WorldWideScience

Sample records for facility final medical

  1. Medical cyclotron facilities

    International Nuclear Information System (INIS)

    1984-09-01

    This report examines the separate proposals from the Austin Hospital and the Australian Atomic Energy Commission for a medical cyclotron facility. The proponents have argued that a cyclotron facility would benefit Australia in areas of patient care, availability and export of radioisotopes, and medical research. Positron emission tomography (PET) and neutron beam therapy are also examined

  2. Building a medical system for nuclear facilities

    International Nuclear Information System (INIS)

    Maeda, Mitsuya

    2016-01-01

    To build a medical system for nuclear facilities, I explained what kinds of actions were performed with the TEPCO Fukushima Daiichi Nuclear Power Plant Accident and what kinds of actions are going to be performed in the future. We examined the health and medical care of the emergency workers in nuclear facilities including TEPCO Fukushima Daiichi Nuclear Power Plant from 2014 to 2015 in the Ministry of Health, Labour and Welfare (MHLW). We carried out a detailed hearing from stakeholders of electric companies and medical institutions about the medical system in nuclear facilities carrying out urgent activities. It has been said that the electric company is responsible to maintain the medical system for affected workers in nuclear facilities. However, TEPCO could not find the medical staff, such as doctors, by their own effort at the TEPCO Fukushima Daiichi Nuclear Power Plant Accident. The network of doctors familiar with emergency medical care support dispatched the medical staff after July of 2011. The stakeholders indicated that the following six tasks must be resolved: (1) the fact that no electric company performs the action of bringing up medical staff who can be dispatched into nuclear facilities in emergencies in 2015; (2) bringing up personnel in charge of radiation management and logistics other than the medical staff, such as doctors; (3) cooperation with the community medicine system given the light and shade by nuclear facilities; (4) performing training for the many concurrent wounded based on the scenario of a severe accident; (5) indicating both the condition of the contract and the guarantee of status that is appropriate for dispatched medical staffs; and (6) clarifying the organization of the network of stakeholders. The stakeholders showed the future directionality as follows: (1) To recruit the medical staff expected to be dispatched into nuclear facilities, (2) to carry out the discussion and conveyance training to strengthen cooperation with

  3. Management of radioactive material safety programs at medical facilities. Final report

    International Nuclear Information System (INIS)

    Camper, L.W.; Schlueter, J.; Woods, S.

    1997-05-01

    A Task Force, comprising eight US Nuclear Regulatory Commission and two Agreement State program staff members, developed the guidance contained in this report. This report describes a systematic approach for effectively managing radiation safety programs at medical facilities. This is accomplished by defining and emphasizing the roles of an institution's executive management, radiation safety committee, and radiation safety officer. Various aspects of program management are discussed and guidance is offered on selecting the radiation safety officer, determining adequate resources for the program, using such contractual services as consultants and service companies, conducting audits, and establishing the roles of authorized users and supervised individuals; NRC's reporting and notification requirements are discussed, and a general description is given of how NRC's licensing, inspection and enforcement programs work

  4. Management of radioactive material safety programs at medical facilities. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Camper, L.W.; Schlueter, J.; Woods, S. [and others

    1997-05-01

    A Task Force, comprising eight US Nuclear Regulatory Commission and two Agreement State program staff members, developed the guidance contained in this report. This report describes a systematic approach for effectively managing radiation safety programs at medical facilities. This is accomplished by defining and emphasizing the roles of an institution`s executive management, radiation safety committee, and radiation safety officer. Various aspects of program management are discussed and guidance is offered on selecting the radiation safety officer, determining adequate resources for the program, using such contractual services as consultants and service companies, conducting audits, and establishing the roles of authorized users and supervised individuals; NRC`s reporting and notification requirements are discussed, and a general description is given of how NRC`s licensing, inspection and enforcement programs work.

  5. Approval of devices and facilities using ionizing radiations for medical purposes

    International Nuclear Information System (INIS)

    1977-01-01

    This Order made by the Ministers of Health and Social Security, Agriculture and Labour amends a previous Decree of 23 April 1969 in particular concerning the classification of medical or dental radiodiagnostic devices subject to approval. The technical conditions to be complied with for such devices and facilities have also been amended. Finally, it is provided that, as regards facilities with heavy equipment subject to licensing (Act of 31 December 1970), approval is subject to compliance with the licensing conditions and is requested together with the application for a licence. (NEA) [fr

  6. Exploring Factors Affecting Emergency Medical Services Staffs' Decision about Transporting Medical Patients to Medical Facilities

    OpenAIRE

    Ebrahimian, Abbasali; Seyedin, Hesam; Jamshidi-Orak, Roohangiz; Masoumi, Gholamreza

    2014-01-01

    Transfer of patients in medical emergency situations is one of the most important missions of emergency medical service (EMS) staffs. So this study was performed to explore affecting factors in EMS staffs’ decision during transporting of patients in medical situations to medical facilities. The participants in this qualitative study consisted of 18 EMS staffs working in prehospital care facilities in Tehran, Iran. Data were gathered through semistructured interviews. The data were analyzed u...

  7. KEWB facilities decontamination and disposition. Final report

    International Nuclear Information System (INIS)

    Ureda, B.F.

    1976-01-01

    The decontamination and disposition of the KEWB facilities, Buildings 073, 643, 123, and 793, are complete. All of the facility equipment, including reactor enclosure, reactor vessel, fuel handling systems, controls, radioactive waste systems, exhaust systems, electrical services, and protective systems were removed from the site. Buildings 643, 123, and 793 were completely removed, including foundations. The floor and portions of the walls of Building 073 were covered over by final grading. Results of the radiological monitoring and the final survey are presented. 9 tables, 19 figures

  8. Medical facility statistics in Japan.

    Science.gov (United States)

    Hamajima, Nobuyuki; Sugimoto, Takuya; Hasebe, Ryo; Myat Cho, Su; Khaing, Moe; Kariya, Tetsuyoshi; Mon Saw, Yu; Yamamoto, Eiko

    2017-11-01

    Medical facility statistics provide essential information to policymakers, administrators, academics, and practitioners in the field of health services. In Japan, the Health Statistics Office of the Director-General for Statistics and Information Policy at the Ministry of Health, Labour and Welfare is generating these statistics. Although the statistics are widely available in both Japanese and English, the methodology described in the technical reports are primarily in Japanese, and are not fully described in English. This article aimed to describe these processes for readers in the English-speaking world. The Health Statistics Office routinely conduct two surveys called the Hospital Report and the Survey of Medical Institutions. The subjects of the former are all the hospitals and clinics with long-term care beds in Japan. It comprises a Patient Questionnaire focusing on the numbers of inpatients, admissions, discharges, and outpatients in one month, and an Employee Questionnaire, which asks about the number of employees as of October 1. The Survey of Medical Institutions consists of the Dynamic Survey, which focuses on the opening and closing of facilities every month, and the Static Survey, which focuses on staff, facilities, and services as of October 1, as well as the number of inpatients as of September 30 and the total number of outpatients during September. All hospitals, clinics, and dental clinics are requested to submit the Static Survey questionnaire every three years. These surveys are useful tools for collecting essential information, as well as providing occasions to implicitly inform facilities of the movements of government policy.

  9. Accidental nuclear excursion recuplex operation 234-5 facility: Final medical report

    Energy Technology Data Exchange (ETDEWEB)

    Fuqua, P. A.

    1962-04-07

    The April 7, 1962 criticality accident involving human exposures was the first to have occurred in any production facility at Hanford. The accidental nuclear excursion did not result in any mechanical damage or spread of contamination. Three employees received over-exposure to gamma and neutron radiation. None were fatally exposed and in each case the over-exposure was recognized promptly. Following an initial period of medical observation and testing, the men were released to work. They continued to be followed clinically. Clinical studies performed were hematological procedures including leukocyte chromosome aberrations, morphologically aberrant blood cells, bone marrow evaluations, blood chemistry determinations, amino acid excretion studies, seminal fluid, urinary gonadotropins and estrogen excretion studies, testicular biopsies and crystalline lens examinations. These studies, along with a brief description of the accident and of the dosimetry, are summarized in this report by those participating in the studies. In view of the dose ranges received in these cases, both the negative and positive findings are considered to be of unusual interest due to the lack of knowledge of effects following human exposures at these levels.

  10. Ecotoxicity of Wastewater from Medical Facilities: A Review

    Directory of Open Access Journals (Sweden)

    Cidlinová A.

    2018-03-01

    Full Text Available Wastewater from medical facilities contains a wide range of chemicals (in particular pharmaceuticals, disinfectants, heavy metals, contrast media, and radionuclides and pathogens, therefore it constitutes a risk to the environment and human health. Many micropollutants are not efficiently eliminated during wastewater treatment and contaminate both surface water and groundwater. As we lack information about the long-term effects of low concentrations of micropollutants in the aquatic environment, it is not possible to rule out their adverse effects on aquatic organisms and human health. It is, therefore, necessary to focus on the evaluation of chronic toxicity in particular when assessing the environmental and health risks and to develop standards for the regulation of hazardous substances in wastewater from medical facilities on the basis of collected data. Wastewater from medical facilities is a complex mixture of many compounds that may have synergetic, antagonistic or additive effects on organisms. To evaluate the influence of a wide range of pollutants contained in the effluents from medical facilities on aquatic ecosystems, it is necessary to determine their ecotoxicity.

  11. Radiation safety and regulatory aspects in Medical Facilities

    International Nuclear Information System (INIS)

    Banerjee, Sharmila

    2017-01-01

    Radiation safety and regulatory aspect of medical facilities are relevant in the context where radiation is used in providing healthcare to human patients. These include facilities, which carry out radiological procedures in diagnostic radiology, including dentistry, image-guided interventional procedures, nuclear medicine, and radiation therapy. The safety regulations provide recommendations and guidance on meeting the requirements for the safe use of radiation in medicine. The different safety aspects which come under its purview are the personnel involved in medical facilities where radiological procedures are performed which include the medical practitioners, radiation technologists, medical physicists, radiopharmacists, radiation protection and over and above all the patients. Regulatory aspects cover the guidelines provided by ethics committees, which regulate the administration of radioactive formulation in human patients. Nuclear medicine is a modality that utilizes radiopharmaceuticals either for diagnosis of physiological disorders related to anatomy, physiology and patho-physiology and for diagnosis and treatment of cancer

  12. Radioactive isotope production for medical applications using Kharkov electron driven subcritical assembly facility

    International Nuclear Information System (INIS)

    Talamo, A.; Gohar, Y.

    2007-01-01

    Kharkov Institute of Physics and Technology (KIPT) of Ukraine has a plan to construct an accelerator driven subcritical assembly. The main functions of the subcritical assembly are the medical isotope production, neutron thereby, and the support of the Ukraine nuclear industry. Reactor physics experiments and material research will be carried out using the capabilities of this facility. The United States of America and Ukraine have started collaboration activity for developing a conceptual design for this facility with low enrichment uranium (LEU) fuel. Different conceptual designs are being developed based on the facility mission and the engineering requirements including nuclear physics, neutronics, heat transfer, thermal hydraulics, structure, and material issues. Different fuel designs with LEU and reflector materials are considered in the design process. Safety, reliability, and environmental considerations are included in the facility conceptual design. The facility is configured to accommodate future design improvements and upgrades. This report is a part of the Argonne National Laboratory Activity within this collaboration for developing and characterizing the subcritical assembly conceptual design. In this study, the medical isotope production function of the Kharkov facility is defined. First, a review was carried out to identify the medical isotopes and its medical use. Then a preliminary assessment was performed without including the self-shielding effect of the irradiated samples. Finally, more detailed investigation was carried out including the self-shielding effect, which defined the sample size and irradiation location for producing each medical isotope. In the first part, the reaction rates were calculated as the multiplication of the cross section with the unperturbed neutron flux of the facility. Over fifty isotopes were considered and all transmutation channels are used including (n,γ), (n,2n), (n,p), and (γ,n). In the second part, the parent

  13. Radioactive isotope production for medical applications using Kharkov electron driven subcritical assembly facility.

    Energy Technology Data Exchange (ETDEWEB)

    Talamo, A.; Gohar, Y.; Nuclear Engineering Division

    2007-05-15

    Kharkov Institute of Physics and Technology (KIPT) of Ukraine has a plan to construct an accelerator driven subcritical assembly. The main functions of the subcritical assembly are the medical isotope production, neutron thereby, and the support of the Ukraine nuclear industry. Reactor physics experiments and material research will be carried out using the capabilities of this facility. The United States of America and Ukraine have started collaboration activity for developing a conceptual design for this facility with low enrichment uranium (LEU) fuel. Different conceptual designs are being developed based on the facility mission and the engineering requirements including nuclear physics, neutronics, heat transfer, thermal hydraulics, structure, and material issues. Different fuel designs with LEU and reflector materials are considered in the design process. Safety, reliability, and environmental considerations are included in the facility conceptual design. The facility is configured to accommodate future design improvements and upgrades. This report is a part of the Argonne National Laboratory Activity within this collaboration for developing and characterizing the subcritical assembly conceptual design. In this study, the medical isotope production function of the Kharkov facility is defined. First, a review was carried out to identify the medical isotopes and its medical use. Then a preliminary assessment was performed without including the self-shielding effect of the irradiated samples. Finally, more detailed investigation was carried out including the self-shielding effect, which defined the sample size and irradiation location for producing each medical isotope. In the first part, the reaction rates were calculated as the multiplication of the cross section with the unperturbed neutron flux of the facility. Over fifty isotopes were considered and all transmutation channels are used including (n,{gamma}), (n,2n), (n,p), and ({gamma},n). In the second part

  14. Use of information technology for medication management in residential care facilities: correlates of facility characteristics.

    Science.gov (United States)

    Bhuyan, Soumitra S; Chandak, Aastha; Powell, M Paige; Kim, Jungyoon; Shiyanbola, Olayinka; Zhu, He; Shiyanbola, Oyewale

    2015-06-01

    The effectiveness of information technology in resolving medication problems has been well documented. Long-term care settings such as residential care facilities (RCFs) may see the benefits of using such technologies in addressing the problem of medication errors among their resident population, who are usually older and have numerous chronic conditions. The aim of this study was two-fold: to examine the extent of use of Electronic Medication Management (EMM) in RCFs and to analyze the organizational factors associated with the use of EMM functionalities in RCFs. Data on RCFs were obtained from the 2010 National Survey of Residential Care Facilities. The association between facility, director and staff, and resident characteristics of RCFs and adoption of four EMM functionalities was assessed through multivariate logistic regression. The four EMM functionalities included were maintaining lists of medications, ordering for prescriptions, maintaining active medication allergy lists, and warning of drug interactions or contraindications. About 12% of the RCFs adopted all four EMM functionalities. Additionally, maintaining lists of medications had the highest adoption rate (34.5%), followed by maintaining active medication allergy lists (31.6%), ordering for prescriptions (19.7%), and warning of drug interactions or contraindications (17.9%). Facility size and ownership status were significantly associated with adoption of all four EMM functionalities. Medicaid certification status, facility director's age, education and license status, and the use of personal care aides in the RCF were significantly associated with the adoption of some of the EMM functionalities. EMM is expected to improve the quality of care and patient safety in long-term care facilities including RCFs. The extent of adoption of the four EMM functionalities is relatively low in RCFs. Some RCFs may strategize to use these functionalities to cater to the increasing demands from the market and also to

  15. Wireless local network architecture for Naval medical treatment facilities

    OpenAIRE

    Deason, Russell C.

    2004-01-01

    Approved for public release; distribution is unlimited In today's Navy Medicine, an approach towards wireless networks is coming into view. The idea of developing and deploying workable Wireless Local Area Networks (WLAN) throughout Naval hospitals is but just a few years down the road. Currently Naval Medical Treatment Facilities (MTF) are using wired Local Area Networks (LANs) throughout the infrastructure of each facility. Civilian hospitals and other medical treatment facilities have b...

  16. Instrumentation of the ESRF medical imaging facility

    CERN Document Server

    Elleaume, H; Berkvens, P; Berruyer, G; Brochard, T; Dabin, Y; Domínguez, M C; Draperi, A; Fiedler, S; Goujon, G; Le Duc, G; Mattenet, M; Nemoz, C; Pérez, M; Renier, M; Schulze, C; Spanne, P; Suortti, P; Thomlinson, W; Estève, F; Bertrand, B; Le Bas, J F

    1999-01-01

    At the European Synchrotron Radiation Facility (ESRF) a beamport has been instrumented for medical research programs. Two facilities have been constructed for alternative operation. The first one is devoted to medical imaging and is focused on intravenous coronary angiography and computed tomography (CT). The second facility is dedicated to pre-clinical microbeam radiotherapy (MRT). This paper describes the instrumentation for the imaging facility. Two monochromators have been designed, both are based on bent silicon crystals in the Laue geometry. A versatile scanning device has been built for pre-alignment and scanning of the patient through the X-ray beam in radiography or CT modes. An intrinsic germanium detector is used together with large dynamic range electronics (16 bits) to acquire the data. The beamline is now at the end of its commissioning phase; intravenous coronary angiography is intended to start in 1999 with patients and the CT pre-clinical program is underway on small animals. The first in viv...

  17. Investigation on proper materials of a liner system for trench type disposal facilities of radioactive wastes from research, industrial and medical facilities

    International Nuclear Information System (INIS)

    Nakata, Hisakazu; Amazawa, Hiroya; Sakai, Akihiro; Arikawa, Masanobu; Sakamoto, Yoshiaki

    2011-08-01

    The Low-level Radioactive Waste Disposal Project Center of Japan Atomic Energy Agency will settle on near surface disposal facilities with and without engineered barriers for radioactive wastes from research, industrial and medical facilities. Both of them are so called 'concrete pit type' and 'trench type', respectively. The technical standard of constructing and operating a disposal facility based on 'Law for the Regulations of Nuclear Source Material, Nuclear Fuel Material and Reactors' have been regulated partly by referring to that of 'Waste Management and Public Cleansing Law'. This means that the concrete pit type and the trench type disposal facility resemble an isolated type for specified industrial wastes and a non leachate controlled type final disposal site for stable industrial wastes, respectively. On the other, We plan to design a disposal facility with a liner system corresponding to a leachate controlled type final disposal site on a crucial assumption that radioactive wastes other than stable industrial wastes to be disposed into the trench type disposal facility is generated. By current nuclear related regulations in Japan, There are no technical standard of constructing the disposal facility with the liner system referring to that of 'Waste Management and Public Cleansing Law'. We investigate the function of the liner system in order to design a proper liner system for the trench type disposal facility. In this report, We investigated liner materials currently in use by actual leachate controlled type final disposal sites in Japan. Thereby important items such as tensile strength, durability from a view point of selecting proper liner materials were studied. The items were classified into three categories according to importance. We ranked proper liner materials for the trench type disposal facility by evaluating the important items per material. As a result, high density polyethylene(HDPE) of high elasticity type polymetric sheet was selected

  18. A medical facility proposal to use the SSC linac

    International Nuclear Information System (INIS)

    Funk, L.W.

    1994-01-01

    A consortium organized by the Texas National Research Laboratory Commission under a Department of Energy grant proposes to build and operate a Regional Medical Technology Center to function as a combined medical radioisotope production complex and proton cancer therapy facility using the Linear Accelerator (Linac) assets of the Superconducting Super Collider (SSC). The radioisotope production complex will serve as a domestic source of radioisotopes critically needed by the U.S. pharmaceutical industry and nuclear medicine facilities throughout North America. Presently, more than 70 percent of radioisotopes used in U.S. nuclear medicine procedures are produced outside the country. The Center's state-of-the-art proton cancer therapy facility will serve the Central United States, providing advanced capabilities and augmenting facilities in California and Massachusetts. Long-term, it is anticipated that the RMTC also will stimulate nuclear medicine research, advance medical diagnostic technologies, and generate new industrial applications for linear accelerator technology

  19. A medical facility proposal to use the SSC linac

    International Nuclear Information System (INIS)

    Funk, L.W.

    1995-01-01

    A consortium organized by the Texas National Research Laboratory Commission (TNRLC) under a Department of Energy (DOE) grant proposes to build and operate a Regional Medical Technology Center (RMTC) to function as a combined medical radioisotope production complex and proton cancer therapy facility using the linear accelerator (linac) assets of the cancelled Superconducting Super Collider (SSC). The radioisotope production complex will serve as a domestic source of radioisotopes critically needed by the U.S. pharmaceutical industry and nuclear medicine facilities throughout North America. Presently, more than 70 percent of radioisotopes used in U.S. nuclear medicine procedures are produced outside the country. The Center's state-of-the-art proton cancer therapy facility will serve the Central United States, providing advanced capabilities and augmenting facilities in California and Massachusetts. Long-term, it is anticipated that the RMTC also will stimulate nuclear medicine research, advance medical diagnostic technologies, and generate new industrial applications of linear accelerator technology. (orig.)

  20. A medical facility proposal to use the SSC linac

    Science.gov (United States)

    Warren Funk, L.

    1995-05-01

    A consortium organized by the Texas National Research Laboratory Commission (TNRLC) under a Department of Energy (DOE) grant proposes to build and operate a Regional Medical Technology Center (RMTC) to function as a combined medical radioisotope production complex and proton cancer therapy facility using the linear accelerator (linac) assets of the cancelled Superconducting Super Collider (SSC). The radioisotope production complex will serve as a domestic source of radioisotopes critically needed by the U.S. pharmaceutical industry and nuclear medicine facilities throughout North America. Presently, more than 70 percent of radioisotopes used in U.S. nuclear medicine procedures are produced outside the country. The Center's state-of-the-art proton cancer therapy facility will serve the Central United States, providing advanced capabilities and augmenting facilities in California and Massachusetts. Long-term, it is anticipated that the RMTC also will stimulate nuclear medicine research, advance medical diagnostic technologies, and generate new industrial applications of linear accelerator technology.

  1. Issues related to the licensing of final disposal facilities for radioactive waste

    International Nuclear Information System (INIS)

    Medici, M.A.; Alvarez, D.E.; Lee Gonzales, H.; Piumetti, E.H.; Palacios, E.

    2010-01-01

    The licensing process of a final disposal facility for radioactive waste involves the design, construction, pre-operation, operation, closure and post closure stages. While design and pre-operational stages are, to a reasonable extent, similar to other kind of nuclear or radioactive facilities, construction, operation, closure and post-closure of a radioactive waste disposal facility have unique meanings. As consequence of that, the licensing process should incorporate these particularities. Considering the long timeframes involved at each stage of a waste disposal facility, it is convenient that the development of the project being implemented in and step by step process, be flexible enough as to adapt to new requirements that would arise as a consequence of technology improvements or due to variations in the socio-economical and political conditions. In Argentina, the regulatory Standard AR 0.1.1 establishes the general guideline for the 'Licensing of Class I facilities (relevant facilities)'. Nevertheless, for radioactive waste final disposal facilities a new specific guidance should be developed in addition to the Basic Standard mentioned. This paper describes the particularities of final disposal facilities indicating that a specific licensing system for this type of facilities should be foreseen. (authors) [es

  2. Facilities for Research and Development of Medical Radioisotopes

    International Nuclear Information System (INIS)

    Shin, Byung Chul; Choung, Won Myung; Park, Jin Ho

    2003-03-01

    This study is carried out by KAERI(Korea Atomic Energy Research Institute) to construct the basic facilities for development and production of medical radioisotope. For the characteristics of radiopharmaceuticals, the facilities should be complied with the radiation shield and GMP(Good Manufacturing Practice) guideline. The KAERI, which has carried out the research and development of the radiopharmaceuticals, made a design of these facilities and built them in the HANARO Center and opened the technique and facilities to the public to give a foundation for research and development of the radiopharmaceuticals. In the facilities, radiation shielding utilities and GMP instruments were set up and their operating manuals were documented. Every utilities and instruments were performed the test to confirm their efficiency and the approval for use of the facilities will be achieved from MOST(Ministry of Science and Technology). It is expected to be applied in development of therapeutic radioisotope such as Re-188 generator and Ho-166, as well as Tc-99m generator and Sr-89 chloride for medical use. And it also looks forward to the contribution to the related industry through the development of product in high demand and value

  3. Spent Nuclear Fuel (SNF) Cold Vacuum Drying (CVD) Facility Operations Manual; FINAL

    International Nuclear Information System (INIS)

    IRWIN, J.J.

    1999-01-01

    This document provides the Operations Manual for the Cold Vacuum Drying Facility (CVDF). The Manual was developed in conjunction with HNF-553, Spent Nuclear Fuel Project Final Safety Analysis Report Annex B-Cold Vacuum Drying Facility. The HNF-SD-SNF-DRD-002, 1999, Cold Vacuum Drying Facility Design Requirements, Rev. 4, and the CVDF Final Design Report. The Operations Manual contains general descriptions of all the process, safety and facility systems in the CVDF, a general CVD operations sequence and references to the CVDF System Design Descriptions (SDDs). This manual has been developed for the SNFP Operations Organization and shall be updated, expanded, and revised in accordance with future design, construction and startup phases of the CVDF until the CVDF final ORR is approved

  4. Medical Isotope Production Analyses In KIPT Neutron Source Facility

    International Nuclear Information System (INIS)

    Talamo, Alberto; Gohar, Yousry

    2016-01-01

    Medical isotope production analyses in Kharkov Institute of Physics and Technology (KIPT) neutron source facility were performed to include the details of the irradiation cassette and the self-shielding effect. An updated detailed model of the facility was used for the analyses. The facility consists of an accelerator-driven system (ADS), which has a subcritical assembly using low-enriched uranium fuel elements with a beryllium-graphite reflector. The beryllium assemblies of the reflector have the same outer geometry as the fuel elements, which permits loading the subcritical assembly with different number of fuel elements without impacting the reflector performance. The subcritical assembly is driven by an external neutron source generated from the interaction of 100-kW electron beam with a tungsten target. The facility construction was completed at the end of 2015, and it is planned to start the operation during the year of 2016. It is the first ADS in the world, which has a coolant system for removing the generated fission power. Argonne National Laboratory has developed the design concept and performed extensive design analyses for the facility including its utilization for the production of different radioactive medical isotopes. 99 Mo is the parent isotope of 99m Tc, which is the most commonly used medical radioactive isotope. Detailed analyses were performed to define the optimal sample irradiation location and the generated activity, for several radioactive medical isotopes, as a function of the irradiation time.

  5. Medical Isotope Production Analyses In KIPT Neutron Source Facility

    Energy Technology Data Exchange (ETDEWEB)

    Talamo, Alberto [Argonne National Lab. (ANL), Argonne, IL (United States); Gohar, Yousry [Argonne National Lab. (ANL), Argonne, IL (United States)

    2016-01-01

    Medical isotope production analyses in Kharkov Institute of Physics and Technology (KIPT) neutron source facility were performed to include the details of the irradiation cassette and the self-shielding effect. An updated detailed model of the facility was used for the analyses. The facility consists of an accelerator-driven system (ADS), which has a subcritical assembly using low-enriched uranium fuel elements with a beryllium-graphite reflector. The beryllium assemblies of the reflector have the same outer geometry as the fuel elements, which permits loading the subcritical assembly with different number of fuel elements without impacting the reflector performance. The subcritical assembly is driven by an external neutron source generated from the interaction of 100-kW electron beam with a tungsten target. The facility construction was completed at the end of 2015, and it is planned to start the operation during the year of 2016. It is the first ADS in the world, which has a coolant system for removing the generated fission power. Argonne National Laboratory has developed the design concept and performed extensive design analyses for the facility including its utilization for the production of different radioactive medical isotopes. 99Mo is the parent isotope of 99mTc, which is the most commonly used medical radioactive isotope. Detailed analyses were performed to define the optimal sample irradiation location and the generated activity, for several radioactive medical isotopes, as a function of the irradiation time.

  6. Final Design Report for the RH LLW Disposal Facility (RDF) Project, Revision 3

    International Nuclear Information System (INIS)

    Austad, Stephanie Lee

    2015-01-01

    The RH LLW Disposal Facility (RDF) Project was designed by AREVA Federal Services (AFS) and the design process was managed by Battelle Energy Alliance (BEA) for the Department of Energy (DOE). The final design report for the RH LLW Disposal Facility Project is a compilation of the documents and deliverables included in the facility final design.

  7. Study on patient-induced radioactivity during proton treatment in hengjian proton medical facility.

    Science.gov (United States)

    Wu, Qingbiao; Wang, Qingbin; Liang, Tianjiao; Zhang, Gang; Ma, Yinglin; Chen, Yu; Ye, Rong; Liu, Qiongyao; Wang, Yufei; Wang, Huaibao

    2016-09-01

    At present, increasingly more proton medical facilities have been established globally for better curative effect and less side effect in tumor treatment. Compared with electron and photon, proton delivers more energy and dose at its end of range (Bragg peak), and has less lateral scattering for its much larger mass. However, proton is much easier to produce neutron and induced radioactivity, which makes radiation protection for proton accelerators more difficult than for electron accelerators. This study focuses on the problem of patient-induced radioactivity during proton treatment, which has been ignored for years. However, we confirmed it is a vital factor for radiation protection to both patient escort and positioning technician, by FLUKA's simulation and activation formula calculation of Hengjian Proton Medical Facility (HJPMF), whose energy ranges from 130 to 230MeV. Furthermore, new formulas for calculating the activity buildup process of periodic irradiation were derived and used to study the relationship between saturation degree and half-life of nuclides. Finally, suggestions are put forward to lessen the radiation hazard from patient-induced radioactivity. Copyright © 2016 Elsevier Ltd. All rights reserved.

  8. The Medical Cyclotron Facility in RMC, Parel, BARC

    International Nuclear Information System (INIS)

    Gopalakrishna, Arjun; Banerjee, Sharmila

    2017-01-01

    The Medical Cyclotron Facility in Radiation Medicine Centre (RMC) is the first one of its kind, installed in 2002. "1"8F based radiotracers are produced in this facility on a routine basis for Positron Emission Tomography (PET), of in-house patients, as well as for supply to other nuclear medicine centers in Mumbai as well as Pune. The facility consists of the following sub parts - Cyclotron and support equipment; Radiochemistry synthesis laboratory; Quality control (QC) laboratory

  9. Exploring Factors Affecting Emergency Medical Services Staffs' Decision about Transporting Medical Patients to Medical Facilities.

    Science.gov (United States)

    Ebrahimian, Abbasali; Seyedin, Hesam; Jamshidi-Orak, Roohangiz; Masoumi, Gholamreza

    2014-01-01

    Transfer of patients in medical emergency situations is one of the most important missions of emergency medical service (EMS) staffs. So this study was performed to explore affecting factors in EMS staffs' decision during transporting of patients in medical situations to medical facilities. The participants in this qualitative study consisted of 18 EMS staffs working in prehospital care facilities in Tehran, Iran. Data were gathered through semistructured interviews. The data were analyzed using a content analysis approach. The data analysis revealed the following theme: "degree of perceived risk in EMS staffs and their patients." This theme consisted of two main categories: (1) patient's condition' and (2) the context of the EMS mission'. The patent's condition category emerged from "physical health statuses," "socioeconomic statuses," and "cultural background" subcategories. The context of the EMS mission also emerged from two subcategories of "characteristics of the mission" and EMS staffs characteristics'. EMS system managers can consider adequate technical, informational, financial, educational, and emotional supports to facilitate the decision making of their staffs. Also, development of an effective and user-friendly checklist and scoring system was recommended for quick and easy recognition of patients' needs for transportation in a prehospital situation.

  10. Exploring Factors Affecting Emergency Medical Services Staffs’ Decision about Transporting Medical Patients to Medical Facilities

    Directory of Open Access Journals (Sweden)

    Abbasali Ebrahimian

    2014-01-01

    Full Text Available Transfer of patients in medical emergency situations is one of the most important missions of emergency medical service (EMS staffs. So this study was performed to explore affecting factors in EMS staffs’ decision during transporting of patients in medical situations to medical facilities. The participants in this qualitative study consisted of 18 EMS staffs working in prehospital care facilities in Tehran, Iran. Data were gathered through semistructured interviews. The data were analyzed using a content analysis approach. The data analysis revealed the following theme: “degree of perceived risk in EMS staffs and their patients.” This theme consisted of two main categories: (1 patient’s condition’ and (2 the context of the EMS mission’. The patent’s condition category emerged from “physical health statuses,” “socioeconomic statuses,” and “cultural background” subcategories. The context of the EMS mission also emerged from two subcategories of “characteristics of the mission” and EMS staffs characteristics’. EMS system managers can consider adequate technical, informational, financial, educational, and emotional supports to facilitate the decision making of their staffs. Also, development of an effective and user-friendly checklist and scoring system was recommended for quick and easy recognition of patients’ needs for transportation in a prehospital situation.

  11. Regulatory control and challenges in Medical facilities using ionising radiation sources

    International Nuclear Information System (INIS)

    Agarwal, S.P.

    2008-01-01

    Medical facilities utilising ionising radiation sources for diagnostic and treatment of cancer are regulated under the provisions of Atomic Energy (Radiation Protection) Rules, 2004 promulgated under the Atomic Energy Act 1962. The Competent Authority for the enforcement of the rules is Chairman, Atomic Energy Regulatory Board (AERB). Practice specific codes are issued by AERB for medical facilities such as Radiotherapy, Nuclear Medicine and Radiology. Regulatory process for control of medical facilities covers the entire life cycle of the radiation sources in three stages viz pre-Iicensing, during useful life and decommissioning and disposal. Pre-Iicensing requirements include use of type approved sources and equipment, approval of design layout of the facility and installation, exclusive (safe and secure) source storage facility when the equipment is not in use, radiation (area/individual) monitoring devices, qualified, trained and certified manpower, emergency response plans and commitment from the licensee for the safe disposal of disused/decayed sources. Compliance to these requirements makes the applicant eligible to obtain license from AERB for the operation of the medical facility. During the use of radiation sources, specific prior approval of the Competent Authority is required in respect of every source replacement, sale, transfer, transport, import and export. Further, all licensees are required to send the periodic safety Status reports to AERB as well as reporting of any off normal events. AERB conducts inspection of the facilities to ensure compliance with the safety requirements during operation of the facility. Violation of safety norms by licensee attracts enforcement action which includes suspension, modification or withdrawal of licensee for operation of the facility. Upon completion of the useful life of the source, the licensee decommissions the facility and returns the source to the original supplier. For returning the source, prior

  12. Nuclear security of Cuba’s medical facilities

    International Nuclear Information System (INIS)

    Dahlstrom, Danielle

    2016-01-01

    Cuba is a leading hub for medical research and cancer treatment in Latin America and the Caribbean. Physical protection is installed at radiotherapy facilities to detect entry of and delay access to an intruder. This minimizes the likelihood of unauthorized access and maximizes nuclear security.

  13. Economic evaluation of pharmacist-led medication reviews in residential aged care facilities.

    Science.gov (United States)

    Hasan, Syed Shahzad; Thiruchelvam, Kaeshaelya; Kow, Chia Siang; Ghori, Muhammad Usman; Babar, Zaheer-Ud-Din

    2017-10-01

    Medication reviews is a widely accepted approach known to have a substantial impact on patients' pharmacotherapy and safety. Numerous options to optimise pharmacotherapy in older people have been reported in literature and they include medication reviews, computerised decision support systems, management teams, and educational approaches. Pharmacist-led medication reviews are increasingly being conducted, aimed at attaining patient safety and medication optimisation. Cost effectiveness is an essential aspect of a medication review evaluation. Areas covered: A systematic searching of articles that examined the cost-effectiveness of medication reviews conducted in aged care facilities was performed using the relevant databases. Pharmacist-led medication reviews confer many benefits such as attainment of biomarker targets for improved clinical outcomes, and other clinical parameters, as well as depict concrete financial advantages in terms of decrement in total medication costs and associated cost savings. Expert commentary: The cost-effectiveness of medication reviews are more consequential than ever before. A critical evaluation of pharmacist-led medication reviews in residential aged care facilities from an economical aspect is crucial in determining if the time, effort, and direct and indirect costs involved in the review rationalise the significance of conducting medication reviews for older people in aged care facilities.

  14. Use of information systems in Air Force medical treatment facilities in strategic planning and decision-making.

    Science.gov (United States)

    Yap, Glenn A; Platonova, Elena A; Musa, Philip F

    2006-02-01

    An exploratory study used Ansoff's strategic planning model as a framework to assess perceived effectiveness of information systems in supporting strategic business plan development at Air Force medical treatment facilities (MTFs). Results showed information systems were most effective in supporting historical trend analysis, strategic business plans appeared to be a balance of operational and strategic plans, and facilities perceived a greater need for new clinical, vice administrative, information systems to support strategic planning processes. Administrators believed information systems should not be developed at the local level and perceived information systems have the greatest impact on improving clinical quality outcomes, followed by ability to deliver cost effective care and finally, ability to increase market share.

  15. Final decommissioning report for the 183-C Filter Building/Pumproom facility

    International Nuclear Information System (INIS)

    Marske, S.G.

    1997-04-01

    This report documents the decommissioning and demolition (D ampersand D) of the 183-C Filter Building/Pumproom facility (located at the Hanford Site in Richland, Washington). The 183-C Facility D ampersand D involved the performance of characterization to support the development of a project plan and final hazard classification

  16. Development of a Medical Cyclotron Production Facility

    Science.gov (United States)

    Allen, Danny R.

    2003-08-01

    Development of a Cyclotron manufacturing facility begins with a business plan. Geographics, the size and activity of the medical community, the growth potential of the modality being served, and other business connections are all considered. This business used the customer base established by NuTech, Inc., an independent centralized nuclear pharmacy founded by Danny Allen. With two pharmacies in operation in Tyler and College Station and a customer base of 47 hospitals and clinics the existing delivery system and pharmacist staff is used for the cyclotron facility. We then added cyclotron products to contracts with these customers to guarantee a supply. We partnered with a company in the process of developing PET imaging centers. We then built an independent imaging center attached to the cyclotron facility to allow for the use of short-lived isotopes.

  17. Development of a Medical Cyclotron Production Facility

    International Nuclear Information System (INIS)

    Allen, Danny R.

    2003-01-01

    Development of a Cyclotron manufacturing facility begins with a business plan. Geographics, the size and activity of the medical community, the growth potential of the modality being served, and other business connections are all considered. This business used the customer base established by NuTech, Inc., an independent centralized nuclear pharmacy founded by Danny Allen. With two pharmacies in operation in Tyler and College Station and a customer base of 47 hospitals and clinics the existing delivery system and pharmacist staff is used for the cyclotron facility. We then added cyclotron products to contracts with these customers to guarantee a supply. We partnered with a company in the process of developing PET imaging centers. We then built an independent imaging center attached to the cyclotron facility to allow for the use of short-lived isotopes

  18. Final design of ITER port plug test facility

    Energy Technology Data Exchange (ETDEWEB)

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

    2016-11-01

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

  19. Request for modification of 200 Area effluent treatment facility final delisting

    International Nuclear Information System (INIS)

    Bowman, R.C.

    1998-01-01

    A Delisting Petition submitted to the U.S. Environmental Protection Agency in August 1993 addressed effluent to be generated at the 200 Area Effluent Treatment Facility from treating Hanford Facility waste streams. This Delisting Petition requested that 71.9 million liters per year of treated effluent, bearing the designation 'F001' through 'F005', and/or 'F039' that is derived from 'F001' through 'F005' waste, be delisted. On June 13, 1995, the U.S. Environmental Protection Agency published the final rule (Final Delisting), which formally excluded 71.9 million liters per year of 200 Area Effluent Treatment Facility effluent from ''being listed as hazardous wastes'' (60 FR 31115 now promulgated in 40 CFR 261). Given the limited scope, it is necessary to request a modification of the Final Delisting to address the management of a more diverse multi-source leachate (F039) at the 200 Area Effluent Treatment Facility. From past operations and current cleanup activities on the Hanford Facility, a considerable amount of both liquid and solid Resource Conservation and Recovery Act of 1976 regulated mixed waste has been and continues to be generated. Ultimately this waste will be treated as necessary to meet the Resource Conservation and Recovery Act Land Disposal Restrictions. The disposal of this waste will be in Resource Conservation and Recovery Act--compliant permitted lined trenches equipped with leachate collection systems. These operations will result in the generation of what is referred to as multi-source leachate. This newly generated waste will receive the listed waste designation of F039. This waste also must be managed in compliance with the provisions of the Resource Conservation and Recovery Act

  20. CERN-MEDICIS (Medical Isotopes Collected from ISOLDE: A New Facility

    Directory of Open Access Journals (Sweden)

    Ricardo Manuel dos Santos Augusto

    2014-05-01

    Full Text Available About 50% of the 1.4 GeV CERN (European Organization for Nuclear Research, www.cern.ch protons are sent onto targets to produce radioactive beams by online mass separation at the Isotope Separator Online Device (ISOLDE facility, for a wide range of studies in fundamental and applied physics. CERN-MEDICIS is a spin-off dedicated to R&D in life sciences and medical applications. It is located in an extension of the Class A building presently under construction. It will comprise laboratories to receive the irradiated targets from a new station located at the dump position behind the ISOLDE production targets. An increasing range of innovative isotopes will thus progressively become accessible from the start-up of the facility in 2015 onward; for fundamental studies in cancer research, for new imaging and therapy protocols in cell and animal models and for pre-clinical trials, possibly extended to specific early phase clinical studies up to Phase I trials. Five hundred megabecquerel isotope batches purified by electromagnetic mass separation combined with chemical methods will be collected on a weekly basis. A possible future upgrade with gigabecquerel pharmaceutical-grade i.e., current good manufacturing practices (cGMP batch production capabilities is finally presented.

  1. Final generic environmental impact statement on decommissioning of nuclear facilities

    International Nuclear Information System (INIS)

    1988-08-01

    This final generic environmental impact statement was prepared as part of the requirement for considering changes in regulations on decommissioning of commercial nuclear facilities. Consideration is given to the decommissioning of pressurized water reactors, boiling water reactors, research and test reactors, fuel reprocessing plants (FRPs) (currently, use of FRPs in the commercial sector is not being considered), small mixed oxide fuel fabrication plants, uranium hexafluoride conversion plants, uranium fuel fabrication plants, independent spent fuel storage installations, and non-fuel-cycle facilities for handling byproduct, source and special nuclear materials. Decommissioning has many positive environmental impacts such as the return of possibly valuable land to the public domain and the elimination of potential problems associated with increased numbers of radioactively contaminated facilities with a minimal use of resources. Major adverse impacts are shown to be routine occupational radiation doses and the commitment of nominally small amounts of land to radioactive waste disposal. Other impacts, including public radiation doses, are minor. Mitigation of potential health, safety, and environmental impacts requires more specific and detailed regulatory guidance than is currently available. Recommendations are made as to regulatory decommissioning particulars including such aspects as decommissioning alternatives, appropriate preliminary planning requirements at the time of commissioning, final planning requirements prior to termination of facility operations, assurance of funding for decommissioning, environmental review requirements. 26 refs., 7 figs., 68 tabs

  2. 42 CFR 431.105 - Consultation to medical facilities.

    Science.gov (United States)

    2010-10-01

    ... State agencies furnish consultative services to hospitals, nursing homes, home health agencies, clinics... 42 Public Health 4 2010-10-01 2010-10-01 false Consultation to medical facilities. 431.105 Section 431.105 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN...

  3. Request for modification of 200 Area effluent treatment facility final delisting

    Energy Technology Data Exchange (ETDEWEB)

    BOWMAN, R.C.

    1998-11-19

    A Delisting Petition submitted to the U.S. Environmental Protection Agency in August 1993 addressed effluent to be generated at the 200 Area Effluent Treatment Facility from treating Hanford Facility waste streams. This Delisting Petition requested that 71.9 million liters per year of treated effluent, bearing the designation 'F001' through 'F005', and/or 'F039' that is derived from 'F001' through 'F005' waste, be delisted. On June 13, 1995, the U.S. Environmental Protection Agency published the final rule (Final Delisting), which formally excluded 71.9 million liters per year of 200 Area Effluent Treatment Facility effluent from ''being listed as hazardous wastes'' (60 FR 31115 now promulgated in 40 CFR 261). Given the limited scope, it is necessary to request a modification of the Final Delisting to address the management of a more diverse multi-source leachate (F039) at the 200 Area Effluent Treatment Facility. From past operations and current cleanup activities on the Hanford Facility, a considerable amount of both liquid and solid Resource Conservation and Recovery Act of 1976 regulated mixed waste has been and continues to be generated. Ultimately this waste will be treated as necessary to meet the Resource Conservation and Recovery Act Land Disposal Restrictions. The disposal of this waste will be in Resource Conservation and Recovery Act--compliant permitted lined trenches equipped with leachate collection systems. These operations will result in the generation of what is referred to as multi-source leachate. This newly generated waste will receive the listed waste designation of F039. This waste also must be managed in compliance with the provisions of the Resource Conservation and Recovery Act.

  4. Proposed medical applications of the National Accelerator Centre facilities

    International Nuclear Information System (INIS)

    Jones, D.T.L.

    1982-01-01

    The National Accelerator Centre is at present under construction at Faure, near Cape Town. The complex will house a 200 MeV separated-sector cyclotron which will provide high quality beams for nuclear physics and related diciplines as well as high intensity beams for medical use. The medical aspects catered for will include particle radiotherapy, isotope production and possibly proton radiography. A 30-bed hospital is to be constructed on the site. Building operations are well advanced and the medical facilities should be available for use by the end of 1984

  5. A national medical cyclotron facility: report to the Minister of Health by the Medical Cyclotron Committee

    International Nuclear Information System (INIS)

    1985-01-01

    Research and training in nuclear medicine in Australia are both limited by the lack of a medical cyclotron facility. The Committee recommends the establishment of a national medical cyclotron to provide a supply of short-lived radioisotopes for research in relevant fields of medicine, and for diagnostic use in nuclear medicine

  6. Questionnaire survey and technical guideline of blood irradiation on medical facilities

    International Nuclear Information System (INIS)

    Matsumoto, Mitsuhiro; Hasegawa, Hironori; Okumura, Masahiko; Sonoda, Tatsuo; Osada, Koji.

    1997-01-01

    We know that transfusion-associated graft versus host disease (TA-GVHD) is a serious side effect associated with blood transfusion and the onset is independent on the immunological conditions of patients. We have only prophylactic treatment against TA-GVHD. The most reliable method is to irradiate the blood for transfusion. In Japanese medical facilities, however, the risk of TA-GVHD is poorly understood and actual conditions of the blood irradiation are unclear. We sent a questionnaire to randomly selected 426 medical facilities in Japan, which had the department of radiology, to investigate the actual conditions of blood irradiation for transfusion and the problems on the irradiation dose measurement of the external apparatus for blood irradiation. The questionnaire involved 19 questions about the blood irradiation for transfusion. The survey took place for one month (June 1-June 30, 1995). Replies were obtained from a total of 306 medical facilities (72%). The results showed that blood irradiation was done by several methods in the 75% of the medical facilities, and the external irradiation apparatus was used in 83%. Some problems were shown, including irradiation period, cost of the irradiation, the operating procedure of the apparatus, requested number of the irradiation, and the request after usual hours. There was no significant problem on the irradiation dose, irradiation method, etc. We also sent a questionnaire to 74 facilities of the Red Cross Blood Center, in which the frequency of blood irradiation have increased since May, 1976. The X-ray apparatus as the external irradiation apparatus has practical advantages; lower cost, compact and out of the legal control on the ionizing radiation, however, it has some problems on the uniformity of the absorption dose when a single X-ray tube-type apparatus is used. We discuss about the possible onset of TA-GVHD or other accidents by the incorrect irradiation of the blood preparations. (K.H.)

  7. Medical and radiological aspects of emergency preparedness and response at SevRAO facilities.

    Science.gov (United States)

    Savkin, M N; Sneve, M K; Grachev, M I; Frolov, G P; Shinkarev, S M; Jaworska, A

    2008-12-01

    Regulatory cooperation between the Norwegian Radiation Protection Authority and the Federal Medical Biological Agency (FMBA) of the Russian Federation has the overall goal of promoting improvements in radiation protection in Northwest Russia. One of the projects in this programme has the objectives to review and improve the existing medical emergency preparedness capabilities at the sites for temporary storage of spent nuclear fuel and radioactive waste. These are operated by SevRAO at Andreeva Bay and in Gremikha village on the Kola Peninsula. The work is also intended to provide a better basis for regulation of emergency response and medical emergency preparedness at similar facilities elsewhere in Russia. The purpose of this paper is to present the main results of that project, implemented by the Burnasyan Federal Medical Biophysical Centre. The first task was an analysis of the regulatory requirements and the current state of preparedness for medical emergency response at the SevRAO facilities. Although Russian regulatory documents are mostly consistent with international recommendations, some distinctions lead to numerical differences in operational intervention criteria under otherwise similar conditions. Radiological threats relating to possible accidents, and related gaps in the regulation of SevRAO facilities, were also identified. As part of the project, a special exercise on emergency medical response on-site at Andreeva Bay was prepared and carried out, and recommendations were proposed after the exercise. Following fruitful dialogue among regulators, designers and operators, special regulatory guidance has been issued by FMBA to account for the specific and unusual features of the SevRAO facilities. Detailed sections relate to the prevention of accidents, and emergency preparedness and response, supplementing the basic Russian regulatory requirements. Overall it is concluded that (a) the provision of medical and sanitary components of emergency

  8. Perception of final year medical students about the choice of ...

    African Journals Online (AJOL)

    Background: In Nigeria and many other countries, many specialties had problems with recruitment of medical teachers outside the core clinical departments. Objective: We aim at determining the factors that influence the choice of medical microbiology as a speciality among final year medical students in University of ...

  9. [Marketing in the system of military-medical facilities].

    Science.gov (United States)

    Kostiuchenko, O M; Sviridova, T B

    2014-02-01

    Military medical facilities of the Ministry of Defence of the Russian, have received the right to provide additional services and have been involved in the sphere of market relations. The strong influence of market relations - an objective reality that must be used for the development of military medical institutions and improving quality of care.Effective commercial activity can improve capabilities of the military medical institutions. This requires constant study of market mechanisms to implement and develop their competitive advantage. The paper substantiates the need for the participation of military medical institutions in the provision of health services to the public on the terms of compensation incurred by financial institutions costs (paid medical services, medical assistance program of compulsory and voluntary health insurance). Taking into account the specifics of military medical institutions set out basic principles and recommendations have been implementing marketing approach in their management, the practical application of which will not only increase efficiency, but also create conditions to improve the financial and economic indicators. This knowledge will help the mechanism of functioning health care market and the rules of interaction of market counterparties.

  10. Production of medical radioactive isotopes using KIPT electron driven subcritical facility

    International Nuclear Information System (INIS)

    Talamo, Alberto; Gohar, Yousry

    2008-01-01

    Kharkov Institute of Physics and Technology (KIPT) of Ukraine in collaboration with Argonne National Laboratory (ANL) has a plan to construct an electron accelerator driven subcritical assembly. One of the facility objectives is the production of medical radioactive isotopes. This paper presents the ANL collaborative work performed for characterizing the facility performance for producing medical radioactive isotopes. First, a preliminary assessment was performed without including the self-shielding effect of the irradiated samples. Then, more detailed investigation was carried out including the self-shielding effect, which defined the sample size and location for producing each medical isotope. In the first part, the reaction rates were calculated as the multiplication of the cross section with the unperturbed neutron flux of the facility. Over fifty isotopes have been considered and all transmutation channels are used including (n, γ), (n, 2n), (n, p), and (γ, n). In the second part, the parent isotopes with high reaction rate were explicitly modeled in the calculations. Four irradiation locations were considered in the analyses to study the medical isotope production rate. The results show the self-shielding effect not only reduces the specific activity but it also changes the irradiation location that maximizes the specific activity. The axial and radial distributions of the parent capture rates have been examined to define the irradiation sample size of each parent isotope

  11. Production of medical radioactive isotopes using KIPT electron driven subcritical facility

    Energy Technology Data Exchange (ETDEWEB)

    Talamo, Alberto [Nuclear Engineering Division, Argonne National Laboratory, 9700 South Cass Avenue, Argonne, IL 60439 (United States)], E-mail: alby@anl.gov; Gohar, Yousry [Nuclear Engineering Division, Argonne National Laboratory, 9700 South Cass Avenue, Argonne, IL 60439 (United States)

    2008-05-15

    Kharkov Institute of Physics and Technology (KIPT) of Ukraine in collaboration with Argonne National Laboratory (ANL) has a plan to construct an electron accelerator driven subcritical assembly. One of the facility objectives is the production of medical radioactive isotopes. This paper presents the ANL collaborative work performed for characterizing the facility performance for producing medical radioactive isotopes. First, a preliminary assessment was performed without including the self-shielding effect of the irradiated samples. Then, more detailed investigation was carried out including the self-shielding effect, which defined the sample size and location for producing each medical isotope. In the first part, the reaction rates were calculated as the multiplication of the cross section with the unperturbed neutron flux of the facility. Over fifty isotopes have been considered and all transmutation channels are used including (n, {gamma}), (n, 2n), (n, p), and ({gamma}, n). In the second part, the parent isotopes with high reaction rate were explicitly modeled in the calculations. Four irradiation locations were considered in the analyses to study the medical isotope production rate. The results show the self-shielding effect not only reduces the specific activity but it also changes the irradiation location that maximizes the specific activity. The axial and radial distributions of the parent capture rates have been examined to define the irradiation sample size of each parent isotope.

  12. Production of medical radioactive isotopes using KIPT electron driven subcritical facility.

    Science.gov (United States)

    Talamo, Alberto; Gohar, Yousry

    2008-05-01

    Kharkov Institute of Physics and Technology (KIPT) of Ukraine in collaboration with Argonne National Laboratory (ANL) has a plan to construct an electron accelerator driven subcritical assembly. One of the facility objectives is the production of medical radioactive isotopes. This paper presents the ANL collaborative work performed for characterizing the facility performance for producing medical radioactive isotopes. First, a preliminary assessment was performed without including the self-shielding effect of the irradiated samples. Then, more detailed investigation was carried out including the self-shielding effect, which defined the sample size and location for producing each medical isotope. In the first part, the reaction rates were calculated as the multiplication of the cross section with the unperturbed neutron flux of the facility. Over fifty isotopes have been considered and all transmutation channels are used including (n, gamma), (n, 2n), (n, p), and (gamma, n). In the second part, the parent isotopes with high reaction rate were explicitly modeled in the calculations. Four irradiation locations were considered in the analyses to study the medical isotope production rate. The results show the self-shielding effect not only reduces the specific activity but it also changes the irradiation location that maximizes the specific activity. The axial and radial distributions of the parent capture rates have been examined to define the irradiation sample size of each parent isotope.

  13. Transuranic-contaminated solid waste Treatment Development Facility. Final safety analysis report

    International Nuclear Information System (INIS)

    Warner, C.L.

    1979-07-01

    The Final Safety Analysis Report (FSAR) for the Transuranic-Contaminated Solid-Waste Treatment Facility has been prepared in compliance with the Department of Energy (DOE) Manual Chapter 0531, Safety of Nonreactor Nuclear Facilities. The Treatment Development Facility (TDF) at the Los Alamos Scientific Laboratory is a research and development facility dedicated to the study of radioactive-waste-management processes. This analysis addresses site assessment, facility design and construction, and the design and operating characteristics of the first study process, controlled air incineration and aqueous scrub off-gas treatment with respect to both normal and accident conditions. The credible accidents having potentially serious consequences relative to the operation of the facility and the first process have been analyzed and the consequences of each postulated credible accident are presented. Descriptions of the control systems, engineered safeguards, and administrative and operational features designed to prevent or mitigate the consequences of such accidents are presented. The essential features of the operating and emergency procedures, environmental protection and monitoring programs, as well as the health and safety, quality assurance, and employee training programs are described

  14. Transuranic-contaminated solid waste Treatment Development Facility. Final safety analysis report

    Energy Technology Data Exchange (ETDEWEB)

    Warner, C.L. (comp.)

    1979-07-01

    The Final Safety Analysis Report (FSAR) for the Transuranic-Contaminated Solid-Waste Treatment Facility has been prepared in compliance with the Department of Energy (DOE) Manual Chapter 0531, Safety of Nonreactor Nuclear Facilities. The Treatment Development Facility (TDF) at the Los Alamos Scientific Laboratory is a research and development facility dedicated to the study of radioactive-waste-management processes. This analysis addresses site assessment, facility design and construction, and the design and operating characteristics of the first study process, controlled air incineration and aqueous scrub off-gas treatment with respect to both normal and accident conditions. The credible accidents having potentially serious consequences relative to the operation of the facility and the first process have been analyzed and the consequences of each postulated credible accident are presented. Descriptions of the control systems, engineered safeguards, and administrative and operational features designed to prevent or mitigate the consequences of such accidents are presented. The essential features of the operating and emergency procedures, environmental protection and monitoring programs, as well as the health and safety, quality assurance, and employee training programs are described.

  15. Smoke-Free Medical Facility Campus Legislation: Support, Resistance, Difficulties and Cost

    Directory of Open Access Journals (Sweden)

    J. Gary Wheeler

    2009-01-01

    Full Text Available Although medical facilities restrict smoking inside, many people continue to smoke outside, creating problems with second-hand smoke, litter, fire risks, and negative role modeling. In 2005, Arkansas passed legislation prohibiting smoking on medical facility campuses. Hospital administrators (N=113 were surveyed pre- and post-implementation. Administrators reported more support and less difficulty than anticipated. Actual cost was 10-50% of anticipated cost. Few negative effects and numerous positive effects on employee performance and retention were reported. The results may be of interest to hospital administrators and demonstrate that state legislation can play a positive role in facilitating broad health-related policy change.

  16. Prevalence of inappropriate medication using Beers criteria in Japanese long-term care facilities

    Directory of Open Access Journals (Sweden)

    Yamada Yukari

    2006-01-01

    Full Text Available Abstract Background The prevalence and risk factors of potentially inappropriate medication use among the elderly patients have been studied in various countries, but because of the difficulty of obtaining data on patient characteristics and medications they have not been studied in Japan. Methods We conducted a retrospective cross-sectional study in 17 Japanese long-term care (LTC facilities by collecting data from the comprehensive MDS assessment forms for 1669 patients aged 65 years and over who were assessed between January and July of 2002. Potentially inappropriate medications were identified on the basis of the 2003 Beers criteria. Results The patients in the sample were similar in terms of demographic characteristics to those in the national survey. Our study revealed that 356 (21.1% of the patients were treated with potentially inappropriate medication independent of disease or condition. The most commonly inappropriately prescribed medication was ticlopidine, which had been prescribed for 107 patients (6.3%. There were 300 (18.0% patients treated with at least 1 inappropriate medication dependent on the disease or condition. The highest prevalence of inappropriate medication use dependent on the disease or condition was found in patients with chronic constipation. Multiple logistic regression analysis revealed psychotropic drug use (OR = 1.511, medication cost of per day (OR = 1.173, number of medications (OR = 1.140, and age (OR = 0.981 as factors related to inappropriate medication use independent of disease or condition. Neither patient characteristics nor facility characteristics emerged as predictors of inappropriate prescription. Conclusion The prevalence and predictors of inappropriate medication use in Japanese LTC facilities were similar to those in other countries.

  17. Importance of Pharmaceutical Training and Clinical Research at Medical Facilities.

    Science.gov (United States)

    Myotoku, Michiaki

    2017-01-01

    To respond to advancements in medical techniques, and to address the separation of medical and dispensary practices, clinical professors are required to educate human resource staff to become highly-skilled pharmacists. For this purpose, it is extremely important for these professors to learn about cutting-edge practical skills and knowledge, as well as to advance their expertise. In addition, they need to conduct clinical research in cooperation with relevant facilities. As our university does not have its own hospital or pharmacy, it is important to provide training for clinical professors in clinical facilities. Such training mainly involves medical teams' in-hospital rounds and participation in conferences (nutrition support team; NST), operation of the pharmacy department, and intervention targeting improvement in the department's duties. We have conducted collaborative studies, provided research instructions, implemented studies aimed at improving the department's work (pharmacists appointed on wards at all times to ensure medical safety) as well as studies regarding team medical care (nutritional evaluation during outpatient chemotherapy), and resolved issues regarding this work (drug solution mixability in a hand-held constant infusion pump, and a safe pump-filling methods). Thus, it has become possible to keep track of the current state of a pharmacists' work within team medical care, to access information about novel drugs, to view clinical and prescription-claim data, to cooperate with other professionals (e.g., doctors and nurses), to promote pharmacists' self-awareness of their roles in cooperative medical practice, and to effectively maintain the hospital's clinical settings.

  18. Emergency situation in a medical cyclotron facility

    International Nuclear Information System (INIS)

    Kumar, Rajeev; Bhat, M.K.; Singh, D.K.; Pthania, B.S.; Pandit, A.G.; Jacob, M.J.

    2010-01-01

    Full text: Medical cyclotron is a particle accelerator used in producing short lived radioisotopes such as 18 F, 11 C, 15 O, 13 N, 18 F-2 gas etc. Positron Emission Tomography (PET) is a nuclear imaging modality that has rapidly gained favour. 18 F-FDG is the most widely used radiopharmaceutical with a half-life of 109.8 min. Having more than five years experience in this field we face lots of emergency conditions in the medical cyclotron facility. On the basis of harm we have divided in to three categories i.e. Harm of (a) working personnel, (b) Equipment and (c) environment. Radioactive gas leak and Target foil rupture is considered as the major emergency situations during medical cyclotron operations because there is a potential of over exposure to the working personnel. Radiation protection survey of a self-shielded medical cyclotron installation was carried out during normal and emergency conditions. It is found that the induced activity in the target foil increases with its successive usages. Recommendations have also been made to reduce personal exposure while handling the radioactive gas leak and target foil rupture conditions

  19. 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)

  20. Fugitive hydrocarbon emissions from pacific OCS facilities. Volume 1. Final report

    International Nuclear Information System (INIS)

    1992-01-01

    In January 1989, the Minerals Management Service (MMS) conducted a study using the latest approved methods for emission screening and sampling solely on Outer Continental Shelf (OCS) oil and gas platforms in the Santa Barbara Channel in order to determine platform emission rates more representative of that region. The study was designed and reviewed throughout its conduct by a Quality Review Board (QRB) composed of air resource agencies and industry. Representatives from the Tri-county Air Pollution Control Districts and the MMS actively participated at these meetings. Some participants expressed concerns about some of the methods used and the study results. ABB's thorough responses to these questions and comments were submitted to all reviewers before the printing of the final report, and are contained in appendices of the study final report now available to the public. The results of the MMS study show that the average emission factors for the Pacific OCS oil and gas facilities measured in 1989 are 3.5 times lower than those Pacific OCS facilities sampled in the 1979 API/Rockwell study, and 7.8 times lower than the Gulf of Mexico OCS facilities sampled in the same 1979 study. Efforts to determine the quantitative effect of inspection and maintenance programs on controlling emissions were inconclusive

  1. Decommissioning of small medical, industrial and research facilities

    International Nuclear Information System (INIS)

    2003-01-01

    Most of the technical literature on decommissioning addresses the regulatory, organizational, technical and other aspects for large facilities such as nuclear power plants, reprocessing plants and relatively large prototype, research and test reactors. There are, however, a much larger number of licensed users of radioactive material in the fields of medicine, research and industry. Most of these nuclear facilities are smaller in size and complexity and may present a lower radiological risk during their decommissioning. Such facilities are located at research establishments, biological and medical laboratories, universities, medical centres, and industrial and manufacturing premises. They are often operated by users who have not been trained or are unfamiliar with the decommissioning, waste management and associated safety aspects of these types of facility at the end of their operating lives. Also, for many small users of radioactive material such as radiation sources, nuclear applications are a small part of the overall business or process and, although the operating safety requirements may be adhered to, concern or responsibility may not go much beyond this. There is concern that even the minimum requirements of decommissioning may be disregarded, resulting in avoidable delays, risks and safety implications (e.g. a loss of radioactive material and a loss of all records). Incidents have occurred in which persons have been injured or put at risk. It is recognized that the strategies and specific requirements for small facilities may be much less onerous than for large ones such as nuclear power plants or fuel processing facilities, but many of the same principles apply. There has been considerable attention given to nuclear facilities and many IAEA publications are complementary to this report. This report, however, attempts to give specific guidance for small facilities. 'Small' in this report does not necessarily mean small in size but generally modest in terms

  2. Communication strategy for final disposal facility

    International Nuclear Information System (INIS)

    Seppaelae, Timo; Kurki, Osmo

    2000-01-01

    In May 1999, Posiva filed an application for a policy decision to the Council of State on the construction of a final disposal facility for spent nuclear fuel in Olkiluoto in the municipality of Eurajoki. The decision to be made by the Council of State must be ratified by the Parliament. The precondition for a positive decision is that the preliminary statement on safety to be provided by STLTK by the end of the year 1999 is in favour of Posiva. continuing with its repository development programme, and that the Eurajoki municipality approves the project in its statement by the 28th of January 2000. The policy decision by the Council of State is expected to be made in March followed by the ratification of the Parliament before the summer. In a poll-carried out among 350 decision-makers, less than 10 % of those who answered 134 persons) found Internet as the most important source of Posiva's information on final disposal. On the other hand, over 80 % of those who answered found the information folder as the most significant source of information. When considering all the information available on final disposal (TV, radio, newspapers, authorities, environmental organisations, etc.) Posiva was found to be the most significant source of information while newspapers and periodicals came second. In this case the environmental organisations seemed to have a minor role, as a result of not being too active in confrontation. As a conclusive remark it can be assumed that because it is not only Posiva's information that is relevant to decision-makers, but the media also plays a significant role, the impression that decision-makers have of final disposal is based on a mixture of messages coming from Posiva and from the media. That is why the communication related to decision-makers is also communication with media, in order to ensure that the messages produced by the media support the information produced by Posiva

  3. Academic achievement of final-year medical students on a rural ...

    African Journals Online (AJOL)

    Academic achievement of final-year medical students on a rural clinical platform: Can we dispel the myths? ... African Journal of Health Professions Education ... Background: There is a growing body of literature relating to the establishment of rural clinical training platforms for medical students describing many positive ...

