community-based services, particularly in markets with low community discharge rates.

Immediate provisionalization of immediate implants in the esthetic zone: a prospective case series evaluating implant survival, esthetics, and bone maintenance.

Science.gov (United States)

Levin, Barry P; Wilk, Brian L

2013-05-01

This prospective study evaluates immediately placed and immediately provisionalized implants in the esthetic zone. All implants were TiO2-blasted, fluoride-modified, grade 4 titanium, with a coronal microthread design. Bone grafting and guided bone regeneration (GBR) was performed at all sites, and screw-retained temporary restorations were delivered on the day of surgery. All of the provisional crown(s) were out of occlusal function and remained in place for at least 8 weeks prior to initiation of definitive restorative therapy. Bone maintenance (BM) was considered successful if radiographs demonstrated proximal bone levels even or coronal to the implant platform. Of the 29 implants placed, 25 (86 percent) achieved bone maintenance at least 12 months post-loading with the final restorations. This study was considered successful, with 100 percent implant survival after at least 1 year loading of the final restoration, and 100 percent of patients were satisfied with the esthetics of their implant treatment.

Challenges and limitations in retrofitting facilities for low frequency noise

Energy Technology Data Exchange (ETDEWEB)

Wierzba, P. [ATCO Noise Management, Calgary, AB (Canada)

2007-07-01

The trend to revise and increase environmental regulations regarding low frequency noise emissions from oil and gas facilities was discussed. Noise related complaints can often be traced to low frequency noise, which is the unwanted sound with a frequency range falling within 31.5-Hz, 63-Hz, and 125-Hz octave bands. This paper also discussed the challenges and limitations of field retrofits of the facilities aimed at reducing low frequency noise. The main sources of low frequency noise associated with a compression facility are the radiator cooler, engine exhaust and the building envelope. Regulators are paying close attention not only to the overall noise exposure as measured by the A-weighted levels, but also to the quality of noise emitted by the particular frequency spectrum. The Alberta Energy and Utilities Board recently issued Noise Control Directive 38 and made it a requirement to perform low frequency noise impact assessment for permitting of all new energy facilities. Under Directive 38, the low frequency noise assessment is to be performed using the C-weighted scale as a measure in addition to the previously used A-weighted scale. Directive 38 recommends that in order to avoid low frequency noise problems the difference between the C-weighted and A-weighted levels at the residential locations should be lower than 20 dB. This implies that noise should be limited to 60 dBC for Category 1 residences of low dwelling density. Small upgrades and changes can be made to lower low frequency noise emissions. These may include upgrading building wall insulation, providing wall-to-skid isolation system, upgrading the fan blades, or reducing the rpm of the fans. It was concluded that these upgrades should be considered for facilities in close proximity to residential areas. 3 refs., 2 tabs., 7 figs.

Deuterium retention and desorption behavior in an advanced reduced-activation alloy

Energy Technology Data Exchange (ETDEWEB)

Noh, S.J., E-mail: sjnoh@dankook.ac.kr [Department of Applied Physics, Dankook University, Yongin-si, Gyeonggi-do 448-701 (Korea, Republic of); Kim, H.S.; Byeon, W.J.; Shin, H.W. [Department of Applied Physics, Dankook University, Yongin-si, Gyeonggi-do 448-701 (Korea, Republic of); Lee, Cheol Eui [Department of Physics, Korea University, Seoul 136-713 (Korea, Republic of); Lee, S.K. [Nuclear Fusion Development Division, Korea Atomic Energy Research Institute, 989-111 Daedeok-daero, Yuseong-gu, Daejeon 305-353 (Korea, Republic of)

2017-07-15

We present the first experimental results of the deuterium retention and desorption behavior in an advanced reduced-activation alloy (ARAA) under development in Korea. For the in-situ measurement of desorbed gases from samples immediately after irradiation, a thermal desorption spectroscopy (TDS) system clustered with an inductively coupled plasma ion source has been built. Samples were and were not irradiated with helium ions at energies of 1.4, 3.5, and 5.0 keV and then continuously irradiated with 1.7-keV deuterium ions. TDS measurements were performed in situ immediately after deuterium irradiation and after exposure to air for one week. The amount of desorbed deuterium is the largest for the sample without helium irradiation from the TDS results measured in situ immediately after irradiation. Further, the amount of desorbed deuterium is significantly lowered when the helium energy is increased to 3.5 keV with no significant changes thereafter, indicating that the layer formed by implanted helium at near or deeper than the stopping range for 1.7-keV deuterium ions effectively acts as a barrier against deuterium diffusion into the depth. Because of the strong diffusivity of deuterium into the ambient atmosphere, the amounts of desorbed deuterium are greatly reduced for the samples without helium irradiation and with 1.4-keV helium irradiation after exposure to air for one week. In addition, our deuterium results for the ARAA are also compared with the results for F82H by other authors. - Highlights: •The first result of the deuterium retention and desorption in an ARAA is presented. •The ARAA was irradiated with helium and then continuously irradiated with deuterium. •TDS measurements were performed in situ immediately after deuterium irradiation. •TDS measurements were performed after exposure to air for one week. •The effects of helium irradiation and exposure to air were investigated.

[Anaemia in pregnancy and in the immediate postpartum period. Prevalence and risk factors in pregnancy and childbirth].

Science.gov (United States)

Urquizu I Brichs, Xavier; Rodriguez Carballeira, Mónica; García Fernández, Antonio; Perez Picañol, Emilio

2016-05-20

The objective of the study was to assess the prevalence of anaemia in the immediate postpartum period (48-72hours), determine the risk factors and the value of haemoglobin before birth to reduce postpartum anaemia. A prospective, observational and longitudinal study that included 1,426 women who delivered consecutively and agreed to participate in the study. Different variables, analytical, epidemiological, foetal and maternal symptoms were studied. The prevalence of anaemia in the postpartum period was 49.7%. The most important risk factors were antepartum anaemia and type of delivery. The types of delivery most influencing postpartum anaemia were, forceps (82.3%), the ventouse 67%, cesarean section (58,2%) and vaginal delivery (37.2%). In the multivariate study was found as the most important independent risk factors, the haemoglobin in the delivery day (OR 6.16, CI: 3.73 to 10.15) and instrumental delivery (OR: 4.61, CI: 3.44 to 6, 19). Other independent risk factors were haemoglobin in the third trimester, episiotomy and perineal tears, ethnicity, birth weight, parity and intra/postpartum complications. Anaemia in the immediate postpartum is a prevalent problem. The factors most associated postpartum anaemia were antepartum anaemia and instrumental delivery. If patients arrive at the day of delivery with haemoglobins≥12,6g/dl and were restricted to necessary instrumented deliveries and cesarean sections, episiotomies and we could avoid perineal tears we can decrease anaemia in the immediate postpartum period very significantly. Copyright © 2016 Elsevier España, S.L.U. All rights reserved.

Ambient air quality at the wider area of an industrial mining facility at Stratoni, Chalkidiki, Greece.

Science.gov (United States)

Gaidajis, Georgios; Angelakoglou, Komninos; Gazea, Emmy

2012-01-01

To assess ambient air quality at the wider area of a mining-industrial facility in Chalkidiki, Greece, the particulate matter with an aerodynamic diameter of 10 μm (PM(10)) and its content in characteristic elements, i.e., As, Cd, Cu, Fe, Mn, Pb, Zn were monitored for a period of three years (2008-2010). Gravimetric air samplers were employed for the particulate matter sampling at three sampling stations located in the immediate vicinity of the industrial facility and at a neighbouring residential site. Monitoring data indicated that the 3-year median PM(10) concentrations were 23.3 μg/m(3) at the residential site close to the facility and 28.7 μg/m(3) at the site within the facility indicating a minimal influence from the industrial activities to the air quality of the neighbouring residential area. Both annual average and median PM(10) concentration levels were below the indicative European standards, whereas similar spatial and temporal variation was observed for the PM(10) constituents. The average Pb concentrations measured for the three sampling sites were 0.2, 0.146 and 0.174 μg/m(3) respectively, well below the indicative limit of 0.5 μg/m(3). The quantitative and qualitative comparison of PM(10) concentrations and its elemental constituent for the three sampling stations did not indicate any direct influence of the mining-industrial activities to the air quality of the Stratoni residential area.

Clinical effectiveness and cost-effectiveness of immediate angioplasty for acute myocardial infarction: systematic review and economic evaluation.

Science.gov (United States)

Hartwell, D; Colquitt, J; Loveman, E; Clegg, A J; Brodin, H; Waugh, N; Royle, P; Davidson, P; Vale, L; MacKenzie, L

2005-05-01

To review the clinical evidence comparing immediate angioplasty with thrombolysis, and to consider whether it would be cost-effective. Electronic databases. Experts in the field. For clinical effectiveness, a comprehensive review of randomised control trials (RCTs) was used for efficacy, and a selection of observational studies such as case series or audit data used for effectiveness in routine practice. RCTs of thrombolysis were used to assess the relative value of prehospital and hospital thrombolysis. Observational studies were used to assess the representativeness of patients in the RCTs, and to determine whether different groups have different capacity to benefit. Clinical effectiveness was synthesised through a narrative review with full tabulation of results of all included studies and a meta-analysis to provide a precise estimate of absolute clinical benefit. Consideration was given to the effect of the growing use of stents. The economic modelling adopted an NHS perspective to develop a decision-analytical model of cost-effectiveness focusing on opportunity costs over the short term (6 months). The results were consistent in showing an advantage of immediate angioplasty over hospital thrombolysis. The updated meta-analysis showed that mortality is reduced by about one-third, from 7.6% to 4.9% in the first 6 months, and by about the same in studies of up to 24 months. Reinfarction is reduced by over half, from 7.6% to 3.1%. Stroke is reduced by about two-thirds, from 2.3% with thrombolysis to 0.7% with percutaneous coronary intervention (PCI), with the difference being due to haemorrhagic stroke. The need for coronary artery bypass graft is reduced by about one-third, from 13.2% to 8.4%. Caution is needed in interpreting some of the older trials, as changes such as an increase in stenting and the use of the glycoprotein IIb/IIa inhibitors may improve the results of PCI. There is little evidence comparing prehospital thrombolysis with immediate PCI. Research