  4. Attitude of final year medical students of a Nigerian university ...

    African Journals Online (AJOL)

    Doctors' attitude towards homosexuality may determine their responses and care for patients whose sexual orientation is homosexuality. Despite this, there is near absence of data on the attitude of medical students to homosexuals in Nigeria. Thus, this study investigated the attitude of final year medical students to ...

  5. Facility to disinfect medical wastes by 10 MeV electron beam

    International Nuclear Information System (INIS)

    Kerluke, D.R.

    1998-01-01

    As regulations related to the disposal of infectious hospital and other medical waste are become increasingly stringent, hospitals and governments worldwide are looking to develop more effective and economical means to disinfect such waste materials prior to them being ultimately landfilled, incinerated or recycled. With the advent of reliable high-energy, high-power industrial electron accelerators, the prospect now exists to centralize collection of much of the infectious medical waste for major metropolitan areas at a single facility, and render it harmless using irradiation. Using much of the same or similar methodologies already developed for single-use medical device sterilization and for bioburden reduction in other goods, high energy electron beam treatment offers unique process advantages which become increasingly attractive with the economies of scale available at higher power. This paper will explore some of the key issues related to the safe disposition of infectious hospital and other medical waste, related irradiation research projects, and the design and economic factors related to an electron beam facility dedicated to this application. This will be presented in the context of the Rhodotron family of electron beam accelerators manufactured by Ion Beam Applications s.a. (author)

  6. Evaluation of a hybrid paper-electronic medication management system at a residential aged care facility.

    Science.gov (United States)

    Elliott, Rohan A; Lee, Cik Yin; Hussainy, Safeera Y

    2016-06-01

    Objectives The aims of the study were to investigate discrepancies between general practitioners' paper medication orders and pharmacy-prepared electronic medication administration charts, back-up paper charts and dose-administration aids, as well as delays between prescribing, charting and administration, at a 90-bed residential aged care facility that used a hybrid paper-electronic medication management system. Methods A cross-sectional audit of medication orders, medication charts and dose-administration aids was performed to identify discrepancies. In addition, a retrospective audit was performed of delays between prescribing and availability of an updated electronic medication administration chart. Medication administration records were reviewed retrospectively to determine whether discrepancies and delays led to medication administration errors. Results Medication records for 88 residents (mean age 86 years) were audited. Residents were prescribed a median of eight regular medicines (interquartile range 5-12). One hundred and twenty-five discrepancies were identified. Forty-seven discrepancies, affecting 21 (24%) residents, led to a medication administration error. The most common discrepancies were medicine omission (44.0%) and extra medicine (19.2%). Delays from when medicines were prescribed to when they appeared on the electronic medication administration chart ranged from 18min to 98h. On nine occasions (for 10% of residents) the delay contributed to missed doses, usually antibiotics. Conclusion Medication discrepancies and delays were common. Improved systems for managing medication orders and charts are needed. What is known about the topic? Hybrid paper-electronic medication management systems, in which prescribers' orders are transcribed into an electronic system by pharmacy technicians and pharmacists to create medication administration charts, are increasingly replacing paper-based medication management systems in Australian residential aged care

  7. Safety measures to address the year 2000 issue at medical facilities which use radiation generators and radioactive materials

    International Nuclear Information System (INIS)

    1999-03-01

    In resolution GC(42)/RES/11 on 'Measures to Address the Year 2000 (Y2K) Issue', adopted on 25 September 1998, the General Conference of the International Atomic Energy Agency (IAEA) - inter alia - urged Member States 'to share information with the Secretariat regarding diagnostic and corrective actions being planned or implemented by operating and regulatory organizations at their ... medical facilities which use radioactive materials to make those facilities Year 2000 ready', encouraged the Secretariat 'within existing resources to act as a clearing-house and central point of contact for Member States to exchange information regarding diagnostic and remediation actions being taken at ... medical facilities which use radioactive materials to make these facilities Year 2000 ready', urged the Secretariat 'to handle the information provided by Member States carefully' and requested the Director General to report to it at its next (1999) regular session on the implementation of that resolution. The IAEA Secretariat convened a group of consultants who met in Vienna from 14 to 18 December 1998 and produced this report. The consultants decided that the report should cover not just 'medical facilities which use radioactive materials' but also medical facilities which, while perhaps not using radioactive materials, use ionizing radiation produced by radiation generators such as accelerators. The reports issued together are: Achieving Year 2000 Readiness: Basic Processes; Safety Measures to Address the Year 2000 Issue at Medical Facilities Which Use Radiation Generators and Radioactive Materials; and Safety Measures to Address the Year 2000 Issue at Radioactive Waste Management Facilities. This report addresses means of dealing with the Y2K problem at medical facilities which use radiation generators and radioactive materials

  8. Radiological Characterization and Final Facility Status Report Tritium Research Laboratory

    International Nuclear Information System (INIS)

    Garcia, T.B.; Gorman, T.P.

    1996-08-01

    This document contains the specific radiological characterization information on Building 968, the Tritium Research Laboratory (TRL) Complex and Facility. We performed the characterization as outlined in its Radiological Characterization Plan. The Radiological Characterization and Final Facility Status Report (RC ampersand FFSR) provides historic background information on each laboratory within the TRL complex as related to its original and present radiological condition. Along with the work outlined in the Radiological Characterization Plan (RCP), we performed a Radiological Soils Characterization, Radiological and Chemical Characterization of the Waste Water Hold-up System including all drains, and a Radiological Characterization of the Building 968 roof ventilation system. These characterizations will provide the basis for the Sandia National Laboratory, California (SNL/CA) Site Termination Survey .Plan, when appropriate

  9. Facilities and medical care for on-site nuclear power plant radiological emergencies

    International Nuclear Information System (INIS)

    Anon.

    1979-01-01

    The operation of a nuclear power plant introduces risks of injury or accidents that could also result in the exposure of personnel to radiation or radioactive materials. It is important in such an event to have adequate first aid and medical facilities, supplies, equipment, transportation capabilities and trained personnel available to provide necessary care. This standard provides guidance for first aid during an emergency and for initial medical care of those overexposed to penetrating radiation or contaminated with radioactive material or radionuclides. Recommendations cover facilities, supplies, equipment and the extent of care on-site, where first aid and initial care may be provided, and off-site at a local hospital, where further medical and surgical care may be provided. Additional recommendations are also provided for the transportation of patients and the training of personnel. A brief discussion of specialized care is provided in an appendix

  10. Large-scale User Facility Imaging and Scattering Techniques to Facilitate Basic Medical Research

    International Nuclear Information System (INIS)

    Miller, Stephen D.; Bilheux, Jean-Christophe; Gleason, Shaun Scott; Nichols, Trent L.; Bingham, Philip R.; Green, Mark L.

    2011-01-01

    Conceptually, modern medical imaging can be traced back to the late 1960's and into the early 1970's with the advent of computed tomography . This pioneering work was done by 1979 Nobel Prize winners Godfrey Hounsfield and Allan McLeod Cormack which evolved into the first prototype Computed Tomography (CT) scanner in 1971 and became commercially available in 1972. Unique to the CT scanner was the ability to utilize X-ray projections taken at regular angular increments from which reconstructed three-dimensional (3D) images could be produced. It is interesting to note that the mathematics to realize tomographic images was developed in 1917 by the Austrian mathematician Johann Radon who produced the mathematical relationships to derive 3D images from projections - known today as the Radon Transform . The confluence of newly advancing technologies, particularly in the areas of detectors, X-ray tubes, and computers combined with the earlier derived mathematical concepts ushered in a new era in diagnostic medicine via medical imaging (Beckmann, 2006). Occurring separately but at a similar time as the development of the CT scanner were efforts at the national level within the United States to produce user facilities to support scientific discovery based upon experimentation. Basic Energy Sciences within the United States Department of Energy currently supports 9 major user facilities along with 5 nanoscale science research centers dedicated to measurement sciences and experimental techniques supporting a very broad range of scientific disciplines. Tracing back the active user facilities, the Stanford Synchrotron Radiation Lightsource (SSRL) a SLAC National Accelerator Laboratory was built in 1974 and it was realized that its intense x-ray beam could be used to study protein molecular structure. The National Synchrotron Light Source (NSLS) at Brookhaven National Laboratory was commissioned in 1982 and currently has 60 x-ray beamlines optimized for a number of different

  11. Study on patient-induced radioactivity during proton treatment in hengjian proton medical facility

    International Nuclear Information System (INIS)

    Wu, Qingbiao; Wang, Qingbin; Liang, Tianjiao; Zhang, Gang; Ma, Yinglin; Chen, Yu; Ye, Rong; Liu, Qiongyao; Wang, Yufei; Wang, Huaibao

    2016-01-01

    At present, increasingly more proton medical facilities have been established globally for better curative effect and less side effect in tumor treatment. Compared with electron and photon, proton delivers more energy and dose at its end of range (Bragg peak), and has less lateral scattering for its much larger mass. However, proton is much easier to produce neutron and induced radioactivity, which makes radiation protection for proton accelerators more difficult than for electron accelerators. This study focuses on the problem of patient-induced radioactivity during proton treatment, which has been ignored for years. However, we confirmed it is a vital factor for radiation protection to both patient escort and positioning technician, by FLUKA’s simulation and activation formula calculation of Hengjian Proton Medical Facility (HJPMF), whose energy ranges from 130 to 230 MeV. Furthermore, new formulas for calculating the activity buildup process of periodic irradiation were derived and used to study the relationship between saturation degree and half-life of nuclides. Finally, suggestions are put forward to lessen the radiation hazard from patient-induced radioactivity. - Highlights: • A detailed study on patient-induced radioactivity was conducted by adopting Monte Carlo code FLUKA and activation formula. • New formulas for calculating the activity build-up process of periodic irradiation were derived and extensively studied. • Patient induced radioactivity, which has been ignored for years, is confirmed as a vital factor for radiation protection. • The induced radioactivity from single short-time treatment and long-time running (saturation) were studied and compared. • Some suggestions on how to reduce the hazard of patient’s induced radioactivity were given.

  12. [The development of the system of medical rehabilitation based at the Russian health resort facilities: investment prospects].

    Science.gov (United States)

    Povazhnaya, E L; Gusakova, E V; Moiseenko, S V

    2018-05-21

    The present work is devoted to the prospects for attracting investments for the maintenance and development of the medical rehabilitation practices based at the Russian health resort facilities. The article describes the prerequisites for the enhancement of the investment attractiveness of the development of the system of medical rehabilitation in the said institutions including the formulation and strengthening of the legal and regulatory framework, the capacity for the organization of the second and third stages of medical rehabilitation in the existing spa and health resort facilities, the attraction of the funds of compulsory medical insurance as an additional source of the financial support. The main legal documents regulating the organization and provision of medical rehabilitation based at the spa and health resort facilities are presented. The results of the implementation of the investment concept of the development of medical rehabilitation in the framework of the system of health resort treatment as exemplified by the experience of JSC «The group of companies «Medsi» are discussed. It is shown that the development of medical rehabilitation based at the spa and health resort facilities greatly contributes to the significant expansion of the potential customer base and promotes the further growth of business scale.

  13. Reactivation of the Shock-Tunnel Facility at Fort Cronkhite. Final report

    International Nuclear Information System (INIS)

    1982-05-01

    This final report describes the results of work undertaken to reactivate the Shock Tunnel Facility at Battery Townsley, Fort Cronkhite, Marin County, California. The facility has been reactivated and can not be utilized for blast testing. The major emphasis will be testing of concepts pertaining to programs of interest to the Federal Emergency Management Agency (FEMA) and in particular to civil defense oriented research. However, a wide variety of testing requirements can be accommodated. For example, past programs at the facility have included: tests of debris from trees subjected to blast for Bell Telephone Laboratories; tests of the response of aluminum hull panels to blast loading and of the response of a model surface effects ship for the Naval Ship Research and Development center, and tests of the response of a radome prototype to blast loading conducted for ANCOM (the radome manufacturer). The Shock Tunnel Facility is located in a former coastal defense 16-inch gun emplacement constructed by the US Army beginning in 1938. It was converted in 1967 to serve as a facility for full-scale testing of the loading and response of structural elements and civil defense equipment. It remained in operation until November 1976 when Battery Townsley was turned over to the National Park Service. Work under the present purchase order consisted of the following major tasks: (I) cleanup and secure the facility, (II) reactivate the shock tunnel, and (III) design permanent facility improvements

  14. Using Tools of Strategic Management in Medical Facilities of Lublin Region

    Directory of Open Access Journals (Sweden)

    Jaworzynska Magdalena

    2017-06-01

    Full Text Available The purpose of this article is to evaluate the use of tools of strategic management in hospitals in Lublin region. The study was conducted among 14 medical entities from the area of Lublin Voivodeship. The survey was addressed to economic directors or chief accountants of health care facilities and sent by post. The questionnaire was also helpful in conducting an in-depth interview as it provided a required structure. As part of the interviews with managers of health care facilities, information beyond the questionnaire was acquired, e.g. about the mission. According to studies, most health care facilities develop strategic plans (71.4%. For 21.4% of the studied facilities, the strategic plan is known mainly to management. In contrast, 28.6% of entities do not have a strategic plan. The presented results of the research can increase the effectiveness of activities in each area of the health care facility, continuous process improvement and rapid response to changes in the environment.

  15. Radiation monitoring system in medical facilities

    International Nuclear Information System (INIS)

    Matsuno, Kiyoshi

    1981-01-01

    (1) RI selective liquid effluent monitor is, in many cases, used at medical facilities to obtain data for density of radioactivity of six radionuclides. In comparison with the conventional gross measuring systems, over-evaluation is less, and the monitor is more practical. (2) Preventive monitor for loss of radium needle is a system which prevents missing of radium needle at a flush-toilet in radium treatment wards, and this monitor is capable of sensing a drop-off of radium needle of 0.5 mCi (minimum). (3) Short-lived positron gas measuring device belongs to a BABY CYCLOTRON installed in a hospital, and this device is used to measure density of radioactivity, radioactive impurity and chemical impurity of produced radioactive gas. (author)

  16. Reed Reactor Facility final report, September 1, 1995--August 31, 1996

    International Nuclear Information System (INIS)

    1997-01-01

    This report covers the period from September 1, 1995 to August 31, 1996. This report is intended to fulfill several purposes including the reporting requirements of the US Nuclear Regulatory Commission, the US Department of Energy, and the Oregon Department of Energy. Highlights of the last year include: student participation in the program is very high; the facility continues its success in obtaining donated equipment from the Portland General Electric, US Department of Energy, and other sources; the facility is developing more paid work; progress is being made in a collaborative project with Pacific Northwest National Laboratory on isotope production for medical purposes. There were over 1,500 individual visits to the Reactor Facility during the year. Most were students in classes at Reed College or area universities, colleges, and high schools. Including tours and research conducted at the facility, the Reed Reactor Facility contributed to the educational programs of six colleges and universities in addition to eighteen pre-college groups. During the year, the reactor was operated almost three hundred separate times. The total energy production was over 23 MW-hours. The reactor staff consists of a Director, an Associated Director, a contract Health Physicist, and approximately twenty Reed College undergraduate students as hourly employees. All radiation exposures to individuals during this year were well below 5% of the federal limits

  17. Reed Reactor Facility final report, September 1, 1995--August 31, 1996

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-09-01

    This report covers the period from September 1, 1995 to August 31, 1996. This report is intended to fulfill several purposes including the reporting requirements of the US Nuclear Regulatory Commission, the US Department of Energy, and the Oregon Department of Energy. Highlights of the last year include: student participation in the program is very high; the facility continues its success in obtaining donated equipment from the Portland General Electric, US Department of Energy, and other sources; the facility is developing more paid work; progress is being made in a collaborative project with Pacific Northwest National Laboratory on isotope production for medical purposes. There were over 1,500 individual visits to the Reactor Facility during the year. Most were students in classes at Reed College or area universities, colleges, and high schools. Including tours and research conducted at the facility, the Reed Reactor Facility contributed to the educational programs of six colleges and universities in addition to eighteen pre-college groups. During the year, the reactor was operated almost three hundred separate times. The total energy production was over 23 MW-hours. The reactor staff consists of a Director, an Associated Director, a contract Health Physicist, and approximately twenty Reed College undergraduate students as hourly employees. All radiation exposures to individuals during this year were well below 5% of the federal limits.

  18. Medical Applications of Non-Medical Research: Applications Derived from BES-Supported Research and Research at BES Facilities

    Science.gov (United States)

    1998-07-01

    This publication contains stories that illustrate how the Office of Basic Energy Sciences (BES) research and major user facilities have impacted the medical sciences in the selected topical areas of disease diagnosis, treatment (including drug development, radiation therapy, and surgery), understanding, and prevention.

  19. Die Ärztliche Zentralbibliothek des Universitätsklinikums Hamburg-Eppendorf / The Medical Library of the University Medical Center Hamburg-Eppendorf

    Directory of Open Access Journals (Sweden)

    Kintzel, Melanie

    2009-12-01

    Full Text Available This article introduces the Medical Library of the University Medical Center Hamburg-Eppendorf. Firstly, history, role and status of the library within the University Medical Center are illustrated, followed by a description of the library’s facilities and services. Finally, recent projects are presented as well as a selection of key figures.

  20. Final Test Analysis of Post Graduate Medical Residents

    Directory of Open Access Journals (Sweden)

    Maliheh Arab

    2009-04-01

    Full Text Available Background and purpose: Multiple choice questions are the most frequent test for medical students. It is important to analysis the overall response to individual  questions in the test.The aim of this study is to analyse questions of post graduate medical residency  tests.Methods: Final annual local (Ramadan medical school and national tests given to three Residency groups  including  17 Obstetrics  and gynecology testees,  7 pediatrics  and  12 internal  medicine  in 2004 were studied. In local tests residents answered to 148, 150 and 144 and in national  tests to ISO MCQS. Questions were  evaluated regarding cognitive domain level, Difficultly index and Discriminative index  and finally to evaluate  the optimal,  proper, acceptable and  ''must  omitted" questions.Results: Questions of local Obstetrics and gynecology, pediatrics and internal medicine tests evaluated the "recall" level in 72%, 72% and 51% and in national  tests 71%,  35% and 19%,  respectively. Questions  with  Discriminative indices  of 0.7 or more (proper  were 3 and  5% in  Obstetrics  and gynecology, 3.5% and 1% in pediatrics and 1% in local and national tests. Proper difficulty indices (30-70  were shown in 53% and 54% in Obstetrics  and gynecology, 34% and 43% in pediatrics and 40% and  42% in internal  medicine.  Generally  evaluating,  "must  omitted" questions in local and national tests were 76% in Obstetrics and gynecology, 81% and 79% in pediatrics and 91% and 85% in internal medicine. The most common causes making the questions to be considered  "must omitted" in studied tests were negative, zero or less than 0.2 Discriminative indices.Conclusion: Test analysis  of final  annual  local  (Ramadan medical  school  and national  tests  of Obstetrics  and gynecology, Pediatrics and internal medicine residency  programs  in 2004 revealed that most of the questions  are planned  in  "recall" level, harbor  improper

  1. Safety Analysis Report: X17B2 beamline Synchrotron Medical Research Facility

    International Nuclear Information System (INIS)

    Gmuer, N.F.; Thomlinson, W.

    1990-02-01

    This report contains a safety analysis for the X17B2 beamline synchrotron medical research facility. Health hazards, risk assessment and building systems are discussed. Reference is made to transvenous coronary angiography

  2. Perceived stress at transition to workplace: a qualitative interview study exploring final-year medical students’ needs

    Directory of Open Access Journals (Sweden)

    Moczko TR

    2016-01-01

    Full Text Available Tobias R Moczko,1,2,* Till J Bugaj,1,* Wolfgang Herzog,1 Christoph Nikendei1 1Department for General Internal and Psychosomatic Medicine, University Hospital of Heidelberg, Heidelberg, 2School of Medicine, Faculty of Health, Witten/Herdecke University, Witten, Germany *These authors contributed equally to this work Objectives: This study was designed to explore final-year medical students’ stressors and coping strategies at the transition to the clinical workplace. Methods: In this qualitative study, semi-standardized interviews with eight final-year medical students (five male, three female; aged 25.9±1.4 years were conducted during their internal medicine rotation. After verbatim transcription, a qualitative content analysis of students’ impressions of stress provoking and easing factors during final-year education was performed. Results: Students’ statements regarding burdens and dealing with stress were classified into four main categories: A perceived stressors and provoking factors, B stress-induced consequences, C personal and external resources for preventing and dealing with stress, and D final-year students’ suggestions for workplace improvement. Conclusion: Final-year medical students perceived different types of stress during their transition to medical wards, and reported both negative consequences and coping resources concerning perceived stress. As supervision, feedback, and coping strategies played an important role in the students’ perception of stress, final-year medical education curricula development should focus on these specifically. Keywords: undergraduate medical education, stress prevention, final-year medical education, workplace learning, qualitative research

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

    Science.gov (United States)

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

    2015-01-01

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

  4. Attitudes toward Psychiatry among Final-Year Medical Students in Kumasi, Ghana

    Science.gov (United States)

    Laugharne, Richard; Appiah-Poku, John; Laugharne, Jon; Shankar, Rohit

    2009-01-01

    Objective: Most sub-Saharan African countries have fewer psychiatrists than one per one million people. One possible reason could be that medical students have a negative attitude toward the specialty. The authors evaluated the attitudes toward a career in psychiatry of final-year medical students in Kumasi, Ghana, and compare these with attitudes…

  5. Liquid effluent retention facility final-status groundwater monitoring plan

    International Nuclear Information System (INIS)

    Sweeney, M.D.; Chou, C.J.; Bjornstad, B.N.

    1997-09-01

    The following sections describe the groundwater-monitoring program for the Liquid Effluent Retention Facility (LERF). The LERF is regulated under the Resource Conservation and Recovery Act of 1976 (RCRA). The LERF is included in the open-quotes Dangerous Waste Portion of the Resource Conservation and Recovery Act Permit for the Treatment, Storage, and Disposal of Dangerous Waste, Permit WA890008967close quotes, (referred to herein as the Permit) (Ecology 1994) and is subject to final-status requirements for groundwater monitoring (WAC 173-303-645). This document describes a RCRA/WAC groundwater detection-monitoring program for groundwater in the uppermost aquifer system at the LERF. This plan describes the LERF monitoring network, constituent list, sampling schedule, statistical methods, and sampling and analysis protocols that will be employed for the LERF. This plan will be used to meet the groundwater monitoring requirements from the time the LERF becomes part of the Permit and through the post-closure care period, until certification of final closure

  6. Medical Examination of Aliens--Revisions to Medical Screening Process. Final rule.

    Science.gov (United States)

    2016-01-26

    The Centers for Disease Control and Prevention (CDC), within the Department of Health and Human Services (HHS), is issuing this final rule (FR) to amend its regulations governing medical examinations that aliens must undergo before they may be admitted to the United States. Based on public comment received, HHS/CDC did not make changes from the NPRM published on June 23, 2015. Accordingly, this FR will: Revise the definition of communicable disease of public health significance by removing chancroid, granuloma inguinale, and lymphogranuloma venereum as inadmissible health-related conditions for aliens seeking admission to the United States; update the notification of the health-related grounds of inadmissibility to include proof of vaccinations to align with existing requirements established by the Immigration and Nationality Act (INA); revise the definitions and evaluation criteria for mental disorders, drug abuse and drug addiction; clarify and revise the evaluation requirements for tuberculosis; clarify and revise the process for the HHS/CDC-appointed medical review board that convenes to reexamine the determination of a Class A medical condition based on an appeal; and update the titles and designations of federal agencies within the text of the regulation.

  7. Prototype interface facility for intelligent handling and processing of medical image and data

    Science.gov (United States)

    Lymberopoulos, Dimitris C.; Garantziotis, Giannis; Spiropoulos, Kostas V.; Kotsopoulos, Stavros A.; Goutis, Costas E.

    1993-06-01

    This paper introduces an interface facility (IF) developed within the overall framework of RACE research project. Due to the nature of the project which it has been focused in the Remote Medical Expert Consultation, the involvement of distances, the versatile user advocation and familiarity with newly introduced methods of medical diagnosis, considerable deficiencies can arise. The aim was to intelligently assist the user/physician by providing an ergonomic environment which would contain operational and functional deficiencies to the lowest possible levels. IF, energizes and activates system and application level commands and procedures along with the necessary exemplified and instructional help facilities, in order to concisely allow the user to interact with the system safely and easily at all levels.

  8. Impact of focused training on communication skills of final-year medical students in a medical school in India.

    Science.gov (United States)

    Iqbal, Nayyar; Mookkappan, Sudhagar; Basheer, Aneesh; Kandasamy, Ravichandran

    2015-01-01

    Although communication skills are important for a good physician-patient relationship, Indian medical curricula give very little emphasis on training medical students in this aspect. To determine the change in communication skills of final-year medical students following focused training. This was an educational interventional study done at Pondicherry Institute of Medical Sciences, a tertiary care teaching hospital in South India, to assess communication skills among final-year MBBS students. Fifty-two students (24 males and 28 females) participated in the study. A pre-test was conducted in the form of an objectively structured clinical examination (OSCE), followed by focused training for four hours. The same OSCE was administered as post-test. A comparison between the pre-test and post-test scores was done using Wilcoxon Signed Ranks Test. Ninety-six per cent of participants (50 out of 52) showed improvement in their performance after the focused training. The mean marks of the pre-test and post-test were 10.77± 3 and 18.04±2, respectively, out of a maximum mark of 20 (pcommunication skills of medical students. Hence, it may be included in the curriculum of undergraduate medical teaching programmes in India.

  9. KNOWLEDGE IS REFERENCE FACILITIES OF SUPPORT OF PROCESSES OF INFORMATIVE ACCOMPANIMENT OF MEDICAL SERVICE OF POPULATION (first report

    Directory of Open Access Journals (Sweden)

    O. P. Mintser

    2012-11-01

    Full Text Available Described approaches, models and facilities of forming of the systems of knowledges, by the s purpose of support of grant informatively consultative services at medical practice of doctor. Ontological models, facilities of linguistic analysis and visualization of reflection of objects of medical industry, are determined.

  10. Preliminary design for hot dirty-gas control-valve test facility. Final report

    Energy Technology Data Exchange (ETDEWEB)

    1980-01-01

    This report presents the results of a preliminary design and cost estimating effort for a facility for the testing of control valves in Hot Dirty Gas (HDGCV) service. This design was performed by Mittelhauser Corporation for the United States Department of Energy's Morgantown Energy Technology Center (METC). The objective of this effort was to provide METC with a feasible preliminary design for a test facility which could be used to evaluate valve designs under simulated service conditions and provide a technology data base for DOE and industry. In addition to the actual preliminary design of the test facility, final design/construction/operating schedules and a facility cost estimate were prepared to provide METC sufficient information with which to evaluate this design. The bases, assumptions, and limitations of this study effort are given. The tasks carried out were as follows: METC Facility Review, Environmental Control Study, Gas Generation Study, Metallurgy Review, Safety Review, Facility Process Design, Facility Conceptual Layout, Instrumentation Design, Cost Estimates, and Schedules. The report provides information regarding the methods of approach used in the various tasks involved in the completion of this study. Section 5.0 of this report presents the results of the study effort. The results obtained from the above-defined tasks are described briefly. The turnkey cost of the test facility is estimated to be $9,774,700 in fourth quarter 1979 dollars, and the annual operating cost is estimated to be $960,000 plus utilities costs which are not included because unit costs per utility were not available from METC.

  11. Payment or Reimbursement for Certain Medical Expenses for Camp Lejeune Family Members. Final rule.

    Science.gov (United States)

    2017-05-05

    The Department of Veterans Affairs (VA) adopts as final an interim final rule addressing payment or reimbursement of certain medical expenses for family members of Camp Lejeune veterans. Under this rule, VA reimburses family members, or pays providers, for medical expenses incurred as a result of certain illnesses and conditions that may be associated with contaminants present in the base water supply at U.S. Marine Corps Base Camp Lejeune (Camp Lejeune), North Carolina, from August 1, 1953, to December 31, 1987. Payment or reimbursement is made within the limitations set forth in statute and Camp Lejeune family members receive hospital care and medical services that are consistent with the manner in which we provide hospital care and medical services to Camp Lejeune veterans. The statutory authority has since been amended to also include certain veterans' family members who resided at Camp Lejeune, North Carolina, for no less than 30 days (consecutive or nonconsecutive) between August 1, 1953, and December 31, 1987. This final rule will reflect that statutory change and will address public comments received in response to the interim final rule.

  12. Medical waste irradiation study. Final report

    International Nuclear Information System (INIS)

    Adler, R.J.; Stein, J.; Nygard, J.

    1998-01-01

    The North Star Research Corporation Medical Waste project is described in this report, with details of design, construction, operation, and results to date. The project began with preliminary design of the accelerator. The initial design was for a single accelerator chamber with a vacuum tube cavity driver built into the chamber itself, rather than using a commercial tube separate from the RF accelerator. The authors believed that this would provide more adjustability and permit better coupling to be obtained. They did not have sufficient success with that approach, and finally completed the project using a DC accelerator with a unique new scanning system to irradiate the waste

  13. Medical waste irradiation study. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Adler, R.J.; Stein, J. [North Star Research Corp., Albuquerque, NM (United States); Nygard, J. [Advance Bio-Control (United States)

    1998-07-25

    The North Star Research Corporation Medical Waste project is described in this report, with details of design, construction, operation, and results to date. The project began with preliminary design of the accelerator. The initial design was for a single accelerator chamber with a vacuum tube cavity driver built into the chamber itself, rather than using a commercial tube separate from the RF accelerator. The authors believed that this would provide more adjustability and permit better coupling to be obtained. They did not have sufficient success with that approach, and finally completed the project using a DC accelerator with a unique new scanning system to irradiate the waste.

  14. The conceptual design of waste repository for radioactive waste from medical, industrial and research facilities containing comparatively high radioactivity

    International Nuclear Information System (INIS)

    Yamamoto, Masayuki; Hashimoto, Naro

    2002-02-01

    Advisory Committee on Nuclear Fuel Cycle Backend Policy reported the basic approach to the RI and Institute etc. wastes on March 2002. According to it, radioactive waste form medical, industrial and research facilities should be classified by their radioactivity properties and physical and chemical properties, and should be disposed in the appropriate types of repository with that classification. For the radioactive waste containing comparatively high radioactivity generated from reactors, NSC has established the Concentration limit for disposal. NSC is now discussing about the limit for the radioactive waste from medical, industrial and research facilities containing comparatively high radioactivity. Japan Nuclear Cycle Development Institute (JNC) preliminary studied about the repository for radioactive waste from medical, industrial and research facilities and discussed about the problems for design on H12. This study was started to consider those problems, and to develop the conceptual design of the repository for radioactive waste from medical, industrial and research facilities. Safety assessment for that repository is also performed. The result of this study showed that radioactive waste from medical, industrial and research facilities of high activity should be disposed in the repository that has higher performance of barrier system comparing with the vault type near surface facility. If the conditions of the natural barrier and the engineering barrier are clearer, optimization of the design will be possible. (author)

  15. An evaluation related to the effect of strategic facility management on choice of medical tourism destination

    Directory of Open Access Journals (Sweden)

    Tarcan Ertugrul

    2015-01-01

    Full Text Available This study based on literature review aims to evaluate and emphasize the affect of the strategic facility management (SFM on choice of medical tourism destination. Medical Tourism, which ranges from the health care services involving a cure to the wellness services involving no specific health trouble to pleasure and amusement services, is one of the most growing sectors in the world. Cost and quality of medical services are among the main reasons for the choice of destination. Strategic facility management has a positive correlation on the levels of quality, cost and customer satisfaction. Thus medical tourism and destination managers should take into account of the potential advantages of value creation offered through SFM in order to be chosen by customers (stakeholders.

  16. Do final-year medical students have sufficient prescribing competencies? A systematic literature review.

    Science.gov (United States)

    Brinkman, David J; Tichelaar, Jelle; Graaf, Sanne; Otten, René H J; Richir, Milan C; van Agtmael, Michiel A

    2018-04-01

    Prescribing errors are an important cause of patient safety incidents and are frequently caused by junior doctors. This might be because the prescribing competence of final-year medical students is poor as a result of inadequate clinical pharmacology and therapeutic (CPT) education. We reviewed the literature to investigate which prescribing competencies medical students should have acquired in order to prescribe safely and effectively, and whether these have been attained by the time they graduate. PubMed, EMBASE and ERIC databases were searched from the earliest dates up to and including January 2017, using the terms 'prescribing', 'competence' and 'medical students' in combination. Articles describing or evaluating essential prescribing competencies of final-year medical students were included. Twenty-five articles describing, and 47 articles evaluating, the prescribing competencies of final-year students were included. Although there seems to be some agreement, we found no clear consensus among CPT teachers on which prescribing competencies medical students should have when they graduate. Studies showed that students had a general lack of preparedness, self-confidence, knowledge and skills, specifically regarding general and antimicrobial prescribing and pharmacovigilance. However, the results should be interpreted with caution, given the heterogeneity and methodological weaknesses of the included studies. There is considerable evidence that final-year students have insufficient competencies to prescribe safely and effectively, although there is a need for a greater consensus among CPT teachers on the required competencies. Changes in undergraduate CPT education are urgently required in order to improve the prescribing of future doctors. © 2018 VU University Medical Centre. British Journal of Clinical Pharmacology published by John Wiley & Sons Ltd on behalf of British Pharmacological Society.

  17. A near-peer teaching program designed, developed and delivered exclusively by recent medical graduates for final year medical students sitting the final objective structured clinical examination (OSCE

    Directory of Open Access Journals (Sweden)

    Sobowale Oluwaseun

    2011-03-01

    Full Text Available Abstract Background The General Medical Council states that teaching doctors and students is important for the care of patients. Our aim was to deliver a structured teaching program to final year medical students, evaluate the efficacy of teaching given by junior doctors and review the pertinent literature. Methods We developed a revision package for final year medical students sitting the Objective Structured Clinical Examination (OSCE. The package was created and delivered exclusively by recent medical graduates and consisted of lectures and small group seminars covering the core areas of medicine and surgery, with a focus on specific OSCE station examples. Students were asked to complete a feedback questionnaire during and immediately after the program. Results One hundred and eighteen completed feedback questionnaires were analysed. All participants stated that the content covered was relevant to their revision. 73.2% stated that junior doctors delivered teaching that is comparable to that of consultant - led teaching. 97.9% stated the revision course had a positive influence on their learning. Conclusions Our study showed that recent medical graduates are able to create and deliver a structured, formal revision program and provide a unique perspective to exam preparation that was very well received by our student cohort. The role of junior doctors teaching medical students in a formal structured environment is very valuable and should be encouraged.

  18. Special feature of the facilities for final disposal of radioactive waste and its potential impact on the licensing process

    International Nuclear Information System (INIS)

    Lee Gonzales, Horacio M.; Medici, Marcela A.; Alvarez, Daniela E.; Biaggio, Alfredo L.

    2009-01-01

    During the lifetime of a radioactive waste disposal facility it is possible to identify five stages: design, construction, operation, closure and post-closure. While the design, and pre-operation stages are, to some extent, similar to other kind of nuclear or radioactive facilities; construction, operation, closure and post-closure have quite special meanings in the case of radioactive waste disposal systems. For instance, the 'closure' stage of a final disposal facility seems to be equivalent to the commissioning stage of a conventional nuclear or radioactive facility. This paper describes the unique characteristics of these stages of final disposal systems, that lead to concluded that their licensing procedure can not be assimilated to the standard licensing procedures in use for other nuclear or radioactive facilities, making it necessary to develop a tailored license system. (author)

  19. Pitfalls and Security Measures for the Mobile EMR System in Medical Facilities.

    Science.gov (United States)

    Yeo, Kiho; Lee, Keehyuck; Kim, Jong-Min; Kim, Tae-Hun; Choi, Yong-Hoon; Jeong, Woo-Jin; Hwang, Hee; Baek, Rong Min; Yoo, Sooyoung

    2012-06-01

    The goal of this paper is to examine the security measures that should be reviewed by medical facilities that are trying to implement mobile Electronic Medical Record (EMR) systems designed for hospitals. The study of the security requirements for a mobile EMR system is divided into legal considerations and sectional security investigations. Legal considerations were examined with regard to remote medical services, patients' personal information and EMR, medical devices, the establishment of mobile systems, and mobile applications. For the 4 sectional security investigations, the mobile security level SL-3 from the Smartphone Security Standards of the National Intelligence Service (NIS) was used. From a compliance perspective, legal considerations for various laws and guidelines of mobile EMR were executed according to the model of the legal considerations. To correspond to the SL-3, separation of DMZ and wireless network is needed. Mobile access servers must be located in only the smartphone DMZ. Furthermore, security measures like 24-hour security control, WIPS, VPN, MDM, and ISMS for each section are needed to establish a secure mobile EMR system. This paper suggested a direction for applying regulatory measures to strengthen the security of a mobile EMR system in accordance with the standard security requirements presented by the Smartphone Security Guideline of the NIS. A future study on the materialization of these suggestions after their application at actual medical facilities can be used as an illustrative case to determine the degree to which theory and reality correspond with one another.

  20. Final closure of a low level waste disposal facility

    International Nuclear Information System (INIS)

    Potier, J.M.

    1995-01-01

    The low-level radioactive waste disposal facility operated by the Agence Nationale pour la Gestion des Dechets Radioactifs near La Hague, France was opened in 1969 and is scheduled for final closure in 1996. The last waste package was received in June 1994. The total volume of disposed waste is approximately 525,000 m 3 . The site closure consists of covering the disposal structures with a multi-layer impervious cap system to prevent rainwater from infiltrating the waste isolation system. A monitoring system has been set up to verify the compliance of infiltration rates with hydraulic performance objectives (less than 10 liters per square meter and per year)

  1. Medical team training and coaching in the Veterans Health Administration; assessment and impact on the first 32 facilities in the programme.

    Science.gov (United States)

    Neily, Julia; Mills, Peter D; Lee, Pamela; Carney, Brian; West, Priscilla; Percarpio, Katherine; Mazzia, Lisa; Paull, Douglas E; Bagian, James P

    2010-08-01

    Communication is problematic in healthcare. The Veterans Health Administration is implementing Medical Team Training. The authors describe results of the first 32 of 130 sites to undergo the programme. This report is unique; it provides aggregate results of a crew resource-management programme for numerous facilities. Facilities were taught medical team training and implemented briefings, debriefings and other projects. The authors coached teams through consultative phone interviews over a year. Implementation teams self-reported implementation and rated programme impact: 1='no impact' and 5='significant impact.' We used logistic regression to examine implementation of briefing/debriefing. Ninety-seven per cent of facilities implemented briefings and debriefings, and all implemented an additional project. As of the final interview, 73% of OR and 67% of ICU implementation teams self-reported and rated staff impact 4-5. Eighty-six per cent of OR and 82% of ICU implementation teams self-reported and rated patient impact 4-5. Improved teamwork was reported by 84% of OR and 75% of ICU implementation teams. Efficiency improvements were reported by 94% of OR implementation teams. Almost all facilities (97%) reported a success story or avoiding an undesirable event. Sites with lower volume were more likely to conduct briefings/debriefings in all cases for all surgical services (p=0.03). Sites are implementing the programme with a positive impact on patients and staff, and improving teamwork, efficiency and safety. A unique feature of the programme is that implementation was facilitated through follow-up support. This may have contributed to the early success of the programme.

  2. Use of mobile learning technology among final year medical students in Kenya.

    Science.gov (United States)

    Masika, Moses Muia; Omondi, Gregory Barnabas; Natembeya, Dennis Simiyu; Mugane, Ephraim Mwatha; Bosire, Kefa Ogonyo; Kibwage, Isaac Ongubo

    2015-01-01

    Mobile phone penetration has increased exponentially over the last decade as has its application in nearly all spheres of life including health and medical education. This study aimed at assessing the use of mobile learning technology and its challenges among final year undergraduate students in the College of Health sciences, University of Nairobi. This was a cross-sectional descriptive study conducted among final year undergraduate students at the University of Nairobi, College of Health Sciences. Self-administered, anonymous questionnaires were issued to all final year students in their lecture rooms after obtaining informed consent. Data on demographics, mobile device ownership and mobile learning technology use and its challenges was collected. Data entry and analysis was done using SPSS(®). Chi-square and t-test were used for bivariate analysis. We had 292 respondents; 62% were medical students, 16% were nursing students, 13% were pharmacy students and 9% were dental surgery students. The majority were female (59%) and the average age was 24 years. Eighty eight percent (88%) of the respondents owned a smart device and nearly all of them used it for learning. 64% of the respondents used medical mobile applications. The main challenges were lack of a smart device, lack of technical know-how in accessing or using apps, sub-optimal internet access, cost of acquiring apps and limited device memory. Mobile learning is increasingly popular among medical students and should be leveraged in promoting access and quality of medical education.

  3. Electronic Medical Record and Quality Ratings of Long Term Care Facilities Long-Term Care Facility Characteristics and Reasons and Barriers for Adoption of Electronic Medical Record

    Science.gov (United States)

    Daniels, Cheryl Andrea

    2013-01-01

    With the growing elderly population, compounded by the retirement of the babyboomers, the need for long-term care (LTC) facilities is expected to grow. An area of great concern for those that are seeking a home for their family member is the quality of care provided by the nursing home to the residents. Electronic medical records (EMR) are often…

  4. Medical Care in a Free Clinic: A Comprehensive Evaluation of Patient Experience, Incentives, and Barriers to Optimal Medical Care with Consideration of a Facility Fee.

    Science.gov (United States)

    Birs, Antoinette; Liu, Xinwei; Nash, Bee; Sullivan, Sara; Garris, Stephanie; Hardy, Marvin; Lee, Michael; Simms-Cendan, Judith; Pasarica, Magdalena

    2016-02-19

    Free and charitable clinics are important contributors to the health of the United States population. Recently, funding for these clinics has been declining, and it is, therefore, useful to identify what qualities patients value the most in clinics in an effort to allocate funding wisely. In order to identify targets and incentives for improvement of patients' health, we performed a comprehensive analysis of patients' experience at a free clinic by analyzing a patient survey (N=94). The survey also assessed patient opinions of a small facility fee, which could be used to offset the decrease in funds. Interestingly, our patients believed it is appropriate to be charged a facility fee (78%) because it increases involvement in their care (r = 0.69, p fee. Barriers include affordable housing, transportation, medication, and accessible information. In order to improve medical care in the uninsured population, our study suggested that we need to: 1) offer continuity of medical care; 2) offer affordable preventive health screenings; 3) support affordable transportation, housing, and medications; and 4) consider including a facility fee.

  5. Protecting patients. Y2K and medical facilities using radiation sources

    International Nuclear Information System (INIS)

    Ibbott, G.S.; Ortiz, P.; Andreo, P.

    1999-01-01

    For all types of medical care, the Year 2000 problem could cause an almost unlimited number of potential problems associated with particular scheduling. As a part of its assistance to Member States on Year 2000 issues, the IAEA has prepared a report 'Safety Measures to Address the Year 2000 Issue at Medical facilities which use Radiation Generators and Radioactive Materials (TECDOC-1074) for the attention of State Authorities. The mid-1999 international workshop organized by IAEA and WHO helped to promote even greater awareness of steps that should be taken to prevent the Year 2000 bug from seriously affecting the health care community

  6. Reflective ability and moral reasoning in final year medical students: a semi-qualitative cohort study.

    Science.gov (United States)

    Chalmers, Patricia; Dunngalvin, Audrey; Shorten, George

    2011-01-01

    Moral reasoning and reflective ability are important concepts in medical education. To date, the association between reflective ability and moral reasoning in medical students has not been measured. This study tested the hypotheses that, amongst final year medical students, (1) moral reasoning and reflective ability improve over time and (2) positive change in reflective ability favourably influences moral reasoning. With Institutional Ethical approval, 56 medical students (of a class of 110) participated fully both at the beginning and end of the final academic year. Reflective ability and moral reasoning were assessed at each time using Sobral's reflection-in-learning scale (RLS), Boenink's overall reflection score and by employing Kohlberg's schema for moral reasoning. The most important findings were that (1) Students' level of reflective ability scores related to medicine decreased significantly over the course of the year, (2) students demonstrated a predominantly conventional level of moral reasoning at both the beginning and end of the year, (3) moral reasoning scores tended to decrease over the course of the year and (4) RLS is a strong predictor of change in moral reasoning over time. This study confirms the usefulness of Sobral's RLS and BOR score for evaluating moral development in the context of medical education. This study further documents regression and levelling in the moral reasoning of final year medical students and a decrease in reflective ability applied in the medical context. Further studies are required to determine factors that would favourably influence reflective ability and moral reasoning among final year medical students.

  7. Pitfalls and Security Measures for the Mobile EMR System in Medical Facilities

    Science.gov (United States)

    Yeo, Kiho; Lee, Keehyuck; Kim, Jong-Min; Kim, Tae-Hun; Choi, Yong-Hoon; Jeong, Woo-Jin; Hwang, Hee; Baek, Rong Min

    2012-01-01

    Objectives The goal of this paper is to examine the security measures that should be reviewed by medical facilities that are trying to implement mobile Electronic Medical Record (EMR) systems designed for hospitals. Methods The study of the security requirements for a mobile EMR system is divided into legal considerations and sectional security investigations. Legal considerations were examined with regard to remote medical services, patients' personal information and EMR, medical devices, the establishment of mobile systems, and mobile applications. For the 4 sectional security investigations, the mobile security level SL-3 from the Smartphone Security Standards of the National Intelligence Service (NIS) was used. Results From a compliance perspective, legal considerations for various laws and guidelines of mobile EMR were executed according to the model of the legal considerations. To correspond to the SL-3, separation of DMZ and wireless network is needed. Mobile access servers must be located in only the smartphone DMZ. Furthermore, security measures like 24-hour security control, WIPS, VPN, MDM, and ISMS for each section are needed to establish a secure mobile EMR system. Conclusions This paper suggested a direction for applying regulatory measures to strengthen the security of a mobile EMR system in accordance with the standard security requirements presented by the Smartphone Security Guideline of the NIS. A future study on the materialization of these suggestions after their application at actual medical facilities can be used as an illustrative case to determine the degree to which theory and reality correspond with one another. PMID:22844648

  8. Infection prevention and control in deployed military medical treatment facilities.

    Science.gov (United States)

    Hospenthal, Duane R; Green, Andrew D; Crouch, Helen K; English, Judith F; Pool, Jane; Yun, Heather C; Murray, Clinton K

    2011-08-01

    Infections have complicated the care of combat casualties throughout history and were at one time considered part of the natural history of combat trauma. Personnel who survived to reach medical care were expected to develop and possibly succumb to infections during their care in military hospitals. Initial care of war wounds continues to focus on rapid surgical care with debridement and irrigation, aimed at preventing local infection and sepsis with bacteria from the environment (e.g., clostridial gangrene) or the casualty's own flora. Over the past 150 years, with the revelation that pathogens can be spread from patient to patient and from healthcare providers to patients (including via unwashed hands of healthcare workers, the hospital environment and fomites), a focus on infection prevention and control aimed at decreasing transmission of pathogens and prevention of these infections has developed. Infections associated with combat-related injuries in the recent operations in Iraq and Afghanistan have predominantly been secondary to multidrug-resistant pathogens, likely acquired within the military healthcare system. These healthcare-associated infections seem to originate throughout the system, from deployed medical treatment facilities through the chain of care outside of the combat zone. Emphasis on infection prevention and control, including hand hygiene, isolation, cohorting, and antibiotic control measures, in deployed medical treatment facilities is essential to reducing these healthcare-associated infections. This review was produced to support the Guidelines for the Prevention of Infections Associated With Combat-Related Injuries: 2011 Update contained in this supplement of Journal of Trauma.

  9. 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...

  10. Vertical integration of basic science in final year of medical education.

    Science.gov (United States)

    Rajan, Sudha Jasmine; Jacob, Tripti Meriel; Sathyendra, Sowmya

    2016-01-01

    Development of health professionals with ability to integrate, synthesize, and apply knowledge gained through medical college is greatly hampered by the system of delivery that is compartmentalized and piecemeal. There is a need to integrate basic sciences with clinical teaching to enable application in clinical care. To study the benefit and acceptance of vertical integration of basic science in final year MBBS undergraduate curriculum. After Institutional Ethics Clearance, neuroanatomy refresher classes with clinical application to neurological diseases were held as part of the final year posting in two medical units. Feedback was collected. Pre- and post-tests which tested application and synthesis were conducted. Summative assessment was compared with the control group of students who had standard teaching in other two medical units. In-depth interview was conducted on 2 willing participants and 2 teachers who did neurology bedside teaching. Majority (>80%) found the classes useful and interesting. There was statistically significant improvement in the post-test scores. There was a statistically significant difference between the intervention and control groups' scores during summative assessment (76.2 vs. 61.8 P Vertical integration of basic science in final year was beneficial and resulted in knowledge gain and improved summative scores. The classes were found to be useful, interesting and thought to help in clinical care and application by majority of students.

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

    Directory of Open Access Journals (Sweden)

    Bankole K. Fasanya

    2016-06-01

    Conclusion: WPV is an epidemic problem that affects all health-care professionals. The findings of this study could help long-term medical care facilities' management identify the areas to focus on mitigating, controlling, and/or eliminating incidents of WPV.

  12. Car drivers’ characteristics and the maximum walking distance between parking facilities and final destination

    NARCIS (Netherlands)

    van der Waerden, P.J.H.J.; Timmermans, H.J.P.; de Bruin - Verhoeven, M.

    2017-01-01

    In this paper the relationship between car drivers’ personal and trip characteristics and the maximum distance car drivers are willing to walk between a parking facility and the final destination(s) will be discussed. The willingness to walk is investigated in the context of four different trip

  13. Important changes in medical x-ray imaging facility shielding design methodology. A brief summary of recommendations in NCRP Report No. 147

    International Nuclear Information System (INIS)

    Archer, Benjamin R.; Gray, Joel E.

    2005-01-01

    The recently published Report No. 147 of The National Council on Radiation Protection and Measurements entitled 'Structural shielding design for medical x-ray imaging facilities' provides an update of shielding recommendations for x rays used for medical imaging. The goal of this report is to ensure that the shielding in these facilities limits radiation exposures to employees and members of the public to acceptable levels. Board certified medical and health physicists, as defined in this report, are the 'qualified experts' who are competent to design radiation shielding for these facilities. As such, physicists must be aware of the new technical information and the changes from previous reports that Report No. 147 supersedes. In this article we summarize the new data, models and recommendations for the design of radiation barriers in medical imaging facilities that are presented in Report No. 147

  14. Difference between Japanese Secondary and Tertiary Medical Facilities Regarding Changes in the Hospitalization of Children for Pneumonia after the Introduction of the Pneumococcal Conjugate Vaccine.

    Science.gov (United States)

    Haro, Kaoru; Ogawa, Masato; Hoshina, Takayuki; Kojiro, Masumi; Kusuhara, Koichi

    2017-05-24

    This study aimed to compare hospitalization of children for pneumonia between secondary and tertiary medical facilities, which hospitalize many children without and with underlying diseases, respectively, after the introduction of the pneumococcal conjugate vaccine (PCV). Our retrospective study included children admitted to the Department of Pediatrics at Kitakyushu General Hospital, a secondary medical facility, and the Hospital of the University of Occupational and Environment Health, Japan, a tertiary medical facility, from 2009 to 2013 for pneumonia. We compared the change in the rate of hospitalization for pneumonia after the introduction of the 7-valent PCV between the secondary and tertiary medical facilities. Hospitalization of patients with pneumonia declined by 28.8% in our secondary medical facility. In particular, hospitalization for pneumonia other than confirmed mycoplasmal or viral pneumonia was significantly reduced by 49.2%. In contrast, hospitalization of patients with pneumonia did not decline in our tertiary medical facility. After the introduction of PCV, hospitalization of children for pneumonia was not reduced at the tertiary medical facility. Various other pathogens besides pneumococcus may be associated with the development of pneumonia in children with underlying diseases.

  15. The final disposal facility of spent nuclear fuel

    International Nuclear Information System (INIS)

    Prvakova, S.; Necas, V.

    2001-01-01

    Today the most serious problem in the area of nuclear power engineering is the management of spent nuclear fuel. Due to its very high radioactivity the nuclear waste must be isolated from the environment. The perspective solution of nuclear fuel cycle is the final disposal into geological formations. Today there is no disposal facility all over the world. There are only underground research laboratories in the well developed countries like the USA, France, Japan, Germany, Sweden, Switzerland and Belgium. From the economical point of view the most suitable appears to build a few international repositories. According to the political and social aspect each of the country prepare his own project of the deep repository. The status of those programmes in different countries is described. The development of methods for the long-term management of radioactive waste is necessity in all countries that have had nuclear programmes. (authors)

  16. Scoping assessment on medical isotope production at the Fast Flux Test Facility

    International Nuclear Information System (INIS)

    Scott, S.W.

    1997-01-01

    The Scoping Assessment addresses the need for medical isotope production and the capability of the Fast Flux Test Facility to provide such isotopes. Included in the discussion are types of isotopes used in radiopharmaceuticals, which types of cancers are targets, and in what way isotopes provide treatment and/or pain relief for patients

  17. Scoping assessment on medical isotope production at the Fast Flux Test Facility

    Energy Technology Data Exchange (ETDEWEB)

    Scott, S.W.

    1997-08-29

    The Scoping Assessment addresses the need for medical isotope production and the capability of the Fast Flux Test Facility to provide such isotopes. Included in the discussion are types of isotopes used in radiopharmaceuticals, which types of cancers are targets, and in what way isotopes provide treatment and/or pain relief for patients.

  18. Financial compensation for municipalities hosting interim or final disposal facilities for radioactive waste

    International Nuclear Information System (INIS)

    Barboza, Alex; Vicente, Roberto

    2005-01-01

    Brazilian Law No. 10308 issued November 20, 2001, establishes in its 34th article that 'those municipalities hosting interim or final disposal facilities for radioactive waste are eligible to receive a monthly payment as compensation'. The values of due payments depend on parameters such as volume of wastes and activity and half-lives of the radionuclides. The method to calculating those values was established by the National Commission on Nuclear Energy, the Brazilian regulatory authority, by Resolution No. 10, issued in the August 18, 2003. In this paper we report the application of that method to a low- and intermediate-level radioactive waste interim storage facility at the Nuclear Energy Research Institute. (author)

  19. 77 FR 3389 - Approval and Promulgation of State Air Quality Plans for Designated Facilities and Pollutants...

    Science.gov (United States)

    2012-01-24

    ... Promulgation of State Air Quality Plans for Designated Facilities and Pollutants, State of West Virginia; Control of Emissions From Existing Hospital/Medical/Infectious Waste Incinerator Units, Plan Revision... final action to approve a revision to the West Virginia hospital/medical/infectious waste incinerator...

  20. Emotional intelligence and academic performance in first and final year medical students: a cross-sectional study.

    Science.gov (United States)

    Chew, Boon How; Zain, Azhar Md; Hassan, Faezah

    2013-03-27

    Research on emotional intelligence (EI) suggests that it is associated with more pro-social behavior, better academic performance and improved empathy towards patients. In medical education and clinical practice, EI has been related to higher academic achievement and improved doctor-patient relationships. This study examined the effect of EI on academic performance in first- and final-year medical students in Malaysia. This was a cross-sectional study using an objectively-scored measure of EI, the Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT). Academic performance of medical school students was measured using continuous assessment (CA) and final examination (FE) results. The first- and final-year students were invited to participate during their second semester. Students answered a paper-based demographic questionnaire and completed the online MSCEIT on their own. Relationships between the total MSCEIT score to academic performance were examined using multivariate analyses. A total of 163 (84 year one and 79 year five) medical students participated (response rate of 66.0%). The gender and ethnic distribution were representative of the student population. The total EI score was a predictor of good overall CA (OR 1.01), a negative predictor of poor result in overall CA (OR 0.97), a predictor of the good overall FE result (OR 1.07) and was significantly related to the final-year FE marks (adjusted R(2) = 0.43). Medical students who were more emotionally intelligent performed better in both the continuous assessments and the final professional examination. Therefore, it is possible that emotional skill development may enhance medical students' academic performance.

  1. Interim Storage Facility decommissioning. Final report

    International Nuclear Information System (INIS)

    Johnson, R.P.; Speed, D.L.

    1985-01-01

    Decontamination and decommissioning of the Interim Storage Facility were completed. Activities included performing a detailed radiation survey of the facility, removing surface and imbedded contamination, excavating and removing the fuel storage cells, restoring the site to natural conditions, and shipping waste to Hanford, Washington, for burial. The project was accomplished on schedule and 30% under budget with no measurable exposure to decommissioning personnel

  2. A conversion development program to LEU targets for medical isotope production in the MAPLE Facilities

    International Nuclear Information System (INIS)

    Malkoske, G.R.

    2000-01-01

    Historically, the production of molybdenum-99 in the NRU research reactors at Chalk River, Canada has been extracted from reactor targets employing highly enriched uranium (HEU). The molybdenum extraction process from the HEU targets provided predictable, consistent yields for our high-volume molybdenum production process. A reliable supply of HEU for the NRU research reactor targets has enabled MDS Nordion to develop a secure chain of medical isotope supply for the international nuclear medicine community. Each link of the isotope supply chain, from isotope production to patient application, has been established on a proven method of HEU target irradiation and processing. To ensure a continued reliable and timely supply of medical isotopes, the design of the MAPLE facilities was based on our established process - extraction of isotopes from HEU target material. However, in concert with the global trend to utilize low enriched uranium (LEU) in research reactors, MDS Nordion has launched a program to convert the MAPLE facilities to LEU targets. An initial feasibility study was initiated to identify the technical issues to convert the MAPLE targets from HEU to LEU. This paper will present the results of the feasibility study. It will also describe future challenges and opportunities in converting the MAPLE facilities to LEU targets for large scale, commercial medical isotope production. (author)

  3. Medicare and Medicaid programs; advance directives--HCFA. Final rule.

    Science.gov (United States)

    1995-06-27

    This final rule responds to public comments on the March 6, 1992 interim final rule with comment period that amended the Medicare and Medicaid regulations governing provider agreements and contracts to establish requirements for States, hospitals, nursing facilities, skilled nursing facilities, providers of home health care or personal care services, hospice programs and managed care plans concerning advance directives. An advance directive is a written instruction, such as a living will or durable power of attorney for health care, recognized under State law, relating to the provision of health care when an individual's condition makes him or her unable to express his or her wishes. The intent of the advance directives provisions is to enhance an adult individual's control over medical treatment decisions. This rule confirms the interim final rule with several minor changes based on our review and consideration of public comments.

  4. Introducing medication abortion into public sector facilities in KwaZulu-Natal, South Africa: an operations research study.

    Science.gov (United States)

    Blanchard, Kelly; Lince-Deroche, Naomi; Fetters, Tamara; Devjee, Jaymala; de Menezes, Ilundi Durão; Trueman, Karen; Sudhinaraset, May; Nkonko, Errol; Moodley, Jack

    2015-10-01

    Examine the feasibility of introducing mifepristone-misoprostol medication abortion into existing public sector surgical abortion services in KwaZulu-Natal, South Africa. Cohort study of women offered medication or surgical abortion in a larger medication abortion introduction study. The sample included 1167 women seeking first-trimester abortion at four public sector facilities; 923 women at ≤9 weeks' gestation were eligible for medication abortion. Women who chose medication abortion took 200 mg of mifepristone orally at the facility and 800 mcg of misoprostol buccally (or vaginally if they anticipated or experienced problems with buccal administration) 48 h later at home, based on international research and global safe abortion guidelines. Women who chose surgical abortion received 600 mg of misoprostol sublingually or vaginally on the day of their procedure followed by manual vacuum aspiration 4 h later. Main outcome measures included proportion of eligible women who chose each method, proportion with complete abortion and proportion reporting adverse events. Ninety-four percent of eligible women chose medication abortion. No adverse events were reported by women who chose surgical abortion; 3% of women in the medication abortion group reported adverse events and 0.4% reported a serious adverse event. Seventy-six percent of women received a family planning method at the facility where their received their abortion, with no difference based on procedure type. Medication abortion patients were significantly more likely to report they would choose this method again (94% vs. 78%, ppublic sector surgical abortion services in South Africa and was chosen by a large majority of women who were eligible and offered choice of early termination method; access to medication abortion should be expanded in South Africa and other similar settings. Copyright © 2015 Elsevier Inc. All rights reserved.

  5. Final report of the decontamination and decommission of Building 31 at the Grand Junction Projects Office Facility

    International Nuclear Information System (INIS)

    Krabacher, J.E.

    1996-07-01

    The U.S. Department of Energy (DOE) Grand Junction Projects Office (GJPO) occupies a 61.7-acre facility along the Gunnison River near Grand Junction, Colorado. This site was contaminated with uranium ore and mill tailings during uranium refining activities of the Manhattan Engineer District and during pilot milling experiments conducted for the domestic uranium procurement program funded by the U.S. Atomic Energy Commission. The DOE Defense Decontamination and Decommissioning Program established the GJPO Remedial Action Project to clean up and restore the facility lands, improvements, and the underlying aquifer. The site contractor for the facility, Rust Geotech, also was the remedial action contractor. Radiological contamination was identified in Building 31 and the building was demolished in 1992. The soil area within the footprint of the building has been remediated in accordance with the identified standards and the area can be released for unlimited exposure and unrestricted use. This area was addressed in the summary final report of the remediation of the exterior areas of the GJPO facility. This document was prepared in response to a DOE request for an individual final report for each contaminated GJPO building

  6. Effect of Repeated/Spaced Formative Assessments on Medical School Final Exam Performance

    Directory of Open Access Journals (Sweden)

    Edward K. Chang

    2017-06-01

    Discussion: Performance on weekly formative assessments was predictive of final exam scores. Struggling medical students will benefit from extra cumulative practice exams while students who are excelling do not need extra practice.

  7. Ultraviolet Light Generation and Transport in the Final Optics Assembly of the National Ignition Facility

    Energy Technology Data Exchange (ETDEWEB)

    Wegner, P. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Hackel, L. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Feit, M. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Parham, T. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Kozlowski, M. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Whitman, P. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2015-02-12

    The design of the National Ignition Facility (NIF) includes a Final Optics Assembly (FOA) subsystem for ultraviolet (UV) light generation and transport for each of the 192 beamlines. Analytical and experimental work has been done to help understand and predict the performance of FOA.

  8. Hazardous medical waste generation rates of different categories of health-care facilities

    International Nuclear Information System (INIS)

    Komilis, Dimitrios; Fouki, Anastassia; Papadopoulos, Dimitrios

    2012-01-01

    Highlights: ► We calculated hazardous medical waste generation rates (HMWGR) from 132 hospitals. ► Based on a 22-month study period, HMWGR were highly skewed to the right. ► The HMWGR varied from 0.00124 to 0.718 kg bed −1 d −1 . ► A positive correlation existed between the HMWGR and the number of hospital beds. ► We used non-parametric statistics to compare rates among hospital categories. - Abstract: Goal of this work was to calculate the hazardous medical waste unit generation rates (HMWUGR), in kg bed −1 d −1 , using data from 132 health-care facilities in Greece. The calculations were based on the weights of the hazardous medical wastes that were regularly transferred to the sole medical waste incinerator in Athens over a 22-month period during years 2009 and 2010. The 132 health-care facilities were grouped into public and private ones, and, also, into seven sub-categories, namely: birth, cancer treatment, general, military, pediatric, psychiatric and university hospitals. Results showed that there is a large variability in the HMWUGR, even among hospitals of the same category. Average total HMWUGR varied from 0.012 kg bed −1 d −1 , for the public psychiatric hospitals, to up to 0.72 kg bed −1 d −1 , for the public university hospitals. Within the private hospitals, average HMWUGR ranged from 0.0012 kg bed −1 d −1 , for the psychiatric clinics, to up to 0.49 kg bed −1 d −1 , for the birth clinics. Based on non-parametric statistics, HMWUGR were statistically similar for the birth and general hospitals, in both the public and private sector. The private birth and general hospitals generated statistically more wastes compared to the corresponding public hospitals. The infectious/toxic and toxic medical wastes appear to be 10% and 50% of the total hazardous medical wastes generated by the public cancer treatment and university hospitals, respectively.

  9. Development and perceived effects of an educational programme on quality and safety in medication handling in residential facilities.

    Science.gov (United States)

    Mygind, Anna; El-Souri, Mira; Rossing, Charlotte; Thomsen, Linda Aagaard

    2018-04-01

    To develop and test an educational programme on quality and safety in medication handling for staff in residential facilities for the disabled. The continuing pharmacy education instructional design model was used to develop the programme with 22 learning objectives on disease and medicines, quality and safety, communication and coordination. The programme was a flexible, modular seven + two days' course addressing quality and safety in medication handling, disease and medicines, and medication supervision and reconciliation. The programme was tested in five Danish municipalities. Municipalities were selected based on their application for participation; each independently selected a facility for residents with mental and intellectual disabilities, and a facility for residents with severe mental illnesses. Perceived effects were measured based on a questionnaire completed by participants before and after the programme. Effects on motivation and confidence as well as perceived effects on knowledge, skills and competences related to medication handling, patient empowerment, communication, role clarification and safety culture were analysed conducting bivariate, stratified analyses and test for independence. Of the 114 participants completing the programme, 75 participants returned both questionnaires (response rate = 66%). Motivation and confidence regarding quality and safety in medication handling significantly improved, as did perceived knowledge, skills and competences on 20 learning objectives on role clarification, safety culture, medication handling, patient empowerment and communication. The programme improved staffs' motivation and confidence and their perceived ability to handle residents' medication safely through improved role clarification, safety culture, medication handling and patient empowerment and communication skills. © 2017 Royal Pharmaceutical Society.

  10. Social network analysis of duplicative prescriptions: One-month analysis of medical facilities in Japan.

    Science.gov (United States)

    Takahashi, Yoshimitsu; Ishizaki, Tatsuro; Nakayama, Takeo; Kawachi, Ichiro

    2016-03-01

    Duplicative prescriptions refer to situations in which patients receive medications for the same condition from two or more sources. Health officials in Japan have expressed concern about medical "waste" resulting from this practices. We sought to conduct descriptive analysis of duplicative prescriptions using social network analysis and to report their prevalence across ages. We analyzed a health insurance claims database including 1.24 million people from December 2012. Through social network analysis, we examined the duplicative prescription networks, representing each medical facility as nodes, and individual prescriptions for patients as edges. The prevalence of duplicative prescription for any drug class was strongly correlated with its frequency of prescription (r=0.90). Among patients aged 0-19, cough and colds drugs showed the highest prevalence of duplicative prescriptions (10.8%). Among people aged 65 and over, antihypertensive drugs had the highest frequency of prescriptions, but the prevalence of duplicative prescriptions was low (0.2-0.3%). Social network analysis revealed clusters of facilities connected via duplicative prescriptions, e.g., psychotropic drugs showed clustering due to a few patients receiving drugs from 10 or more facilities. Overall, the prevalence of duplicative prescriptions was quite low - less than 10% - although the extent of the problem varied by drug class and age group. Our approach illustrates the potential utility of using a social network approach to understand these practices. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  11. Medical response to effects of ionising radiation

    International Nuclear Information System (INIS)

    Crosbie, W.A.; Gittus, J.H.

    1989-01-01

    The proceedings of a conference on 'Medical Response to Effects of Ionising Radiation' in 1989 in the form of nineteen papers published as a book. Topics discussed include radiation accidents at nuclear facilities, the medical management of radiation casualties, the responsibilities, plans and resources for coping with a nuclear accident and finally the long term effects of radiation, including leukaemia epidemiology studies. All papers were selected and indexed separately. (UK)

  12. The impact of a final disposal facility for spent nuclear fuel on a municipality's image

    International Nuclear Information System (INIS)

    Kankaanpaeae, H.; Haapavaara, L.; Lampinen, T.

    1999-02-01

    The study comprised on one hand a nationwide telephone interview (totally 800 interviews) aimed at mapping out the current image of possible host municipalities to a final disposal facility for spent nuclear fuel, and on the other hand some group interviews of people of another parish but of interest from the municipalities' point of view. The purpose of these group interviews was the same as that of the telephone interview, i.e. to find out what kind of an impact locating a final disposal facility of spent nuclear fuel in a certain municipality would have on the host municipality's image. Because the groups interviewed were selected on different grounds the results of the interviews are not fully comparable. The most important result of the study is that the current attitude towards a final disposal facility for spent nuclear fuel is calm and collected and that the matter is often considered from the standpoint of an outsider. The issue is easily ignored, classified as a matter 'which does not concern me', provided that the facility will not be placed too near one's own home. Among those interviewed the subject seemed not to be of any 'great interest and did not arouse spontaneous feelings for or against'. There are, however, deeply rooted beliefs concerning the facility and quite strong negative and positive attitudes towards it. The facility itself and the associated decision-making procedure arouse many questions, which at present to a large extent are still unexpressed because the subject is considered so remote. It is, however, necessary to give concrete answers to the questions because this makes it possible for people to relate the issue to daily life. It is further important that things arousing fear and doubts also can be discussed because a silence in this respect only emphasizes their importance. The attitude towards the facility is varying. On one hand there are economic and technical factors: the probable economic benefit from it, the obligation to

  13. Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2018. Final rule.

    Science.gov (United States)

    2017-08-03

    This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for federal fiscal year (FY) 2018 as required by the statute. As required by section 1886(j)(5) of the Social Security Act (the Act), this rule includes the classification and weighting factors for the IRF prospective payment system's (IRF PPS) case-mix groups and a description of the methodologies and data used in computing the prospective payment rates for FY 2018. This final rule also revises the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) diagnosis codes that are used to determine presumptive compliance under the "60 percent rule," removes the 25 percent payment penalty for inpatient rehabilitation facility patient assessment instrument (IRF-PAI) late transmissions, removes the voluntary swallowing status item (Item 27) from the IRF-PAI, summarizes comments regarding the criteria used to classify facilities for payment under the IRF PPS, provides for a subregulatory process for certain annual updates to the presumptive methodology diagnosis code lists, adopts the use of height/weight items on the IRF-PAI to determine patient body mass index (BMI) greater than 50 for cases of single-joint replacement under the presumptive methodology, and revises and updates measures and reporting requirements under the IRF quality reporting program (QRP).

  14. Experimental and Theoretical Progress of Linear Collider Final Focus Design and ATF2 Facility

    CERN Document Server

    Seryi, Andrei; Zimmermann, Frank; Kubo, Kiyoshi; Kuroda, Shigeru; Okugi, Toshiyuki; Tauchi, Toshiaki; Terunuma, Nobuhiro; Urakawa, Junji; White, Glen; Woodley, Mark; Angal-Kalinin, Deepa

    2014-01-01

    In this brief overview we will reflect on the process of the design of the linear collider (LC) final focus (FF) optics, and will also describe the theoretical and experimental efforts on design and practical realisation of a prototype of the LC FF optics implemented in the ATF2 facility at KEK, Japan, presently being commissioned and operated.

  15. Beyond "medical tourism": Canadian companies marketing medical travel.

    Science.gov (United States)

    Turner, Leigh

    2012-06-15

    -border health services available in the United States and intranational travel to clinics in Canada. In contrast to medical tourism companies, they do not market holiday tours in addition to medical care. Two companies occupy a narrow market niche and promote testing for CCSVI and "Liberation therapy" for multiple sclerosis. Three additional companies offer bariatric surgery and cosmetic surgery at facilities in Mexico. Four businesses offer health insurance products intended to cover the cost of obtaining privately financed health care in the U.S. These businesses also help their clients arrange treatment beyond Canada's borders. Finally, one medical travel company based in Canada markets health services primarily to U.S. citizens. This article uses content analysis of websites of Canadian companies marketing medical travel to provide insight into Canada's medical travel industry. The article reveals a complex marketplace with different types of companies taking distinct approaches to marketing medical travel.

  16. Durability test of geomembrane liners presumed to avail near surface disposal facilities for low-level waste generated from research, industrial and medical facilities

    International Nuclear Information System (INIS)

    Nakata, Hisakazu; Amazawa, Hiroya; Sakai, Akihiro; Kurosawa, Ryohei; Sakamoto, Yoshiaki; Kanno, Naohiro; Kashima, Takahiro

    2014-02-01

    The Low-level Radioactive Waste Disposal Project Center will construct near surface disposal facilities for radioactive wastes from research, industrial and medical facilities. The disposal facilities consist of “concrete pit type” for low-level radioactive wastes and “trench type” for very low level radioactive wastes. As for the trench type disposal facility, two kinds of facility designs are on projects – one for a normal trench type disposal facility without any of engineered barriers and the other for a trench type disposal facility with geomembrane liners that could prevent from causing environmental effects of non radioactive toxic materials contained in the waste packages. The disposal facility should be designed taking basic properties of durability on geomembrane liners into account, for it is exposed to natural environment on a long-term basis. This study examined mechanical strength and permeability properties to assess the durability on the basis of an indoor accelerated exposure experiment targeting the liner materials presumed to avail the conceptual design so far. Its results will be used for the basic and detailed design henceforth by confirming the empirical degradation characteristic with the progress of the exposure time. (author)

  17. Guidelines for the characterization of wastes from medical facilities

    International Nuclear Information System (INIS)

    Ortiz, M.T.; Sainz, C. Correa

    2002-01-01

    The waste generated in medicine may be managed following conventional routes or via the Spanish National Radioactive Waste Management (ENRESA), depending on their residual activity. Radiological characterisation may, however, be a complex process, due to the wide variety of wastes existing, as regards activity, isotopes, presentation, physical form, difficulties in handling, etc. The main objective here is to establish general methods for the assessment of activity, applicable to the largest possible number of medical practices involving radioactive material and, therefore, potentially generating wastes. This report has been drawn up out by a working group on wastes from radioactive facilities, belonging to the Spanish Radiological Protection Society and sponsored by ENRESA

  18. Influences on final year medical students' attitudes to general practice as a career.

    Science.gov (United States)

    Parker, Johanna E; Hudson, Ben; Wilkinson, Tim J

    2014-03-01

    General practice is under-represented in student career choices. This study aimed to identify and explore factors that influence the attitudes of final year medical students to general practice as a career. This qualitative study used semi-structured interviews of focus groups of final year undergraduate medical students at the University of Otago, Christchurch, New Zealand. Thematic analysis and grounded theory were used to interpret the data. General practitioners (GPs) play a key role in influencing medical students' attitudes to general practice as a career. Students identified their general practice placement during medical school training and personal contact with their own GP as principal factors. The media portrayal of general practice and the attitudes of friends and family were also influential. Students were positively influenced when they were made to feel part of the team, involved with consultations, allowed to carry out practical procedures under supervision, and witnessed what they perceived as good medical practice during clinical placements. Positive experiences often occurred later in training, when students felt more confident of their clinical abilities. While students reported occasional negative comments about general practice by some hospital doctors, these had a lesser role in influencing their perceptions of general practice compared with their own experiences, both as students and patients. GPs have a strong influence, positively and negatively, on the attitudes of medical students to general practice as a career. Effective influences include being made to feel welcome, involved, valued, and given legitimate roles during clinical placements.

  19. The Design of Diagnostic Medical Facilities where Ionising Radiation is used

    International Nuclear Information System (INIS)

    Malone, J.; O'Reilly, G.; O'Connor, U.; Gallagher, A.; Sheahan, N.; Fennell, S.

    2009-06-01

    The original Code of Practice on The Design of Diagnostic Medical Facilities Using Ionising Radiation was first published by the Nuclear Energy Board in 1988. In the intervening years the 'Blue Book' as it became known has served the medical community well as the sector has expanded and modernised and the late Dr Noel Nowlan, then Chief Executive of the Nuclear Energy Board, deserves much credit for initiating this pioneering contribution to radiation safety in Ireland. There have been significant developments since its publication in terms of the underlying radiation protection legislation, regulatory practice as well as developments in new technologies that have given rise to the need for a revision of the Code. This revised Code is based on a comprehensive draft document produced by the Haughton Institute under contract to the RPII and was finalised following extensive consultations with the relevant stakeholders. The revised Code includes a brief review of the current legislative framework and its specific impact on the management of building projects (Chapters 1 and 2), a presentation of the main types of radiological (Chapter 3) and nuclear medicine (Chapter 4) facilities, a treatment of the technical aspects of shielding calculations (Chapter 5) and a discussion of the practical aspects of implementing shielding solutions in a building context (Chapter 6). The primary purpose of the Code is to assist in the design of diagnostic facilities to the highest radiation protection standards in order to ensure the safety of workers and members of the public and the delivery of a safe service to patients. Diagnostic radiology is a dynamic environment and the Code is intended to be used in consultation with the current literature, an experienced Radiation Protection Advisor and a multidisciplinary project team

  20. Assisted Living Facilities, Locations of Assisted Living Facilities identifed visually and placed on the Medical Multi-Hazard Mitigation layer., Published in 2006, 1:1200 (1in=100ft) scale, Noble County Government.

    Data.gov (United States)

    NSGIC Local Govt | GIS Inventory — Assisted Living Facilities dataset current as of 2006. Locations of Assisted Living Facilities identifed visually and placed on the Medical Multi-Hazard Mitigation...

  1. Shielding of Medical Facilities. Shielding Design Considerations for PET-CT Facilities

    International Nuclear Information System (INIS)

    Cruzate, J.A.; Discacciatti, A.P.

    2011-01-01

    The radiological evaluation of a Positron Emission Tomography (PET) facility consists of the assessment of the annual effective dose both to workers occupationally exposed, and to members of the public. This assessment takes into account the radionuclides involved, the facility features, the working procedures, the expected number of patients per year, and so on. The evaluation embraces the distributions of rooms, the thickness and physical material of walls, floors and ceilings. This work detail the methodology used for making the assessment of a PET facility design taking into account only radioprotection aspects. The assessment results must be compared to the design requirements established by national regulations in order to determine whether or not, the facility complies with those requirements, both for workers and for members of the public. The analysis presented is useful for both, facility designers and regulators. In addition, some guidelines for improving the shielding design and working procedures are presented in order to help facility designer's job. (authors)

  2. Radiation protection training for personnel employed in medical facilities

    International Nuclear Information System (INIS)

    McElroy, N.L.; Brodsky, A.

    1985-05-01

    This report provides information useful for planning and conducting radiation safety training in medical facilities to keep exposures as low as reasonably achievable, and to meet other regulatory, safety and loss prevention requirements in today's hospitals. A brief discussion of the elements and basic considerations of radation safety training programs is followed by a short bibliography of selected references and sample lecture (or session) outlines for various job categories. This information is intended for use by a professional who is thoroughly acquainted with the science and practice of radiation protection as well as the specific procedures and circumstances of the particular hospital's operations. Topics can be added or substracted, amplified or condensed as appropriate. 8 refs

  3. Decommissioning of Medical, Industrial and Research Facilities. Safety Guide

    International Nuclear Information System (INIS)

    2010-01-01

    Radioactive waste is produced in the generation of nuclear power and the use of radioactive materials in industry, research and medicine. The importance of the safe management of radioactive waste for the protection of human health and the environment has long been recognized, and considerable experience has been gained in this field. The IAEA's Radioactive Waste Safety Standards Programme aimed at establishing a coherent and comprehensive set of principles and requirements for the safe management of waste and formulating the guidelines necessary for their application. This is accomplished within the IAEA Safety Standards Series in an internally consistent set of publications that reflect an international consensus. The publications will provide Member States with a comprehensive series of internationally agreed publications to assist in the derivation of, and to complement, national criteria, standards and practices. The Safety Standards Series consists of three categories of publications: Safety Fundamentals, Safety Requirements and Safety Guides. With respect to the Radioactive Waste Safety Standards Programme, the set of publications is currently undergoing review to ensure a harmonized approach throughout the Safety Standards Series. This Safety Guide addresses the subject of decommissioning of medical, industrial and research facilities where radioactive materials and sources are produced, received, used and stored. It is intended to provide guidance to national authorities and operating organizations, particularly to those in developing countries (as such facilities are predominant in these countries), for the planning and safe management of the decommissioning of such facilities. The Safety Guide has been prepared through a series of Consultants meetings and a Technical Committee meeting

  4. Decommissioning of medical, industrial and research facilities. Safety guide

    International Nuclear Information System (INIS)

    2005-01-01

    Radioactive waste is produced in the generation of nuclear power and the use of radioactive materials in industry, research and medicine. The importance of the safe management of radioactive waste for the protection of human health and the environment has long been recognized, and considerable experience has been gained in this field. The IAEA's Radioactive Waste Safety Standards Programme aimed at establishing a coherent and comprehensive set of principles and requirements for the safe management of waste and formulating the guidelines necessary for their application. This is accomplished within the IAEA Safety Standards Series in an internally consistent set of publications that reflect an international consensus. The publications will provide Member States with a comprehensive series of internationally agreed publications to assist in the derivation of, and to complement, national criteria, standards and practices. The Safety Standards Series consists of three categories of publications: Safety Fundamentals, Safety Requirements and Safety Guides. With respect to the Radioactive Waste Safety Standards Programme, the set of publications is currently undergoing review to ensure a harmonized approach throughout the Safety Standards Series. This Safety Guide addresses the subject of decommissioning of medical, industrial and research facilities where radioactive materials and sources are produced, received, used and stored. It is intended to provide guidance to national authorities and operating organizations, particularly to those in developing countries (as such facilities are predominant in these countries), for the planning and safe management of the decommissioning of such facilities. The Safety Guide has been prepared through a series of Consultants meetings and a Technical Committee meeting

  5. Code of practice for the design and safe operation of non-medical irradiation facilities (1988)

    International Nuclear Information System (INIS)

    1988-01-01

    This Code establishes requirements for the design and operation of irradiation facilities which use X-rays, electrons or gamma radiation for non-medical purposes such as the sterilisation of therapeutic goods. These requirements aim to ensure that exposure of workers and members of the public to ionizing and non-ionizing radiation as well as to noxious gases and radioactive contamination of the environment and facilities are controlled through the design of engineering safety features, approved administrative controls and appropriate radiation monitoring [fr

  6. Beyond "medical tourism": Canadian companies marketing medical travel

    Science.gov (United States)

    2012-01-01

    businesses market regional, cross-border health services available in the United States and intranational travel to clinics in Canada. In contrast to medical tourism companies, they do not market holiday tours in addition to medical care. Two companies occupy a narrow market niche and promote testing for CCSVI and “Liberation therapy” for multiple sclerosis. Three additional companies offer bariatric surgery and cosmetic surgery at facilities in Mexico. Four businesses offer health insurance products intended to cover the cost of obtaining privately financed health care in the U.S. These businesses also help their clients arrange treatment beyond Canada’s borders. Finally, one medical travel company based in Canada markets health services primarily to U.S. citizens. Conclusions This article uses content analysis of websites of Canadian companies marketing medical travel to provide insight into Canada’s medical travel industry. The article reveals a complex marketplace with different types of companies taking distinct approaches to marketing medical travel. PMID:22703873

  7. Neutron measurements at BRIT/BARC medical cyclotron facility of RMC, Parel

    International Nuclear Information System (INIS)

    Sathian, Deepa; Sathian, V.; Phandnis, U.V.; Soni, P.S.; Mohite, D.Y.

    2005-01-01

    Neutron leakage and its long distance propagation in the atmosphere from the intense neutron facilities such as high energy accelerators like Cyclotron are very important for the shielding design of the facilities and resulting dose reduction to nearby population, because of strong penetrability of high energy neutrons. The neutron interaction cross sections are highly energy dependent, so different methods are adopted for measuring different energy neutrons. The method also depends on the amount of neutron fluence rate expected at the location. When the fluence rate is very high, the foil activation is the best method for the measurement of neutron fluence rate. In foil activation technique an inactive material is activated by neutrons and the activity is measured and correlated to the neutron fluence rate. In this paper, neutron fluence rate measurement using different activation foils at medical cyclotron room of Radiation Medicine Centre (RMC) is discussed. (author)

  8. Knowledge and perception of physiotherapy by final year medical students of a Nigerian university.

    Science.gov (United States)

    Odebiyi, D O; Omotunde, A O; Aiyejusunle, C B; Olalekan, T A

    2008-01-01

    It has been shown that multidisciplinary interactions have become a feature of the changing medical education system. It is not clear to what extent medical students have been integrated into this newer model, more especially at the College of Medicine of the University of Lagos (CMUL), AIM: To assess the level of knowledge and perception of physiotherapy by the final year medical students of CMUL about physiotherapy. Ninety eight final year medical students of CMUL participated in the study. They were required to complete a standard 22 item closed-ended questionnaire which was self administered. Data were presented as mean +/- standard deviation; Inferential statistics of chi-square and t-tests were used to compare differences between variables. The respondents displayed above average knowledge of physiotherapy as the mean scores obtained for knowledge of physiotherapy were 20.25 +/- 4.50 and 18.77 +/- 4.60 for males and females respectively. They also showed a fair perception towards physiotherapy as the mean scores obtained were 32.70 +/- 7.20 and 34.33 +/- 7.30 for males and females respectively. However there was a significant gender difference in the medical students' knowledge of physiotherapy (p students of CMUL had a good knowledge and fair perception of physiotherapy. Their main source of knowledge was classroom lectures. The need for further education of medical students with particular emphasis on clinical interaction was identified. It is hereby suggested that interprofessional courses and communication should be given greater attention during medical training.

  9. Current status of personnel exposure at nuclear power plants and other medical, industrial and educational facilities in JAPAN

    International Nuclear Information System (INIS)

    Sasaki, Fumiaki

    1991-01-01

    The state of radiation exposure of the workers engaging in radiation works in Japanese nuclear power stations, the factors of the radiation exposure of the workers engaging in radiation works, the countermeasures for reducing exposure in nuclear power stations, the state of radiation exposure of doctors, the workers engaging in radiation works, researchers and others in medical, industrial, research and educational and other facilities in Japan, the factors of their radiation exposure and the countermeasures for reducing the exposure, and the comparison of the exposure in nuclear power stations with that in medical, industrial, research and educational facilities are reported. (K.I.)

  10. Turkish Final Year Medical Students' Exposure to and Attitudes Concerning Drug Company Interactions: A Perspective from a Minimally Regulated Environment for Medical Students.

    Science.gov (United States)

    Beyhun, Nazim Ercument; Kolayli, Cevriye Ceyda; Can, Gamze; Topbas, Murat

    2016-01-01

    Interactions between drug companies and medical students may affect evidence-based medical practice and patient safety. The aim of this study was to assess drug company-medical student interactions in a medical faculty where limited specific national or institutional regulations apply between drug companies and medical students. The objectives of the study were to determine the exposure and attitudes of final year medical students in terms of drug company-medical student and physician interactions, to identify factors affecting those attitudes and to provide data for policymakers working on the regulation of interactions between drug companies and medical students. This anonymous questionnaire-based study of 154 medical final year medical students at the Karadeniz Technical University Medical Faculty, Trabzon, Turkey, in April and May 2015 attracted a response rate of 92.2% (n/N, 154/164). Exposure to interaction with a pharmaceutical representative was reported by 90.3% (139/154) of students, and 68.8% (106/154) reported experiencing such interaction alongside a resident. In addition, 83.7% (128/153) of students reported an interaction during internship. Furthermore, 69.9% (107/153) of students agreed that interactions influence physicians' prescription preferences, while 33.1% (51/154) thought that a medical student should never accept a gift from a drug company and 24.7% (38/154) agreed with the proposition that "drug companies should not hold activities in medical faculties". Students with rational prescription training expressed greater agreement with the statement "I am skeptical concerning the information provided by drug companies during interactions" than those who had not received such training, and this finding was supported by logistic regression [O.R.(C.I), p -3.7(1.2-11.5), p = 0.022]. Acceptance of advertisement brochures was found to significantly reduce the level of agreement with the proposition that "A physician should not accept any gift from a

  11. Turkish Final Year Medical Students' Exposure to and Attitudes Concerning Drug Company Interactions: A Perspective from a Minimally Regulated Environment for Medical Students.

    Directory of Open Access Journals (Sweden)

    Nazim Ercument Beyhun

    Full Text Available Interactions between drug companies and medical students may affect evidence-based medical practice and patient safety. The aim of this study was to assess drug company-medical student interactions in a medical faculty where limited specific national or institutional regulations apply between drug companies and medical students. The objectives of the study were to determine the exposure and attitudes of final year medical students in terms of drug company-medical student and physician interactions, to identify factors affecting those attitudes and to provide data for policymakers working on the regulation of interactions between drug companies and medical students. This anonymous questionnaire-based study of 154 medical final year medical students at the Karadeniz Technical University Medical Faculty, Trabzon, Turkey, in April and May 2015 attracted a response rate of 92.2% (n/N, 154/164. Exposure to interaction with a pharmaceutical representative was reported by 90.3% (139/154 of students, and 68.8% (106/154 reported experiencing such interaction alongside a resident. In addition, 83.7% (128/153 of students reported an interaction during internship. Furthermore, 69.9% (107/153 of students agreed that interactions influence physicians' prescription preferences, while 33.1% (51/154 thought that a medical student should never accept a gift from a drug company and 24.7% (38/154 agreed with the proposition that "drug companies should not hold activities in medical faculties". Students with rational prescription training expressed greater agreement with the statement "I am skeptical concerning the information provided by drug companies during interactions" than those who had not received such training, and this finding was supported by logistic regression [O.R.(C.I, p -3.7(1.2-11.5, p = 0.022]. Acceptance of advertisement brochures was found to significantly reduce the level of agreement with the proposition that "A physician should not accept any

  12. Turkish Final Year Medical Students’ Exposure to and Attitudes Concerning Drug Company Interactions: A Perspective from a Minimally Regulated Environment for Medical Students

    Science.gov (United States)

    Beyhun, Nazim Ercument; Kolayli, Cevriye Ceyda; Can, Gamze; Topbas, Murat

    2016-01-01

    Interactions between drug companies and medical students may affect evidence-based medical practice and patient safety. The aim of this study was to assess drug company–medical student interactions in a medical faculty where limited specific national or institutional regulations apply between drug companies and medical students. The objectives of the study were to determine the exposure and attitudes of final year medical students in terms of drug company–medical student and physician interactions, to identify factors affecting those attitudes and to provide data for policymakers working on the regulation of interactions between drug companies and medical students. This anonymous questionnaire-based study of 154 medical final year medical students at the Karadeniz Technical University Medical Faculty, Trabzon, Turkey, in April and May 2015 attracted a response rate of 92.2% (n/N, 154/164). Exposure to interaction with a pharmaceutical representative was reported by 90.3% (139/154) of students, and 68.8% (106/154) reported experiencing such interaction alongside a resident. In addition, 83.7% (128/153) of students reported an interaction during internship. Furthermore, 69.9% (107/153) of students agreed that interactions influence physicians’ prescription preferences, while 33.1% (51/154) thought that a medical student should never accept a gift from a drug company and 24.7% (38/154) agreed with the proposition that “drug companies should not hold activities in medical faculties”. Students with rational prescription training expressed greater agreement with the statement “I am skeptical concerning the information provided by drug companies during interactions” than those who had not received such training, and this finding was supported by logistic regression [O.R.(C.I), p -3.7(1.2–11.5), p = 0.022]. Acceptance of advertisement brochures was found to significantly reduce the level of agreement with the proposition that “A physician should not

  13. Internship workplace preferences of final-year medical students at Zagreb University Medical School, Croatia: all roads lead to Zagreb.

    Science.gov (United States)

    Polasek, Ozren; Kolcic, Ivana; Dzakula, Aleksandar; Bagat, Mario

    2006-04-01

    Human resources management in health often encounters problems related to workforce geographical distribution. The aim of this study was to investigate the internship workplace preferences of final-year medical students and the reasons associated with their choices. A total of 204 out of 240 final-year medical students at Zagreb University Medical School, Croatia, were surveyed a few months before graduation. We collected data on each student's background, workplace preference, academic performance and emigration preferences. Logistic regression was used to analyse the factors underlying internship workplace preference, classified into two categories: Zagreb versus other areas. Only 39 respondents (19.1%) wanted to obtain internships outside Zagreb, the Croatian capital. Gender and age were not significantly associated with internship workplace preference. A single predictor variable significantly contributed to the logistic regression model: students who believed they would not get the desired specialty more often chose Zagreb as a preferred internship workplace (odds ratio 0.32, 95% CI 0.12-0.86). A strong preference for Zagreb as an internship workplace was recorded. Uncertainty about getting the desired specialty was associated with choosing Zagreb as a workplace, possibly due to more extensive and diverse job opportunities.

  14. STRESSFUL SITUATIONS IN THE WORK OF A MULTIPROFILE PEDIATRIC MEDICAL FACILITY'S CALL CENTER

    Directory of Open Access Journals (Sweden)

    I. M. Spivak

    2015-01-01

    Full Text Available Stressful situations in the work of a pediatric medical facility's call center are associated with patients' violation of social communication norms and aggressive behavior, as well as the operator's professional/maternal conflict. The following psychological resources facilitate better stress resistance of operators: self-confidence, mature and rational attitude, personal activity, inner satisfaction, optimism, emotional breadth and emotional colleague support. 

  15. Brain drain: final year medical students' intentions of training abroad.

    Science.gov (United States)

    Bojanic, Ana; Bojanic, Katarina; Likic, Robert

    2015-06-01

    In Croatia, a new European Union (EU) member state since July 2013, there is already a shortage of around 3280 doctors to reach the European average. To investigate the emigration intentions of the current cohort of final year medical students at Zabreb School of Medicine. An electronic questionnaire was used in June 2013 to assess the attitudes of 232 final year medical students towards working conditions abroad and expectations for career opportunities in Croatia following accession to the EU. With an overall response rate of 87%, more than half of the surveyed students (106/202, 53%) intended to travel abroad, either for specialty (52/202, 26%) or subspecialty (54/202, 27%) training. More female students (58/135, 43%) than male students (17/62, 27%) indicated they would not emigrate. Most attractive emigration destinations were: Germany (34/121, 28%), USA (19/121, 16%), the UK (19/121, 16%), Switzerland (16/121, 13%) and Canada (11/121, 9%). The most important goals that respondents aimed to achieve through training abroad were to excel professionally (45/120, 38%), to prosper financially (20/120, 17%) and to acquire new experiences and international exposure (31/120, 26%). Students' motivating factors, goals for and positive beliefs about training abroad, as well as negative expectations regarding career opportunities in Croatia, may point towards actions that could be taken to help make Croatia a country that facilitates medical education and professional career development of young doctors. 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.

  16. The AGP-Project conceptual design for a Spanish HLW final disposal facility

    International Nuclear Information System (INIS)

    Biurrun, E.; Engelmann, H.-J.; Huertas, F.; Ulibarri, A.

    1992-01-01

    Within the framework of the AGP Project a Conceptual Design for a HLW Final Disposal Facility to be eventually built in an underground salt formation in Spain has been developed. The AGP Project has the character of a system analysis. In the current project phase I several alternatives has been considered for different subsystems and/or components of the repository. The system variants, developed to such extent as to allow a comparison of their advantages and disadvantages, will allow the selection of a reference concept, which will be further developed to technical maturity in subsequent project phases. (author)

  17. 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.

  18. Performance specifications for proton medical facility

    Energy Technology Data Exchange (ETDEWEB)

    Chu, W.T.; Staples, J.W.; Ludewigt, B.A.; Renner, T.R.; Singh, R.P.; Nyman, M.A.; Collier, J.M.; Daftari, I.K.; Petti, P.L.; Alonso, J.R. [Lawrence Berkeley Lab., CA (United States); Kubo, H.; Verhey, L.J. [University of California Davis Medical Center, Sacramento, CA (United States). Cancer Center]|[California Univ., San Francisco, CA (United States). School of Medicine; Castro, J.R. [Lawrence Berkeley Lab., CA (United States)]|[University of California Davis Medical Center, Sacramento, CA (United States). Cancer Center]|[California Univ., San Francisco, CA (United States). School of Medicine

    1993-03-01

    Performance specifications of technical components of a modern proton radiotherapy facility are presented. The technical items specified include: the accelerator; the beam transport system including rotating gantry; the treatment beamline systems including beam scattering, beam scanning, and dosimetric instrumentation; and an integrated treatment and accelerator control system. Also included are treatment ancillary facilities such as diagnostic tools, patient positioning and alignment devices, and treatment planning systems. The facility specified will accommodate beam scanning enabling the three-dimensional conformal therapy deliver .

  19. Determinants of Contraceptive Availability at Medical Facilities in the Department of Veterans Affairs

    Science.gov (United States)

    Cope, Jacqueline R; Yano, Elizabeth M; Lee, Martin L; Washington, Donna L

    2006-01-01

    OBJECTIVE To describe the variation in provision of hormonal and intrauterine contraception among Veterans Affairs (VA) facilities. DESIGN Key informant, cross-sectional survey of 166 VA medical facilities. Data from public use data sets and VA administrative databases were linked to facility data to further characterize their contextual environments. PARTICIPANTS All VA hospital-based and affiliated community-based outpatient clinics delivering services to at least 400 unique women during fiscal year 2000. MEASUREMENTS Onsite availability of hormonal contraceptive prescription and intrauterine device (IUD) placement. RESULTS Ninety-seven percent of facilities offered onsite prescription and management of hormonal contraception whereas 63% offered placement of IUDs. After adjusting for facility caseload of reproductive-aged women, 3 organizational factors were independently associated with onsite IUD placement: (1) onsite gynecologist (adjusted odds ratio [OR], 20.35; 95% confidence interval [CI], 7.02 to 58.74; Pwomen's health training to other clinicians (adjusted OR, 3.40; 95% CI 1.19 to 9.76; P=.02). CONCLUSIONS VA's provision of hormonal and intrauterine contraception is in accordance with community standards, although onsite availability is not universal. Although contraception is a crucial component of a woman's health maintenance, her ability to obtain certain contraceptives from the facility where she obtains her primary care is largely influenced by the availability of a gynecologist. Further research is needed to determine how fragmentation of women's care into reproductive and nonreproductive services impacts access to contraception and the incidence of unintended pregnancy. PMID:16637943

  20. Medications Associated with Geriatric Syndromes (MAGS) and their Prevalence in Older Hospitalized Adults Discharged to Skilled Nursing Facilities

    Science.gov (United States)

    Saraf, Avantika A.; Peterson, Alec W.; Simmons, Sandra F.; Schnelle, John F.; Bell, Susan P.; Kripalani, Sunil; Myers, Amy P.; Mixon, Amanda S.; Long, Emily A.; Jacobsen, J. Mary Lou; Vasilevskis, Eduard E.

    2016-01-01

    Background More than half of the hospitalized older adults discharged to skilled nursing facilities (SNFs) have more than three geriatric syndromes. Pharmacotherapy may be contributing to geriatric syndromes in this population. Objectives Develop a list of medications associated with geriatric syndromes and describe their prevalence in patients discharged from acute care to skilled nursing facilities (SNFs) Design Literature review and multidisciplinary expert panel discussion, followed by cross-sectional analysis. Setting Academic Medical Center in the United States Participants 154 hospitalized Medicare beneficiaries discharged to SNFs Measurements Development of a list of medications that are associated with six geriatric syndromes. Prevalence of the medications associated with geriatric syndromes was examined in the hospital discharge sample. Results A list of 513 medications was developed as potentially contributing to 6 geriatric syndromes: cognitive impairment, delirium, falls, reduced appetite or weight loss, urinary incontinence, and depression. Medications included 18 categories. Antiepileptics were associated with all syndromes while antipsychotics, antidepressants, antiparkinsonism and opioid agonists were associated with 5 geriatric syndromes. In the prevalence sample, patients were discharged to SNFs with an overall average of 14.0 (±4.7) medications, including an average of 5.9 (±2.2) medications that could contribute to geriatric syndromes, with falls having the most associated medications at discharge, 5.5 (±2.2). Conclusions Many commonly prescribed medications are associated with geriatric syndromes. Over 40% of all medications ordered upon discharge to SNFs were associated with geriatric syndromes and could be contributing to the high prevalence of geriatric syndromes experienced by this population. PMID:27255830

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

    Science.gov (United States)

    Fasanya, Bankole K; Dada, Emmanuel A

    2016-06-01

    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. A structure questionnaire was used to collect data for the study. Three facilities were sampled and 80 nurses and certified nursing assistants participated in the study. Ninety-two percent (n = 74) were female and 8% (n = 6) were male. Approximately 62% were black or African American, approximately 33% were Caucasians, and only 2% were from other ethnicities. We found that 65% of the participants had experienced WPV while 41% believed that management shows little or no concern for their safety. Approximately 23% of respondents believed that reporting supervisor's WPV act is an unsafe action. In addition, 22% of those who reported that they have experienced WPV believed that the work environment is not safe to perform their duties. This significant difference in perception of workplace safety between those who had experienced WPV and those who had not was significant (t = 3.95, df = 158, p < 0.0001). WPV is an epidemic problem that affects all health-care professionals. The findings of this study could help long-term medical care facilities' management identify the areas to focus on mitigating, controlling, and/or eliminating incidents of WPV.

  2. Faigue Avoidance Scheduling Tool (FAST) Phase II SBIR Final Report, Part 1

    Science.gov (United States)

    2006-05-01

    Report No. AFRL-HE-BR-TR-2004-0015. 56 FASTTM Final Report NTI, Inc. F33615-00-C-6013 APPENDECES Appendix 1: Research Protocol entitled, "The Relative...stored in the testing facility. In the case of a true emergency, San Antonio Emergency Medical Service (EMS) will be called for acute cardiac life

  3. Nurses experiences with deaf patient and recommendations for an effective communication with deaf in medical facility

    OpenAIRE

    Boukalová, Naděžda

    2010-01-01

    This bachelor thesis whose name is Nurses experiences with deaf patient and recommendations for an effective communication with deaf in medical facility was conceived as pilot research. This thesis consists of two parts, theoretical and experimental. Theoretical part has several chapters, which deal with anatomy of ear, physiology of hearing, deaf in Czech Republic and communication. The last part of this chapter describes certain situations, where is possible to meet the deaf at medical faci...

  4. Functional criteria for emergency response facilities. Technical report (final)

    International Nuclear Information System (INIS)

    1981-02-01

    This report describes the facilities and systems to be used by nuclear power plant licensees to improve responses to emergency situations. The facilities include the Technical Support Center (TSC), Onsite Operational Support Center (OSC), and Nearsite Emergency Operations Facility (EOF), as well as a brief discussion of the emergency response function of the control room. The data systems described are the Safety Parameter Display System (SPDS) and Nuclear Data Link (NDL). Together, these facilities and systems make up the total Emergency Response Facilities (ERFs). Licensees should follow the guidance provided both in this report and in NUREG-0654 (FEMA-REP-1), Revision 1, for design and implementation of the ERFs

  5. Evaluation of the contribution of radiological imaging to the final diagnosis in medical case reports

    International Nuclear Information System (INIS)

    Wiesinger, Isabel; Scharf, Gregor; Platz, Natascha; Dendl, Lena M.; Stroszczynski, Christian; Schreyer, Andreas G.; Pawlik, Michael T.

    2015-01-01

    To evaluate the clinical value and impact of radiological imaging in published medial case reports. We analysed 671 consecutively published case reports of a peer-reviewed medical journal for case reports. The general use of radiological imaging as well as the specific imaging modality used in each case (ultrasound, x-ray, fluoroscopy, CT, MRI) was documented, and most importantly the 'final problem solver', i.e. the diagnostic modality giving the final clue to the patient's diagnosis, was identified. In 511 of 671 (76.1 %) analysed case reports at least one radiological modality was used in the diagnostic cascade. In 28.6 % of all cases the final diagnosis was achieved by radiological imaging. All other cases were solved by the patient's history and physical examination (15.2 %), histology (12.4 %), and blood analysis (9.6 %). When radiology was the 'final problem solver', it was mainly CT (51.6 %) and MRI (30.6 %). In 52.2 % of the case reports the radiological image was included in the article. In case reports published in a prominent general medical journal radiological imaging is an important key player in the diagnostic process. In many cases, it is also the diagnostic tool which ultimately leads to determining the final diagnosis. (orig.)

  6. Evaluation of the contribution of radiological imaging to the final diagnosis in medical case reports

    Energy Technology Data Exchange (ETDEWEB)

    Wiesinger, Isabel; Scharf, Gregor; Platz, Natascha; Dendl, Lena M.; Stroszczynski, Christian; Schreyer, Andreas G. [University Hospital Regensburg, Institute of Radiology, Regensburg (Germany); Pawlik, Michael T. [Intensive Care and Emergency Medicine, Institute of Anaesthesiology, Regensburg (Germany)

    2015-05-01

    To evaluate the clinical value and impact of radiological imaging in published medial case reports. We analysed 671 consecutively published case reports of a peer-reviewed medical journal for case reports. The general use of radiological imaging as well as the specific imaging modality used in each case (ultrasound, x-ray, fluoroscopy, CT, MRI) was documented, and most importantly the 'final problem solver', i.e. the diagnostic modality giving the final clue to the patient's diagnosis, was identified. In 511 of 671 (76.1 %) analysed case reports at least one radiological modality was used in the diagnostic cascade. In 28.6 % of all cases the final diagnosis was achieved by radiological imaging. All other cases were solved by the patient's history and physical examination (15.2 %), histology (12.4 %), and blood analysis (9.6 %). When radiology was the 'final problem solver', it was mainly CT (51.6 %) and MRI (30.6 %). In 52.2 % of the case reports the radiological image was included in the article. In case reports published in a prominent general medical journal radiological imaging is an important key player in the diagnostic process. In many cases, it is also the diagnostic tool which ultimately leads to determining the final diagnosis. (orig.)

  7. 76 FR 51957 - Notice of Intent To Prepare an Environmental Impact Statement for the Medical Facilities...

    Science.gov (United States)

    2011-08-19

    ... Statement for the Medical Facilities Development and University Expansion at Naval Support Activity Bethesda...: Notice. SUMMARY: Pursuant to section (102)(2)(c) of the National Environmental Policy Act (NEPA) of 1969, the regulations implemented by the Council on Environmental Quality (40 Code of Federal Regulations...

  8. Final report of the radiological release survey of Building 11 at the Grand Junction Office Facility

    International Nuclear Information System (INIS)

    Johnson, R.K.; Corle, S.G.

    1997-09-01

    The U.S. Department of Energy (DOE) Grand Junction Office (GJO) occupies a 61.7-acre facility along the Gunnison River near Grand Junction, Colorado. This site was contaminated with uranium ore concentrates and mill tailings during vanadium refining activities of the Manhattan Engineer District, and during sampling, assaying, pilot milling, storage, and brokerage activities conducted for the U.S. Atomic Energy Commission's domestic uranium procurement program. The DOE Defense Decontamination and Decommissioning Program established the GJO Remedial Action Project (GJORAP) to clean up and restore the facility lands, improvements, and underlying aquifer. WASTREN-Grand Junction is the site contractor for the facility and the remedial action contractor for GJORAP. Building 11 and the underlying soil were found not to be radiologically contaminated; therefore, the building can be released for unrestricted use. Placards have been placed at the building entrances indicating the completion of the radiological release survey and prohibiting the introduction of any radioactive materials within the building without written approvals from the GJO Facilities Operations Manager. This document was prepared in response to a DOE-GJO request for an individual final release report for each GJO building

  9. Final report of the radiological release survey of Building 29 at the Grand Junction Office Facility

    International Nuclear Information System (INIS)

    Johnson, R.K.; Corle, S.G.

    1997-09-01

    The U.S. Department of Energy (DOE) Grand Junction Office (GJO) occupies a 61.7-acre facility along the Gunnison River near Grand Junction, Colorado. This site was contaminated with uranium ore concentrates and mill tailing during vanadium refining activities of the Manhattan Engineer District, and during sampling, assaying, pilot milling, storage, and brokerage activities conducted for the U.S. Atomic Energy Commission's domestic uranium procurement program. The DOE Defense Decontamination and Decommissioning Program established the GJO Remedial Action Project (GJORAP) to clean up and restore the facility lands, improvements, and underlying aquifer. WASTREN-Grand Junction is the site contractor for the facility and the remedial action contractor for GJORAP. Building 29 and the underlying soil were found not to be radiologically contaminated; therefore, the building can be released for unrestricted use. Placards have been placed at the building entrances indicating the completion of the radiological release survey and prohibiting the introduction of any radioactive materials within the building without written approvals from the GJO Facilities Operations Manager. This document was prepared in response to a DOE-GJO request for an individual final release report for each GJO building

  10. Final report of the radiological release survey of Building 19 at the Grand Junction Office Facility

    International Nuclear Information System (INIS)

    Johnson, R.K.; Corle, S.G.

    1997-09-01

    The U.S. Department of Energy (DOE) Grand Junction Office (GJO) occupies a 61.7-acre facility along the Gunnison River near Grand Junction, Colorado. This site was contaminated with uranium ore concentrates and mill tailings during vanadium refining activities of the Manhattan Engineer District, and during sampling, assaying, pilot milling, storage, and brokerage activities conducted for the U.S. Atomic Energy Commission's domestic uranium procurement program. The DOE Defense Decontamination and Decommissioning Program established the GJO Remedial Action Project (GJORAP) to clean up and restore the facility lands, improvements, and underlying aquifer. WASTREN-Grand Junction is the site contractor for the facility and the remedial action contractor for GJORAP. Building 19 and the underlying soil were found not to be radiologically contaminated; therefore, the building can be released for unrestricted use. Placards have been placed at the building entrances indicating the completion of the radiological release survey and prohibiting the introduction of any radioactive materials within the building without written approvals from the GJO Facilities Operations Manager. This document was prepared in response to a DOE-GJO request for an individual final release report for each GJO building

  11. Mirror Fusion Test Facility-B (MFTF-B) axicell configuration: NbTi magnet system. Manufacturing/producibility final report. Volume 2

    International Nuclear Information System (INIS)

    Ritschel, A.J.; White, W.L.

    1985-05-01

    This Final MFTF-B Manufacturing/Producibility Report covers facilities, tooling plan, manufacturing sequence, schedule and performance, producibility, and lessons learned for the solenoid, axicell, and transition coils, as well as a deactivation plan, conclusions, references, and appendices

  12. Alpha Decontamination and Disassembly Pilot Facility. Final report

    International Nuclear Information System (INIS)

    Daugherty, B.A.; Clark, H.E.

    1985-04-01

    The Alpha Decontamination and Disassembly (AD and D) Pilot Facility was built to develop and demonstrate a reference process for the decontamination and size reduction of noncombustible transuranic (TRU) waste. The goals of the reference process were to remove >99% of the surface contamination to the high-level waste tanks, and to achieve volume reduction factors greater than 15:1. Preliminary bench-scale decontamination work was accomplished at Savannah River Laboratory (SRL), establishing a reference decontamination process. Initially, the pilot facility did not achieve the decontamination goals. As the program continued, and modifications to the process were made, coupon analysis idicated that 99% of the surface contamination was removed to the high-level drain system. Prior to the AD and D Pilot Facility, no size reduction work had been done at SRL. Several other Department of Energy (DOE) facilities were experimenting with plasma arc torches for size reduction work. Their methods were employed in the AD and D hot cell with moderate success. The experimental work concluded with recommendations for further testing of other size reduction techniques. 11 figs., 6 tabs

  13. Community-level football injury epidemiology: traumatic injuries treated at Swedish emergency medical facilities.

    Science.gov (United States)

    Timpka, Toomas; Schyllander, Jan; Stark Ekman, Diana; Ekman, Robert; Dahlström, Örjan; Hägglund, Martin; Kristenson, Karolina; Jacobsson, Jenny

    2018-02-01

    Despite the popularity of the sport, few studies have investigated community-level football injury patterns. This study examines football injuries treated at emergency medical facilities using data from three Swedish counties. An open-cohort design was used based on residents aged 0-59 years in three Swedish counties (pop. 645 520). Data were collected from emergency medical facilities in the study counties between 1 January 2007 and 31 December 2010. Injury frequencies and proportions for age groups stratified by sex were calculated with 95% confidence intervals (95% CIs) and displayed per diagnostic group and body location. Each year, more than 1/200 person aged 0-59 years sustained at least one injury during football play that required emergency medical care. The highest injury incidence was observed among adolescent boys [2009 injuries per 100 000 population years (95% CI 1914-2108)] and adolescent girls [1413 injuries per 100 000 population years (95% CI 1333-1498)]. For female adolescents and adults, knee joint/ligament injury was the outstanding injury type (20% in ages 13-17 years and 34% in ages 18-29 years). For children aged 7-12 years, more than half of the treated injuries involved the upper extremity; fractures constituted about one-third of these injuries. One of every 200 residents aged 0-59 years in typical Swedish counties each year sustained a traumatic football injury that required treatment in emergency healthcare. Further research on community-level patterns of overuse syndromes sustained by participation in football play is warranted. © The Author 2017. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

  14. A qualitative study exploring issues related to medication management in residential aged care facilities.

    Science.gov (United States)

    Ahmad Nizaruddin, Mariani; Omar, Marhanis-Salihah; Mhd-Ali, Adliah; Makmor-Bakry, Mohd

    2017-01-01

    Globally, the population of older people is on the rise. As families are burdened with the high cost of care for aging members, demand is increasing for medical care and nursing homes. Thus, medication management is crucial to ensure that residents in a care center benefit and assist the management of the care center in reducing the burden of health care. This study is aimed to qualitatively explore issues related to medication management in residential aged care facilities (RACFs). A total of 11 stakeholders comprising health care providers, administrators, caretakers and residents were recruited from a list of registered government, nongovernmental organization and private RACFs in Malaysia from September 2016 to April 2017. An exploratory qualitative study adhering to Consolidated Criteria for Reporting Qualitative Studies was conducted. In-depth interview was conducted with consent of all participants, and the interviews were audio recorded for later verbatim transcription. Observational analysis was also conducted in a noninterfering manner. Three themes, namely medication use process, personnel handling medications and culture, emerged in this study. Medication use process highlighted an unclaimed liability for residents' medication by the RACFs, whereas personnel handling medications were found to lack sufficient training in medication management. Culture of the organization did affect the medication safety and quality improvement. The empowerment of the residents in their medication management was limited. There were unclear roles and responsibility of who manages the medication in the nongovernment-funded RACFs, although they were well structured in the private nursing homes. There are important issues related to medication management in RACFs which require a need to establish policy and guidelines.

  15. [CERN-MEDICIS (Medical Isotopes Collected from ISOLDE): a new facility].

    Science.gov (United States)

    Viertl, David; Buchegger, Franz; Prior, John O; Forni, Michel; Morel, Philippe; Ratib, Osman; Bühler Léo H; Stora, Thierry

    2015-06-17

    CERN-MEDICIS is a facility dedicated to research and development in life science and medical applications. The research platform was inaugurated in October 2014 and will produce an increasing range of innovative isotopes using the proton beam of ISOLDE for fundamental studies in cancer research, for new imaging and therapy protocols in cell and animal models and for preclinical trials, possibly extended to specific early phase clinical studies (phase 0) up to phase I trials. CERN, the University Hospital of Geneva (HUG), the University Hospital of Lausanne (CHUV), the Swiss Institute for Experimental Cancer (ISREC) at Swiss Federal Institutes of Technology (EPFL) that currently support the project will benefit of the initial production that will then be extended to other centers.

  16. University of the Witwatersrand physiotherapy undergraduate curriculum alignment to medical conditions of patients within Gauteng state health facilities

    Directory of Open Access Journals (Sweden)

    Mokgobadibe V. Ntsiea

    2017-06-01

    Conclusion: The Wits physiotherapy curriculum covers all medical conditions treated by physiotherapists within the Gauteng state health facilities, and overall, the curriculum prepares the students to practise in a variety of situations.

  17. Final design and progress of WEAVE : the next generation wide-field spectroscopy facility for the William Herschel Telescope

    NARCIS (Netherlands)

    Dalton, Gavin; Trager, Scott; Abrams, Don Carlos; Bonifacio, Piercarlo; Aguerri, J. Alfonso L.; Middleton, Kevin; Benn, Chris; Dee, Kevin; Sayède, Frédéric; Lewis, Ian; Pragt, Johannes; Pico, Sergio; Walton, Nic; Rey, Jeurg; Allende Prieto, Carlos; Peñate, José; Lhome, Emilie; Agócs, Tibor; Alonso, José; Terrett, David; Brock, Matthew; Gilbert, James; Schallig, Ellen; Ridings, Andy; Guinouard, Isabelle; Verheijen, Marc; Tosh, Ian; Rogers, Kevin; Lee, Martin; Steele, Iain; Stuik, Remko; Tromp, Niels; Jaskó, Attila; Carrasco, Esperanza; Farcas, Szigfrid; Kragt, Jan; Lesman, Dirk; Kroes, Gabby; Mottram, Chris; Bates, Stuart; Rodriguez, Luis Fernando; Gribbin, Frank; Delgado, José Miguel; Herreros, José Miguel; Martin, Carlos; Cano, Diego; Navarro, Ramon; Irwin, Mike; Lewis, Jim; Gonzalez Solares, Eduardo; Murphy, David; Worley, Clare; Bassom, Richard; O'Mahoney, Neil; Bianco, Andrea; Zurita, Christina; ter Horst, Rik; Molinari, Emilio; Lodi, Marcello; Guerra, José; Martin, Adrian; Vallenari, Antonella; Salasnich, Bernardo; Baruffolo, Andrea; Jin, Shoko; Hill, Vanessa; Smith, Dan; Drew, Janet; Poggianti, Bianca; Pieri, Mat; Dominquez Palmero, Lillian; Farina, Cecilia

    2016-01-01

    We present the Final Design of the WEAVE next-generation spectroscopy facility for the William Herschel Telescope (WHT), together with a status update on the details of manufacturing, integration and the overall project schedule now that all the major fabrication contracts are in place. We also

  18. Final design and progress of WEAVE: the next generation wide-field spectroscopy facility for the William Herschel Telescope

    NARCIS (Netherlands)

    Dalton, Gavin; Trager, Scott; Abrams, Don Carlos; Bonifacio, Piercarlo; Aguerri, J. Alfonso L.; Middleton, Kevin; Benn, Chris; Dee, Kevin; Sayède, Frédéric; Lewis, Ian; Pragt, Johannes; Pico, Sergio; Walton, Nic; Rey, Jeurg; Allende Prieto, Carlos; Peñate, José; Lhome, Emilie; Agócs, Tibor; Alonso, José; Terrett, David; Brock, Matthew; Gilbert, James; Schallig, Ellen; Ridings, Andy; Guinouard, Isabelle; Verheijen, Marc; Tosh, Ian; Rogers, Kevin; Lee, Martin; Steele, Iain; Stuik, Remko; Tromp, Niels; Jaskó, Attila; Carrasco, Esperanza; Farcas, Szigfrid; Kragt, Jan; Lesman, Dirk; Kroes, Gabby; Mottram, Chris; Bates, Stuart; Rodriguez, Luis Fernando; Gribbin, Frank; Delgado, José Miguel; Herreros, José Miguel; Martin, Carlos; Cano, Diego; Navarro, Ramon; Irwin, Mike; Lewis, Jim; Gonzalez Solares, Eduardo; Murphy, David; Worley, Clare; Bassom, Richard; O'Mahoney, Neil; Bianco, Andrea; Zurita, Christina; ter Horst, Rik; Molinari, Emilio; Lodi, Marcello; Guerra, José; Martin, Adrian; Vallenari, Antonella; Salasnich, Bernardo; Baruffolo, Andrea; Jin, Shoko; Hill, Vanessa; Smith, Dan; Drew, Janet; Poggianti, Bianca; Pieri, Mat; Dominquez Palmero, Lillian; Farina, Cecilia

    2016-01-01

    We present the Final Design of the WEAVE next-generation spectroscopy facility for the William Herschel Telescope (WHT), together with a status update on the details of manufacturing, integration and the overall project schedule now that all the major fabrication contracts are in place. We also

  19. Engineering Evaluation/Cost Analysis for Power Burst Facility (PER-620) Final End State and PBF Vessel Disposal

    Energy Technology Data Exchange (ETDEWEB)

    B. C. Culp

    2007-05-01

    Preparation of this engineering evaluation/cost analysis is consistent with the joint U.S. Department of Energy and U.S. Environmental Protection Agency Policy on Decommissioning of Department of Energy Facilities Under the Comprehensive Environmental Response, Compensation, and Liability Act, (DOE and EPA 1995) which establishes the Comprehensive Environmental, Response, Compensation, and Liability Act non-time critical removal action process as an approach for decommissioning. The scope of this engineering evaluation/cost analysis is to evaluate alternatives and recommend a preferred alternative for the final end state of the PBF and the final disposal location for the PBF vessel.

  20. A qualitative study exploring issues related to medication management in residential aged care facilities

    Directory of Open Access Journals (Sweden)

    Ahmad Nizaruddin M

    2017-11-01

    Full Text Available Mariani Ahmad Nizaruddin, Marhanis-Salihah Omar, Adliah Mhd-Ali, Mohd Makmor-Bakry Faculty of Pharmacy, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia Background: Globally, the population of older people is on the rise. As families are burdened with the high cost of care for aging members, demand is increasing for medical care and nursing homes. Thus, medication management is crucial to ensure that residents in a care center benefit and assist the management of the care center in reducing the burden of health care. This study is aimed to qualitatively explore issues related to medication management in residential aged care facilities (RACFs.Participants and methods: A total of 11 stakeholders comprising health care providers, administrators, caretakers and residents were recruited from a list of registered government, nongovernmental organization and private RACFs in Malaysia from September 2016 to April 2017. An exploratory qualitative study adhering to Consolidated Criteria for Reporting Qualitative Studies was conducted. In-depth interview was conducted with consent of all participants, and the interviews were audio recorded for later verbatim transcription. Observational analysis was also conducted in a noninterfering manner.Results and discussion: Three themes, namely medication use process, personnel handling medications and culture, emerged in this study. Medication use process highlighted an unclaimed liability for residents’ medication by the RACFs, whereas personnel handling medications were found to lack sufficient training in medication management. Culture of the organization did affect the medication safety and quality improvement. The empowerment of the residents in their medication management was limited. There were unclear roles and responsibility of who manages the medication in the nongovernment-funded RACFs, although they were well structured in the private nursing homes.Conclusion: There are important issues

  1. Career preferences of final year medical students at a medical school in Kenya?A cross sectional study

    OpenAIRE

    Dossajee, Hussein; Obonyo, Nchafatso; Ahmed, Syed Masud

    2016-01-01

    Background The World Health Organization (WHO) recommended physician to population ratio is 23:10,000. Kenya has a physician to population ratio of 1.8:10,000 and is among 57 countries listed as having a serious shortage of health workers. Approximately 52?% of physicians work in urban areas, 6?% in rural and 42?% in peri-urban locations. This study explored factors influencing the choice of career specialization and location for practice among final year medical students by gender. Methods A...

  2. Profile of medical waste management in two healthcare facilities in Lagos, Nigeria: a case study.

    Science.gov (United States)

    Idowu, Ibijoke; Alo, Babajide; Atherton, William; Al Khaddar, Rafid

    2013-05-01

    Proper management and safe disposal of medical waste (MW) is vital in the reduction of infection or illness through contact with discarded material and in the prevention of environmental contamination in hospital facilities. The management practices for MW in selected healthcare facilities in Lagos, Nigeria were assessed. The cross-sectional study involved the use of questionnaires, in-depth interviews, focused group discussions and participant observation strategies. It also involved the collection, segregation, identification and weighing of waste types from wards and units in the representative facilities in Lagos, Nigeria, for qualitative and quantitative analysis of the MW streams. The findings indicated that the selected Nigerian healthcare facilities were lacking in the adoption of sound MW management (MWM) practices. The average MW ranged from 0.01 kg/bed/day to 3.98 kg/bed/day. Moreover, about 30% of the domestic waste from the healthcare facilities consisted of MW due to inappropriate co-disposal practices. Multiple linear regression was applied to predict the volume of waste generated giving a correlation coefficient (R(2)) value of 0.99 confirming a good fit of the data. This study revealed that the current MWM practices and strategies in Lagos are weak, and suggests an urgent need for review to achieve vital reversals in the current trends.

  3. Transportation of medical isotopes

    International Nuclear Information System (INIS)

    Nielsen, D.L.

    1997-01-01

    A Draft Technical Information Document (HNF-1855) is being prepared to evaluate proposed interim tritium and medical isotope production at the Fast Flux Test Facility (FFTF). This assessment examines the potential health and safety impacts of transportation operations associated with the production of medical isotopes. Incident-free and accidental impacts are assessed using bounding source terms for the shipment of nonradiological target materials to the Hanford Site, the shipment of irradiated targets from the FFTF to the 325 Building, and the shipment of medical isotope products from the 325 Building to medical distributors. The health and safety consequences to workers and the public from the incident-free transportation of targets and isotope products would be within acceptable levels. For transportation accidents, risks to works and the public also would be within acceptable levels. This assessment is based on best information available at this time. As the medical isotope program matures, this analysis will be revised, if necessary, to support development of a final revision to the Technical Information Document

  4. Transportation of medical isotopes

    Energy Technology Data Exchange (ETDEWEB)

    Nielsen, D.L.

    1997-11-19

    A Draft Technical Information Document (HNF-1855) is being prepared to evaluate proposed interim tritium and medical isotope production at the Fast Flux Test Facility (FFTF). This assessment examines the potential health and safety impacts of transportation operations associated with the production of medical isotopes. Incident-free and accidental impacts are assessed using bounding source terms for the shipment of nonradiological target materials to the Hanford Site, the shipment of irradiated targets from the FFTF to the 325 Building, and the shipment of medical isotope products from the 325 Building to medical distributors. The health and safety consequences to workers and the public from the incident-free transportation of targets and isotope products would be within acceptable levels. For transportation accidents, risks to works and the public also would be within acceptable levels. This assessment is based on best information available at this time. As the medical isotope program matures, this analysis will be revised, if necessary, to support development of a final revision to the Technical Information Document.

  5. The forgotten foot - an assessment of foot and ankle radiograph pathology in final year medical students.

    LENUS (Irish Health Repository)

    Groarke, P J

    2014-04-27

    It has been shown that doctors in Emergency Departments (EDs) have inconsistent knowledge of musculoskeletal anatomy. This is most likely due to a deficiency in focused musculoskeletal modules at undergraduate level in medical school. The aims of this study were to evaluate the knowledge of final year medical students on foot anatomy and common foot and ankle pathology as seen on radiographs.

  6. Guidelines for Management Information Systems in Canadian Health Care Facilities

    Science.gov (United States)

    Thompson, Larry E.

    1987-01-01

    The MIS Guidelines are a comprehensive set of standards for health care facilities for the recording of staffing, financial, workload, patient care and other management information. The Guidelines enable health care facilities to develop management information systems which identify resources, costs and products to more effectively forecast and control costs and utilize resources to their maximum potential as well as provide improved comparability of operations. The MIS Guidelines were produced by the Management Information Systems (MIS) Project, a cooperative effort of the federal and provincial governments, provincial hospital/health associations, under the authority of the Canadian Federal/Provincial Advisory Committee on Institutional and Medical Services. The Guidelines are currently being implemented on a “test” basis in ten health care facilities across Canada and portions integrated in government reporting as finalized.

  7. Final year medical students' views on simulation-based teaching: a comparison with the Best Evidence Medical Education Systematic Review.

    Science.gov (United States)

    Paskins, Zoë; Peile, Ed

    2010-01-01

    Simulation is being increasingly used in medical education. The aim of this study was to explore in more depth the features of simulation-based teaching that undergraduate medical students value using the Best Evidence Medical Education (BEME) Systematic Review features that lead to effective learning as a framework. Thematic analysis of four semi-structured focus groups with final year medical students who had been taught acute care skills using a medium-fidelity whole-body simulator manikin (SimMan). Twelve key themes were identified, namely, feedback, integration into curriculum, learning style, learning environment, realism, teamwork, communication skills, confidence/increased self-efficacy, anxiety, performance, perceptions of foundation year 1 (FY1) and SimMan as a resource. Each theme is described with supporting quotes. Six of the ten features listed in the BEME review appeared to be of particular value to the medical students. This study provides a richer understanding of these features. In addition, new insights into the effect of simulation on confidence, anxiety and self-efficacy are discussed which may be affected by the 'performance' nature of simulation role-play. Students also contribute critical thought about the use of SimMan as a resource and provide novel ideas for reducing 'downtime'.