3D finite element analysis of immediate loading of single wide versus double implants for replacing mandibular molar

Directory of Open Access Journals (Sweden)

Shrikar R Desai

2013-01-01

Full Text Available Purpose: The purpose of this finite element study was to compare the stresses, strains, and displacements of double versus single implant in immediate loading for replacing mandibular molar. Materials and Methods: Two 3D FEM (finite element method models were made to simulate implant designs. The first model used 5-mm-wide diameter implant to support a single molar crown. The second model used 3.75-3.75 double implant design. Anisotropic properties were assigned to bone model. Each model was analyzed with single force magnitude (100 N in vertical axis. Results: This FEM study suggested that micromotion can be controlled better for double implants compared to single wide-diameter implants. The Von Mises stress for double implant showed 74.44% stress reduction compared to that of 5-mm implant. The Von Mises elastic strain was reduced by 61% for double implant compared to 5-mm implant. Conclusion: Within the limitations of the study, when the mesiodistal space for artificial tooth is more than 12.5 mm, under immediate loading, the double implant support should be considered.

The challenges of integrating multiple safeguards systems in a large nuclear facility

International Nuclear Information System (INIS)

Lavietes, A.; Liguori, C.; Pickrell, M.; Plenteda, R.; Sweet, M.

2009-01-01

Full-text: Implementing safeguards in a cost-effective manner in large nuclear facilities such as fuel conditioning, fuel reprocessing, and fuel fabrication plants requires the extensive use of instrumentation that is operated in unattended mode. The collected data is then periodically reviewed by the inspectors either on-site at a central location in the facility or remotely in the IAEA offices. A wide variety of instruments are deployed in large facilities, including video surveillance cameras, electronic sealing devices, non-destructive assay systems based on gamma ray and neutron detection, load cells for mass measurement, ID-readers, and other process-specific monitors. The challenge to integrate these different measurement instruments into an efficient, reliable, and secure system requires implementing standardization at various levels throughout the design process. This standardization includes the data generator behaviour and interface, networking solutions, and data security approaches. This standardization will provide a wide range of savings, including reduced training for inspectors and technicians, reduced periodic technical maintenance, reduced spare parts inventory, increased system robustness, and more predictive system behaviour. The development of standard building blocks will reduce the number of data generators required and allow implementation of simplified architectures that do not require local collection computers but rather utilize transmission of the acquired data directly to a central server via Ethernet connectivity. This approach will result in fewer system components and therefore reduced maintenance efforts and improved reliability. This paper discusses in detail the challenges and the subsequent solutions in the various areas that the IAEA Department of Safeguards has committed to pursue as the best sustainable way of maintaining the ability to implement reliable safeguards systems. (author)

Biochemistry Facility

Data.gov (United States)

Federal Laboratory Consortium — The Biochemistry Facility provides expert services and consultation in biochemical enzyme assays and protein purification. The facility currently features 1) Liquid...

Facility effluent monitoring plan for the plutonium-uranium extraction facility

International Nuclear Information System (INIS)

Nickels, J.M.; Geiger, J.L.

1992-11-01

A facility effluent monitoring plan is required by the US Department of Energy in DOE Order 5400.1 for any operations that involve hazardous materials and radioactive substances that could impact employee or public safety or the environment. A facility effluent monitoring plan determination was performed during Calendar Year 1991 and the evaluation requires the need for a facility effluent monitoring plan. This document is prepared using the specific guidelines identified. in. A Guide for Preparing Hanford Site Facility Effluent Monitoring Plans, WHC-EP-0438. This facility effluent monitoring plan assesses effluent monitoring systems and evaluates whether they are adequate to ensure the public health and safety as specified in applicable federal, state, and local requirements

Precautions for preventing criticality at plutonium fuel treatment facilities

International Nuclear Information System (INIS)

Deworm, J.P.; Fieuw, G.; Cank, H. de

1976-01-01

Four criticality accidents took place between 1958 and 1964 at fuel processing plants using wet methods. So far accident of this type has taken place at production units where fissionable material is used. The prevention of criticality is one of the major concerns of the officials in charge of the plutonium fuel research laboratories operated at the Mol Nuclear Energy Study Centre by the SCK/CEN-Belgonucleaire Association. The means of preventing such an accident are of three types: introducing different types of treatment in well-defined work units; thorough analysis of planned experiments or fabrication programmes to determine the sub-criticality factors; application of technical and administrative procedures which ensure that the facilities are always sub-critical during the treatment and storage of fissionable materials. The installation includes a detection and warning system and provision is made for the immediate evacuation of staff should a crticality incident occur. The effects of a critical excursion on the building have been assessed. (author)

Jupiter Laser Facility

Data.gov (United States)

Federal Laboratory Consortium — The Jupiter Laser Facility is an institutional user facility in the Physical and Life Sciences Directorate at LLNL. The facility is designed to provide a high degree...

Environmental Monitoring Plan, Nevada Test Site and support facilities

International Nuclear Information System (INIS)