  8. Final report of the decontamination and decommissioning of Building 39 at the Grand Junction Projects Office Facility

    International Nuclear Information System (INIS)

    Widdop, M.R.

    1996-07-01

    The U.S. Department of Energy (DOE) Grand Junction Projects Office (GJPO) occupies a 61.7-acre facility along the Gunnison River near Grand Junction, Colorado. This site was contaminated with uranium ore and mill tailings during uranium refining activities of the Manhattan Engineer District and during pilot milling experiments conducted for the U.S. Atomic Energy Commission's domestic uranium procurement program. The DOE Defense Decontamination and Decommissioning Program established the GJPO Remedial Action Project to clean up and restore the facility lands, improvements, and the underlying aquifer. The site contractor for the facility, Rust Geotech, is also the remedial action contractor. The soil beneath Building 39 was radiologically contaminated and the building was demolished in 1992. The soil area within the footprint of the building has been remediated in accordance with the identified standards and the area can be released for unlimited exposure and unrestricted use. This document was prepared in response to a DOE request for an individual final report for each contaminated GJPO building

  9. Final report of the decontamination and decommissioning of Building 44 at the Grand Junction Projects Office Facility

    International Nuclear Information System (INIS)

    Widdop, M.R.

    1996-07-01

    The U.S. Department of Energy (DOE) Junction Projects Office (GJPO) occupies a 61.7 acre facility along the Gunnison River near Grand Junction, Colorado. This site was contaminated with uranium ore and mill tailings during uranium refining activities of the Manhattan Engineer District and during pilot milling experiments conducted for the U.S. Atomic Energy Commission's domestic uranium procurement program. The DOE Defense Decontamination and Decommissioning Program established the Grand Junction Projects Office Remedial Action Project to clean up and restore the facility lands, improvements, and the underlying aquifer. The site contractor for the facility, Rust Geotech, is also the remedial action contractor. Building 44 was radiologically contaminated and the building was demolished in 1994. The soil area within the footprint of the building was not contaminated; it complies with the identified standards and the area can be released for unlimited exposure and unrestricted use. This document was prepared in response to a DOE request for an individual final report for each contaminated GJPO building

  10. Final report of the decontamination and decommissioning of Building 1 at the Grand Junction Projects Office Facility

    International Nuclear Information System (INIS)

    Widdop, M.R.

    1996-08-01

    The U.S. Department of Energy (DOE) Grand Junction Projects Office (GJPO) occupies a 61.7-acre facility along the Gunnison River near Grand Junction, Colorado. This site was contaminated with uranium ore and mill tailings during uranium refining activities of the Manhattan Engineer District and during pilot milling experiments conducted for the U.S. Atomic Energy Commission's domestic uranium procurement program. The DOE Defense Decontamination and Decommissioning Program established the GJPO Remedial Action Project to clean up and restore the facility lands, improvements, and the underlying aquifer. The site contractor for the facility, Rust Geotech, also is the remedial action contractor. Building 1 was found to be radiologically contaminated and was demolished in 1996. The soil beneath and adjacent to the building was remediated in accordance with identified standards and can be released for unlimited exposure and unrestricted use. This document was prepared in response to a DOE request for an individual final report for each contaminated GJPO building

  11. Fast Flux Test Facility final safety analysis report. Amendment 72

    Energy Technology Data Exchange (ETDEWEB)

    Gantt, D. A.

    1992-08-01

    This document provides the Final Safety Analysis Report (FSAR) Amendment 72 for incorporation into the Fast Flux Test Facility (FFTF) FSAR set. This amendment change incorporates Engineering Change Notices issued subsequent to Amendment 71 and approved for incorporation before June 24, 1992. These include changes in: Chapter 2, Site Characteristics; Chapter 3, Design Criteria Structures, Equipment, and Systems; Chapter 5B, Reactor Coolant System; Chapter 7, Instrumentation and Control Systems; Chapter 8, Electrical Systems - The description of the Class 1E, 125 Vdc systems is updated for the higher capacity of the newly installed, replacement batteries; Chapter 9, Auxiliary Systems - The description of the inert cell NASA systems is corrected to list the correct number of spare sample points; Chapter 11, Reactor Refueling System; Chapter 12, Radiation Protection and Waste Management; Chapter 13, Conduct of Operations; Chapter 16, Quality Assurance; Chapter 17, Technical Specifications; Chapter 19, FFTF Fire Specifications for Fire Detection, Alarm, and Protection Systems; Chapter 20, FFTF Criticality Specifications; and Appendix B, Primary Piping Integrity Evaluation.

  12. Final report of the radiological release survey of Building 30B at the Grand Junction Office Facility

    International Nuclear Information System (INIS)

    Krauland, P.A.; Corle, S.G.

    1997-09-01

    The U.S. Department of Energy (DOE) Grand Junction Office (GJO) occupies a 61.7-acre facility along the Gunnison River near Grand Junction, Colorado. This site was contaminated with uranium ore concentrates and mill tailings during vanadium refining activities of the Manhattan Engineer District, and during sampling, assaying, pilot milling, storage, and brokerage activities conducted for the U.S. Atomic Energy Commission's domestic uranium procurement program. The DOE Defense Decontamination and Decommissioning Program established the GJO Remedial Action Project (GJORAP) to clean up and restore the facility lands, improvements, and underlying aquifer. WASTREN-Grand Junction is the site contractor for the facility and the remedial action contractor for GJORAP. Building 30B and the underlying soil were found not to be radiologically contaminated; therefore, the building can be released for unrestricted use. Placards have been placed at the building entrances indicating the completion of the radiological release survey and prohibiting the introduction of any radioactive materials within the building without written approvals from the GJO Facilities Operations Manager. This document was prepared in response to a DOE-GJO request for an individual final release report for each GJO building

  13. Evaluation of medical isotope production with the accelerator production of tritium (APT) facility

    International Nuclear Information System (INIS)

    Benjamin, R.W.; Frey, G.D.; McLean, D.C., Jr; Spicer, K.M.; Davis, S.E.; Baron, S.; Frysinger, J.R.; Blanpied, G.; Adcock, D.

    1997-01-01

    The accelerator production of tritium (APT) facility, with its high beam current and high beam energy, would be an ideal supplier of radioisotopes for medical research, imaging, and therapy. By-product radioisotopes will be produced in the APT window and target cooling systems and in the tungsten target through spallation, neutron, and proton interactions. High intensity proton fluxes are potentially available at three different energies for the production of proton- rich radioisotopes. Isotope production targets can be inserted into the blanket for production of neutron-rich isotopes. Currently, the major production sources of radioisotopes are either aging or abroad, or both. The use of radionuclides in nuclear medicine is growing and changing, both in terms of the number of nuclear medicine procedures being performed and in the rapidly expanding range of procedures and radioisotopes used. A large and varied demand is forecast, and the APT would be an ideal facility to satisfy that demand

  14. Final safety analysis report for the irradiated fuels storage facility

    International Nuclear Information System (INIS)

    Bingham, G.E.; Evans, T.K.

    1976-01-01

    A fuel storage facility has been constructed at the Idaho Chemical Processing Plant to provide safe storage for spent fuel from two commercial HTGR's, Fort St. Vrain and Peach Bottom, and from the Rover nuclear rocket program. The new facility was built as an addition to the existing fuel storage basin building to make maximum use of existing facilities and equipment. The completed facility provides dry storage for one core of Peach Bottom fuel (804 elements), 1 1 / 2 cores of Fort St. Vrain fuel (2200 elements), and the irradiated fuel from the 20 reactors in the Rover program. The facility is designed to permit future expansion at a minimum cost should additional storage space for graphite-type fuels be required. A thorough study of the potential hazards associated with the Irradiated Fuels Storage Facility has been completed, indicating that the facility is capable of withstanding all credible combinations of internal accidents and pertinent natural forces, including design basis natural phenomena of a 10,000 year flood, a 175-mph tornado, or an earthquake having a bedrock acceleration of 0.33 g and an amplification factor of 1.3, without a loss of integrity or a significant release of radioactive materials. The design basis accident (DBA) postulated for the facility is a complete loss of cooling air, even though the occurrence of this situation is extremely remote, considering the availability of backup and spare fans and emergency power. The occurrence of the DBA presents neither a radiation nor an activity release hazard. A loss of coolant has no effect upon the fuel or the facility other than resulting in a gradual and constant temperature increase of the stored fuel. The temperature increase is gradual enough that ample time (28 hours minimum) is available for corrective action before an arbitrarily imposed maximum fuel centerline temperature of 1100 0 F is reached

  15. Screening study for waste biomass to ethanol production facility using the Amoco process in New York State. Appendices to the final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-08-01

    The final report evaluates the economic feasibility of locating biomass-to-ethanol waste conversion facilities in New York State. Part 1 of the study evaluates 74 potential sites in New York City and identifies two preferred sites on Staten Island, the Proctor and Gamble and the Arthur Kill sites for further consideration. Part 2 evaluates upstate New York and determines that four regions surrounding the urban centers of Albany, Buffalo, Rochester, and Syracuse provide suitable areas from which to select specific sites for further consideration. A conceptual design and economic viability evaluation were developed for a minimum-size facility capable of processing 500 tons per day (tpd) of biomass consisting of wood or paper, or a combination of the two for upstate regions. The facility would use Amoco`s biomass conversion technology and produce 49,000 gallons per day of ethanol and approximately 300 tpd of lignin solid by-product. For New York City, a 1,000-tpd processing facility was also evaluated to examine effects of economies of scale. The reports evaluate the feasibility of building a biomass conversion facility in terms of city and state economic, environmental, and community factors. Given the data obtained to date, including changing costs for feedstock and ethanol, the project is marginally attractive. A facility should be as large as possible and located in a New York State Economic Development Zone to take advantage of economic incentives. The facility should have on-site oxidation capabilities, which will make it more financially viable given the high cost of energy. This appendix to the final report provides supplemental material supporting the evaluations.

  16. Return of isotope capsules to the Waste Encapsulation and Storage Facility

    International Nuclear Information System (INIS)

    1994-05-01

    Cesium-137 and strontium-90 isotopes were removed from Hanford Site high-level tank wastes, and were encapsulated at the Hanford Site's Waste Encapsulation and Storage Facility (WESF), beginning in 1974. Over the past several years, radioactive isotope capsules have been sent to other U.S. Department of Energy (DOE)-controlled sites to be used for research and development applications, as well as leased to a number of commercial facilities for commercial applications (e.g., sterilization of medical supplies). Due to uncertainty regarding the cause of the release of a small quantity of cesium-137 to an isolated water basin from a WESF cesium-137 capsule in a commercial facility in Decatur, Georgia, the DOE has determined that it needs to return leased capsules from IOTECH, Incorporated (IOTECH), Northglenn, Colorado; Pacific Northwest Laboratory (PNL), Richland, Washington; and the Applied Radiant Energy Corporation (ARECO), Lynchburg, Virginia; to the WESF Facility on the Hanford Site, to ensure safe management and storage, pending final disposition. All of these capsules located at the commercial facilities were successfully tested during Calendar Year 1993, and none showed any indication of off-normal specifications. Storage at the WESF will continue under the actions selected in the Record of Decision for the Final Environmental Impact Statement: Disposal of Hanford Defense High-Level, Transuranic and Tank Wastes, Hanford Site, Richland, Washington

  17. A Multivariate Analysis of Personality, Values and Expectations as Correlates of Career Aspirations of Final Year Medical Students

    Science.gov (United States)

    Rogers, Mary E.; Searle, Judy; Creed, Peter A.; Ng, Shu-Kay

    2010-01-01

    This study reports on the career intentions of 179 final year medical students who completed an online survey that included measures of personality, values, professional and lifestyle expectations, and well-being. Logistic regression analyses identified the determinants of preferred medical specialty, practice location and hours of work.…

  18. Hanford Facility Dangerous Waste Permit Application, 200 Area Effluent Treatment Facility

    International Nuclear Information System (INIS)

    1993-08-01

    The 200 Area Effluent Treatment Facility Dangerous Waste Permit Application documentation consists of both Part A and a Part B permit application documentation. An explanation of the Part A revisions associated with this treatment and storage unit, including the current revision, is provided at the beginning of the Part A section. Once the initial Hanford Facility Dangerous Waste Permit is issued, the following process will be used. As final, certified treatment, storage, and/or disposal unit-specific documents are developed, and completeness notifications are made by the US Environmental Protection Agency and the Washington State Department of Ecology, additional unit-specific permit conditions will be incorporated into the Hanford Facility Dangerous Waste Permit through the permit modification process. All treatment, storage, and/or disposal units that are included in the Hanford Facility Dangerous Waste Permit Application will operate under interim status until final status conditions for these units are incorporated into the Hanford Facility Dangerous Waste Permit. The Hanford Facility Dangerous Waste Permit Application, 200 Area Effluent Treatment Facility contains information current as of May 1, 1993

  19. Hanford Facility Dangerous Waste Permit Application, 200 Area Effluent Treatment Facility

    Energy Technology Data Exchange (ETDEWEB)

    1993-08-01

    The 200 Area Effluent Treatment Facility Dangerous Waste Permit Application documentation consists of both Part A and a Part B permit application documentation. An explanation of the Part A revisions associated with this treatment and storage unit, including the current revision, is provided at the beginning of the Part A section. Once the initial Hanford Facility Dangerous Waste Permit is issued, the following process will be used. As final, certified treatment, storage, and/or disposal unit-specific documents are developed, and completeness notifications are made by the US Environmental Protection Agency and the Washington State Department of Ecology, additional unit-specific permit conditions will be incorporated into the Hanford Facility Dangerous Waste Permit through the permit modification process. All treatment, storage, and/or disposal units that are included in the Hanford Facility Dangerous Waste Permit Application will operate under interim status until final status conditions for these units are incorporated into the Hanford Facility Dangerous Waste Permit. The Hanford Facility Dangerous Waste Permit Application, 200 Area Effluent Treatment Facility contains information current as of May 1, 1993.

  20. Current trends in use of intracanal medications in dental care facilities: questionnaire-based survey on training dental hygienists at educational institutions.

    Science.gov (United States)

    Furusawa, Masahiro; Yoshida, Takashi; Hosokawa, Souhei; Ariizumi, Yuugo

    2013-01-01

    The success of root canal therapy is dependent not only on removal of infected pulp (pulpectomy) followed by root canal enlargement, but also on the pharmacological effects of intracanal medications. Various intracanal medications are used. Formaldehyde preparations such as formocresol were common in the past, but these are no longer used in Europe or the US due to the biological toxicity of formaldehyde. In this study, a questionnaire was used to determine current trends in the use of intracanal medications at dental care facilities where dental hygiene students undergo practical training. The questionnaire comprised questions regarding the types of frequently used intracanal medications and their methods of application at dental care facilities in Saitama and Shizuoka prefectures. The results indicated that calcium hydroxide preparations were more commonly used in Europe or the US. However, these results also revealed that formaldehyde preparations were frequently used, which slightly differs from the scenario in Europe and the US. This study revealed that multiple intracanal medications were used for root canal therapy. Furthermore, it was also observed that cotton plugs were generally used as applicator tips for intracanal medications, whereas the use of absorbent paper points was relatively uncommon. The results suggest that the cost of absorbent paper points needs to be reduced.

  1. Electrostatic hazards of charging of bedclothes and ignition in medical facilities.

    Science.gov (United States)

    Endo, Yuta; Ohsawa, Atsushi; Yamaguma, Mizuki

    2018-02-26

    We investigated the charge generated on bedclothes (cotton and polyester) during bedding exchange with different humidities and the ignitability of an alcohol-based hand sanitizer (72.3 mass% ethanol) due to static spark with different temperatures to identify the hazards of electrostatic shocks and ignitions occurring previously in medical facilities. The results indicated that charging of the polyester bedclothes may induce a human body potential of over about 10 kV, resulting in shocks even at a relative humidity of 50%, and a human body potential of higher than about 8 kV can cause a risk for the ignition of the hand sanitizer. The grounding of human bodies via footwear and flooring, therefore, is essential to avoid such hazards (or to reduce such risks).

  2. American National Standard: for facilities and medical care for on-site nuclear-power-plant radiological emergencies

    International Nuclear Information System (INIS)

    Anon.

    1979-01-01

    This standard provides guidance for first aid during an emergency and for initial medical care of those persons on-site who are overexposed to penetrating radiation (irradiated). It also provides guidance for medical care of persons contaminated with radioactive material or radionuclides who may also be irradiated or injured as a result of an accident at a nuclear power plant. It provides recommendations for facilities, supplies, equipment, and the extent of care both on-site where first aid and initial care may be provided and off-site at a local hospital where further medical and surgical care may be provided. This initial care continues until either the patient is released or admitted, or referred to another, possibly distant, medical center for definitive care. Recommendations are also provided for the transportation of patients and the training of personnel. Recommendations for specialized care are considered to be beyond the scope of this standard on emergency medical care; however, since emergency and specialized care are related, a brief discussion of specialized care is provided in the Appendix

  3. Medical tourism in Iran: Issues and challenges.

    Science.gov (United States)

    Jabbari, Alireza; Delgoshaei, Bahram; Mardani, Raja; Tabibi, Seid Jamaledin

    2012-01-01

    Medical tourism is rapidly becoming a worldwide, multibillion-dollar industry. Iran has a high potential for this industry. The purpose of this study was to examine the medical tourism cluster, using Diamond Analysis tool. This study is a descriptive, analytical and qualitative one. Thirty professionals and researchers in this field were interviewed and official documents belonging to the Health ministry as well as tourism organization and finally related literature were examined. The data was analyzed using content analysis method. Positive and negative parts of the medical tourism industry of Iran were determined according to diamond of advantage. The strategic issues were identified and a number of possible solutions for addressing them were recommended. More and effective public-private participations, aggressive marketing, improving infrastructures, and international accreditation of health care facilities and human resources development could improve medical tourism industry in the country.

  4. Seismic risk analysis for General Electric Plutonium Facility, Pleasanton, California. Final report, part II

    International Nuclear Information System (INIS)

    1980-01-01

    This report is the second of a two part study addressing the seismic risk or hazard of the special nuclear materials (SNM) facility of the General Electric Vallecitos Nuclear Center at Pleasanton, California. The Part I companion to this report, dated July 31, 1978, presented the seismic hazard at the site that resulted from exposure to earthquakes on the Calaveras, Hayward, San Andreas and, additionally, from smaller unassociated earthquakes that could not be attributed to these specific faults. However, while this study was in progress, certain additional geologic information became available that could be interpreted in terms of the existance of a nearby fault. Although substantial geologic investigations were subsequently deployed, the existance of this postulated fault, called the Verona Fault, remained very controversial. The purpose of the Part II study was to assume the existance of such a capable fault and, under this assumption, to examine the loads that the fault could impose on the SNM facility. This report first reviews the geologic setting with a focus on specifying sufficient geologic parameters to characterize the postulated fault. The report next presents the methodology used to calculate the vibratory ground motion hazard. Because of the complexity of the fault geometry, a slightly different methodology is used here compared to the Part I report. This section ends with the results of the calculation applied to the SNM facility. Finally, the report presents the methodology and results of the rupture hazard calculation

  5. Self-perceived versus objectively measured competence in performing clinical practical procedures by final year medical students

    OpenAIRE

    Katowa-Mukwato, Patricia; Banda, Sekelani

    2016-01-01

    Objectives To determine and compare the self-perceived and objectively measured competence in performing 14 core-clinical practical procedures by Final Year Medical Students of the University of Zambia. Methods The study included 56 out of 60 graduating University of Zambia Medical Students of the 2012/2013 academic year. Self-perceived competence: students rated their competence on 14 core- clinical practical procedures using a self-administered questionnaire on a 5-point Likert scale. Objec...

  6. Final report of the decontamination and decommissioning of Building 6 at the Grand Junction Projects Office Facility

    International Nuclear Information System (INIS)

    Widdop, M.R.

    1996-07-01

    The U.S. Department of Energy (DOE) Grand Junction Projects Office (GJPO) occupies a 61.7-acre facility along the Gunnison River near Grand Junction, Colorado. This site was contaminated with uranium ore and mill tailings during uranium refining activities of the Manhattan Engineer District and during pilot milling experiments conducted for the domestic uranium procurement program funded by the U.S. Atomic Energy Commission. The DOE Defense Decontamination and Decommissioning Program established the GJPO Remedial Action Project to clean up and restore the facility lands, improvements, and the underlying aquifer. The site contractor for the facility, Rust Geotech, is also the remedial action contractor. Radiological contamination was identified in Building 6, and the building was demolished in 1992. The soil area within the footprint of the building has been remediated in accordance with the identified standards and the area can be released for unlimited exposure and unrestricted use. This document was prepared in response to a DOE request for an individual final report for each contaminated GJPO building

  7. Site safety progress review of spent fuel central interim storage facility. Final report

    International Nuclear Information System (INIS)

    Gurpinar, A.; Serva, L.; Giuliani

    1995-01-01

    Following the request of the Czech Power Board (CEZ) and within the scope of the Technical Cooperation Project CZR/9/003, a progress review of the site safety of the Spent Fuel Central Interim Storage Facility (SFCISF) was performed. The review involved the first two stages of the works comprising the regional survey and identification of candidate sites for the underground and surface storage options. Five sites have been identified as a result of the previous works. The following two stages will involved the identification of the preferred candidate sites for the two options and the final site qualification. The present review had the purpose of assessing the work already performed and making recommendations for the next two stages of works

  8. Concept and Idea-Project for Yugoslav Low and Intermediate level Radioactive Waste Materials Final Disposal Facility

    International Nuclear Information System (INIS)

    Peric, A.

    1997-01-01

    Encapsulation of rad waste in a mortar matrix and displacement of such solidified waste forms into the shallow land burial system, engineered trench system type is suggested concept for the final disposal of low and intermediate level rad waste. The mortar-rad waste mixtures are cured in containers of either concrete or metal for an appropriate period of time, after which solidified rad waste-mortar monoliths are then placed in the engineered trench system, parallelepiped honeycomb structure. Trench consists of vertical barrier-walls, bottom barrier-floors, surface barrier-caps and permeable-reactive walls. Surroundings of the trench consists of buffer barrier materials, mainly clay. Each segment of the trench is equipped with the independent drainage system, as a part of the main drainage. Encapsulation of each filled trench honeycomb segment is performed with concrete cap. Completed trench is covered with impermeable plastic foil and soil leaner, preferably clay. Paper presents an overview of the final disposal facility engineered trench system type. Advantages in comparison with other types of final disposal system are given. (author)

  9. Evaluation of RayXpert® for shielding design of medical facilities

    Science.gov (United States)

    Derreumaux, Sylvie; Vecchiola, Sophie; Geoffray, Thomas; Etard, Cécile

    2017-09-01

    In a context of growing demands for expert evaluation concerning medical, industrial and research facilities, the French Institute for radiation protection and nuclear safety (IRSN) considered necessary to acquire new software for efficient dimensioning calculations. The selected software is RayXpert®. Before using this software in routine, exposure and transmission calculations for some basic configurations were validated. The validation was performed by the calculation of gamma dose constants and tenth value layers (TVL) for usual shielding materials and for radioisotopes most used in therapy (Ir-192, Co-60 and I-131). Calculated values were compared with results obtained using MCNPX as a reference code and with published values. The impact of different calculation parameters, such as the source emission rays considered for calculation and the use of biasing techniques, was evaluated.

  10. Advanced accelerator test facility-Final report for the period 9/1/2010 - 8/31/2013

    Energy Technology Data Exchange (ETDEWEB)

    Hirshfield, Jay [Yale Univ., New Haven, CT (United States)

    2014-10-27

    This final report summarizes results achieved in the Beam Physics Laboratory at Yale University during the period 9/1/2010 – 8/31//2013, under DoE grant DE-FG02-07 ER 41504. During the period covered by this report, notable progress in technical consolidation of facilities in the Yale Beam Physics Laboratory has occurred; and theory, design, and fabrication for future experiments have been carried out. In the period covered by this grant, 29 scientific publications based on this work and related topics have appeared in the archival literature. Titles, authors, and citations are listed in Section V of this report.

  11. Medical devices: reports of corrections and removals; delay of effective data--FDA. Direct final rule; delay of effective date.

    Science.gov (United States)

    1998-11-18

    The Food and Drug Administration (FDA) published in the Federal Register of August 7, 1998 (63 FR 42229), a direct final rule. The direct final rule notified the public of FDA's intention to amend the regulations that govern reports of corrections and removals of medical devices to eliminate the requirement for distributors to make such reports. This document delays the effective date of the direct final rule.

  12. Medical tourism in Iran: Issues and challenges

    Science.gov (United States)

    Jabbari, Alireza; Delgoshaei, Bahram; Mardani, Raja; Tabibi, Seid Jamaledin

    2012-01-01

    Introduction: Medical tourism is rapidly becoming a worldwide, multibillion-dollar industry. Iran has a high potential for this industry. The purpose of this study was to examine the medical tourism cluster, using Diamond Analysis tool. Materials and Methods: This study is a descriptive, analytical and qualitative one. Thirty professionals and researchers in this field were interviewed and official documents belonging to the Health ministry as well as tourism organization and finally related literature were examined. The data was analyzed using content analysis method. Results: Positive and negative parts of the medical tourism industry of Iran were determined according to diamond of advantage. Conclusion: The strategic issues were identified and a number of possible solutions for addressing them were recommended. More and effective public-private participations, aggressive marketing, improving infrastructures, and international accreditation of health care facilities and human resources development could improve medical tourism industry in the country. PMID:23555142

  13. Design of small-animal thermal neutron irradiation facility at the Brookhaven Medical Research Reactor

    International Nuclear Information System (INIS)

    Liu, H.B.

    1996-01-01

    The broad beam facility (BBF) at the Brookhaven Medical Research Reactor (BMRR) can provide a thermal neutron beam with flux intensity and quality comparable to the beam currently used for research on neutron capture therapy using cell-culture and small-animal irradiations. Monte Carlo computations were made, first, to compare with the dosimetric measurements at the existing BBF and, second, to calculate the neutron and gamma fluxes and doses expected at the proposed BBF. Multiple cell cultures or small animals could be irradiated simultaneously at the so-modified BBF under conditions similar to or better than those individual animals irradiated at the existing thermal neutron irradiation Facility (TNIF) of the BMRR. The flux intensity of the collimated thermal neutron beam at the proposed BBF would be 1.7 x 10 10 n/cm 2 ·s at 3-MW reactor power, the same as at the TNIF. However, the proposed collimated beam would have much lower gamma (0.89 x 10 -11 cGy·cm 2 /n th ) and fast neutron (0.58 x 10 -11 cGy·cm 2 /n th ) contaminations, 64 and 19% of those at the TNIF, respectively. The feasibility of remodeling the facility is discussed

  14. The impact of a final disposal facility for spent nuclear fuel on a municipality`s image; Tutkimus loppusijoituslaitoksen vaikutuksista kuntien imagoon

    Energy Technology Data Exchange (ETDEWEB)

    Kankaanpaeae, H; Haapavaara, L; Lampinen, T

    1999-02-01

    The study comprised on one hand a nationwide telephone interview (totally 800 interviews) aimed at mapping out the current image of possible host municipalities to a final disposal facility for spent nuclear fuel, and on the other hand some group interviews of people of another parish but of interest from the municipalities` point of view. The purpose of these group interviews was the same as that of the telephone interview, i.e. to find out what kind of an impact locating a final disposal facility of spent nuclear fuel in a certain municipality would have on the host municipality`s image. Because the groups interviewed were selected on different grounds the results of the interviews are not fully comparable. The most important result of the study is that the current attitude towards a final disposal facility for spent nuclear fuel is calm and collected and that the matter is often considered from the standpoint of an outsider. The issue is easily ignored, classified as a matter `which does not concern me`, provided that the facility will not be placed too near one`s own home. Among those interviewed the subject seemed not to be of any `great interest and did not arouse spontaneous feelings for or against`. There are, however, deeply rooted beliefs concerning the facility and quite strong negative and positive attitudes towards it. The facility itself and the associated decision-making procedure arouse many questions, which at present to a large extent are still unexpressed because the subject is considered so remote. It is, however, necessary to give concrete answers to the questions because this makes it possible for people to relate the issue to daily life. It is further important that things arousing fear and doubts also can be discussed because a silence in this respect only emphasizes their importance. The attitude towards the facility is varying. On one hand there are economic and technical factors: the probable economic benefit from it, the obligation to

  15. A real-time positron monitor for the estimation of stack effluent releases from PET medical cyclotron facilities

    International Nuclear Information System (INIS)

    Mukherjee, Bhaskar.

    2002-01-01

    Large activities of short-lived positron emitting radiopharmaceuticals are routinely manufactured by modern Medical Cyclotron facilities for positron emission tomography (PET) applications. During radiochemical processing, a substantial fraction of the volatile positron emitting radiopharmaceuticals are released into the atmosphere. An inexpensive, fast response positron detector using a simple positron-annihilation chamber has been developed for real-time assessment of the stack release of positron emitting effluents at the Australian National Medical Cyclotron. The positron detector was calibrated by using a 3.0 ml (1.50 MBq) aliquot of 18 FDG and interfaced to an industrial standard datalogger for the real-time acquisition of stack release data

  16. Medical Applications

    OpenAIRE

    Biscari, C.; Falbo, L.

    2016-01-01

    The use of accelerators for medical applications has evolved from initial experimentation to turn-key devices commonly operating in hospitals. New applications are continuously being developed around the world, and the hadrontherapy facilities of the newest generation are placed at the frontier between industrial production and advanced R&D. An introduction to the different medical application accelerators is followed by a description of the hadrontherapy facilities, with special emphasis on ...

  17. 77 FR 69769 - Solid Waste Rail Transfer Facilities

    Science.gov (United States)

    2012-11-21

    ...] Solid Waste Rail Transfer Facilities AGENCY: Surface Transportation Board, DOT. ACTION: Final rules. SUMMARY: These final rules govern land-use-exemption permits for solid waste rail transfer facilities. The... Transportation Board over solid waste rail transfer facilities. The Act also added three new statutory provisions...

  18. Evaluation of the initial and final radiological status of a nuclear facility in sanitation status

    International Nuclear Information System (INIS)

    Granier, Guy; Aubonnet, Emilie; Courbet, Christele; Desnoyers, Yvon; Dubot, Didier; Fichet, Pascal; Nokhamzon, Jean-Guy; Ollivier Dehaye, Catherine; Pillette-Cousin, Lucien; Mahe, Charly

    2017-02-01

    This technical report is a guideline for radiological assessment of a nuclear facility in remediation stages. From initial state of remediation to final status survey it describes the best suited statistical or geostatistical approach for the characterization of sites contaminated by radionuclides. Prior to any characterization campaign an historical analysis coupled with a function analysis targeted investigations is fundamental to obtain a robust overview. The evaluation of the amount of radioactive material present in a defined area requires a sampling strategy correlated with characterization objective. On the other hand correlation between remediation objectives and characterization objectives also requires knowing acceptable level of risk. This give better inputs to allow available resources and take into account environmental constraints. In particular, radiological characterization of infrastructures is one of the key step to conduct industrial project of decommissioning nuclear facilities in remediation. It needs a reliable initial diagnosis to obtain an efficient waste management with a financial control Optimization of the production of nuclear waste. It is an important part of Setting the Off Final - Dismantling). This approach is compatible with French Regulation (Guide 14 ASN) for the first and second line of defence. Annexes provide feedback of experimentation of this methodology. This report supplements the methodological guide published by the GT10 CETAMA entitled 'Soil Radiological Characterisation Methodology' (CEA-R 6386). The latter is intended for project managers and covers all issues related to the characterization projects for soil. This guideline concern specifically design engineers in charge of implementation program at the different stages of investigation and data processing. Similarly, the proposed methodology can be broken for the characterization of chemical pollution and process equipment. (authors)

  19. Imaging the risks - risking the image: Social impact assessment of the final disposal facility

    International Nuclear Information System (INIS)

    Avolahti, J.; Vira, J.

    1999-01-01

    Preparations for the final disposal of spent nuclear fuel in Finland started about twenty years ago. At present the work is carried out by Posiva Oy, which in 1996 took over the programme managed earlier by Teollisuuden Voima Oy, one of the country's nuclear power companies. From 1996 on the preparations have been made for all the spent fuel from Finnish nuclear power stations. The site for the final disposal facility will be selected among four alternatives by the end of 2000 and - assuming that the technical approach proposed by Posiva is accepted by the Government and the Parliament - the construction of the repository will start in the 2010s. The disposal operations are planned to be started in 2020. The alternative four sites have gone through a systematic site selection process based on geologic siting criteria and on environmental and cultural considerations. One of the objectives of the process was to avoid inhabited areas, agricultural fields, valuable groundwater or preservation areas as well as areas which might draw interest as regards the potential for ore deposits. The idea was that the field investigations and later the possible disposal facility should not cause any harm to local people. Two of the candidate sites are at present nuclear power plant sites situated at the coast, the two other candidates are inland sites with no nuclear activities. The geologic siting investigations were started in 1987. Interim assessments of the results so far have been made in 1992 and 1996 and a final report of all the investigations will be published before the end of 2000. The present view is that all four candidates are geologically suitable for siting the repository. Posiva's EIA for the final disposal of spent fuel in Finland is nearing completion. A considerable effort was made to involve local groups and individuals in the assessment process. Yet the participation remained limited and consisted mainly of active opponents of the project and of those who were

  20. Imaging the risks - risking the image: Social impact assessment of the final disposal facility

    Energy Technology Data Exchange (ETDEWEB)

    Avolahti, J.; Vira, J. [Posiva Oy, Helsinki (Finland)

    1999-12-01

    Preparations for the final disposal of spent nuclear fuel in Finland started about twenty years ago. At present the work is carried out by Posiva Oy, which in 1996 took over the programme managed earlier by Teollisuuden Voima Oy, one of the country's nuclear power companies. From 1996 on the preparations have been made for all the spent fuel from Finnish nuclear power stations. The site for the final disposal facility will be selected among four alternatives by the end of 2000 and - assuming that the technical approach proposed by Posiva is accepted by the Government and the Parliament - the construction of the repository will start in the 2010s. The disposal operations are planned to be started in 2020. The alternative four sites have gone through a systematic site selection process based on geologic siting criteria and on environmental and cultural considerations. One of the objectives of the process was to avoid inhabited areas, agricultural fields, valuable groundwater or preservation areas as well as areas which might draw interest as regards the potential for ore deposits. The idea was that the field investigations and later the possible disposal facility should not cause any harm to local people. Two of the candidate sites are at present nuclear power plant sites situated at the coast, the two other candidates are inland sites with no nuclear activities. The geologic siting investigations were started in 1987. Interim assessments of the results so far have been made in 1992 and 1996 and a final report of all the investigations will be published before the end of 2000. The present view is that all four candidates are geologically suitable for siting the repository. Posiva's EIA for the final disposal of spent fuel in Finland is nearing completion. A considerable effort was made to involve local groups and individuals in the assessment process. Yet the participation remained limited and consisted mainly of active opponents of the project and of those

  1. NPL deletion policy for RCRA-regulated TSD facilities finalized

    International Nuclear Information System (INIS)

    Anon.

    1995-01-01

    Under a new policy published by EPA on March 20, 1995, certain sites may be deleted from the National Priorities List (NPL) and deferred to RCRA corrective action. To be deleted from the NPL, a site must (1) be regulated under RCRA as a treatment, storage, or disposal (TSD) facility and (2) meet the four criteria specified by EPA. The new NPL deletion policy, which does not pertain to federal TSD facilities, became effective on April 19, 1995. 1 tab

  2. Medication errors in residential aged care facilities: a distributed cognition analysis of the information exchange process.

    Science.gov (United States)

    Tariq, Amina; Georgiou, Andrew; Westbrook, Johanna

    2013-05-01

    Medication safety is a pressing concern for residential aged care facilities (RACFs). Retrospective studies in RACF settings identify inadequate communication between RACFs, doctors, hospitals and community pharmacies as the major cause of medication errors. Existing literature offers limited insight about the gaps in the existing information exchange process that may lead to medication errors. The aim of this research was to explicate the cognitive distribution that underlies RACF medication ordering and delivery to identify gaps in medication-related information exchange which lead to medication errors in RACFs. The study was undertaken in three RACFs in Sydney, Australia. Data were generated through ethnographic field work over a period of five months (May-September 2011). Triangulated analysis of data primarily focused on examining the transformation and exchange of information between different media across the process. The findings of this study highlight the extensive scope and intense nature of information exchange in RACF medication ordering and delivery. Rather than attributing error to individual care providers, the explication of distributed cognition processes enabled the identification of gaps in three information exchange dimensions which potentially contribute to the occurrence of medication errors namely: (1) design of medication charts which complicates order processing and record keeping (2) lack of coordination mechanisms between participants which results in misalignment of local practices (3) reliance on restricted communication bandwidth channels mainly telephone and fax which complicates the information processing requirements. The study demonstrates how the identification of these gaps enhances understanding of medication errors in RACFs. Application of the theoretical lens of distributed cognition can assist in enhancing our understanding of medication errors in RACFs through identification of gaps in information exchange. Understanding

  3. Technical assistance for Meharry Medical College Energy Efficiency Project. Final project status and technical report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-05-08

    This report presents the results of a program to provide technical assistance to Meharry Medical College. The purpose of the program is to facilitate Meharry`s effort to finance a campus-wide facility retrofit. The US Department of Energy (USDOE) funded the program through a grant to the Tennessee Department of Economic and Community Development (TECD). The University of Memphis-Technology and Energy Services (UM-TES), under contract to TECD, performed program services. The report has three sections: (1) introduction; (2) project definition, financing, and participants; and (3) opportunities for federal participation.

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

    Science.gov (United States)

    Johnson, Ralph Jay

    2015-01-01

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

  5. Drainage facility management system : final report, June 2009.

    Science.gov (United States)

    2009-06-01

    This research project identified requirements for a drainage facility management system for the Oregon Department of Transportation. It also estimated the personnel resources needed to collect the inventory to populate such a system with data. A tota...

  6. Interactive radiopharmaceutical facility between Yale Medical Center and Brookhaven National Laboratory. Progress report, October 1976-June 1979

    Energy Technology Data Exchange (ETDEWEB)

    Gottschalk, A.

    1979-01-01

    DOE Contract No. EY-76-S-02-4078 was started in October 1976 to set up an investigative radiochemical facility at the Yale Medical Center which would bridge the gap between current investigation with radionuclides at the Yale School of Medicine and the facilities in the Chemistry Department at the Brookhaven National Laboratory. To facilitate these goals, Dr. Mathew L. Thakur was recruited who joined the Yale University faculty in March of 1977. This report briefly summarizes our research accomplishments through the end of June 1979. These can be broadly classified into three categories: (1) research using indium-111 labelled cellular blood components; (2) development of new radiopharmaceuticals; and (3) interaction with Dr. Alfred Wolf and colleagues in the Chemistry Department of Brookhaven National Laboratory.

  7. Interactive radiopharmaceutical facility between Yale Medical Center and Brookhaven National Laboratory. Progress report, October 1976-June 1979

    International Nuclear Information System (INIS)

    Gottschalk, A.

    1979-01-01

    DOE Contract No. EY-76-S-02-4078 was started in October 1976 to set up an investigative radiochemical facility at the Yale Medical Center which would bridge the gap between current investigation with radionuclides at the Yale School of Medicine and the facilities in the Chemistry Department at the Brookhaven National Laboratory. To facilitate these goals, Dr. Mathew L. Thakur was recruited who joined the Yale University faculty in March of 1977. This report briefly summarizes our research accomplishments through the end of June 1979. These can be broadly classified into three categories: (1) research using indium-111 labelled cellular blood components; (2) development of new radiopharmaceuticals; and (3) interaction with Dr. Alfred Wolf and colleagues in the Chemistry Department of Brookhaven National Laboratory

  8. Plasma Facing Components Generic Facilities Review Panel (PFC-GFRP): Final report

    International Nuclear Information System (INIS)

    McGrath, R.; Allen, S.; Hill, D.; Brooks, J.; Mattas, R.; Davis, J.; Lipschultz, B.; Ulrickson, M.

    1993-10-01

    The Plasma Facing Components (PFC) Facilities Review Panel was chartered by the US Department of Energy, Office of Fusion Energy, ITER (International Thermonuclear Experimental Reactor) and Technology Division, to outline the program plan and identify the supporting test facilities that lead to reliable, long-lived plasma facing components for ITER. This report summarizes the panel's findings and identifies the necessary and sufficient set of test facilities required for ITER PFC development

  9. CERN-MEDICIS (MEDical Isotopes Collected from ISOLDE): A new facility

    CERN Document Server

    Augusto, Ricardo Manuel dos Santos; Lawson, Zoe; Marzari, Stefano; Stachura, Monika; Stora, Thierry; CERN. Geneva. ATS Department

    2014-01-01

    About 50% of the 1.4GeV CERN’s protons are sent onto targets to produce radioactive beams by online mass separation at ISOLDE, for a wide range of studies in fundamental and applied physics. CERN-MEDICIS is a spin-off dedicated to R&D in life sciences and medical applications. It is located in an extension of the Class A building presently under construction. It will comprise laboratories to receive the irradiated targets from a new station located at the dump position behind the ISOLDE production targets. An increasing range of innovative isotopes will thus progressively become accessible from the start-up of the facility in 2015 onward; for fundamental studies in cancer research, for new imaging and therapy protocols in cell and animal models and for pre-clinical trials, possibly extended to specific early phase clinical studies up to phase I trials. 500 MBq isotope batches purified by electromagnetic mass separation combined with chemical methods will be collected on a weekly basis. Possible future u...

  10. A collaborative effort of medical and educational facilities for radiation safety training of nurses

    International Nuclear Information System (INIS)

    Matsuda, Naoki; Yoshida, Masahiro; Takao, Hideaki

    2005-01-01

    The proper understanding of radiation safety by nursing staffs in hospitals are essential not only for radiation protection of themselves against occupational radiation exposure but for quality nursing for patients who receive medical radiation exposure. The education program on radiation in nursing schools in Japan is, however, rather limited, and is insufficient for nurses to acquire basic knowledge of radiation safety and protection. Therefore, the radiation safety training of working nurses is quite important. A hospital-based training needs assignment of radiation technologists and radiologists as instructors, which may result in temporary shortage of these staffs for patients' services. Additionally, the equipments and facilities for radiation training in a hospital might not be satisfactory. In order to provide an effective education regarding radiation for working nurses, the radiation safety training course has been conducted for nurse of the university hospital by the collaboration of medical and educational staffs in Nagasaki University. This course was given for 6 hours in Radioisotope Research Center, a research and education facility for radiation workers using radioisotopes. The curriculum of this course included basics of radiation, effects of radiation on human health, procedures in clinical settings for radiation protection and practical training by using survey meters, which were mainly based on the radiation safety training for beginners according to the Japanese law concerning radiation safety with a modification to focus on medical radiation exposure. This course has been given to approximately 25 nurses in a time, and held 13 times in May 2000 through October 2003 for 317 nurse overall. The pre-instruction questionnaire revealed that 60% of nurses felt fears about radiation diagnosis or therapy, which reduced to less than 15% in the post-instruction surveillance. The course also motivated nurses to give an answer to patients' questions about

  11. Final report on DOE nuclear facilities

    International Nuclear Information System (INIS)

    1991-11-01

    Risk analysis policy and guidance should be developed, especially for the non-DOE nuclear facilities. Minimum standards should be set on issues including risk management, the scope and depth of risk analysis (e.g., site-wide analysis, worker risk), and approaches to treatment of external events. Continued vigilance is required in maintaining operation staffing levels at the DOE research and testing reactors. Safety Analysis Reports should be updated to reflect the evolving configurations of the facilities and the current safety analysis requirements. The high-level waste storage programs at Hanford, Savannah River and INEL were evaluated. The Department of Energy has not adopted a cleanup policy with specific, clear objectives. DOE should define the respective roles of Headquarters, the field offices, and the M ampersand O contractors. The proposed budget priority setting system should not be implemented. The plan to develop a nation-wide programmatic environmental impact statement (PEIS) should be rethought. An environmental impact statement on the total cleanup program is inconsistent with the localized nature of cleanup decisionmaking. DOE must provide for significant improvements in its radiation protection and safety programs to meet current, and future, technical, engineering, and scientific procedures and practices for controlling sources and contamination, performing external and internal dosimetry, and implementing incident response plans, including applicable protective action guides. The culture of safety is not yet well established at Rocky Flats. The philosophy of the Department of Energy and the management of Rocky Flats is not understood, accepted and believed by the work force. The Advisory Committee has serious concerns about whether DOE's current program at WIPP will be able to demonstrate, in a timely manner, compliance with EPA's proposed long-term performance and human intrusion requirements for disposal of TRU and high-level radioactive wastes

  12. Conceptual capital-cost estimate and facility design of the Mirror-Fusion Technology Demonstration Facility

    International Nuclear Information System (INIS)

    1982-09-01

    This report contains contributions by Bechtel Group, Inc. to Lawrence Livermore National Laboratory (LLNL) for the final report on the conceptual design of the Mirror Fusion Technology Demonstration Facility (TDF). Included in this report are the following contributions: (1) conceptual capital cost estimate, (2) structural design, and (3) plot plan and plant arrangement drawings. The conceptual capital cost estimate is prepared in a format suitable for inclusion as a section in the TDF final report. The structural design and drawings are prepared as partial inputs to the TDF final report section on facilities design, which is being prepared by the FEDC

  13. Technical Merits and Leadership in Facility Management

    National Research Council Canada - National Science Library

    Shoemaker, Jerry

    1997-01-01

    .... The document is divided into six chapters; the introduction, facility management and leadership, building systems, facility operations, facility maintenance strategies, and the conclusion and final analysis...

  14. A survey of interventional radiology awareness among final-year medical students in a European country.

    LENUS (Irish Health Repository)

    Leong, Sum

    2009-07-01

    Interventional radiology (IR) is a rapidly expanding specialty that is facing the challenges of turf wars and personnel shortages. Appropriate exposure of medical students to this field can be vital to recruitment of potential future trainees or referring physicians. The aim of this study was to determine the knowledge and views of final-year medical students in a single EU country regarding various aspects of IR. An electronic survey was sent via e-mail to all final-year medical students in a European country. The students were given a month to respond to the questionnaire. A total of 234 students of 675 (34.5%) replied to the survey. Of the respondents, 35% had previously completed an attachment to the radiology department. The majority of students (63%) thought their knowledge in radiology in general was poor. The percentage of students who correctly identified procedures performed by interventional radiologists was 69% for Hickman line insertion, 79% for fibroid embolization, and 67.5% for lower limb angioplasty. Sixty percent, 30%, and 47% thought that interventional radiologists perform cardiac angioplasties, perform arterial bypasses, and create AV fistulas, respectively. Forty-nine percent felt that interventional radiologists are surgically trained. Eighty-three percent of students were first made aware of angioplasty by a cardiologist. Thirty-one percent thought that interventional radiologists do ward rounds, 24% thought that interventional radiologists have admitting rights, and 26% felt that interventional radiologists run an outpatient practice. A significant number of students (76%) thought that the job prospects in IR are good or excellent but only 40.5% were willing to consider a career in IR. In conclusion, this study indicates that IR remains a nascent but attractive specialty to the majority of medical students. Further development of the existing informal undergraduate curriculum to address shortcomings will ensure that IR continues to attract

  15. A Survey of Interventional Radiology Awareness Among Final-Year Medical Students in a European Country

    International Nuclear Information System (INIS)

    Leong, Sum; Keeling, Aoife N.; Lee, Michael J.

    2009-01-01

    Interventional radiology (IR) is a rapidly expanding specialty that is facing the challenges of turf wars and personnel shortages. Appropriate exposure of medical students to this field can be vital to recruitment of potential future trainees or referring physicians. The aim of this study was to determine the knowledge and views of final-year medical students in a single EU country regarding various aspects of IR. An electronic survey was sent via e-mail to all final-year medical students in a European country. The students were given a month to respond to the questionnaire. A total of 234 students of 675 (34.5%) replied to the survey. Of the respondents, 35% had previously completed an attachment to the radiology department. The majority of students (63%) thought their knowledge in radiology in general was poor. The percentage of students who correctly identified procedures performed by interventional radiologists was 69% for Hickman line insertion, 79% for fibroid embolization, and 67.5% for lower limb angioplasty. Sixty percent, 30%, and 47% thought that interventional radiologists perform cardiac angioplasties, perform arterial bypasses, and create AV fistulas, respectively. Forty-nine percent felt that interventional radiologists are surgically trained. Eighty-three percent of students were first made aware of angioplasty by a cardiologist. Thirty-one percent thought that interventional radiologists do ward rounds, 24% thought that interventional radiologists have admitting rights, and 26% felt that interventional radiologists run an outpatient practice. A significant number of students (76%) thought that the job prospects in IR are good or excellent but only 40.5% were willing to consider a career in IR. In conclusion, this study indicates that IR remains a nascent but attractive specialty to the majority of medical students. Further development of the existing informal undergraduate curriculum to address shortcomings will ensure that IR continues to attract

  16. Conceptual design report, Sodium Storage Facility, Fast Flux Test Facility, Project F-031

    International Nuclear Information System (INIS)

    Shank, D.R.

    1995-01-01

    The Sodium Storage Facility Conceptual Design Report provides conceptual design for construction of a new facility for storage of the 260,000 gallons of sodium presently in the FFTF plant. The facility will accept the molten sodium transferred from the FFTF sodium systems, and store the sodium in a solid state under an inert cover gas until such time as a Sodium Reaction Facility is available for final disposal of the sodium

  17. Northeast Oregon Hatchery Project final siting report. Final report

    International Nuclear Information System (INIS)

    1995-03-01

    This report presents the results of site analysis for the Bonneville Power Administration Northeast Oregon Hatchery Project. The purpose of this project is to provide engineering services for the siting and conceptual design of hatchery facilities for the Bonneville Power Administration. The hatchery project consists of artificial production facilities for salmon and steelhead to enhance production in three adjacent tributaries to the Columbia River in northeast Oregon: the Grande Ronde, Walla Walla, and Imnaha River drainage basins. Facilities identified in the master plan include adult capture and holding facilities; spawning incubation, and early rearing facilities; full-term rearing facilities; and direct release or acclimation facilities. The evaluation includes consideration of a main production facility for one or more of the basins or several smaller satellite production facilities to be located within major subbasins. The historic and current distribution of spring and fall chinook salmon and steelhead was summarized for the Columbia River tributaries. Current and future production and release objectives were reviewed. Among the three tributaries, forty seven sites were evaluated and compared to facility requirements for water and space. Site screening was conducted to identify the sites with the most potential for facility development. Alternative sites were selected for conceptual design of each facility type. A proposed program for adult holding facilities, final rearing/acclimation, and direct release facilities was developed

  18. Framework for Certification of Fish Propagation, Protection and Monitoring Facilities. Final Report.

    Energy Technology Data Exchange (ETDEWEB)

    Carlson, Thomas J.; Costello, Ronald J.

    1997-06-01

    A conceptual framework for certification of fish production and monitoring facilities including software templates to expedite implementation of the framework are presented. The framework is based on well established and widely utilized project management techniques. The implementation templates are overlays for Microsoft Professional Office software products: Excel, Word, and Project. Use of the software templates requires Microsoft Professional Office. The certification framework integrates two classical project management processes with a third process for facility certification. These processes are: (1) organization and definition of the project, (2) acquisition and organization of project documentation, and (3) facility certification. The certification process consists of systematic review of the production processes and the characteristics of the produced product. The criteria for certification review are the plans and specifications for the products and production processes that guided development of the facility. The facility is certified when the production processes are operating as designed and the product produced meets specifications. Within this framework, certification is a performance based process, not dissimilar from that practiced in many professions and required for many process, or a product meets professional/industry standards of performance. In the case of fish production facilities, the certifying authority may be diffuse, consisting of many entities acting through a process such as NEPA. A cornerstone of certification is accountability, over the long term, for the operation and products of a facility. This is particularly important for fish production facilities where the overall goal of the facility may require decades to accomplish.

  19. Towards the final BSA modeling for the accelerator-driven BNCT facility at INFN LNL

    Energy Technology Data Exchange (ETDEWEB)

    Ceballos, C. [Centro de Aplicaciones Tecnlogicas y Desarrollo Nuclear, 5ta y30, Miramar, Playa, Ciudad Habana (Cuba); Esposito, J., E-mail: juan.esposito@lnl.infn.it [INFN, Laboratori Nazionali di Legnaro (LNL), via dell' Universita, 2, I-35020 Legnaro (PD) (Italy); Agosteo, S. [Politecnico di Milano, Dipartimento di Energia, Piazza Leonardo da Vinci 32, 20133 Milano (Italy)] [INFN, Sezione di Milano, via Celoria 16, 20133 Milano (Italy); Colautti, P.; Conte, V.; Moro, D. [INFN, Laboratori Nazionali di Legnaro (LNL), via dell' Universita, 2, I-35020 Legnaro (PD) (Italy); Pola, A. [Politecnico di Milano, Dipartimento di Energia, Piazza Leonardo da Vinci 32, 20133 Milano (Italy)] [INFN, Sezione di Milano, via Celoria 16, 20133 Milano (Italy)

    2011-12-15

    Some remarkable advances have been made in the last years on the SPES-BNCT project of the Istituto Nazionale di Fisica Nucleare (INFN) towards the development of the accelerator-driven thermal neutron beam facility at the Legnaro National Laboratories (LNL), aimed at the BNCT experimental treatment of extended skin melanoma. The compact neutron source will be produced via the {sup 9}Be(p,xn) reactions using the 5 MeV, 30 mA beam driven by the RFQ accelerator, whose modules construction has been recently completed, into a thick beryllium target prototype already available. The Beam Shaping Assembly (BSA) final modeling, using both neutron converter and the new, detailed, Be(p,xn) neutron yield spectra at 5 MeV energy recently measured at the CN Van de Graaff accelerator at LNL, is summarized here.

  20. 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

  1. Radioactive waste package assay facility. Final report - V. A

    International Nuclear Information System (INIS)

    Molesworth, T.V.; Strachan, N.R.; Findlay, D.J.S.; Wise, M.O.; Forrest, K.R.; Rogers, J.D.

    1993-01-01

    This report provides a summary of research work carried out in support of the development of an integrated assay system for the quality checking of Intermediate Level Waste encapsulated in cement. Four non-destructive techniques were originally identified as being viable methods for obtaining radiometric inventory data from a cemented 500 litre ILW package. The major part of the programme was devoted to the development of two interrogation techniques; active neutron for measuring the total fissile content and active gamma for measuring the total actinide content. An electron linear accelerator was used to supply the interrogating beam for these two methods. In addition the linear accelerator beam could be used for high energy radiography. The results of this work are described and the performances and limitations of the non-destructive methods are summarised. The main engineering and operational features which influence the design of an integrated assay facility are outlined and a conceptual layout for a facility to inspect 750 ILW drums a year is described. Details of the detection methods, data processing and potential application of the assay facility are given in three associated HMIP reports. (Author)

  2. Medical Terminology of the Circulatory System. Medical Records. Instructional Unit for the Medical Transcriber.

    Science.gov (United States)

    Gosman, Minna L.

    Developed as a result of an analysis of the task of transcribing as practiced in a health facility, this study guide was designed to teach the knowledge and skills required of a medical transcriber. The medical record department was identified as a major occupational area, and a task inventory for medical records was developed and used as a basis…

  3. Medical Terminology of the Respiratory System. Medical Records. Instructional Unit for the Medical Transcriptionist.

    Science.gov (United States)

    Gosman, Minna L.

    Following an analysis of the task of transcribing as practiced in a health facility, this study guide was designed to teach the knowledge and skills required of a medical transcriber. The medical record department was identified as a major occupational area, and a task inventory for medical records was developed and used as a basis for…

  4. Medical Terminology of the Musculoskeletal System. Medical Records. Instructional Unit for the Medical Transcriber.

    Science.gov (United States)

    Gosman, Minna L.

    Following an analysis of the task of transcribing as practiced in a health facility, this study guide was developed to teach the knowledge and skills required of a medical transcriber. The medical record department was identified as a major occupational area, and a task inventory for medical records was developed and used as a basis for a…

  5. Current status of collaborative relationships between dialysis facilities and dental facilities in Japan: results of a nationwide survey.

    Science.gov (United States)

    Yoshioka, Masami; Shirayama, Yasuhiko; Imoto, Issei; Hinode, Daisuke; Yanagisawa, Shizuko; Takeuchi, Yuko

    2015-02-12

    Recent studies have reported an association between periodontal disease and mortality among dialysis patients. Therefore, preventive dental care should be considered very important for this population. In Japan, no systematic education has been undertaken regarding the importance of preventive dental care for hemodialysis patients--even though these individuals tend to have oral and dental problems. The aim of this study was to investigate the current state of collaborative relationships between hemodialysis facilities and dental services in Japan and also to identify strategies to encourage preventive dental visits among hemodialysis outpatients. A nationwide questionnaire on the collaborative relationship between dialysis facilities and dental facilities was sent by mail to all medical facilities in Japan offering outpatient hemodialysis treatment. Responses were obtained from 1414 of 4014 facilities (35.2%). Among the 1414 facilities, 272 (19.2%) had a dental service department. Approximately 100,000 dialysis outpatients were receiving treatment at these participating facilities, which amounts to one-third of all dialysis patients in Japan. Of those patients, 82.9% received hemodialysis at medical facilities without dental departments. Only 87 of 454 small clinics without in-house dental departments (19.2%) had collaborative registered dental clinics. Medical facilities with registered dental clinics demonstrated a significantly more proactive attitude to routine collaboration on dental matters than facilities lacking such clinics. Our nationwide survey revealed that most dialysis facilities in Japan have neither an in-house dental department nor a collaborative relationship with a registered dental clinic. Registration of dental clinics appears to promote collaboration with dental facilities on a routine basis, which would be beneficial for oral health management in hemodialysis patients.

  6. Staging and storage facility feasibility study. Final report

    International Nuclear Information System (INIS)

    Swenson, C.E.

    1995-02-01

    This study was performed to investigate the feasibility of adapting the design of the HWVP Canister Storage Building (CSB) to meet the needs of the WHC Spent Nuclear Fuel Project for Staging and Storage Facility (SSF), and to develop Rough Order of Magnitude (ROM) cost and schedule estimates

  7. Medical Applications

    CERN Document Server

    Biscari, C.

    2014-12-19

    The use of accelerators for medical applications has evolved from initial experimentation to turn-key devices commonly operating in hospitals. New applications are continuously being developed around the world, and the hadrontherapy facilities of the newest generation are placed at the frontier between industrial production and advanced R&D. An introduction to the different medical application accelerators is followed by a description of the hadrontherapy facilities, with special emphasis on CNAO, and the report closes with a brief outlook on the future of this field.

  8. Medical Applications

    International Nuclear Information System (INIS)

    Biscari, C; Falbo, L

    2014-01-01

    The use of accelerators for medical applications has evolved from initial experimentation to turn-key devices commonly operating in hospitals. New applications are continuously being developed around the world, and the hadrontherapy facilities of the newest generation are placed at the frontier between industrial production and advanced R&D. An introduction to the different medical application accelerators is followed by a description of the hadrontherapy facilities, with special emphasis on CNAO, and the report closes with a brief outlook on the future of this field

  9. Final cleanup of buildings within in legacy French research facilities: strategy, tools and lessons learned

    International Nuclear Information System (INIS)

    Le Goaller, C.; Doutreluingne, C.; Berton, M.A.; Doucet, O.

    2007-01-01

    This paper describes the methodology followed by the French Atomic Energy Commission (CEA) to decommission the buildings of former research facilities for demolition or possible reuse. It is a well known fact that the French nuclear safety authority has decided not to define any general release level for the decommissioning of nuclear facilities, thus effectively prohibiting radiological measurement-driven decommissioning. The decommissioning procedure therefore requires an intensive in-depth examination of each nuclear plant. This requires a good knowledge of the past history of the plant, and should be initiated as early as possible. The paper first describes the regulatory framework recently unveiled by the French Safety Authority, then, reviews its application to ongoing decommissioning projects. The cornerstone of the strategy is the definition of waste zoning in the buildings to segregate areas producing conventional waste from those generating nuclear waste. After dismantling, suitable measurements are carried out to confirm the conventional state of the remaining walls. This requires low-level measurement methods providing a suitable detection limit within an acceptable measuring time. Although this generally involves particle counting and in-situ low level gamma spectrometry, the paper focuses on y spectrometry. Finally, the lessons learned from ongoing projects are discussed. (authors)

  10. The defense waste processing facility: the final processing step for defense high-level waste disposal

    International Nuclear Information System (INIS)

    Cowan, S.P.; Sprecher, W.M.; Walton, R.D.

    1983-01-01

    The policy of the U.S. Department of Energy is to pursue an aggressive and credible waste management program that advocates final disposal of government generated (defense) high-level nuclear wastes in a manner consistent with environmental, health, and safety responsibilities and requirements. The Defense Waste Processing Facility (DWPF) is an essential component of the Department's program. It is the first project undertaken in the United States to immobilize government generated high-level nuclear wastes for geologic disposal. The DWPF will be built at the Department's Savannah River Plant near Aiken, South Carolina. When construction is complete in 1989, the DWPF will begin processing the high-level waste at the Savannah River Plant into a borosilicate glass form, a highly insoluble and non-dispersable product, in easily handled canisters. The immobilized waste will be stored on site followed by transportation to and disposal in a Federal repository. The focus of this paper is on the DWPF. The paper discusses issues which justify the project, summarizes its technical attributes, analyzes relevant environmental and insitutional factors, describes the management approach followed in transforming technical and other concepts into concrete and steel, and concludes with observations about the future role of the facility

  11. The effects of the final disposal facility for spent nuclear fuel on regional economy; Kaeytetyn ydinpolttoaineen loppusijoituslaitoksen aluetaloudelliset vaikutukset

    Energy Technology Data Exchange (ETDEWEB)

    Laakso, S. [Seppo Laakso Urban Research (Finland)

    1999-03-01

    The study deals with the economic effects of the final disposal facility for spent nuclear fuel on the alternative location municipalities - Eurajoki, Kuhmo, Loviisa and Aeaenekoski - and their neighbouring areas (in Finland). The economic influence of the facility on industrials, employment, population, property markets, community structure and local public economics are analysed applying the approach of regional economics. The evaluation of the facility`s effects on employment is based on the input-output analysis. Both the direct and indirect effects of the construction and the functioning of the facility are taken into account in the analysis. According to the results the total increase in employment caused by the construction of the facility is about 350 persons annually, at national level. Some 150 persons of this are estimated to live in the wider region and 100-150 persons in the facility`s influence area consisting of the location municipality and neighbouring municipalities. This amount is reached at the top stage of construction (around the year 2018). At the production stage - after the year 2020 - the facility`s effects on employment will be concentrated significantly more on the location municipality and the rest of the influence area than on the rest of the country, compared with the construction stage. The estimated employment growth in the production stage is approximately 160 persons at national level of which 100-120 persons live in the candidate municipality and in the rest of the influence area. There is a direct link between local employment and population development. The growth of jobs attracts immigrants affecting the development of both the number and the structure of population. The facility`s effects on population development in the alternative location municipalities are analysed using comparative population forecasts based on demographic population projection methods. According to the results the job growth caused by the facility will

  12. Epithermal neutron beam design for neutron capture therapy at the Power Burst Facility and the Brookhaven Medical Research Reactor

    International Nuclear Information System (INIS)

    Wheeler, F.J.; Parsons, D.K.; Rushton, B.L.; Nigg, D.W.

    1990-01-01

    Nuclear design studies have been performed for two reactor-based epithermal neutron beams for cancer treatment by neutron capture therapy (NCT). An intermediate-intensity epithermal beam has been designed and implemented at the Brookhaven Medical Research Reactor (BMRR). Measurements show that the BMRR design predictions for the principal characteristics of this beam are accurate. A canine program for research into the biological effects of NCT is now under way at BMRR. The design for a high-intensity epithermal beam with minimal contamination from undesirable radiation components has been finalized for the Power Burst Facility (PBF) at the Idaho National Engineering Laboratory. This design will be implemented when it is determined that human NCT trials are advisable. The PBF beam will exhibit approximately an order of magnitude improvement in absolute epithermal flux intensity over that available in the BMRR, and its angular distribution and spectral characteristics will be more advantageous for NCT. The combined effects of beam intensity, angular distribution, spectrum, and contaminant level allow the desired tumor radiation dose to be delivered in much shorter times than are possible with the currently available BMRR beam, with a significant reduction (factor of 3 to 5) in collateral dose due to beam contaminants

  13. The transition from medical student to doctor: perceptions of final year students and preregistration house officers related to expected learning outcomes.

    Science.gov (United States)

    Lempp, H; Seabrook, M; Cochrane, M; Rees, J

    2005-03-01

    In this prospective qualitative study over 12 months, we evaluated the educational and clinical effectiveness of a new final year undergraduate programme in a London medical school (Guy's, King's and St Thomas'). A stratified sample of 17/360 final year students were interviewed four times, and the content was assessed against 32 amalgamated learning outcomes identified in 1997 in The New Doctor. At the beginning of the preregistration year, eight of the learning outcomes were already met, 10 partly, eight remained to be attained and for six, insufficient evidence existed. Preregistration house officers who have been through the final year student house officer programme expressed competence in many of the outcomes of the General Medical Council's New Doctor. The study identified areas such as prescribing where further developments are needed and will help in planning the new foundation programme.

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

    International Nuclear Information System (INIS)

    1999-03-01

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

  15. Activation of air and concrete in medical isotope production facilities

    Science.gov (United States)

    Dodd, Adam C.; Shackelton, R. J.; Carr, D. A.; Ismail, A.

    2017-05-01

    Medical isotope facilities operating in the 10 to 25 MeV proton energy range have long been used to generate radioisotopes for medical diagnostic imaging. In the last few years the beam currents available in commercially available cyclotrons have increased dramatically, and so the activation of the materials within cyclotron vaults may now pose more serious radiological hazards. This will impact the regulatory oversight of cyclotron operations, cyclotron servicing and future decommissioning activities. Air activation could pose a hazard to cyclotron staff. With the increased cyclotron beam currents it was necessary to examine the issue more carefully. Therefore the ways in which radioactivity may be induced in air by neutron reactions and neutron captures were considered and it was found that the dominant mechanism is neutron capture on Ar-40. A study of the activation of the air by neutron capture on Ar-40 within a cyclotron vault was performed using the MCNP Monte Carlo code. The neutron source energy spectrum used was from the production of the widely used F-18 PET isotope. The results showed that the activation of the air within a cyclotron vault does not pose a significant radiological hazard at the beam intensities currently in use and shows how ventilation affects the results. A second MCNP study on the activation of ordinary concrete in cyclotron vaults by neutron capture was made with a view to determining the optimum thickness of borated polyethylene to reduce neutron activation on both the inner surfaces of the vault and around production targets. This is of importance in decommissioning cyclotrons and therefore in the design of new cyclotron vaults. The distribution of activation on the walls as a function of the source position was also studied. Results are presented for both borated and regular polyethylene, and F-18 and Tc-99 neutron spectra.

  16. Quality of medical service, patient satisfaction and loyalty with a focus on interpersonal-based medical service encounters and treatment effectiveness: a cross-sectional multicenter study of complementary and alternative medicine (CAM) hospitals.

    Science.gov (United States)

    Kim, Chang Eun; Shin, Joon-Shik; Lee, Jinho; Lee, Yoon Jae; Kim, Me-Riong; Choi, Areum; Park, Ki Byung; Lee, Ho-Joo; Ha, In-Hyuk

    2017-03-28

    Treatment effectiveness holds considerable importance in the association between service quality and satisfaction in medical service studies. While complementary and alternative medicine (CAM) use grows more prominent, comprehensive evaluations of the quality of medical service at CAM-oriented hospitals are scarce. This study assesses the quality of medical services provided at a CAM-oriented hospital of Korean medicine using the service encounter system approach and analyzes the influence of treatment effectiveness on patient loyalty. A survey study using one-on-one interviews was conducted using a cross-sectional design in outpatients visiting one of fifteen Korean medicine facilities located throughout Korea. A total of 880 surveys were completed from June to July, 2014, and 728 surveys were included in the final analysis after excluding incomplete or incorrect questionnaires. The reliability and validity of the surveys was confirmed using Cronbach's alpha coefficient and confirmatory factor analysis, and a structural equation modeling analysis was performed to verify causality and association between factors (quality of medical service, treatment effectiveness, patient satisfaction, and intent to revisit). The measured factors of physician performance and quality of service procedures had a positive effect on treatment effectiveness. The impression of the facilities and environment directly impacted satisfaction rates for interpersonal-based medical service encounters, while treatment effectiveness positively affected satisfaction regarding quality of medical service. However, treatment effectiveness had a more significant effect on satisfaction compared to facilities and environment, and it indirectly affected satisfaction and directly influenced intent to revisit. Treatment effectiveness and satisfaction both positively influenced intent to revisit. The importance of treatment effectiveness should be recognized when examining quality of medical services, and

  17. Medication Review and Transitions of Care: A Case Report of a Decade-Old Medication Error.

    Science.gov (United States)

    Comer, Rachel; Lizer, Mitsi

    2017-10-01

    A 69-year-old Caucasian male with a 25-year history of paranoid schizophrenia was brought to the emergency department because of violence toward the staff in his nursing facility. He was diagnosed with a urinary tract infection and was admitted to the behavioral health unit for medication stabilization. History included a five-year state psychiatric hospital admission and nursing facility placement. Because of poor cognitive function, the patient was unable to corroborate medication history, so the pharmacy student on rotation performed an in-depth chart review. The review revealed a transcription error in 2003 deleting amantadine 100 mg twice daily and adding amiodarone 100 mg twice daily. Subsequent hospitalization resulted in another transcription error increasing the amiodarone to 200 mg twice daily. All electrocardiograms conducted were negative for atrial fibrillation. Once detected, the consulted cardiologist discontinued the amiodarone, and the primary care provider was notified via letter and discharge papers. An admission four months later revealed that the nursing facility restarted the amiodarone. Amiodarone was discontinued and the facility was again notified. This case reviews how a 10-year-old medication error went undetected in the electronic medical records through numerous medication reconciliations, but was uncovered when a single comprehensive medication review was conducted.

  18. Calibration of high-dose radiation facilities (Handbook)

    International Nuclear Information System (INIS)

    Gupta, B.L.; Bhat, R.M.

    1986-01-01

    In India at present several high intensity radiation sources are used. There are 135 teletheraphy machines and 65 high intensity cobalt-60 sources in the form of gamma chambers (2.5 Ci) and PANBIT (50 Ci). Several food irradiation facilities and a medical sterilization plant ISOMED are also in operation. The application of these high intensity sources involve a wide variation of dose from 10 Gy to 100 kGy. Accurate and reproducible radiation dosimetry is essential in the use of these sources. This handbook is especially compiled for calibration of high-dose radiation facilities. The first few chapters discuss such topics as interaction of radiation with matter, radiation chemistry, radiation processing, commonly used high intensity radiation sources and their special features, radiation units and dosimetry principles. In the chapters which follow, chemical dosimeters are discussed in detail. This discussion covers Fricke dosimeter, FBX dosimeter, ceric sulphate dosimeter, free radical dosimetry, coloured indicators for irrdiation verification. A final chapter is devoted to practical hints to be followed in calibration work. (author)

  19. Medication incident reporting in residential aged care facilities: Limitations and risks to residents’ safety

    Directory of Open Access Journals (Sweden)

    Tariq Amina

    2012-11-01

    Full Text Available Abstract Background Medication incident reporting (MIR is a key safety critical care process in residential aged care facilities (RACFs. Retrospective studies of medication incident reports in aged care have identified the inability of existing MIR processes to generate information that can be used to enhance residents’ safety. However, there is little existing research that investigates the limitations of the existing information exchange process that underpins MIR, despite the considerable resources that RACFs’ devote to the MIR process. The aim of this study was to undertake an in-depth exploration of the information exchange process involved in MIR and identify factors that inhibit the collection of meaningful information in RACFs. Methods The study was undertaken in three RACFs (part of a large non-profit organisation in NSW, Australia. A total of 23 semi-structured interviews and 62 hours of observation sessions were conducted between May to July 2011. The qualitative data was iteratively analysed using a grounded theory approach. Results The findings highlight significant gaps in the design of the MIR artefacts as well as information exchange issues in MIR process execution. Study results emphasized the need to: a design MIR artefacts that facilitate identification of the root causes of medication incidents, b integrate the MIR process within existing information systems to overcome key gaps in information exchange execution, and c support exchange of information that can facilitate a multi-disciplinary approach to medication incident management in RACFs. Conclusions This study highlights the advantages of viewing MIR process holistically rather than as segregated tasks, as a means to identify gaps in information exchange that need to be addressed in practice to improve safety critical processes.

  20. Medication incident reporting in residential aged care facilities: Limitations and risks to residents’ safety

    Science.gov (United States)

    2012-01-01

    Background Medication incident reporting (MIR) is a key safety critical care process in residential aged care facilities (RACFs). Retrospective studies of medication incident reports in aged care have identified the inability of existing MIR processes to generate information that can be used to enhance residents’ safety. However, there is little existing research that investigates the limitations of the existing information exchange process that underpins MIR, despite the considerable resources that RACFs’ devote to the MIR process. The aim of this study was to undertake an in-depth exploration of the information exchange process involved in MIR and identify factors that inhibit the collection of meaningful information in RACFs. Methods The study was undertaken in three RACFs (part of a large non-profit organisation) in NSW, Australia. A total of 23 semi-structured interviews and 62 hours of observation sessions were conducted between May to July 2011. The qualitative data was iteratively analysed using a grounded theory approach. Results The findings highlight significant gaps in the design of the MIR artefacts as well as information exchange issues in MIR process execution. Study results emphasized the need to: a) design MIR artefacts that facilitate identification of the root causes of medication incidents, b) integrate the MIR process within existing information systems to overcome key gaps in information exchange execution, and c) support exchange of information that can facilitate a multi-disciplinary approach to medication incident management in RACFs. Conclusions This study highlights the advantages of viewing MIR process holistically rather than as segregated tasks, as a means to identify gaps in information exchange that need to be addressed in practice to improve safety critical processes. PMID:23122411

  1. Shielding calculations for the Intense Neutron Source Facility. Final report

    International Nuclear Information System (INIS)

    Battat, M.E.; Henninger, R.J.; Macdonald, J.L.; Dudziak, D.J.

    1978-06-01

    Results of shielding calculations for the Intnse Neutron Source (INS) facility are presented. The INS facility is designed to house two sources, each of which will produce D--T neutrons with intensities in the range from 1 to 3 x 10 15 n/s on a continuous basis. Topics covered include the design of the biological shield, use of two-dimensional discrete-ordinates results to specify the source terms for a Monte Carlo skyshine calculation, air activation, and dose rates in the source cell (after shutdown) due to activation of the biological shield

  2. Mobilization plan for the Y-12 9409-5 tank storage facility RCRA closure plan. Final report. Revision 1

    International Nuclear Information System (INIS)

    1993-11-01

    This mobilization plan identifies the activities and equipment necessary to begin the field sampling for the Oak Ridge Y-12 9409-5 Diked Tank Storage Facility (DTSF) Resource Conservation and Recovery Act (RCRA) closure. Elements of the plan outline the necessary components of each mobilization task and identify whether SAIC or the Martin Marietta Energy Systems, Inc. Y-12 Environmental Restoration Division will be responsible for task coordination. Field work will be conducted in two phases: mobilization phase and soil sampling phase. Training and medical monitoring, access, permits and passes, decontamination/staging area, equipment, and management are covered in this document

  3. [Supply and demand of medical specialists in the health facilities of the Ministry of Health: national, regional and by type of specialty gaps].

    Science.gov (United States)

    Zevallos, Leslie; Pastor, Reyna; Moscoso, Betsy

    2011-06-01

    To characterize the supply, demand and the gap of medical specialists in facilities of the Ministry of Health of Peru (MINSA) at the national, regional and specialty type levels. Observational, descriptive study through which we calculated the supply of medical specialists using secondary sources of MINSA. The analysis of the demand for medical specialists was based on two methodologies: the need for specialists according to the guidelines of classification of the health facilities and according to the epidemiological and demographic profile. The arithmetic difference between the estimated demand and the supply was the procedure used to calculate the gap of medical specialists. The Ministry of Health has a total supply at the national level of 6,074 medical specialists of which 61.5% belong to the clinical specialties, 33.2% to the surgical specialties, 4.9% specialities related to aid to diagnosis and treatment and 0.4% to public health specialties. According to the categorization guideline there is a total demand of 11,176 medical specialists and according to the epidemiological and demographic profile of 11,738. The national estimated gaps found are similar in both methods, although they differ widely across regions and by type of specialty. At the regional level, the gaps are greater in Loreto, Piura, Puno and Madre de Dios when estimating the defficit in relation to the supply. Regarding the speciality, the gap is greater in the four basic specialties: gynecology and obstetrics, pediatrics, internal medicine and general surgery. There is a waid gap between supply and demand of medical specialists at the national and regional levels, as a whole representing approximately 45% of the current offer, regardless of the estimation method.

  4. Facility Effluent Monitoring Plan for the Plutonium Finishing Plant (PFP); FINAL

    International Nuclear Information System (INIS)

    FRAZIER, T.P.

    1999-01-01

    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 impact employee or public safety or the environment. This facility effluent monitoring plan assesses effluent monitoring systems and evaluates whether these systems are adequate to ensure the public health and safety as specified in applicable federal, state, and local requirements. To ensure the long-range integrity of the effluent monitoring systems, an update to this facility effluent monitoring plan is required whenever a new process or operation introduces new hazardous materials or significant radioactive materials. This document is reviewed annually even if there are no operational changes, and is updated, at a minimum, every 3 years

  5. Status of RIB facilities in Asia

    International Nuclear Information System (INIS)

    Tanihata, Isao

    1998-01-01

    Radioactive Ion Beam Facilities in Asia are presented. In China, in-flight separation type facilities are in operation at the Institute of Modern Physics in Lanzhou and the other at Tandem facility in China Institute of Atomic Energy in Beijing. The storage-ring facility is proposed and approved in Lanzhou. In India, the Variable Energy Cyclotron Facility in Calcutta start to construct an ISOL-type facility. In Japan, in-flight separation type facilities are working at Research Center for Nuclear Physics in Osaka, and at RIKEN. Also a separator start its operation in medical facility in Chiba. In RIKEN, the construction of RI Beam Factory has been started. An ISOL-type facility is proposed in the Japan Hadron Facility in KEK. Table I summarize these facilities

  6. Fast Flux Test Facility, Sodium Storage Facility project-specific project management plan

    International Nuclear Information System (INIS)

    Shank, D.R.

    1994-01-01

    This Project-Specific Project Management Plan describes the project management methods and controls used by the WHC Projects Department to manage Project 03-F-031. The Sodium Storage Facility provides for storage of the 260,000 gallons of sodium presently in the FFTF Plant. The facility will accept the molten sodium transferred from the FFTF sodium systems, and store the sodium in a solid state under an inert cover gas until such time as a Sodium Reaction Facility is available for final disposal of the sodium

  7. Fast Flux Test Facility, Sodium Storage Facility project-specific project management plan

    Energy Technology Data Exchange (ETDEWEB)

    Shank, D.R.

    1994-12-29

    This Project-Specific Project Management Plan describes the project management methods and controls used by the WHC Projects Department to manage Project 03-F-031. The Sodium Storage Facility provides for storage of the 260,000 gallons of sodium presently in the FFTF Plant. The facility will accept the molten sodium transferred from the FFTF sodium systems, and store the sodium in a solid state under an inert cover gas until such time as a Sodium Reaction Facility is available for final disposal of the sodium.

  8. Willingness to use a supervised injection facility among young adults who use prescription opioids non-medically: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Benjamin A. Bouvier

    2017-02-01

    Full Text Available Abstract Background Supervised injection facilities (SIFs are legally sanctioned environments for people to inject drugs under medical supervision. SIFs currently operate in ten countries, but to date, no SIF has been opened in the USA. In light of increasing overdose mortality in the USA, this study evaluated willingness to use a SIF among youth who report non-medical prescription opioid (NMPO use. Methods Between January 2015 and February 2016, youth with recent NMPO use were recruited to participate in the Rhode Island Young Adult Prescription Drug Study (RAPiDS. We explored factors associated with willingness to use a SIF among participants who had injected drugs or were at risk of initiating injection drug use (defined as having a sex partner who injects drugs or having a close friend who injects. Results Among 54 eligible participants, the median age was 26 (IQR = 24–28, 70.4% were male, and 74.1% were white. Among all participants, when asked if they would use a SIF, 63.0% answered “Yes”, 31.5% answered “No”, and 5.6% were unsure. Among the 31 participants reporting injection drug use in the last six months, 27 (87.1% reported willingness to use a SIF; 15 of the 19 (78.9% who injected less than daily reported willingness, while all 12 (100.0% of the participants who injected daily reported willingness. Compared to participants who were unwilling or were unsure, participants willing to use a SIF were also more likely to have been homeless in the last six months, have accidentally overdosed, have used heroin, have used fentanyl non-medically, and typically use prescription opioids alone. Conclusions Among young adults who use prescription opioids non-medically and inject drugs or are at risk of initiating injection drug use, more than six in ten reported willingness to use a SIF. Established risk factors for overdose, including homelessness, history of overdose, daily injection drug use, heroin use, and fentanyl misuse, were

  9. [Pharmacist as gatekeeper: combating medication abuse and dependence].

    Science.gov (United States)

    Shimane, Takuya

    2013-01-01

      The nonmedical use of medications, including psychotropic drugs, is a growing health problem in Japan. According to a nationwide survey of mental hospitals, the proportion of patients with sedative (mainly benzodiazepine)-related disorders has more than doubled over the last decade. An association between psychotropic drug overdose and suicide risk has also been reported. Furthermore, over-the-counter drug abuse is still a serious problem in Japan. In recent years, pharmacists have been expected to act as gatekeepers, making timely identifications of suicide risk or substance abuse and directing these individuals to appropriate medical care facilities. In August 2012, the revised Comprehensive Suicide Measures Act identified pharmacists as one professional group that should act as gatekeepers. This article begins by reviewing the fundamental terms involved in understanding the nonmedical use of medications, including abuse, dependence, and intoxication. The current situation of substance abuse and dependence is then introduced through a summary of several epidemiological surveys conducted in Japan. Finally, the role of pharmacists as gatekeepers in preventing substance abuse and dependence on medications is discussed.

  10. Clinical audit in the final year of undergraduate medical education: towards better care of future generations.

    Science.gov (United States)

    Mak, Donna B; Miflin, Barbara

    2012-01-01

    In Australia, in an environment undergoing rapidly changing requirements for health services, there is an urgent need for future practitioners to be knowledgeable, skilful and self-motivated in ensuring the quality and safety of their practice. Postgraduate medical education and vocational programs have responded by incorporating training in quality improvement into continuing professional development requirements, but undergraduate medical education has been slower to respond. This article describes the clinical audit programme undertaken by all students in the final year of the medical course at the University of Notre Dame, Fremantle, Australia, and examines the educational worth of this approach. Data were obtained from curricular documents, including the clinical audit handbook, and from evaluation questionnaires administered to students and supervisors. The clinical audit programme is based on sound educational principles, including situated and participatory learning and reflective practice. It has demonstrated multi-dimensional benefits for students in terms of learning the complexities of conducting an effective audit in professional practice, and for health services in terms of facilitating quality improvement. Although this programme was developed in a medical course, the concept is readily transferable to a variety of other health professional curricula in which students undertake clinical placements.

  11. Planning of emergency medical treatment in nuclear power plant

    International Nuclear Information System (INIS)

    Kusama, Tomoko

    1989-01-01

    Medical staffs and health physicists have shown deep concerning at the emergency plans of nuclear power plants after the TMI nuclear accident. The most important and basic countermeasure for accidents was preparing appropriate and concrete organization and plans for treatment. We have planed emergency medical treatment for radiation workers in a nuclear power plant institute. The emergency medical treatment at institute consisted of two stages, that is on-site emergency treatment at facility medical service. In first step of planning in each stage, we selected and treatment at facility medical service. In first step of planning in each stage, we selected and analyzed all possible accidents in the institute and discussed on practical treatments for some possible accidents. The manuals of concrete procedure of emergency treatment for some accidents were prepared following discussion and facilities and equipment for medical treatment and decontamination were provided. All workers in the institute had periodical training and drilling of on-site emergency treatment and mastered technique of first aid. Decontamination and operation rooms were provided in the facillity medical service. The main functions at the facility medical service have been carried out by industrial nurses. Industrial nurses have been in close co-operation with radiation safety officers and medical doctors in regional hospital. (author)

  12. Medical equipment in government health facilities: Missed opportunities

    OpenAIRE

    Pardeshi Geeta

    2005-01-01

    BACKGROUND: The availability and optimal utilization of medical equipment is important for improving the quality of health services. Significant investments are made for the purchase, maintenance and repair of medical equipment. Inadequate management of these equipment will result in financial losses and deprive the public of the intended benefits. This analysis is based on the conceptual framework drawn from the WHO recommended- lifecycle of medical equipment. AIMS: (1) To identify the probl...

  13. Technical Note: A proposal of air ventilation system design criteria for a clinical room in a heavy-ion medical facility.

    Science.gov (United States)

    Kum, Oyeon

    2018-04-16

    An optimized air ventilation system design for a treatment room in Heavy-ion Medical Facility is an important issue in the aspects of nuclear safety because the activated air produced in a treatment room can directly affect the medical staff and the general public in the radiation-free area. Optimized design criteria of air ventilation system for a clinical room in 430 MeV/u carbon ion beam medical accelerator facility was performed by using a combination of MCNPX2.7.0 and CINDER'90 codes. Effective dose rate and its accumulated effective dose by inhalation and residual gamma were calculated for a normal treatment scenario (2 min irradiation for one fraction) as a function of decay time. Natural doses around the site were measured before construction and used as reference data. With no air ventilation system, the maximum effective dose rate was about 3 μSv/h (total dose of 90 mSv/y) and minimum 0.2 μSv/h (total dose of 6 mSv/y), which are over the legal limits for medical staff and for the general public. Although inhalation dose contribution was relatively small, it was considered seriously because of its long-lasting effects in the body. The integrated dose per year was 1.8 mSv/y in the radiation-free area with the 20-min rate of air ventilation system. An optimal air ventilation rate of 20 min is proposed for a clinical room, which also agrees with the best mechanical design value. © 2018 American Association of Physicists in Medicine.

  14. MEDICAL STAFF SCHEDULING USING SIMULATED ANNEALING

    Directory of Open Access Journals (Sweden)

    Ladislav Rosocha

    2015-07-01

    Full Text Available Purpose: The efficiency of medical staff is a fundamental feature of healthcare facilities quality. Therefore the better implementation of their preferences into the scheduling problem might not only rise the work-life balance of doctors and nurses, but also may result into better patient care. This paper focuses on optimization of medical staff preferences considering the scheduling problem.Methodology/Approach: We propose a medical staff scheduling algorithm based on simulated annealing, a well-known method from statistical thermodynamics. We define hard constraints, which are linked to legal and working regulations, and minimize the violations of soft constraints, which are related to the quality of work, psychic, and work-life balance of staff.Findings: On a sample of 60 physicians and nurses from gynecology department we generated monthly schedules and optimized their preferences in terms of soft constraints. Our results indicate that the final value of objective function optimized by proposed algorithm is more than 18-times better in violations of soft constraints than initially generated random schedule that satisfied hard constraints.Research Limitation/implication: Even though the global optimality of final outcome is not guaranteed, desirable solutionwas obtained in reasonable time. Originality/Value of paper: We show that designed algorithm is able to successfully generate schedules regarding hard and soft constraints. Moreover, presented method is significantly faster than standard schedule generation and is able to effectively reschedule due to the local neighborhood search characteristics of simulated annealing.

  15. Reed Reactor Facility final report, September 1, 1994--August 31, 1995

    International Nuclear Information System (INIS)

    1997-01-01

    This report covers the period from September 1, 1994 to August 31, 1995. Information contained in this report is intended to fulfill several purposes including the reporting requirements of the US Nuclear Regulatory Commission (USNRC), the US Department of Energy (USDOE), and the Oregon Department of Energy (ODOE). Highlights of the last year include: student participation in the program is very high; the facility has been extraordinarily successful in obtaining donated equipment from Portland General Electric, US Department of Energy, Precision Castparts, Tektronix, and other sources; the facility is developing more paid work. There were 1,115 visits of the Reactor Facility by individuals during the year. Most of these visitors were students in classes at Reed College or area universities, colleges, and high schools. During the year, the reactor was operated 225 separate times on 116 days. The total energy production was 24.6 MW-hours. The reactor staff consists of a Director, an Associate Director, a contract Health Physicist, and approximately fifteen Reed College undergraduate students as hourly employees. All radiation exposures to individuals during this year were well below 1% of the federal limits. There were no releases of liquid radioactive material from the facility and airborne releases (primarily 41 Ar) were well within regulatory limits

  16. Reed Reactor Facility final report, September 1, 1994--August 31, 1995

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-09-01

    This report covers the period from September 1, 1994 to August 31, 1995. Information contained in this report is intended to fulfill several purposes including the reporting requirements of the US Nuclear Regulatory Commission (USNRC), the US Department of Energy (USDOE), and the Oregon Department of Energy (ODOE). Highlights of the last year include: student participation in the program is very high; the facility has been extraordinarily successful in obtaining donated equipment from Portland General Electric, US Department of Energy, Precision Castparts, Tektronix, and other sources; the facility is developing more paid work. There were 1,115 visits of the Reactor Facility by individuals during the year. Most of these visitors were students in classes at Reed College or area universities, colleges, and high schools. During the year, the reactor was operated 225 separate times on 116 days. The total energy production was 24.6 MW-hours. The reactor staff consists of a Director, an Associate Director, a contract Health Physicist, and approximately fifteen Reed College undergraduate students as hourly employees. All radiation exposures to individuals during this year were well below 1% of the federal limits. There were no releases of liquid radioactive material from the facility and airborne releases (primarily {sup 41}Ar) were well within regulatory limits.

  17. Study of waste acceptance criteria for low-level radioactive waste from medical, industrial, and research facilities (Contract research)

    International Nuclear Information System (INIS)

    Koibuchi, Hiroto; Dohi, Terumi; Ishiguro, Hideharu; Hayashi, Masaru; Senda, Masaki

    2008-12-01

    Japan Atomic Energy Agency (JAEA) is supposed to draw up the plan for the disposal program of the very low-level radioactive waste and low-level radioactive waste generated from medical, industrial and research facilities. For instance, there are these facilities in JAEA, universities, private companies, and so on. JAEA has to get to know about the waste and its acceptance of other institutions described above because it is important for us to hold the licenses for the disposal program regarding safety assessment. This report presents the basic data concerning radioactive waste of research institutes etc. except RI waste, domestic and foreign information related to acceptance criteria for disposal of the low-level radioactive waste, the current status of foreign medical waste management, waste acceptance, and such. In this report, Japan's acceptance criteria were summarized on the basis of present regulation. And, the criteria of foreign countries, United States, France, United Kingdom and Spain, were investigated by survey of each reference. In addition, it was reported that the amount of waste from laboratories etc. for near-surface disposal and their characterization in our country. The Subjects of future work: the treatment of hazardous waste, the problem of the double-regulation (the Nuclear Reactor Regulation Law and the Law Concerning Prevention from Radiation Hazards due to Radioisotopes and Others) and the possession of waste were discussed here. (author)

  18. Future use of BI-GAS facility. Final report, Part II. [Other possible uses

    Energy Technology Data Exchange (ETDEWEB)

    1981-09-01

    The 120 tpd BI-GAS pilot plant, intended to produce SNG at high pressure, was completed in 1976. For the next three and a half years, the operator, Stearns-Roger Inc., was engaged in operating the plant while overcoming a series of mechanical problems that have prevented the plant from running at design capacity and pressure. Since July 1980, these problems have apparently been corrected and considerable progress was made. In late 1979, the Yates Congressional Committee directed DOE to investigate the possibility of establishing an entrained-bed gasifier test facility at the site. In January 1981, the DOE established a study group composed of DOE and UOP/SDC personnel to determine how best to use the BI-GAS facility. The group considered four possibilities: Continue operation of the facility in accordance with the technical program plan developed by DOE and Stearns-Roger; modify the plant into an entrained-bed facility for testing components and processes; mothball the facility, or dismantle the facility. The group took the view that modifying the plant into a test facility would increase substantially the amount of engineering data available to the designers of commercial gasification plants. Since it appears that syngas plants will be of commercial interest sooner than SNG plants will, it was decided that the facility should test syngas production components and processes at high pressure. Consequently, it was recommended that: Operation of the plant be continued, both to collect data and to prove the BI-GAS process, as long as the schedule of the technical program plan is met; Begin at once to prepare a detailed design for modifying the BI-GAS plant to a high-pressure, entrained flow syngas test facility; and Implement the modification plan as soon as the BI-GAS process is proven or it becomes apparent that progress is unsatisfactory.

  19. Improving the regulation of safety at DOE nuclear facilities. Final report

    International Nuclear Information System (INIS)

    1995-12-01

    The report strongly recommends that, with the end of the Cold War, safety and health at DOE facilities should be regulated by outside agencies rather than by DOE itself. The three major recommendations are: under any regulatory scheme, DOE must maintain a strong internal safety management system; essentially all aspects of safety at DOE's nuclear facilities should be externally regulated; and existing agencies rather than a new one should be responsible for external regulation

  20. Motivation and Retention of Physicians in Primary Healthcare Facilities: A Qualitative Study From Abbottabad, Pakistan.

    Science.gov (United States)

    Shah, Sayed Masoom; Zaidi, Shehla; Ahmed, Jamil; Rehman, Shafiq Ur

    2016-04-09

    Workforce motivation and retention is important for the functionality and quality of service delivery in health systems of developing countries. Despite huge primary healthcare (PHC) infrastructure, Pakistan's health indicators are not impressive; mainly because of under-utilization of facilities and low patient satisfaction. One of the major underlying issues is staff absenteeism. The study aimed to identify factors affecting retention and motivation of doctors working in PHC facilities of Pakistan. An exploratory study was conducted in a rural district in Khyber Puktunkhwa (KP) province, in Pakistan. A conceptual framework was developed comprising of three organizational, individual, and external environmental factors. Qualitative research methods comprising of semi-structured interviews with doctors working in basic health units (BHUs) and in-depth interviews with district and provincial government health managers were used. Document review of postings, rules of business and policy actions was also conducted. Triangulation of findings was carried out to arrive at the final synthesis. Inadequate remuneration, unreasonable facilities at residence, poor work environment, political interference, inadequate supplies and medical facilities contributed to lack of motivation among both male and female doctors. The physicians accepted government jobs in BHUs with a belief that these jobs were more secure, with convenient working hours. Male physicians seemed to be more motivated because they faced less challenges than their female counterparts in BHUs especially during relocations. Overall, the organizational factors emerged as the most significant whereby human resource policy, career growth structure, performance appraisal and monetary benefits played an important role. Gender and marital status of female doctors was regarded as most important individual factor affecting retention and motivation of female doctors in BHUs. Inadequate remuneration, unreasonable

  1. The Finnish final disposal programme proceeds to the site selection

    International Nuclear Information System (INIS)

    Seppaelae, T.

    1999-01-01

    Research for the selection of the final disposal site has been carried out already since the beginning of 1980's. Field studies were started in 1987: In the recent years, studied sites have included Olkiluoto in Eurajoki, Haestholmen in Loviisa, Romuvaara in Kuhmo and Kivetty in Aeaenekoski. Based on 40 years operation of four power plant units, the estimate for the accumulation of spent fuel to be disposed of in Finland is 2,600 tU. A 'Decision in Principle' is needed from the Finnish government to select the final disposal site, Posiva submitted the application for a policy decision in May 1999. The intended site of the facility is Olkiluoto which produces most of the spent fuel in Finland: A disposal would minimise the need of transports. In a poll among the inhabitants of Eurajoki, 60 per cent approved the final disposal facility. After a positive decision of the government, Posiva will construct an underground research facility in Olkiluoto. The construction of the final disposal facility will take place in the 2010's, the facility should be operational in 2020. (orig.) [de

  2. The NASA Heliophysics Active Final Archive at the Space Physics Data Facility

    Science.gov (United States)

    McGuire, Robert E.

    2012-01-01

    The 2009 NASA Heliophysics Science Data Management Policy re-defined and extended the responsibilities of the Space Physics Data Facility (SPDF) project. Building on SPDF's established capabilities, the new policy assigned the role of active "Final Archive" for non-solar NASA Heliophysics data to SPDF. The policy also recognized and formalized the responsibilities of SPDF as a source for critical infrastructure services such as VSPO to the overall Heliophysics Data Environment (HpDE) and as a Center of Excellence for existing SPDF science-enabling services and software including CDAWeb, SSCWeb/4D Orbit Viewer, OMNIweb and CDF. We will focus this talk to the principles, strategies and planned SPDF architecture to effectively and efficiently perform these roles, with special emphasis on how SPDF will ensure the long-term preservation and ongoing online community access to all the data entrusted to SPDF. We will layout our archival philosophy and what we are advocating in our work with NASA missions both current and future, with potential providers of NASA and NASA-relevant archival data, and to make the data and metadata held by SPDF accessible to other systems and services within the overall HpOE. We will also briefly review our current services, their metrics and our current plans and priorities for their evolution.

  3. Interim and final storage casks

    International Nuclear Information System (INIS)

    Stumpfrock, L.; Kockelmann, H.

    2012-01-01

    The disposal of radioactive waste is a huge social challenge in Germany and all over the world. As is well known the search for a site for a final repository for high-level waste in Germany is not complete. Therefore, interim storage facilities for radioactive waste were built at plant sites in Germany. The waste is stored in these storage facilities in appropriate storage and transport casks until the transport in a final repository can be carried out. Licensing of the storage and transport casks aimed for use in the public space is done according to the traffic laws and for handling in the storage facility according to nuclear law. Taking into account the activity of the waste to be stored, different containers are in use, so that experience is available from the licensing and operation in interim storage facilities. The large volume of radioactive waste to be disposed of after the shut-down of power generation in nuclear power stations makes it necessary for large quantities of licensed storage and transport casks to be provided soon.

  4. Waste Receiving and Processing (WRAP) Facility Final Safety Analysis Report (FSAR)

    Energy Technology Data Exchange (ETDEWEB)

    TOMASZEWSKI, T.A.

    2000-04-25

    The Waste Receiving and Processing Facility (WRAP), 2336W Building, on the Hanford Site is designed to receive, confirm, repackage, certify, treat, store, and ship contact-handled transuranic and low-level radioactive waste from past and present U.S. Department of Energy activities. The WRAP facility is comprised of three buildings: 2336W, the main processing facility (also referred to generically as WRAP); 2740W, an administrative support building; and 2620W, a maintenance support building. The support buildings are subject to the normal hazards associated with industrial buildings (no radiological materials are handled) and are not part of this analysis except as they are impacted by operations in the processing building, 2336W. WRAP is designed to provide safer, more efficient methods of handling the waste than currently exist on the Hanford Site and contributes to the achievement of as low as reasonably achievable goals for Hanford Site waste management.

  5. Waste Receiving and Processing (WRAP) Facility Final Safety Analysis Report (FSAR)

    International Nuclear Information System (INIS)

    TOMASZEWSKI, T.A.

    2000-01-01

    The Waste Receiving and Processing Facility (WRAP), 2336W Building, on the Hanford Site is designed to receive, confirm, repackage, certify, treat, store, and ship contact-handled transuranic and low-level radioactive waste from past and present U.S. Department of Energy activities. The WRAP facility is comprised of three buildings: 2336W, the main processing facility (also referred to generically as WRAP); 2740W, an administrative support building; and 2620W, a maintenance support building. The support buildings are subject to the normal hazards associated with industrial buildings (no radiological materials are handled) and are not part of this analysis except as they are impacted by operations in the processing building, 2336W. WRAP is designed to provide safer, more efficient methods of handling the waste than currently exist on the Hanford Site and contributes to the achievement of as low as reasonably achievable goals for Hanford Site waste management

  6. Operational and safety requirement of radiation facility

    International Nuclear Information System (INIS)

    Zulkafli Ghazali

    2007-01-01

    Gamma and electron irradiation facilities are the most common industrial sources of ionizing radiation. They have been used for medical, industrial and research purposes since the 1950s. Currently there are more than 160 gamma irradiation facilities and over 600 electron beam facilities in operation worldwide. These facilities are either used for the sterilization of medical and pharmaceutical products, the preservation of foodstuffs, polymer synthesis and modification, or the eradication of insect infestation. Irradiation with electron beam, gamma ray or ultra violet light can also destroy complex organic contaminants in both liquid and gaseous waste. EB systems are replacing traditional chemical sterilization methods in the medical supply industry. The ultra-violet curing facility, however, has found more industrial application in printing and furniture industries. Gamma and electron beam facilities produce very high dose rates during irradiation, and thus there is a potential of accidental exposure in the irradiation chamber which can be lethal within minutes. Although, the safety record of this industry has been relatively very good, there have been fatalities recorded in Italy (1975), Norway (1982), El Salvador (1989) and Israel (1990). Precautions against uncontrolled entry into irradiation chamber must therefore be taken. This is especially so in the case of gamma irradiation facilities those contain large amounts of radioactivity. If the mechanism for retracting the source is damaged, the source may remain exposed. This paper will, to certain extent, describe safety procedure and system being installed at ALURTRON, Nuclear Malaysia to eliminate accidental exposure of electron beam irradiation. (author)

  7. Perceptions of final-year nursing students on the facilities, resources and quality of education provided by schools in Turkey.

    Science.gov (United States)

    Güner, Perihan

    2015-01-01

    The purpose of this study is to determine the perceptions of final-year nursing students regarding the adequacy of education, resources and internships in preparation for graduation. The study design was a descriptive cross-sectional study of nursing students (n: 1804) in their final year of education and questionnaires were used to collect data. Information related to student-to-instructor ratios and internships was obtained from each institution. Most students reported receiving instruction or supervision by lecturers and clinicians who did not specialise in the field. Overall, students did not find the facilities, educational or technological resources and the quality of education offered by their respective schools adequate. The proportion of students who found the level of theoretical education, clinical practice and instructor support adequate was higher in state university colleges of nursing/faculties of health sciences than in state university schools of health sciences.

  8. Medical modification of human acute radiation injury

    International Nuclear Information System (INIS)

    Wald, N.; Watson, J.A.

    1977-01-01

    In weighing the benefits and risks of utilizing nuclear energy, there must be a continuing reassessment as nuclear technology develops and changes. The health effects of radiation accidents, as most important part of the risk, must also be reevaluated as our medical ability grows to modify and ameliorate the consequences. The therapeutic efforts were classified as minimal, supportive or heroic. Supportive treatment included reverse isolation, detailed clinical laboratory measurements copious antibiotics, and transfusions of various blood cells, electrolytes and nutrients. Heroic treatment added bone marrow transplantation, while minimal treatment included none of these. It was concluded that while the LD 50 for man is about 340 rads with only minimal treatment, it could be increased to 510 rads with supportive therapy and to over 1,000 rads with heroic treatment. Hematopoietic injury predominated in this exposure range. Finally an estimate of the medical facilities available in the United States to meet these potential clinical needs was made. The relationship of the medical care resources to the likely needs following a serious nuclear power plant accident will be discussed

  9. Medicare and Medicaid programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; electronic reporting pilot; Inpatient Rehabilitation Facilities Quality Reporting Program; revision to Quality Improvement Organization regulations. Final rule with comment period.

    Science.gov (United States)

    2012-11-15

    This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for CY 2013 to implement applicable statutory requirements and changes arising from our continuing experience with these systems. In this final rule with comment period, we describe the changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment system. In addition, this final rule with comment period updates and refines the requirements for the Hospital Outpatient Quality Reporting (OQR) Program, the ASC Quality Reporting (ASCQR) Program, and the Inpatient Rehabilitation Facility (IRF) Quality Reporting Program. We are continuing the electronic reporting pilot for the Electronic Health Record (EHR) Incentive Program, and revising the various regulations governing Quality Improvement Organizations (QIOs), including the secure transmittal of electronic medical information, beneficiary complaint resolution and notification processes, and technical changes. The technical changes to the QIO regulations reflect CMS' commitment to the general principles of the President's Executive Order on Regulatory Reform, Executive Order 13563 (January 18, 2011).

  10. Medical students' preparation for the transition to postgraduate training through final year elective rotations

    Directory of Open Access Journals (Sweden)

    van den Broek, W. E. Sjoukje

    2017-11-01

    Full Text Available Objectives: This study adds to the ongoing discussion on how to ease the transition from undergraduate medical training to postgraduate training. In the Netherlands there is no central matching system for admission to residency. Medical school graduates just apply for a position in an open job market. Many choose to acquire general or specialty-specific clinical experiences after the medical degree before residency, to further explore career opportunities and to increase their chances to get into their preferred specialty. To shorten this gap between undergraduate and the start of postgraduate training, the sixth and final year of most Dutch medical schools is designed as a “transitional year”. Students work with more clinical responsibilities than in the earlier clerkships, and this year includes many elective options. Our study focuses on these elective options and explores how medical students use these transitional year electives to prepare for transition to postgraduate training.Methods: In 2012-2013 we asked all 274 graduating students at one Dutch medical school to complete an open-answer questionnaire with the following topics: Questionnaire results were coded by two researchers and were discussed with all members of the research team. Results: A total of 235 students responded (86%. Answers about motivation for choices revealed that most electives where chosen for career orientation and to optimize chances to get into a residency program. Students also focused on additional experiences in specialties related to their preferred specialty. Many students chose electives logically related to each other, e.g. combinations of surgery and radiology. About two-thirds of the respondents stated that their elective experiences did confirm their specialty preferences or resulted in a more clear insight.Conclusion: We conclude that students use the transitional year electives to focus on their future postgraduate training program, i.e. for

  11. Magnetic resonance image examinations in emergency medical care

    International Nuclear Information System (INIS)

    Yamashiro, Takanobu; Yoshizumi, Tohru; Ogura, Akio; Hongou, Takaharu; Kikumoto, Rikiya

    2006-01-01

    There is a growing consensus in terms of the need for effective use of magnetic resonance imaging (MRI) diagnostic devices in emergency medical care. However, a thorough assessment of risk management in emergency medical care is required because of the high magnetic field in the MRI room. To understand the conditions required for the execution of emergency MRI examinations in individual medical facilities, and to prepare guidelines for emergency MRI examinations, we carried out a questionnaire survey concerning emergency MRI examinations. We obtained responses from 71% of 230 medical facilities and used this information in considering a system of emergency MRI examinations. Moreover, some difficulties were experienced in half of the facilities where emergency MRI examinations had been enacted, the main cause of which was the medics. Based on the results of the questionnaire, guidelines are necessary to maintain an urgent system for MRI examinations. Moreover, we were able to comprehend the current state of emergency MRI examinations in other medical facilities through this investigation, and we are preparing a system for the implementation of emergency MRI examinations. (author)

  12. Hot-cell verification facility

    International Nuclear Information System (INIS)

    Eschenbaum, R.A.

    1981-01-01

    The Hot Cell Verification Facility (HCVF) was established as the test facility for the Fuels and Materials Examination Facility (FMEF) examination equipment. HCVF provides a prototypic hot cell environment to check the equipment for functional and remote operation. It also provides actual hands-on training for future FMEF Operators. In its two years of operation, HCVF has already provided data to make significant changes in items prior to final fabrication. It will also shorten the startup time in FMEF since the examination equipment will have been debugged and operated in HCVF

  13. Drug prescription based on WHO indicators: Tehran university of medical sciences facilities with pharmacy

    Directory of Open Access Journals (Sweden)

    Mosleh A.

    2007-11-01

    Full Text Available Background: Rationalize of drug use in societies is one of the main responsibilities of health policy makers. In our country irrational use of dugs has increased in the recent years, for example one study in 1998 has shown that average number of medicines per prescription was 3.6, percentage of prescriptions containing antibiotics was 43% and percentage of prescriptions containing Injections was 39%. One of the best tools for evaluation of drug use is the WHO guideline for calculating prescribing indicators. In this study, we had an assessment about prescribing patterns in South of Tehran, Islamshahr and Rey Health Centers.Methods: In order to evaluating prescribing indicators in Tehran University of Medical Sciences region 35 facilities which had pharmacy were selected according to WHO gridline and 4190 prescription from these facilities were studied. Indicators were calculated according to formulas has explained in article. Results: The average number of drug per prescription was 2.58, percentage of drug prescribed by generic name: 99.8%, percentage of encounters prescribed Antibiotics: 62.39% percentage of encounters prescribed Injection: 28.96% & the percentage of drugs prescribed from PHC formulary 99.46%. These findings were almost similar in the three Health Centers.Conclusions: Health facilities are one of the most important bases to improve rational use of Drugs and general practitioners are the major chain in RUD cycle. Results show that we need to design intervention especially educational interventions to improve two WHO prescribing indicators, percentage of encounters prescribed Antibiotics & Injections in this region. For reaching this goals we need to design educational programs for physicians, pharmacists and people too. These educations can be as workshops, seminars, conferences or printed materials such as books, leaflets and etc.

  14. ASSESSMENT OF MEDICAL WASTE MANAGEMENT IN EDUCATIONAL HOSPITALS OF TEHRAN UNIVERSITY MEDICAL SCIENCES

    Directory of Open Access Journals (Sweden)

    M. H. Dehghani, K. Azam, F. Changani, E. Dehghani Fard

    2008-04-01

    Full Text Available The management of medical waste is of great importance due to its potential environmental hazards and public health risks. In the past, medical waste was often mixed with municipal solid waste and disposed in residential waste landfills or improper treatment facilities in Iran. In recent years, many efforts have been made by environmental regulatory agencies and waste generators to better managing the wastes from healthcare facilities. This study was carried in 12 educational hospitals of Tehran University of Medical Sciences. The goals of this study were to characterize solid wastes generated in healthcare hospitals, to report the current status of medical waste management and to provide a framework for the safe management of these wastes at the considered hospitals. The methodology was descriptive, cross-sectional and consisted of the use of surveys and interviews with the authorities of the healthcare facilities and with personnel involved in the management of the wastes. The results showed that medical wastes generated in hospitals were extremely heterogeneous in composition. 42% of wastes were collected in containers and plastic bags. In 75% of hospitals, the stay-time in storage sites was about 12-24h. 92% of medical wastes of hospitals were collected by covered-trucks. In 46% of hospitals, transferring of medical wastes to temporary stations was done manually. The average of waste generation rates in the hospitals was estimated to be 4.42kg/bed/day.

  15. Safety research experiment facilities, Idaho National Engineering Laboratory, Idaho. Final environmental impact statement

    International Nuclear Information System (INIS)

    Liverman, J.L.

    1977-09-01

    This environmental statement was prepared for the Safety Research Experiment Facilities (SAREF) Project. The purpose of the proposed project is to modify some existing facilities and provide a new test facility at the Idaho National Engineering Laboratory (INEL) for conducting fast breeder reactor (FBR) safety experiments. The SAREF Project proposal has been developed after an extensive study which identified the FBR safety research needs requiring in-reactor experiments and which evaluated the capability of various existing and new facilities to meet these needs. The proposed facilities provide for the in-reactor testing of large bundles of prototypical FBR fuel elements under a wide variety of conditions, ranging from those abnormal operating conditions which might be expected to occur during the life of an FBR power plant to the extremely low probability, hypothetical accidents used in the evaluation of some design options and in the assessment of the long-term potential risk associated with wide-acale deployment of the FBR

  16. Final-year medical students′ perceptions regarding the curriculum in public health

    Directory of Open Access Journals (Sweden)

    Mitrakrishnan Rayno Navinan

    2011-01-01

    Full Text Available Background: The Faculty of Medicine, University of Colombo, has an integrated curriculum in which teaching of public health takes place through a series of modules which span the full five-year study programme. Aim: To assess final year medical student perceptions regarding the public health curriculum and to identify factors which influence this. Materials and Methods: The study was cross sectional. Convenience sampling was utilized on final-year students of the Faculty of Medicine, University of Colombo, Sri Lanka. A self-administered 4-point Likert scale questionnaire covered general opinion on public healthcare and perceptions about the curriculum. Data were analyzed using descriptive statistics and Chi-square tests. Results: One hundred and eighty four students (94% participated in the study. Eighty-two percent (148 viewed public health as an important field. Only 9% (16 were interested in a career in public health. A significant association was found between choosing public health as career and the following: perception of public health as an important field; holding a good opinion about public health prior to commencement of the course; having found the field-based experience enjoyable and beneficial to the community; and feeling competent to work in the community at the end of the course (P < 0.01. With regard to teaching methods, group activities and discussion-centered activities were identified positively (153, 83% and 125, 68% respectively. The majority of students indicated that they were not stimulated to read more on the subject or regularly revise what they have learnt, both during the introductory public health programme and during the final year. Conclusions: The curriculum has been able to create a positive opinion about public health. However, students lack enthusiasm to learn independently. Experiential, group-centered teaching activities and a constructivist approach may be more effective in promoting independent learning

  17. First Dutch Consensus of Pain Quality Indicators for Pain Treatment Facilities.

    Science.gov (United States)

    de Meij, Nelleke; van Grotel, Marloes; Patijn, Jacob; van der Weijden, Trudy; van Kleef, Maarten

    2016-01-01

    There is a general consensus about the need to define and improve the quality of pain treatment facilities. Although guidelines and recommendations to improve the quality of pain practice management have been launched, provision of appropriate pain treatment is inconsistent and the quality of facilities varies widely. The aim of the study was to develop an expert-agreed list of quality indicators applicable to pain treatment facilities. The list was also intended to be used as the basis for a set of criteria for registered status of pain treatment facilities. The University Pain Center Maastricht at the Department of Anesthesiology and Pain Management of the Maastricht University Medical Center conducted a 3-round Delphi study in collaboration with the Board of the Pain Section of the Dutch Society of Anesthesiologists (NVA). Twenty-five quality indicators were selected as relevant to 2 types of pain treatment facilities, pain clinics and pain centers. The final expert-agreed list consisted of 22 quality indicators covering 7 quality domains: supervision, availability of care, staffing level and patient load, quality policy, multidisciplinarity, regionalization, and research and education. This set of quality indicators may facilitate organizational evaluation and improve insight into service quality from the perspectives of patients, pain specialists, and other healthcare professionals. Recommendations for improvements to the current set of quality indicators are made. In 2014 the process of registering pain treatment facilities in the Netherlands started; facilities can register as a pain clinic or pain center. © 2015 World Institute of Pain.

  18. [Structure of pain management facilities in Germany : Classification of medical and psychological pain treatment services-Consensus of the Joint Commission of the Professional Societies and Organizations for Quality in Pain Medicine].

    Science.gov (United States)

    Müller-Schwefe, G H H; Nadstawek, J; Tölle, T; Nilges, P; Überall, M A; Laubenthal, H J; Bock, F; Arnold, B; Casser, H R; Cegla, T H; Emrich, O M D; Graf-Baumann, T; Henning, J; Horlemann, J; Kayser, H; Kletzko, H; Koppert, W; Längler, K H; Locher, H; Ludwig, J; Maurer, S; Pfingsten, M; Schäfer, M; Schenk, M; Willweber-Strumpf, A

    2016-06-01

    On behalf of the Medical/Psychological Pain Associations, Pain Patients Alliance and the Professional Association of Pain Physicians and Psychologists, the Joint Commission of Professional Societies and Organizations for Quality in Pain Medicine, working in close collaboration with the respective presidents, has developed verifiable structural and process-related criteria for the classification of medical and psychological pain treatment facilities in Germany. Based on the established system of graded care in Germany and on existing qualifications, these criteria also argue for the introduction of a basic qualification in pain medicine. In addition to the first-ever comprehensive description of psychological pain facilities, the criteria presented can be used to classify five different levels of pain facilities, from basic pain management facilities, to specialized institutions, to the Centre for Interdisciplinary Pain Medicine. The recommendations offer binding and verifiable criteria for quality assurance in pain medicine and improved pain treatment.

  19. Spent Nuclear Fuel Project Cold Vacuum Drying Facility Operations Manual

    International Nuclear Information System (INIS)

    IRWIN, J.J.

    1999-01-01

    This document provides the Operations Manual for the Cold Vacuum Drying Facility (CVDF). The Manual was developed in conjunction with HNF-553, Spent Nuclear Fuel Project Final Safety Analysis Report Annex B--Cold Vacuum Drying Facility. The HNF-SD-SNF-DRD-002, 1999, (Cold Vacuum Drying Facility Design Requirements), Rev. 4. and the CVDF Final Design Report. The Operations Manual contains general descriptions of all the process, safety and facility systems in the CVDF, a general CVD operations sequence and references to the CVDF System Design Descriptions (SDDs). This manual has been developed for the SNFP Operations Organization and shall be updated, expanded, and revised in accordance with future design, construction and startup phases of the CVDF until the CVDF final ORR is approved

  20. Realities of proximity facility siting

    International Nuclear Information System (INIS)

    DeMott, D.L.

    1981-01-01

    Numerous commercial nuclear power plant sites have 2 to 3 reactors located together, and a group of Facilities with capabilities for fuel fabrication, a nuclear reactor, a storage area for spent fuel, and a maintenance area for contaminated equipment and radioactive waste storage are being designed and constructed in the US. The proximity of these facilities to each other provides that the ordinary flow of materials remain within a limited area. Interactions between the various facilities include shared resources such as communication, fire protection, security, medical services, transportation, water, electrical, personnel, emergency planning, transport of hazardous material between facilities, and common safety and radiological requirements between facilities. This paper will explore the advantages and disadvantages of multiple facilities at one site. Problem areas are identified, and recommendations for planning and coordination are discussed

  1. The Brotherhood Medical Center: Collaborative Foundation of Maternity and Children’s Healthcare Facility for Displaced Syrians

    Science.gov (United States)

    Aburas, Rahma; Najeeb, Amina; Baageel, Laila; Mackey, Tim K.

    2018-01-01

    The United Nations has declared the Syrian conflict, with more than 50% of Syria’s population currently displaced, as the worst humanitarian crisis of the twenty-first century. The Syrian conflict has led to a collapse of infrastructure, including access to critical and lifesaving healthcare services. Women and children account for approximately 75% of internally displaced Syrians and refugees. This population is also particularly vulnerable to poor health outcomes, a condition worsened by lack of access to maternal and child health services. In response to this crisis, a partnership of Saudi and Syrian physicians established a non-profit healthcare facility named the Brotherhood Medical Center (BMC) to serve women and children within a safe area near the Syrian–Turkish border. The project began in September 2014 and was implemented in three phases of establishment, phased construction and formal launch and operation. Currently, the BMC is working at about 70% of its capacity and is run in partnership with the Syrian Expatriate Medical Association. Although there was strong initial support from donors, the BMC continues to face many financial and operational challenges, including difficulties in transferring money to Syria, shortage of medical supplies, and lack of qualified medical personnel. Despite these challenges, the BMC represents a critical model and an important case study of the challenges of delivering healthcare services to underserved populations during an ongoing conflict. However, more robust support from the international community is needed to ensure it continues its important health and humanitarian mission. PMID:29721489

  2. The Brotherhood Medical Center: Collaborative Foundation of Maternity and Children’s Healthcare Facility for Displaced Syrians

    Directory of Open Access Journals (Sweden)

    Rahma Aburas

    2018-04-01

    Full Text Available The United Nations has declared the Syrian conflict, with more than 50% of Syria’s population currently displaced, as the worst humanitarian crisis of the twenty-first century. The Syrian conflict has led to a collapse of infrastructure, including access to critical and lifesaving healthcare services. Women and children account for approximately 75% of internally displaced Syrians and refugees. This population is also particularly vulnerable to poor health outcomes, a condition worsened by lack of access to maternal and child health services. In response to this crisis, a partnership of Saudi and Syrian physicians established a non-profit healthcare facility named the Brotherhood Medical Center (BMC to serve women and children within a safe area near the Syrian–Turkish border. The project began in September 2014 and was implemented in three phases of establishment, phased construction and formal launch and operation. Currently, the BMC is working at about 70% of its capacity and is run in partnership with the Syrian Expatriate Medical Association. Although there was strong initial support from donors, the BMC continues to face many financial and operational challenges, including difficulties in transferring money to Syria, shortage of medical supplies, and lack of qualified medical personnel. Despite these challenges, the BMC represents a critical model and an important case study of the challenges of delivering healthcare services to underserved populations during an ongoing conflict. However, more robust support from the international community is needed to ensure it continues its important health and humanitarian mission.

  3. Business administration of PET facilities. A cost analysis of three facilities utilizing delivery FDG

    International Nuclear Information System (INIS)

    Mitsutake, Naohiro; Oku, Shinya; Fujii, Ryo; Furui, Yuji; Yasunaga, Hideo

    2008-01-01

    PET (positron emission tomography) has been proved to be a powerful imaging tool in clinical oncology. The number of PET facilities in Japan has remarkably increased over the last decade. Furthermore, the approval of delivery fluorodeoxyglucose (FDG) in 2005 resulted in a tremendous expansion of the PET institutions without a cyclotron facility. The aim of this study was to conduct a cost analysis of PET institutions that utilized delivery FDG. Three PET facilities using delivery FDG were investigated about the costs for PET service. Fixed costs included depreciation costs for construction and medical equipments such as positron camera. Variable costs consisted of costs for medical materials including delivery FDG. The break-even point was analyzed in each of three institutions. In the three hospitals (A, B and C), the annual number of PET scan was 1,591, 1,637 and 914, while cost per scan was accounted as 110,262 yen, 111,091 yen, and 134,192 yen, respectively. The break-even point was calculated to be 2,583, 2,679 and 2,081, respectively. PET facilities utilizing delivery FDG seemed to have difficulty in business administration. Such a situation suggests the possibility that the current supply of PET facilities might exceed actual demand for the service. The efficiency of resource allocation should be taken into consideration in the future health service researches on PET. (author)

  4. Design of good manufacturing facility for sterile radioactive pharmaceuticals

    International Nuclear Information System (INIS)

    Shin, B.C.; Choung, W.M.; Park, S.H.; Lee, K.I.; Park, J.H.; Park, K.B.

    2002-01-01

    Based on the GMP codes for radiopharmaceuticals in U.K. and some advanced countries, suitable guidelines for the production facility have been established and followed them up. The facility designs were fairly modified to maintain cleanliness criteria for installation in the existing radioisotope production facilities which are installed only in radiation safety points of view. Detailed design brief was drawn up by the Hyundai Engineering staffs, on the basis of initial planning and conceptual design was carried out by authors. Hot cells were installed in preparation room for radioactive handling. As hot cells under negative air pressure are not properly airtight, the surrounding environment was designed to keep less than class 10,000. Hot cells were designed to maintain less than class 1 0,000 and partially less than class 1 00 for production of sterile products. Final products will be autoclaved for sterilization after filling. To avoid contamination by microorganisms and particles of surrounding area, air curtain with vertical laminar flow will be installed between anteroom and corridor. In a pharmaceutical environment, the main consideration is the protection of the product. Thus, work station is held above ambient pressure. However, when handling radioactive materials, air pressure for work station should be lower than in surrounding areas to protect the operators and the remainder of the facility from airborne radioactive contamination. As Radiopharmaceuticals are radioactive materials for medical use, changing room could be held higher pressure than any other zones. It is expected that the facility will be effectively used for both routine preparation and research for sterile radiopharmaceuticals. (Author)

  5. Geothermal heating retrofit at the Utah State Prison Minimum Security Facility. Final report, March 1979-January 1986

    Energy Technology Data Exchange (ETDEWEB)

    1986-01-01

    This report is a summary of progress and results of the Utah State Prison Geothermal Space Heating Project. Initiated in 1978 by the Utah State Energy Office and developed with assistance from DOE's Division of Geothermal and Hydropower Technologies PON program, final construction was completed in 1984. The completed system provides space and water heating for the State Prison's Minimum Security Facility. It consists of an artesian flowing geothermal well, plate heat exchangers, and underground distribution pipeline that connects to the existing hydronic heating system in the State Prison's Minimum Security Facility. Geothermal water disposal consists of a gravity drain line carrying spent geothermal water to a cooling pond which discharges into the Jordan River, approximately one mile from the well site. The system has been in operation for two years with mixed results. Continuing operation and maintenance problems have reduced the expected seasonal operation from 9 months per year to 3 months. Problems with the Minimum Security heating system have reduced the expected energy contribution by approximately 60%. To date the system has saved the prison approximately $18,060. The total expenditure including resource assessment and development, design, construction, performance verification, and reporting is approximately $827,558.

  6. Requirements for facilities transferring or receiving select agents. Final rule.

    Science.gov (United States)

    2001-08-31

    CDC administers regulations that govern the transfer of certain biological agents and toxins ("select agents"). These regulations require entities that transfer or receive select agents to register with CDC and comply with biosafety standards contained in the Third Edition of the CDC/NIH publication "Biosafety in Microbiological and Biomedical Laboratories ("BMBL")." On October 28,1999, CDC published a Notice of Proposed Rulemaking ("NPRM") seeking both to revise the biosafety standards facilities must follow when handling select agents and to provide new biosecurity standards for such facilities. These new standards are contained in the Fourth Edition of BMBL, which the NPRM proposed to incorporate by reference, thereby replacing the Third Edition. No comments were received in response to this proposal. CDC is therefore amending its regulations to incorporate the Fourth Edition.

  7. Final Environmental Statement related to the decommissioning of the Rare Earths Facility, West Chicago, Illinois. Docket No. 40-2061

    International Nuclear Information System (INIS)

    1983-05-01

    This Final Environmental Statement is issued by the US Nuclear Regulatory Commission in response to the plan proposed by Kerr-McGee Chemical Corporation for the decommissioning of their Rare Earths Facility located in West Chicago, Illinois. The statement considers the Kerr-McGee preferred plan and various alternatives to that plan. The action proposed by the Commission is the renewal of the Kerr-McGee license to allow stabilization of wastes onsite and for possession of the wastes under license for an indeterminate time. The license could be terminated at a later date if certain specified requirements were met

  8. Quality control of conventional radiographic facilities in Kinshasa

    International Nuclear Information System (INIS)

    Woto, M.L.; Lukanda, M.V.; Mulumba, L.C.P.; Palangu

    2009-01-01

    The continuous development of medical applications of ionizing radiation, due to the benefit derived by diagnostic or therapeutic patients, their diversity, ease of implementation, explains the importance of medical exposure. The latter is currently the leading cause of human exposure to artificial origin. The purpose of this study is to contribute to the optimization of radiographic facilities in the city of Kinshasa. This study has revealed that city of Kinshasa has an average of 122 medical training with conventional radiology facilities distributed in six districts of health. Of the 122 facilities, only 30 (or 24.59%) are controlled from the point of view of quality assurance. Some generators and X-ray tubes are respectively controlled adjustment and de centered, and other devices are cannibalized. So, nationally and particularly in Kinshasa, quality control equipment and diagnostic facilities is at a generally delayed compared with international recommendations of X W. Major efforts must be made at government level to raise awareness and establish a quality assurance program in diagnostic radiology. An awareness of the entire medical profession and the competent administrative authorities of medical devices could be beneficial to the quality of care delivered to patients, limiting radiation exposure and improving image quality and only the financial balance of the health sector. The delivery of quality care passes through the justification of acts, the development and dissemination of good practice references and the establishment of quality control radiological installations.

  9. Final report of the HFIR [High Flux Isotope Reactor] irradiation facilities improvement project

    International Nuclear Information System (INIS)

    Montgomery, B.H.; Thoms, K.R.; West, C.D.

    1987-09-01

    The High-Flux Isotope Reactor (HFIR) has outstanding neutronics characteristics for materials irradiation, but some relatively minor aspects of its mechanical design severely limited its usefulness for that purpose. In particular, though the flux trap region in the center of the annular fuel elements has a very high neutron flux, it had no provision for instrumentation access to irradiation capsules. The irradiation positions in the beryllium reflector outside the fuel elements also have a high flux; however, although instrumented, they were too small and too few to replace the facilities of a materials testing reactor. To address these drawbacks, the HFIR Irradiation Facilities Improvement Project consisted of modifications to the reactor vessel cover, internal structures, and reflector. Two instrumented facilities were provided in the flux trap region, and the number of materials irradiation positions in the removable beryllium (RB) was increased from four to eight, each with almost twice the available experimental space of the previous ones. The instrumented target facilities were completed in August 1986, and the RB facilities were completed in June 1987

  10. Evaluation of Antidiabetic Prescriptions from Medical Reimbursement Applications at Banaras Hindu University Health Care Facility

    Directory of Open Access Journals (Sweden)

    Dev Priya

    2015-10-01

    Full Text Available Background: Diabetes is on rapid increase in third world countries undergoing rapid transition in terms of development particularly in India, which is often being referred as Diabetic capital. It is a disease more prevalent at latter part of life of human beings when finances dwindle and social care gets neglected. The medication continues till the whole life on a regular basis. In present study, the objective has been to provide pharmacoeconomic medication to the diabetic pensioners in the backdrop as mentioned in above background.Methods: The data was collected at the medical reimbursement section of pensioners of the University. The data was examined to answer issues of therapeutic decisions in the light of the pharmacoeconomic considerations. In this paper essentially data on choice of prescriptions with the angle of pharmacoeconomic prudence were included. The dichotomy of specialist versus non specialist prescribers at the tertiary center (i.e. medical college hospital was compared. Effort was made to define merit of the prescription based on comprehensive considerations of patient profile, disease profile and therapeutic choice.Results: Total 72 prescriptions were analyzed for the study in which 475 drugs were prescribed to the patients.  Total antidiabetic drugs prescribed to the patients were 169. Out of 72 cases 39 were males and 33 were females with mean age 66.04 ± 5.80 (Mean ± SEM. The average number of drugs per prescription was 6.59 which was very high as per guidelines. Most commonly prescribed antidiabetic drug was Metformin (63.89% followed by Glimepiride (31.95%.Conclusion: This study reflects that there is need to make available the standard therapeutic optionat University Health Care Facility based upon pharmacoeconomic considerations.

  11. Final report for fuel acquisition and design of a fast subcritical blanket facility

    International Nuclear Information System (INIS)

    Clikeman, F.M.; Ott, K.O.

    1976-01-01

    A summary is presented of work leading to the design of a subcritical facility for the study of fast reactor blankets. Included are activities related to fuel acquisition, design of the facility, and experiment planning

  12. Improving the regulation of safety at DOE nuclear facilities. Final report: Appendices

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-12-01

    The report strongly recommends that, with the end of the Cold War, safety and health at DOE facilities should be regulated by outside agencies rather than by any regulatory scheme, DOE must maintain a strong internal safety management system; essentially all aspects of safety at DOE`s nuclear facilities should be externally regulated; and existing agencies rather than a new one should be responsible for external regulation.

  13. Improving the regulation of safety at DOE nuclear facilities. Final report: Appendices

    International Nuclear Information System (INIS)

    1995-12-01

    The report strongly recommends that, with the end of the Cold War, safety and health at DOE facilities should be regulated by outside agencies rather than by any regulatory scheme, DOE must maintain a strong internal safety management system; essentially all aspects of safety at DOE's nuclear facilities should be externally regulated; and existing agencies rather than a new one should be responsible for external regulation

  14. Final safety analysis report (FSAR) for waste receiving and processing (WRAP) facility

    International Nuclear Information System (INIS)

    Weidert, J.R.

    1997-01-01

    This safety analysis report provides a summary description of the WRAP Facility, focusing on significant safety-related characteristics of the location and facility design. This report demonstrates that adherence to the safety basis wi11 ensure necessary operational safety considerations have been addressed sufficiently and justifies the adequacy of the safety basis in protecting the health and safety of the public, workers, and the environment

  15. Medical students' preparation for the transition to postgraduate training through final year elective rotations.

    Science.gov (United States)

    van den Broek, W E Sjoukje; Wijnen-Meijer, Marjo; Ten Cate, Olle; van Dijk, Marijke

    2017-01-01

    Objectives: This study adds to the ongoing discussion on how to ease the transition from undergraduate medical training to postgraduate training. In the Netherlands there is no central matching system for admission to residency. Medical school graduates just apply for a position in an open job market. Many choose to acquire general or specialty-specific clinical experiences after the medical degree before residency, to further explore career opportunities and to increase their chances to get into their preferred specialty. To shorten this gap between undergraduate and the start of postgraduate training, the sixth and final year of most Dutch medical schools is designed as a "transitional year". Students work with more clinical responsibilities than in the earlier clerkships, and this year includes many elective options. Our study focuses on these elective options and explores how medical students use these transitional year electives to prepare for transition to postgraduate training. Methods: In 2012-2013 we asked all 274 graduating students at one Dutch medical school to complete an open-answer questionnaire with the following topics: their preferred specialty at the start of the transitional year, electives they chose during this year and reasons for these choices, and whether the transitional year electives changed their career considerations. Questionnaire results were coded by two researchers and were discussed with all members of the research team. Results: A total of 235 students responded (86%). Answers about motivation for choices revealed that most electives where chosen for career orientation and to optimize chances to get into a residency program. Students also focused on additional experiences in specialties related to their preferred specialty. Many students chose electives logically related to each other, e.g. combinations of surgery and radiology. About two-thirds of the respondents stated that their elective experiences did confirm their specialty

  16. A human factors engineering evaluation of the Multi-Function Waste Tank Facility. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Donohoo, D.T. [Pacific Northwest Lab., Richland, WA (United States); Sarver, T.L. [ARES Corp., San Francisco, CA (United States)

    1995-06-05

    This report documents the methods and results of a human factors engineering (HFE) review conducted on the Multi-Function Waste Tank Facility (MWTF), Westinghouse Hanford Company (WHC) Project 236A, to be constructed at the U.S. Department of Energy (DOE) facility at Hanford, Washington. This HFE analysis of the MWTF was initiated by WHC to assess how well the current facility and equipment design satisfies the needs of its operations and maintenance staff and other potential occupants, and to identify areas of the design that could benefit from improving the human interfaces at the facility. Safe and effective operations, including maintenance, is a primary goal for the MWTF. Realization of this goal requires that the MWTF facility, equipment, and operations be designed in a manner that is consistent with the abilities and limitations of its operating personnel. As a consequence, HFE principles should be applied to the MWTF design, construction, its operating procedures, and its training. The HFE review was focused on the 200-West Area facility as the design is further along than that of the 200-East Area. The review captured, to the greatest extent feasible at this stage of design, all aspects of the facility activities and included the major topics generally associated with HFE (e.g., communication, working environment). Lessons learned from the review of the 200 West facility will be extrapolated to the 200-East Area, as well as generalized to the Hanford Site.

  17. A human factors engineering evaluation of the Multi-Function Waste Tank Facility. Final report

    International Nuclear Information System (INIS)

    Donohoo, D.T.; Sarver, T.L.

    1995-01-01

    This report documents the methods and results of a human factors engineering (HFE) review conducted on the Multi-Function Waste Tank Facility (MWTF), Westinghouse Hanford Company (WHC) Project 236A, to be constructed at the U.S. Department of Energy (DOE) facility at Hanford, Washington. This HFE analysis of the MWTF was initiated by WHC to assess how well the current facility and equipment design satisfies the needs of its operations and maintenance staff and other potential occupants, and to identify areas of the design that could benefit from improving the human interfaces at the facility. Safe and effective operations, including maintenance, is a primary goal for the MWTF. Realization of this goal requires that the MWTF facility, equipment, and operations be designed in a manner that is consistent with the abilities and limitations of its operating personnel. As a consequence, HFE principles should be applied to the MWTF design, construction, its operating procedures, and its training. The HFE review was focused on the 200-West Area facility as the design is further along than that of the 200-East Area. The review captured, to the greatest extent feasible at this stage of design, all aspects of the facility activities and included the major topics generally associated with HFE (e.g., communication, working environment). Lessons learned from the review of the 200 West facility will be extrapolated to the 200-East Area, as well as generalized to the Hanford Site

  18. The Birmingham Irradiation Facility

    International Nuclear Information System (INIS)

    Dervan, P.; French, R.; Hodgson, P.; Marin-Reyes, H.; Wilson, J.

    2013-01-01

    At the end of 2012 the proton irradiation facility at the CERN PS will shut down for two years. With this in mind, we have been developing a new ATLAS scanning facility at the University of Birmingham Medical Physics cyclotron. With proton beams of energy approximately 30 MeV, fluences corresponding to those of the upgraded Large Hadron Collider (HL-LHC) can be reached conveniently. The facility can be used to irradiate silicon sensors, optical components and mechanical structures (e.g. carbon fibre sandwiches) for the LHC upgrade programme. Irradiations of silicon sensors can be carried out in a temperature controlled cold box that can be scanned through the beam. The facility is described in detail along with the first tests carried out with mini (1×1 cm 2 ) silicon sensors

  19. The Birmingham Irradiation Facility

    CERN Document Server

    Dervan, P; Hodgson, P; Marin-Reyes, H; Wilson, J

    2013-01-01

    At the end of 2012 the proton irradiation facility at the CERN PS [1] will shut down for two years. With this in mind, we have been developing a new ATLAS scanning facility at the University of Birmingham Medical Physics cyclotron. With proton beams of energy approximately 30 MeV, fluences corresponding to those of the upgraded Large Hadron Collider (HL-LHC) can be reached conveniently. The facility can be used to irradiate silicon sensors, optical components and mechanical structures (e.g. carbon fibre sandwiches) for the LHC upgrade programme. Irradiations of silicon sensors can be carried out in a temperature controlled cold box that can be scanned through the beam. The facility is described in detail along with the first tests carried out with mini (1 x 1 cm^2 ) silicon sensors.

  20. Black Lung Benefits Act: standards for chest radiographs. Direct final rule; request for comments.

    Science.gov (United States)

    2013-06-13

    Physicians and adjudicators use chest radiographs (X-rays) as a tool in evaluating whether a coal miner suffers from pneumoconiosis (black lung disease). Accordingly, the Department's regulations implementing the Black Lung Benefits Act allow the submission of radiographs in connection with benefit claims and set out quality standards for their performance. These standards are currently limited to film radiographs. In recent years, many medical facilities have phased out film radiography in favor of digital radiography. This direct final rule updates the existing film-radiograph standards and provides parallel standards for digital radiographs. This rule also updates outdated terminology and removes certain obsolete provisions.

  1. Spent Nuclear Fuel (SNF) Cold Vacuum Drying (CVD) Facility Operations Manual

    Energy Technology Data Exchange (ETDEWEB)

    IRWIN, J.J.

    1999-07-02

    This document provides the Operations Manual for the Cold Vacuum Drying Facility (CVDF). The Manual was developed in conjunction with HNF-553, Spent Nuclear Fuel Project Final Safety Analysis Report Annex B--Cold Vacuum Drying Facility. The HNF-SD-SNF-DRD-002, 1999, Cold Vacuum Drying Facility Design Requirements, Rev. 4, and the CVDF Final Design Report. The Operations Manual contains general descriptions of all the process, safety and facility systems in the CVDF, a general CVD operations sequence and references to the CVDF System Design Descriptions (SDDs). This manual has been developed for the SNFP Operations Organization and shall be updated, expanded, and revised in accordance with future design, construction and startup phases of the CVDF until the CVDF final ORR is approved.

  2. Environmental Assessment for the NASA First Response Facility

    Science.gov (United States)

    Kennedy, Carolyn

    2003-01-01

    NASA intends to construct a First Response Facility for integrated emergency response and health management. This facility will consolidate the Stennis Space Center fire department, medical clinic, security operations, emergency operations and the energy management and control center. The alternative considered is the "No Action Alternative". The proposed action will correct existing operational weaknesses and enhance capabilities to respond to medical emergencies and mitigate any other possible threats. Environmental impacts include are emissions, wetlands disturbance, solid waste generation, and storm water control.

  3. One year's experience of the WA medical cyclotron and radiopharmaceutical production facility

    International Nuclear Information System (INIS)

    DeRoach, J.; Tuchyna, T.; Jones, C.; Price, R.

    2004-01-01

    Full text: The WA PET Centre Medical Cyclotron, a facility novel in Western Australia, produced its first bolus of FDG for patient injection for PET scanning in August 2003. This paper describes the methodology and practices employed during the past 12 months for ensuring that reliable routine provision of FDG is maintained, in parallel with facilitating the development and production of achievable new radiopharmaceuticals. An FDG production team of six staff and, a maintenance and development team of 4 staff were created from the 3.4 staff specifically recruited for this service and from incumbent staff. Teams were also set up to carry out development projects related to the service. Training procedures were created under the department's ISO9001:2000 accreditation system for the certification of production and maintenance staff. Practices and documentation systems were put in place in anticipation of a pending cGMP audit. Several unplanned major changes to equipment and infrastructure were necessary post commissioning. These changes included purchase of a different FDG synthesis module from that originally supplied, and modifications to engineering services, including changes to air conditioning, changes to supply of vacuum and upgrading of drainage in the laboratory area. A device for the measurement of end of bombardment yield was built, so that the efficiencies of the various synthesis modules could be accurately determined. Strict radiation protection procedures were put in place. All staff were provided with luxels and finger TLDs for monthly reporting of their radiation levels, as well as electronic monitors for real-time monitoring. From August 2003 to June 2004 (11 months) 2229 FDG patient doses were produced and dispensed by this facility. An average of 8.0 patient doses per available working day were dispensed during the 2003 period, rising to 11.1 patient doses per day in 2004. Several 11 NH3 doses were also delivered. The cyclotron was unavailable for

  4. Investigations of actual conditions of medical radiation technologists

    International Nuclear Information System (INIS)

    2002-01-01

    At 50 year after enactment of the law of medical radiation technologists, their actual conditions were investigated. The investigation was done in December 2001 by questionnaire to directors of 10,514 facilities and answers were obtained from 4,241 facilities (40.37%). Following 11 questions (major answers and their analysis in parenthesis) were made: Nature of the facility (Private hospitals 45.8%, public ones 20.8%); State of radiation department (Independent department of the technologists from medical one about 30%); Actual job of the technologists (X-ray about 81% of the facilities, angiography 34%, CT 78%, MRI 38% where 94% of technologists conduct, nuclear medicine 17%, ultrasound 51% where, 10%); Personnel of the radiation department (21,897 persons in total/male 85%); Fulfillment of the personnel number; Treatment of the personnel; Acknowledgement system of the Technologist Society; Management of radiation instruments like daily examination; Radiation control (Leak dose measurement by technologists by themselves about 50% facilities for X-ray and radio-therapy); Medical exposure (Measurement experience about 50%); and Possession of dose rate-meter/survey-meter (Possession in about 40% facilities). (N.I.)

  5. Investigations of actual conditions of medical radiation technologists

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-12-01

    At 50 year after enactment of the law of medical radiation technologists, their actual conditions were investigated. The investigation was done in December 2001 by questionnaire to directors of 10,514 facilities and answers were obtained from 4,241 facilities (40.37%). Following 11 questions (major answers and their analysis in parenthesis) were made: Nature of the facility (Private hospitals 45.8%, public ones 20.8%); State of radiation department (Independent department of the technologists from medical one about 30%); Actual job of the technologists (X-ray about 81% of the facilities, angiography 34%, CT 78%, MRI 38% where 94% of technologists conduct, nuclear medicine 17%, ultrasound 51% where, 10%); Personnel of the radiation department (21,897 persons in total/male 85%); Fulfillment of the personnel number; Treatment of the personnel; Acknowledgement system of the Technologist Society; Management of radiation instruments like daily examination; Radiation control (Leak dose measurement by technologists by themselves about 50% facilities for X-ray and radio-therapy); Medical exposure (Measurement experience about 50%); and Possession of dose rate-meter/survey-meter (Possession in about 40% facilities). (N.I.)

  6. Quality use of medicines in aged-care facilities in Australia.

    Science.gov (United States)

    Roughead, Elizabeth E; Semple, Susan J; Gilbert, Andrew L

    2003-01-01

    Medication-related problems are most commonly reported in elderly patients. It is for this reason that the development of services supporting appropriate medication management in the elderly is paramount; particularly for those living in residential care facilities. In 1991, Australia had very limited services supporting the quality use of medicines for residents of aged-care facilities. Over 11 years, from 1991-2002, the range of services has expanded considerably. Federally funded medication review services are now available, with over 80% of residents provided with the service. Medication advisory committees, in accordance with national practice guidelines, have been established in many facilities to address issues concerning medication management. Fifty percent of Australian's pharmacies are registered to provide services, with over 10% of the country's pharmacists accredited to provide the service. National practice guidelines for medication management in aged-care facilities have been incorporated into accreditation standards for aged-care facilities, further integrating activity into the wider health system. The environment was created for these activities through the formation of the Pharmaceutical Health and Rational Use of Medicines (PHARM) Committee, an expert advisory committee, and the Australian Pharmaceutical Advisory Council (APAC), a representative council. Both groups had responsibility for advising the Federal Minister of Health. They both identified medication misadventure in residential aged care as a priority issue and through their recommendations the Government devoted funds to the development of best practice guidelines and research activity. Clinical pharmacy services in nursing-home and hostel settings were found to reduce the use of benzodiazepines, laxatives, NSAIDs and antacids leading to cost savings to the health system. Dose-administration aids were found to reduce error rates during medication administration, and the alteration of

  7. Assessment of radiation doses due to normal operation, incidents and accidents of the final disposal facility

    International Nuclear Information System (INIS)

    Rossi, J.; Raiko, H.; Suolanen, V.; Ilvonen, M.

    1999-03-01

    Radiation doses for workers of the encapsulation and disposal facility and for inhabitants in the environment caused by the facility during its operation were considered. The study covers both the normal operation of the plant and some hypothetical incidents and accidents. Occupational radiation doses inside the plant during normal operation are based on the design basis, assuming that highest permitted dose levels are prevailing in control rooms during fuel transfer and encapsulation processes. Release through the ventilation stack is assumed to be filtered both in normal operation and in hypothetical incident and accident cases. Calculation of the offsite doses from normal operation is based on the hypothesis that one fuel pin per 100 fuel bundles for all batches of spent fuel transported to the encapsulation facility is leaking. The release magnitude in incidents and accidents is based on the event chains, which lead to loss of fuel pin tightness followed by a discharge of radionuclides into the handling chamber and to some degree through the ventilation stack into atmosphere. The weather data measured at the Olkiluoto meteorological mast was employed for calculating of offsite doses. Therefore doses could be calculated in a large amount of different dispersion conditions, the statistical frequencies of which have, been measured. Finally doses were combined into cumulative distributions, from which a dose value representing the 99.5 % confidence level, is presented. The dose values represent the exposure of a critical group, which is assumed to live at the distance of 200 meters from the encapsulation and disposal plant and thus it will receive the largest doses in most dispersion conditions. Exposure pathways considered were: cloudsnine, inhalation, groundshine and nutrition (milk of cow, meat of cow, green vegetables, grain and root vegetables). Nordic seasonal variation is included in ingestion dose models. The results obtained indicate that offsite doses

  8. Glass fibre sensors for medical applications - fibre-optical dosimeter system. Cooperation project 1991-1994. Final report

    International Nuclear Information System (INIS)

    1996-01-01

    The final report summarizes the results of a cooperation project on the applications of fibre-optical sensors in medical technology. The FADOS dosimeter system is presented which comprises an implantable glass fibre dosimeter. It can be applied in radiotherapy for online dose metering directly at the tumour or in the surrounding healthy tissue. The dosimeter is placed in a tissue-compatible flexible catheter tube and remains inside the body during the radiotherapy treatiment. The measuring principle is based on the effect of radiation-induced damping inside a glass fibre. (DG) [de

  9. Perceptions of final-year UKZN medical students about anaesthesia ...

    African Journals Online (AJOL)

    perceptions of anaesthesiology was the medical school rotation, with the need for ... Conclusion:The perceptions of medical students concerning anaesthesia are multi-faceted, with ... questionnaire and were thus included in the analysis. .... commonest themes that emerged in students' responses were .... A survey of factors.

  10. Medication Administration Errors in an Adult Emergency Department of a Tertiary Health Care Facility in Ghana.

    Science.gov (United States)

    Acheampong, Franklin; Tetteh, Ashalley Raymond; Anto, Berko Panyin

    2016-12-01

    This study determined the incidence, types, clinical significance, and potential causes of medication administration errors (MAEs) at the emergency department (ED) of a tertiary health care facility in Ghana. This study used a cross-sectional nonparticipant observational technique. Study participants (nurses) were observed preparing and administering medication at the ED of a 2000-bed tertiary care hospital in Accra, Ghana. The observations were then compared with patients' medication charts, and identified errors were clarified with staff for possible causes. Of the 1332 observations made, involving 338 patients and 49 nurses, 362 had errors, representing 27.2%. However, the error rate excluding "lack of drug availability" fell to 12.8%. Without wrong time error, the error rate was 22.8%. The 2 most frequent error types were omission (n = 281, 77.6%) and wrong time (n = 58, 16%) errors. Omission error was mainly due to unavailability of medicine, 48.9% (n = 177). Although only one of the errors was potentially fatal, 26.7% were definitely clinically severe. The common themes that dominated the probable causes of MAEs were unavailability, staff factors, patient factors, prescription, and communication problems. This study gives credence to similar studies in different settings that MAEs occur frequently in the ED of hospitals. Most of the errors identified were not potentially fatal; however, preventive strategies need to be used to make life-saving processes such as drug administration in such specialized units error-free.

  11. Career preferences of final year medical students at a medical school in Kenya--A cross sectional study.

    Science.gov (United States)

    Dossajee, Hussein; Obonyo, Nchafatso; Ahmed, Syed Masud

    2016-01-11

    The World Health Organization (WHO) recommended physician to population ratio is 23:10,000. Kenya has a physician to population ratio of 1.8:10,000 and is among 57 countries listed as having a serious shortage of health workers. Approximately 52% of physicians work in urban areas, 6% in rural and 42% in peri-urban locations. This study explored factors influencing the choice of career specialization and location for practice among final year medical students by gender. A descriptive cross-sectional study was carried out on final year students in 2013 at the University of Nairobi's, School of Medicine in Kenya. Sample size was calculated at 156 students for simple random sampling. Data collected using a pre-tested self-administered questionnaire included socio-demographic characteristics of the population, first and second choices for specialization. Outcome variables collected were factors affecting choice of specialty and location for practice. Bivariate analysis by gender was carried out between the listed factors and outcome variables with calculation of odds ratios and chi-square statistics at an alpha level of significance of 0.05. Factors included in a binomial logistic regression model were analysed to score the independent categorical variables affecting choice of specialty and location of practice. Internal medicine, Surgery, Obstetrics/Gynaecology and Paediatrics accounted for 58.7% of all choices of specialization. Female students were less likely to select Obs/Gyn (OR 0.41, 95% CI =0.17-0.99) and Surgery (OR 0.33, 95% CI = 0.13-0.86) but eight times more likely to select Paediatrics (OR 8.67, 95% CI = 1.91-39.30). Surgery was primarily selected because of the 'perceived prestige of the specialty' (OR 4.3 95% CI = 1.35-14.1). Paediatrics was selected due to 'Ease of raising a family' (OR 4.08 95% CI = 1.08-15.4). Rural origin increased the odds of practicing in a rural area (OR 2.5, 95% CI = 1.04-6.04). Training abroad was more likely

  12. Waste isolation facility description: bedded salt

    Energy Technology Data Exchange (ETDEWEB)

    1976-09-01

    The waste isolation facility is designed to receive and store three basic types of solidified wastes: high-level wastes, intermediate level high-gamma transuranic waste, and low-gamma transuranic wastes. The facility under consideration in this report is designed for bedded salt at a depth of approximately 1800 ft. The present design for the facility includes an area which would be used initially as a pilot facility to test the viability of the concept, and a larger facility which would constitute the final storage area. The total storage area in the pilot facility is planned to be 77 acres and in the fuel facility 1601 acres. Other areas for shaft operations and access would raise the overall size of the total facility to slightly less than 2,000 acres. The following subjects are discussed in detail: surface facilities, shaft design and characteristics, design and construction of the underground waste isolation facility, ventilation systems, and design requirements and criteria. (LK)

  13. Waste isolation facility description: bedded salt

    International Nuclear Information System (INIS)

    1976-09-01

    The waste isolation facility is designed to receive and store three basic types of solidified wastes: high-level wastes, intermediate level high-gamma transuranic waste, and low-gamma transuranic wastes. The facility under consideration in this report is designed for bedded salt at a depth of approximately 1800 ft. The present design for the facility includes an area which would be used initially as a pilot facility to test the viability of the concept, and a larger facility which would constitute the final storage area. The total storage area in the pilot facility is planned to be 77 acres and in the fuel facility 1601 acres. Other areas for shaft operations and access would raise the overall size of the total facility to slightly less than 2,000 acres. The following subjects are discussed in detail: surface facilities, shaft design and characteristics, design and construction of the underground waste isolation facility, ventilation systems, and design requirements and criteria

  14. Abortion Services and Military Medical Facilities

    Science.gov (United States)

    2010-12-16

    Graduate Medical Education has directed obstetrical residents should be taught how to perform abortions, unless they have a moral or religious objection...of Violence Act 2004,” below.) Proponents note that such language would recognize the victimization of the child while in utero and afford...Victims of Violence Act of 2004 (Laci and Conner’s Law)” into law.81 Although intended to protect fetuses, this legislation contains a provision that

  15. Report of the international workshop on safety measures to address the year 2000 issue at medical facilities which use radiation generators and radioactive materials. (Supplement to IAEA-TECDOC-1074)

    International Nuclear Information System (INIS)

    1999-08-01

    In resolution GC(42)/RES/11 on 'Measures to Address the Year 2000 (Y2K) Issue', adopted on 25 September 1998, the General Conference of the International Atomic Energy Agency (IAEA) - inter alia - urged Member States 'to share information with the Secretariat regarding diagnostic and corrective actions being planned or implemented by operating and regulatory organizations at their ... medical facilities which use radioactive materials to make those facilities Year 2000 ready', encouraged the Secretariat 'within existing resources to act as a clearing-house and central point of contact for Member States to exchange information regarding diagnostic and remediation actions being taken at ... medical facilities which use radioactive materials to make these facilities Year 2000 ready', urged the Secretariat 'to handle the information provided by Member States carefully' and requested the Director General to report to it at its next (1999) regular session on the implementation of that resolution. To foster exchange of information and experience and to develop more specific advice based on this experience, the IAEA, in co-operation with the World Health Organization, conducted an International Workshop on Safety Measures to Address the Year 2000 Issue at Medical Facilities Which Use Radiation Generators and Radioactive Materials, held in Vienna, 28-30 June 1999. Whereas the focus in IAEA-TECDOC-1074 had been on identifying what might go wrong as a result of Y2K problems and on proposing methods to address them, the focus of the International Workshop was on sharing the experience gained in implementing the proposed methods - an approach consistent with the role of the Secretariat as 'a clearing-house and central point of contact for Member States to exchange information regarding diagnostic and remediation actions'

  16. HIV testing in nonhealthcare facilities among adolescent MSM.

    Science.gov (United States)

    Marano, Mariette R; Stein, Renee; Williams, Weston O; Wang, Guoshen; Xu, Songli; Uhl, Gary; Cheng, Qi; Rasberry, Catherine N

    2017-07-01

    To describe the extent to which Centers for Disease Control and Prevention (CDC)-funded HIV testing in nonhealthcare facilities reaches adolescent MSM, identifies new HIV infections, and links those newly diagnosed to medical care. We describe HIV testing, newly diagnosed positivity, and linkage to medical care for adolescent MSM who received a CDC-funded HIV test in a nonhealthcare facility in 2015. We assess outcomes by race/ethnicity, HIV-related risk behaviors, and US geographical region. Of the 703 890 CDC-funded HIV testing events conducted in nonhealthcare facilities in 2015, 6848 (0.9%) were provided to adolescent MSM aged 13-19 years. Among those tested, 1.8% were newly diagnosed with HIV, compared with 0.7% among total tests provided in nonhealthcare facilities regardless of age and sex. The odds of testing positive among black adolescent MSM were nearly four times that of white adolescent MSM in multivariable analysis (odds ratio = 3.97, P adolescent MSM newly diagnosed with HIV, 67% were linked to HIV medical care. Linkage was lower among black (59%) and Hispanic/Latino adolescent MSM (71%) compared with white adolescent MSM (88%). CDC-funded nonhealthcare facilities can reach and provide HIV tests to adolescent MSM and identify new HIV infections; however, given the low rate of HIV testing overall and high engagement in HIV-related risk behaviors, there are opportunities to increase access to HIV testing and linkage to care for HIV-positive adolescent MSM. Efforts are needed to identify and address the barriers that prevent black and Hispanic/Latino adolescent MSM from being linked to HIV medical care in a timely manner.

  17. A cross-sectional assessment of stress, coping, and burnout in the final-year medical undergraduate students

    Directory of Open Access Journals (Sweden)

    Shantanu Singh

    2016-01-01

    Full Text Available Background: Medical students undergo significant stress during training which may lead to own suffering or problem in patient care. High level of burnouts and depression is also not uncommon. The transition from preclinical to clinical training has been regarded as crucial to student in relation to the stress. Methodology: An assessment of perceived stress and its relation to general psychopathology, the pattern of coping, and burnout in the final-year medical student was done to bring out clear nature, pattern, and extent of the problem. Results: Perceived stress had statistically significant association with general psychopathology and depressive-anxiety component of burnout. Acceptance, positive reframing, humor, planning, and active coping correlated with lower score on perceived stress. Conclusion: Higher score on perceived stress was associated with higher scores on general psychopathology and burnout. Age of joining MBBS course and doctor in the family did not affect the stress significantly. People who displayed positive coping strategies had lesser stress and general psychopathology.

  18. Access to Medication Abortion Among California's Public University Students.

    Science.gov (United States)

    Upadhyay, Ushma D; Cartwright, Alice F; Johns, Nicole E

    2018-06-09

    A proposed California law will require student health centers at public universities to provide medication abortion. To understand its potential impact, we sought to describe current travel time, costs, and wait times to access care at the nearest abortion facilities. We projected total medication abortion use based on campus enrollment figures and age- and state-adjusted abortion rates. We calculated distance and public transit time from campuses to the nearest abortion facility. We contacted existing abortion-providing facilities to determine costs, insurance acceptance, and wait times. We estimate 322 to 519 California public university students seek medication abortions each month. As many as 62% of students at these universities were more than 30 minutes from the closest abortion facility via public transportation. Average cost of medication abortion was $604, and average wait time to the first available appointment was one week. College students face cost, scheduling, and travel barriers to abortion care. Offering medication abortion on campus could reduce these barriers. Copyright © 2018 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  19. The effects of the final disposal facility for spent nuclear fuel on regional and municipal economy assessment of socio economical impacts

    International Nuclear Information System (INIS)

    Laakso, S.; Kuisma, H.; Kilpelaeinen, P.; Kostiainen, E.

    2007-12-01

    The aim of this study is to give an up-to-date assessment of the effects the construction of the final disposal facility for spent nuclear fuel in Eurajoki, based on latest knowledge. The disposal facility's effects on employment, population, housing construction, community structure and economy are estimated in the municipality of Eurajoki and in the wider region under the influence of the facility. The time-span of the report reaches from 2001 to the early 2020's when the facility will be in operation. The investment in research and construction of the disposal facility during the years 2004-2020 will be all together approximately 290 million euros. The estimation for the overall effect on national employment during the years 2001-2020 is circa 6 800 manyears, of which 4 200 man-years are from direct effects and 2 600 from indirect effects. The direct employment effects of the project will be at its highest approximately 325 man-year per year in 2020. The direct effect on employment during the operational period is estimated to be circa 130 man-years per year, of which the share of regular employees of Posiva is slightly over 100 man-years. At its highest, about 45 man-years per year of the total effect on employment (direct + indirect effects) will be directed to Eurajoki municipality. During the operational phase the share of Eurajoki is estimated to be circa 30 man-years per year. For the whole region, the effect of the disposal facility on employment will be significant, at its height in 2020, approximately 220 man-years per year. The disposal facility will also have an effect on the size and the structure of the population due to changes in employment and jobs. The estimation for the cumulative effect on the growth of the population caused by the facility is 80 more inhabitants in Eurajoki by 2020, which corresponds to 1,4 % of the municipality's current population. The growth of the population brought about by the facility in the whole region is estimated

  20. The Australian National Proton Facility

    International Nuclear Information System (INIS)

    Jackson, M.; Rozenfeld, A.; Bishop, J.

    2002-01-01

    Full text: Protons have been used in the treatment of cancer since 1954 and over 30,000 patients have been treated around the world. Their precise dose distribution allows the treatment of small tumours in critical locations such as the base of skull and orbit and is an alternative to stereotactic radiotherapy in other sites. With the development of hospital-based systems in the 1990's, common tumours such as prostate, breast and lung cancer can now also be treated using simple techniques. The therapeutic ratio is improved as the dose to the tumour can be increased while sparing normal tissues. The well defined high dose region and low integral dose compared with photon treatments is a particular advantage in children and other situations where long-term survival is expected and when used in combination with chemotherapy. In January 2002, the NSW Health Department initiated a Feasibility Study for an Australian National Proton Facility. This Study will address the complex medical, scientific, engineering, commercial and legal issues required to design and build a proton facility in Australia. The Facility will be mainly designed for patient treatment but will also provide facilities for biological, physical and engineering research. The proposed facility will have a combination of fixed and rotating beams with an energy range of 70-250 MeV. Such a centre will enable the conduct of randomised clinical trials and a comparison with other radiotherapy techniques such as Intensity Modulated Radiation Therapy. Cost-utility comparisons with other medical treatments will also be made and further facilities developed if the expected benefit is confirmed. When patients are not being treated, the beam will be available for commercial and research purposes. This presentation will summarize the progress of the Study and discuss the important issues that need to be resolved before the Facility is approved and constructed

  1. 77 FR 14416 - Notice of Availability of a Final Environmental Impact Statement and Final Environmental Impact...

    Science.gov (United States)

    2012-03-09

    ...In accordance with the National Environmental Policy Act of 1969, as amended (NEPA), and the Federal Land Policy and Management Act of 1976, as amended (FLPMA), the Bureau of Land Management (BLM) has prepared a Proposed California Desert Conservation Area (CDCA) Plan Amendment (PA)/Final Environmental Impact Statement (EIS) and Final Environmental Impact Report (EIR) for the Ocotillo Express Wind Energy Facility (OWEF) and by this notice is announcing the availability of the Proposed PA and Final EIS/EIR.

  2. Screening Study for Utilizing Feedstocks Grown on CRP Lands in a Biomass to Ethanol Production Facility: Final Subcontract Report; July 1998

    Energy Technology Data Exchange (ETDEWEB)

    American Coalition for Ethanol; Wu, L.

    2004-02-01

    Feasibility study for a cellulosic ethanol plant using grasses grown on Conservation Reserve Program lands in three counties of South Dakota, with several subcomponent appendices. In 1994, there were over 1.8 million acres of CRP lands in South Dakota. This represented approximately 5 percent of the total U.S. cropland enrolled in the CRP. Nearly 200,000 acres of CRP lands were concentrated in three northeastern South Dakota counties: Brown, Marshall and Day. Most of the acreage was planted in Brohm Grass and Western Switchgrass. Technology under development at the U.S. Department of Energy's National Renewable Energy Laboratory (NREL), and at other institutions, is directed towards the economical production of fuel-grade ethanol from these grasses. The objective of this study is to identify and evaluate a site in northeastern South Dakota which would have the greatest potential for long-term operation of a financially attractive biomass-to-ethanol production facility. The effort shall focus on ethanol marketing issues which would provide for long-term viability of the facility, feedstock production and delivery systems (and possible alternatives), and preliminary engineering considerations for the facility, as well as developing financial pro-formas for a proposed biomass-to-ethanol production facility in northeastern South Dakota. This Final Report summarizes what was learned in the tasks of this project, pulling out the most important aspects of each of the tasks done as part of this study. For greater detail on each area it is advised that the reader refer to the entire reports which are included as appendixes.

  3. Design of the PRIDE Facility

    International Nuclear Information System (INIS)

    You, Gil Sung; Choung, Won Myung; Lee, Eun Pyo; Cho, Il Je; Kwon, Kie Chan; Hong, Dong Hee; Lee, Won Kyung; Ku, Jeong Hoe

    2009-01-01

    From 2007, KAERI is developing a PyRoprocess Integrated inactive DEmonstration facility (the PRIDE facility). The maximum annual treatment capacity of this facility will be a 10 ton-HM. The process will use a natural uranium feed material or a natural uranium mixed with some surrogate material for a simulation of a spent fuel. KAERI has also another plan to construct a demonstration facility which can treat a real spent fuel by pyroprocessing. This facility is called by ESPF, Engineering Scale Pyroprocess Facility. The ESPF will have the same treatment capability of spent fuel with the PRIDE facility. The only difference between the PRIDE and the ESPF is a radiation shielding capability. From the PRIDE facility designing works and demonstration with a simulated spent fuel after construction, it will be able to obtain the basic facility requirements, remote operability, interrelation properties between process equipment for designing of the ESPF. The flow sheet of the PRIDE processes is composed of five main processes, such as a decladding and voloxidation, an electro-reduction, an electrorefining, an electro-winning, and a salt waste treatment. The final products from the PRIDE facility are a simulated TRU metal and U metal ingot

  4. [Anesthesia practice in Catalan hospitals and other health care facilities].

    Science.gov (United States)

    Villalonga, Antonio; Sabaté, Sergi; Campos, Juan Manuel; Fornaguera, Joan; Hernández, Carmen; Sistac, José María

    2006-05-24

    The aim of this arm of the ANESCAT study was to characterize anesthesia practice in the various types of health care facilities of Catalonia, Spain, in 2003. We analyzed data from the survey according to a) source of a facility's funding: public hospitals financed by the Catalan Public Health Authority (ICS), the network of subsidized hospitals for public use (XHUP), or private hospitals; b) size: facilities without hospital beds, hospitals with fewer than 250 beds, those with 251 to 500, and those with over 500; and c) training accreditation status: whether or not a facility gave medical resident training. A total of 131 facilities participated (11 under the ICS, 47 from the XHUP, and 73 private hospitals). Twenty-six clinics had no hospital beds, 78 facilities had fewer than 250, 21 had 251 to 500, and 6 had more than 500. Seventeen hospitals trained medical residents. XHUP hospitals performed 44.3% of all anesthetic procedures, private hospitals 36.7%, and ICS facilities 18.5%. Five percent of procedures were performed in clinics without beds, 42.9% in facilities with fewer than 250 beds, 35% in hospitals with 251 to 500, and 17.1% in hospitals with over 500. Anesthetists in teaching hospitals performed 35.5% of all procedures. The mean age of patients was lower in private hospitals, facilities with fewer than 250 beds, and hospitals that did not train medical residents. The physical status of patients was worse in ICS hospitals, in facilities with over 500 beds, and in teaching hospitals. It was noteworthy that 25% of anesthetic procedures were performed on an emergency basis in XHUP and ICS hospitals, in facilities with more than 250 beds, and in teaching hospitals. Anesthesia for outpatient procedures accounted for 40% of the total in private hospitals and 31% of the practice in ICS and XHUP hospitals. The duration of anesthesia and postanesthetic recovery was longer in ICS hospitals, in facilities with over 500 beds, and in those with medical resident

  5. STAR facility tritium accountancy

    International Nuclear Information System (INIS)

    Pawelko, R. J.; Sharpe, J. P.; Denny, B. J.

    2008-01-01

    The Safety and Tritium Applied Research (STAR) facility has been established to provide a laboratory infrastructure for the fusion community to study tritium science associated with the development of safe fusion energy and other technologies. STAR is a radiological facility with an administrative total tritium inventory limit of 1.5 g (14,429 Ci) [1]. Research studies with moderate tritium quantities and various radionuclides are performed in STAR. Successful operation of the STAR facility requires the ability to receive, inventory, store, dispense tritium to experiments, and to dispose of tritiated waste while accurately monitoring the tritium inventory in the facility. This paper describes tritium accountancy in the STAR facility. A primary accountancy instrument is the tritium Storage and Assay System (SAS): a system designed to receive, assay, store, and dispense tritium to experiments. Presented are the methods used to calibrate and operate the SAS. Accountancy processes utilizing the Tritium Cleanup System (TCS), and the Stack Tritium Monitoring System (STMS) are also discussed. Also presented are the equations used to quantify the amount of tritium being received into the facility, transferred to experiments, and removed from the facility. Finally, the STAR tritium accountability database is discussed. (authors)

  6. National facilities for the management of institutional radioactive waste in Romania

    International Nuclear Information System (INIS)

    Rotarescu, Gh.; Turcanu, C.N.; Dragolici, F.; Nicu, M.; Lungu, L.; Cazan, L.; Matei, G.; Guran, V.

    2000-01-01

    The management of the non-fuel cycle radioactive wastes from all over Romania is centralized at IFIN-HH in the Radioactive Waste Treatment Plant (STDR). Final disposal is carried out at the National Repository of Radioactive Wastes (DNDR) at Baita Bihor. Radioactive waste treated at STDR arise from three main sources: 1. Wastes arising from the WWR-S research reactor during operation and the future decommissioning works; 2. Local waste from other facilities operating on IFIN-HH site. These sources include wastes generated during the normal activities of the STDR; 3. Wastes from IFIN-HH off site facilities and activities including medical, biological, and industrial applications all over the country. The Radiochemical Production Center, operating within IFIN-HH is the most important source of low and intermediate level radioactive wastes (liquid and solid), as the operational wastes arising from processing at STDR are. The STDR basically consists of liquid and solid waste treatment and conditioning facilities, a radioactive decontamination centre, a laundry and an intermediate storage area. The processing system of the STDR are located at six principal areas performing the following activities: 1. Liquid effluent treatment; 2. Burning of combustible solid stuff; 3. Compaction of solid non-combustible stuff; 4. Cement conditioning; 5. Radioactive decontamination; 6. Laundry. The annual designed treatment capacity of the plant is 1500 m 3 Low Level Aqueous Waste, 100 m 3 Low Level Solid Waste and shielded drums for Intermediate Level Waste. The temporary storage within and final disposal of waste in the frame of DNDR are explained as well as the up-dating of institutional radioactive waste infrastructure

  7. The Impact of Bar Code Medication Administration Technology on Reported Medication Errors

    Science.gov (United States)

    Holecek, Andrea

    2011-01-01

    The use of bar-code medication administration technology is on the rise in acute care facilities in the United States. The technology is purported to decrease medication errors that occur at the point of administration. How significantly this technology affects actual rate and severity of error is unknown. This descriptive, longitudinal research…

  8. Maintenance, repair and operation (MRO) of shutdown facilities

    International Nuclear Information System (INIS)

    Kenny, S.

    2006-01-01

    What level of maintenance does one apply to a shutdown facility? Well it depends on who you ask. Operations staff sees facilities that have completed their useful life cycle as a cost drain while Decommissioning staff sees this as the start of a new life cycle. Based on the decommissioning plan for the particular facility the building could complete another full life cycle while under decommissioning whether it is in storage with surveillance mode or under active decommissioning. This paper will explore how you maintain a facility and systems for many years after its useful life until final decommissioning is completed. When a building is declared redundant, who looks after it until the final decommissioning end state is achieved? At the AECL, Chalk River Labs site the safe shutdown and turnover process is one key element that initiates the decommissioning process. The real trick is orchestrating maintenance, repair and operation plans for a facility that has been poorly invested in during its last years of useful life cycle. To add to that usually shutdowns are prolonged for many years beyond the expected turnover period. During this presentation I will cover what AECL is doing to ensure that the facilities are maintained in a proper state until final decommissioning can be completed. All facilities or systems travel through the same life cycle, design, construction, commissioning, operation, shutdown and demolition. As we all know, nuclear facilities add one more interesting twist to this life cycle called Decommissioning that lands between shutdown and demolition. As a facility nears the shutdown phase, operations staff loose interest in the facility and stop investing in upgrades, repairs and maintenance but continue to invest and focus on maximizing operations. Facility maintenance standards produced by the International Facility Maintenance Association (IFMA) based on a survey done every year state that 2.2% of the total operating costs for the site should be

  9. Medication Refusal: Resident Rights, Administration Dilemma.

    Science.gov (United States)

    Haskins, Danielle R; Wick, Jeannette Y

    2017-12-01

    Occasionally, residents actively or passively refuse to take medications. Residents may refuse medication for a number of reasons, including religious beliefs, dietary restrictions, misunderstandings, cognitive impairment, desire to self-harm, or simple inconvenience. This action creates a unique situation for pharmacists and long-term facility staff, especially if patients have dementia. Residents have the legal right to refuse medications, and long-term care facilities need to employ a process to resolve disagreement between the health care team that recommends the medication and the resident who refuses it. In some cases, simple interventions like selecting a different medication or scheduling medications in a different time can address and resolve the resident's objection. If the medical team and the resident cannot resolve their disagreement, often an ethics consultation is helpful. Documenting the resident's refusal to take any or all medications, the health care team's actions and any other outcomes are important. Residents' beliefs may change over time, and the health care team needs to be prepared to revisit the issue as necessary.

  10. Final Status Survey Report for Corrective Action Unit 117 - Pluto Disassembly Facility, Building 2201, Nevada National Security Site, Nevada

    International Nuclear Information System (INIS)

    Gwin, Jeremy; Frenette, Douglas

    2010-01-01

    This document contains the process knowledge, radiological data and subsequent statistical methodology and analysis to support approval for the radiological release of Corrective Action Unit (CAU) 117 - Pluto Disassembly Facility, Building 2201 located in Area 26 of the Nevada National Security Site (NNSS). Preparations for release of the building began in 2009 and followed the methodology described in the Multi-Agency Radiation Survey and Site Investigation Manual (MARSSIM). MARSSIM is the DOE approved process for release of Real Property (buildings and landmasses) to a set of established criteria or authorized limits. The pre-approved authorized limits for surface contamination values and corresponding assumptions were established by DOE O 5400.5. The release criteria coincide with the acceptance criteria of the U10C landfill permit. The U10C landfill is the proposed location to dispose of the radiologically non-impacted, or ''clean,'' building rubble following demolition. However, other disposition options that include the building and/or waste remaining at the NNSS may be considered providing that the same release limits apply. The Final Status Survey was designed following MARSSIM guidance by reviewing historical documentation and radiological survey data. Following this review a formal radiological characterization survey was performed in two phases. The characterization revealed multiple areas of residual radioactivity above the release criteria. These locations were remediated (decontaminated) and then the surface activity was verified to be less than the release criteria. Once remediation efforts had been successfully completed, a Final Status Survey Plan (10-015, ''Final Status Survey Plan for Corrective Action Unit 117 - Pluto Disassembly Facility, Building 2201'') was developed and implemented to complete the final step in the MARSSIM process, the Final Status Survey. The Final Status Survey Plan consisted of categorizing each individual room into one

  11. Dual axis radiographic hydrodynamic test facility. Final environmental impact statement, Volume 2: Public comments and responses

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-08-01

    On May 12, 1995, the U.S. Department of Energy (DOE) issued the draft Dual Axis Radiographic Hydrodynamic Test Facility Environmental Impact Statement (DARHT EIS) for review by the State of New Mexico, Indian Tribes, local governments, other Federal agencies, and the general public. DOE invited comments on the accuracy and adequacy of the draft EIS and any other matters pertaining to their environmental reviews. The formal comment period ran for 45 days, to June 26, 1995, although DOE indicated that late comments would be considered to the extent possible. As part of the public comment process, DOE held two public hearings in Los Alamos and Santa Fe, New Mexico, on May 31 and June 1, 1995. In addition, DOE made the draft classified supplement to the DARHT EIS available for review by appropriately cleared individuals with a need to know the classified information. Reviewers of the classified material included the State of New Mexico, the U.S. Environmental Protection Agency, the Department of Defense, and certain Indian Tribes. Volume 2 of the final DARHT EIS contains three chapters. Chapter 1 includes a collective summary of the comments received and DOE`s response. Chapter 2 contains the full text of the public comments on the draft DARHT EIS received by DOE. Chapter 3 contains DOE`s responses to the public comments and an indication as to how the comments were considered in the final EIS.

  12. [Efficiency of medical and economic activities of a sanatorium-and-spa facility in the active phase of the public health system reform under macroeconomic instability].

    Science.gov (United States)

    Poliakov, B A; Kizeev, M V

    2010-01-01

    Results of a comprehensive study have demonstrated that the reform of the public health system currently underway in this country provides conditions for the extension of medical care based at sanatorium-and-spa facilities with simultaneous rise in relevant expenses. Bearing in mind the unstable macroeconomic situation, this requires thorough monitoring medical and economic activities of health resorts for the purpose of enhancing cost efficiency. The goal of optimization can be achieved by increasing competitive capacity based on strict control of expenditures and income redistribution for financing the most promising projects.

  13. Hand Surgery – Postoperative Recovery and Medical Tourism

    Directory of Open Access Journals (Sweden)

    Ruxandra Diana Sinescu

    2014-11-01

    Full Text Available Medical tourism is a growing industry worldwide. Romania has spa treatment facilities that can ensure the development of medical tourism. This article presents a statistical analysis of hand surgery in Romania in 2012. Using adequate quantitative methods we highlight significant differences between age groups and differences regarding procedures that have gender particularities. Recovery after such surgery can be achieved through spa treatment Romania, taking advantage of lower prices compared to other developed countries and numerous medical tourism facilities.

  14. 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

  15. 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.

  16. Medical Total Force Management

    Science.gov (United States)

    2014-05-01

    Facilities (MTFs). For specialties that are common in civilian labor markets , civilian providers generally cost less than military providers. While the...produced in Military Treatment Facilities (MTFs). For specialties that are common in civilian labor markets , civilian providers generally cost less...Attracting Fully Trained Medical Personnel,” CRM D0013237.A2 (Alexandria, VA: CNA Corporation, 2006). 66

  17. Web server for the administrative and technical documentation of the radiodiagnostic facilities

    Energy Technology Data Exchange (ETDEWEB)

    Soto, M; Campayo, J. M; Guardia, V. [Logistica y Acondicionamientos Industriales SAU, Sorolla Center, Local 10, Av. de las Cortes Valencianas No. 58, 46015 Valencia (Spain); Mayo, P., E-mail: m.soto@lainsa.co [TITANIA Servicios Tecnologicos SL, Sorolla Center, Local 10, Av. de las Cortes Valencianas No. 58, 46015 Valencia (Spain)

    2010-10-15

    Nowadays Radiological Protection Technical Unit of LAINSA as part of Grupo Dominguis, has assigned radiological security tasks in a high number of medical X-ray facilities. It is recognised by the Nuclear Security Council as a specialist in the assessment of protection against the radiological risks associated with medical, industrial and nuclear activities. It is also authorised as an external personal dosimetry centre. Concretely medical X-ray facilities generate big amount of information because of national regulatory authority to assure the good functioning of it. This information is formed by administrative procedures for the regulatory authority in industrial and public health area, periodic quality controls of the radiographic equipment s, radiological verification in different locations to measure the radioactivity levels, certificates of employees training to work with radioactivity, dosimetric registrations of professional exposure employees and medical aptitude documents for their job, etc. In this paper it is presented a net server application to manage this information in an effective way by web. In this server each facility has an online net space with private key access and where there are all the administrative documents and nuclear security reports of the facility. Moreover, the client who is responsible of the radiological security of the centre, can have at any moment all this information, minimizing delay times and optimizing the information store support in electronic format. The objective is that this information can be updated for consulting, modifying or checking at anytime quickly and safety. All this information has to be accessible for the interested medical facility, for the Radiological Protection Technical Unit which has been contracted by the facility to do the assessment in radiological protection and for the regulatory authority in nuclear security to guarantee well-practice in medical and nuclear activities. (Author)

  18. Medication management policy, practice and research in Australian residential aged care: Current and future directions.

    Science.gov (United States)

    Sluggett, Janet K; Ilomäki, Jenni; Seaman, Karla L; Corlis, Megan; Bell, J Simon

    2017-02-01

    Eight percent of Australians aged 65 years and over receive residential aged care each year. Residents are increasingly older, frailer and have complex care needs on entry to residential aged care. Up to 63% of Australian residents of aged care facilities take nine or more medications regularly. Together, these factors place residents at high risk of adverse drug events. This paper reviews medication-related policies, practices and research in Australian residential aged care. Complex processes underpin prescribing, supply and administration of medications in aged care facilities. A broad range of policies and resources are available to assist health professionals, aged care facilities and residents to optimise medication management. These include national guiding principles, a standardised national medication chart, clinical medication reviews and facility accreditation standards. Recent Australian interventions have improved medication use in residential aged care facilities. Generating evidence for prescribing and deprescribing that is specific to residential aged care, health workforce reform, medication-related quality indicators and inter-professional education in aged care are important steps toward optimising medication use in this setting. Copyright © 2016 Elsevier Ltd. All rights reserved.

  19. Medical equipment in government health facilities: missed opportunities.

    Science.gov (United States)

    Pardeshi, Geeta S

    2005-01-01

    The availability and optimal utilization of medical equipment is important for improving the quality of health services. Significant investments are made for the purchase, maintenance and repair of medical equipment. Inadequate management of these equipment will result in financial losses and deprive the public of the intended benefits. This analysis is based on the conceptual framework drawn from the WHO recommended- lifecycle of medical equipment. (1) To identify the problems in different stages of the life cycle. (2) To assess its financial implications and effect on service delivery. Analysis of secondary data from the latest Comptroller and Auditor General (CAG) Reports for the states in India. The study variables were category of equipment, financial implications and problems in the stages of life cycle. Calculation of proportions. A total of forty instances mentioning problems in the first phase of the life cycle of medical equipment were noted in 12 state reports. The equipment from the radiology department (15), equipment in the wards (5), laboratory (3) and operation theatres (4) were the ones most frequently implicated. In a majority of cases the financial implications amounted to twenty-five lakhs. The financial implications were in the form of extra expenditure, unfruitful expenditure or locking of funds. In 25 cases the equipment could not be put to use because of non-availability of trained staff and inadequate infrastructural support. Careful procurement, incoming inspection, successful installation and synchronization of qualified trained staff and infrastructural support will ensure timely onset of use of the equipment.

  20. SMS-Based Medical Diagnostic Telemetry Data Transmission Protocol for Medical Sensors

    OpenAIRE

    Townsend, Ben; Abawajy, Jemal; Kim, Tai-Hoon

    2011-01-01

    People with special medical monitoring needs can, these days, be sent home and remotely monitored through the use of data logging medical sensors and a transmission base-station. While this can improve quality of life by allowing the patient to spend most of their time at home, most current technologies rely on hardwired landline technology or expensive mobile data transmissions to transmit data to a medical facility. The aim of this paper is to investigate and develop an approach to increase...

  1. Status of medical liability claims in Saudi Arabia

    International Nuclear Information System (INIS)

    Samarkandi, A.

    2006-01-01

    With the evolution of health services in Saudi Arabia, there has been increase in the number of medical practice litigations. The author analyzed the medical malpractice litigation that was referred to the National Medico-Legal Committee (MLC) in order to evaluate the magnitude and underlying factors of the problem in Saudi Arabia. A retrospective analysis of the official records of Medico-Legal malpractice over the period 1420H-1424H (199-2003) was performed. The incidence among different medical specialties, location, and final resolution of each claim were identified. Data analysis revealed an increasing trend in the total number of claims over the study period, with a sharp increase in the transition between 1422H and 1423H (2001-200). The distribution of claims over different medical specialties showed that obstetrical practice took the lead with 27%, followed by general surgery and subspecialties, represented by 17% each, internal medicine 13%, while pediatrics contributed 10% of claims: the fewest claims were in dentistry with 2.5%. The majority of claims were referred to the Ministry of Health and private sectors medical facilities. Most claims were from the Riyadh region over the period between 1420H to 1422H (1999-2001), while thereafter, during 1423 and 1424H (2002 and 2003), the Holy Capital had the highest number of claims referred to the MLC. Adherence to standards of medical practice is by far the best approach to avoid or reduce the incidence of litigation. (author)

  2. Community pharmacists as educators in Danish residential facilities: a qualitative study.

    Science.gov (United States)

    Mygind, Anna; El-Souri, Mira; Pultz, Kirsten; Rossing, Charlotte; Thomsen, Linda A

    2017-08-01

    To explore experiences with engaging community pharmacists in educational programmes on quality and safety in medication handling in residential facilities for the disabled. A secondary analysis of data from two Danish intervention studies where community pharmacists were engaged in educational programmes. Data included 10 semi-structured interviews with staff, five semi-structured interviews and three open-ended questionnaires with residential facility managers, and five open-ended questionnaires to community pharmacists. Data were thematically coded to identify key points pertaining to the themes 'pharmacists as educators' and 'perceived effects of engaging pharmacists in competence development'. As educators, pharmacists were successful as medicines experts. Some pharmacists experienced pedagogical challenges. Previous teaching experience and obtained knowledge of the local residential facility before teaching often provided sufficient pedagogical skills and tailored teaching to local needs. Effects of engaging community pharmacists included in most instances improved cooperation between residential facilities and community pharmacies through a trustful relationship and improved dialogue about the residents' medication. Other effects included a perception of improved patient safety, teaching skills and branding of the pharmacy. Community pharmacists provide a resource to engage in educational programmes on medication handling in residential facilities, which may facilitate improved cooperation between community pharmacies and residential facilities. However, development of pedagogical competences and understandings of local settings are prerequisites for facilities and pharmacists to experience the programmes as successful. © 2016 Royal Pharmaceutical Society.

  3. 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

  4. The ATF [Advanced Toroidal Facility] Data Management System: [Final report

    International Nuclear Information System (INIS)

    Kannan, K.L.; Baylor, L.R.

    1987-01-01

    The Advanced Toroidal Facility (ATF) Data Management System (DMG) is a VAX-based software system that provides unified data access for ATF data acquisition and analysis. The system was designed with user accessibility, software maintainability, and extensibility as primary goals. This paper describes the layered architecture of the system design, the system implementation, use, and the data file structure. 3 refs., 1 fig

  5. Cold Vacuum Drying facility design basis accident analysis documentation

    International Nuclear Information System (INIS)

    CROWE, R.D.

    2000-01-01

    This document provides the detailed accident analysis to support HNF-3553, Annex B, Spent Nuclear Fuel Project Final Safety Analysis Report (FSAR), ''Cold Vacuum Drying Facility Final Safety Analysis Report.'' All assumptions, parameters, and models used to provide the analysis of the design basis accidents are documented to support the conclusions in the FSAR. The calculations in this document address the design basis accidents (DBAs) selected for analysis in HNF-3553, ''Spent Nuclear Fuel Project Final Safety Analysis Report'', Annex B, ''Cold Vacuum Drying Facility Final Safety Analysis Report.'' The objective is to determine the quantity of radioactive particulate available for release at any point during processing at the Cold Vacuum Drying Facility (CVDF) and to use that quantity to determine the amount of radioactive material released during the DBAs. The radioactive material released is used to determine dose consequences to receptors at four locations, and the dose consequences are compared with the appropriate evaluation guidelines and release limits to ascertain the need for preventive and mitigative controls

  6. Cold Vacuum Drying facility design basis accident analysis documentation

    Energy Technology Data Exchange (ETDEWEB)

    CROWE, R.D.

    2000-08-08

    This document provides the detailed accident analysis to support HNF-3553, Annex B, Spent Nuclear Fuel Project Final Safety Analysis Report (FSAR), ''Cold Vacuum Drying Facility Final Safety Analysis Report.'' All assumptions, parameters, and models used to provide the analysis of the design basis accidents are documented to support the conclusions in the FSAR. The calculations in this document address the design basis accidents (DBAs) selected for analysis in HNF-3553, ''Spent Nuclear Fuel Project Final Safety Analysis Report'', Annex B, ''Cold Vacuum Drying Facility Final Safety Analysis Report.'' The objective is to determine the quantity of radioactive particulate available for release at any point during processing at the Cold Vacuum Drying Facility (CVDF) and to use that quantity to determine the amount of radioactive material released during the DBAs. The radioactive material released is used to determine dose consequences to receptors at four locations, and the dose consequences are compared with the appropriate evaluation guidelines and release limits to ascertain the need for preventive and mitigative controls.

  7. 78 FR 73897 - SHINE Medical Technologies, Inc.

    Science.gov (United States)

    2013-12-09

    ... NUCLEAR REGULATORY COMMISSION [Docket No. 50-608; NRC-2013-0053] SHINE Medical Technologies, Inc... construction permit, submitted by SHINE Medical Technologies, Inc. (SHINE) is acceptable for docketing... permit would allow SHINE to construct a medical radioisotope production facility in Janesville, Wisconsin...

  8. Report of questionnaire result concerning the radiation control in medicare facilities

    International Nuclear Information System (INIS)

    Nakamura, Yutaka

    2009-01-01

    Radiation control in Japanese medicare facilities is regulated generally by multiple laws of radiation and the Committee has investigated their actual radiation control practice through questionnaire, of which result and its analysis are described here. The questionnaire on web (Committee's homepage) was conducted in the period Apr., 13-May, 1, 2009, by asking to medical radiology personnel (MRP) with 20 items, mainly about personnel working for radiation medicare (RM), monitoring of their external dose, notice of exposure dose to individual person, archiving of the dose record, and questions about the Law Concerning Prevention from Radiation Hazard due to Radioisotopes, Etc.; was answered by 378 facilities where 15,281 persons in total worked for RM (41/facility in average); and the facilities were under regulation by 1 (Medical, 39%) and 2 (Medical and for Prevention, 61%) laws. Major findings were: 71% of facilities had no clear rule to select MRP; 98% trusted dosimetry outside; in 76%, personnel participating in RM had pocket dosimeter as well; 70% investigated the exposure history at personnel employment; to personnel whose dose could exceed or exceeded 20 mSv/y, 45% transferred the person to other work site, 34% issued warning and 21% had no such personnel; 73% felt the necessity of qualified expert for radiation control; 81% conducted education and training to MRP; 54% used radiation-generating equipments, 27%, unsealed radioisotopes and 19%, sealed ones; and 77% felt the radiation control should be unified in the Medical Law. Based on the findings, the Committee discussed and commented about definition and selection of MRP, dosimetry and its record of MRP having multiple, increasing works, uncertainty of the exact number of MRP in Japan, and desirable unification of radiation control practice in the medicare facility into the Medical Law if amended in future. (K.T.)

  9. Self-directed learning: Status of final-year students and perceptions of selected faculty leadership in a Nigerian medical school – a mixed analysis study

    Directory of Open Access Journals (Sweden)

    T E Nottidge

    2017-03-01

    Full Text Available Background. Self-directed learning (SDL is the essential mechanism of lifelong learning, which, in turn, is required for medical professionals to maintain competency because of advancing technology and constantly evolving disease care and contexts. Yet, most Nigerian medical schools do not actively promote SDL skills for medical students. Objective. To evaluate the status of SDL behaviour among final-year students, and the perceptions of faculty leadership towards SDL in a Nigerian medical school. Methods. A mixed research method was used, with a survey consisting of a validated Likert-based self-rating scale for SDL (SRSSDL to assess students’ SDL behaviour. Focus group discussions with selected faculty leaders were thematically analysed to assess their perceptions of SDL. Results. The medical students reported moderate SDL behaviour, contrary to faculty, who considered their students’ SDL behaviour to be low. Faculty leadership further defined SDL as the self-motivated student demonstrating initiative in learning under the guidance of teachers, who use interactive forums for teaching. Furthermore, teachers and students should partner towards the goal of ensuring that student learning takes place. Teachers expressed concerns about SDL methods in medical schools owing to the fear that this will require medical students to teach themselves medicine without expert guidance from teachers. Conclusion. This study suggests that final-year students have a low to moderate level of SDL behaviour. The index faculty are willing to develop teacherguided self-motivated learning for their students, rather than strict SDL. Faculty should be concerned about this behaviour and should encourage SDL in such a way that students realise its benefits to become lifelong learners. Further study of the perceptions about self-regulated learning are recommended.

  10. Final Report on the Audit of Architect-Engineer Contracting at the Officer in Charge of Construction, Naval Facilities Engineering Command Contracts, Mediterranean, Madrid, Spain

    Science.gov (United States)

    1990-11-30

    This is our final report on the audit of Architect-Engineer Contracting for the Officer in Charge of Construction, Naval Facilities Engineering...Command Contracts, Mediterranean, for your information and use. This is the fourth in a series of reports issued as part of the audit of architect-engineer...A-E) contracting. The Contract Management Directorate made the audit from August 1989 through July 1990. When we expanded the audit scope to include

  11. The study of the container types used for transport and final disposal of the radioactive wastes resulting from decommissioning of nuclear facilities

    International Nuclear Information System (INIS)

    Postelnicu, C.

    1998-01-01

    The purpose of the present paper is to select from a variety of package forms and capacities some containers which will be used for transport and disposal of the radioactive wastes resulting from decommissioning of nuclear facilities into the National Repository for Radioactive Waste - Baita, Bihor county. Taken into account the possibilities of railway and / or road transport and waste disposal in our country, detailed container classification was given in order to use them for radioactive waste transport and final disposal from decommissioning of IFIN-HH Research Reactor. (author)

  12. Medical education and social environment.

    Science.gov (United States)

    Rasool, Ahsan; Qayum, Iftikhar; Ahmad, Ashfaq; Farooq, Umer; Shah, Awais Ali; Waqas, Muhammad; Rasool, Maleeha; Hameed, Sania; Kanwal, Rana; Azmat, Muneeba; Marwat, Saleem; Afridit, Faheem

    2014-01-01

    A positive learning environment and quality of course content have an imperative role in academic achievement of students. This study aims to assess students' point of view about the quality of education and social environment of a public sector medical college in Pakistan. Relative scarcity of data from students' perspective merited this study. A cross-sectional survey was undertaken at Ayub Medical College, Abbottabad, Pakistan, including 300 medical students from all five years of the MBBS course. Systematic random sampling was used with a kth interval of 4 for each class. Self-administered questionnaire was used and contained items related to academics, learning environment, learning resources, teaching methodologies and student-friendly activities. The data were analysed using SPSS-16. There were 265 respondents (88.3%) to the questionnaire with males accounting for 58.9% (n=156). In general students showed satisfaction with quality of content being taught; however there was discontent towards various academic and non- academic facilities provided to the students. Only 44.10% and 31.50% students reported provision of academic related facilities and interactive sessions as up to mark respectively; 83% students reported that undergraduate medical research was in need of improvement; 55.5% and 60.2% reported that facilities in hostel and recreational facilities needed improvement respectively; and 52.8% students stated presence of a healthy, student friendly, encouraging environment was not up to mark. Although course content and teaching methodologies are generally satisfactory, a healthy, student friendly, encouraging environment is vet to be created to help students foster their abilities completely.

  13. Portrayal of medical decision making around medical interventions life-saving encounters on three medical television shows.

    Science.gov (United States)

    Schwei, Rebecca J; Jacobs, Elizabeth A; Wingert, Katherine; Montague, Enid

    2015-07-01

    Previous literature has shown that patients obtain information about the medical system from television shows. Additionally, shared decision making is regularly cited as the ideal way to make decisions during a medical encounter. Little information exists surrounding the characteristics of medical decision-making, such as who makes the decision, on medical television shows. We evaluate the characteristics of medical decisions in lifesaving encounters on medical television shows and evaluate if these characteristics were different on staged and reality television shows. We coded type of medical intervention, patient's ability to participate in decision, presence of patient advocate during decision, final decision maker, decision to use intervention, and controversy surrounding decision on three television shows. Frequencies by show were calculated and differences across the three television shows and between staged (ER) and reality ( BostonMed and Hopkins ) television shows were assessed with chi-square tests. The final data set included 37 episodes, 137 patients and 593 interventions. On ER, providers were significantly more likely to make the decision about the medical intervention without informing the patient when a patient was capable of making a decision compared to BostonMed or Hopkins (ptelevision shows we analyzed. It is possible that what patients see on television influences their expectations surrounding the decision making process and the use of medical interventions in everyday healthcare encounters.

  14. 78 FR 52579 - SHINE Medical Technologies, Inc.

    Science.gov (United States)

    2013-08-23

    ... NUCLEAR REGULATORY COMMISSION [Docket No. 50-608; NRC-2013-0053] SHINE Medical Technologies, Inc... application for a construction permit, submitted by SHINE Medical Technologies, Inc. (SHINE). ADDRESSES... of a two-part application for a construction permit for a medical radioisotope production facility in...

  15. Plasma lenses for SLAC Final Focus Test facility

    International Nuclear Information System (INIS)

    Betz, D.; Cline, D.; Joshi, C.; Rajagopalan, S.; Rosenzweig, J.; Su, J.J.; Williams, R.; Chen, P.; Gundersen, M.; Katsouleas, T.; Norem, J.

    1991-01-01

    A collaborative group of accelerator and plasma physicists and engineers has formed with an interest in exploring the use of plasma lenses to meet the needs of future colliders. Analytic and computational models of plasma lenses are briefly reviewed and several design examples for the SLAC Final Focus Test Beam are presented. The examples include discrete, thick, and adiabatic lenses. A potential plasma source with desirable lens characteristics is presented

  16. Decommissioning of Facilities. General Safety Requirements. Pt. 6

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2014-07-15

    Decommissioning is the last step in the lifetime management of a facility. It must also be considered during the design, construction, commissioning and operation of facilities. This publication establishes requirements for the safe decommissioning of a broad range of facilities: nuclear power plants, research reactors, nuclear fuel cycle facilities, facilities for processing naturally occurring radioactive material, former military sites, and relevant medical, industrial and research facilities. It addresses all the aspects of decommissioning that are required to ensure safety, aspects such as roles and responsibilities, strategy and planning for decommissioning, conduct of decommissioning actions and termination of the authorization for decommissioning. It is intended for use by those involved in policy development, regulatory control and implementation of decommissioning.

  17. Motivation and Retention of Physicians in Primary Healthcare Facilities: A Qualitative Study From Abbottabad, Pakistan

    Directory of Open Access Journals (Sweden)

    Sayed Masoom Shah

    2016-08-01

    Full Text Available Background: Workforce motivation and retention is important for the functionality and quality of service delivery in health systems of developing countries. Despite huge primary healthcare (PHC infrastructure, Pakistan’s health indicators are not impressive; mainly because of under-utilization of facilities and low patient satisfaction. One of the major underlying issues is staff absenteeism. The study aimed to identify factors affecting retention and motivation of doctors working in PHC facilities of Pakistan. Methods: An exploratory study was conducted in a rural district in Khyber Puktunkhwa (KP province, in Pakistan. A conceptual framework was developed comprising of three organizational, individual, and external environmental factors. Qualitative research methods comprising of semi-structured interviews with doctors working in basic health units (BHUs and in-depth interviews with district and provincial government health managers were used. Document review of postings, rules of business and policy actions was also conducted. Triangulation of findings was carried out to arrive at the final synthesis. Results: Inadequate remuneration, unreasonable facilities at residence, poor work environment, political interference, inadequate supplies and medical facilities contributed to lack of motivation among both male and female doctors. The physicians accepted government jobs in BHUs with a belief that these jobs were more secure, with convenient working hours. Male physicians seemed to be more motivated because they faced less challenges than their female counterparts in BHUs especially during relocations. Overall, the organizational factors emerged as the most significant whereby human resource policy, career growth structure, performance appraisal and monetary benefits played an important role. Gender and marital status of female doctors was regarded as most important individual factor affecting retention and motivation of female doctors in BHUs

  18. Decommissioning of a Radioactive Facility Used for Biomolecule Labeling and Biological Effects

    International Nuclear Information System (INIS)

    Yagüe, L.; Navarro, N.; Álvarez, A.; Quiñones, J.

    2015-01-01

    This paper presents the measurement methodology designed for the final status survey of an old radioactive facility, used as radiolabeling lab. Its declassification as radioactive facility required the radiological characterization of all walls, structures and materials at the facility in order to reuse its outbuilding for conventional use. To demonstrate compliance with the declassification criteria, the design of the final status survey was performed applying MARSSIM(1) (Multi-Agency Radiation Survey and Site Investigation Manual) methodology and using different measurement techniques depending on the radioactive isotopes in the inventory of the facility, their half-lives and emission characteristics.

  19. Auditable Safety Analysis and Final Hazard Classification for the 105-N Reactor Zone and 109-N Steam Generator Zone Facility

    International Nuclear Information System (INIS)

    Kloster, G.L.

    1998-07-01

    This document is a graded auditable safety analysis (ASA) and final hazard classification (FHC) for the Reactor/Steam Generator Zone Segment. The Reactor/Steam Generator Zone Segment, part of the N Reactor Complex, that is also known as the Reactor Building and Steam Generator Cells. The installation of the modifications described within to support surveillance and maintenance activities are to be completed by July 1, 1999. The surveillance and maintenance activities addressed within are assumed to continue for the next 15- 20 years, until the initiation of facility D ampersand D (i.e., Interim Safe Storage). The graded ASA in this document is in accordance with EDPI-4.30-01, Rev. 1, Safety Analysis Documentation, (BHI-DE-1) and is consistent with guidance provided by the U.S. Department of Energy. This ASA describes the hazards within the facility and evaluates the adequacy of the measures taken to reduce, control, or mitigate the identified hazards. This document also serves as the FHC for the Reactor/Steam Generator Zone Segment. This FHC is developed through the use of bounding accident analyses that envelope the potential exposures to personnel

  20. Realistic retrospective dose assessments to members of the public around Spanish nuclear facilities

    Energy Technology Data Exchange (ETDEWEB)

    Jimenez, M.A., E-mail: majg@csn.es [Consejo de Seguridad Nuclear (CSN), Pedro Justo Dorado Dellmans 11, E-28040 Madrid (Spain); Martin-Valdepenas, J.M.; Garcia-Talavera, M.; Martin-Matarranz, J.L.; Salas, M.R.; Serrano, J.I.; Ramos, L.M. [Consejo de Seguridad Nuclear (CSN), Pedro Justo Dorado Dellmans 11, E-28040 Madrid (Spain)

    2011-11-15

    In the frame of an epidemiological study carried out in the influence areas around the Spanish nuclear facilities (ISCIII-CSN, 2009. Epidemiological Study of The Possible Effect of Ionizing Radiations Deriving from The Operation of Spanish Nuclear Fuel Cycle Facilities on The Health of The Population Living in Their Vicinity. Final report December 2009. Ministerio de Ciencia e Innovacion, Instituto de Salud Carlos III, Consejo de Seguridad Nuclear. Madrid. Available from: (http://www.csn.es/images/stories/actualidad{sub d}atos/especiales/epidemiologico/epidemiological{sub s}tudy.pdf)), annual effective doses to public have been assessed by the Spanish Nuclear Safety Council (CSN) for over 45 years using a retrospective realistic-dose methodology. These values are compared with data from natural radiation exposure. For the affected population, natural radiation effective doses are in average 2300 times higher than effective doses due to the operation of nuclear installations (nuclear power stations and fuel cycle facilities). When considering the impact on the whole Spanish population, effective doses attributable to nuclear facilities represent in average 3.5 x 10{sup -5} mSv/y, in contrast to 1.6 mSv/y from natural radiation or 1.3 mSv/y from medical exposures. - Highlights: > Most comprehensive dose assessment to public by nuclear facilities ever done in Spain. > Dose to public is dominated by liquid effluent pathways for the power stations. > Dose to public is dominated by Rn inhalation for milling and mining facilities. > Average annual doses to public in influence areas are negligible (10 {mu}Sv/y or less). > Doses from facilities average 3.5 x 10{sup -2} {mu}Sv/y per person onto whole Spanish population.

  1. Realistic retrospective dose assessments to members of the public around Spanish nuclear facilities

    International Nuclear Information System (INIS)

    Jimenez, M.A.; Martin-Valdepenas, J.M.; Garcia-Talavera, M.; Martin-Matarranz, J.L.; Salas, M.R.; Serrano, J.I.; Ramos, L.M.

    2011-01-01

    In the frame of an epidemiological study carried out in the influence areas around the Spanish nuclear facilities (ISCIII-CSN, 2009. Epidemiological Study of The Possible Effect of Ionizing Radiations Deriving from The Operation of Spanish Nuclear Fuel Cycle Facilities on The Health of The Population Living in Their Vicinity. Final report December 2009. Ministerio de Ciencia e Innovacion, Instituto de Salud Carlos III, Consejo de Seguridad Nuclear. Madrid. Available from: (http://www.csn.es/images/stories/actualidad_datos/especiales/epidemiologico/epidemiological_study.pdf)), annual effective doses to public have been assessed by the Spanish Nuclear Safety Council (CSN) for over 45 years using a retrospective realistic-dose methodology. These values are compared with data from natural radiation exposure. For the affected population, natural radiation effective doses are in average 2300 times higher than effective doses due to the operation of nuclear installations (nuclear power stations and fuel cycle facilities). When considering the impact on the whole Spanish population, effective doses attributable to nuclear facilities represent in average 3.5 x 10 -5 mSv/y, in contrast to 1.6 mSv/y from natural radiation or 1.3 mSv/y from medical exposures. - Highlights: → Most comprehensive dose assessment to public by nuclear facilities ever done in Spain. → Dose to public is dominated by liquid effluent pathways for the power stations. → Dose to public is dominated by Rn inhalation for milling and mining facilities. → Average annual doses to public in influence areas are negligible (10 μSv/y or less). → Doses from facilities average 3.5 x 10 -2 μSv/y per person onto whole Spanish population.

  2. Medical Cyclotrons

    Science.gov (United States)

    Friesel, D. L.; Antaya, T. A.

    Particle accelerators were initially developed to address specific scientific research goals, yet they were used for practical applications, particularly medical applications, within a few years of their invention. The cyclotron's potential for producing beams for cancer therapy and medical radioisotope production was realized with the early Lawrence cyclotrons and has continued with their more technically advanced successors — synchrocyclotrons, sector-focused cyclotrons and superconducting cyclotrons. While a variety of other accelerator technologies were developed to achieve today's high energy particles, this article will chronicle the development of one type of accelerator — the cyclotron, and its medical applications. These medical and industrial applications eventually led to the commercial manufacture of both small and large cyclotrons and facilities specifically designed for applications other than scientific research.

  3. Multi-beam Mossbauer scattering facility. Final technical report

    International Nuclear Information System (INIS)

    1994-01-01

    The Mossbauer instrument construction which was financed by the DOE grant of $74,065 and MU matching funds of $52,000 is essentially completed and awaiting installation at the Missouri University Research Reactor (MURR) facility. All of the DOE funds have been spent and all of the matching funds plus about $4,000 to $5,000 of additional physics department funds have been committed to finishing the first phase of the new instrument, QUEGS--II (for QUAsiElastic Gamma-ray Scattering--generation II). This phase includes computer controls, detectors, and instrumentation for two of the four beam lines afforded by QUEGS-II. Included in this commitment of funds is $8,700 for equipment and machine shop services which have not yet been paid and $19,700 for a Ge detector for which bids are ready to be let

  4. Final Technical Report

    Energy Technology Data Exchange (ETDEWEB)

    Velasco, Mayda [Northwestern University

    2013-11-01

    This work is focused on the design and construction of novel beam diagnostic and instrumentation for charged particle accelerators required for the next generation of linear colliders. Our main interest is in non-invasive techniques. The Northwestern group of Velasco has been a member of the CLIC Test Facility 3 (CTF3) collaboration since 2003, and the beam instrumentation work is developed mostly at this facility1. This 4 kW electron beam facility has a 25-170 MeV electron LINAC. CTF3 performed a set of dedicated measurements to finalize the development of our RF-Pickup bunch length detectors. The RF-pickup based on mixers was fully commissioned in 2009 and the RF-pickup based on diodes was finished in time for the 2010-11 data taking. The analysis of all the data taken in by the summer of 2010 was finish in time and presented at the main conference of the year, LINAC 2010 in Japan.

  5. Decommissioning of surplus facilities at ORNL

    International Nuclear Information System (INIS)

    Myrick, T.E.; Coobs, J.H.

    1985-01-01

    The Surplus Facilities Management Program (SFMP) at Oak Ridge National Laboratory (ORNL) is part of the Department of Energy's (DOE) National SFMP, administered by the Richland Operations Office. This program was established to provide for the management of certain DOE surplus radioactively contaminated facilities from the end of their operating life until final facility disposition is completed. As part of this program, the ORNL SFMP oversees some 75 facilities, ranging in complexity from abandoned waste storage tanks to large experimental reactors. This paper describes the scope of the ORNL program and outlines the decommissioning activities currently underway, including a brief description of the decontamination techniques being utilized. 4 refs., 3 figs., 2 tabs

  6. The design of diagnostic medical facilities using ionizing radiation

    International Nuclear Information System (INIS)

    1988-03-01

    This Code, setting out the general principles of radiological protection as applied to diagnostic radiation facilities in hospitals and clinics, is intended as a guide to architects and to works departments concerned with their design and construction, and with the modification of existing units

  7. Healthcare facility commissioning – the transition of clinical services

    CSIR Research Space (South Africa)

    Van der Watt, R

    2016-07-01

    Full Text Available structure of bricks and mortar into a functional facility with staff, equipment, medication, supplies, etc. ready to eventually receive patients who need care and cure. Beyond these tangible elements, there are also many intangibles which are required, e... in order for the new facility to deliver the intended clinical services. These include links to the emergency services which brings patients in need of emergency care to the facility, links to other healthcare facilities for more specialized care...

  8. Denying a patient's final will: public safety vs. medical confidentiality and patient autonomy.

    Science.gov (United States)

    Gaertner, Jan; Vent, Julia; Greinwald, Ralf; Rothschild, Markus A; Ostgathe, Christoph; Kessel, Rene; Voltz, Raymond

    2011-12-01

    Especially when caring for patients approaching the end of life, physicians and nursing staff feel committed to fulfilling as many patient desires as possible. However, sometimes a patient's "final will" may threaten public safety. This can lead to severe conflicts, outweighing the physician's obligation and dedication to care for the patient and to respect his autonomy. Yet, public safety can be threatened if confidentiality is not broken. This article provides a concise summary of the medicolegal and ethical fundamentals concerning this difficult situation. If the patient's and others' health and safety are at risk, physicians may (and in some countries must) break medical confidentiality and disclose confidential patient information to the police and other authorities. Physicians should be able to professionally deal with such a conflict in all patients, not only in patients with advanced illness. Copyright © 2011 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.

  9. Case outsourcing medical device reprocessing.

    Science.gov (United States)

    Haley, Deborah

    2004-04-01

    IN THE INTEREST OF SAVING MONEY, many hospitals are considering extending the life of some single-use medical devices by using medical device reprocessing programs. FACILITIES OFTEN LACK the resources required to meet the US Food and Drug Administration's tough quality assurance standards. BY OUTSOURCING, hospitals can reap the benefits of medical device reprocessing without assuming additional staffing and compliance burdens. OUTSOURCING enables hospitals to implement a medical device reprocessing program quickly, with no capital investment and minimal effort.

  10. Final report on the public involvement process phase 1, Monitored Retrievable Storage Facility Feasibility Study

    Energy Technology Data Exchange (ETDEWEB)

    Moore, L.; Shanteau, C.

    1992-12-01

    This report summarizes the pubic involvement component of Phase 1 of the Monitored Retrievable Storage Facility (NM) Feasibility Study in San Juan County, Utah. Part of this summary includes background information on the federal effort to locate a voluntary site for temporary storage of nuclear waste, how San Juan County came to be involved, and a profile of the county. The heart of the report, however, summarizes the activities within the public involvement process, and the issues raised in those various forums. The authors have made every effort to reflect accurately and thoroughly all the concerns and suggestions expressed to us during the five month process. We hope that this report itself is a successful model of partnership with the citizens of the county -- the same kind of partnership the county is seeking to develop with its constituents. Finally, this report offers some suggestions to both county officials and residents alike. These suggestions concern how decision-making about the county's future can be done by a partnership of informed citizens and listening decision-makers. In the Appendix are materials relating to the public involvement process in San Juan County.

  11. Final report on the public involvement process phase 1, Monitored Retrievable Storage Facility Feasibility Study

    Energy Technology Data Exchange (ETDEWEB)

    Moore, L.; Shanteau, C.

    1992-12-01

    This report summarizes the pubic involvement component of Phase 1 of the Monitored Retrievable Storage Facility (NM) Feasibility Study in San Juan County, Utah. Part of this summary includes background information on the federal effort to locate a voluntary site for temporary storage of nuclear waste, how San Juan County came to be involved, and a profile of the county. The heart of the report, however, summarizes the activities within the public involvement process, and the issues raised in those various forums. The authors have made every effort to reflect accurately and thoroughly all the concerns and suggestions expressed to us during the five month process. We hope that this report itself is a successful model of partnership with the citizens of the county -- the same kind of partnership the county is seeking to develop with its constituents. Finally, this report offers some suggestions to both county officials and residents alike. These suggestions concern how decision-making about the county`s future can be done by a partnership of informed citizens and listening decision-makers. In the Appendix are materials relating to the public involvement process in San Juan County.

  12. Final report on the public involvement process phase 1, Monitored Retrievable Storage Facility Feasibility Study

    International Nuclear Information System (INIS)

    Moore, L.; Shanteau, C.

    1992-12-01

    This report summarizes the pubic involvement component of Phase 1 of the Monitored Retrievable Storage Facility (NM) Feasibility Study in San Juan County, Utah. Part of this summary includes background information on the federal effort to locate a voluntary site for temporary storage of nuclear waste, how San Juan County came to be involved, and a profile of the county. The heart of the report, however, summarizes the activities within the public involvement process, and the issues raised in those various forums. The authors have made every effort to reflect accurately and thoroughly all the concerns and suggestions expressed to us during the five month process. We hope that this report itself is a successful model of partnership with the citizens of the county -- the same kind of partnership the county is seeking to develop with its constituents. Finally, this report offers some suggestions to both county officials and residents alike. These suggestions concern how decision-making about the county's future can be done by a partnership of informed citizens and listening decision-makers. In the Appendix are materials relating to the public involvement process in San Juan County

  13. Medical Education in Decentralized Settings: How Medical Students Contribute to Health Care in 10 Sub-Saharan African Countries.

    Science.gov (United States)

    Talib, Zohray; van Schalkwyk, Susan; Couper, Ian; Pattanaik, Swaha; Turay, Khadija; Sagay, Atiene S; Baingana, Rhona; Baird, Sarah; Gaede, Bernhard; Iputo, Jehu; Kibore, Minnie; Manongi, Rachel; Matsika, Antony; Mogodi, Mpho; Ramucesse, Jeremais; Ross, Heather; Simuyeba, Moses; Haile-Mariam, Damen

    2017-12-01

    African medical schools are expanding, straining resources at tertiary health facilities. Decentralizing clinical training can alleviate this tension. This study assessed the impact of decentralized training and contribution of undergraduate medical students at health facilities. Participants were from 11 Medical Education Partnership Initiative-funded medical schools in 10 African countries. Each school identified two clinical training sites-one rural and the other either peri-urban or urban. Qualitative and quantitative data collection tools were used to gather information about the sites, student activities, and staff perspectives between March 2015 and February 2016. Interviews with site staff were analyzed using a collaborative directed approach to content analysis, and frequencies were generated to describe site characteristics and student experiences. The clinical sites varied in level of care but were similar in scope of clinical services and types of clinical and nonclinical student activities. Staff indicated that students have a positive effect on job satisfaction and workload. Respondents reported that students improved the work environment, institutional reputation, and introduced evidence-based approaches. Students also contributed to perceived improvements in quality of care, patient experience, and community outreach. Staff highlighted the need for resources to support students. Students were seen as valuable resources for health facilities. They strengthened health care quality by supporting overburdened staff and by bringing rigor and accountability into the work environment. As medical schools expand, especially in low-resource settings, mobilizing new and existing resources for decentralized clinical training could transform health facilities into vibrant service and learning environments.

  14. Improving medication information transfer between hospitals, skilled-nursing facilities, and long-term-care pharmacies for hospital discharge transitions of care: A targeted needs assessment using the Intervention Mapping framework.

    Science.gov (United States)

    Kerstenetzky, Luiza; Birschbach, Matthew J; Beach, Katherine F; Hager, David R; Kennelty, Korey A

    2018-02-01

    Patients transitioning from the hospital to a skilled nursing home (SNF) are susceptible to medication-related errors resulting from fragmented communication between facilities. Through continuous process improvement efforts at the hospital, a targeted needs assessment was performed to understand the extent of medication-related issues when patients transition from the hospital into a SNF, and the gaps between the hospital's discharge process, and the needs of the SNF and long-term care (LTC) pharmacy. We report on the development of a logic model that will be used to explore methods for minimizing patient care medication delays and errors while further improving handoff communication to SNF and LTC pharmacy staff. Applying the Intervention Mapping (IM) framework, a targeted needs assessment was performed using quantitative and qualitative methods. Using the hospital discharge medication list as reference, medication discrepancies in the SNF and LTC pharmacy lists were identified. SNF and LTC pharmacy staffs were also interviewed regarding the continuity of medication information post-discharge from the hospital. At least one medication discrepancy was discovered in 77.6% (n = 45/58) of SNF and 76.0% (n = 19/25) of LTC pharmacy medication lists. A total of 191 medication discrepancies were identified across all SNF and LTC pharmacy records. Of the 69 SNF staff interviewed, 20.3% (n = 14) reported patient care delays due to omitted documents during the hospital-to-SNF transition. During interviews, communication between the SNF/LTC pharmacy and the discharging hospital was described by facility staff as unidirectional with little opportunity for feedback on patient care concerns. The targeted needs assessment guided by the IM framework has lent to several planned process improvements initiatives to help reduce medication discrepancies during the hospital-to-SNF transition as well as improve communication between healthcare entities. Opening lines of

  15. Connecting with prospective medical tourists online

    NARCIS (Netherlands)

    Moghavvemi, Sedigheh; Ormond, M.E.; Musa, Ghazali; Isa Mohammed, Che Ruhana; Thirumoorthi, Thinaranjeney; Mustapha, Bin Mohd Zulkhairi; Kanapathy, Kanagi; Chiremel Chandy, Jacob John

    2017-01-01

    Websites of private hospitals promoting medical tourism are important marketing channels for showcasing and promoting destinations' medical facilities and their array of staff expertise, services, treatments and equipment to domestic and foreign patient-consumers alike. This study examines the

  16. The proposed irradiation facility and applications

    International Nuclear Information System (INIS)

    Singson, C.C.; Navarro, Q.O.

    As early as 1972, the Philippine Atomic Energy Commission proposed the setting up of a radiation facility for the sterilization of medical products. A result of a market survey with the assistance of an IAEA expert was conducted to determine the market potential for such venture. With the Food Terminal, Inc. (FTI) a government agro-industrial fair which explored the economic benefits of project, encouraging results have been obtained with finances from FAO and IAEA. The proposed pilot plant will serve as a multi purpose facility for the sterilization of medical and laboratory products, irradiation of food and agricultural produce and manufacture of wood plastic compositions for the textile and furniture industries. With the benefits derived from the said project, it is hoped that its early installation be pushed through. (author)

  17. A management plan for hospitals and medical centers facing radiation incidents.

    Science.gov (United States)

    Davari, Fereshteh; Zahed, Arash

    2015-09-01

    Nowadays, application of nuclear technology in different industries has largely expanded worldwide. Proportionately, the risk of nuclear incidents and the resulting injuries have, therefore, increased in recent years. Preparedness is an important part of the crisis management cycle; therefore efficient preplanning seems crucial to any crisis management plan. Equipped with facilities and experienced personnel, hospitals naturally engage with the response to disasters. The main purpose of our study was to present a practical management pattern for hospitals and medical centers in case they encounter a nuclear emergency. In this descriptive qualitative study, data were collected through experimental observations, sources like Safety manuals released by the International Atomic Energy Agency and interviews with experts to gather their ideas along with Delphi method for polling, and brainstorming. In addition, the 45 experts were interviewed on three targeted using brainstorming and Delphi method. We finally proposed a management plan along with a set of practicality standards for hospitals and medical centers to optimally respond to nuclear medical emergencies when a radiation incident happens nearby. With respect to the great importance of preparedness against nuclear incidents adoption and regular practice of nuclear crisis management codes for hospitals and medical centers seems quite necessary.

  18. Gamma Irradiation Facility at Sandia National Laboratories, Albuquerque, New Mexico. Final environmental assessment

    International Nuclear Information System (INIS)

    1995-11-01

    The US Department of Energy (DOE) has prepared an environmental assessment (EA) on the proposed construction and operation of a new Gamma Irradiation Facility (GIF) at Sandia National Laboratories/New Mexico (SNL/NM). This facility is needed to: enhance capabilities to assure technical excellence in nuclear weapon radiation environments testing, component development, and certification; comply with all applicable ES and H safeguards, standards, policies, and regulations; reduce personnel radiological exposure to comply with ALARA limits in accordance with DOE orders and standards; consolidate major gamma ray sources into a central, secured area; and reduce operational risks associated with operation of the GIF and LICA in their present locations. This proposed action provides for the design, construction, and operation of a new GIF located within TA V and the removal of the existing GIF and Low Intensity Cobalt Array (LICA). The proposed action includes potential demolition of the gamma shield walls and removal of equipment in the existing GIF and LICA. The shielding pool used by the existing GIF will remain as part of the ACRR facility. Transportation of the existing 60 Co sources from the existing LICA and GIF to the new facility is also included in the proposed action. Relocation of the gamma sources to the new GIF will be accomplished by similar techniques to those used to install the sources originally

  19. The issue of final storage unsolved worldwide? The Swedish answer

    International Nuclear Information System (INIS)

    Kienle, F.

    1989-01-01

    After the legal act on the abandonment of nuclear energy, Sweden started to build a final waste-storage facility for MAW and LAW at Forsmark, 50 m below the Baltic Sea floor in granite as early as 1983. The facility was completed in 1988. The author briefly describes the storage facility and its functional units. (HP) [de

  20. Fuze Experimentation Facility and Fuze Industrial Facility (FEF/FIF) Construction. Final Environmental Assessment

    Science.gov (United States)

    2011-04-01

    1-9. R esources N ot C arried Forw ard for D etailed A nalysis Legend Environmental Justice Concerns c:::J Proposed Project Area No Concerns...11 FEF/FIF C onstruction Environm ental A ssessm ent Page 3-6 Eglin A ir Force B ase, FL Final Figure 3-1. W ater R esources A t or N...Ecological A ssociations and Biological R esources A t or N ear the Proposed A ction Location Ecological Association Flatwoods Landscaped!Urban c:J

  1. DOE final report phase one startup, Waste Receiving and Processing Facility (WRAP)

    International Nuclear Information System (INIS)

    Jasen, W.G.

    1998-01-01

    This document is to validate that the WRAP facility is physically ready to start up phase 1, and that the managers and operators are prepared to safely manage and operate the facility when all pre-start findings have been satisfactorily corrected. The DOE Readiness Assessment (RA) team spent a week on-site at Waste Receiving and Processing Module 1 (WRAP-1) to validate the readiness for phase 1 start up of facility. The Contractor and DOE staff were exceptionally cooperative and contributed significantly to the overall success of the RA. The procedures and Conduct of Operations areas had significant discrepancies, many of which should have been found by the contractor review team. In addition the findings of the contractor review team should have led the WRAP-1 management team to correcting the root causes of the findings prior to the DOE RA team review. The findings and observations include many issues that the team believes should have been found by the contractor review and corrective actions taken. A significantly improved Operational Readiness Review (ORR) process and corrective actions of root causes must be fully implemented by the contractor prior to the performance of the contractor ORR for phase 2 operations. The pre-start findings as a result of this independent DOE Readiness Assessment are presented

  2. Should Health Care Aides Assist With Medications in Long-Term Care?

    Directory of Open Access Journals (Sweden)

    Mubashir Arain PhD

    2016-05-01

    Full Text Available Objective: The objective of the study was to determine whether health care aides (HCAs could safely assist in medication administration in long-term care (LTC. Method: We obtained medication error reports from LTC facilities that involve HCAs in oral medication assistance and we analyzed Resident Assessment Instrument (RAI data from these facilities. Standard ratings of error severity were “no apparent harm,” “minimum harm,” and “moderate harm.” Results: We retrieved error reports from two LTC facilities with 220 errors reported by all health care providers including HCAs. HCAs were involved in 137 (63% errors, licensed practical nurses (LPNs/registered nurses (RNs in 77 (35%, and pharmacy in four (2%. The analysis of error severity showed that HCAs were significantly less likely to cause errors of moderate severity than other nursing staff (2% vs. 7%, chi-square = 5.1, p value = .04. Conclusion: HCAs’ assistance in oral medications in LTC facilities appears to be safe when provided under the medication assistance guidelines.

  3. Medical Devices

    NARCIS (Netherlands)

    Verkerke, Gijsbertus Jacob; Mahieu, H.F.; Geertsema, A.A.; Hermann, I.F.; van Horn, J.R.; Hummel, J. Marjan; van Loon, J.P.; Mihaylov, D.; van der Plaats, A.; Schraffordt Koops, H.; Schutte, H.K.; Veth, R.P.H.; de Vries, M.P.; Rakhorst, G.; Shi, Donglu

    2004-01-01

    The development of new medical devices is a very time-consuming and costly process. Besides the time between the initial idea and the time that manufacturing and testing of prototypes takes place, the time needed for the development of production facilities, production of test series, marketing,

  4. The Optimizing Patient Transfers, Impacting Medical Quality, andImproving Symptoms:Transforming Institutional Care approach: preliminary data from the implementation of a Centers for Medicare and Medicaid Services nursing facility demonstration project.

    Science.gov (United States)

    Unroe, Kathleen T; Nazir, Arif; Holtz, Laura R; Maurer, Helen; Miller, Ellen; Hickman, Susan E; La Mantia, Michael A; Bennett, Merih; Arling, Greg; Sachs, Greg A

    2015-01-01

    The Optimizing Patient Transfers, Impacting Medical Quality, and Improving Symptoms: Transforming Institutional Care (OPTIMISTIC) project aims to reduce avoidable hospitalizations of long-stay residents enrolled in 19 central Indiana nursing facilities. This clinical demonstration project, funded by the Centers for Medicare and Medicaid Services Innovations Center, places a registered nurse in each nursing facility to implement an evidence-based quality improvement program with clinical support from nurse practitioners. A description of the model is presented, and early implementation experiences during the first year of the project are reported. Important elements include better medical care through implementation of Interventions to Reduce Acute Care Transfers tools and chronic care management, enhanced transitional care, and better palliative care with a focus on systematic advance care planning. There were 4,035 long-stay residents in 19 facilities enrolled in OPTIMISTIC between February 2013 and January 2014. Root-cause analyses were performed for all 910 acute transfers of these long stay residents. Of these transfers, the project RN evaluated 29% as avoidable (57% were not avoidable and 15% were missing), and opportunities for quality improvement were identified in 54% of transfers. Lessons learned in early implementation included defining new clinical roles, integrating into nursing facility culture, managing competing facility priorities, communicating with multiple stakeholders, and developing a system for collecting and managing data. The success of the overall initiative will be measured primarily according to reduction in avoidable hospitalizations of long-stay nursing facility residents. © 2014, Copyright the Authors Journal compilation © 2014, The American Geriatrics Society.

  5. Optimizing proton therapy at the LBL medical accelerator. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Alonso, J.

    1992-03-01

    This Grant has marked the beginning of a multi-year study process expected to lead to design and construction of at least one, possibly several hospital-based proton therapy facilities in the United States.

  6. Sterilization validation for medical compresses at IRASM multipurpose irradiation facility

    International Nuclear Information System (INIS)

    Alexandru, Mioara; Ene, Mihaela

    2007-01-01

    In Romania, IRASM Radiation Processing Center is the unique supplier of radiation sterilization services-industrial scale (ISO 9001:2000 and ISO 13485:2003 certified). Its Laboratory of Microbiological Testing is the sole third party competent laboratory (GLPractice License, ISO 17025 certification in progress) for pharmaceutics and medical devices as well. We here refer to medical compresses as a distinct category of sterile products, made from different kind of hydrophilic materials (cotton, non-woven, polyurethane foam) with or without an impregnated ointment base (paraffin, plant extracts). These products are included in the class of medical devices, but for the sterilization validation, from microbiological point of view, there are important differences in testing method compared to the common medical devices (syringes, catheters, etc). In this paper, we present some results and practical solutions chosen to perform a sterilization validation, compliant with ISO 11137: 2006

  7. International physical protection self-assessment tool for chemical facilities.

    Energy Technology Data Exchange (ETDEWEB)

    Tewell, Craig R.; Burdick, Brent A.; Stiles, Linda L.; Lindgren, Eric Richard

    2010-09-01

    This report is the final report for Laboratory Directed Research and Development (LDRD) Project No.130746, International Physical Protection Self-Assessment Tool for Chemical Facilities. The goal of the project was to develop an exportable, low-cost, computer-based risk assessment tool for small to medium size chemical facilities. The tool would assist facilities in improving their physical protection posture, while protecting their proprietary information. In FY2009, the project team proposed a comprehensive evaluation of safety and security regulations in the target geographical area, Southeast Asia. This approach was later modified and the team worked instead on developing a methodology for identifying potential targets at chemical facilities. Milestones proposed for FY2010 included characterizing the international/regional regulatory framework, finalizing the target identification and consequence analysis methodology, and developing, reviewing, and piloting the software tool. The project team accomplished the initial goal of developing potential target categories for chemical facilities; however, the additional milestones proposed for FY2010 were not pursued and the LDRD funding therefore was redirected.

  8. Medicare Program; End-Stage Renal Disease Prospective Payment System, Coverage and Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, Durable Medical Equipment, Prosthetics, Orthotics and Supplies Competitive Bidding Program Bid Surety Bonds, State Licensure and Appeals Process for Breach of Contract Actions, Durable Medical Equipment, Prosthetics, Orthotics and Supplies Competitive Bidding Program and Fee Schedule Adjustments, Access to Care Issues for Durable Medical Equipment; and the Comprehensive End-Stage Renal Disease Care Model. Final rule.

    Science.gov (United States)

    2016-11-04

    This rule updates and makes revisions to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for calendar year 2017. It also finalizes policies for coverage and payment for renal dialysis services furnished by an ESRD facility to individuals with acute kidney injury. This rule also sets forth requirements for the ESRD Quality Incentive Program, including the inclusion of new quality measures beginning with payment year (PY) 2020 and provides updates to programmatic policies for the PY 2018 and PY 2019 ESRD QIP. This rule also implements statutory requirements for bid surety bonds and state licensure for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP). This rule also expands suppliers' appeal rights in the event of a breach of contract action taken by CMS, by revising the appeals regulation to extend the appeals process to all types of actions taken by CMS for a supplier's breach of contract, rather than limit an appeal for the termination of a competitive bidding contract. The rule also finalizes changes to the methodologies for adjusting fee schedule amounts for DMEPOS using information from CBPs and for submitting bids and establishing single payment amounts under the CBPs for certain groupings of similar items with different features to address price inversions. Final changes also are made to the method for establishing bid limits for items under the DMEPOS CBPs. In addition, this rule summarizes comments on the impacts of coordinating Medicare and Medicaid Durable Medical Equipment for dually eligible beneficiaries. Finally, this rule also summarizes comments received in response to a request for information related to the Comprehensive ESRD Care Model and future payment models affecting renal care.

  9. Decontamination and decommissioning of the Experimental Boiling Water Reactor (EBWR): Project final report, Argonne National Laboratory

    International Nuclear Information System (INIS)

    Fellhauer, C.R.; Boing, L.E.; Aldana, J.

    1997-03-01

    The Final Report for the Decontamination and Decommissioning (D ampersand D) of the Argonne National Laboratory - East (ANL-E) Experimental Boiling Water Reactor (EBWR) facility contains the descriptions and evaluations of the activities and the results of the EBWR D ampersand D project. It provides the following information: (1) An overall description of the ANL-E site and EBWR facility. (2) The history of the EBWR facility. (3) A description of the D ampersand D activities conducted during the EBWR project. (4) A summary of the final status of the facility, including the final and confirmation surveys. (5) A summary of the final cost, schedule, and personnel exposure associated with the project, including a summary of the total waste generated. This project report covers the entire EBWR D ampersand D project, from the initiation of Phase I activities to final project closeout. After the confirmation survey, the EBWR facility was released as a open-quotes Radiologically Controlled Area,close quotes noting residual elevated activity remains in inaccessible areas. However, exposure levels in accessible areas are at background levels. Personnel working in accessible areas do not need Radiation Work Permits, radiation monitors, or other radiological controls. Planned use for the containment structure is as an interim transuranic waste storage facility (after conversion)

  10. A Methodology for Conducting Space Utilization Studies within Department of Defense Medical Facilities

    Science.gov (United States)

    1992-07-01

    database programs, such as dBase or Microsoft Excell, to yield statistical reports that can profile the health care facility . Ladeen (1989) feels that the...service specific space status report would be beneficial to the specific service(s) under study, it would not provide sufficient data for facility -wide...change in the Master Space Plan. The revised methodology also provides a mechanism and forum for spuce management education within the facility . The

  11. Medical Information Security

    OpenAIRE

    William C. Figg, Ph.D.; Hwee Joo Kam, M.S.

    2011-01-01

    Modern medicine is facing a complex environment, not from medical technology but rather government regulations and information vulnerability. HIPPA is the government’s attempt to protect patient’s information yet this only addresses traditional record handling. The main threat is from the evolving security issues. Many medical offices and facilities have multiple areas of information security concerns. Physical security is often weak, office personnel are not always aware of security needs an...

  12. A questionnaire survey of medical physicist and quality manager for radiation therapy

    International Nuclear Information System (INIS)

    Nishio, Teiji; Ashino, Yasuo; Onishi, Hiroshi

    2008-01-01

    A questionnaire survey of medical physicists and quality managers for radiation therapy was performed by the Japanese Society for Therapeutic Radiology and Oncology (JASTRO) Future Planning Committee. We mailed the questionnaire to 726 radiotherapy facilities with the answers returned from 353 radiotherapy facilities. The result showed 178 facilities were staffed by radiotherapy workers who were licensed medical physicists or quality managers. A staff of 289 was licensed radiotherapy workers. Most of the staff were radiotherapy technologists. Quality control for radiation therapy was rated satisfactory according to each facility's assessment. Radiation therapy of high quality requires continued education of medical physicists and quality managers, in addition to keeping up with times for quality control. (author)

  13. Guide of good practices in medical physics - French Society of Medical Physics

    International Nuclear Information System (INIS)

    Rosenwald, Jean-Claude; Aventin, Christophe; Coste, Frederic; Francois, Pascal; Ginestet, Chantal; Perrin, Benedicte; Salvat, Cecile; Caselles, Olivier; Dedieu, Veronique; Dejean, Catherine; Batalla, Alain; Guillaume, Bonniaud; Le Du, Dominique; Lisbona, Albert; Marchesi, Vincent; Sarrazin, Thierry; Mazeron, Jean-Jacques; Lipinski, Francis; Vera, Pierre; Vermandel, Maximilien; Ducou le Pointe, Hubert; Vidal, Vincent; Henry, Cecile; Mazeau-Woynar, Valerie; Prot, Camille; Valero, Marc; Aubert, Bernard; Etard, Cecile; Jimonet, Christine; Roue, Amelie; Sage, Julie; Bardies, Manuel; Beauvais, Helene; Bey, Pierre; Costa, Andre; Desblancs, Claire; Eudaldo, Teresa; Farman, Bardia; Ferrand, Regis; Garcia, Robin; Giraud, Jean-Yves; Husson, Francois; Koulibaly, Malick; Carlan, Loic de; Manens, Jean-Pierre; Naudy, Suzanne; Noel, Alain; Pilette, Pierre; Verdun, Francis; Bouette, Aurelien; Breen, Stephen; Bridier, Andre; Chauvenet, Bruno; Chavaudra, Jean; Gardin, Isabelle; Herlevin, Karine

    2012-01-01

    After a presentation of the methodological approach used to write this book, the first chapter addresses the profession of medical physicist: medical physics in France (history, evolution of the profession, of the education and of regulation), legal framework (related to the medical use of ionizing radiations, legal texts directly concerning medical physics, regulations impacting the professional practice of medical physicists), scopes of intervention of the medical physicist (context, missions, dose management, image quality, quality management and safety, relationship with the patient, education, training and research, relationships with industry, cost management), operating conditions, and good professional practices. The second chapter addresses the principles of management of quality and safety: quality management in medical physics, safety management, quality and safety in health care facilities. The third part addresses good practices in medical physics: general principles of working methods, equipment management, participation to clinic activities

  14. Supply-side barriers to maternity-care in India: a facility-based analysis.

    Directory of Open Access Journals (Sweden)

    Santosh Kumar

    Full Text Available BACKGROUND: Health facilities in many low- and middle-income countries face several types of barriers in delivering quality health services. Availability of resources at the facility may significantly affect the volume and quality of services provided. This study investigates the effect of supply-side determinants of maternity-care provision in India. METHODS: Health facility data from the District-Level Household Survey collected in 2007-2008 were analyzed to explore the effects of supply-side factors on the volume of delivery care provided at Indian health facilities. A negative binomial regression model was applied to the data due to the count and over-dispersion property of the outcome variable (number of deliveries performed at the facility. RESULTS: Availability of a labor room (Incidence Rate Ratio [IRR]: 1.81; 95% Confidence Interval [CI]: 1.68-1.95 and facility opening hours (IRR: 1.43; CI: 1.35-1.51 were the most significant predictors of the volume of delivery care at the health facilities. Medical and paramedical staff were found to be positively associated with institutional deliveries. The volume of deliveries was also higher if adequate beds, essential obstetric drugs, medical equipment, electricity, and communication infrastructures were available at the facility. Findings were robust to the inclusion of facility's catchment area population and district-level education, health insurance coverage, religion, wealth, and fertility. Separate analyses were performed for facilities with and without a labor room and results were qualitatively similar across these two types of facilities. CONCLUSIONS: Our study highlights the importance of supply-side barriers to maternity-care India. To meet Millennium Development Goals 4 and 5, policymakers should make additional investments in improving the availability of medical drugs and equipment at primary health centers (PHCs in India.

  15. Water quality facility investigation report : final summary of project and evaluation of monitoring plan implementation.

    Science.gov (United States)

    2005-07-05

    The Oregon Department of Transportation (ODOT) has installed several stormwater : treatment facilities throughout the State to improve the quality of runoff discharged from : highways. These facilities include a variety of both above ground and below...

  16. Final Corrective Action Study for the Former CCC/USDA Facility in Hanover, Kansas

    Energy Technology Data Exchange (ETDEWEB)

    LaFreniere, Lorraine M. [Argonne National Lab. (ANL), Argonne, IL (United States)

    2013-11-01

    Low concentrations of carbon tetrachloride in groundwater and vapor intrusion into a limited number of residences (attributable to the contaminant concentrations in groundwater) have been identified in Hanover, Kansas, at and near a grain storage facility formerly leased and operated by the Commodity Credit Corporation of the U.S. Department of Agriculture (CCC/USDA). At the request of the Kansas Department of Health and Environment (KDHE 2009h), the CCC/USDA has prepared this Corrective Action Study (CAS) for the facility. The CAS examines corrective actions to address the contamination in groundwater and soil vapor.

  17. 340 Waste Handling Facility interim safety basis

    International Nuclear Information System (INIS)

    Bendixsen, R.B.

    1995-01-01

    This document establishes the interim safety basis (ISB) for the 340 Waste Handling Facility (340 Facility). An ISB is a documented safety basis that provides a justification for the continued operation of the facility until an upgraded final safety analysis report is prepared that complies with US Department of Energy (DOE) Order 5480.23, Nuclear Safety Analysis Reports. The ISB for the 340 Facility documents the current design and operation of the facility. The 340 Facility ISB (ISB-003) is based on a facility walkdown and review of the design and operation of the facility, as described in the existing safety documentation. The safety documents reviewed, to develop ISB-003, include the following: OSD-SW-153-0001, Operating Specification Document for the 340 Waste Handling Facility (WHC 1990); OSR-SW-152-00003, Operating Limits for the 340 Waste Handling Facility (WHC 1989); SD-RE-SAP-013, Safety Analysis Report for Packaging, Railroad Liquid Waste Tank Cars (Mercado 1993); SD-WM-TM-001, Safety Assessment Document for the 340 Waste Handling Facility (Berneski 1994a); SD-WM-SEL-016, 340 Facility Safety Equipment List (Berneski 1992); and 340 Complex Fire Hazard Analysis, Draft (Hughes Assoc. Inc. 1994)

  18. 78 FR 29390 - Applications; SHINE Medical Technologies, Inc.

    Science.gov (United States)

    2013-05-20

    ... NUCLEAR REGULATORY COMMISSION [Proj-0792; NRC-2013-0053] Applications; SHINE Medical Technologies... (ADAMS) Accession No. ML13088A192), SHINE Medical Technologies (SHINE) filed with the U.S. Nuclear... for a medical radioisotope production facility in Janesville, Wisconsin. An exemption from certain...

  19. 38 CFR 17.240 - Sharing specialized medical resources.

    Science.gov (United States)

    2010-07-01

    ..., agreements may be entered into for sharing medical resources with other hospitals, including State or local, public or private hospitals or other medical installations having hospital facilities or organ banks... medical resources, incidental hospital care or other needed services, supplies used, and normal...

  20. Comparative cross-sectional study of empathy among first year and final year medical students in Jimma University, Ethiopia: Steady state of the heart and opening of the eyes

    Directory of Open Access Journals (Sweden)

    Dehning Sandra

    2012-05-01

    Full Text Available Abstract Background There is general consent that empathy is crucial for the physician-patient relationship and thus an important issue in medical education. This comparative study was designed to examine the differences in empathy between first year and final year medical students in Jimma University, Ethiopia. Methods A comparative cross-sectional study among 131 first year and 106 final year medical students was conducted in Jimma University, Ethiopia on academic year 2010/11. The study subjects were selected using simple random sampling technique from the list of the students. Study participation was voluntary. The Balanced Emotional Empathy Scale (BEES was used for the detection of “heart-reading”, i.e. emotional empathy and the Reading the Mind in the Eyes test (RME-R test to evaluate “mind-reading”, i.e. cognitive empathy. We performed t-test to compare the mean difference in empathy and RME-R scores between the two groups of students. A linear regression was computed to identify potential factors influencing the BEES and RME-R. Results Out of the total 237 students, 207 (87.3% were males. The mean age of first year and final year students was 19.3 ± 1.1 and 24.0 ± 1.4 years respectively. First year students have scored 40.6 ± 23.8 while final year students scored 41.5 ± 20.8 mean in the BEES measuring emotional empathy score. However, this difference was not statistically significant (t = −0.30, df = 231, P-value >0.05. Final year students had significantly higher mean cognitive empathy score (17.8 ± 4.5 than first year students (14.4 ± 4.8 [β = 2.7, 95%CI (1.20, 4.13]. Males had scored lower cognitive [β = −2.5, 95%CI (−4.37, −0.66] and emotional empathy [β = −12.0, 95%CI (−21.66, −5.46]. Conclusions Low emotional (BEES and cognitive empathy sores were found in first year and final year students of Jimma University could have implications on the medical

  1. 50 Years of the Radiological Research Accelerator Facility (RARAF)

    OpenAIRE

    Marino, Stephen A.

    2017-01-01

    The Radiological Research Accelerator Facility (RARAF) is in its 50th year of operation. It was commissioned on April 1, 1967 as a collaboration between the Radiological Research Laboratory (RRL) of Columbia University, and members of the Medical Research Center of Brookhaven National Laboratory (BNL). It was initially funded as a user facility for radiobiology and radiological physics, concentrating on monoenergetic neutrons. Facilities for irradiation with MeV light charged particles were d...

  2. Use of medications of questionable benefit in advanced dementia.

    Science.gov (United States)

    Tjia, Jennifer; Briesacher, Becky A; Peterson, Daniel; Liu, Qin; Andrade, Susan E; Mitchell, Susan L

    2014-11-01

    Advanced dementia is characterized by severe cognitive impairment and complete functional dependence. Patients' goals of care should guide the prescribing of medication during such terminal illness. Medications that do not promote the primary goal of care should be minimized. To estimate the prevalence of medications with questionable benefit used by nursing home residents with advanced dementia, identify resident- and facility-level characteristics associated with such use, and estimate associated medication expenditures. Cross-sectional study of medication use by nursing home residents with advanced dementia using a nationwide long-term care pharmacy database linked to the Minimum Data Set (460 facilities) between October 1, 2009, and September 30, 2010. Use of medication deemed of questionable benefit in advanced dementia based on previously published criteria and mean 90-day expenditures attributable to these medications per resident. Generalized estimating equations using the logit link function were used to identify resident- and facility-related factors independently associated with the likelihood of receiving medications of questionable benefit after accounting for clustering within nursing homes. Of 5406 nursing home residents with advanced dementia, 2911 (53.9%) received at least 1 medication with questionable benefit (range, 44.7% in the Mid-Atlantic census region to 65.0% in the West South Central census region). Cholinesterase inhibitors (36.4%), memantine hydrochloride (25.2%), and lipid-lowering agents (22.4%) were the most commonly prescribed. In adjusted analyses, having eating problems (adjusted odds ratio [AOR], 0.68; 95% CI, 0.59-0.78), a feeding tube (AOR, 0.58; 95% CI, 0.48-0.70), or a do-not-resuscitate order (AOR, 0.65; 95% CI, 0.57-0.75), and enrolling in hospice (AOR, 0.69; 95% CI, 0.58-0.82) lowered the likelihood of receiving these medications. High facility-level use of feeding tubes increased the likelihood of receiving these

  3. Innovative and adaptive technologies in decommissioning of nuclear facilities. Final report of a coordinated research project 2004-2008

    International Nuclear Information System (INIS)

    2008-10-01

    There are dozens of old reactors and other nuclear facilities worldwide that are either being actively dismantled or are candidates for decommissioning in the near term. A significant proportion of these facilities are situated in Member States or institutions that do not have adequate expertise and technologies for planning and implementing state of the art decommissioning projects. The technology selection process is critical in that regard. The main objective of the IAEA technical activities on decommissioning is to promote the exchange of lessons learned in order to improve the technologies, thereby contributing to successful planning and implementation of decommissioning. This should be achieved through a better understanding of the decision making process in technology comparison and selection and relevant issues affecting the entire decommissioning process. The specific objectives of the Coordinated Research Project (CRP) on Innovative and Adaptive Technologies in Decommissioning of Nuclear Facilities include the following general aspects: (a) To establish methodologies and data needs for developing concepts and approaches relevant to technology comparison and selection in decommissioning; (b) To improve and expand the database on applications and performance of various types of decommissioning technologies; (c) To address specific issues for individual decommissioning technologies and generate data relevant to their comparison and selection. It is also expected that this project, and in particular the papers collected in this TECDOC, will draw Member States' attention to the practicality and achievability of timely planning and implementation of decommissioning, especially for many smaller projects. Concluding reports that summarized the work undertaken under the aegis of the CRP were presented at the third and final research coordination meeting held in Rez, Czech Republic, 3-7 December 2007, and collected in this technical publication. Operating

  4. Toroid magnet test facility

    CERN Multimedia

    2002-01-01

    Because of its exceptional size, it was not feasible to assemble and test the Barrel Toroid - made of eight coils - as an integrated toroid on the surface, prior to its final installation underground in LHC interaction point 1. It was therefore decided to test these eight coils individually in a dedicated test facility.

  5. Design challenges for electronic medication administration record systems in residential aged care facilities: a formative evaluation.

    Science.gov (United States)

    Tariq, A; Lehnbom, E; Oliver, K; Georgiou, A; Rowe, C; Osmond, T; Westbrook, J

    2014-01-01

    Electronic medication administration record (eMAR) systems are promoted as a potential intervention to enhance medication safety in residential aged care facilities (RACFs). The purpose of this study was to conduct an in-practice evaluation of an eMAR being piloted in one Australian RACF before its roll out, and to provide recommendations for system improvements. A multidisciplinary team conducted direct observations of workflow (n=34 hours) in the RACF site and the community pharmacy. Semi-structured interviews (n=5) with RACF staff and the community pharmacist were conducted to investigate their views of the eMAR system. Data were analysed using a grounded theory approach to identify challenges associated with the design of the eMAR system. The current eMAR system does not offer an end-to-end solution for medication management. Many steps, including prescribing by doctors and communication with the community pharmacist, are still performed manually using paper charts and fax machines. Five major challenges associated with the design of eMAR system were identified: limited interactivity; inadequate flexibility; problems related to information layout and semantics; the lack of relevant decision support; and system maintenance issues. We suggest recommendations to improve the design of the eMAR system and to optimize existing workflows. Immediate value can be achieved by improving the system interactivity, reducing inconsistencies in data entry design and offering dedicated organisational support to minimise connectivity issues. Longer-term benefits can be achieved by adding decision support features and establishing system interoperability requirements with stakeholder groups (e.g. community pharmacies) prior to system roll out. In-practice evaluations of technologies like eMAR system have great value in identifying design weaknesses which inhibit optimal system use.

  6. Requirements for a long-term safety certification for chemotoxic substances stored in a final storage facility for high radioactive and heat-generating radioactive waste in rock salt formations

    International Nuclear Information System (INIS)

    Tholen, M.; Hippler, J.; Herzog, C.

    2007-01-01

    Within the scope of a project funded by the German Federal Ministry of Economics and Technology (Bundesministerium fuer Wirtschaft und Technologie, BMWi), a safety certification concept for a future permanent final storage for high radioactive and heat-generating radioactive waste (HAW disposal facility) in rock salt formations is being prepared. For a reference concept, compliance with safety requirements in regard to operational safety as well as radiological and non-radiological protection objectives related to long-term safety, including ground water protection, will be evaluated. This paper deals with the requirements for a long-term safety certification for the purpose of protecting ground water from chemotoxic substances. In particular, longterm safety certifications for the permanent disposal of radioactive waste in a HAW disposal facility in rock salt formations and for the dumping of hazardous waste in underground storage facilities in rock salt formations are first discussed, followed by an evaluation as to whether these methods can be applied to the long-term safety certification for chemotoxic substances. The authors find it advisable to apply the long-term safety certification for underground storage facilities to the long-term safety certification for chemotoxic substances stored in a HAW disposal facility in rock salt formations. In conclusion, a corresponding certification concept is introduced. (orig.)

  7. 78 FR 19537 - SHINE Medical Technologies, Inc.; Exemption

    Science.gov (United States)

    2013-04-01

    ... NUCLEAR REGULATORY COMMISSION [NRC-2013-0053] SHINE Medical Technologies, Inc.; Exemption AGENCY... Technologies, Inc. (SHINE) intends to submit an application to construct a medical isotope production facility... grants SHINE Medical Technologies, Inc. an exemption from the requirement of 10 CFR 2.101(a)(5) limiting...

  8. Northeast Oregon Hatchery Project, Final Siting Report.

    Energy Technology Data Exchange (ETDEWEB)

    Watson, Montgomery

    1995-03-01

    This report presents the results of site analysis for the Bonneville Power Administration Northeast Oregon Hatchery Project. The purpose of this project is to provide engineering services for the siting and conceptual design of hatchery facilities for the Bonneville Power Administration. The hatchery project consists of artificial production facilities for salmon and steelhead to enhance production in three adjacent tributaries to the Columbia River in northeast Oregon: the Grande Ronde, Walla Walla, and Imnaha River drainage basins. Facilities identified in the master plan include adult capture and holding facilities; spawning incubation, and early rearing facilities; full-term rearing facilities; and direct release or acclimation facilities. The evaluation includes consideration of a main production facility for one or more of the basins or several smaller satellite production facilities to be located within major subbasins. The historic and current distribution of spring and fall chinook salmon and steelhead was summarized for the Columbia River tributaries. Current and future production and release objectives were reviewed. Among the three tributaries, forty seven sites were evaluated and compared to facility requirements for water and space. Site screening was conducted to identify the sites with the most potential for facility development. Alternative sites were selected for conceptual design of each facility type. A proposed program for adult holding facilities, final rearing/acclimation, and direct release facilities was developed.

  9. Purchased Behavioral Health Care Received by Military Health System Beneficiaries in Civilian Medical Facilities, 2000-2014.

    Science.gov (United States)

    Wooten, Nikki R; Brittingham, Jordan A; Pitner, Ronald O; Tavakoli, Abbas S; Jeffery, Diana D; Haddock, K Sue

    2018-02-06

    Behavioral health conditions are a significant concern for the U.S. military and the Military Health System (MHS) because of decreased military readiness and increased health care utilization. Although MHS beneficiaries receive direct care in military treatment facilities, a disproportionate majority of behavioral health treatment is purchased care received in civilian facilities. Yet, limited evidence exists about purchased behavioral health care received by MHS beneficiaries. This longitudinal study (1) estimated the prevalence of purchased behavioral health care and (2) identified patient and visit characteristics predicting receipt of purchased behavioral health care in acute care facilities from 2000 to 2014. Medical claims with Major Diagnostic Code 19 (mental disorders/diseases) or 20 (alcohol/drug disorders) as primary diagnoses and TRICARE as the primary/secondary payer were analyzed for MHS beneficiaries (n = 17,943) receiving behavioral health care in civilian acute care facilities from January 1, 2000, to December 31, 2014. The primary dependent variable, receipt of purchased behavioral health care, was modeled for select mental health and substance use disorders from 2000 to 2014 using generalized estimating equations. Patient characteristics included time, age, sex, and race/ethnicity. Visit types included inpatient hospitalization and emergency department (ED). Time was measured in days and visits were assumed to be correlated over time. Behavioral health care was described by both frequency of patients and visit type. The University of South Carolina Institutional Review Board approved this study. From 2000 to 2014, purchased care visits increased significantly for post-traumatic stress disorder, adjustment, anxiety, mood, bipolar, tobacco use, opioid/combination opioid dependence, nondependent cocaine abuse, psychosocial problems, and suicidal ideation among MHS beneficiaries. The majority of care was received for mental health disorders (78

  10. THE INCREASING TREND OF MEDICAL TOURIST FROM NORTHSUMATERA TO MALAYSIA: ANALYSIS ON SOCIO-ECONOMICFACTORS

    Directory of Open Access Journals (Sweden)

    DestanulAulia

    2013-01-01

    Full Text Available It is MacReady (2007 who believed thatthere will be an up in the trend ofmedical tourism, this industry will grow about 20% worldwide. This couldhappen because of the socioe-conomic factors that support this condition. Asreported by SERI (2004, Leng (2006 andTourism Malaysia (2010, Indonesianpatients have been the largest foreign patients visited Malaysia. This trend isinteresting to learn further and this study aims at finding out the macroeconomicfactors which have influenced the numbers of people from North Sumateraseeking for medical treatment in Malaysia. Using secondary data, this surveystudy has regressed the number of North Sumatran medical tourist (as thedependent variable for the period of 2000-2011 to the independent variables suchas exchange rate, inflation and income per capita in order to find out the economicdeterminant of number of medicaltourists from North Sumatera. Thedemographic determinant choosen to studyas the only independent variable ispopulation for the same period of study. Finally, in order to incorporate the healthseeking behavior point of view, this studyused independent variables such as lifeexpectancy, health facilities, number ofdoctors and level of education as thedeterminant for the number of medical tourists from North Sumatera. The resultof regression for economic determinant showed that income and exchange ratewere positively and statistically significant determinant for the number of medicaltourists while the independent variableof inflation is not responsive to thechanges in the dependent variable of number of medical tourist. The result ofsingle regression of the independentvariable of population was foundsignificantly and positively tohave affected the numberof medical tourist. Fromfour of the health seeking behaviours asdependent variables, it is found that lifeexpectancy and the number ofhealth facilities was responsive to the changes ofthe number of medical tourist while the number of doctors and

  11. Mixed Waste Management Facility (MWMF) groundwater monitoring report

    International Nuclear Information System (INIS)

    1993-03-01

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

  12. Medical wastes management in the south of Brazil

    International Nuclear Information System (INIS)

    Silva, C.E. da; Hoppe, A.E.; Ravanello, M.M.; Mello, N.

    2005-01-01

    In developing countries, solid wastes have not received sufficient attention. In many countries, hazardous and medical wastes are still handled and disposed together with domestic wastes, thus creating a great health risk to municipal workers, the public and the environment. Medical waste management has been evaluated at the Vacacai river basin in the State of Rio Grande do Sul, Brazil. A total of 91 healthcare facilities, including hospitals (21), health centers (48) and clinical laboratories (22) were surveyed to provide information about the management, segregation, generation, storage and disposal of medical wastes. The results about management aspects indicate that practices in most healthcare facilities do not comply with the principles stated in Brazilian legislation. All facilities demonstrated a priority on segregation of infectious-biological wastes. Average generation rates of total and infectious-biological wastes in the hospitals were estimated to be 3.245 and 0.570 kg/bed-day, respectively

  13. Legal problems of waste treatment in German atomic energy facilities

    International Nuclear Information System (INIS)

    Pfaffelhuber, J.K.

    1980-01-01

    The execution of the strategies of waste treatment and disposal calls for the laws and regulations on the obligations of the owners of equipments and facilities and of the state for securing safety and the final elimination of radioactive wastes, which are defined mainly in Article 9 of Atomgesetz and Section 2 (Article 44 - 48) of the order on protection from radiation. The owners of equipments and facilities of atomic energy technology shall limit the emission of radiation to about 6% of internationally permissible values, avoid uncontrolled emission without fail, inspect emission and submit reports yearly to government offices. The owners have attention obligations to utilize harmlessly produced radioactive residues and the expanded or dismantled parts of radioactive equipments or to eliminate orderly such things as radioactive wastes, only when such utilization is unable technically or economically, or not adequate under the protection aims of Atomgesetz. The possessors of radioactive wastes shall deliver the wastes to the accumulation places of provinces for intermediate storage, to the facilities of the Federal Republic for securing safety or final storage, or the facilities authorized by government offices for the elimination of radioactive wastes. Provinces shall install the accumulation places for the intermediate storage of radioactive wastes produced in their territories, and the Federal Republic shall set up the facilities for securing safety and the final elimination of radioactive wastes (Article 9, Atomgesetz). (Okada, K.)

  14. Design of spent fuel storage facilities

    International Nuclear Information System (INIS)

    1994-01-01

    This Safety Guide is for interim spent fuel storage facilities that are not integral part of an operating nuclear power plant. Following the introduction, Section 2 describes the general safety requirements applicable to the design of both wet and dry spent fuel storage facilities; Section 3 deals with the design requirements specific to either wet or dry storage. Recommendations for the auxiliary systems of any storage facility are contained in Section 4; these are necessary to ensure the safety of the system and its safe operation. Section 5 provides recommendations for establishing the quality assurance system for a storage facility. Section 6 discusses the requirements for inspection and maintenance that must be considered during the design. Finally, Section 7 provides guidance on design features to be considered to facilitate eventual decommissioning. 18 refs

  15. Medical Prescription Pitfalls of Uncomplicated Urinary Tract ...

    African Journals Online (AJOL)

    Objectives: The aim of this evaluation was to identify pitfalls in medical prescriptions of uncomplicated urinary tract infections in government healthcare facilities in Zambia. Design: This was a cross sectional and government healthcare facilities were conveniently sampled. Main outcome measures: Rate of compliance to ...

  16. Review to give the public clear information on near surface disposal project of low-level radioactive wastes generated from research, industrial and medical facilities

    International Nuclear Information System (INIS)

    Shobu, Nobuhiro; Amazawa, Hiroya; Koibuchi, Hiroto; Nakata, Hisakazu; Kato, Masatoshi; Takao, Tomoe; Terashima, Daisuke; Tanaka, Yoshie; Shirasu, Hisanori

    2013-12-01

    Japan Atomic Energy Agency (hereafter abbreviated as “JAEA”) has promoted near surface disposal project for low-level radioactive wastes generated from research, industrial and medical facilities after receiving project approval from the government in November 2009. JAEA has carried out public information about low-level radioactive wastes disposal project on the web site. When some town meetings are held toward mutual understanding with the public, more detailed and clear explanations for safety management of near surface disposal are needed especially. Therefore, the information provision method to make the public understand should be reviewed. Moreover, a web-based survey should be carried out in order to get a sense of what the public knows, what it values and where it stands on nuclear energy and radiation issues, because the social environment surrounding nuclear energy and radiation issues has drastically changed as a result of the accident at the Fukushima Daiichi Nuclear Power Station on March 11, 2011. This review clarified the points to keep in mind about public information on near surface disposal project for low-level radioactive wastes generated from research, industrial and medical facilities, and that public awareness and understanding toward nuclear energy and radiation was changed before and after the accident at Fukushima Daiichi Nuclear Power Plant. (author)

  17. 38 CFR 17.65 - Approvals and provisional approvals of community residential care facilities.

    Science.gov (United States)

    2010-07-01

    ... approvals of community residential care facilities. 17.65 Section 17.65 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Community Residential Care § 17.65 Approvals and provisional approvals of community residential care facilities. (a) An approval of a facility meeting all of...

  18. Operation of beam line facilities for real-time x-ray studies at Sector 7 of the advanced photon source. Final Report

    International Nuclear Information System (INIS)

    Clarke, Roy

    2003-01-01

    This Final Report documents the research accomplishments achieved in the first phase of operations of a new Advanced Photon Source beam line (7-ID MHATT-CAT) dedicated to real-time x-ray studies. The period covered by this report covers the establishment of a world-class facility for time-dependent x-ray studies of materials. During this period many new and innovative research programs were initiated at Sector 7 with support of this grant, most notably using a combination of ultrafast lasers and pulsed synchrotron radiation. This work initiated a new frontier of materials research: namely, the study of the dynamics of materials under extreme conditions of high intensity impulsive laser irradiation

  19. Medical technology advances from space research

    Science.gov (United States)

    Pool, S. L.

    1972-01-01

    Details of medical research and development programs, particularly an integrated medical laboratory, as derived from space technology are given. The program covers digital biotelemetry systems, automatic visual field mapping equipment, sponge electrode caps for clinical electroencephalograms, and advanced respiratory analysis equipment. The possibility of using the medical laboratory in ground based remote areas and regional health care facilities, as well as long duration space missions is discussed.

  20. A guide for good practices in medical physics - French Society of Medical Physics

    International Nuclear Information System (INIS)

    Rosenwald, Jean-Claude; Aventin, Christophe; Coste, Frederic; Francois, Pascal; Ginestet, Chantal; Perrin, Benedicte; Salvat, Cecile; Caselles, Olivier; Dedieu, Veronique; Dejean, Catherine; Batalla, Alain; Guillaume, Bonniaud; LeDu, Dominique; Lisbona, Albert; Marchesi, Vincent; Sarrazin, Thierry; Mazeron, Jean-Jacques; Lipinski, Francis; Vera, Pierre; Maximilien Vermandel; Ducou le Pointe, Hubert; Vidal, Vincent; Henry, Cecile; Mazeau-Woynar, Valerie; Prot, Camille; Valero, Marc; Aubert, Bernard; Etard, Cecile; Jimonet, Christine; Roue, Amelie; Sage, Julie; Bardies, Manuel; Beauvais, Helene; Bey, Pierre; Costa, Andre; Desblancs, Claire; Eudaldo, Teresa; Farman, Bardia; Ferrand, Regis; Garcia, Robin; Giraud, Jean-Yves; Husson, Francois; Koulibaly, Malick; Carlan, Loic de; Manens, Jean-Pierre; Naudy, Suzanne; Noel, Alain; Pilette, Pierre; Verdun, Francis

    2012-12-01

    After a presentation of the methodological approach used to write this book, the first chapter addresses the profession of medical physicist: medical physics in France (history, evolution of the profession, of the education and of regulation), legal framework (related to the medical use of ionizing radiations, legal texts directly concerning medical physics, regulations impacting the professional practice of medical physicists), scopes of intervention of the medical physicist (context, missions, dose management, image quality, quality management and safety, relationship with the patient, education, training and research, relationships with industry, cost management), operating conditions, and good professional practices. The second chapter addresses the principles of management of quality and safety: quality management in medical physics, safety management, quality and safety in health care facilities. The third part addresses good practices in medical physics: general principles of working methods, equipment management, participation to clinic activities

  1. Final report on the decontamination of the Curium Source Fabrication Facility

    International Nuclear Information System (INIS)

    Schaich, R.W.

    1983-12-01

    The Curium Source Fabrication Facility (CSFF) at Oak Ridge National Laboratory (ORNL) was decontaminated to acceptable contamination levels for maintenance activities, using standard decontamination techniques. Solid and liquid waste volumes were controlled to minimize discharges to the ORNL waste systems. This program required two years of decontamination effort at a total cost of approximately $700K. 5 references, 7 figures, 2 tables

  2. Self-perceived versus objectively measured competence in performing clinical practical procedures by final year medical students.

    Science.gov (United States)

    Katowa-Mukwato, Patricia; Banda, Sekelani

    2016-04-30

    To determine and compare the self-perceived and objectively measured competence in performing 14 core-clinical practical procedures by Final Year Medical Students of the University of Zambia. The study included 56 out of 60 graduating University of Zambia Medical Students of the 2012/2013 academic year. Self-perceived competence: students rated their competence on 14 core- clinical practical procedures using a self-administered questionnaire on a 5-point Likert scale. Objective competence: it was measured by Objective Structured Clinical Examination (OSCE) by faculty using predetermined rating scales. Rank order correlation test was performed for self-perceived and objectively measured competence. Two thirds 36 (66.7%) of the participants perceived themselves as moderately competent, 15 (27.8%) rated themselves as highly competent while 3 (5.6%) had low self-perception. With objective competence, the majority 52 (92.8%) were barely competent while 4 (7.2%) were absolutely competent. When overall self-perception was compared to objectively measured competence, there was a discordance which was demonstrated by a negative correlation (Spearman rho -.123). Significant numbers of students reported low self-competence in performing procedures such as endotracheal intubation, gastric lavage and cardiopulmonary resuscitation which most never performed during the clinical years of medical education. In addition, the negative correlation between self-perceived and objectively measured competence demonstrated the inability of students to assess and rate themselves objectively due to fear that others may know their weaknesses and realize that they are not as competent as expected at a specific level of training.

  3. Exploring self-use, attitude and interest to study complementary and alternative medicine (CAM) among final year undergraduate medical, pharmacy and nursing students in Sierra Leone: a comparative study.

    Science.gov (United States)

    James, Peter Bai; Bah, Abdulai Jawo; Kondorvoh, Idrissa Momoh

    2016-04-27

    CAM inclusion into the curricula of health training institutions, a strategy for its integration into the main stream healthcare delivery system is growing globally. Future healthcare professionals knowledge and perception of CAM are key determinants to its successful integration. Thus, the main objective of this study was to compare the use, attitude and interest to study CAM among final year undergraduate medical, pharmacy and nursing students at the College of Medicine and Allied Health Sciences University of Sierra Leone (COMAHS-USL). A questionnaire based cross-sectional survey was carried out among final year medical, pharmacy and nursing students enrolled at the College of Medicine and Allied Health Sciences University of Sierra Leone (COMAHS-USL). Chi square, fisher exact two tailed test and Kruskal-wallis test were used to analyze data collected. Close to two-thirds (61 %) of all the three groups of final year students used one form of CAM or the other with pharmacy (72.7 %) and nursing (55.6 %) students being the highest and least users respectively. No significant difference was observed among the three groups. In general, final year students in all three cadres demonstrated a positive attitude toward CAM (33.80 ± 3. 2) with medical students showing more positive attitude than pharmacy (p = 0.022) and nursing student (p = 0.008). No significant difference in attitude was observed between students in pharmacy and nursing programs (p = 0.354). More than three quarter (76.6 %) of the students in all the three groups indicated their interest in studying CAM, with preference for the subject to be taught as an elective module (81.6 %). An appreciable number of final year medical, pharmacy and nursing students at COMAHS-USL have used at least one CAM modality and demonstrated an overall positive attitude towards CAM. Interest to study CAM was also observed among most of them even though they preferred it to be taught as an elective module.

  4. Customer satisfaction in medical service encounters -- a comparison between obstetrics and gynecology patients and general medical patients.

    Science.gov (United States)

    Chang, Ching-Sheng; Weng, Hui-Ching; Chang, Hsin-Hsin; Hsu, Tsuen-Ho

    2006-03-01

    This study is concerned with the "service encounter", and seeks to describe, by use of the Service Encounter Evaluation Model, how the processes involved in the service encounter affect customer satisfaction. Its findings have implications for management practice and research directions, and recommendations are made. With the implementation of a national health insurance scheme, an ever-prospering economy and continually improving educational levels in Taiwan, demand among citizens for good health and medical care is ever increasing. Obstetrics and gynecology patients often differ greatly from general patients, in terms of their moods and emotions. This research involved an empirical study, whose subjects were 590 customers of general clinics and 339 customers of gynecology clinics, in various medical centers in southern Taiwan. By factor analysis, the study established four influencing factors, which were "Medical professionals", "Nursing professionals", "Service personnel" and "Space and facilities". Using the Linear Structural Relation Model (LISREL), it found that medical professionals, nursing professionals, service personnel and space and facilities were effective predictors of medical treatment satisfaction. We also found that the greatest positive impact on overall medical treatment satisfaction resulted from rises in satisfaction with medical professionals, but that the least impact was achieved in relation to service personnel in the general and gynecology clinics.

  5. Drilling supervision procedure for the Exploratory Shaft Facility: Final draft

    International Nuclear Information System (INIS)

    1986-11-01

    Drilling supervision will be undertaken in the Exploratory Shaft Facility (ESF) for boreholes drilled primarily for the purpose of hydrologic testing, downhole mechanical/thermal testing, sampling for laboratory testing, and for the placement of instrumentation. The primary purpose of this procedure is documentation of drilling activities prescribed by other procedures. Supervision of drilling includes designation of positions of authority, lines of communication, and methodology of supervising, monitoring, and documenting drilling and associated activities. The rationale for the specific applications of core drilling is provided by the test procedures for each activity. 2 figs

  6. A Discussion of Patient Safety Programs in the United States Air Force Ground Medical Expeditionary Environment and an Analysis of Potential Solutions for Increasing Their Effectiveness

    Science.gov (United States)

    2017-05-01

    deployed environment . Finally, recommendations are introduced to help realize the ultimate trusted care goal of “zero (patient) harm,” wherever care may...Defense Medical Treatment Facilities (MTFs).10 Specifically, Department of Defense health care organizations were now required to establish “a...expeditionary environment , to the maximum extent possible. Trusted Care begins with me, you, and us all – everywhere and anywhere care may be provided

  7. Anatomy Education in Namibia: Balancing Facility Design and Curriculum Development

    Science.gov (United States)

    Wessels, Quenton; Vorster, Willie; Jacobson, Christian

    2012-01-01

    The anatomy curriculum at Namibia's first, and currently only, medical school is clinically oriented, outcome-based, and includes all of the components of modern anatomical sciences i.e., histology, embryology, neuroanatomy, gross, and clinical anatomy. The design of the facilities and the equipment incorporated into these facilities were directed…

  8. Testing of components on the shaking table facilities of AEP and contribution to full scale dynamic testing of Kozloduy NPP. Final report

    International Nuclear Information System (INIS)

    Ambriashvili, Y.

    1996-01-01

    This final report summarizes the results of components testing on the shaking table facilities of 'Atomenergoproject' which are considered as a contribution to the full scale dynamic testing of the Kozloduy nuclear power plant Units 5 and 6. It was designed on 1.0 g according to the calculations that were based on accelerograms which included artificial and already known recordings of real earthquakes. Maximum acceleration of the designed spectrum and new spectrum which are recommended are now within the range of frequencies 2.5-20 Hz. Active reactor and the primary loop are seismic stable as well as the tested equipment tested by 'Atomenergoproject'

  9. Facility Decontamination and Decommissioning Program Surveillance and Maintenance Plan, Revision 2

    Energy Technology Data Exchange (ETDEWEB)

    Poderis, Reed J. [NSTec; King, Rebecca A. [NSTec

    2013-09-30

    This Surveillance and Maintenance (S&M) Plan describes the activities performed between deactivation and final decommissioning of the following facilities located on the Nevada National Security Site, as documented in the Federal Facility Agreement and Consent Order under the Industrial Sites program as decontamination and decommissioning sites: ? Engine Maintenance, Assembly, and Disassembly (EMAD) Facility: o EMAD Building (Building 25-3900) o Locomotive Storage Shed (Building 25-3901) ? Test Cell C (TCC) Facility: o Equipment Building (Building 25-3220) o Motor Drive Building (Building 25-3230) o Pump Shop (Building 25-3231) o Cryogenic Lab (Building 25-3232) o Ancillary Structures (e.g., dewars, water tower, piping, tanks) These facilities have been declared excess and are in various stages of deactivation (low-risk, long-term stewardship disposition state). This S&M Plan establishes and implements a solid, cost-effective, and balanced S&M program consistent with federal, state, and regulatory requirements. A graded approach is used to plan and conduct S&M activities. The goal is to maintain the facilities in a safe condition in a cost-effective manner until their final end state is achieved. This plan accomplishes the following: ? Establishes S&M objectives and framework ? Identifies programmatic guidance for S&M activities to be conducted by National Security Technologies, LLC, for the U.S. Department of Energy, National Nuclear Security Administration Nevada Field Office (NNSA/NFO) ? Provides present facility condition information and identifies hazards ? Identifies facility-specific S&M activities to be performed and their frequency ? Identifies regulatory drivers, NNSA/NFO policies and procedures, and best management practices that necessitate implementation of S&M activities ? Provides criteria and frequencies for revisions and updates ? Establishes the process for identifying and dispositioning a condition that has not been previously identified or

  10. US Department of Energy Grand Junction Projects Office Remedial Action Project, final report of the decontamination and decommissioning of Building 36 at the Grand Junction Projects Office Facility

    International Nuclear Information System (INIS)

    Widdop, M.R.

    1996-08-01

    The U.S. Department of Energy (DOE) Grand Junction Projects Office (GJPO) occupies a 61.7-acre facility along the Gunnison River near Grand Junction, Colorado. This site was contaminated with uranium ore and mill tailings during uranium refining activities of the Manhattan Engineer District and during pilot milling experiments conducted for the U.S. Atomic Energy Commission's domestic uranium procurement program. The DOE Defense Decontamination and Decommissioning Program established the GJPO Remedial Action Project to clean up and restore the facility lands, improvements, and the underlying aquifer. The site contractor for the facility, Rust Geotech, also is the remedial action contractor. Building 36 was found to be radiologically contaminated and was demolished in 1996. The soil beneath the building was remediated in accordance with identified standards and can be released for unlimited exposure and unrestricted use. This document was prepared in response to a DOE request for an individual final report for each contaminated GJPO building

  11. US Department of Energy Grand Junction Projects Office Remedial Action Project. Final report of the decontamination and decommissioning of Building 52 at the Grand Junction Projects Office Facility

    International Nuclear Information System (INIS)

    Krabacher, J.E.

    1996-08-01

    The U.S. Department of Energy (DOE) Grand Junction Projects Office (GJPO) occupies a 61.7-acre facility along the Gunnison River near Grand Junction, Colorado. This site was contaminated with uranium ore and mill tailings during uranium refining activities of the Manhattan Engineer District and during pilot milling experiments conducted for the U.S. Atomic Energy Commission's domestic uranium procurement program. The DOE Defense Decontamination and Decommissioning Program established the GJPO Remedial Action Project to clean up and restore the facility lands, improvements, and the underlying aquifer. The site contractor for the facility, Rust Geotech, also was the remedial action contractor. Building 52 was found to be radiologically contaminated and was demolished in 1994. The soil area within the footprint of the building has been remediated in accordance with the identified standards and the area can be released for unlimited exposure and unrestricted use. This document was prepared in response to a DOE request for an individual final report for each contaminated GJPO building

  12. Associations of Pass-Fail Outcomes with Psychological Health of First-Year Medical Students in a Malaysian Medical School

    Directory of Open Access Journals (Sweden)

    Muhamad S. B. Yusoff

    2013-02-01

    Full Text Available Objectives: The demanding and intense environment of medical training can create excessive pressures on medical students that eventually lead to unfavorable consequences, either at a personal or professional level. These consequences can include poor academic performance and impaired cognitive ability. This study was designed to explore associations between pass-fail outcome and psychological health parameters (i.e. stress, anxiety, and depression symptoms. Methods: A cross-sectional study was conducted on a cohort of first-year medical students in a Malaysian medical school. The depression anxiety stress scale 21-item assessment (DASS-21 was administered to them right after the final paper of the first-year final examination. Their final examination outcomes (i.e. pass or fail were traced by using their student identity code (ID through the Universiti Sains Malaysia academic office. Results: A total of 194 (98.0% of medical students responded to the DASS-21. An independent t-test showed that students who passed had significantly lower stress, anxiety, and depression symptoms than those who failed the first-year final examination (P <0.05. Those who experienced moderate to high stress were at 2.43 times higher risk for failing the examination than those who experienced normal to mild stress. Conclusion: Medical students whofailed in the final examination had higher psychological distress than those who passed the examination. Those who experienced high stress levels were more likely to fail than those who did not. Reducing the psychological distress of medical students prior to examination may help them to perform better in the examination.

  13. Military Real Property Maintenance: Management Improvements are needed to Ensure Adequate Facilities

    National Research Council Canada - National Science Library

    Chan, Kwai-Cheung

    2000-01-01

    ... about $5 billion for each of the past 4 years (fiscal years 1996-1999). Separate accounts are used to fund maintenance and repair of family housing, many industrial-related facilities, and many military medical facilities...

  14. Medical devices made into weapons by prisoners: an unrecognized risk.

    Science.gov (United States)

    Hayden, J W; Laney, C; Kellermann, A L

    1995-12-01

    The alteration of a knee immobilizer into a sharp weapon by a prisoner prompted us to survey neighboring penal institutions to determine the frequency of such events. We mailed a nine-item survey to all detention facilities in Tennessee, Arkansas, and Mississippi. A second survey was sent to nonresponding institutions 6 weeks after the initial mailing. The Regional Medical Center at Memphis, the designated facility for evaluation and treatment of prisoners from the county jail and state penitentiary. Survey respondents included 25 state penitentiaries, 31 county jails, 1 state minimum-security facility, 1 state maximum-security facility, 1 work-release center, 1 county detention center for drunken-driving offenders, and 1 federal penitentiary. Of the 81 institutions surveyed, 77% responded to one of the two mailings. Forty percent responded in the affirmative when asked whether stolen or unauthorized medical equipment from outside their institutions had been discovered among inmates. When respondents were questioned as to whether medical equipment, prescribed or not, had been used or altered in a criminal manner, 34% responded "yes." Medications and medical appliances were listed in the responses. A survey of 81 local and neighboring penal institutions in a three-state area revealed that the illicit use of medicine and medical devices by prisoners is a legitimate safety concern of prison personnel and health care workers when medical care for inmates must be sought outside the security of their institutions. The modification of medical equipment into weapons by incarcerated patients, although clearly recognized as a security and safety problem by police authorities, appears to be unappreciated by health care workers providing episodic care to inmates.

  15. Investigative report, science committee of Aggregate corporation Radiological technologist society of the Oita prefecture. Questionnaires research on security control of department of radiological technology of medical facilities in the Oita prefecture. The second report. Research on high risk incident measures

    International Nuclear Information System (INIS)

    Eto, Yoshihiro; Mano, Isao; Takagi, Ikuya; Murakami, Yasunori; Sueyoshi, Seiji; Yoshimoto, Asahi

    2007-01-01

    Oita association of radiological technologists carried out the questionnaires about the measures against high lisk incidental in department of radiological technology at the medical facilities in Oita. We distributed the questionnaire to 102 facilities, which are worked by the technologists (member), and got response from 91 facilities (89%). Research contents are Patient verification method'' ''Input and verification of patient attribute'' ''Infection in hospital'' ''Stumbles and falls of patient'' Contrast enhancement CT'' ''Something related to pacemaker'' ''MRI inspection and the magnetic substance'' ''Remedy mistake'' and ''Risk management''. The Result, Low level recognition contents of medical accident measures are ''Contrast enhancement CT'' ''Stumbles and falls of patient'' Risk management of department of radiological technology''. (author)

  16. 29 CFR 1926.23 - First aid and medical attention.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 8 2010-07-01 2010-07-01 false First aid and medical attention. 1926.23 Section 1926.23... Provisions § 1926.23 First aid and medical attention. First aid services and provisions for medical care... prescribing specific requirements for first aid, medical attention, and emergency facilities are contained in...

  17. [Implementation of quality management in medical rehabilitation--current challenges for rehabilitation facilities].

    Science.gov (United States)

    Enge, M; Koch, A; Müller, T; Vorländer, T

    2010-12-01

    The legal responsibilities imposed upon rehabilitation facilities under section 20 (2a) SGB IX, necessitate fundamental decisions to be taken regarding the development of quality management systems over and above the existing framework. This article is intended to provide ideas and suggestions to assist rehabilitation facilities in implementing a quality management system, which is required in addition to participation in the quality assurance programmes stipulated by the rehabilitation carriers. In this context, the additional internal benefit a functioning quality management system can provide for ensuring a high level of quality and for maintaining the competitiveness of the rehabilitation facility should be taken into account. The core element of these observations, hence, is a list of requirements which enables assessment of the quality of consultants' performance in setting up a quality management system. © Georg Thieme Verlag KG Stuttgart · New York.

  18. Development of an integrated medical supply information system

    Science.gov (United States)

    Xu, Eric; Wermus, Marek; Blythe Bauman, Deborah

    2011-08-01

    The integrated medical supply inventory control system introduced in this study is a hybrid system that is shaped by the nature of medical supply, usage and storage capacity limitations of health care facilities. The system links demand, service provided at the clinic, health care service provider's information, inventory storage data and decision support tools into an integrated information system. ABC analysis method, economic order quantity model, two-bin method and safety stock concept are applied as decision support models to tackle inventory management issues at health care facilities. In the decision support module, each medical item and storage location has been scrutinised to determine the best-fit inventory control policy. The pilot case study demonstrates that the integrated medical supply information system holds several advantages for inventory managers, since it entails benefits of deploying enterprise information systems to manage medical supply and better patient services.

  19. Establishment and Operation of User Facilities

    International Nuclear Information System (INIS)

    Cho, Yong Sub; Kwon, Hyeok Jung; Kim, Kye Ryung

    2008-05-01

    PEFP(Proton Engineering Frontier Project) has launched on a new enterprise to develop the technologies for the future relating to the proton beam and spin-off technologies in 2002. PEFP planned to supply 20MeV and 100MeV proton beam by the development of the 100MeV, 20mA linear accelerator during ten years from 2002 to 2012. The final goal of this project is establishment of 20MeV and 100MeV user facilities. To do this, we must develop the key technologies for establishing user facilities. Before the main facilities are normally operated, we have established the test user facilities to support various kinds of users' basic experiments and pilot studies. The necessity of this research are as follows; - Domestic achievement of key technologies for the development and design of the user facilities for the several tens to hundreds MeV class high current proton beam - Beam application researches can be revitalized and improved the efficiency by the establishment and operation of user facilities and test facilities. - Ion implantation facilities have contributed to increase Industrial applications - It is more effective in saving money that users use the PEFP's user facility than other country's user facilities. - It is possible to contribute to the local society and commercialize the beam application technologies by the establishment of PEFP's research branch in Kyungju

  20. Evaluation of Patient and Medical Staff Satisfaction regarding Healthcare Services in Wuhan Public Hospitals.

    Science.gov (United States)

    Meng, Runtang; Li, Jingjing; Zhang, Yunquan; Yu, Yong; Luo, Yi; Liu, Xiaohan; Zhao, Yanxia; Hao, Yuantao; Hu, Ying; Yu, Chuanhua

    2018-04-17

    Satisfaction evaluation is widely used in healthcare systems to improve healthcare service quality to obtain better health outcomes. The aim of this study was to measure employee work satisfaction and patient satisfaction status in Wuhan, China. A cross-sectional study was conducted in 14 medical institutions. The final valid sample comprised a total of 696 medical staff and 668 patients. The overall satisfaction levels of medical staff and patients were 58.28 ± 14.60 (10.47–100.00) and 65.82 ± 14.66 (8.62–100.00), respectively. The factors affecting medical staff satisfaction, ranking in sequence from most to least satisfied, were: the work itself, working environment and atmosphere, hospital management, practicing environment, and job rewards. Patient satisfaction factors, from most to least affecting, were ranked as follows: physician-patient relationship and communication, service organization and facilities, continuity and collaboration of medical care, access to relevant information and support, and healthcare and related services, respectively. The overall satisfaction evaluation of medical staff was average. Healthcare policy makers and medical institution management staff should focus on job rewards and working environment. This would allow them to increase their work happiness and sense of belonging, which in turn would allow them to provide better medical services to patients. The overall patient evaluation was satisfactory, with patients satisfied at all levels of the satisfaction evaluation.

  1. Evaluation of Patient and Medical Staff Satisfaction regarding Healthcare Services in Wuhan Public Hospitals

    Science.gov (United States)

    Li, Jingjing; Yu, Yong; Liu, Xiaohan; Zhao, Yanxia; Hao, Yuantao; Hu, Ying

    2018-01-01

    Satisfaction evaluation is widely used in healthcare systems to improve healthcare service quality to obtain better health outcomes. The aim of this study was to measure employee work satisfaction and patient satisfaction status in Wuhan, China. A cross-sectional study was conducted in 14 medical institutions. The final valid sample comprised a total of 696 medical staff and 668 patients. The overall satisfaction levels of medical staff and patients were 58.28 ± 14.60 (10.47–100.00) and 65.82 ± 14.66 (8.62–100.00), respectively. The factors affecting medical staff satisfaction, ranking in sequence from most to least satisfied, were: the work itself, working environment and atmosphere, hospital management, practicing environment, and job rewards. Patient satisfaction factors, from most to least affecting, were ranked as follows: physician-patient relationship and communication, service organization and facilities, continuity and collaboration of medical care, access to relevant information and support, and healthcare and related services, respectively. The overall satisfaction evaluation of medical staff was average. Healthcare policy makers and medical institution management staff should focus on job rewards and working environment. This would allow them to increase their work happiness and sense of belonging, which in turn would allow them to provide better medical services to patients. The overall patient evaluation was satisfactory, with patients satisfied at all levels of the satisfaction evaluation. PMID:29673134

  2. Siting a municipal solid waste disposal facility, part II: the effects of external criteria on the final decision.

    Science.gov (United States)

    Korucu, M Kemal; Karademir, Aykan

    2014-02-01

    The procedure of a multi-criteria decision analysis supported by the geographic information systems was applied to the site selection process of a planning municipal solid waste management practice based on twelve different scenarios. The scenarios included two different decision tree modes and two different weighting models for three different area requirements. The suitability rankings of the suitable sites obtained from the application of the decision procedure for the scenarios were assessed by a factorial experimental design concerning the effect of some external criteria on the final decision of the site selection process. The external criteria used in the factorial experimental design were defined as "Risk perception and approval of stakeholders" and "Visibility". The effects of the presence of these criteria in the decision trees were evaluated in detail. For a quantitative expression of the differentiations observed in the suitability rankings, the ranking data were subjected to ANOVA test after a normalization process. Then the results of these tests were evaluated by Tukey test to measure the effects of external criteria on the final decision. The results of Tukey tests indicated that the involvement of the external criteria into the decision trees produced statistically meaningful differentiations in the suitability rankings. Since the external criteria could cause considerable external costs during the operation of the disposal facilities, the presence of these criteria in the decision tree in addition to the other criteria related to environmental and legislative requisites could prevent subsequent external costs in the first place.

  3. A management plan for hospitals and medical centers facing radiation incidents

    Directory of Open Access Journals (Sweden)

    Fereshteh Davari

    2015-01-01

    Full Text Available Background: Nowadays, application of nuclear technology in different industries has largely expanded worldwide. Proportionately, the risk of nuclear incidents and the resulting injuries have, therefore, increased in recent years. Preparedness is an important part of the crisis management cycle; therefore efficient preplanning seems crucial to any crisis management plan. Equipped with facilities and experienced personnel, hospitals naturally engage with the response to disasters. The main purpose of our study was to present a practical management pattern for hospitals and medical centers in case they encounter a nuclear emergency. Materials and Methods: In this descriptive qualitative study, data were collected through experimental observations, sources like Safety manuals released by the International Atomic Energy Agency and interviews with experts to gather their ideas along with Delphi method for polling, and brainstorming. In addition, the 45 experts were interviewed on three targeted using brainstorming and Delphi method. Results: We finally proposed a management plan along with a set of practicality standards for hospitals and medical centers to optimally respond to nuclear medical emergencies when a radiation incident happens nearby. Conclusion: With respect to the great importance of preparedness against nuclear incidents adoption and regular practice of nuclear crisis management codes for hospitals and medical centers seems quite necessary.

  4. Associations of pass-fail outcomes with psychological health of first-year medical students in a malaysian medical school.

    Science.gov (United States)

    Yusoff, Muhamad S B

    2013-02-01

    The demanding and intense environment of medical training can create excessive pressures on medical students that eventually lead to unfavorable consequences, either at a personal or professional level. These consequences can include poor academic performance and impaired cognitive ability. This study was designed to explore associations between pass-fail outcome and psychological health parameters (i.e. stress, anxiety, and depression symptoms). A cross-sectional study was conducted on a cohort of first-year medical students in a Malaysian medical school. The depression anxiety stress scale 21-item assessment (DASS-21) was administered to them right after the final paper of the first-year final examination. Their final examination outcomes (i.e. pass or fail) were traced by using their student identity code (ID) through the Universiti Sains Malaysia academic office. A total of 194 (98.0%) of medical students responded to the DASS-21. An independent t-test showed that students who passed had significantly lower stress, anxiety, and depression symptoms than those who failed the first-year final examination (P passed the examination. Those who experienced high stress levels were more likely to fail than those who did not. Reducing the psychological distress of medical students prior to examination may help them to perform better in the examination.

  5. TRIGA Mark II nuclear reactor facility. Final report, 1 July 1980--30 June 1995

    Energy Technology Data Exchange (ETDEWEB)

    Ryan, B.C.

    1997-05-01

    This report is a final culmination of activities funded through the Department of Energy`s (DOE) University Reactor Sharing Program, Grant DE-FG02-80ER10273, during the period 1 July 1980 through 30 June 1995. Progress reports have been periodically issued to the DOE, namely the Reactor Facility Annual Reports C00-2082/2219-7 through C00-2082/10723-21, which are contained as an appendix to this report. Due to the extent of time covered by this grant, summary tables are presented. Table 1 lists the fiscal year financial obligations of the grant. As listed in the original grant proposals, the DOE grant financed 70% of project costs, namely the total amount spent of these projects minus materials costs and technical support. Thus the bulk of funds was spent directly on reactor operations. With the exception of a few years, spending was in excess of the grant amount. As shown in Tables 2 and 3, the Reactor Sharing grant funded a immense number of research projects in nuclear engineering, geology, animal science, chemistry, anthropology, veterinary medicine, and many other fields. A list of these users is provided. Out of the average 3000 visitors per year, some groups participated in classes involving the reactor such as Boy Scout Merit Badge classes, teacher`s workshops, and summer internships. A large number of these projects met the requirements for the Reactor Sharing grant, but were funded by the University instead.

  6. TRIGA Mark II nuclear reactor facility. Final report, 1 July 1980--30 June 1995

    International Nuclear Information System (INIS)

    Ryan, B.C.

    1997-05-01

    This report is a final culmination of activities funded through the Department of Energy's (DOE) University Reactor Sharing Program, Grant DE-FG02-80ER10273, during the period 1 July 1980 through 30 June 1995. Progress reports have been periodically issued to the DOE, namely the Reactor Facility Annual Reports C00-2082/2219-7 through C00-2082/10723-21, which are contained as an appendix to this report. Due to the extent of time covered by this grant, summary tables are presented. Table 1 lists the fiscal year financial obligations of the grant. As listed in the original grant proposals, the DOE grant financed 70% of project costs, namely the total amount spent of these projects minus materials costs and technical support. Thus the bulk of funds was spent directly on reactor operations. With the exception of a few years, spending was in excess of the grant amount. As shown in Tables 2 and 3, the Reactor Sharing grant funded a immense number of research projects in nuclear engineering, geology, animal science, chemistry, anthropology, veterinary medicine, and many other fields. A list of these users is provided. Out of the average 3000 visitors per year, some groups participated in classes involving the reactor such as Boy Scout Merit Badge classes, teacher's workshops, and summer internships. A large number of these projects met the requirements for the Reactor Sharing grant, but were funded by the University instead

  7. Working paper on public steering of privately owned sports facilities

    DEFF Research Database (Denmark)

    Iversen, Evald Bundgård

    This short paper discusses how municipalities can steer privately owned sports facilities. Firstly I analyse why steering of privately owned facilities is an interesting subject. Secondly I discuss what the advantages and drawbacks of using different approaches for steering sports facilities are........ Finally I discuss the methodological challenges of measuring activities in sports facilities – and take a closer look at the advantages and drawbacks of using manual and thermal techniques for registering activity.......This short paper discusses how municipalities can steer privately owned sports facilities. Firstly I analyse why steering of privately owned facilities is an interesting subject. Secondly I discuss what the advantages and drawbacks of using different approaches for steering sports facilities are...

  8. 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

  9. Decommissioning of Facilities. General Safety Requirements. Pt. 6 (Spanish Edition)

    International Nuclear Information System (INIS)

    2017-01-01

    Decommissioning is the last step in the lifetime management of a facility. It must also be considered during the design, construction, commissioning and operation of facilities. This publication establishes requirements for the safe decommissioning of a broad range of facilities: nuclear power plants, research reactors, nuclear fuel cycle facilities, facilities for processing naturally occurring radioactive material, former military sites, and relevant medical, industrial and research facilities. It addresses all the aspects of decommissioning that are required to ensure safety, aspects such as roles and responsibilities, strategy and planning for decommissioning, conduct of decommissioning actions and termination of the authorization for decommissioning. It is intended for use by those involved in policy development, regulatory control and implementation of decommissioning.

  10. Decommissioning of Facilities. General Safety Requirements. Pt. 6 (Russian Edition)

    International Nuclear Information System (INIS)

    2015-01-01

    Decommissioning is the last step in the lifetime management of a facility. It must also be considered during the design, construction, commissioning and operation of facilities. This publication establishes requirements for the safe decommissioning of a broad range of facilities: nuclear power plants, research reactors, nuclear fuel cycle facilities, facilities for processing naturally occurring radioactive material, former military sites, and relevant medical, industrial and research facilities. It addresses all the aspects of decommissioning that are required to ensure safety, aspects such as roles and responsibilities, strategy and planning for decommissioning, conduct of decommissioning actions and termination of the authorization for decommissioning. It is intended for use by those involved in policy development, regulatory control and implementation of decommissioning

  11. Final Focus Systems in Linear Colliders

    International Nuclear Information System (INIS)

    Raubenheimer, Tor

    1998-01-01

    In colliding beam facilities, the ''final focus system'' must demagnify the beams to attain the very small spot sizes required at the interaction points. The first final focus system with local chromatic correction was developed for the Stanford Linear Collider where very large demagnifications were desired. This same conceptual design has been adopted by all the future linear collider designs as well as the SuperConducting Supercollider, the Stanford and KEK B-Factories, and the proposed Muon Collider. In this paper, the over-all layout, physics constraints, and optimization techniques relevant to the design of final focus systems for high-energy electron-positron linear colliders are reviewed. Finally, advanced concepts to avoid some of the limitations of these systems are discussed

  12. 40 CFR 271.12 - Requirements for hazardous waste management facilities.

    Science.gov (United States)

    2010-07-01

    ... Requirements for Final Authorization § 271.12 Requirements for hazardous waste management facilities. The State shall have standards for hazardous waste management facilities which are equivalent to 40 CFR parts 264... 40 Protection of Environment 26 2010-07-01 2010-07-01 false Requirements for hazardous waste...

  13. Final environmental assessment and Finding-of-No-Significant-Impact - drum storage facility for interim storage of materials generated by environmental restoration operations

    International Nuclear Information System (INIS)

    1994-09-01

    The Department of Energy (DOE) has prepared an Environmental Assessment (EA), DOE/EA-0995, for the construction and operation of a drum storage facility at Rocky Flats Environmental Technology Site, Golden, Colorado. The proposal for construction of the facility was generated in response to current and anticipated future needs for interim storage of waste materials generated by environmental restoration operations. A public meeting was held on July 20, 1994, at which the scope and analyses of the EA were presented. The scope of the EA included evaluation of alternative methods of storage, including no action. A comment period from July 5, 1994 through August 4, 1994, was provided to the public and the State of Colorado to submit written comment on the EA. No written comments were received regarding this proposed action, therefore no comment response is included in the Final EA. Based on the analyses in the EA, DOE has determined that the proposed action would not significantly affect the quality of the human environment within the meaning of the National Environmental Policy Act of 1969 (NEPA). Therefore, preparation of an Environmental Impact Statement is not required and the Department is issuing this Finding of No Significant Impact

  14. Medical guidelines presentation and comparing with Electronic Health Record.

    Science.gov (United States)

    Veselý, Arnost; Zvárová, Jana; Peleska, Jan; Buchtela, David; Anger, Zdenek

    2006-01-01

    Electronic Health Record (EHR) systems are now being developed in many places. More advanced systems provide also reminder facilities, usually based on if-then rules. In this paper we propose a method how to build the reminder facility directly upon the guideline interchange format (GLIF) model of medical guidelines. The method compares data items on the input of EHR system with medical guidelines GLIF model and is able to reveal if the input data item, that represents patient diagnosis or proposed patient treatment, contradicts with medical guidelines or not. The reminder facility can be part of EHR system itself or it can be realized by a stand-alone reminder system (SRS). The possible architecture of stand-alone reminder system is described in this paper and the advantages of stand-alone solution are discussed. The part of the EHR system could be also a browser that would present graphical GLIF model in easy to understand manner on the user screen. This browser can be data driven and focus attention of user to the relevant part of medical guidelines GLIF model.

  15. Radioisotopes and medical imaging in Sri Lanka

    International Nuclear Information System (INIS)

    Jayasinghe, J.M.A.C.

    1993-01-01

    The article deals with the use of X-rays and magnetic resonance imaging in medical diagnosis in its introduction. Then it elaborates on the facilities in the field of medical imaging for diagnosis, in Sri Lanka. The use of Technetium-99m in diagnostic medicine as well as the future of medical imaging in Sri Lanka is also dealt with

  16. Nuclear facility projects in Finland: quality of environmental impact assessment (EIA) processes

    International Nuclear Information System (INIS)

    Vaatainen, A.

    2001-01-01

    In Finland, three public EIA hearings arranged by the contact authority concerning nuclear facilities were organised in 1999: the EIAs of two reactors planned to be constructed in Eurajoki (Olkiluoto) and in Loviisa, and the EIA of a final disposal facility of spent nuclear fuel, to be situated either in Olkiluoto, Loviisa, Romuvaara or Kivetty. Additionally, an application for a decision-in-principle concerning a final disposal facility to be constructed in Olkiluoto was submitted. The Ministry of Trade and Industry is the contact authority in all nuclear projects in Finland. Probably due to the simultaneity of the processes and the great importance of nuclear facility projects to the whole of society, the public opinions did not include only views about environmental impacts of each project, but also opposing and overall views about the use of nuclear energy and its safety. As for the final disposal project, alternative methods were introduced and opposition to the project itself was expressed instead of or in addition to the environmental impacts. (author)

  17. Trauma treatment in a role 1 medical facility in Afghanistan

    DEFF Research Database (Denmark)

    Vedel, Pernille Nygaard; Helsø, I; Jørgensen, H L

    2013-01-01

    Most of the emergency care delivered in Afghanistan is currently provided by the military sector and non-governmental organisations. Main Operating Base (MOB) Price in Helmand Province has a small medical centre and due to its location provides critical care to civilians and military casualties a...... and this article describes the patterns in trauma patient care at the MOB Price medical centre regarding the types of patients and injuries....

  18. Practical design of gamma irradiation facility

    International Nuclear Information System (INIS)

    Sugimoto, Sen-ichi

    1976-01-01

    In this report, it is intended to describe mainly the multi-purpose irradiation facilities which carry out the consigned irradiation for the sterilization of medical apparatuses, which is most of the demand of gamma irradiation in Japan. Gamma irradiation criterion is summed up to that ''Apply the specified dose properly and uniformly to product cases and be economic.'' Though the establishment of the design standard for irradiation facilities is not easy and is not solve simply, the factors to be considered in the design are as follows: (1) mechanism safety, (2) multipurpose irradiation structure, (3) irradiation criteria and practice, (4) efficiency of radiation source utilization and related problems, and (5) economical merit. Irradiation facilities are generally itemized as follows: irradiation equipments, radiation source-storing facility, package carrier, radiation source-driving equipments, facilities for safety and operational management and others. Examples and their characteristics are reported for the facilities of Japan Radio-isotope Irradiation Cooperative Association and Radie Industries Ltd. Expenses for construction, processing and radiation sources are shown on the basis of a few references, and the cost trially calculated under a certain presumptive condition is given. (Wakatsuki, Y.)

  19. Planning and developing medical tourism in megalopolis Shiraz

    Directory of Open Access Journals (Sweden)

    Masoud Safaeepour

    2015-01-01

    Full Text Available Medical tourism is an international phenomenon where some tourists travel long to reach treatment-therapeutic services because of high expenses, long waits, lacking in insurance, and applying services and insufficient access to health services in the destination. This industry, now, by making 60 billion dollars annually in international level, has been considered as one the most profitable markets and the number of countries to provide facilities and treatment services for foreign tourists tend to increase. Many countries provide applicable and legal plans for development of this industry. This paper aims at planning and improving medical tourism in megalopolis Shiraz. The dominating approach in the present study is developmental-applied and the method is descriptive, analytical and survey study. To analyze the data and to test the research hypothesis, the linear Pearson correlation and ANOVA were used. The results of the present study have indicated that all quality factors of treatment and tourism services, culture, facilities, medical and tourist equipment and ICT, had positive and direct correlation with developing medical tourism and the factor of price had negative and reverse correlation with it. In other words, the higher the price is, the less the medical tourism development is and vice versa. Also, the ANOVA showed that among medical tourists from various countries regarding satisfaction with the price of treatment and tourist services, the quality of treatment and tourist services, culture, facilities, medical and tourist equipment and ICT, there are significant differences and Kuwaiti tourists were the most satisfied tourists and Afghani ones were the least satisfied.

  20. High Exposure Facility Technical Description

    Energy Technology Data Exchange (ETDEWEB)

    Carter, Gregory L.; Stithem, Arthur R.; Murphy, Mark K.; Smith, Alex K.

    2008-02-12

    The High Exposure Facility is a collimated high-level gamma irradiator that is located in the basement of the 318 building. It was custom developed by PNNL back in 1982 to meet the needs for high range radiological instrument calibrations and dosimeter irradiations. At the time no commercially available product existed that could create exposure rates up to 20,000 R/h. This document is intended to pass on the design criteria that was employed to create this unique facility, while maintaining compliance with ANSI N543-1974, "General Safety Standard for Installations Using Non-Medical X-Ray and Sealed Gamma-Ray Sources, Energies up to 10 MeV."

  1. ESF [Exploratory Shaft Facility] impact evaluation report: Volume 1, Final report

    International Nuclear Information System (INIS)

    1985-08-01

    This report assesses the impacts of integrating an Exploratory Shaft Facility (ESF) with a high-level nuclear waste repository in salt. A general repository subsurface design is described which complies with the Mine Safety and Health Administration regulations for gassy metal and non-metal mines. This design is combined with the ESF into a site-specific subsurface layout with associated shafts and surface facilities for each of seven sites. An evaluation to identify integration impacts is described for two specific ESF configurations (Cases 1 and 2) for each of the seven sites. These configurations are an ESF which uses two of the full size repository shafts, and an ESF with one 10-ft and one 22-ft diameter shaft. An evaluation of an ESF configuration (Case 3) with two 12-ft diameter shafts at three of the seven sites is also described. These sites are Deaf Smith, Davis Canyon, and Richton Dome. A fourth evaluation (Case 4) for the Deaf Smith site only, addresses a ''fast track'' subsurface development plan to allow waste emplacement by 1998. A fifth evaluation (Case 5), provides site-specific ES locations, for the three sites included in Case 3, which are supportive of a shaft siting study prepared by ONWI

  2. Medical physics practice and training in Ghana.

    Science.gov (United States)

    Amuasi, John H; Kyere, Augustine K; Schandorf, Cyril; Fletcher, John J; Boadu, Mary; Addison, Eric K; Hasford, Francis; Sosu, Edem K; Sackey, Theophilus A; Tagoe, Samuel N A; Inkoom, Stephen; Serfor-Armah, Yaw

    2016-06-01

    Medical physics has been an indispensable and strategic stakeholder in the delivery of radiological services to the healthcare system of Ghana. The practice has immensely supported radiation oncology and medical imaging facilities over the years, while the locally established training programme continues to produce human resource to feed these facilities. The training programme has grown to receive students from other African countries in addition to local students. Ghana has been recognised by the International Atomic Energy Agency as Regional Designated Centre for Academic Training of Medical Physicists in Africa. The Ghana Society for Medical Physics collaborates with the School of Nuclear and Allied Sciences of the University of Ghana to ensure that training offered to medical physicists meet international standards, making them clinically qualified. The Society has also worked together with other bodies for the passage of the Health Profession's Regulatory Bodies Act, giving legal backing to the practice of medical physics and other allied health professions in Ghana. The country has participated in a number of International Atomic Energy Agency's projects on medical physics and has benefited from its training courses, fellowships and workshops, as well as those of other agencies such as International Organization for Medical Physics. This has placed Ghana's medical physicists in good position to practice competently and improve healthcare. Copyright © 2016 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.

  3. Developing operating procedures for a low-level radioactive waste disposal facility

    Energy Technology Data Exchange (ETDEWEB)

    Sutherland, A.A.; Miner, G.L.; Grahn, K.F.; Pollard, C.G. [Rogers and Associates Engineering Corp., Salt Lake City, UT (United States)

    1993-10-01

    This document is intended to assist persons who are developing operating and emergency procedures for a low-level radioactive waste disposal facility. It provides 25 procedures that are considered to be relatively independent of the characteristics of a disposal facility site, the facility design, and operations at the facility. These generic procedures should form a good starting point for final procedures on their subjects for the disposal facility. In addition, this document provides 55 annotated outlines of other procedures that are common to disposal facilities. The annotated outlines are meant as checklists to assist the developer of new procedures.

  4. Developing operating procedures for a low-level radioactive waste disposal facility

    International Nuclear Information System (INIS)

    Sutherland, A.A.; Miner, G.L.; Grahn, K.F.; Pollard, C.G.

    1993-10-01

    This document is intended to assist persons who are developing operating and emergency procedures for a low-level radioactive waste disposal facility. It provides 25 procedures that are considered to be relatively independent of the characteristics of a disposal facility site, the facility design, and operations at the facility. These generic procedures should form a good starting point for final procedures on their subjects for the disposal facility. In addition, this document provides 55 annotated outlines of other procedures that are common to disposal facilities. The annotated outlines are meant as checklists to assist the developer of new procedures

  5. Final report on Weeks Island Monitoring Phase : 1999 through 2004.

    Energy Technology Data Exchange (ETDEWEB)

    Ehgartner, Brian L.; Munson, Darrell Eugene

    2005-05-01

    This Final Report on the Monitoring Phase of the former Weeks Island Strategic Petroleum Reserve crude oil storage facility details the results of five years of monitoring of various surface accessible quantities at the decommissioned facility. The Weeks Island mine was authorized by the State of Louisiana as a Strategic Petroleum Reserve oil storage facility from 1979 until decommissioning of the facility in 1999. Discovery of a sinkhole over the facility in 1992 with freshwater inflow to the facility threatened the integrity of the oil storage and led to the decision to remove the oil, fill the chambers with brine, and decommission the facility. Thereafter, a monitoring phase, by agreement between the Department of Energy and the State, addressed facility stability and environmental concerns. Monitoring of the surface ground water and the brine of the underground chambers from the East Fill Hole produced no evidence of hydrocarbon contamination, which suggests that any unrecovered oil remaining in the underground chambers has been contained. Ever diminishing progression of the initial major sinkhole, and a subsequent minor sinkhole, with time was verification of the response of sinkholes to filling of the facility with brine. Brine filling of the facility ostensively eliminates any further growth or new formation from freshwater inflow. Continued monitoring of sinkhole response, together with continued surface surveillance for environmental problems, confirmed the intended results of brine pressurization. Surface subsidence measurements over the mine continued throughout the monitoring phase. And finally, the outward flow of brine was monitored as a measure of the creep closure of the mine chambers. Results of each of these monitoring activities are presented, with their correlation toward assuring the stability and environmental security of the decommissioned facility. The results suggest that the decommissioning was successful and no contamination of the

  6. Accidental nuclear excursion Recuplex operation 234-5 facility. Final report: Date of incident: April 7, 1962

    Energy Technology Data Exchange (ETDEWEB)

    1962-08-01

    On Saturday morning, April 7, 1962, at about 1059 Armed Forces time, an accidental nuclear excursion occurred in the plutonium waste recovery facility (Recuplex) of the 234-5 Building. This excursion did not result in any mechanical damage or spread of contamination. Three employees of the General Electric Company received overexposures to gamma and neutron radiation. None were fatally exposed; in each case the overexposure was recognized promptly, and following medical observation and testing the men were released to return to work. In compliance with AEC Manual Chapter 0703, an AEC-HAPO committee composed of two AEC employees and five General Electric employees was appointed by the Manger, HOO, with the concurrence of the General Manager, HAPO, to conduct an investigation of the incident. The committee`s purpose was to determine the cause, nature, and extent of the incident, and recommend action to be taken by others to minimize or preclude future incidents of this magnitude. A study of operating practices and operating conditions that appeared to exist prior to, during, and subsequent to the accident was made by the committee. The committee believes that this report provides sufficient information to answer questions which may arise as a result of the criticality incident except those relating to its cause.

  7. Material control in nuclear fuel fabrication facilities. Part II. Accountability, instrumntation, and measurement techniques in fuel fabrication facilities, P.O.1236909. Final report

    International Nuclear Information System (INIS)

    Borgonovi, G.M.; McCartin, T.J.; McDaniel, T.; Miller, C.L.; Nguyen, T.

    1978-12-01

    This report describes the measurement techniques, the instrumentation, and the procedures used in accountability and control of nuclear materials, as they apply to fuel fabrication facilities. Some of the material included has appeared elswhere and it has been summarized. An extensive bibliography is included. A spcific example of application of the accountability methods to a model fuel fabrication facility which is based on the Westinghouse Anderson design

  8. Material control in nuclear fuel fabrication facilities. Part II. Accountability, instrumntation, and measurement techniques in fuel fabrication facilities, P. O. 1236909. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Borgonovi, G.M.; McCartin, T.J.; McDaniel, T.; Miller, C.L.; Nguyen, T.

    1978-12-01

    This report describes the measurement techniques, the instrumentation, and the procedures used in accountability and control of nuclear materials, as they apply to fuel fabrication facilities. Some of the material included has appeared elswhere and it has been summarized. An extensive bibliography is included. A spcific example of application of the accountability methods to a model fuel fabrication facility which is based on the Westinghouse Anderson design.

  9. Impact of Electronic Health Records on Long-Term Care Facilities: Systematic Review.

    Science.gov (United States)

    Kruse, Clemens Scott; Mileski, Michael; Vijaykumar, Alekhya Ganta; Viswanathan, Sneha Vishnampet; Suskandla, Ujwala; Chidambaram, Yazhini

    2017-09-29

    Long-term care (LTC) facilities are an important part of the health care industry, providing care to the fastest-growing group of the population. However, the adoption of electronic health records (EHRs) in LTC facilities lags behind other areas of the health care industry. One of the reasons for the lack of widespread adoption in the United States is that LTC facilities are not eligible for incentives under the Meaningful Use program. Implementation of an EHR system in an LTC facility can potentially enhance the quality of care, provided it is appropriately implemented, used, and maintained. Unfortunately, the lag in adoption of the EHR in LTC creates a paucity of literature on the benefits of EHR implementation in LTC facilities. The objective of this systematic review was to identify the potential benefits of implementing an EHR system in LTC facilities. The study also aims to identify the common conditions and EHR features that received favorable remarks from providers and the discrepancies that needed improvement to build up momentum across LTC settings in adopting this technology. The authors conducted a systematic search of PubMed, Cumulative Index of Nursing and Allied Health (CINAHL), and MEDLINE databases. Papers were analyzed by multiple referees to filter out studies not germane to our research objective. A final sample of 28 papers was selected to be included in the systematic review. Results of this systematic review conclude that EHRs show significant improvement in the management of documentation in LTC facilities and enhanced quality outcomes. Approximately 43% (12/28) of the papers reported a mixed impact of EHRs on the management of documentation, and 33% (9/28) of papers reported positive quality outcomes using EHRs. Surprisingly, very few papers demonstrated an impact on patient satisfaction, physician satisfaction, the length of stay, and productivity using EHRs. Overall, implementation of EHRs has been found to be effective in the few LTC

  10. Military Medical Care: Questions and Answers

    Science.gov (United States)

    2013-07-24

    conditions. Qualifying conditions include: • Diagnosis in an infant or toddler of a neuromuscular developmental condition or other condition expected to...TRICARE and Medicare Payments to Providers and the Sustainable Growth Rate ......... 19 Medicare and TRICARE for Life...training, medical research and development , health information technology, facility planning, public health, medical logistics, acquisition, budget, and

  11. The present status of medical application of particle accelerator. Started construction of a new medically dedicated proton accelerator facility in Tsukuba

    International Nuclear Information System (INIS)

    Sakae, Takeji; Maruhashi, Akira

    1999-01-01

    A new facility of PMRC starts the construction in the neighborhood of Tsukuba university hospital, in order to establish technical skill for practical use in the cancer treatment and to grope for new skill. The facility has a linac injection system, a compact synchrotron, two rotating gantry rooms and two fixed horizontal beam lines. The outline of the design arranged for the facility is reviewed. As one of the important technique for the treatment, investigation into target adjusting accuracy in respiration-gated proton irradiation is presented. (author)

  12. Facility management and energy efficiency -- analysis and recommendations; Facility Management und Energieeffizienz: Analyse und Handlungsempfehlungen

    Energy Technology Data Exchange (ETDEWEB)

    Staub, P.; Weibel, K.; Zaugg, T. [Pom and Consulting Ltd., Zuerich (Switzerland); Lang, R. [Gruenberg and Partner Ltd., Zuerich (Switzerland); Frei, Ch. [Herzog Kull Group, Aarau (Switzerland)

    2001-07-01

    This final report presents the results of a study made on how facility management (FM) is positioned in enterprises and on how energy management can be integrated into the facility management process. Also, recommendations are made on the actions that are considered necessary to improve the understanding of facility management and energy management. The findings of an analysis made of the results of a survey among 200 enterprises, 20 interviews and 5 case studies are presented. The authors state that, in spite of the relatively small sample taken - mostly larger enterprises - trends in facility management and energy management could be shown. The findings of the survey, such as the relative importance of the integration of energy topics in facility management and the need for standardised indicators and benchmarking, are discussed in detail. Also, it is noted that the success of FM is in part due to delegation of responsibility to smaller business units or even to individual employees. The market potential for FM services is examined, with yearly growth rates of up to 20%. The importance of anchoring FM strategies at the top level of management is stressed, as is the need for promotion of the idea of facility management and training concepts for those responsible for its implementation.

  13. Surrogate Final Technical Report for "Solar: A Photovoltaic Manufacturing Development Facility"

    Energy Technology Data Exchange (ETDEWEB)

    Farrar, Paul [State University of New York Research Foundation, Albany, NY (United States)

    2014-06-27

    The project goal to create a first-of-a-kind crystalline Silicon (c-Si) photovoltaic (PV) Manufacturing & Technology Development Facility (MDF) that will support the growth and maturation of a strong domestic PV manufacturing industry, based on innovative and differentiated technology, by ensuring industry participants can, in a timely and cost-effective manner, access cutting-edge manufacturing equipment and production expertise needed to accelerate the transition of innovative technologies from R&D into manufacturing.

  14. A plea to control medical tourism.

    Science.gov (United States)

    Niechajev, Igor; Frame, James

    2012-02-01

    The growing phenomenon of patients seeking medical procedures abroad (MPA), formerly known as a medical tourism, is discussed. The dark side of the trend is exemplified by the tragic case of a 31-year-old Swedish woman who upon seeing a web advertisement went to Gdansk, Poland, to have breast augmentation. The operation was performed in an old hospital quite different from the modern hospital depicted in the ad. As a result of the grave mistakes in anesthetic care and lack of a postoperative recovery routine, the patient sustained severe brain injury because of prolonged hypoxia. Now, 6 months after the fateful operation, the patient is decorticated and has only vegetative functioning of the left side of the brain. Firm managers, who do not have any medical training, entice patients to believe that the doctors and the facilities abroad have the same technical and safety standards as at home. We question the gap in the law that allows a lay person to screen the candidates for surgery and decide who will operate and in what kind of environment. The trade in human organs is internationally banned but brokering operations on organs goes uncontrolled. Twenty other patients were operated on abroad at different facilities, but all told the same story: lack of adequate postoperative care, unfriendly nursing staff, and the feeling of abandonment upon the return home. The four facets of the ISAPS Patient Safety Diamond--the patient, the procedure, the facility, and the surgeon--are described. ISAPS decided to support the MPA policy with prescreening of the prospective patient, travel and medical insurance for the patient, and surgery abroad, but only if the surgeon is an ISAPS member in a fully accredited facility. This policy will be available first for UK residents who travel abroad for surgery, and later for patients and ISAPS surgeons worldwide. Many plastic surgeons have seen or heard of various tragedies or disasters following medical treatments in foreign countries

  15. Survey of neutron radiography facilities

    International Nuclear Information System (INIS)

    Imel, G.R.; McClellan, G.G.

    1996-01-01

    A directory of neutron radiography facilities around the world was informally compiled about ten years ago under the auspices of the American Society for Testing and Materials (ASTM), Subcommittee E7.05 (Radiology, Neutron). The work lay dormant for a number of years, but was revived in earnest in the fall of 1995. At that time, letters were mailed to all the facilities with available addresses in the original directory, requesting updated information. Additionally, information was gathered at the Second Topical meeting on neutron Radiography Facility System Design and Beam Characterization (November, 1995, Shonan Village, Japan). A second mailing was sent for final confirmation and updates in January, 1996. About 75% of the information in the directory has now been confirmed by the facility management. This paper presents a summary of the information contained in the facility directory. An electronic version of the directory in Wordperfect 6.1, uuencode, or rtf format is available by sending e-mail to the authors at imel at sign anl.gov or imel at sign baobab.cad.cea.fr. A WWW site for the directory is presently under construction

  16. 2727-S Nonradioactive Dangerous Waste Storage Facility Closure Plan

    International Nuclear Information System (INIS)

    Wilczek, T.A.; Laws, J.R.; Izatt, R.D.

    1992-01-01

    This closure plan describes the activities for final closure of the 2727-S Nonradioactive Dangerous Waste Storage (NRDWS) Facility at the Hanford Site. The 2727-S NRDWS Facility provided container storage for nonradioactive dangerous and extremely hazardous wastes generated in the research and development laboratories, process operations, and maintenance and transportation functions throughout the Hanford Site. Storage operations began at the 2727-S NRDWS Facility March 14, 1983, and continued until December 30, 1986, when the last shipment of materials from the facility took place. These storage operations have been moved to the new 616 NRDWS Facility, which is an interim status unit located between the 200 East and 200 West Areas of the Hanford Site

  17. Medical care of radiation accidents

    International Nuclear Information System (INIS)

    Nakao, Isamu

    1986-02-01

    This monograph, divided into six chapters, focuses on basic knowledge and medical strategies for radiation accidents. Chapters I to V deal with practice in emergency care for radiation exposure, covering 1) medical strategies for radiation accidents, 2) personnel dosimetry and monitoring, 3) nuclear facilities and their surrounding areas with the potential for creating radiation accidents, and emergency medical care for exposed persons, 4) emergency care procedures for radiation exposure and radioactive contamination, and 5) radiation hazards and their treatment. The last chapter provides some references. (Namekawa, K.)

  18. MEDICAL TOURISM IN INDIA: A NEW AVENUE

    OpenAIRE

    Badwe, Anand N.; Giri, Purushottam A; Latti, Ramchandra G.

    2012-01-01

    Medical tourism is attracting attention of travelers from all over the globe. It combines a travel at ease and availing medical health care facility at low cost as per traveler’s own choice. World class medical health care is available in some of the Asian countries, such as India, Philippines and Singapore etc. Medical tourism has become one of the major industries in recent times. Medical Tourism India (Health Tourism India) is a developing concept whereby people from world over visit Ind...

  19. Guidelines for the medical surveillance of atomic radiation workers

    International Nuclear Information System (INIS)

    1991-11-01

    These guidelines are provided for the use and guidance of occupational physicians concerned with the medical surveillance of atomic radiation workers (ARWs). Persons employed in industries where there is exposure to ionizing radiation should be screened medically for fitness for certain jobs before starting such work and at appropriate intervals while employed. This includes workers at uranium mines, mills and refineries, nuclear fuel fabrication plants, nuclear power plants and research facilities, and facilities using radionuclides in an industrial setting. An important purpose of medical surveillance is to ensure that workers are fit both physically and psychologically to undertake the tasks they may be called upon to perform

  20. Dismantling of nuclear facilities

    International Nuclear Information System (INIS)

    Tallec, M.; Kus, J.P.

    2009-01-01

    Nuclear facilities have a long estimable lifetime but necessarily limited in time. At the end of their operation period, basic nuclear installations are the object of cleansing operations and transformations that will lead to their definitive decommissioning and then to their dismantling. Because each facility is somewhere unique, cleansing and dismantling require specific techniques. The dismantlement consists in the disassembly and disposing off of big equipments, in the elimination of radioactivity in all rooms of the facility, in the demolition of buildings and eventually in the reconversion of all or part of the facility. This article describes these different steps: 1 - dismantling strategy: main de-construction guidelines, expected final state; 2 - industries and sites: cleansing and dismantling at the CEA, EDF's sites under de-construction; 3 - de-construction: main steps, definitive shutdown, preparation of dismantling, electromechanical dismantling, cleansing/decommissioning, demolition, dismantling taken into account at the design stage, management of polluted soils; 4 - waste management: dismantlement wastes, national policy of radioactive waste management, management of dismantlement wastes; 5 - mastery of risks: risk analysis, conformability of risk management with reference documents, main risks encountered at de-construction works; 6 - regulatory procedures; 7 - international overview; 8 - conclusion. (J.S.)

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